Health

Hello,

On behalf of Sky News Communities team and in the public interest under the freedom of information act, please could you provide the following information:

1. Since February 2025 how many people has your trust discharged due to missed appointments?

2. Please can you also provide your trusts latest action plan for how your trust treats and engages with mental health patients? Please can you state the date this action plan was launched.

3. Please can you set out the latest plan on how your trust works with other agencies including the police? Please can you state the date this action plan was launched.

Thank you,

Liaison psychiatry services for Functional Neurological Disorder

Clinical Activity Data, Health, MH Services

Dear Freedom of Information Team, I am writing to request information under the Freedom of Information (FoI) Act 2000. This FoI request is part of a research study conducted by the University of Manchester. Our study aims to investigate the availability of liaison psychiatry services for patients presenting with a condition called Functional Neurological Disorder (FND). This current FoI request is to Gloucestershire Health and Care NHS Foundation Trust. We understand that there are liaison psychiatry teams at the sites detailed below. These questions would be best answered by the liaison psychiatry department themselves as there may be differences in practice between teams: Gloucestershire Royal Hospital Working Age Mental Health Liaison Service. If there are any liaison psychiatry teams we have missed out, please send this FoI request onto them. For further details about our study, please see our information sheet (attached) Our questions are available to answer on this Microsoft Form URL: {https://forms.office.com/Pages/ResponsePage.aspx?id=B8tSwU5hu0qBivA1z6kad3WY_jr6A6VJtgMzFzLptSlUMDc2SEtZTDFNTUdWVkU2N0VaWExSMUNUMi4u}

Should you not be able to access the Microsoft Form, the questions are detailed below:

FoI questions:

1. Does the liaison psychiatry service accept referrals for patients diagnosed with suspected or confirmed Functional Neurological Disorder (FND)?

a. No
b. Yes

2. Are there formal exclusion criteria that would prevent patients with FND from being assessed by liaison psychiatry?

a. No
b. Yes

i. What are the criteria?

3. Are there inclusion criteria within FND?

a. No
b. Yes

i. What are the criteria?

4. Where are patients with FND assessed?

a. Inpatient wards
b. Emergency departments
c. Outpatient settings
d. A mixture, please detail:
e. Not assessed at all

5. Is there a standardised assessment tool you use for patients with suspected or confirmed FND?

a. No
b. Yes

6. Do you have a policy, guideline or dedicated pathway for patients with suspected or confirmed FND?

a. No
b. Yes

7. Between January 2024-December 2025, how many patients with a suspected or confirmed FND were referred to liaison psychiatry? *

a.
b. Data not held

8. Between January 2024-December 2025, how many patients with a suspected or confirmed FND were accepted by liaison psychiatry? *

a.
b. Data not held

9. If FND patients are not seen by the liaison psychiatry team, are they referred to other services for assessment of their mental health?

10. Does the liaison psychiatry unit provide training to its staff on FND?

If yes, please specify.

a. No
b. Yes

i. Please specify:

11. Is your liaison psychiatry service commissioned to see patients with FND? * Alternative codes for FND: psychogenic, conversion, stress-induced, functional, pseudoseizure, dissociative, non-organic, psychosomatic, hysterical, psychological cause.

Mental Health Treatment Community and InPatient

Hi team,

I am writing to request the below information under the Freedom of Information Act 2000.

The number of young people (18-24 year olds inclusive) receiving mental health treatment- both community and inpatient.

The number of them who have been receiving treatment more than once (not their first time).

I would like the most recent figures you have available, and the same figures from January 2021.

Thank you,

Surgical Specialities

GHNHSFT - Redirect, Health

Dear FOI Team,

Please provide the following information for your Trust/hospital site(s) for the most recent complete 12-month period available (please state the exact start and end dates used).

If your data are only available at Trust level (not site level), please provide Trust-level figures and state this explicitly.

1) Surgical specialties in scope – Please report data separately for each of the following specialties (use the exact labels below):

1. Cardiothoracic Surgery
2. General Surgery (including: breast, colorectal, endocrine, upper GI, lower GI, and transplant—kidney, liver, pancreas)
3. Neurosurgery
4. Oral & Maxillofacial Surgery
5. ENT / Otolaryngology
6. Paediatric Surgery
7. Plastic Surgery
8. Trauma & Orthopaedic Surgery
9. Urology
10. Vascular Surgery

If a specialty is not provided at your Trust/hospital site(s), please record 0 for that specialty and note “not provided”.

2) Workforce (headcount) – For each specialty listed above, please provide:

• Number of Consultant surgeons (substantive/headcount)
• Number of SAS surgeons (headcount) (i.e., Specialty Doctor and Specialist grades)
Please provide headcount (not WTE). If you can only provide WTE, please state that clearly.

3) Population served – Please provide the total population served by your Trust/hospital (the figure you use for planning/catchment), and specify the source/definition used (e.g., “ICS population”, “catchment population”, etc.).

4) Surgical admissions activity -Please provide the total number of admissions (elective + emergency combined) to all surgical specialties in scope (i.e., the combined total across the 10 specialties listed above) for the same 12-month period.

If your admissions data are recorded using a different specialty grouping, please map as closely as possible and explain any assumptions.

Yours Sincerely

Use of Electroconvulsive Therapy (ECT)

Clinical Activity Data, Health, MH Services

Dear Sir/Madam,
I am writing under the Freedom of Information Act to make a request for information on the use of electroconvulsive therapy (ECT).
The information being requested is as follows:

1. Please provide the number of ECT treatments given to patients (if any) in the year 2025

2. Please provide the number of patients (if any) having received ECT treatment in the year 2025

I look forward to hearing from you in due course.

Yours faithfully,

Night-time In-Patient Care Implemented 24/25

Health, Staffing

Dear Gloucestershire Health and Care NHS Foundation Trust,

This request seeks information on practical service improvements in night-time inpatient care implemented during 2024/25, to support shared learning and benchmarking across NHS Trusts. The focus is on sleep, noise, and night-time disruption aligned with issues highlighted in the Care Quality Commission Adult Inpatient Survey.

Please answer for adult inpatient services

Night-time care and sleep
1. Night-time improvement initiatives
Please describe any Trust-wide or ward-level initiatives in place during 2024/2025 aimed at improving patients’ experience at night (e.g. reducing noise, improving sleep, reducing night-time disruption).

2. Policies or protocols
Does the Trust have any formal policy, protocol or guidance relating to:
o noise reduction at night,
o minimising non-urgent interventions overnight,
o minimising non-urgent ward moves during night hours?
If yes, please provide the title(s) and date(s).

3. Ward moves at night
During 2024/25, did the Trust take any specific actions to reduce non-urgent patient transfers or bed moves overnight (for example after 11pm)?
If yes, please describe the actions taken.

4. Staff training and awareness
Has the Trust delivered any training, briefings or awareness campaigns during 2024/25 relating to night-time care, sleep, noise reduction?
If yes, please describe.

5. Measuring impact
Please indicate which of the following are used to assess night-time care experience:
o National Inpatient Survey sleep/noise questions
o real-time patient feedback
o complaints or PALS themes
o local audits or ward observations
(Please specify all that apply.)

Yours faithfully,

Talking Therapy Provider

Contracts, Health, MH Services

Dear Gloucestershire Health and Care NHS Foundation Trust,

I would be most grateful if you would provide me, under the Freedom of Information Act, answers to the below questions:
1.
For contracts held with external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, please confirm:
• The contract start and end dates
• Whether the contract is block-funded, activity-based, or outcome-based
• Whether payment is triggered by completed contacts, completed episodes of care, or other milestones

2.
For each financial year from 2022/23 to 2024/25, please confirm the total expenditure paid to each of the external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services.

3.
For the same period, please provide:
• The total number of completed clinical contacts delivered by external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services and/or
• The total number of completed treatment episodes (courses of care), broken down where available by Step 2 and Step 3

4.
If held, please provide any internally reported or calculated figures showing:
• Average cost per completed treatment episode
• Average cost per completed clinical contact
for services delivered by external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services

5.
Please provide any board papers, performance reports, or internal evaluations which reference:
• Recovery rates, reliable improvement, or waiting-time performance
• In relation to the cost or value for money of services delivered by external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services

6.
Please confirm whether external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, costs were benchmarked against:
• In-house NHS Talking Therapies provision
• Other external providers
and if so, whether the supplier was assessed as lower-cost, comparable, or higher-cost.

7.
Please confirm whether the contract with external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, included:
• Minimum activity volumes
• Volume caps
• Break clauses linked to activity or outcomes

8.
Please list any contract variations, extensions, or price uplifts agreed with external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, since contract award, including the reason (e.g. demand growth, workforce pressures).

9.
Please confirm whether charges payable to external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, included separate line items for:
• Referral processing
• Digital platform access
• Administration or reporting
and if so, the value of these charges.

10.
Please confirm whether the ICB/Trust anticipates:
• Re-tendering
• Extending
• Expanding
NHS Talking Therapies capacity using external providers within the next 24 months.

Yours faithfully,

Guidelines for the Treatment of Patients with Schizophrenia.

Health, Pharmacy

Dear Sir/Madam,
Please find below an FOI request relating to the treatment of patients with schizophrenia.
Question 1: Does Gloucestershire Health and Care NHS Foundation Trust have any local guidelines for the use of antipsychotic medications for the treatment of schizophrenia? Yes/No
If yes, please provide a copy.

Question 2: Does Gloucestershire Health and Care NHS Foundation Trust have any policies for the use of antipsychotic medications in the form of Long acting injectables (LAIs)/Depot injections for any mental health condition? Yes/No
If yes, please provide a copy.

Thank you in advance for your assistance,

Patients Awaiting Initial Assessment-Memory Clinics-Suspected Dementia

Dear Sir/Madam, Under the Freedom of Information Act 2000, I would like to request the following information relating to waiting lists and waiting times for patients awaiting an initial assessment at memory clinics for suspected dementia:

1. Waiting List Size

o The number of patients currently on the waiting list for an initial memory clinic assessment for suspected dementia, as of the most recent available date.

2. Waiting Times

o The average waiting time (in weeks and/or days) from referral to first assessment at your memory clinic for suspected dementia for the most recent reporting period.
o The median waiting time (if available).
o The range of waiting times (shortest and longest) for patients currently on the waiting list.

3. Historical Data

o The waiting list size and average waiting time for the same service for each quarter over the last 12 months (e.g., Q1, Q2, Q3, Q4).

4. Referral and Assessment Source Data

o The number of referrals received in the last 12 months for memory clinic assessments for suspected dementia.
o The number of patients assessed and discharged from the waiting list in the last 12 months.

Please provide this information in an electronic format (e.g., Excel or CSV) if possible.

If you consider any part of this request to be exempt, please provide reasons for your decision, including the relevant exemption clauses.

If the full information is not available, please provide what you do hold and advise how much of the requested information you are unable to supply.

I look forward to your response within 20 working days, as required under the Act.

Yours faithfully,

ASD and ADHD services for children, young people, and adult

Good Morning,

We have recently been awarded NHS Standard Contracts to deliver ASD and ADHD services for children, young people, and adults, including diagnostic assessments and ongoing treatment where appropriate, such as medication and psychoeducation.

As a result, we’re now beginning to receive Right to Choose referrals from patients registered with GP practices in your area.

We are trying to gather as much information as possible to be proactive within our service.

We are formally asking your assistance by providing us with answers to our questions below.

1 Child ASD assessment

a) How many patients are on your waiting list today?
b) What is the longest waiting time for patients on your waiting list?
c) What is the average waiting time for patients on your waiting list?

2 Child ADHD assessment

a) How many patients are on your waiting list today?
b) What is the longest waiting time for patients on your waiting list?
c) What is the average waiting time for patients on your waiting list?

3 Adult ASD assessment

a) How many patients are on your waiting list today?
b) What is the longest waiting time for patients on your waiting list?
c) What is the average waiting time for patients on your waiting list?

4 Adult ADHD assessment

a) How many patients are on your waiting list today?
b) What is the longest waiting time for patients on your waiting list?
c) What is the average waiting time for patients on your waiting list?

Thanking you in advance for your assistance

with Kind regards

Adult Acute Mental Health Inpatient Beds

Dear Freedom of Information Team,

I am writing to request information under the Freedom of Information Act 2000.

Please provide the information requested below in relation to adult acute mental health inpatient beds within your Trust.

For the purposes of this request:

• “Adult” refers to patients aged 18 and over.
• “Adult acute bed” refers to general adult acute mental health inpatient wards and excludes specialist services (e.g. PICU, forensic, CAMHS, learning disability, older adults, rehabilitation, or long-stay wards), unless these are routinely classified by your Trust as adult acute.
• The reporting period is the last 18 months from the date of this request, unless otherwise stated. Information requested

1. Length of stay over 12 months In the last 18 months, how many adult patients detained under the Mental Health Act have had a length of stay exceeding 12 months in an adult acute bed within the Trust? (Please note: the date of admission may fall outside the 18-month reporting period.)

2. Multiple admissions In the last 18 months, how many adult patients have had three or more admissions (i.e. re-admitted two times or more) to an adult acute bed within the Trust?

3. Average length of stay In the last 18 months, what is the average length of stay for adult patients admitted to adult acute wards within the Trust? If possible,

I would appreciate the data provided in aggregate form (e.g. total numbers and averages), and I am happy to receive the response in Excel, CSV, or another standard electronic format.

If any part of this request is exempt under the Act, please provide the reason for the exemption and release any non-exempt information where possible.

Should clarification be required to process this request, please contact me as soon as possible.

I understand that under the Freedom of Information Act 2000, a response should be provided within 20 working days.

Thank you for your time and assistance.

Kind regards

Haemophilia A and B and Von Willebrand Patients

GHNHSFT - Redirect, Health, Pharmacy

Hi FOI team for Gloucestershire Health and Care NHS Foundation Trust,

Under the Freedom of Information (FOI) Act 2000 I would like to obtain the following information:

In the last 3 months (October, November, December 2025), how many haemophilia A and B and von Willebrand patients were treated with the following coagulation factors in your trust and how much volume (IUs or mg) was used?

Brand name Number of treated patients Volume used (IUs, mg)
Hemlibra (non-inhibitor patients)
Hemgenix
Altuvoct
Advate
Adynovi
Elocta
Esperoct
NovoEight
ReFacto AF
Nuwiq
Hympavzi
Idelvion
Refixia
Alprolix
BeneFIX
Replenine
Rixubis
Veyvondi
Voncento
Wilate
Willfact

Best wishes,

Chemsex or Sexualised Drugs

Dear FOI Officer, Under the Freedom of Information Act 2000,

I would like to request the attached information relating to chemsex or sexualised drug use within your Trust.

This is part of a research project being conducted at King’s College London.

I have attached the questions.

Please let me know if you have any questions about the information being requested or need any clarification.

ADHD and Emotional Dysregulation

CAMHS/CYPS, Health, MH Services

Dear FOI Officer,
I am writing to make a request for all the information to which I am entitled under the Freedom of Information Act 2000.

Could you please supply me with the following information concerning the number of people with ADHD and emotional dysregulation in your area as of 2025, if 2025 data is not able to be supplied for any of the questions please supply it for the year 2024.

I would like the above information to be provided to me electronically, preferably in an Excel or Word document. If there are other relevant statistics or links that have not been specified above please also supply those.

If this request is too wide or unclear, I would be grateful if you could contact me, as I understand that under the Act you are required to advise and assist requesters.

I understand that all data must be anonymised, and I am only requesting summary figures rather than any detailed patient reports.

1. The number of patients with ADHD under your trust that also have documented emotional dysregulation, mood disorders, anxiety or self-harm / mood-instability issues recorded.

2. Of those with ADHD, how many have comorbid mental health conditions recorded (e.g., anxiety, depression, low self-esteem, mood disorders)? If possible, please provide the number for each comorbid condition separately.

3. How many ADHD patients were seen by crisis services or home treatment teams in the last 12 months under your trust? (if possible, please also state the reason).

4. How many people with ADHD under your trust are currently in therapy, or waiting for therapy, due to emotional regulation difficulties being recorded as the presenting issue or reason for referral?

5. If possible, please provide the information for each different form of therapy

If any of this information is already in the public domain, please can you direct me to it, with page references and URLs if necessary.

Additionally, if you are only able to answer or hold the information for some of the questions, please supply that still.

I understand that you are required to respond to my request within 20 working days after you receive this letter. I would be grateful if you could confirm in writing that you have received this request.

If you have any queries, please do not hesitate to contact me via email or phone, and I will be happy to clarify what I am asking for. My details are outlined below.

I look forward to hearing from you.

End of Life Care and Unsafe Housing

Hi there,

I am writing to request information under the Freedom of Information Act 2000.

For the most recent three financial years for which data is held, please provide:

The number of patients recorded by the Trust as receiving end of life or palliative care whose housing was documented by Trust staff as

a unsafe or unfit for habitation

b affected by damp, mould, overcrowding or serious disrepair

c temporary accommodation or homelessness

The number of cases where housing conditions were recorded as contributing to

a delayed discharge from hospital

b an inability to provide safe end of life care at home

The number of patients receiving end of life or palliative care who died in hospital where housing conditions were noted as a factor in discharge planning or care decisions.

If question 3 cannot be answered in this form, please instead provide:

The number of patients receiving end of life or palliative care who died in hospital following a delayed discharge, where housing conditions were noted as a contributing factor.

If the information is held in a different format or only partially held, please provide what is available.

If this request exceeds the cost limit, please provide all within the limit.
Thank you for your assistance.

Dementia Inpatients

To whom it may concern,

Please provide me with the following information under the Freedom of Information Act.

How many inpatients with Dementia at your Trust in 2024 and 2025 were accompanied by a healthcare worker or another member of staff when they were sent for scans or tests, where a family member, guardian or other non-member of staff were not present. For context, this doesn’t include porters, it refers to staff members who were there throughout the tests and scans, where a family member, guardian or other non-member of staff was not present. Can you please provide 2024 and 2025 as separate figures.

How many inpatients with Dementia at your Trust in 2024 and 2025 were not accompanied by anyone? For context, this means no family member or guardian were present, nor a healthcare worker or other NHS staff member. Again, porters don’t apply here. Can you please provide 2024 and 2025 as separate figures.

If it is not possible to provide some of the data requested, I would be grateful if you could provide whichever elements of this FOI request are eligible for release.

Therefore, if it is possible to ascertain within the prescribed time limit, without having to provide a fee for further investigations, please respond in electronic form with all the information above to my email address

Mental Health Outsourcing

Good morning,

Please can you provide me with the below information:

In the last 6 months (June 25- November 25), please confirm if any Mental Health services have been outsourced:

If yes, please confirm:

-The service provided E.G ADHD, Autism etc (please provide breakdown for each service if applicable)

-The name of the company each service was outsourced to

-Is there a contract in place and the length of contract for each service provided (if applicable)

-The value of each service in the last 6 months

Please confirm how this contract was procured E.G Tender, Direct Award etc

Please provide an email and contact name within the outsource provider

Thanks

Mealtime / Dining Room Support – Patients with an Eating Disorder

Eating Disorder, Health

To Whom It May Concern, I am writing to request information under the Freedom of Information Act 2000.

I would be grateful if you could provide copies of any internal guidelines, protocols, policies or standard operating procedures that relate specifically to mealtime/ dining room support in the treatment of eating disorders within your services.

This includes, but is not limited to documents that cover:

– expectations and roles of staff during mealtimes
– levels of supervision and support before, during and after meals or snacks management of meal‑related distress, behaviours or incidents
– use of any structured mealtime programmes or approaches
– nasogastric feeding or the use of oral nutrition supplements If different guidelines are used in different settings,

Please provide all relevant documents. For example, where your organisation has separate or adapted guidance for: inpatient wards day‑hospital or day‑programme services intensive outpatient / intensive community treatment outpatient or community services Similarly.

I would also be grateful if you could provide all protocol versions, if different protocols apply to different age groups, including: adult eating disorder services CAMHS / children and young people’s eating disorder services all‑age or transition services, if applicable

If your organisation does not have written mealtime support guidelines, please kindly let me know.

If you require any clarification in order to process this request, please let me know.

Brain Injuries

CAMHS/CYPS, Health, MH Services

I am writing regarding an FOI data request for the NHS Gloucestershire Health and Care you manage on the care provided for those with traumatic brain injuries. Please find all relevant questions in below and we look forward to receiving the data within 20 working days.


1) How many patients with the primary diagnosis of traumatic brain injury were referred for neurological care following discharge from a rehabilitation unit?
2020 2021 2022 2023 2024
Insert number Insert number Insert number Insert number Insert number

2) What is the average wait time for patients to access neurological care services following referral from rehabilitation?
2020 2021 2022 2023 2024
Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number

3) Please provide a list of neurological and rehabilitation services available for patients with traumatic brain injuries within your region

Use of Restraints in Mental Health Services

CAMHS/CYPS, Health

We are submitting a request under the Freedom of Information Act 2000 regarding admissions into mental health inpatient services, disaggregated by demographic characteristics.

1. For the financial year 2023/24, please give the total number of patients disaggregated collectively by disaggregated by gender, ethnicity, and religion or belief, disability status, and sexual orientation admitted into:
a) CAMHS in-patient services*
b) Adult mental health in-patient services

2. For the financial year 2023/24, and disaggregated by gender, ethnicity, and religion or belief, disability status, sexual orientation and restraint type, i.e. prone restraint (also known as face-down restraint), chemical restraint, etc., please give the number of patients who experienced restraint by one or more members of staff in both:
a) adult inpatient mental health services
b) CAMHS inpatient mental health services*

3. For the financial year 2023/24, and disaggregated by gender, ethnicity, and religion or belief, disability status, and sexual orientation and restraint type, i.e. prone restraint (also known as face-down restraint), chemical restraint, etc., please give the number of incidents of restraint experienced by patients in both:
a) adult inpatient mental health services
b) CAMHS inpatient mental health services*

*If your ICB does not provide in-patient CAMHS services please make this clear.

Male Fertility (2)

Dear Gloucestershire Health and Care NHS Foundation Trust,

Under the Freedom of Information Act 2000, I am writing to request information regarding male reproductive health services provided by your Trust. Specifically, we are seeking details on services related to andrology, sperm storage, and male fertility.

Please could you provide answers to the following questions:

1. Does your Trust operate a dedicated andrology or male fertility clinic?
2. Are there any eligibility criteria that limit male patients’ access to fertility treatment?
3. Does your Trust provide NHS-funded sperm storage?
4. Does your Trust offer sperm analysis or testing services for men?
5. Are there specialist male fertility clinicians or andrologists within your fertility teams?
6. Are counselling services offered specifically for male patients regarding fertility issues?
7. If you are unable to provide any counselling services, do you proactively signpost to other peer support or community services?

If possible, please also provide any supporting documentation or policies relevant to the above services.

I would be grateful to receive the answers to these questions in the body of the email, or in a PDF document. If any of the information is not held, please confirm this in your response.

Thank you for your time and assistance.

Yours faithfully,

Male Fertility

Dear Gloucestershire Health and Care NHS Foundation Trust,

Please could you provide answers to the following questions:

If possible, please also provide any supporting documentation or policies relevant to the above services.

I would be grateful to receive the answers to these questions in the body of the email, or in a PDF document. If any of the information is not held, please confirm this in your response.

Thank you for your time and assistance.

Yours faithfully,

Accessible Healthcare for RNID Communities

Health, MH Services, Nursing & Agency Nursing

I am writing to you from the RNID, the national charity supporting the 18 million people in the UK who are deaf, have hearing loss or tinnitus.
Our communities tell us they can sometimes face difficulties can when seeking access to NHS care as a result of failure to meet their communication needs. As you will know, in 2016, NHS England introduced the Accessible Information Standard (AIS) – a document that sets out clear guidance on what must be done to make NHS and publicly funded social care services accessible to people with disability and sensory loss.
I would like to request some information from the NHS Trust that relates to accessible healthcare for RNID’s communities, under the Freedom of Information Act 2000.
1. What proportion of staff employed by the Trust have completed the NHS England e-learning module on the NHS Accessible Information Standard?
2. What proportion of the clinical staff employed by the Trust have completed the NHS England e-learning module on the NHS Accessible Information Standard?
3. Does the Trust offer training on deaf awareness to staff? If so, please specify how the training is delivered.
4. In the last five years, how many NHS complaints has the Trust received which primarily relate to a failure to provide care that is accessible to a person who is deaf or has hearing loss, and/or a failure to provide “reasonable adjustments” during the care of a person who is deaf or has hearing loss?
As you will know, “reasonable adjustments” are a legal requirement under the Equality Act 2010, to make sure health services are accessible to disabled people. Reasonable adjustments in accessing NHS services for a person who is deaf or has hearing loss might include the provision of a BSL interpreter or other communication support professional, facing the patient and not speaking too quickly, or the provision of alternative contact methods to the telephone.
If it is not possible to provide these figures in full without incurring the Act’s Section 12 time/cost limit, please provide any figures you are able to within the limit (e.g. figures for one year, any snapshot reports/audits)

5. In the last five years, what has been the cost of litigation to the NHS Trust as a result of failure to make reasonable adjustments under the Equality Act 2010 to meet the communication needs of patients who are deaf or have hearing loss?
If such payments are processed by NHS Resolution, including where failure to provide reasonable adjustments has been part of a clinical negligence case, please let us know total cost paid as a result of claims against the Trust on this topic.
If it is not possible to provide these figures in full without incurring the Act’s Section 12 time/cost limit, please provide any figures you are able to within the limit.

6. In the last five years, what has been the cost of litigation to the NHS Trust as a result of failure to make reasonable adjustments under the Equality Act 2010 to meet the communication needs of patients with a disability, impairment, or sensory loss (as set out in the NHS Accessible Information Standard)?
If such payments are processed by NHS Resolution, including where failure to provide reasonable adjustments has been part of a clinical negligence case, please let us know total cost paid as a result of claims against the Trust on this topic.

If it is not possible to provide these figures in full without incurring the Act’s Section 12 time/cost limit, please provide any figures you are able to within the limit.

Psychiatry Agency Spend Breakdown

I am writing to request a detailed breakdown of psychiatrist agency spend for the following periods:

• 1st April 2024 – 31st March 2025
• 1st April 2025 – 31st October 2025

Please provide the data in Excel format, with the following details for each month:

• By grade and sub-specialty
• For each hospital
• Split by framework and non-framework agencies

Long Term Sickness 2019 to 2024

Health, HR, Staffing

I would like to make a Freedom of Information Act request for the following information

– How many members of staff employed by your organisation have been on long-term sickness absence in 2019, 2020, 2021, 2022, 2023 and 2024?
and
– At what grades and functions?
and
– How many of these members of staff did not return permanently to work by year?
and
– How many members of staff employed by your organisation who were no longer able to fulfil their current role has your organisation supported to find alternative roles find alternative roles in other parts of the NHS in 2019, 2020, 2021, 2022, 2023 and 2024.

If possible I would welcome this in a CSV file or similar.

If any of the above needs clarification I would be more than happy to provide clarification.

Staff Sickness 2020 to 2025 & Agency Usage

Health, HR, Nursing & Agency Nursing

Under the Freedom of Information Act 2000, I would like to request copies of the following:

1. General sickness absence from 2020-2025:

– The total number of staff sickness absence days taken each year, broken down by year from 2020-2025.

2. Categorisation of sickness absence:

– Does your organisation code sickness absences by specific category or reason (e.g. ‘mental health’, ‘burnout’, ‘flu’, ‘musculoskeletal issues’)?
– If yes, please provide the breakdown for each recorded sickness category for each year in the five-year period (2020-2025).
– If such categorisations have changed over time, please indicate when changes to categories or coding were implemented.

3. Locum and agency staff usage from 2020-2025:

– The total number of locum or agency staff engaged in each year of the five-year period (2020-2025).
– If records permit, please detail the total expenditure on locum or agency staff for each year.
– If possible, please indicate whether the use of locum/agency staff was linked to covering staff sickness absences.

Pulmonary Rehabilitation Services

To whom it may concern,

Under the Freedom of Information Act 2000, I am writing to request the following information regarding the commissioning and provision of pulmonary rehabilitation services within your organisation.

Please provide responses to the following for the most recent full financial year (April 2024 – March 2025).

1. Who is the person responsible for commissioning pulmonary rehabilitation services within your organisation? Please include their name, job title, and contact email if available.
2. Which provider organisations are currently delivering pulmonary rehabilitation services under contract with your organisation?
3. How many people were referred to pulmonary rehabilitation during the most recent full financial year?
4. Of those referred, how many completed a full pulmonary rehabilitation programme during the same period?
5. For which primary conditions or diagnoses do you refer patients to pulmonary rehabilitation?
6. How many individuals are currently on a waiting list for pulmonary rehabilitation, and what is the average waiting time if available?
7. What types or formats of pulmonary rehabilitation are currently offered (for example, face-to-face, home-based, or digital such as MyCOPD)?
8. What outcome measures are used to evaluate pulmonary rehabilitation services (e.g. CAT score, six-minute walk test)?

Sickness Absence – 2024

ESR/Workforce, Health, HR, Staffing

I would like to make a Freedom of Information Act request for the following information

Please provide:
– What is the distribution of sickness absence days amongst your organisation’s workforce by percentile?
– A breakdown of sickness absence in your organisation in 2024 by grade and function
– Details of what measures, interventions and support has your organisation provided to reduce sickness absence.
– A copy of your HR policies relating to sickness absence

If possible I would welcome this in a CSV file or similar (except for the policies which I would welcome in PDF or word ideally)

If any of the above needs clarification I would be more than happy to provide clarification.

Children’s Continence Service

CAMHS/CYPS, Health

Continence care is a critical component of children’s health and wellbeing. National guidance, including the Children’s Continence Commissioning Guide and the Consensus Document for the Provision of Continence Containment Products to Children and Young People, highlights the importance of accessible, multidisciplinary services that meet assessed clinical need and promote independence.

Under the provisions of the Freedom of Information Act (FOIA), we would be most grateful if you could provide answers to the following questions regarding your Trust’s children’s continence and/or bladder and bowel services. We kindly request responses to the following questions:

1. Does your Trust currently provide a children’s continence and/or bladder and bowel service for individuals aged 0–19 years? (Yes/No) 

If yes, please provide: 
• The name of the service (if applicable). 
• The age range it covers. 
• The staff roles or disciplines included in the service (e.g. nurse, physiotherapist, occupational therapist). 
• The number of staff in each role, expressed as whole-time equivalent (WTE). 
• The service’s referral pathway (e.g. GP, school nurse, self-referral). 

2. Has your Trust closed, reduced, or restructured any part of its children’s continence and/or bladder and bowel service within the past three years (since October 2022)? (Yes/No) 

If yes, please provide: 
• The date of closure or reduction. 
• A brief description of what changed (e.g. staffing, eligibility criteria, service capacity). 

3. How many children and young people aged 0–19 are currently being supported by your adult continence service for pad provision? Please provide the number of individuals currently recorded in this category. 

4. What is the average waiting time (in weeks) for an initial assessment on the children’s continence service? Please provide the current number of children and young people (aged 0–19) on the waiting list for this service. 

5. Does your Trust follow the relevant NICE guidelines for continence care and management? Please indicate Yes or No for each 
• Children’s Continence Commissioning Guide: A handbook for the commissioning and running of children’s community continence services 
• Guidance for the provision of continence containment products to children and young people – A consensus document     

We appreciate your time and assistance in responding to this request and look forward to your reply within the statutory period.

Services Users Currently Open to the Crisis Team

Health, MH Services, Staffing

1. The number of service users currently open to the Gloucester Crisis Resolution and Home Treatment Team (CRHTT) as of 29.10.25.

2. Of these, how many have a care plan attached to their electronic patient record.

3. If available, please also provide the percentage this represents. I am not requesting any personal or identifiable data.

4. Also, please can you provide the total number of inpatient beds available for mental health patients across Gloucestershire from 01/01/25 to 30/01/25.

Stroke Patient Clinical Data

Dear Freedom of Information Team

Please could I request, under the Freedom of Information Act 2000.

1. The total number of stroke patients in the Trust and the number of stroke patients in the Trust that were:

a) offered a six-month post-stroke review

and

b) had a six-month post-stroke review for each of the past 5 years, beginning with 2020.

I look forward to your reply in the statutory 20 days.

I would appreciate a reference number being provided so I can keep track of the request.

Care Reviews – Crisis Team

CAMHS/CYPS, Clinical Activity Data, Health

Please could you provide me with the key learning themes and recommendations identified from care reviews relating to deaths by suicide, where individuals were open to the Crisis Team within Gloucestershire at the time of death.
In addition, could you please provide evidence of how these recommendations have been implemented into policy and practice during the following periods:

• January 2024 – January 2025
• January 2025 – present day

Paediatric Elective Care (RTT)

Under the Freedom of Information Act 2000 I would like to request the following information.

Please provide two sets of waiting list data on paediatric elective care (RTT) (patients aged 0–17) for your Trust, disaggregated by:

1. Ethnicity (using NHS standard ethnicity categories), and
2. Indices of Multiple Deprivation (IMD) deciles or quintiles (based on patient postcode or other available proxy).

For each combination of ethnicity and IMD group, please provide the number of patients waiting in each of the following time bands:

1. Up to 18 weeks
2. 18 to 26 weeks
3. 26 to 40 weeks
4. 40 to 52 weeks
5. 52 weeks and over

Please provide this data monthly, from September 2021 to September 2025 (or the most recent available month), with each month reported separately.

If providing both ethnicity and IMD breakdowns would exceed the cost, please prioritise the ethnicity breakdown.

Please provide the data in spreadsheet format (e.g., Excel or CSV).

Spinal Muscular Atrophy (SMA) Treatment

I would be grateful if you could please answer the following questions with regards to treatment of spinal muscular atrophy:

1. Within your Trust/ Health Board, where are patients (aged 2yrs +) with a diagnosis of Spinal Muscular Atrophy referred to for treatment?

2. How many patients with Spinal Muscular Atrophy have been referred in:

A. The last 12 months? (or the latest 12 months of data you have available)
B. The last 5 years?

Could you please split this out into SMA type if possible ( Type 0, 1, 2, 3, 4) – (see attached ICD-10 codes)

3. If your Trust/ Health Board receives referrals, where are these referrals made from?

4. How many patients return to local care for continued treatment once referred to a specialist centre?

5. If you have a treating centre for Spinal Muscular Atrophy in your trust, what is the average length of stay (or annual bed days) of patients being treated?

If you are unable to answer all of these questions, please provide answers to those that are possible to answer. Thank you for taking the time to look into this request.

CAAAS Waiting Lists

CAMHS/CYPS, Health, MH Services

Please can you answer the following (I have already FOI’d and I am happy to include this in the next FOI).

1. How are the waiting times for the CAAAS shared within the organisation?

2. What is the governance process from team to Board to ensure the Board is sighted on this issue?

3. I note your Trust risk register as reported in latest board figures is quite generic.

a. Is the CAAAS waiting list issue on the risk register?
b. What is it scored and what are the mitigating actions?

4. There was limited mention of CAAAS in any of your 2025 Board Papers (this links to my point above). There was a quote from a NED at the Go and See in May Board papers ‘the waiting list is impacted by several factors including the amalgamation of others’ waiting lists into CAAAS’.

a. What is the material impact?
b. What is the nature of the problem?
c. How is the service mitigating the impact?

5. How are you assuring yourself around actual or potential harm relating to the extremely extended waits in CAAAS?

6. Further to above if the waiting list is growing what is the organisation doing regarding mutual aid or outsourcing?

Community Mental Health Access

This Freedom of Information request question is for your Community Mental Health Teams in your area (i.e. NOT your Early Intervention in Psychosis team; Crisis Resolution or Home treatment team; or Rehabilitation and Recovery team or Assertive Outreach team).

Please can you provide information on the below questions in relation to the following case example.

A 35-year-old person with severe OCD and BDD has been assessed by your local Talking Therapies service as being too complex and inappropriate for them. They are severely impaired, virtually housebound, have no social life and unable to work. Their basic needs are provided by the family, but the family is struggling to support them. They are not an immediate risk of suicide, self-harm or violence to others and do not need admission to an acute ward. They are not personality disordered. The GP has already followed the NICE guidelines for OCD/BDD, and the patient has had 2 trials of SSRIs at maximum dose for at least 4 months each with little benefit. The patient and their family are seeking an assessment by a consultant psychiatrist and cognitive behaviour therapy with exposure and response prevention which is specific for OCD/BDD.

1. How long approximately is the wait list (e.g. number of weeks) to obtain an assessment by the CMHT and would this be by a consultant psychiatrist or their specialist trainee?
2. Are there criteria used to accept a rereferral onto your Community Mental Health Teams to have a care co-ordinator and provide treatment? If you have criteria, please can you supply them?
3. How long approximately is the wait list to obtain (a) a psychological assessment and then (b) how long is wait for CBT for OCD/BDD in secondary care (e.g. number of weeks)?
4. What is the documented or expected care pathway (e.g. do they have to be seen first by the CMHT and then referred by the CMHT for secondary care psychological therapies or can the referral be done directly by the Talking Therapies or GP for example)?
5. Do your policies or procedures indicate that any alternatives offered to CBT with ERP, for people in the above scenario, e.g. a different type of psychological therapy?
6. Has your team made a referral to tertiary services for OCD/BDD in the last 5 years a) under the Highly Specialised Service stream of funding or b) under local funding?

Monitoring Technology used in Patient Bedrooms

Contracts, Estates, Health, MH Services, Safety and Security

Dear Gloucestershire Health and Care NHS Foundation Trust,

I am writing to request the following information under the Freedom of Information Act.

1. Please confirm, does the Trust use, or have plans to use, Oxevision* in ward bedrooms, 136 suites and/or seclusion rooms?

*Please note that Oxevision may be referred to by other names including LIO or ‘vision-based monitoring technology’ etc. It is an infrared camera system.

2. Please confirm, does that Trust use, or have plans to use, ‘Project X’^ in ward bedrooms, 136 suites and/or seclusion rooms.

^Please note that Project X may be referred to by different names, for the avoidance of doubt it is marketed by Safehinge Primera and may be described as a ‘non-visual patient safety aid’ and uses radar to track patients’ movements.

3. Please outline whether the trust uses any other video, camera or vision-based patient monitoring systems within patient bedrooms. Please state brand names if appropriate.

4. If the response to any of the above questions is ‘yes’, please provide the following information:

4.1. Please confirm the number of wards/136 suites/seclusion rooms, and provide ward names, where Oxevision/Project X/other vision based monitoring technologies is currently used.

4.2. Please provide your policy or standard operating procedure for the use of Oxevision/Project X/other vision based monitoring technologies, up to the date and time of this request.

4.3. Please provide your Data Protection Impact assessment for the use of Oxevision/Project X/other vision based monitoring technologies.

4.4. Please provide an Equality Impact Assessment in relation to the use of Oxevision/Project X/other vision based monitoring technologies

4.5. Please state the contract end date(s) for all current contract(s) with Oxehealth/LIO health/other organisations that provide the above technologies..

4.6. Please provide patient posters, leaflets and/or information packs.

Cardiology Software and Vendor Neutral Archive Systems

GHNHSFT - Redirect, Health, IT

Good morning,
I am writing to request information under the Freedom of Information Act 2000.

Please could you provide the following details regarding your Trust’s use of digital systems in the cardiology department:

1. Does your Trust currently use any software systems to manage clinical records, diagnostics, or workflows within cardiology?

2. If yes, please provide:

a The name of the software provider and product.
b The start date and duration of the current contract.
c The expiry date or next renewal date of the contract.
d Whether the contract includes options for extension or renewal.

Additionally:

3. Does your Trust currently use a Vendor Neutral Archive (VNA) system to store and manage medical imaging or other clinical data across departments?

4. If yes, please provide:

a The name of the VNA provider and product.
b The departments where it is currently deployed.
c The start date, duration, and expiry/renewal date of the contract.
d Whether the contract includes options for extension or renewal.

I would prefer to receive the information electronically, if possible. I understand that under the Act, you are required to respond to this request within 20 working days. If any of the requested information is exempt from disclosure, please specify the exemption and provide any non-exempt information that can be released.

Thank you for your assistance.

Designing safe spaces for patients at high risk of infection

To: Infection Control Teams Dear Colleagues,

We are carrying out a short 10 question survey to understand how NHS Trusts are implementing the guidance from NHS Estates Technical Bulletin 2024/3: Designing safe spaces for patients at high risk of infection from nontuberculous mycobacteria (NTM) and other waterborne pathogens.

This survey is being carried out to gain insight into how the recommendations of the bulletin have informed local water safety practice and capital planning across NHS organisations; and to identify common challenges in water safety management across healthcare settings.

A summary of anonymised findings will be shared with participating Trusts on request.

Under the Freedom of Information Act 2000, we seek the following information within your NHS Trust / NHS Foundation Trust:

1. Name of NHS Trust/Foundation Trust:

2. Has your organisation reviewed NHS Estates Technical Bulletin 2024/3 with the specific note on non-tuberculous mycobacteria?

Yes
No

3. Does your organisation treat any of the “high-risk” patient groups listed in the NHS Estates Technical Bulletin 2024/3? Tick all that apply

Lung and/or heart transplant
Cystic fibrosis
Haematology/oncology patients with neutropenia,
CAR-T cell patients
Other solid organ transplant,
Patients with long-term lines

4. Do you have a Water Safety Group or equivalent multidisciplinary body for any water-related issues?

Yes
No

5. Do you currently conduct routine environmental water testing for NTM? If yes, please state the areas tested and the frequency of testing.

Yes
No

Areas tested (type here):

Frequency (type here):

6. Does your Water Safety Plan include specific controls for NTM, separate from general Legionella/Pseudomonas measures? – If yes, please specify.

Yes
No

Specify (Type here):

7. If NTM testing is undertaken, which laboratory/method is used, and is it UKAS-accredited to ISO 17025 for NTM testing or according to the methods suggested in the bulletin?

N/A (have not tested for NTM)

If testing, which laboratory/method is used? (type here):

Is testing method accredited (type here):

8. If you have tested, have you detected NTM in water samples from patient care areas in the last 3 years? (Yes/No; if yes, please indicate the area(s) and summarise the control measures taken).

Yes
No

N/A (have not tested for NTM)

Specify areas (type here):

Summarise control measures (type here):

9. Which control and/or remedial measures are you currently using to manage waterborne pathogens in your organisation? Tick all that apply

Point-of-use filters
Temperature controls
Chemical controls (any, i.e. chlorine, silver-copper ionization)
Pipe removal work (including new copper pipes)
Descaling and cleaning of water outlets
Complete removal of outlets/sink
Other (please list below)

Other (type here):

10. In the last 5 years, have you made any design changes in high-risk areas specifically to reduce waterborne infection risk (e.g., removal or relocation of sinks, drainage modifications, point-of-entry filtration)? (Yes/No; please provide brief examples).

Yes
No

11. Are you planning any major refurbishment in the next 5 years and/or is your organization part of the NHS New Hospital Programme? (Tick all that apply)

Yes – planning refurbishment works
Yes – part of the NHS New Hospital Programme
No – neither

Electroconvulsive Therapy (ECT) 2024

Corporate Governance, Health

Good evening,

This is a request under the Freedom of Information Act 2000.

Please provide the following information relating to your Trust’s use of electro-convulsive therapy for the period between 1 January 2024, to 31 December 2024:

Treatments delivered by consent status, specifically including the number of treatments given to a) those incapable of consenting, but ECT authorised where patient resists or objects (under Mental Health Act Section 58A), and b) those incapable of consenting, but ECT authorised where a patient does not resist or object (under Mental Health Act Section 58A).

If information with this distinction is unavailable, please simply provide it for the number of treatments where a patient did not consent.

Please confirm the number of patients this pertains to for this period.

Please also separate this information out by age, gender, and IMD decile (or if not possible, quintile).

Patient Notes — Paper and Electronic

I would like to request the following information under the Freedom of Information Act.

Question 1:
– Are PATIENT NOTES* in your trust: all paper, all electronic, or a mixture of both?
– If patient notes are primarily electronic:
– When did the trust transition from paper to electronic?
– What is the name of the electronic patient record platform used?
– If patient notes are primarily paper:
– Are there plans to transition from paper to electronic? If yes, when?
* ‘Patient notes’ here refers to written documentation of clinical encounters with patients, completed by a healthcare professional.

Question 2:
– Are DRUG CHARTS in your trust all paper, all electronic, or a mixture of both?
– If drug charts are primarily electronic:
– When did the trust transition from paper to electronic?
– What is the name of the electronic prescribing system used?
– If drug charts are primarily paper:
– Are there plans to transition from paper to electronic? If yes, when?

Question 3:
– Do the following departments in your trust use paper PATIENT NOTES (either partially or fully)? Please indicate Yes, No or Not sure / Not applicable.
– Inpatient wards
– Outpatients

Question 4:
– Do the following departments in your trust use paper DRUG CHARTS (either partially or fully)? Please indicate Yes, No or Not sure / Not applicable.
– Inpatient wards
– Outpatients

Question 5:
– Are fax machines still used in any part of your trust? (Yes / No)

If you have any queries, please don’t hesitate to contact me on ssantospaulo@bmj.com

Safety Screening Forms prior to Imaging Examination

Health, Misc

We would ask for your NHS Trust to provide information on two aspects:

1. Whether safety screening forms or checklists which are completed by patients prior to a diagnostic imaging examination are in paper form or in digital format (e.g. web-based or tablet)?
This includes but may not be limited to:
• Inclusive Pregnancy status (IPS) or last menstrual period (LMP) forms
• Magnetic resonance imaging (MRI) safety forms
• Contrast media administration (all modalities)
• Bone densitometry (DXA) patient questionnaire
• Any other examination-specific forms e.g. CT colonography or cardiac questionnaires.

2. If any of these are completed in paper form, we would ask for a copy of the current version to be sent via email.

We do not require information regarding staff completed forms e.g. WHO safety forms however, we would request that forms initially completed by a patient and co-signed by a staff member at the time of the examination are included.

The information is being sought to compare practice across Trusts.

Minor Injuries Wait

Clinical Activity Data, Health, Misc

I am writing to update and clarify my request for information under the Freedom of Information Act 2000.
The purpose of this request is to gather data on overnight Minor Injuries wait times within the trust.
Specifically, I am seeking anonymised data on the following:
1. How many patients in Minor Injuries waited 24 hours or more from time of arrival until admission to hospital or discharge for each of the past five calendar years 2020, 2021, 2022, 2023, 2024 and partial data for 2025 if available
2. How many patients in Minor Injuries waited for 3 hours or more between the hours of 11pm-6am from time of arrival until admission to hospital or discharge for each of the past five calendar years 2020, 2021, 2022, 2023, 2024 and partial data for 2025 if available
3. The average Minor Injuries wait time from time of arrival until admission to hospital or discharge for each of the past five calendar years 2020, 2021, 2022, 2023, 2024 and partial data for 2025 if available
If you are unable to provide the specified information:
• If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request.
• If you are unable to provide the specified information exactly as requested, please provide *any* data you have that is relevant to the request, e.g. 2024 only, and explain why the other information cannot be provided.

Referral Criteria for the Community Learning Disability Team

Clinical Activity Data, Data, Health, Misc

I am making a FOI request in respect of the referral criteria for the Community Learning Disability Team (CLDT), Gloucestershire.

Wound Care