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Safeguarding

I would be very grateful for your time and support with providing the below information.

Information requested:

1. Does your Trust provide mental health services for:
o Adults (18+)?
o Children and adolescents (under 18)?

2. Please provide a brief overview of the services provided to Adults
3. Please provide a brief overview of services provided to Children

4. Please provide the number current number of employees

5. Please provide your organisations safeguarding team structure, including Executive, Named Dr’s, all statutory and non-statutory roles and admin support including:

Job titles (specifying adults and or children), MCA and Prevent etc
Please include Grade

Please can you kindly share
Whether the safeguarding function is managed centrally or across individual service areas
What the safeguarding team duties include
Do you provide Looked After Children services?
Is the LAC team part of the safeguarding team?

Who is the lead for implementing sexual safety? (job title and directorate)

Who is the lead for managing allegations against staff? (job title and directorate)

Who manages the child protection invites i.e. centrally, operational teams, safeguarding etc?

Data:

Please could you kindly share the following data

Safeguarding Adults

· Total number of Safeguarding Adult referrals made to the local authority per quarter from Q1 2024 through to Q4 2025
· Total number of referrals by Care Act category of abuse per quarter from Q1 2024 through to Q4 2025
· Total Number of Prevent Referral Q1 2024 through to Q4 2025
Total Number of Allegations against staff referred to the local authority between April 2024 to March 2025
Total Number of allegations against staff managed internally between April 2024 and March 2025

Safeguarding Children

· Safeguarding children referrals made to the local authority per quarter from Q1 2024 through to Q4 2025
· Referrals by Children Act category of abuse per quarter from Q1 2024 through to Q4 2025
· Total Number of Children Early Help referrals per quarter from Q1 2024 through to Q4 2025
· Total Number of Prevent Referrals Q1 2024 through to Q4 2025
Total Number of Allegations against staff referred to the LADO between April 2024 to March 2025
Total Number of allegations against staff managed internally between April 2024 and March 2025

Child Protection Engagement Data

· Total % of engagement (attendance or report) with Children protection Initial Case Conferences per Quarter Q1 2024 through to Q4 2025
Please clarify the % proportion of attendance per quarter
Please clarity the % proportion of reports send instead of attendance

· Total % of engagement with Review Child Protection Conferences per Quarter
Please clarify the % proportion of attendance per quarter
Please clarity the % proportion of reports send instead of attendance

Domestic Homicide Review, SAR’s and Rapid Reviews

Total Number of DHR’s which the organisation has contributed to April 2024 to March 2025
Themes of DHR’s in this time frame

Total Number of SAR’s which the organisation has contributed to April 2024 to March 2025
Themes of the SAR’s in this time frame

Total Number of Rapid Reviews which the organisation has contributed to April 2024 to March 2025
Themes of the RR in this time Frame

Training

Do you delivery DASH training? Are your trainers accredited?

Please provide training compliance as of Q4 2025 for the below:

Children Safeguarding Level 1
Children Safeguarding Level 2
Children Safeguarding Level 3
Adults Safeguarding Level 1
Adults Safeguarding Level 2
Adults Safeguarding Level 3
Prevent
MCA

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Vegan Options at NHS

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

Freedom of Information Request
1. Have you undertaken an equality impact assessment for vegans at the NHS? If yes, can you provide a copy of the assessment?

2. Are you following your public sector equality duty toward vegans? Please provide any documents or information to explain whether and how the PSED is being followed towards vegans.

3. Do you guarantee a full vegan option that is nutritionally appropriate on all NHS menus and cafeterias at all times, for all meals, including breakfast, lunch, dinner and snack options. By ‘guaranteed’ I mean, is there always a fully vegan option available.

For clarity, a salad without a plant-based protein and starch or carbohydrate would obviously not be nutritionally appropriate, nor would having only fruit or toast with jam available for a vegan person. For example, many vegetarian options adapted to be vegan would not be nutritionally appropriate as they would be lacking in protein unless there was a substitution provided.

4. Do you guarantee plant milk availability on all NHS campuses for coffee and tea? For clarity, plant milk refers to: Soy, oat, almond, or coconut milk.

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Risk Assessment in Domestic Abuse

I am writing to request the following under the Freedom of Information Act, regarding use of and provision for the DASH checklist, aka Domestic Abuse, Stalking and Honour Based Violence

1. Is the DASH RIC used by your organisation as part of services (e.g. domestic abuse provision, victim support)?
2. Is the use of DASH RIC a standard provision or a requirement in contracts with third-party providers of relevant services (e.g. domestic abuse services, sheltered housing)?
3. If the DASH checklist is used by your organisation, which organisation or organisations provide the training that includes DASH training? (e.g. Domestic Abuse Matters training)
4. What is the cost to your organisation of such training? Please break this down by financial year over the last five years, as well as by organisation (if more than one organisation provides the relevant training)

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Treatment of Bruxism

Please provide the following information, Any and all annual data on record to the present day.

1. How many patients have been referred to the trust and presented for the treatment of BRUXISM (Grinding of the teeth)?

2. Please provide geographical date in regards which hospital the patients presented to.

3. Annual cost to the trust and its subsidiaries.

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NHS Patients SARC

I wish to make a freedom of information request and would be grateful if you could provide the following information within 20 working days:

a) The number of staff employed at your Trust’s Sexual Assault Referral Centre (SARC) for the years 2010 – 2024.

b) The number of children aged under 18 years old who have been received support by your Trust’s SARC between the years 2010 – 2024 and, if possible, the number of these who are identified as having been victims of gang-based CSE.

c) The number of victims of CSE who received mental health support from your trust between 2018 and 2024.

d) The number of children identified by your Trust as requiring safeguarding measures as a result of CSE between the years 2010 and 2024.

This should not exceed any cost limits you may have but should you, for whatever reason, decide that it does, the please proceed with parts a – c.

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Spiritual, religious and/or chaplaincy services

As part of a piece of work I am undertaking to review the spiritual, religious, and / or chaplaincy services offered by NHS England, I am contacting you to ask for the following information to please be provided.

1. How many whole-time equivalents are employed in the spiritual, religious, and / or chaplaincy service(s) and what are their bandings? Please differentiate between staff on substantive and temporary contracts, as well as staff working in the service on bank or agency contracts.

2. What are the typical core hours of the spiritual, religious, and / or chaplaincy service(s) on offer? How are these service(s) provided over the week (i.e. weekdays only, seven days a week, etc)?

3. What type of support (such as regular activities, events, or gatherings) is offered by the spiritual, religious, and / or chaplaincy service(s)? Please differentiate this between support offered to patients, support offered to family / friends, and support offered to staff members.

4. What on-call or out-of-hours provisions are made by the spiritual, religious, and / or chaplaincy service(s) at your Trust? Please differentiate between provisions offered by staff members employed by the Trust, and provisions offered by external contractors / arrangements.

5. What support is offered to the spiritual, religious, and / or chaplaincy services(s) by external organisations? For instance, what contracts are held by the Trust for this / these service(s) and who are these contracts with?

6. On average, how many service users are supported by the spiritual, religious, and / or chaplaincy service(s) in a week? Please take an average of service users supported between January and December 2024.

7. What is the overall satisfaction for the spiritual, religious, and / or chaplaincy service(s) offered by your Trust? Please provide the overall satisfaction for the period January 2024 to December 2024.

8. What supervision, if any, is provided to staff working in the spiritual, religious, and / or chaplaincy service(s)? Please identify whether this is provided by your Trust or by an external provider, and the average annual cost for this provision.

9. Please provide a contact name and contact email address if there should be any additional queries relating to this Freedom of Information request.

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Pancreatic Enzyme Replacement Therapy

(1) Has your Trust procured any pancreatic enzyme replacement therapy (PERT) products from overseas suppliers between January 2023 and present? Please respond with yes or no. If yes, please answer the following: (a) Which countries were these products sourced from? (b) How many ‘special order’ prescriptions for these products have been dispensed? (c) What percentage of the local demand has been covered by these overseas products?

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Dravet Syndrome/Lennox-Gastaut Syndrome

I would like to submit an FOI request for the following data for Gloucestershire Health and Care NHS Foundation Trust:
• The number of patients treated for Dravet syndrome in 2024, ideally separated by month, or quarter
o Patient numbers segmented by age:
 0-3 years old
 4-8 years old
 9-18 years old
 18 years+
• The number of patients treated for Dravet syndrome in 2025, ideally separated by month, or quarter
o Patient numbers segmented by age:
 0-3 years old
 4-8 years old
 9-18 years old
 18 years+
• The number of patients treated for Lennox-Gastaut syndrome in 2024, ideally separated by month, or quarter
o Patient numbers segmented by age:
 0-3 years old
 4-8 years old
 9-18 years old
 18 years+
• The number of patients treated for Lennox-Gastaut syndrome in 2025, ideally separated by month, or quarter
o Patient numbers segmented by age:
 0-3 years old
 4-8 years old
 9-18 years old
 18 years+
• The above data separated by treatment, focusing on the following treatments:
o fenfluramine
o sodium valproate
o stiripentol
o clobazam
o cannabidiol
o levetiracetam
o topiramate
o potassium bromide
o Other treatments
 carbamazepine
 gabapentin
 lacosamide
 lamotrigine
 oxcarbazepine
 phenobarbital
 pregabalin
 tiagabine
 vigabatrin
 rufinamide
• Numbers of patients moving from one specific treatment to another e.g. fenfluramide gains from cannabidiol, sodium valproate losses to cannabidiol
• Alternatively, just the numbers of patients on each treatment for each month/quarter will be able to show how the numbers on each treatment are changing

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Insourcing for Pathology Services

Under the Freedom of Information Act 2000, I request the following information regarding your use of insourcing for haematology, histopathology, and/or microbiology services between 1 April 2024 and the date of this request (i.e., the last 12 months):

Service Usage:

Does your trust currently use (or has it used in the last 12 months) insourcing providers for any of the following services?

a) Haematology
b) Histopathology
c) Microbiology
d) Oncology
(If yes, please specify which specialties)

Provider Details:

For each insourced specialty above, provide:
a) The name(s) of the external provider(s).
b) The start and end date(s) of the contract(s).

Scope & Volume:

A brief description of the services covered (e.g., “blood film reporting,” “biopsy analysis,” “infection screening”).

Estimated annual spend (or total spend) on these insourcing arrangements for 2023/24.

Procurement Method:
Was the contract awarded via a framework (e.g., NHS SBS DPS, Crown Commercial Service)? If yes, state which one.

If no insourcing is used for these specialties, please state “None.”

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Adherence to NHS Guidance on Overactive Bladder Treatment

Under the Freedom of Information Act 2000, I would be grateful if you could provide the following information:
1. Adherence to National Guidelines
Does your Trust currently follow any of the following national guidelines for the treatment and management of Overactive Bladder (OAB)? Please indicate “Yes” or “No” for each of the following:
a) NICE Interventional Procedure Guidance on sacral nerve stimulation for urge incontinence and urgency-frequency (IPG64)
b) NICE Clinical Guideline on Urinary Incontinence in Women (CG171)
c) NICE Clinical Guideline on Lower Urinary Tract Symptoms in Men (CG97)
d) Any NHS England-issued clinical guidelines related to OAB management
2. Locally Adopted Guidelines
For any of the above guidelines that your Trust follows, please provide the title, version number, and date of the current guidance or policy document in use.
3. Local Protocols or Deviations
If your Trust does not follow one or more of the national guidelines listed above, or has developed local clinical pathways or protocols for the management of OAB, please provide a copy of the relevant local policy or a summary of the key differences compared to national guidance.

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Cancer Treatment

Under the Freedom of Information Act 2000, I would like to request the following information:
1. For each of the last five years (or as many years as data is available), please provide:
o The total number of patients recorded on the urgent referral cancer treatment pathway.
o The number of these patients whose waiting time was stopped due to an enabling treatment, as defined in the National Cancer Waiting Times Monitoring Dataset Guidance.
2. If available without exceeding cost limits, please also provide a breakdown by:
o Type of enabling treatment used (e.g., stent, dental treatment, or any others as set out in National Cancer Waiting Times Monitoring Dataset Guidance)

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Infection Control Leads

Please can you provide the following:

By site location(s) within the trust:

Do you have a Decontamination Lead(s)?
What is their name(s), and what is their NHS email address?

Do you have an Infection Control Lead(s)?
What is their name(s), and what is their NHS email address?

Do you have a Sterile Services Manager(s)?
What is their name(s), and what is their NHS email address?

Do you have an Endoscopy Decontamination Manager(s)?
What is their name(s), and what is their NHS email address?

Do you have an Estates Manager(s) in charge of Decontamination Equipment Validation?
What is their name(s), and what is their NHS email address?

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Chronic Pain Waiting List

I am submitting this request, on behalf of myself, under the Freedom of Information Act and the Code of Practice on Openness in the NHS. Please confirm the Trust holds the following data, and where it is held please provide the data. Please use the attached spreadsheet if possible.

1. Does your trust provide a chronic pain service? (Yes/No)
If no, this is the end of our request.

If yes, and the service is consultant-led, please provide:
2. Please confirm that the Trust submits RTT data for this service (yes/no)
3. Please confirm that the Trust submits WLMDS data for this service (yes/no)
4. Please supply the Trust’s RTT submission for every month between April 2024 and April 2025 (inclusive), but please only show data for TFC 191 – Pain Management. This data is available in the public domain but it is supplied aggregated with other specialities in category: ‘X02 – Other – Medical Services’. We are requesting it be disaggregated from this category. Please share this in the format that you have it.
5. Only if the data requested in #4 is unavailable, please provide the data requested in 5a-e for every month between April 2024 and April 2025:
5a. The number of people on the waiting list, as of the first day of the month
5b. The average waiting time in weeks
5c. The distribution of waiting times, as of the first day of the month (see suggested breakdown in the attached spreadsheet)
5d. Number of clock starts during the month
5e. Number of clock stops during the month for treatment, broken down by reason
5f. Number of clock stops during the month for non-treatment, broken down by reason
6. The average time between clock start and an interventional pain procedure being performed, in weeks
7. Please provide the Trust definitions used for Pain Management services for:
7a. Clock starts (e.g. referral received, referral received and validated, etc.)
7b. Clock stops for treatment (e.g. first appointment, advice given, information provided, etc.)
7c. Clock stops for non-treatment (please provide breakdown)

If yes, and the service is not consultant-led, please provide:
8. What is the clinician’s role who holds overall clinical responsibility, including governance, outcomes and quality, for the service (e.g. specialist nurse, clinical psychologist, other)? We are requesting the person’s position rather than any personal information.
9. Does the service provide interventional pain procedures, such as injections? (Yes/No)
9a. If yes, please provide the clinician’s role that performs them (e.g. consultant in pain medicine)? We are requesting the person’s position rather than any personal information.
9b. If no, where do you refer patients requiring interventional pain procedures to?
10. Please provide the following data for the non-consultant-led Pain Management service for every month between April 2024 and April 2025 (inclusive):
10a. The number of people on the waiting list at the first day of the month
10b. The average waiting time in weeks
10c. The distribution of waiting times, as of the first day of the month (see suggested breakdown in the attached spreadsheet)
10d. The number of new referrals during the month
10e. The number of patients who started treatment during the month (i.e. had their first appointment)
10f. The number of patients discharged without treatment (i.e. rejected referrals)

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Maternity Care

Under the Freedom of Information Act 2000, I would like to request the following information relating to maternity care provided by your Trust.

I am conducting research into potential disparities in pain relief experienced by patients of different ethnic backgrounds during childbirth and maternity care. Specifically, I would like to request the following:

a) Does your Trust provide any mandatory training to maternity staff on cultural competence, anti-racism, or unconscious bias, particularly relating to patient care or pain management?

b) If so, please provide: · The name(s) of the training programme(s) used · Which organisation provides the training · Whether completion is mandatory · When it was introduced

I understand that not all data may be held in the exact format requested. However, I would be grateful for any partial or relevant information you can provide. If any part of this request exceeds the cost limit, please inform me as soon as possible so that I can refine the request.

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Audiology

I am contacting you with a FoI request for the benefit of RNID.

Please can you provide the name and contact details for the current Head of Adult Audiology for Gloucestershire Health and care NHS foundation trust.

If this role does not exist in your Trust, please provide the name and contact details for the most senior member of staff responsible for audiology services.

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Food Poisoning due to Consuming Wild Food

I would like to submit a request for information under the Freedom of Information Act 2000 (FOIA) regarding cases of food poisoning due to incorrect identification or inappropriate preparation of wild food.

Please provide the relevant information for the period between 1 April 2020 and the most recent date for which data is available. Please could you provide the following:

A yearly breakdown of the number of cases of food poisoning due to incorrect identification or inappropriate preparation of wild food.
The type of wild food that caused the food poisoning (for example: fungi, plant, berries, etc…). Please include the specific species if known.
The symptoms experienced by the patient and the recovery time (for example: overnight stay or discharged within a couple hours)
The location where this food was picked. We would define ‘wild or foraged’ foods to be either: Wild, naturally growing food which was picked and consumed by an individual Wild, naturally growing food which was consumed by an individual, but was served in a restaurant environment, having been picked in the wild within the UK.

If you need to carry out a key terms search to locate these records, please include the terms “foraged”, “foraging”, “wild food”, “forager”, “wild ingredients”. If you would document these cases in another way, please include these results as per the spirit of my request.

If you feel that my request is unclear or too broad, I would be grateful if you could provide me with some guidance as to how I could refine it.

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Exceptions for Routine Treatment Implants

I understand that whilst the Sexual Health team do not provide routine treatment regarding certain implants, exceptions may be made for certain groups. Please could you share a copy of the exceptions list / exceptions policy?

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Wheelchair Services: Open Caseloads and Waiting Times

As you will be aware, the recently released Wheelchair Alliance report has highlighted the postcode lottery experienced by wheelchair users, and the many long waits. I am interested in the underlying data.

Please provide the following information separately for each of the wheelchair services in your area. This data is ‘essential’ or ‘basic’ information relating to each referral and should be easily extracted from the relevant Case Management System, Electronic Patient Record, or similar. Please feel free to provide the data in alternative formats, e.g. an Excel spreadsheet, if appropriate.

1a) How many open referrals does the service have for ADULTS?
1b) Of those open referrals, how many have been open for LESS than 18 weeks?
1c) Of those open referrals, how many have open for MORE than 18 weeks?
1d) Of those open referrals, how many have been open for MORE than 52 weeks?
1e) Of those open referrals, how many are ‘low need’ (per NHS Wheelchair Data Collection definition)?
1f) Of those open referrals, how many are ‘medium need’?
1g) Of those open referrals, how many are ‘high need’?
1h) Of those open referrals, how many are ‘specialist need’?
1i) Of those open referrals, how many are for powered wheelchairs?

2a) How many open referrals does the service have for CHILDREN/YOUNG PEOPLE?
2b) Of those open referrals, how many have been open for LESS than 18 weeks?
2c) Of those open referrals, how many have open for MORE than 18 weeks?
2d) Of those open referrals, how many have been open for MORE than 52 weeks?
2e) Of those open referrals, how many are ‘low need’ (per NHS Wheelchair Data Collection definition)?
2f) Of those open referrals, how many are ‘medium need’?
2g) Of those open referrals, how many are ‘high need’?
2h) Of those open referrals, how many are ‘specialist need’?
2i) Of those open referrals, how many are for powered wheelchairs?

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Administering of Injections

I am writing to request information under the Freedom of Information Act 2000 regarding the administration of injections to patients without their consent within the Trust.

Specifically, I request the following information for the period 1 January 2020 – 15 March 2025:
1. The total number of times patients were administered injections without their consent and the date of any such cases.
2. A breakdown of the medications administered (e.g., antipsychotics, sedatives) in these cases.
3. The legal authority under which these injections were administered.
4. The number of incidents where rapid tranquilization was used and the date of any such cases.
5. Any policy documents or guidelines used by the Trust regarding the administration of injections without consent.

If any part of this request exceeds the cost limit under the FOI Act, I would appreciate advice on how I may refine my request to stay within the limit.

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Use of Processed Meats Containing Nitrates or Nitrites in Meals

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

I would like to request the following information regarding the use of processed meats containing nitrates or nitrites in meals provided by your authority.

1. Does your organisation procure or serve processed meat (such as bacon, ham, sausages, or other cured meats) that contain nitrates or nitrites as preservatives?

2. If so, please provide details of the types of processed meat served and any guidance or policies in place regarding their procurement.

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NHS Treatment of Botched Overseas Surgeries

I am submitting this request under the Freedom of Information Act 2000 to obtain data on NHS treatment of complications arising from surgical procedures performed overseas.

Request Details

1. NHS Admissions for Complications Following Overseas Surgeries
• The total number of hospital admissions where the NHS has treated patients for complications resulting from surgeries conducted abroad.
• A yearly breakdown from January 2020 to January 2025 (or the most recent available period).

2. Breakdown of Patients Treated
For each year, please provide where available:
• Age group of patients (e.g.: under 18, 18-24, 25-34, 35-44, 45-54, 55-64, 65+).
• Gender of patients.

3. Data Classified Under Relevant ICD-10 Codes (or their NHS equivalents):
Please provide a breakdown of cases recorded under the following ICD-10 codes related to complications of surgical procedures:
• T81 – Complications of procedures (e.g., infections, wound disruption, foreign bodies left in the body).
• T82-T85 – Complications of prosthetic devices, implants, and grafts.
• T86 – Failure and rejection of transplanted organs and tissues.
• T87 – Complications of amputations and reattachments.
• T88 – Other complications of surgical and medical care (including anaesthesia-related complications).
• Y60-Y69 – Surgical errors and misadventures (e.g., accidental punctures, foreign objects left inside patients, failure of sterile precautions, inappropriate procedures).
• Y70-Y79 – Medical devices associated with adverse incidents.
• Y83-Y84 – Abnormal patient reactions or complications following surgery or other medical procedures.

4. Specific Details on Procedures Leading to NHS Admissions
Where available, please provide:
• The type of surgery the patient originally underwent abroad (e.g., cosmetic surgery, weight loss surgery, orthopaedic surgery, dental work, etc.).
• The intended purpose of the surgery (e.g., aesthetic enhancement, weight loss, joint replacement, reconstructive surgery, etc.).
• The type of complication requiring NHS intervention (e.g., infection, implant failure, excessive bleeding, wound breakdown, nerve damage, sepsis).

5. NHS Cost of Treating Complications from Overseas Surgeries
• The total annual cost incurred by the NHS in treating complications from overseas surgeries.
• If available, an estimated breakdown of costs by procedure type.

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High Acuity Monitoring

We would like to place a Freedom of Information request, wishing to obtain an Install Base report for Monitoring systems within high acuity areas at your NHS hospitals.

Additional Questions

• How many anaesthetic rooms do you have in Theatres?
• How many theatre rooms do you have?
• Do you have a telemetry system for coronary care?
• How many telemetry systems do you have?

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Analysis on the Uptake of Biosimilar Use for Ustekinumab

I am conducting an analysis on the uptake of biosimilar use for Ustekinumab.

I would be grateful if you could please tell me how many patients were treated with Ustekinumab (for any disease) for the three-month period specified within the questions.

Q1 – How many patients were treated with Ustekinumab and its biosimilars (for any disease) from the start of October 2024 to the end of December 2024?
Please use the latest available 3 months if October to December is not available and specify which 3 months have been used.

Q2 – How many patients were treated with Stelara and its biosimilars (for any disease) in the months October 2024, November 2024, and December 2024?
Please use the latest available 3 months if October to December is not available and specify which 3 months have been used.

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Ophthalmology IT Systems and Imaging Capabilities

Under the Freedom of Information Act 2000, I would like to request the following information regarding the ophthalmology services and IT systems used within your Trust:

Ophthalmology Department & IT Record System
1. Does your Trust have an ophthalmology department and/or provide ophthalmology clinics?
2. If so, what is the name of the principal IT record system used to document results from patient consultations within ophthalmology?

Imaging Capabilities & System Integration
3. Does the principal IT system allow clinicians to view images from scans conducted during a clinic visit?
4. Are there any types of medical images that cannot be imported into this principal IT system? If so:
• What is the name of the IT programme used by clinicians to view these images?
• What is the name of the scan/modality that generates these images?

Data Integration with National Systems
5. Does the principal IT system integrate with the NHS Spine or other national patient record systems (e.g., OpenEyes, Medisoft, Epic)?
6. Does the system support the exchange of structured data with other NHS Trusts or external healthcare providers?

Patient Access & Communication
7. Does the system allow patients to access their ophthalmology records, including images, via the NHS App or another patient portal?
8. Are there any restrictions on how imaging data can be shared with patients and external providers?

Image Storage & Viewing Capabilities
9. What is the storage capacity and retention policy for ophthalmology-related imaging within the IT system?
10. If images are not viewable within the principal IT system, does the Trust use a separate PACS (Picture Archiving and Communication System) for ophthalmology imaging?

Future IT Developments & Interoperability
11. Is the Trust planning any upgrades or changes to its ophthalmology IT infrastructure in the next five years?
12. Are there known interoperability challenges that affect the transfer of ophthalmology data within the Trust or between NHS organizations?

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The Primary Care-Associated Helicobacter Pylori testing

This FOI request seeks to establish the types, numbers, costs and timings of Helicobacter pylori tests performed by your Trust (or on its behalf) for primary care providers.

Question 1: Your Trust
In your response to this FOI request, could you please specify the identity of the parts of your Trust for which this FOI is relevant, and for which you are responding.

Question 2: Types of Tests and Providers Which types of tests relevant for the primary care diagnosis of Helicobacter pylori (e.g., stool antigen test, urea breath test, serology) do you perform within your Trust, or have performed on your behalf by a Third party? If outsourced, could you please specify the Third party used.

Question 3: Test Types and Volumes
How many Helicobacter pylori tests of each of these types were performed by your Trust or on its behalf in the most recent 12-month period, or other defined accounting period for which data is available?

Question 4: Requirements for in-Person Testing Which types of tests required the in-person attendance of the patient at your Trust or its Third-party provider for testing, how many such in-person attendances were required, and what was the average time taken between patient arrival and departure?

Question 5: Turnaround Time for Test Results Specifying each type of Helicobacter pylori test performed by your Trust, or on its behalf, could you please provide the average time (in hours) between receipt of sample to transmission of test result to the GP practice?

Question 6: Test costs and Tariffs
For each type of Helicobacter pylori test performed by your Trust or on its behalf, what is the total cost of performing the test to your Trust or the Third party provider (i.e., personnel, infrastructure, reagents and consumables, etc)? What does your Trust charge for performing each of these tests? Do these tests correspond to standard NHS tariffs or HRG codes? If so, could you please specify the tariff code and amount charged for each test type.

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Provision of Vestibular Assessment and Rehabilitation

I would like to make a Freedom of Information request regarding the provision of vestibular assessment and rehabilitation by your Trust’s Falls Prevention Service (or equivalent).
World Guidelines for Falls Prevention and Management for Older Adults: A Global Initiative published in September 2022 (see below link) recommend routinely asking about dizziness and undertaking follow up assessment to identify causes, including vestibular. They reference the high incidence of BPPV and vestibular dysfunction in those presenting with falls and suggest managing vestibular issues should be considered as part of a multifactorial approach.
World Guidelines for Falls Prevention and Management for Older Adults: A Global Initiative | British Geriatrics Society (bgs.org.uk)

The request therefore has 3 specific questions:
1. Does your falls prevention team (or equivalent) have staff trained to assess and treat vestibular dysfunction?
2. If so, from which profession(s)?
3. Do you have any plans to develop this part of your falls prevention service?

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Mental Health Patient Homicides

FOI request: Mental health patient homicides at Gloucester Health and Care NHS Foundation Trust and independent investigations

1. Please disclose since 1994, how many homicides by trust patients have occurred within a year of contact with the trust (and its predecessor bodies).

Please give a breakdown by year.

2. How many of these patient homicides were reported to NHS England or its predecessor bodies?

Please give a breakdown by year.

3. How many of the patient homicides reported to NHS England were independently investigated under HSG 94-27?

If not all patient homicides were reported to NHS England and/or its predecessor bodies, can the trust explain why this was so?

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Early Intervention in Psychosis

Dear Gloucestershire Health and Care NHS Foundation Trust,

This is a request for information under the Freedom of Information Act 2000. I would like to request the following information:

1. The number of patients treated year-on-year by the Early Intervention in Psychosis team of Gloucestershire Health and Care NHS Foundation Trust in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
2. The number of staff that work in the Early Intervention in Psychosis team of Gloucestershire Health and Care NHS Foundation Trust in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
3. The percentage increase/decrease in the budget for the Early Intervention in Psychosis team of Gloucestershire Health and Care NHS Foundation Trust in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
4. What was the mean waiting time for EIP patients between first referral and starting treatment in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
5. What was the longest waiting time for an EIP patient on your caseload between first referral and starting treatment in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24

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B&B Accommodation for Discharged Mental Health Patients

Under the Freedom of Information Act please can you provide the following information:

1. Between January 2024 and December 2024 (inclusive) did the trust use any bed and breakfast accommodation for discharged mental health patients?
If so, how many beds?
2. What was the reason for using them?
3. During the same period how much was spent in total on B&B accommodation for mental health patients?

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Hospital Admissions Related to Sunbed Injuries

I am submitting a request under the Freedom of Information Act 2000. I would like to obtain data regarding the number of hospital admissions related to sunbed injuries. Specifically, I request the following information in whichever format is easiest to provide: SNOMED, ICD-11, or free text.

1. Sunbed Admissions (SNOMED)
The number of hospital admissions for patients presenting with sunbed-related injuries, classified under:
• 403588002 – Addiction to sunbed use (disorder)
• 242537009 – Exposure to man-made ultraviolet light (event)
• 466293001 – Ultraviolet tanning device (physical object)
If possible, please also include:
• Age group (e.g.: under 18, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85-94, 95-100, over 100)
• Gender of the patient
• Brief description of the reason for admission
• Treatment received for the injury
2. Sunbed Admissions (ICD-11)
The number of hospital admissions for patients presenting with sunbed injuries, categorised under:
• EJ41 – Burn from exposure to artificial source of ultraviolet radiation
o EJ41.0 – Burn from exposure to therapeutic ultraviolet radiation
o EJ41.Y – Other specified burn from exposure to artificial source of ultraviolet radiation
o EJ41.Z – Burn from exposure to artificial source of ultraviolet radiation, unspecified
If possible, please also include:
• Age group (as above)
• Gender of the patient
• Brief description of the reason for admission
• Treatment received for the injury
3. Sunbed Admissions (Free Text)
The number of hospital admissions for patients presenting with sunbed injuries, provided in free text format.
If possible, please also include:
• Age group (as above)
• Gender of the patient
• Brief description of the reason for admission
• Treatment received for the injury
Timeframe
For each month over the past five years (2019–2024), please provide the total number of individuals recorded.

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Mechanical Ventilation

I am writing to formally request information under the Freedom of Information Act 2000
regarding the use of mechanical ventilation within your hospital trust, specifically for patients
undergoing an MRI scan and those requiring in-hospital transportation while intubated.
Please provide responses to the following questions:

1. What is the current policy for mechanical ventilation of patients undergoing an MRI scan
within your NHS trust?
2. Which department has the primary responsibility for overseeing the mechanical
ventilation of patients in the MRI suite? Is it the Intensive Care Unit (ICU) or the MRI
department?
3. Which mechanical ventilators are currently used when conducting MRI scans on patients
within your MRI department?
4. Please provide the make, model, and age of the current mechanical transport
ventilators used within your trust.
5. Could you list the specific MRI-compatible ventilators currently in use within your trust?
6. Please provide the contact details (name, job title, and email/telephone) of the lead
clinical person overseeing the use of mechanical transport ventilation within your trust.
7. Please provide the name and contact details of the technician responsible for
overseeing the usage and maintenance of these ventilators within your trust.

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Pressure Care Guidance and Incidents

I am writing under the Freedom of Information Act 2000 to request data on bed sore-related death reports and complaints made to this trust.

• Please provide any trust guidance on pressure care (for the care and prevention of pressure sores, pressure ulcers, or bed sores) issued to administrators and/or hospital staff in the past 24 months.
• For the following years, please provide the number of patients within the trust treated for bedsores (classified as ICD-10 code L-89), as filed in Datix, Ulysses or other relevant reporting systems:
o 2022
o 2023
o 2024

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Surveying and Geospatial Activities

I am writing to submit a formal request for information under the Freedom of Information Act 2000. I kindly request the following details:

1. What are the biggest challenges your organisation currently faces in surveying and geospatial activity?

2. Are you confident in your full knowledge of the condition and knowledge of your impact on our local environment?

3. What are your organisation’s key strategic objectives for the next 12-24 months, and how does surveying and geospatial fit into these?

4. Please detail any planned development of sites or assets

5. Do you have a supplier for drainage mapping and surveying?

6. If so, please can you supply details of the contractual arrangements in place including date of award, details of any Framework used or link to the advertisement, contract value and duration

7. If not, please can you indicate what evaluation of the requirement for surveying and geospatial works have been undertaken?

8. Please share your planned procurement pipeline for surveying and geospatial works for the next 12 months

9. How do you engage with potential new suppliers—through open tenders, direct engagement, or supplier days?

10. Please can you confirm the individual responsible for managing your surveying and geospatial contracts or wider development contracts and provide their contact details and role title?

11. Please provide a list of frameworks that you procure related services through

12. Do you plan to repurpose any sites for renewable energy or solar farms?

13. Do you have any issues with subsidence in your properties? If so, where?

14. When developing/purchasing/selling a site, how do you verify that the boundaries are correct?

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Hospital Asset Tracking Management Outside Hospitals

I am doing some research into hospital asset tracking management outside hospitals. Please could you advise re the following: · Do you have a formal digital system for tracking products sent to other hospitals? (E.g. loaning a hip to a private hospital then tracking its return/re order/billing and payment) · Which local hospitals private do you send products to? · How often do you send them? · Do you have a reliable mechanism for ensuring compliance, payment and expediting? · Do you have a formal returns process for items given to the public (e.g. crutches) I look forward to hearing from you. Florence

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NHS Audiology Services

I would be most grateful if you would provide me, under the Freedom of Information Act, details in respect to the below.

1. Please list all providers that currently provide NHS audiology services in your region.

2. Please provide a copy of the current and most up to date service specification as contained in the relevant contract particulars for adult hearing care.

3. Please provide the date the adult hearing care service last was commissioned.

4. If adult hearing care is part of a wider service specification i.e. ENT, then please provide a copy of the current and most up to date service specification as contained in the relevant contract particulars.

5. If adult hearing care is part of a wider service specification i.e. ENT, then please provide the date this service was last commissioned.

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Eating disorders

In the last 12 months – for both adult and children eating disorder services (both inpatient and outpatient) has your trust instructed someone to give a second opinion on a patient that is receiving treatment for an eating disorder?

In the last 12 months – for both adult and children eating disorder services (both inpatient and outpatient) has your trust refused to give a second opinion on a patient that is receiving treatment for an eating disorder?

In the last 12 months – for both adult and children eating disorder services (both inpatient and outpatient) where second opinions have happened, who did the trust instruct to give the second opinion?

Of the second opinions given in adult and children eating disorder services (both inpatient and outpatient) was the second opinion arranged by the clinical team or the patient/family?
Of the second opinions given in adult and children eating disorder services (both inpatient and outpatient) who paid for it?

Of the second opinions given in adult and children eating disorder services (both inpatient and outpatient) was it internal or external?

Of the second opinions given in adult and children eating disorder services (both inpatient and outpatient) what was the outcome?

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Personal Carers in Trust Sites

1. Does your hospital trust allow patients to have their Personal Assistant/paid carers assist them in hospital settings?
2. Does your trust have a protocol or policy in place regarding Personal Assistants/paid carers assisting with complex care needs in hospital settings? What is it?
3. Does this policy apply both to admissions as well appointments and treatments as a day patient?
4. How many times in the last 3 years has a patient had their care needs met by their usual PAs/paid carers whilst in hospital?

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List of all NHS hospital at home or virtual ward

Dear FOI team, My name is Jiakun Yu and I am a doctor working at Guy’s and St Thomas’ Hospital. I would like to make the following FOI request: 1. Could you provide a list of all NHS hospital at home or virtual ward available in your region as well as their email contact information please. Many thanks, Jiakun Yu

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Virtual beds

I’d like to request the following records under the FOI act.

Virtual wards

• The total number of virtual ward beds you had open as of 15 January 2025
• The total number of VW beds, broken down by the different specialties served by those virtual wards
• The beds occupancy rate as of 15 January 2025, broken down by specialty
Patient initiated follow-up

• A list of the specialities for which you offer patient initiated follow-up
• The proportion of outpatient attendances discharged to PIFU pathways, as of 15 January 2025 (or the most recent data point – please specify the date if different from 15/1/25).
• The names of each technology supplier and the product used by the trust to run its PIFU pathways

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FOI 369-2025

A list of your sites that are under PFI / PF2 / PPP contracts that are expiring in by the end of 2030.

– The name of the site, the value of the contract, along with the date of the expiry.
– The name of your Director of Estates & Head of Procurement.

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FOI 289-2024

1. The name of your soft facilities management service provider/providers (if this is managed in-house please say)
2. The date/dates that your contract/contracts with your soft FM provider ends
3. The name of your hard facilities management service provider/providers (if this is managed in-house please say)
4. The date/dates that your contract/contracts with your hard FM provider ends
5. The name of your waste management service provider/provider
6. The date/dates that your contract/contracts with waste management provider ends
7. The name of your security provider/providers
8. The annual sum spent on security each year from 2020/21 to 2024/25 (for 2024/25 if you don’t have the total that you will spend then please provide a figure to-date).

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FOI 364-2025

Dear Gloucestershire Health and Care NHS Foundation Trust,

I am writing under the Freedom of Information Act to request information relating to Patient Transport Services in the NHS Trust. I have set out the information I require below:

– Please can you outline the procurement process for Patient Transport Service contracts.

– What is the criteria for Patient Transport Service contracts.

– Which organisation sets the criteria for Patient Transport Service contracts.

– Which organisation decides the successful bid for Patient Transport Service contracts.

– Is there any criteria for Patient Transport Service contracts attached to terms and conditions and pay of staff.

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FOI 360-2025

I am writing to request information under the Freedom of Information Act 2000 regarding hospital admissions related to hiking injuries.

Please provide data for the past five calendar years (from 1 January [2020] to 31 January [2025]), broken down annually and 2025 so far, on the following:

Hospital Admissions

• The number of hospital admissions where the reason for admission was linked to hiking.
• If available, the number of admissions identified through:
Text-based documentation (i.e., where “hiking” or a related term was explicitly mentioned in records).
The ICD-11 for Mortality and Morbidity Statistics code XE5BS (Type of sport or exercise activity, hiking).
The age and gender of those admitted.
• A brief description of the incident or injury, if recorded.

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Rate of Sodium Nitrite Poisoning in your Hospital Trust

I’m writing under the Freedom of Information Act 2000 to request information about the rate of sodium nitrite poisoning in your hospital trust. Please note I am asking about sodium nitrite, not sodium nitrate. For the past five years, up to and including 6 February 2025, I’d like to know the following:

How many cases of sodium nitrite poisoning were there? Please break this down into cases of a) intentional poisoning (eg suicide) and b) unintentional poisoning. A. Of the cases of sodium nitrite poisoning, how many of them were administered Methylene Blue? How many deaths were there where sodium nitrite poisoning was listed as the, or a, cause of death? Please break this down into how many deaths were caused by a) intentional poisoning (eg suicide) and b) unintentional poisoning. A. Of the deaths caused by sodium nitrite poisoning, how many of them were administered Methylene Blue?

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FOI 343-2025

I am submitting this request under the Freedom of Information Act 2000 and would appreciate your assistance in providing the following details regarding your NHS Trust’s expenditure on staff uniforms:

1. **Total uniform expenditure** for the last financial year (April 2022 – March 2023) and, if available, the current financial year to date (April 2023 – present).

2. **Breakdown of uniform items purchased**, including:
– Type of uniform items (e.g., tunics, trousers, scrubs, polo shirts, jackets, etc.).
– Number of each item purchased.
– Unit price of each item.

3. **Suppliers**: A list of uniform suppliers used by the Trust.

4. **Procurement Process**: Details of any existing contracts or agreements for uniform procurement, if applicable.

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