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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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