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Adult Deaf Sign Language Users

The lifetime prevalence of mental disorder in the general population is 1 in 4. For profoundly deaf people this approaches 1 in 2 yet the number of deaf adults accessing mental health services is very low.

The National Deaf Mental Health Service supports Deaf BSL users across the middle third of England.

We have seen a fall in referrals for community and inpatients in recent years.

We are keen to know if there are people accessing local services who may not have been considered for referral to specialised services.

I would be grateful if you could provide the number of adult deaf sign language users who are have been inpatients within your Trust over the last 5 years.

Please could you provide the number of adult Deaf sign language users currently on the community caseload of the Trust.

Please provide the number of adult Deaf sign language users supported by the trust community services in the last 5 years.

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Specialist Midwifery Roles Across Maternity Services

To whom it may concern,

I am writing on behalf of the Royal College of Midwives to request information under the Freedom of Information Act regarding the commissioning of specialist midwifery roles within maternity services across your Integrated Care Board (ICB).

We are seeking to understand the extent to which these roles have been commissioned nationally. The findings will be used solely for internal planning and to inform our engagement with government and stakeholders. Individual responses will not be attributed or published.

I would be grateful if you could take a few minutes to respond to the following questions:

1. How many maternity services does your ICB cover?
2. Has your ICB commissioned any of the following specialist midwifery roles/posts?
For each role, please indicate:

• Whether it has been commissioned (Yes/No)
• If yes, the number of Full Time Equivalent (FTE) posts in each service
• If yes, the number of FTE vacancies for each specialism listed below
• Whether administrative support has been commissioned alongside (Yes/No)
• If yes, the number of FTE administrative posts

Please complete for each of the following specialisms:

• Perinatal Mental Health
• Infant Feeding
• Safeguarding
• Digital Midwifery
• Diabetes
• Bereavement
• Alcohol/Substance Misuse
• Public Health
• Screening
• Sonography
• Maternal Health/Foetal Medicine

Please provide this information in an Excel document.

Thank you in advance for your time and assistance. If you have any questions or require further clarification, please do not hesitate to contact me.

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Mental Health Patient Deaths

Dear Sir/Madam

I am requesting the following information under the Freedom of Information Act.

1. For each of these financial years – 2022/23, 2023/24, 2024/25 – please state:
a. The number of mental health patients aged 0-17 who were in contact with the Trust that year
b. The number of mental health patients aged 0-17 in contact with the Trust that year who died during that year (be it as an inpatient or not; be it on the Trust’s estate or elsewhere)

2. For each of these financial years – 2022/23, 2023/24, 2024/25 – please state:
a. The number of mental health patients aged 18-64 who were in contact with the Trust that year
b. The number of mental health patients aged 18-64 in contact with the Trust that year who died during that year (be it as an inpatient or not; be it on the Trust’s estate or elsewhere)

3. For each of these financial years – 2022/23, 2023/24, 2024/25 – please state:
a. The number of mental health patients aged 65+ who were in contact with the Trust that year
b. The number of mental health patients aged 65+ in contact with the Trust that year who died during that year (be it as an inpatient or not; be it on the Trust’s estate or elsewhere)

If the Trust classifies older patients as being 70+ rather than 65+, then it may replace 18-64 with 18-69 in question 2 and replace 65+ with 70+ in question 3. Please state if this is the case.

With questions 1b, 2b and 3b I am asking for figures for patient deaths that the Trust is aware of; the Trust may not be aware of all deaths of patients.

This request should not be combined with any other request for section 12 purposes. If any individual question would exceed the section 12 cost limit, please mark that question as “information not held” and respond to the remainder of the request (NB: this is not the same as asking the Trust to “run the clock” up to the section 12 cost limit).

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Mental Health Waiting Times

Under the Freedom of Information Act 2000, I would like to request the following information:
1. The current average waiting time for patients to access your mental health services.
2. The total number of patients currently on waiting lists for mental health services.
Please provide the most recent figures you hold (as of September 2025), ideally in spreadsheet format (Excel/CSV).

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Patient Absconding from Secure Mental Health Wards

Good afternoon.

Please find below details of the FOI request.

Please provide the number of patients absconding from secure mental health wards for the years: – 2020 – 2021 – 2022 – 2023 – 2024 – 2025

This should include incidents in which patients vanish from units or fail to return from authorised periods of leave.

Best wishes,

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Use of Force Policy

As part of a scoping review, I have been working through NHS Use of Force policies, including yours, which you have kindly provided in response to a previous FOI request.

It is part of the requirements of the Mental Health Units (Use of Force) Act 2018 to publish the Use of Force policy on every NHS trust website. Here is the relevant section:

“Ownership and transparency (Section 3)
The policy on use of force must be published on the organisation or trust’s website and in hard copy format, and any other way that the organisation or trust usually makes information available and accessible for patients and service users. The policy should be made available in different formats (such as easy read) as appropriate to the type of service being provided and in line with the duty to make reasonable adjustments. It is good practice to publish all available formats on the organisation or trust’s website.”

I am requesting that your Use of Force policy, alongside your patient and easy read Use of Force information, is published on your trust website, as per the statutory guidance.

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Electroconvulsive Therapy (ECT)

Dear FOI Officer,

Under the Freedom of Information Act 2000, I would like to request information regarding the administration of Electroconvulsive Therapy (ECT) within your Trust for the calendar year 2024.

Your Trust’s contribution is particularly valuable as this request aims to provide a comprehensive picture of current ECT practice across England. Previous requests achieved response rates of 57-66%, and we hope to improve this figure to ensure the most accurate representation possible.

Please provide the following specific information:

1. How many patients in total received ECT in 2024?
2. How many of these were female?
3. How many of these were over 60?
4. How many of these were under 18?
5. How many were referred for psychological assessment before prescribing ECT?
6. How many people received psychology therapy before being prescribed ECT?
7. What measures of clinical outcome were used for patients who received ECT and what were the results?
8. What measures of adverse effects for patients who received ECT were used, and what were the results?
9. Which professions did the SOAD consult for patients who did not consent?

If you are unable to provide an answer to any of this information, please note a reason, as partial data is still very valuable to us.

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Advanced Decision to Refuse Treatment / Lasting Power of Attorney

Freedom of Information Request

1. Do you have a policy (or policies) which outlines the responsibilities of health and care professionals and the Trust towards a patient who has an Advance Decision to Refuse Treatment (ADRT) or Lasting Power of Attorney (LPA) for Health and Welfare?

This document might include:

– how an ADRT/LPA should be used in decisions about a person’s treatment,

– what to do if there are doubts about the validity and/or applicability of the document,

– how to involve Health and Welfare Attorneys when making treatment decisions

– how or when decisions will be referred to the Court of Protection

If yes, please share a copy with us in any available format.

2. In the event that a patient or family member, or someone using the Trust’s services has a concern about the implementation of an Advance Decision to Refuse Treatment (ADRT) or a Lasting Power of Attorney (LPA) for Health and Welfare, does the Trust/Health Board have a documented process or course of action that would be provided to the person to allow them to resolve their concerns?

If yes, please share a copy with us.

If this information is covered within a policy you have included in the response above, please leave blank.

3. Do you have a named individual who is responsible for overseeing the Trust’s compliance with the Mental Capacity Act 2005?

If yes, please share their contact details.

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Stress-Related Diagnoses for NHS Patients (2022–2025)

I am submitting this request under the Freedom of Information Act 2000.
Please provide the following information for patients for calendar years 2022, 2023, 2024 and 2025:

1. Number of people diagnosed with a stress-related condition (e.g., anxiety/stress/burnout/high blood pressure).
2. Number of separate appointments where stress was the primary diagnosis or treatment focus.
3. Number of referral appointments for ‘stress’ related conditions/diagnosis

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Mental Health Assessments

1. What is the current average and 90th percentile waiting time for ADHD post diagnostic therapies (including psychotherapies), broken down by (a) NHS providers and (b) outsourced private providers?

2. What is the current average and 90th percentile waiting time for ASD post diagnostic therapies (including psychotherapies), broken down by (a) NHS providers and (b) outsourced private providers?

3. How many ADHD referral requests were (a) declined and (b) deemed ‘not clinically urgent’ by NHS services in the last 12 months?

4. How many ASD referral requests were (a) declined and (b) deemed ‘not clinically urgent’ by NHS services in the last 12 months?

5. What percentage of patients diagnosed with ADHD by the NHS receive (a) medication titration and (b) follow-up care within 3 months?

6. Are any post-diagnosis services outsourced to private providers? Which?

7. What is the current waitlist time for dementia assessment?

8. What is the split by demographics (under 60 vs over 60)?

9. Which providers are you working with to support on memory assessments (eg. dementia)?
Please can you share the spend broken down by provider for FY24/25
Please can you share the spend broken down by provider for FY23/24

10. What other mental conditions does the NHS use private providers to deliver assessments for?

11. Which providers are you working with for these assessments?
Please provide a breakdown of all NCA spend by category across mental health services for FY24/25
Please provide a breakdown of all NCA spend by category across mental health services for FY23/24

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Commissioning and Data of ADHD and Autism Services

I am writing to request information under the Freedom of Information Act 2000. Please could you provide the following information in relation to your ICB’s commissioning of ADHD and Autism services:
Commissioning Contacts
1. The name(s) of the person or people responsible for commissioning ADHD assessment and diagnosis services.
2. The name(s) of the person or people responsible for commissioning Autism assessment and diagnosis services.
3. The telephone number(s) for the above contacts (ADHD and Autism commissioning).
4. The email address(es) for the above contacts (ADHD and Autism commissioning).
If personal details cannot be provided due to GDPR, please supply a team or departmental contact instead.
Waiting Lists
5. The current size of the ADHD assessment waiting list for adults.
6. The current size of the ADHD titration waiting list for CAMHS.
7. The current size of the Autism assessment waiting list (please specify if this is for adults, children, or both).
Referral Volumes
8. The average number of ADHD referrals for adults received per month over the past 12 months.
9. The average number of ADHD referrals for CAMHS received per month over the past 12 months.
10. The average number of Autism referrals received per month over the past 12 months.
Private Sector Support
11. Do you currently utilise any private provider support to manage ADHD referrals?
If yes, please provide:
• Name of the provider
• Contract start and end date
• Annual contract value (£GBP)
12. Do you currently utilise any private sector support to manage Autism referrals?
If yes, please provide:
• Name of the provider
• Contract start and end date
• Annual contract value (£GBP)

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Parkinson’s Disease

I am writing to request information under the Freedom of Information Act 2000.
Please could you provide the following information:
1. The total number of new diagnoses of Parkinson’s disease recorded by your Trust/Health Board for each of the past four calendar years (2022,2023,2024,2025).
2. If available, a breakdown of these figures by:
a. Age groups (e.g. under 50, 50–59, 60–69, 70–79, 80+)
b. Gender e.g. Male, Female

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Mental Health Inpatient Readmissions

I am currently completing a Master’s in Digital Operations and Improvement, with a focus on data. Given my role and the area, I work in, I have decided to focus my data piece on Mental Health Inpatient Readmissions. To build my dataset, I am placing a Freedom of Information Request to all NHS Mental Health Inpatient Services.

I kindly ask if you could provide responses to the following questions:

1. Do you collect data on the readmission rates of patients who have been admitted to an inpatient facility for a mental health condition at your Trust?
2. If you do, how many patients were readmitted for inpatient mental health care, including out-of-area admissions:
– Three months after they were discharged.
– Six months after they were discharged.
– Twelve months after they were discharged.
3. At what intervals do you follow up with patients after they are discharged from secondary mental health care? Tick all that apply:
– 1 week
– Within 1 month
– Between 1 and 3 months
– 3 to 6 months
– 12 months
4. In the last 12 months (May 2024 to May 2025), how many patients who required secondary mental health services were discharged from your Trust to Primary Care?
5. How many people detained under the Mental Health Act (MHA) were discharged to primary care?
6. How many patients were admitted to hospital following care by the Crisis Resolution Home Treatment Team/Home-based Treatment Team after:
– 3 months
– 6 months
– 12 months
7. What has been the average length of stay over the last five years in adult acute mental health care at your Trust, including those patients sent out of area?

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Performance Data for the IAPT/NHS Talking Therapies

Please could you provide the following performance data for the IAPT/NHS Talking Therapies service covering following years:
2021 to 2024 inclusive and 2025 YTD, broken down annually and monthly as appropriate
1. Average waiting time for patients from referral to assessment
appointment in weeks
2. Average waiting time for patients after the assessment
appointment to the start of treatment in weeks
3. Total number of patients on waiting list by month
4. The reliable recovery rate % by month
5. How many total patients are in contact with the service (Referrals, Assessment, Treatment etc)
6. Names of the providers operating the IAPT/NHS Talking Therapies
Counselling services during the periods
requested
7. Any contract warnings or breach notices issued to the provider
due to performance failures/failure to meet KPIs 8. How many FTE Staff are employed in the Talking Therapies service?
9. How many Vacant FTE roles are there within the Talking Therapies Service?
10. Number of referrals received each month?

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Mental Health and Substance Use Data for Academic Research

I am writing to submit a request under the Freedom of Information Act 2000 as part of my PhD research investigating the mental health and social harms related to cannabis and cocaine use within the UK healthcare system.
Please provide anonymized, aggregate data for the period from 1 January 2000 to 31 December 2024 covering the following areas:
1. Mental Health Service Users
o Number of individuals accessing psychiatric services related to cannabis and cocaine use.
o Number of individuals receiving counselling or psychotherapy (including CBT, psychodynamic therapy, and other modalities) for mental health conditions linked to cannabis and cocaine use.
o Age, gender, and geographical breakdowns of these service users where available.
2. Treatment Episodes and Modalities
o Total number of treatment episodes delivered for cannabis and cocaine-related mental health conditions, including inpatient, outpatient, community, and day services.
o Types of psychiatric and psychological interventions provided (e.g., medication management, counselling, psychotherapy, group therapy).
3. Outcomes and Follow-Up
o Available data on treatment outcomes (e.g., completion rates, relapse rates) and follow-up or readmission rates for cannabis and cocaine-related cases.
4. Referral Sources and Waiting Times
o Main referral pathways for cannabis and cocaine-related mental health services (e.g., GP, self-referral, criminal justice system, hospital).
o Average waiting times from referral to first appointment for psychiatric, counselling, or psychotherapy services linked to cannabis and cocaine use.
5. Co-occurring Conditions
o Proportion of service users presenting with co-occurring mental health and substance use disorders.
o Data on co-use of other substances where available.
While I am particularly interested in data coded under ICD-10 codes F12 (mental and behavioural disorders due to cannabinoids) and F14 (due to cocaine), I request that you also include any relevant data on mental health conditions, treatments, service usage, and outcomes related to cannabis and cocaine use, regardless of coding systems or classifications used within your trust.
Please also can you provide details of any other clinical / internal codes used to classify or record such cases and treatments.
If some of the requested data is not held in exactly the format specified, please provide data in the closest available format or inform me of any limitations.

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Treatment of Insomnia

I would be grateful if you could please answer the following question.

In the last 12 months, how many unique patients have been treated for Insomnia (ICD-10 code G47.0) with the following products:

1). Zopiclone
2). Zolpidem
3). Any other Melatonin product

If you cannot provide the information for each product, please provide the information that you do have available.

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ECT, Seclusion, Restrains, Medication Errors

Please provide Electro Convulsive Treatment (ECT) information under the FOI act to the following questions: –
1.Please supply patient’s information ECT leaflet
2.Please supply patient ECT consent form
3.Please supply any ECT reports/investigations
4.How many ECT in 2024?
5.What proportion of patients were men/women?
6.How old were they?
7.What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
8.How many people covered by the equality act – specific protected characteristics – excluding age + gender – received ECT ?
9.How many people were offered talking therapy prior to ECT ?
10.How many were receiving ECT for the first time?
11.How many patients consented to ECT?
12.How many ECT complaints were investigated outside the NHS ?
13.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
14.How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
15.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
16.How many patients have suffered complications during and after ECT and what were those complications?
17.Have there been any formal complaints from patients/relatives about ECT?
18.If so, what was their concerns?
19.How many patients report memory loss/loss of cognitive function?
20.What tests are used to assess memory loss/loss of cognitive function?
21.Have MRI or CT scans been used before and after ECT?
22.If so, what was the conclusion?
23.How does the Trust plan to prevent ECT in the future?

Please provide restraints information under the FOI act to the following questions: –
1.Please supply any Restraints/investigations
2.How many RESTRAINTS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
6.How many people covered by the equality act – specific protected characteristics – excluding age + gender – were restrainted?
7.How many RESTRAINTS were investigated outside the NHS?
8.How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
9.How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
10.How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
11.How many patients have suffered complications during and after RESTRAINTS and what were those complications?
12.Have there been any formal complaints from patients/relatives about RESTRAINTS?
13.If so, what was their concerns?
14.Are counts of forced injections available? if so how many people were forcible injected ?
15.How does the Trust plan to reduce restraints in the future?
16.How many of these restraints were face down restraints?

Please provide SECLUSION information under the FOI act to the following questions: –
1.Please supply any SECLUSION reports/investigations
2.How many SECLUSIONS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
6.How many people covered by the equality act – specific protected characteristics – excluding age + gender – were secluded ?
7.How many SECLUSIONS were investigated outside the NHS?
8.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
9.How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
10.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
11.How many patients have suffered complications during and after SECLUSION and what were those complications?
12.Have there been any formal complaints from patients/relatives about SECLUSION?
13.If so, what was their concerns?
14.How does the Trust plan to reduce SECLUSIONS in the future?

Please provide MEDICATION ERRORS information under the FOI act to the following questions: –
1.Please supply any MEDICATION ERRORS reports/investigations
2.How many MEDICATION ERRORS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
6.How many people covered by the equality act – specific protected characteristics – excluding age + gender – endured medication errors ?
7.How many MEDICATION ERRORS were investigated outside the NHS ?
8.How many patients died during or 1 month after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
9.How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
10.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
11.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
12.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
13.If so, what was their concerns?
14.How does the Trust plan to prevent MEDICATION ERRORS in the future?

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ADHD Assessments

1.What is the name of your Trust?

2. Where are you based?
England
Scotland
Wales
Northern Ireland

3. Do you run an adult ADHD service?
Yes
No (If No the form will skip everything until Q13)

4. How many adults are currently waiting for an ADHD assessment across your Trust?
Please enter the total number. If you do not record this information please enter: Not recorded

5. How many referrals for adult ADHD assessments did you receive across your trust in 2024?
Please enter the total number. If you do not record this information please enter: Not recorded

6.How many adult ADHD assessments did you carry out across your trust in 2024?
Please enter the total number. If you do not record this information please enter: Not recorded

7.Do you support patients while they are on the waiting list?
Yes
No (If No the form will skip Q8)

8.Please outline what support you offer patients while they are on the waiting list?

9.Has your any part of your Trust closed waiting lists for new adult ADHD assessment referrals at any point in the last 12 months?
Yes
No (If No the form will skip Q10)

10. Please give details of which services were affected and for how long?

11.Do any adult ADHD services across your trust have an exclusion criteria for assessment referrals?
Yes
No (If no, the form will skip Q12)

12.Please select all relevant reasons from this list:
We do not accept patients over a certain age
We only accept patients with complex cases, eg other mental health conditions
We do not accept patients who are being seen by an adult mental health team or have complex mental health conditions
We do not accept patients if we believe their symptoms are not causing significant functional impairment
The service is only commissioned to see a certain amount of patients, so new referrals are rejected after that target is reached

13.Feel free to add any more information here

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Headbanging and Non-Anchored Ligatures

I am currently looking into the available evidence on behaviours of headbanging and non-anchored ligatures within adult inpatient mental health settings.

As part of this review, I am keen to include information on policies, procedures, areas of good practice that may have been developed. Is there anything within your setting that is shareable?

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Guidelines regarding Mental Health and Care Coordinators

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

Please provide the following information for the time period between 1st January 2019 (or the date of inception for your trust) and 5th May 2025, inclusive.

1. Please send me a copy of any documents outlining guidelines or codes of conduct regarding mental health care plans which have been used or disseminated within the Trust. This should include any materials relating to NICE, CPA Policy, and ‘Triangle of Care’.

2. Please send me a copy of any documents outlining guidelines or codes of conduct regarding care coordinators which have been used or disseminated within the Trust. This should include any materials relating to NICE and ‘Triangle of Care’.

3. Please send me copies of all Serious and Untoward Incident Review documents which relate to the treatment of mental health patients within your trust.

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Peer Support Workers

1. How many peer workers/peer mentors or similar roles does your Trust employ?
2. How many senior peer worker/peer supervisor/peer development worker or similar roles does
your Trust employ?
3. What band(s) are your senior peer worker (or similarly titled) roles?
4. Can you provide a job description for these roles?
5. Who supervises the senior peer workers in your Trust
6. Does your Trust employ a lived experience lead/peer support lead?
7. If so, what band(s) are they recruited to?
8. Can you provide a job description for your peer support lead (or similarly titled) role(s)?
9. Did you receive any allocations via the NHSE Mental Health Programme grant funding over the
last 4 years?
10. How many peer workers and peer supervisors (or similarly titled roles) have you trained through
the NHSE training grant funding route?
11. How did the grant money help your organisation?

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Bipolar Diagnosis and Specialist Care

I am writing to request information under the Freedom of Information Act 2000. I would be grateful if you could provide the following information.

1. The number of individual patients treated in your trust who are diagnosed, either as a primary diagnosis or a co-morbid diagnosis, with the following mental health conditions/available categorisation over the past five years/available time period:

– Psychosis / Schizophrenia / Schizo-Affective Disorder
– Treatment Resistant Depression
– Bipolar / Cyclothymia / Hypomania
– Eating Disorders
– EUPD/CEN
– Other
– Diagnosis not recorded

2. The total number of admissions in your trust involving the following mental health conditions/available categorisation, where individuals have been sectioned under the Mental Health Act over the past five years/available time period:

– Psychosis / Schizophrenia / Schizo-Affective Disorder
– Treatment Resistant Depression
– Bipolar / Cyclothymia / Hypomania
– Eating Disorders
– EUPD/CEN
– Other
– Diagnosis not recorded

3. Does your trust have a specialist care pathway, such as EIP (Early Intervention in Psychosis), that provides treatment for the following conditions:

– Bipolar/Cyclothymia/Hypomania
– Psychosis/Schizophrenia/Schizo-Affective Disorder
– EUPD/CEN
– Treatment resistent depression
– Eating Disorders

4. If ‘yes’, please describe these care pathways.

5. If ‘yes’, please provide the estimated annual spend for said specialist care pathways for each year / available time period, providing the name of each service, from 2019 to 2025.

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Impulse Disorders

Can you please provide the following information under the Freedom of Information Act 2000.

How many people have been identified as having a behavioural addiction which are partly (or wholly) linked to screen usage e.g gambling, porn or gaming, during the following periods:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
e. 2024/25
f. 2025-to date
What is the age and gender of those identified above? (For this question, I am not requesting any information that would identify patients).

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Diagnosis of Alzheimer’s Disease

FOI Request – Diagnosis of Alzheimer’s Disease
1. I would be grateful if you could send the Trust’s most recent planning document(s) for the diagnosis and treatment of Alzheimer’s Disease including implementation of lumbar punctures (CSF) and Blood-based Biomarker testing. Please include planning documents that cover the entire Trust and specific department plans, such as neurology, psychiatry, care of the elderly, pathology or memory clinic teams.

2. How many patients were diagnosed with Alzheimer’s Disease (ICD-10 codes = G30, G30.1, G30.8, G30.9, F00, F00.1, F00.2 or F00.9) in your Trust in the last 12-month period for which data are available?
3. How many patients were diagnosed with Mild Cognitive Impairment and / or Mild Dementia due to Alzheimer’s Disease (ICD-10 codes = G31.84, G30.1, or MMSE scores = 21 to 24) in your Trust in the last 12-month period for which data are available?
4. Where, if at all, does the Trust carry out lumbar punctures (cerebrospinal fluid) for diagnosing patients with Alzheimer’s Disease?
5. Please provide a list of the full names of other Trusts or other organisations to which the Trust refers patients for lumbar punctures in the diagnosis of Alzheimer’s Disease.
6. What is the average waiting time for a patient to get an appointment for a lumbar puncture to test for a diagnosis of Alzheimer’s Disease?
7. How many lumbar punctures to test for Alzheimer’s Disease took place in the last 3-month period for which data are available?
8. How many Blood-based Biomarker (BBBM) tests from Cerebrospinal fluid (CSF) to test for Alzheimer’s Disease were conducted in the last 3-month period for which data are available?
9. Where, if at all, does the Trust carry out Blood-based Biomarker (BBBM) tests from Cerebrospinal fluid (CSF) for diagnosing patients with Alzheimer’s Disease?
10. Please provide a list of the full names of other Trusts or other organisations, to which the Trust refers Blood-based Biomarker tests from cerebrospinal fluid (CSF) for pathology in the diagnosis of Alzheimer’s Disease.
11. What is the average waiting time for pathology results to come back from Blood-based Biomarker tests?
12. To what extent are there plans for service improvement of diagnosing Alzheimer’s Disease?
13. Are the plans for service improvement of diagnosing Alzheimer’s Disease related to:
Cognitive assessment services
Biomarker services
None / neither
14. Which of the following services does the Trust have in place in preparation for increased service delivery for Alzheimer’s Disease? Please complete the table provided.

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Mental Health Interventions

I am compiling some data for a research project, and would appreciate it if you could provide answers to the following 10 questions under the Freedom of Information Act 2000.

1. How many individuals are currently receiving mental health interventions from the community mental health team and associated community mental health initiatives, such as Talking Therapies.

Individuals aged:
18 to 35
35 to 64
65+

2. How many in each age range are male, how many are female and how many identify as other genders?

3. How many of those individuals have been known to community mental health services for more than three years?

4. What is the average length of time for an individual to reach treatment of some kind (group, one to one, or skills course etc) from self or GP’s referral?

5. What is the average length of time from referral for an individual to reach one to one treatment with a clinician?

6. In the past 12 months, how many individuals have received the following:

Group therapy sessions.
One to one therapy sessions (CBT/counselling etc)
Other forms of therapy.

7. In the past 12 months how many individuals attended group therapy remotely?

8. In the past 12 months how many individuals attended group therapy in person?

9. In the past 12 months, how many individuals received therapeutic interventions (such as CBT/psychotherapy/IPT/counselling etc) one to one with a clinician via the following methods:

Face to face appointments.
Video Meeting (Teams/Attend Anywhere etc)
Telephone calls.

10. In the past 12 months, how many individuals have stopped engaging or failed to complete treatment?

11. How many individuals in the past 12 months have received onward referral from the CMHT/Talking Therapies etc to psychiatric services for further assessment?

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ADHD

This is a freedom of information request.

Section A

(A1) Does your organisation commission Adult ADHD Assessments? If yes, please list:
(A1-i) the organisation or organisations in receipt of commission from you alongside the contract value for the last public sector financial year (1st April 2024 – 31st March 2025) and the current public sector financial year (1st April 2025 – 31st March 2026).

(A2)Does your organisation commission Child ADHD Assessments? If yes, please list:
(A2-i) the organisation or organisations in receipt of commission from you alongside the contract value for the last public sector financial year (1st April 2024 – 31st March 2025) and the current public sector financial year (1st April 2025 – 31st March 2026).

(A3) Does your organisation undertake Adult ADHD Assessments? If yes, please list:
(A3-i) the organisation or organisations that have contracted you to provide the ADHD Assessment service alongside the financial contract value for the last public sector financial year (1st April 2024 – 31st March 2025) and the current public sector financial year (1st April 2025 – 31st March 2026).

(A4) Does your organisation undertake Child ADHD Assessments? If yes, please list:
(A4-i) the organisation or organisations that have contracted you to provide the ADHD Assessment service alongside the financial contract value for the last public sector financial year (1st April 2024 – 31st March 2025) and the current public sector financial year (1st April 2025 – 31st March 2026).

Section B

Please could you provide the information for the last public sector year (the period covering 1st April 2024 – 31st March 2025).

(B1). The number of Adult ADHD Assessments undertaken in that period
(B2). The number of Adults waiting for an ADHD Assessment at the end of that period.
(B3). The number of Adults waiting for an ADHD Assessment at the date of receipt of this FOI request.
(B4). The number of Child ADHD Assessments undertaken in that period
(B5). The number of Children waiting for an ADHD Assessment at the end of that period.
(B6). The number of Children waiting for an ADHD Assessment as of the date of receipt of this FOI request.

If it does not take us over the FOI cost threshold, then please can we ask similar questions for the prior public sector year. For the period covering 1st April 2023 to 31st March 2024.

(B7). The number of Adult ADHD Assessments undertaken in that period
(B8). The number of Adults waiting for an ADHD Assessment at the end of that period.
(B9). The number of Child ADHD Assessments undertaken in that period
(B10). The number of Children waiting for an ADHD Assessment in that period.

If it does not take us over the FOI cost threshold, then please can we ask the same questions for the public sector, the year before the above. For the period covering 1st April 2022 to 31st March 2023.

(B11). The number of Adult ADHD Assessments undertaken in that period
(B12). The number of Adults waiting for an ADHD Assessment at the end of that period.
(B13). The number of Child ADHD Assessments undertaken in that period
(B14). The number of Children waiting for an ADHD Assessment in that period.

If it does not take us over the FOI cost threshold, then please can we ask the same questions for the public sector, the year before the above. For the period covering 1st April 2021 to 31st March 2022.

(B15). The number of Adult ADHD Assessments undertaken in that period
(B16). The number of Adults waiting for an ADHD Assessment at the end of that period.
(B17). The number of Child ADHD Assessments undertaken in that period
(B18). The number of Children waiting for an ADHD Assessment in that period.

Section C

If it does not take us over the FOI cost threshold, then please can we ask this additional set of questions

(C1). Did you pay out under Right to Choose for Adult ADHD Assessments in the prior public sector year? If yes:

(C1-i) How many Adult ADHD Assessments were paid out under Right to Choose in the last public sector year (20024-25)
(C2-ii) What was the total value of Adult ADHD Assessments under Right to Choose in the last public sector year (20024-25).
(C2-iii) Please list the organisations you paid out for Adult ADHD Assessments under Right to Choose, alongside the total financial amount paid, and the quantity of Adult ADHD Assessments undertaken for the last public sector year (April 1st 2024- 31st March 2025).

(C2). Did you pay out under Right to Choose for Child ADHD Assessments in the prior public sector year? If yes:

(C1-i) How many Child ADHD Assessments were paid out under Right to Choose in the last public sector year (20024-25)
(C2-ii) What was the total value of Child ADHD Assessments under Right to Choose in the last public sector year (20024-25).
(C2-iii) Please list the organisations you paid out for Child ADHD Assessments under Right to Choose, alongside the total financial amount paid, and the quantity of Child ADHD Assessments undertaken for the last public sector year (April 1st 2024- 31st March 2025).

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Outsourcing of Mental Health Services

Please can you provide me with the below information:

In the last 6 months, 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 provide an email and contact name within the outsource provider

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Funding Requests for External Providers via STAR Team

I am writing to request information under the Freedom of Information Act 2000 regarding funding requests for external assessments and/or treatment of dissociative disorders (including DID, OSDD, DPDR, etc.) made via the Specialist Treatment and Rehabilitation Team (STAR).

Please provide the following information covering the period from 1st January 2020 to the present:

1. How many requests have been received by the STAR team for funding of assessment and/or treatment for dissociative disorders with external providers (e.g. Centre for Dissociative Studies, Pottergate Centre, CTAD, SLAM, etc)?

2. Of these requests, how many were approved for funding?

3. What is the typical cost of:
a. An initial assessment at these external providers.
b. A course of treatment (e.g. per session, per year, or other available metric).

4. Are there any planned changes to how the STAR team manages referrals or funding for dissociative disorder care (e.g. new internal pathways, new commissioning plans, or external contracting)?

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Early Intervention in Psychosis

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

The percentage of patients who met waiting time standards of two weeks between first referral and starting treatment in Early Intervention in Psychosis (EIP) services at Gloucestershire Health and Care NHS Foundation Trust in:

a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24

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Compulsive Buying Disorder

Can you please provide the following information under the Freedom of Information Act 2000. This query relates to shopping addiction, which is also known as Compulsive Buying Disorder (CBD) or Oniomania. Could the information please be provided in financial years.

For background, I have been advised that:
• GPs or NHS talking therapies would be the first point of call for such patients.
• Generally those diagnosed with the condition would rarely be diagnosed with it on its own as other mental health problems are likely to be present as well.
• The ICD-11 diagnosis criteria may be used and under that, this condition could be listed as ‘obsessive compulsive disorder – other’ (which was what gambling used to be noted as before it was added to the diagnosis criteria).
1. How many people have been identified as possibly having the condition (Compulsive Buying Disorder – CBD) during the following periods:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
e. 2024/25
f. 2025-to date
2. What is the age and gender of those mentioned in question 1?
3. If someone presented to the NHS with this condition, what support or treatment options are available?
4. How many people have been identified as having Compulsive Buying Disorder (CBD) alongside another mental health diagnosis? E.g OCD or ADHD.
5. What is the age and gender of those mentioned in question 4?
6. How many people have been identified as having a behavioural addiction e.g gambling, porn or gaming, during the following periods:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
e. 2024/25
f. 2025-to date
7. What is the age and gender of those identified in question 6?
For questions 2, 5 and 7, I am not requesting any information that would identify patients.

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Dementia Diagnosis

Please can you tell me over the last five financial years how many people with a dementia diagnosis have been detained under the Mental Health Act 1983 under section 2 or section 3 of the act. Please specify whether section 2 or section 3 was used.

Please specify where each person was detained i.e. name of ward

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Care for Patients with Dissociative Disorders

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

1. Does your trust have any specific clinical care pathways, protocols, or service guidance specifically for the treatment or management of patients with:

Dissociative disorders (including DID, OSDD, DPDR etc..)?
Complex post-traumatic presentations involving dissociation?

2. If yes, please provide copies of any relevant documentation or pathway flowcharts.

3. Which clinical teams or services (e.g. CMHTs, trauma services, personality disorder services, psychology/psychotherapy teams) typically provide care for patients with dissociative disorders and dissociative presentations?

4. Does your Trust offer or commission any specialist assessment or treatment (e.g. SCID-D diagnostic assessment) specifically for dissociative disorders?

5. Are patients with dissociative disorders referred to external providers (e.g. Centre for Dissociative Studies, Pottergate Centre, or other independent services)? If so, under what circumstances?

6. Has your Trust delivered any training or guidance for clinicians on dissociative disorders in the past five years?

7. If possible, please provide the number or percentage of current patients under your care who have a diagnosis of a dissociative disorder. This may include conditions coded under ICD-10 (eg. F44.8), ICD-11 (e.g. 6B64) or equivalent SNOMED CT terms. (If your trust uses other diagnostic classification systems such as DSM, please indicate where applicable.)

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ADHD

This is a request for the following data:

– How many ADHD patients do you have currently?
– What percentage of ADHD patients are prescribed stimulant medication?
– How many ADHD patients have stopped taking stimulant medication since 2020? Please specify how many patients stopped because of side effects they were experiencing and make a brief note of the side effect
– Since 2020 how many ADHD patients were prescribed non-pharmacological treatment? This could include Cognitive Behavioral Therapy, parent of family training, neurofeedback or advice and programs related to mindfulness and yoga. Please specify what the treatment was.

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Tier 3 Weight Management Services

Please confirm the Trust holds the following data and where it is held; please provide the data as requested.

Questions

Do you offer Tier 3 weight management services (sometimes called specialist weight management services)? (Yes/No)

If yes, do you offer consultant-led Tier 3 weight management services? (Yes/No)

For each non-consultant-led Tier 3 weight management service:

How many patients were waiting for treatment at the start of April 2024?

How many referrals to the Tier 3 weight management service were received per month from April 2024 to March 2025?

How many patients started treatment per month from April 2024 to March 2025?

For each consultant-led Tier 3 weight management service:

Please confirm whether these referrals and activity are submitted in the Trust’s RTT submissions.

Please confirm which Treatment function code (TFC) is used for this activity.

How many patients were waiting for treatment at the start of April 2024?

How many referrals were received per month from April 2024 to March 2025?

How many clock starts were there per month from April 2024 to March 2025

What are the mechanisms used to record clock stops/first definitive treatments (e.g. appointment, information provided etc)?

Please provide the number of clock stops per month by mechanism from March 2024 to April 2025

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Mental Health Data

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

Please provide data for the period April 2024 to March 2025, broken down by calendar month where applicable as well as planned capital works for the current year 2025/2026. The following request: 1. People in Beds a. Acute Mental Health Placements (Out-of-Trust / Private Sector) • The number of female patients placed in private sector or out-of-trust acute mental health beds each month. • The number of male patients placed in private sector or out-of-trust acute mental health beds each month. b. PICU (Psychiatric Intensive Care Unit) Placements (Out-of-Trust / Private Sector) • The number of female patients placed in private sector or out-of-trust PICU beds each month. • The number of male patients placed in private sector or out-of-trust PICU beds each month. c. Rehabilitation Mental Health Placements • The number of patients placed in rehabilitation mental health placements, broken down by gender (male/female) and by month. 2. Bed Day Costs For the period April 2024 to March 2025, please provide the average daily bed fee paid for private sector placements, broken down by patient gender (if available) and setting: • Acute mental health placements • PICU placements • Rehabilitation placements 3. Placement Locations Please provide the names and addresses (or town/city) of all private sector or out-of-trust facilities where patients (both male and female) were placed in the following settings: • Acute mental health • PICU • Rehabilitation 4. Clinically Ready for Discharge (CRFD) Please provide the number of patients occupying NHS Trust acute mental health beds each month who were deemed clinically ready for discharge but remained in hospital (commonly referred to as Delayed Transfers of Care – DTOC). 5. Planned Capital Improvement Works Please confirm whether there are any planned or ongoing capital improvement works during the period April 2025 – March 2026 that may impact patient flow (e.g. reduction in bed availability, ward closures, reconfigurations). If so, please provide a summary of the works, broken down by service area: • Acute (Adult and Older Adult) • CAMHS (Child and Adolescent Mental Health Services) • Forensic Services • Specialist Services (e.g. Perinatal, Eating Disorders, Neuropsychiatry) T

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Electroconvulsive Therapy (ECT)

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 for each of the calendar years 2023 & 2024.

2. Please provide the number of people who received the ECT in each of the calendar years 2023 and 2024.

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SOPs for Restrictive Intake Self-Harm (RISH) or Restricted Food

I’d like to request whether you hold any SOPs for the management of Restrictive Intake Self-Harm (RISH) or restricted food in the context of eating disorders or similarly titled SOPS in either your general or acute hospitals.

CAMHS liaison service in Portsmouth (Queen Alexandra Hospital) are hoping to review existing literature to support general hospital colleagues to construct a SOP for supporting this patient group in general hospitals.

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Review and Action Plans regarding Homicides by Services Users

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

1. Board (and associated Committees) and Senior Management Review of all homicides committed by service users whilst under Trust care between 2014 and 2020.
2. Board (and associated Committees) and Senior Management Review of the action plans relating to homicides committed by service users whilst under Trust care between 2014 and 2020.
3. Board (and associated Committees) and Senior Management Review monitoring of the action plans relating to all homicides committed by service users whilst under Trust care between 2014 and 2020.

A homicide conducted by a patient is an incident which would be recorded in each Trust’s DATIX patient safety electronic software (or equivalent). As I understand it all Trusts have an obligation to report patient safety incidents and their response at designated intervals to NHS England and other regulatory bodies such as the CQC and NHS Improvement. As a result, the information which I have requested from the Trust may already have been generated and collated.

I am aware that NHS England publishes reviews of selected homicides conducted by NHS patients and that the results of those reviews are published in part on their website. However, the actions which are taken to promote patient safety at individual Trust level following such a homicide and the monitoring of the success of those actions are not included in the publications made by NHS England. In addition, NHS England is not under an obligation to publish reviews of all homicides involving NHS patients.

My request does not refer to information which would cause individuals to be identified as it is relates to governance as opposed to individual patient care.

As I do not have a detailed knowledge of the way in which you organise and structure your governance records or the terminology which you use to describe and classify your information internally, I believe that the following additional information may be helpful in relation to each of the categories of documentation which I have requested:

In relation to each of the homicides committed by Trust service users I require the following information:

1. Board (and associated Committees) and Senior Management Review of homicides committed by service users whilst under Trust care between 2014 and 2020.

This includes:

• Minutes and Reports of Board and Senior Management meetings which reviewed or discussed the learning generated by the homicide.
• Minutes of Meetings between the Trust and Stakeholders to discuss outcomes of learning.

2. Board (and associated Committees) and Senior Management Review of the action plans relating to homicides committed by service users whilst under Trust care between 2014 and 2020.

This includes:
• Detail of the consideration of the monitoring and construction of action plans by the Board and Senior Management
• Reporting arrangements between management team and Board regarding optimising learning from the event and support for staff.
• Minutes and Reports of Board and Senior Management meetings
• Minutes of Meetings between the Trust and Stakeholders to discuss outcomes of learning from the homicide and necessary funding
3. Board (and associated Committees) and Senior Management Review monitoring of the action plans relating to all homicides committed by service users whilst under Trust care between 2014 and 2020.
This includes:
• Minutes and Reports of Board Senior Management and stakeholder meetings which relate to the monitoring of the action plan
• Data and statistics gathered to monitor systemic changes made following implementation of action plan.
I should like to point out that notwithstanding any concerns which the Trust might have regarding the costs associated with this disclosure, Section 12(2) of FOI makes it clear that the Trust has a duty, to inform applicants, such as myself, as to whether it holds the information which I have requested.

Further, if the Trust seeks to raise an issue with regard to the costs associated with this disclosure in accordance with section 12 of FOI, I would request that a detailed estimate is provided in light of the fact that much of the information which I have requested can be readily identified through use of existing Trust governance and patient safety systems.

I would again take this opportunity to reiterate that it is information relating to the monitoring of systemic change implemented by the Board following such a patient safety event of this nature through its existing governance framework (including information governance) rather than information relating to the individual patient’s care that this FOI request relates to.

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Physical Aggression in Mental Health Services

Please provide the following information for the financial year 2023/24:

1. The number of whole-time equivalent nursing staff (registered nurses and healthcare assistants) working in clinical roles in your mental health services.
2. The number of incidents of physical aggression towards these staff in your mental health services.
3. The number of incidents of physical aggression in your mental health services where any reference is made to a hijab/headscarf/burka.
4. A copy of your uniform policy.

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Plastic Bags in Mental Health Wards

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

1a: Are plastic bin liners used on psychiatric inpatient wards run by your Trust?
b: If they are not allowed, when were they prohibited?
c: How many incidents of inpatient self-harm involving plastic bin liners have there been in the last five years (specifically 2020, 2021, 2022, 2023 & 2024)?
d: How many inpatient deaths involving plastic bin liners have there been in the last five years (specifically 2020, 2021, 2022, 2023 & 2024)?

2a: Are other types of plastic bags (i.e. not bin liners) allowed into psychiatric inpatient wards run by your Trust?
b: If they are not allowed, when were they prohibited?
c: How many incidents of inpatient self-harm involving plastic bags (excluding bin liners counted above) have there been in the last five years (specifically 2020, 2021, 2022, 2023 & 2024)?
d: How many inpatient deaths involving plastic bags (excluding bin liners counted above) have there been in the last five years (specifically 2020, 2021, 2022, 2023 & 2024)?

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Anxiety Disorders

I am writing to you under the Freedom of Information Act 2000 to request the following information:

The number of patients at your trust treated for the following issues:
• IDC-10 code F41.9 Anxiety Disorder Unspecified
• IDC-10 code F41.1 Generalized Anxiety Disorder

Please provide a breakdown of patients for these conditions by age, and gender where possible for each of the following years:
• 2024
• 2023
• 2022
• 2021

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Specialist Treatment and Recovery (STAR) Team

The Specialist Treatment and Recovery (STAR) team is a team commissioned by GICB to provide assistance with complex mental health needs that cannot be met by existing commissioned services.

Firstly can you provide all information you have regarding the responsibility, duties and aims of the STAR team? Are they a subsection of the recovery team? What facilities, treatments and resources do they have access to? Are they supposed to interact with patients directly or do they possess a more bureaucratic role or do the members provide treatment themselves?

Secondly can you provide a contact email address for the STAR team.

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Mental Health Patient Homicides

1) Of the four homicides which the trust indicates have occurred since 2019, how many of these have undergone independent investigation under HSG 94/27?

2) If any HSG 94/27 reports have not been published, please can the trust explain why this is so.

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Memory Assessments

I am writing to you on behalf of Alzheimer’s Research UK (Registered charity number 1077089) under the Freedom of Information Act 2000 to request the following information from Gloucestershire Health & Care NHS Foundation Trust.

Please can you provide us with the following:

A. The number of memory assessment services that you operate.

B. The area covered by each of these memory assessment services.

For each individual memory assessment service you operate:

1. The service’s annual funding for each of the years 2018-2024 inclusive.

2. The source/s of funding for the service for each of the years 2018-2024 inclusive.

3. The total annual number of patients seen by the service for each of the years 2018-2024 inclusive.

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Mental Health of Emergency Call Handlers and Dispatchers

I am a final-year PhD student at University College London’s Division of Psychiatry (UCL DoP). My research focuses on the mental health and wellbeing of NHS emergency and urgent call-handlers and dispatchers in England.
This study has received ethical approval from both the NHS Health Research Authority (HRA – Ref: 331921) and the UCL Research Ethics Committee (REC – Ref: 26015/001). The role of NHS emergency and urgent call-handlers and dispatchers is incredibly diverse, and these professionals provide vital support across various services within your Trust, including:
• NHS 999 ambulance services, coordinating urgent and emergency responses. • NHS 111 services, including helplines for mental health, physical health, and CAMHS (Children and Adolescent Mental Health Services). • Specialist NHS helplines, such as those supporting Crisis Teams (e.g., Crisis Assessment and Treatment Teams [CATT], Crisis Resolution and Home Treatment Teams [CRHTT]) or Single Point of Access (SPA) services, ensuring timely and appropriate care.
As part of my research, I would like to submit a Freedom of Information (FOI) request regarding the workforce mentioned above within your NHS Trust. Specifically, I am seeking:

• The total number of NHS emergency and/or urgent call-handlers and/or dispatchers currently employed.
• The mean and median age of these professionals, and a breakdown by age categories (number of staff in each age category)
• A breakdown by sex (number of females and males in each category).
• A breakdown by ethnicity, using the following categories only: (1) Asian, (2) Black, (3) Mixed or multiple ethnic groups, (4) White, or (5) Other ethnic groups (including the number of staff in each category).

Please note that individual Trust data will not be analysed separately; instead, it will be combined with data from other NHS Trusts to assess whether the staff participating in the study are representative of the wider NHS 999 or 111/Urgent helpline workforce.

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Animal Assisted Therapy

I would like to determine the number of NHS Mental Health Trusts that offer Animal Assisted Therapy to their patients.

I would also like to know how much is spent by the Mental Health Trusts on Animal Assisted Therapies each year.

Finally I would like to know who conducts the animal assisted interventions, is it NHS clinicians or teams brought in specifically to conduct the intervention.

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