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MH Services

Services Users Currently Open to the Crisis Team

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

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

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

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

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Care Reviews – Crisis Team

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

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

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Care Plans/Risk Assessment & History/Suicide Prevention Awareness

Please could you provide the:

Data showing the amount and type of training that has been given to any member of patient facing staff that works for the crisis team covering Cheltenham and Gloucester in relation to formulating patient care plans, risk assessments/ risk history and suicide prevention awareness since:

– 1st September 2025 until present day

and

– January 2024 to January 2025

Many thanks in advance.

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CAAAS Waiting Lists

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

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

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

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

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

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

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

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

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

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Community Mental Health Access

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

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

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

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

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ADHD and Autism Assessments

Dear FOI Officer,

I am writing to request information under the Freedom of Information Act 2000 regarding waiting times for children’s ADHD and autism assessments within your organisation.

Please provide the following information:

1. ADHD Assessments
o The mean waiting times (in weeks or months) for children referred for an ADHD assessment, for each of the last three financial years (e.g., 2023/24, 2024/25 and 2025/26 YTD). Please also include the range (longest and shortest wait)
o The number of children currently waiting for an ADHD assessment.
o The number of children who have waited more than 12 months for an ADHD assessment and time banded 12-18 months, 18-24 months, 24-30 months, 36-42 months, 42 months plus

2. Autism Assessments
o The mean waiting times (in weeks or months) for children referred for an autism assessment, for each of the last three financial years (e.g., 2023/24, 2024/25 and 2025/26 YTD). Please also include the range (longest and shortest wait)
o The number of children currently waiting for an autism assessment.
o The number of children who have waited more than 12 months for an autism assessment and time banded 12-18 months, 18-24 months, 24-30 months, 36-42 months, 42 months plus

3. Mitigating actions
o What actions have been deployed by the CAAAS team to reduce waiting times i.e. outsourcing/mutual aid

4. NICE
o Please provide the latest self-assessment against NICE Guidance CG128 (Autism spectrum disorder in under 19s: recognition, referral and diagnosis)
Thank you for your time and assistance.

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Transitions between Children & Adult Community MH Services

I am making this request under the Freedom of Information Act 2000.

I am a researcher working on research project about transitions between children’s and adults community mental health services.

I would like to request the following information:

1. Does your Trust have a policy on Transition between children and adult mental health services? Could you please share a copy of the policy or include a link if it is available online.

2. Does your Trust offer 0 to 25 pathway for mental health support and if it does, who is it offered to past the age of 18 (eg. all young people or specific groups/conditions)?

3. What are the mental health care pathways for those under the age of 18 and 18+ within your Trust. Please provide the list for both of these age groups?

4. Please provide information in the table below on the total number of 17 year olds with an active referral to community children’s mental health services and the number of 17 year olds who accessed treatment (treatment means 2 or more contacts with services) within your Trust’s community children and young people mental health services in the following periods of time

a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025

Total number of 17 year olds with active referral due to children and young people mental health services

Total number of 17 y.o who accessed treatment from children and young people mental health services

5. Of the 17 year olds who accessed treatment (treatment means 2 or more contacts with services) within your Trust’s community children and young people mental health services how many were: discharged back to GP; recorded as completed treatment; referred to adult mental health services; and continued treatment with children mental health services upon reaching the age of 18 in the following periods of time: 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025. Please provide information in the table below.

1 April 2021- to 31 March 2022 1 April 2022 to 31 March 2023 1 April 2023 to 31 March 2024 1 April 2024 to 31 March 2025

number of children age 17 discharged back to GP
number of children age 17 recorded as completed treatment
number of children age 17 referred to adult mental health services
number of children age 17 continuing treatment with children mental health services upon reaching the age of 18

6. Please provide information in the table below on the total number of 18 year olds with active referral to community adults mental health services within your trust in the following periods of time

a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025

Total number of 18 year olds with active referral

7. How many of young people age 18 with active referral to community adults mental health services within your trust had referral source recorded as ‘children and young people mental health services’ in the following periods of time a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025. Please provide information in the table below

a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025

Total number of 18 year olds with active referral by referral source ‘children and young people mental health services’

8. Of young people age 18 who had active referral to adult mental health services within your Trust by referral source ‘children and young people mental health services’ how many accessed treatment (2 or more contacts with services) within community adult mental health services in your trust in the following periods of time

a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025

Total number of 18 year olds referred from ‘children and young people mental health services’ who accessed treatment within community adult mental health services

9. For young people age 18 who accessed treatment from adult mental health services within your Trust and whose referral source was ‘children and young people mental health services’ what was the median wait in days; the longest wait in days; and the shortest wait in days from referral to second contact in the following periods of time

a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 20

Median wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services

Longest wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services

Shortest wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services

10. Does your trust record information on the sources of referrals to children and young people mental health services and adult mental health services? If yes, what are the sources of referrals listed in both cases.

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Monitoring Technology used in Patient Bedrooms

Dear Gloucestershire Health and Care NHS Foundation Trust,

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

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

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

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

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

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

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

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

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

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

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

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

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

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Electroconvulsive Therapy (ECT) 2024

Good evening,

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

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

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

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

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

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

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Referrals of Young People and Homeless Support Accommodation

I am writing to request information under the Freedom of Information Act 2000. I am an undergraduate student conducting research for my major study project, researching access to NHS Mental Health Services for young people experiencing homelessness.
Specifically, I am requesting anonymised data regarding service users who meet the following criteria:

1. Age range: 18 to 24 years.
2. Accommodation status: Those identified as living in homeless supported accommodation targeted at 16–24 year olds, such as (but not limited to):

• YMCA supported housing
• Depaul supported housing
• Foyer projects
• Similar supported accommodation schemes for homeless young people.
3. Time period: From 1 January 2020 to the most recent available data.

For clarity, when searching your records, relevant terms might include “homeless”, “supported housing”, “supported accommodation”, “foyer”, “YMCA”, “Depaul”, or similar categories your Trust may use to classify accommodation status.

I would be grateful if the information could include the following, presented in aggregate/anonymised form:

• The number of individuals aged 18–24 each year since 2020 who were identified as living in homeless supported accommodation (as defined above).
• If available, a breakdown by year (2020, 2021, 2022, 2023, 2024, and 2025 to date).

I am not seeking any personal or identifiable information. I only require anonymised, aggregated data.

If it is not possible to provide the information in full due to cost or other limitations, please provide as much of the requested information as possible within the cost limits of the Act.

Please confirm receipt of this request and let me know if clarification is required. I would prefer to receive the data in electronic format (e.g., Excel or CSV) if possible.

Thank you for your assistance.

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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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