MH Services

Dear Freedom of Information Team,

I am writing to submit a new Freedom of Information request. This follows a response from NHS Gloucestershire ICB (ref. FOI.GLICB-2627_181) to a request I made about autism assessment waiting times, which confirmed this information is not held by the ICB and should be directed to your Trust.

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

1. The average (mean) and median waiting time, in weeks, from initial referral to a first autism diagnostic assessment appointment, for the most recent 12 months for which data is available. Please provide this separately for:

a. Children and young people (under 18)
b. Adults (18+)

2. The average (mean) and median waiting time, in weeks, from first assessment appointment to a diagnostic outcome being given, for the same period and age groups.

3. The current number of open referrals awaiting a first autism assessment appointment, as of the most recent date for which this data is held, broken down by age group as above.

4. Whether these figures are published anywhere on an ongoing basis (e.g. a public dashboard or board report), and if so, a link to that source.

If it would reduce the burden of responding, monthly or quarterly figures covering the same period are equally useful, and I’m happy to receive this as a spreadsheet or raw data export rather than a formatted report.

If any part of this request would exceed the appropriate cost limit, please contact me to discuss narrowing the scope — for instance, I would still find partial data (e.g. children only, or the most recent quarter only) useful if the full request isn’t feasible within the limit.

Yours sincerely,

Out of Area Placement – Mental Health

Finance, Health, MH Services

Dear Gloucestershire Health and Care NHS Foundation Trust,

I am writing to request information under the Freedom of Information Act regarding OAP Spend, CMHT and Provider Collaboratives. Please can you complete the below questions:

Out of Area Placement
1. Please provide a quarterly breakdown of expenditure on mental health out of area placements* for financial years 2024/25 and 2025/26 in the table below:
Financial Year No of Total OAP Patients Total OAP Spend (£) OAP spend (£) specifically for inappropriate OAP adults no longer requiring a secure location
Quarter 1 (25/26)
Quarter 2 (25/26)
Quarter 3 (25/26)
Quarter 4 (25/26)
Full Year 2025/26
Quarter 1 (24/25)
Quarter 2 (24/25)
Quarter 3 (24/25)
Quarter 4 (24/25)
Full year 2024/25

2. What percentage of your overall mental health budget did these out of area placements represent in 2025/26?
3. Does the organisation use a system to track their OAPs?
a. If yes, what system is in place to track this?
b. Is the organisation able to track escalations with OAP providers same day or are you required to wait till billing for this data?
c. Who is responsible within the organisation for tracking OAP patients?
CMHT Caseload
4. How many Community Mental Health teams (CMHT) do you have within the organisation?
5. What is the current total caseload managed by each Community Mental Health Team (CMHT) within your organisation?
6. What is the highest individual caseload currently held by a practitioner within each CMHT?
Provider Collaboratives
7. Is your organisation currently a member of one or more provider collaboratives? If yes, please provide:
a. The name(s) of the provider collaboratives
b. Do any of these collaboratives have a specific focus on mental health services, specifically OAPs?
*An NHS Out of Area Placement (OAP) occurs when a patient with assessed mental health, learning disability, or autism needs is admitted to an inpatient unit outside their usual local network of services

Kind Regards,

Mental Health Assessments for Women

Media, MH Services

Dear Freedom of Information Lead,
Under the Freedom of Information Act 2000, I am writing to request information regarding your Trust’s standard clinical mental-health crisis assessment and/or psychiatric admission procedures for female patients presenting in a mental-health crisis.
Specifically, I would like to request the following information:
1. Standard Assessment Criteria
Do your Trust’s standard assessment tools or templates for (a) mental-health crisis assessment, (b) self-harm/suicide risk assessment, and/or (c) psychiatric admission specifically prompt clinicians to ask about or record the following?
For each, please answer Yes or No.
• Menstrual cycle history? Yes/No
• Menstrual cycle phase at the time of presentation? Yes/No
• Cyclical worsening of psychological or psychiatric symptoms? Yes/No
• PMS ?Yes/No
• PMDD? Yes/No
• premenstrual exacerbation (PME) of an existing mental-health condition? Yes/No
• Perimenopause or menopause status? Yes/No
• Use of hormonal contraception or Hormone Replacement Therapy (HRT)? Yes/No
• Recent commencement, discontinuation or change in hormonal contraception, HRT or other hormonal treatment? Yes/No
For clarity, we are asking whether these are specifically prompted within the standard assessment, rather than whether they could be entered under a general medical or psychiatric history section.
2. Assessment Documentation
Please provide a blank copy of the current standard assessment form, template, or electronic record outline used by clinicians during crisis, risk, or psychiatric admission assessments.
3. Staff Training
Do healthcare professionals undertaking these assessments receive mandatory or optional specific training on reproductive mental health (including PMDD, cyclical exacerbation of mental-health conditions, and perimenopausal/menopausal mental health)? If so, please provide brief details on the scope and frequency of this training.
If training is provided, please also state which staff groups receive it, whether it is mandatory or optional, and its approximate duration.
4. Clinical Guidelines and Pathways
Does the Trust have a specific clinical guideline, pathway, protocol or policy relating to PMDD, premenstrual exacerbation (PME), or mental-health symptoms associated with perimenopause or menopause? Yes/No
If Yes, please provide a copy or electronic link to the relevant document(s).
If it is held, please provide this information for the most recent operational period available.
If it is clear that fulfilling this request would exceed the cost limit set out in Section 12 of the Act, please advise how I might refine my request.

Thank you for your assistance. I look forward to hearing from you within the statutory 20 working days.

Yours sincerely,

Audit of Psychological Interventions

Dear FOI Team,

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

Clinical Audit 24-142, “Audit of Access to Psychological Interventions for People with Psychosis and Bipolar Disorder among the West Gloucestershire Recovery Service Caseload”, recorded a planned re-audit date of October 2026.

Please provide:

1. Confirmation of whether the planned October 2026 re-audit has commenced or been completed.
2. If completed, a copy of the re-audit report, including findings, recommendations and any associated action plan.
3. If commenced but not yet completed, any existing recorded timetable or planned completion date.
4. If the re-audit has been postponed or cancelled, any existing recorded decision, reason or revised timetable.

I am not requesting the creation of new information. Where no relevant recorded information is presently held, please confirm this.

Electronic copies by email would be appreciated.

Kind regards

Adult Level 1 and Level 2 MH Inpatient Rehabilitation Placements

Good Afternoon,

Under the Freedom of Information Act 2000, I am requesting information relating to adult Level 1 and Level 2 mental health inpatient rehabilitation placements commissioned or funded by your Integrated Care Board (ICB). For the purposes of this request, “spot purchased” means an individually commissioned placement purchased on a named-patient basis and funded outside of any block contract, bed retainer arrangement or other fixed-capacity agreement.

Please provide the information for:
• Financial Year 2025/26 (1 April 2025 to 31 March 2026)
• Financial Year 2026/27 year to date (1 April 2026 to the date of your response)

Please include information separately for:
• The total number of male placements into Level 1 mental health rehabilitation inpatient beds and the total number of bed days
• The total number of female placements into Level 1 mental health rehabilitation inpatient beds and the total number of bed days
• The total number of male placements into Level 2 mental health rehabilitation inpatient beds and the total number of bed days
• The total number of female placements into Level 2 mental health rehabilitation inpatient beds and the total number of bed days
• Please also indicate the split between NHS provider placements/bed days and independent sector placements/bed days

Where possible, please complete the table below.

Level 1 and Level 2 rehabilitation services should be defined in accordance with NHS England’s Commissioner Guidance for Adult Mental Health Rehabilitation Inpatient Services.

Financial Year Patient Group Rehabilitation Level Number of NHS Spot-Purchased Placements Number of NHS Bed Days Number of Independent Sector Spot-Purchased Placements Independent Sector Bed Days
2025/26 Male Level 1
2025/26 Male Level 2
2025/26 Female Level 1
2025/26 Female Level 2
2026/27 (YTD) Male Level 1
2026/27 (YTD) Male Level 2
2026/27 (YTD) Female Level 1
2026/27 (YTD) Female Level 2

Kind Regards,

Cognitive Behavioural Therapy for psychosis (CBTp).

FREEDOM OF INFORMATION ACT 2000 REQUEST
COGNITIVE BEHAVIOURAL THERAPY FOR PSYCHOSIS (CBTp)
INDIVIDUALISATION, OUTCOME MONITORING AND RESPONSE TO TREATMENT FAILURE

Please provide the following recorded information held by the Trust concerning psychological interventions provided to adults with psychosis or schizophrenia.

This request is concerned particularly with Cognitive Behavioural Therapy for psychosis (CBTp) but where the Trust’s relevant policies or governance arrangements apply more generally to psychological interventions for psychosis, please provide those documents.

The period for questions 2-4 below is 1 January 2022 to the date of this request.

1 Policies, Procedures and Clinical Guidance

Please provide the current version of any policy, procedure, clinical pathway, protocol, guidance, standard operating procedure or equivalent recorded document setting out:

a) how the individual patient’s goals, preferences, needs and treatment priorities are identified and
incorporated into the psychological intervention.
b) how the effectiveness or clinical benefit of the psychological intervention is assessed for the
individual patient.
c) which outcome measures, assessment tools or other measures are expected to be used before,
during and/or following treatment.
d) how service-user satisfaction, helpfulness, acceptability or experience of the intervention is
assessed or recorded.
e) how the intended course or “dose” of CBTp is determined and recorded, including the number of
sessions planned and how compliance with the relevant CBTp model or core components is
assured.
f) how non-initiation following referral or offer, disengagement, early discontinuation or non-completion
is assessed and recorded, including the reasons for this and whether the suitability, accessibility or
acceptability of the intervention is considered.
g) whether barriers to engagement or effective participation are expected to be assessed including,
where relevant, cognitive or communication difficulties, sleep disturbance, distress or arousal,
medication adverse effects, physical health problems or practical/social barriers.
h) what clinical review or action is expected where the intervention has not produced the intended
benefit, including whether the diagnosis, clinical formulation, treatment plan, barriers to participation
or treatment approach should be reconsidered.
I) how alternative or adapted psychological approaches are considered where CBTp is ineffective,
unsuitable or unacceptable to the patient or cannot be completed.
j) how psychological interventions are adapted where an individual has relevant neurodevelopmental,
cognitive or communication needs.

2 Audit, evaluation and quality assurance

Please provide copies of any audits, evaluations, quality-improvement reviews, assurance reports or
equivalent recorded assessments undertaken during the period specified above which examined any of the following:

* whether CBTp or other psychological interventions achieved intended clinical outcomes
* compliance with requirements to monitor outcomes routinely and systematically
* service-user satisfaction, helpfulness or acceptability
* referral, offer, commencement, completion or non-completion of psychological interventions
* reasons for non-initiation, disengagement, early discontinuation or non-completion
* the number of CBTp sessions planned compared with the number actually attended or delivered
* whether CBTp was planned and delivered in accordance with relevant NICE recommendations
including the recommended course of at least 16 planned individual CBT sessions
* adherence to the intended CBTp model or its required/core components
– 2 –

* individualisation or personalisation of psychological treatment
* barriers affecting engagement or participation
* action taken following inadequate response to psychological treatment.

3 Aggregate management and outcome information

Please provide any existing aggregate report, dashboard, dataset summary or other recorded management information held by the Trust showing, for CBTp for psychosis:

a) numbers or proportions referred for CBTp
b) numbers or proportions offered CBTp
c) numbers or proportions commencing CBTp including where held, the numbers attending at least one
session
d) numbers or proportions for whom a course of at least 16 sessions was planned
e) the number of sessions actually attended or delivered, where this is already held in aggregate form,
including any existing mean, median, range or equivalent summary
f) numbers or proportions completing the planned course or any locally defined adequate course
g) numbers or proportions not commencing, disengaging early or not completing treatment
h) recorded reasons or reason categories for non-initiation, disengagement or non-completion
I) recorded clinical outcome or outcome measure results
j) any aggregate service-user satisfaction.

4 Governance oversight

Please provide copies of any reports, papers, presentations, relevant minute sections or action plans presented during the period specified above to the Trust Board or a Trust-level governance, quality, clinical effectiveness, psychological therapies or equivalent committee concerning:

* effectiveness or clinical outcome of CBTp or other psychological interventions for psychosis
* access to, engagement with or completion of CBTp
* the difference between psychological treatment being offered and treatment actually being
commenced or received
* patient experience, satisfaction or acceptability
* treatment non-response, non-initiation, disengagement or non-completion
* deficiencies in outcome measurement or recording of treatment/dose sessions received
* compliance with relevant NICE recommendations concerning the delivery, monitoring and review of
psychological interventions for psychosis
* competence, training or supervision of staff delivering CBTp
* action taken to improve the effectiveness, individualisation, accessibility or monitoring of those
interventions.

Scope

This request does not seek:

* patient-identifiable information
* examination of individual clinical records
* creation of new statistics, calculations or analyses
* explanations, opinions or clinical judgements that are not already recorded.

Where one document answers more than one part of this request, please provide the document only once and identify the questions to which it relates.

Where a relevant document contains substantial material unrelated to this request, provision of the relevant section or extract is sufficient.

Where no recorded information is held for a particular part, please state that explicitly. Electronic copies by email would be appreciated.

ECT Treatments

Dear Sir/Madam,

I am writing for an FOI request regarding ECT treatments.

I would like to know the following:

1. What information (verbal, written) is given to patients prior to receiving ECT? Please provide a copy if a digital version exists, or otherwise list what information is provided regarding the procedure and potential side effects.

2. What is the level of consent and procedure prior to initiating ECT procedures? (e.g. is patient consent always required, or can it be overridden by a medical expert? Is there a standard procedure or a case-by-case basis?)

I look forward to your response in due time.

Kind regards,

ADHD and ASD Diagnostic Services, Pathways, External Providers

Dear Freedom of Information Team,

I am writing to make a request under the Freedom of Information Act 2000. Please provide the following information relating to your Trust’s ADHD and Autism Spectrum Disorder (ASD/ASC) diagnostic, assessment, medication titration and related neurodevelopmental services.

1. Service Provision
For each locality or service area covered by your Trust, please confirm whether your Trust provides each of the following services:
•Adult ADHD assessments
•Adult ADHD medication initiation or titration
•Adult ASD/ASC assessments
•CYP ADHD assessments
•CYP ADHD medication initiation, titration or physical monitoring
•CYP ASD/ASC assessments
•Neurodevelopmental triage or screening services, where separate from full diagnostic assessment
If any of the above services are not provided by your Trust in a particular locality, please state which organisation is responsible for providing or commissioning that service.

2. Service Locations and Pathways
For each service listed in Section 1, please provide all:
•Clinic, hub or service names
•Towns/city’s and postal addresses
•Functional team email addresses
•Team telephone numbers

3. Use of External Providers
Please confirm whether your Trust currently uses external providers for any of the following:
•Adult ADHD assessments
•Adult ADHD medication initiation or titration
•Adult ASD/ASC assessments
•CYP ADHD assessments
•CYP ADHD medication initiation, titration or physical monitoring
•CYP ASD/ASC assessments

If yes, please provide:
•Supplier name
•Service provided
•Locality or pathway covered
•Whether the model is insourcing, outsourcing, subcontracting, framework call-off, direct award or another arrangement
•Contract start date
•Contract end date or review date
•Procurement route, such as framework, open tender, direct award or other
•Estimated annual contract value, if available

4. Future Commissioning and Pathway Review

Please confirm:

•Whether your Trust expects to procure additional ADHD or ASD/ASC assessment capacity within the next 24 months
•Whether your Trust is reviewing or redesigning its ADHD or ASD/ASC diagnostic pathways
•Whether your Trust plans to expand, reduce or change its use of external providers

5. Key Contacts

Please provide the name, job title, NHS email address and telephone number, where applicable and publicly available, or a generic team email address and duty/team telephone number, for the following roles:
•Head of Neurodevelopmental Services
•Head of Adult Mental Health Services
•Head of Mental Health Adult Services responsible for ADHD or ASD/ASC pathways
•Head of CYP Mental Health Services
•Head of Mental Health CYP/CAMHS
•Head of CAMHS or CYP Neurodevelopmental Services
•Head of Pathways or Head of Integrated Care Pathways responsible for ADHD or ASD/ASC pathways
•Adult ADHD Service Lead
•Adult ASD/ASC Service Lead
•CAMHS ADHD Service Lead
•CAMHS ASD/ASC Service Lead
•CYP ADHD Service Lead
•CYP ASD/ASC Service Lead
•Operational Manager responsible for Neurodevelopmental Services
•Operational Manager responsible for Adult ADHD or ASD/ASC services
•Operational Manager responsible for CAMHS or CYP ADHD or ASD/ASC services
•General Manager responsible for Neurodevelopmental Services
•Director of Operations responsible for these service lines
•Clinical Director overseeing these service lines
•Procurement Lead for Mental Health Services
•Procurement Lead for Community Services
•Procurement Lead for Neurodevelopmental Services, if applicable
•Any equivalent, differently named or additional contact roles responsible for ADHD, ASD/ASC, neurodevelopmental pathways, service operations or procurement where the role titles above do not match the Trust’s structure

I would be grateful if you could provide this information electronically, preferably in Microsoft Word or Excel format.

Thank you for your time and assistance with this request.

Adult ADHD Continuity

One question: In your provider system, which role owns continuity when established adult ADHD treatment ends without an accepted receiving prescriber, what bridge or escalation mechanism applies, and what record would evidence the decision?

A one-paragraph answer naming the role, mechanism and record would be enough. If this inbox is not the right route, please identify the correct published contact rather than treating this as a request for out-of-area care.

Kind regards,

Care Reviews

Clinical Activity Data, MH Services

Dear Freedom of Information Team,
I am writing to request information under the Freedom of Information Act 2000 regarding Care Reviews undertaken by Gloucestershire Health and Care NHS Foundation Trust.
I would be grateful if you could provide the following information in an anonymised form, with no patient-identifiable information:
1. How many Care Reviews are currently open?

2. For all currently open Care Reviews, how long have they been open? If individual figures cannot be provided, please provide this using the following bands:

o Under 6 months
o 6–12 months
o 12–18 months
o 18–24 months
o Over 24 months

3. Of the currently open Care Reviews, how many relate to a patient’s death by suspected suicide?

4. Of those relating to suspected suicide, how many have been open for:

o More than 6 months
o More than 12 months
o 18 months or longer

5. For all Care Reviews completed during the last three years, what was:

o The average time between the patient’s death and formal completion of the Care Review
o The longest time between the patient’s death and formal completion

6. For Care Reviews relating to suspected suicide that were completed during the last three years, what was:

o The average time between the patient’s death and formal completion
o The longest time between the patient’s death and formal completion

7. During the last three years, how many Care Reviews took 18 months or longer from the date of death to formal completion?

8. What is the Trust’s current target or expected timescale for completing a Care Review following a patient’s death?

9. Of the Care Reviews currently open, how many have exceeded the Trust’s expected or target completion timescale?

10. Where Care Reviews have remained open beyond 12 or 18 months, what information does the Trust hold regarding the reasons for these delays? For example, whether delays have been attributed to staffing or capacity, complexity of the review, availability of staff or witnesses, or other factors.
I am requesting statistical and anonymised information only and am not seeking any information that could identify individual patients, families or staff members.
If any part of this request is considered exempt or cannot be answered as worded, I would be grateful if you could provide the information that can be disclosed and explain which exemption is being relied upon for any information withheld.
Yours faithfully,

Mental Health Services Insourcing and Outsourcing Expenditure (FY2024/25 and FY2025/26)

MH Services, Procurement

Dear Freedom of Information Team,
I am writing to request information under the Freedom of Information Act 2000.
Please provide the following information relating to all Adult and Children & Young People’s Mental Health Services commissioned or delivered by your Trust.
For each of the services listed below, please provide the requested information for the financial years 2024/25 and 2025/26 (year to date).
Services
Adult Mental Health
• Community Mental Health Teams (CMHT)
• Crisis Resolution and Home Treatment Teams
• Liaison Psychiatry
• Acute Adult Inpatient Services
• Psychiatric Intensive Care Units (PICU)
• Rehabilitation Psychiatry
• Older Adult Mental Health
• Memory Assessment Services
• Dementia Services
• Early Intervention in Psychosis (EIP)
• Eating Disorder Services
• Personality Disorder Services
• Perinatal Mental Health
• Mother and Baby Units
• Adult ADHD Services
• Adult Autism Assessment Services
• Psychological Therapies / Talking Therapies
• Learning Disability Mental Health Services
• Secure Mental Health Services (where applicable)
• Substance Misuse Services (where managed by the Trust)
Children and Young People’s Mental Health (CAMHS)
• Community CAMHS
• CAMHS Crisis Services
• CAMHS Inpatient Services
• CAMHS Eating Disorder Services
• CAMHS Neurodevelopmental Services (ADHD and Autism)
• CAMHS Learning Disability Services
• Paediatric Liaison Psychiatry
• Infant Mental Health Services (where applicable)
For each service, please provide:
1. The name of any external provider used.
2. Whether the service was delivered through:
o Insourcing
o Outsourcing
o Both
3. Total expenditure during FY2024/25.
4. Total expenditure during FY2025/26 (year to date).
5. Contract start date.
6. Contract expiry date.
7. Whether extension options exist.
8. Whether the provider is the current incumbent supplier.
9. The procurement framework used (where applicable).
10. Whether a formal procurement exercise was undertaken.
If multiple providers have been used for a single service, please provide the information for each provider separately.
Please present the information in a table where possible.
In addition, for each service, please provide:
• The job title and name of the individual with operational responsibility for the service.
• The job title of the individual responsible for procurement or commissioning of the service.
• The generic departmental or team email address for each role (where available).
I am not requesting personal information such as named individuals’ direct email addresses or personal contact details.
Clarification
For the avoidance of doubt, I am requesting information relating to expenditure of public funds and contracts held by the Trust. I am not requesting commercially sensitive pricing methodologies, staffing models, tender submissions, or confidential intellectual property.
If you consider any part of this request to be exempt under the Freedom of Information Act, including (but not limited to) Sections 41 or 43, please disclose all remaining information and clearly identify:
• The specific information being withheld.
• The exemption(s) being relied upon.
• Why those exemptions apply.
• Whether partial disclosure through redaction is possible.
Where only part of the requested information is considered exempt, I ask that the remainder is disclosed.
If complying with this request in full would exceed the appropriate cost limit under Section 12 of the Act, please provide the information that is readily available from your finance systems, procurement records or contract registers. Alternatively, please contact me under your duty to advise and assist so that I may refine the request to bring it within the cost limit.
If any of the requested information is already publicly available, please provide a direct link to the relevant publication.
I would prefer the information in Microsoft Excel or CSV format where possible.
Thank you for your assistance. I look forward to your response within the statutory 20 working days.
Kind regards,

Mental Health Waiting Lists

Dear Freedom of Information Team,
I am writing to request the following information under the Freedom of Information Act 2000.
For each of the services listed below, please provide the current:
• Total number of patients on the waiting list.
• Longest waiting time (in weeks).
• Number of patients waiting longer than 52 weeks.
Please provide this information for the following services, where provided by your Trust:
• Adult ADHD
• Adult Autism
• CAMHS
• CAMHS ADHD
• CAMHS Autism
• Adult Community Mental Health
• Psychology
• NHS Talking Therapies
• Eating Disorder Services (Adult and CAMHS)
• Perinatal Mental Health
• Memory Assessment Services
In addition, for each of the above services, please confirm:
• Whether the Trust currently considers the service to have a backlog requiring additional capacity or recovery support.
• Whether the Trust is actively undertaking, or planning to undertake, any backlog recovery initiatives within the next 12 months.
If a service is not provided by your Trust, please indicate this.
If any of the requested information is already publicly available, I would be grateful if you could direct me to the relevant publication.
If any part of this request exceeds the cost limit under Section 12 of the Freedom of Information Act, please provide the information that can be answered within the cost limit and advise which elements would need to be refined.
Thank you for your assistance. I look forward to your response within the statutory 20 working days.
Kind regards,

Mental Health Services

Dear FOI Team,

I am writing to request information about Mental Health services at your Trust.
1. In the last 12 months (of data), in total how many patients were managed by your Trust for the following conditions
a. Schizophrenia (F20)
b. Bipolar Disorder (F31)
c. Other psychoses (F21-29 inclusive)

2. In the last 12 months (of data), how many patients with Schizophrenia have been treated within each of the following services:
a. Early Intervention Psychosis service team
b. Acute Services
c. Community Mental Health Team

3. In the last 3 months (of data), how many patients with Schizophrenia were treated with each of the following antipsychotic medications
a. Risperidone
b. Olanzapine
c. Quetiapine
d. Aripiprazole
e. Amisulpride
f. Lurasidone
g. Paliperidone
h. Cariprazine
i. Clozapine
j. Other treatment

4. In the last 3 months (of data), how many patients with Other Psychoses were treated with each of the following antipsychotic medications
a. Risperidone
b. Olanzapine
c. Quetiapine
d. Aripiprazole
e. Amisulpride
f. Lurasidone
g. Paliperidone
h. Cariprazine
i. Clozapine
j. Other treatment

5. In the last 12 months (of data), how many patients with Schizophrenia were discharged to primary care from each of the following services?
a. Early Intervention Psychosis service team
b. Acute Services/In-patient
c. Community Mental Health Team

6. In the last 12 months (of data), how many patients with Schizophrenia were discharged from the Early Intervention Psychosis service team to the Community Mental Health Team
I look forward to hearing from you,

Children’s Autism and ADHD Assessment Service (CAAAS)

I am writing to request the following information regarding the Children’s Autism and ADHD Assessment Service (CAAAS) within your Trust.

Please provide the following statistical data for all children assessed by the service in the last six months:

1. Waiting time from date of referral to assessment: Please provide the mean (average) time, as well as the range (minimum and maximum time) for this period.

2. Waiting time from date of triage to assessment: Please provide the mean (average) time, as well as the range (minimum and maximum time) for this period.

In addition to this data, please provide the following information regarding your waiting list management policy:

3. The reasoning and criteria used for prioritising for assessment children added to the waiting list after those who are already on it.

4. The reasoning for not prioritising children based solely on the date they joined the waiting list (if applicable).

5. Any internal policy documents or guidance notes that outline the criteria for determining the order in which children are assessed.

I would prefer to receive this information in an electronic format via email.

If any part of this request is unclear or would exceed the appropriate cost limit, please contact me as soon as possible for clarification, as I am happy to refine my request to ensure it can be processed.

If you are not the correct public authority to handle this request, please direct me to the appropriate body or forward this request to them.

I look forward to your response within 20 working days

Managing Memory Service

1. Due to the vulnerable nature and unique presentation of memory service patients, what additional training is available to your staff?
2. What specific mandatory training is required of your staff team regarding safeguarding, mental capacity, and adult protection?
3. Are staff provided with formal guidelines detailing various vulnerability factors (e.g., personal factors like cognitive impairment or physical limitations; social factors like isolation; environmental factors like dependency)?
4. What specific metrics or screening tools are referenced or utilised by the Trust to aid in the identification of patients in particularly vulnerable scenarios?
5. What is the formal standard operating procedure triggered when a vulnerable adult is identified?
6. Concerning vulnerable adult status, what is your Trust’s process, policy, and procedure for:
o a. The training of staff working with vulnerable patients?
o b. The identification of vulnerable patients?
o c. Action to be taken following identified vulnerability?
o d. External or internal services contacted?
o e. How this is recorded on the patient’s Electronic Patient Record (EPR)?
o f. Expectations to review patients alone without undue control or presence of third parties?
7. Concerning abuse, what is your Trust’s process, policy, and procedure for:
o a. Training staff who work with patients susceptible to abuse?
o b. Identifying patients at risk of or trapped by features of abuse or coercion?
o c. Action to be taken following concerns or identified abuse?
o d. Services contacted?
o e. How this is recorded on the EPR?
o f. Ensuring independent review of patients away from third-party control?
8. Are staff supported in identifying home environments where a patient may be under undue influence or coercive control from a third party?
9. Are staff provided with support in identifying home environments where a patient may be at risk of abuse?
10. Are staff provided with support in identifying home environments where a patient is at risk of increasing dependency on select persons, and are questions raised when these same persons exert control over communications and access to care?
11. Given the documented indicators (improper clothing for weather, reliance on third parties for history and care, lack of private consultation, and third-party request to withhold information), was a Section 42 Safeguarding Enquiry under the Care Act 2014 or internal clinical risk escalation considered or logged at any stage?

Physical activity provision for individuals after an inpatient mental health stay.

FOI request for physical activity provision for individuals transitioning back to the community after an inpatient mental health stay.

Please complete these questions to the best of your knowledge and return

Job role of the person completing this form:

Organisation name (e.g. Trust or ICB name):

Section 1: Core Physical Activity Provision

1. Does your organisation offer access to physical activity programme(s)* for people living with severe mental ill health (i.e. psychosis, schizophrenia, schizoaffective disorder, or bipolar disorder) that support engagement with physical activity during/following the transition from inpatient mental health settings? *by physical activity programme, we mean any programme that incorporates an element of physical activity.
☐ Yes
☐ No

2. If yes, please tell us the name(s) of the programme(s) or type of referral(s). If you are unsure of the name, please describe the type of programme it is.

3. In a typical month, what proportion of eligible patients are referred to NHS-led physical activity programmes to support with physical activity during/following the transition from inpatient mental health settings? Please click one box.

☐ 0%
☐ 51 – 60%

☐ 1 – 10%
☐ 61 – 70%

☐ 11 – 20%
☐ 71 – 80%

☐ 21 – 30%
☐ 81 – 90%

☐ 31 – 40%
☐ 91 – 100%

☐ 41 – 50%

☐ This data is not routinely collected

4. In a typical month, what proportion of referred patients attend NHS-led physical activity programmes to support with physical activity during/following the transition from inpatient mental health settings? Please click one box.

☐ 0%
☐ 51 – 60%

☐ 1 – 10%
☐ 61 – 70%

☐ 11 – 20%
☐ 71 – 80%

☐ 21 – 30%
☐ 81 – 90%

☐ 31 – 40%
☐ 91 – 100%

☐ 41 – 50%

☐ This data is not routinely collected

5. What is the primary setting for this provision?

☐ Inpatient only
☐ Community only
☐ Mixed (programmes that span both settings)

6. Who can be referred to this programme? Select all that apply.

☐ All individuals with mental ill health.
☐ People with specific diagnoses.
☐ People with psychosis.
☐ People with schizophrenia.
☐ People with schizoaffective disorder.
☐ People with bipolar disorders.
☐ Other. Please specify.
☐ People engaged with specific services (e.g. working adults, older adults).
☐ People in early intervention services.
☐ Other. Please specify.
☐ People with specific characteristics. Please specify.
☐ People in a specific location. Please specify.

7. Who delivers the physical activity support? Select all that apply

☐ Registered clinical staff (e.g. Physio, Nurse, OT).
☐ Specialist fitness instructors / exercise specialists.
☐ Peer support workers.
☐ Private sector or charity staff / volunteers.
☐ Community-based organisations (e.g. voluntary, community, and social enterprise organisations) staff / volunteers.
☐ Other. Please specify. Click or tap here to enter text.

8. What is the format of the programme? Select all that apply.

☐ One-to-one in-person
☐ Group in-person.
☐ One-to-one online.
☐ Group online.
☐ One-to-on by telephone.
☐ Advice only.
☐ Other. Please specify.

Section 2: The Transition Pathway

9. Is physical activity support explicitly included and formally documented in the standard discharge planning process for individuals admitted to inpatient services?

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Other. Please specify.

10. Are physical activity goals integrated into broader social care or recovery plans (e.g., Section 117 aftercare plans)?

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Other. Please specify.

11. Who is primarily responsible for initiating a referral for physical activity support during the discharge planning process? Select all that apply.

☐ Registered clinical staff (e.g. physiotherapist, nurse, occupational therapist)
☐ Exercise specialist.
☐ Peer support worker.
☐ Discharge coordinator.
☐ Patient.
☐ Other. Please specify.

12. Which of the following best describes your organisation’s approach to supporting physical activity during or after discharge from inpatient mental health care? Select all that apply.

☐ No routine pathway/protocol in place.
☐ Informal signposting (giving a leaflet/web link).
☐ Formal referral to/from an NHS provider.
☐ Formal referral to external/community or VCSE provision.
☐ Shared/integrated pathway involving NHS and community practices.
☐ Unsure.
☐ Other. Please specify.

13. At what point does community-based physical activity support typically begin? Please answer based on any of your Trusts policies, protocols or pathways.

☐ While the individual is still an inpatient.
☐ Immediate (within 72 hours of discharge).
☐ Short-term (within the first 7–14 days).
☐ Delayed (after the first month).
☐ Unsure.
☐ Other. Please specify:

14. Do individuals have any influence in selecting the type and location of their post-discharge physical activity? (e.g., assigned to a specific programme vs. choosing from a menu of options).

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Other. Please specify.

15. Do you record whether an individual actually attended the community activity after inpatient discharge? (e.g., formal feedback loop, informal phone call, or no tracking).

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Other. Please specify. .

16. Do individuals admitted to inpatient services have the opportunity to visit the community physical activity venue before they are formally discharged from the hospital?

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Other. Please specify.

17. Do individuals delivering physical activity services in the community have the opportunity to visit inpatient settings to meet individuals referred before they are formally discharged from the hospital?

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Other. Please specify.

18. What level of clinical risk information is shared with community physical activity providers during the referral process? (e.g., No information shared, basic safety alerts only, full risk assessment summary).

☐ No information shared.
☐ Basic safety alerts only.
☐ Full risk assessment summary
☐ Other. Please specify.

19. Are there clear or designated responsible roles for ensuring a physical activity handover occurs during transition? Please answer based on any Trust policies, protocols or pathways.

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Prefer not to say.

Section 3: Governance, System Integration and Partnerships

20. Is the transition support time-limited? (E.g. 12 weeks of support).

☐ Yes. Please specify. Click or tap here to enter text.
☐ No.
☐ Unsure.
☐ Prefer not to say.

21. Does the transition support time involve a gradual handover to mainstream community activity?

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Prefer not to say.

22. How is physical activity support currently funded? (e.g., core NHS budget, short-term grant funding, local authority public health budget, or charitable donations).

☐ Core NHS budget .
☐ Short-term grand funding.
☐ Local authority public health budget.
☐ Charitable donations.
☐ Self-funded/paid for by service-user.
☐ Other. Please specify.

23. Do you have formal partnerships with private, charity or community-based organisations to support physical activity post-discharge?

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Prefer not to say.

24. How is the communication managed between inpatient teams and community physical activity providers?

☐ Shared records .
☐ Email.
☐ No formal communication.
☐ Other. Please specify.

25. Does your organisation require any form of ‘medical clearance’ or ‘fitness to exercise’ sign-off from a clinician before an individual is referred to community physical activity services? For example, this may include a formal risk assessment, clinical review, physical health check, or confirmation of clinical judgement to indicate suitability.

☐ Yes. Please specify.
☐ No.
☐ Unsure.
☐ Prefer not to say.

Section 4: Outcomes and Future Development

26. Based on existing policies and protocols, what outcomes do you prioritise for physical activity during transition? Select all that apply.

☐ Social inclusion and community connection.
☐ Prevention of hospital readmission.
☐ Reduced social isolation.
☐ Improved mental health symptom management.
☐ Improved physical health outcomes.
☐ Other. Please specify.

27. Does your service formally measure social, physical, or mental health outcomes related to physical activity participation (e.g., social isolation, community belonging, or specific symptoms)?

☐ Yes. Please specify.
☐ No.
☐ Unsure.

Remote Neural monitoring and Electromagnetic Weapons

I am submitting this request under the Freedom of Information Act 2000 to obtain clarification about whether any UK government departments, defence organisations, research laboratories, subcontracted institutions, universities, or police units are involved in research, testing, or operational activity related to technologies sometimes described publicly as psycho‑electric, electromagnetic, remote neural monitoring, neurological‑interference, or directed‑energy systems.

Over several years, I have interviewed more than 300 individuals from diverse backgrounds who report highly similar neurological, sensory, and physical symptoms. These symptoms appear artificial in nature and are consistent across many unrelated people. Because of the scale and consistency of these reports, I am seeking formal clarification from the relevant authorities.

I want to emphasise that this request does not accuse any organisation of wrongdoing. It is strictly a request for information under the FOI Act. I am attaching case studies, publicly available research patents, articles, and videos that describe technologies some individuals believe may be relevant. These materials are provided only for context.

Summary of Reported Symptoms
Cognitive / Mental
· Forced memory blanking

· Induced erroneous actions

· Perceived reading or broadcasting of thoughts

· Controlled dreams

· Forced waking visions, sometimes synchronised with body motion

Auditory / Sensory
· Sudden changes in hearing (direction, volume, or content)

· “Microwave hearing” sensations

· “Transparent eyelids” (seeing shapes through closed eyes)

· Artificial tinnitus

Physical Sensations
· Sudden violent itching inside eyelids

· Remotely induced itching without rash

· Needle‑like pains

Motor / Bodily Control
· Forced manipulation of airways

· Perceived externally controlled speech

· Forced jaw movement or teeth clacking

· Forced nudging of arms during delicate work

· Forced precision manipulation of hands

· Forced muscle quaking in back muscles

Cardiovascular / Bodily Responses
· Rapid heart rate without cause

Sensitive Areas
· Itching in genital areas

· Forced sexual arousal

· Intense pain in sensitive regions

FOI Questions
Under the Freedom of Information Act, I respectfully request the following information:

1. Whether any UK government department, MOD unit, MOD research laboratory, subcontracted research organisation, MOD‑affiliated university, or police department is conducting research, testing, or operational activity involving electromagnetic, psycho‑electric, neurological‑interference, or remote neuro‑stimulation technologies capable of producing effects similar to the symptoms listed above.

2. If such research or testing exists, please provide:

o The name of the programme or project

o The responsible department or unit

o Any publicly available documentation, safety guidelines, or ethics oversight procedures

o Any external regulatory bodies involved in oversight

3. Whether any individuals in the UK have been enrolled, selected, monitored, or observed as part of such research, and if so:

o The number of individuals involved

o The criteria for selection

o Any consent or safeguarding requirements

o Whether vulnerable groups (students, migrants, temporary workers) are included

4. Any publicly available patents, technical descriptions, or research documentation held by UK institutions relating to:

o electromagnetic stimulation technologies

o remote neural interaction systems

o psycho‑electric or neuro‑interference devices

o directed‑energy research

5. Any internal MOD, policing, or research‑institution policies relating to:

o human subject protection

o non‑consensual exposure safeguards

o testing limitations

o reporting or whistleblowing procedures

Response Format
Please provide the requested information in electronic format (PDF or email text). And Keep in your department website .

Thank you for your attention. I look forward to your response within the statutory FOI timeframe.

Dietetics and Nutrition Services

Dear Freedom of Information Team,

Under the Freedom of Information Act 2000, please provide the following information relating to Dietetics and Nutrition Services within the Trust.

For the two most recent staff pulse surveys:

1. The survey questions presented to staff.

2. The aggregated responses for staff employed within Dietetics and Nutrition Services, where disclosure would not identify individual employees.

3. Response rates for Dietetics and Nutrition Services.

4. Any summary reports, analyses, dashboards, presentations, action plans, or other documents produced that discuss feedback, engagement, satisfaction, concerns, or recommendations arising from responses from

Dietetics and Nutrition Services.

For the last five complete financial years, please provide workforce data for Dietetics and Nutrition Services, including:

1. The number of staff employed at the start and end of each year.

2. The number of voluntary leavers during each year.

3. The number of involuntary leavers during each year.

4. The annual staff turnover rate, if calculated by the Trust.

5. The number of vacant posts and vacancy rate, if recorded.

6. The average time taken to fill vacant dietitian posts, if recorded.

7. Any reports or analyses produced regarding recruitment, retention, turnover, workforce shortages, or staff satisfaction within Dietetics and Nutrition Services.

Where information cannot be disclosed at the level of Dietetics and Nutrition Services due to the risk of identifying individuals, please provide the information at the lowest level of aggregation that can be disclosed.

Best regards,

Demential Assessments

I contacted the local Integrated care board as I am doing some research into dementia services provided.

The integrated care was not able to provide the information and suggested that your organisation may be able to provide the information

2. Does the Dementia Assessment provide an MRI scan?

3. Does the Dementia Assessment provide a home visit option?

4.Current typical length of waiting time for Dementia Assessment home visit (number of working days)

5. Current typical length of waiting time for Dementia Assessment clinic visit (number of working days)

6. Does the Dementia Assessment Service provide for an annual care plan appointment/review?

Thanks

Dementia Assessment Clinics

Dear FOI team,
I am writing to make a request under the Freedom of Information Act 2000.

Please could you provide the following information regarding the ‘Memory Service’ / ‘Memory Assessment Service’ / ‘Memory Clinic’ / ‘Diagnostic Memory Clinic’ services (or other similarly named services that focus on the assessment of dementia patients) provided by your trust.
1. How many ‘Memory Service’ / ‘Memory Assessment Service’ / ‘Memory Clinic’ / ‘Diagnostic Memory Clinic’ services (or other similarly named services that focus on the assessment of dementia patients) are provided by your trust?

2. What are the specific names of each of these services? (For example, the relevant information for Nottinghamshire Healthcare NHS Foundation Trust would be: two services named ‘Memory Assessment Service for Older People’ service and their ‘Young Onset Dementia Pathway’ service.)
For the following questions, please provide information for each of the services named in question 2. If the answer to question 1 was zero, please skip these questions. Please give the answer to each question in the format indicated by the table associated with that question.
3. For each service, the number of physical locations/clinics within that service. Please add rows for additional services as appropriate.
Name of service Number of clinics
[Insert name] [Insert number]
4. For each service, the names and addresses of each of the locations/clinics in that service. Please add rows for additional services and clinics as appropriate.
Name of service Name of clinic Address of clinic
[Insert name] [Insert name] [Insert address]
5. For each service, the number of each of the listed types of staff at each of the locations/clinics in that service. Please add rows for additional services and clinics as appropriate.
Name of service Name of clinic Staff type Number
X Psychiatrists (consultants)
Mental health nurses
Clinical psychologists
Occupational therapists
Support workers
Administrative staff
Other (please specify)
(If data is not available on a per service basis, please provide overall combined numbers for the relevant services in your trust.)

6. For each service, the total number of referrals received in each of the calendar years given. Please add rows for additional services as appropriate.
Name of service Calendar year Total number of referrals in calendar year
X 2020
2021
2022
2023
2024
2025
(If data is not available on a per service basis, please provide overall combined numbers for the relevant services in your trust.)

7. For each service, the overall number of patients assessed in each of the calendar years given (and, if possible, per location/clinic). Please add rows for additional services as appropriate.
Name of service Calendar year Total number of patients assessed in calendar year
X 2020
2021
2022
2023
2024
2025
(If data is not available on a per service basis, please provide overall combined numbers for the relevant services in your trust.)
Name of service Name of clinic Calendar year Total number of patients assessed in calendar year
X 2020
2021
2022
2023
2024
2025
(If data is not available on a per clinic basis, please ignore this table.)

8. For each service, the number of patients currently on the waiting list. Please add rows for additional services as appropriate.
Name of service Number of patients currently on waiting list
X
(If data is not available on a per service basis, please provide overall combined numbers for the relevant services in your trust.)

9. For each service, the average wait time from referral to initial appointment. Please add rows for additional services as appropriate.
Name of service Average wait time from referral to initial appointment
X
(If data is not available on a per service basis, please provide overall combined numbers for the relevant services in your trust.)

10. For each service, the digital platform used for managing electronic health/patient records at each of the locations/clinic within that service.
Name of service Name of clinic Name of electronic health/patient record software used
X
(If data is not available on a per service basis, please provide overall combined numbers for the relevant services in your trust.)
If any part of this request is unclear, or if responding in full would exceed the appropriate cost limit under section 12 of the Act, I would be grateful if you could contact me to narrow the request.
Please confirm receipt of this request.
Many thanks,

Epilepsy Care

Dear FoI Team,

I am writing to request some information under the Freedom of Information act.

I am requesting this information on behalf of Epilepsy Action, as we would like to understand the UK Epilepsy Specialist Nurse (ESN) workforce in order to better support the NHS to provide care to people with epilepsy.

These questions are applicable to any Trust that provides neurology or learning disability care.

Please answer all questions that are relevant to your trust, and mark those that are not relevant clearly as such with a reason (e.g. ‘Not applicable as we do not provide learning disability care’). For the purposes of this request, an Epilepsy Specialist Nurse is any registered nurse whose substantive role includes any one of: specialist epilepsy assessment, management, review, education, care coordination, prescribing, or advice for people with epilepsy.

Please could you provide the following information:

1. Approximate number of patients accessing epilepsy care in your Trust in the last 12 months.

2. Total number of epilepsy specialist nurses (ESNs) employed within your Trust. Please provide headcount, FTE and number of vacant posts.

2a. The number of ESNs which primarily serve an adult epilepsy population. Please provide headcount, FTE and number of vacant posts.

2b. The number of ESNs which primarily serve a paediatric epilepsy population. Please provide headcount, FTE and number of vacant posts.

2c. The number of ESNs which primarily serve an adult learning disability epilepsy population. Please provide headcount, FTE and number of vacant posts.

2d. The number of ESNs which primarily serve a paediatric learning disability epilepsy population. Please provide headcount, FTE and number of vacant posts.

3. The number of ESNs employed within your Trust operating in the following Agenda for Change bands (please provide headcount, FTE and number of vacant posts for each band): 3a. Band 4 3b. Band 5 3c. Band 6 3d. Band 7 3e. Band 8A 3f. Band 8B+

4. Do ESN staff from your Trust provide services to patients registered with other NHS Trusts? (Yes/No)

4a. If yes, please estimate the proportion of ESN FTE time spent in other Trusts.

4b. If yes, please provide the name of the Trusts that services are provided to.

Thank you for providing this information. I appreciate that gathering this information can be time consuming and sometimes it is difficult to uncover, so I have narrowed down the questions to only the most essential information.

I am very grateful for your help in this, and if there is anything I can do to assist please do let me know.

Many thanks

Electronic Tagging

Dear Sir/Madam,

This is a Freedom of Information request.

1. Please can you tell me if your Trust has ever piloted, or used, electronic monitoring tags to facilitate leave for patients who have been detained under the mental health act?

2. If you have, please can you tell me if you have ever evaluated or audited the use of such tags?

I understand you will acknowledge my request and aim to respond within 20 working days, which I make by the 11th July.

Thank you for your assistance

Yours sincerely,

Neurodevelopmental Diagnostic Conversion Rates (NHS vs. Right to Choose)

CAMHS/CYPS, MH Services

Dear FOI Team,

Under the Freedom of Information Act 2000, please provide the following data regarding ADHD and Autism (ASD) diagnostic services within this ICB for the financial year 2025/26 (to date) [and 2024/25 if available].
If data is not held for this specific year, please provide the most recent period for which data is available or, as Bristol did (see below), their ‘current rate’.

1. Locally Commissioned NHS Services For your primary NHS-commissioned providers (Trust-led services), please provide the ‘conversion rate’ (the percentage of completed assessments that resulted in a formal diagnosis) for:

a) Children & Young People (CYP) Autism

b) Children & Young People (CYP) ADHD

c) Adult Autism

d) Adult ADHD

2. Right to Choose (RTC) / Independent Providers For assessments funded by the ICB via the ‘Right to Choose’ pathway, please provide the aggregate ‘conversion rate’ for:

a) CYP Autism

b) CYP ADHD

c) Adult Autism

d) Adult ADHD

Note: If your records for RTC providers do not distinguish between age groups, please provide the total aggregate conversion rate for the condition regardless of age (e.g., Autism all-ages).

3. Raw Data: If a calculated percentage is not held, please provide the disaggregated raw volume data:

a) Total number of diagnostic assessments completed.

b) Total number of positive diagnoses issued. (Please provide this breakdown by Local NHS Providers vs. Independent/RTC Providers).

This request follows findings from BNSSG ICB (FOI.ICB-2526/333) which revealed a significant disparity in conversion rates—circa 90% for RTC providers versus 30-50% in local services. I am seeking to determine if this is a consistent trend across other ICBs.

My understanding is that the government mandated that ICBs should record diagnosis rates accurately from 2025, including the percentage of people assessed who received a diagnosis of ADHD and autism. All contracted providers under RTC are required to submit outcome-based coding (diagnoses and discharges) by Autumn 2025.

Please provide this in an editable format (Excel/CSV). If you believe this request will exceed the cost limit, please contact me to discuss how the request can be refined (for example, by limiting it to a single financial year).

Kind regards,

Gloucestershire Adult Autism and ADHD Service Policies

CAMHS Services, Copy of Trust Policy, Health, MH Services

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

1. All policy documents in respect of Gloucestershire Adult Autism and ADHD Service’s non-recognition of private diagnoses in respect of ADHD and autism assessments, which were relevant in the period 1 January 2021 to date.

2. All equalities and diversity assessments conducted in respect of the policy documents in point 1.

3. All supporting documents referred to in the policy documents and assessments in points 1 and 2.

4. Any internal discussion documents or minutes regarding potential changes to the policy documents and assessments in points 1 and 2.

I would like you to provide the information in electronic documents by email to the above address. If some documents will take longer to obtain, I should be grateful if you would provide an interim response with the documents that are available at that time.

Please contact me at the above email address if you need to clarify.

Use of AI in NHS Talking Therapy

Health, IT, MH Services

Dear Gloucestershire Health and Care NHS Foundation Trust,

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

1. Is this NHS Trust utilizing an AI software within its Talking Therapy Programme? In what capacity?
2. The number of patients who have been treated under a scheme of therapy that involves a communication exchange including the contribution of an Artificial Intelligence system in 2025 and 2026.
3. Please break down the number of users into the following classes: i) age, ii) ethnicity, iii) nationality, iv) gender.
If the numbers are less than 5, please merge the figures for 2025 and 2026.
4. The name of the company providing the AI software(s) mentioned in 1 and 2. Please also tell me the name of the system (ex. ChatGPT, Claude, etc).
5. The value of the contract between the AI company and the NHS trust.
6. Investigations, reports and other similar documents thar look into: :
a. the clinical effectiveness of therapy undergone by patients using the therapy mentioned in 1 and 2 above,
b. any potential risks from the therapy mentioned in 1 and 2 above.

7. The current waiting list for an appointment with a therapist within your NHS Talking Therapy service.
8. The current waiting list for an appointment with a psychiatrist.

I would like you to provide the information in the following format:

Word or Excel file.

Please contact me if you need me to clarify my request.

Yours faithfully,

Councelling Offered to Patients

Hi,

I hope this is the appropriate place to direct this query to, please let me know if not, and thank you in advance for your support with this.

I’m currently a trainee counsellor and part of my level 5 course is a research project. My proposed topic is on the number of counselling sessions offered to patients by organisations to see if there is any consistency in the offer and how many sessions is ideal for patients. In light of this, could you please let me know the answers to the following questions?

Does your organisation currently provide counselling services to patients? (If no, please don’t worry about the remaining questions!)

How many counselling sessions are made available for patients?

Are patients/counsellors given the option to extend the number of sessions if required? If so, is there a maximum number of sessions?

What rationale was used to set the number of sessions offered to patients?

Is there any written reports or guidance that you used to support the decision? If yes, which?

Thank you for taking the time to read this email, I look forwards to hearing back from you.

Many thanks,

Community-Based Open Rehabilitation and Step-Down Provision

Dear Sir/Madam,

I hope you are well. We are currently undertaking a service development and pathway review in relation to community-based open rehabilitation and step-down provision for adults with mental health needs, neurodevelopmental conditions, learning disabilities and complex psychosocial presentations.

We would be grateful if you could provide the following information under the Freedom of Information Act 2000.

1. Current Demand and Placement Need

• Does your organisation currently commission or utilise open rehabilitation or step-down rehabilitation services from independent providers?
• Approximately how many individuals are currently placed within open rehabilitation or community rehabilitation settings?
• What are the most common presenting needs requiring this type of placement?

2. Hospital Discharge and Delayed Transfer Pressures

• Approximately how many individuals are currently experiencing delayed discharge from:
• Acute mental health wards
• Rehabilitation wards
• PICU or low secure settings
• Specialist autism or learning disability services
• What are the most common barriers to discharge?

3. Out-of-Area Placements

• Does your organisation currently place individuals outside of its local area for rehabilitation or step-down support?
• If yes:
• Approximately what proportion of placements are out-of-area?
• What are the primary reasons for out-of-area placements?
• Is reducing out-of-area placements a current strategic objective?

4. Service User Cohorts

• What service user groups are currently most difficult to place within community rehabilitation settings?
• Are there identified gaps in provision for individuals with:
• Autism • Learning disabilities
• Dual diagnosis
• Personality disorder
• Complex trauma
• Forensic histories
• Behaviour that challenges

5. Current Provider Market and Sufficiency

• Does your organisation currently identify a shortage of rehabilitation or step-down placements?
• Are there specific rehabilitation models or service types currently required but limited in availability?
• Does your organisation have a current rehabilitation, mental health, or accommodation sufficiency strategy?

If so, please provide a copy or link where available.

6. Placement Models and Support Levels

• What support levels are most commonly commissioned?
• 24-hour staffed rehabilitation
• Waking-night support
• Positive Behaviour Support models
• Transitional or move-on support
• What are the most common referral pathways into these services?

7. Spend and Commissioning
• What was the approximate total spend on independent rehabilitation or step-down placements in the last financial year?
• How are such services typically commissioned?
• Framework agreements
• Spot purchasing
• Approved provider lists
• Block contracts

8. Quality and Outcomes

• What are the most important factors considered when sourcing rehabilitation placements?
• What outcomes are considered most important when evaluating placement success?
• What are the most common reasons for placement breakdown?

9. Commissioning Contacts
• Please provide the structure or generic contact details for the teams responsible for:
• Rehabilitation commissioning
• Complex mental health commissioning
• Learning disability/autism commissioning
• Hospital discharge pathways The information gathered will be used to inform the development of high-quality, community-based rehabilitation pathways aligned with local system pressures, recovery objectives, and discharge needs. Thank you for your time and support.

Electro Convulsive Treatment/Restraints/Seclusion/Medicated Errors

Copy of Trust Policy, MH Services

Hello
Hope you are good + thank you for all you do …
Please could you answer the following questions under the freedom of information act ….
If you would like to split the request into 4 parts – please do so …
I am dyslexic – so please provide the data in email text – which is one of my preferred formats
Hope we have a good week
In love + solidarity

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 2025?
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 2025?
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 2025?
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 2025?
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?

Seclusion Practices

To whomever this concerns,

I’m an MSc student studying Clinical and Health Psychology at the University of Manchester.

I’m currently conducting a research project as part of my degree, where I am exploring seclusion practices in the NHS.

The data from this request would be used as part of my analysis, and, therefore, would be greatly appreciated.

Please could you send me all the trust policies related to seclusion practices?

For example: in what circumstances these practices should be used; how they should be used; staff training; any guidance on ensuring practice is trauma-informed; and how the process is monitored or reviewed.

I would like to make it clear that this request is not for any individualised patient data.

Please be assured that your Trust’s name will be anonymised as part of my analysis.

Kind regards,

Young Onset Dementia

Dear Sir/Madam,
I am writing to request information under the Freedom of Information Act 2000 regarding individuals with young onset dementia (defined as individuals of any age who first experienced symptoms of dementia under the age of 65 and then received a formal diagnosis) within your local authority area.
Please provide the following information, using the most recent available data (preferably as of 14 April 2026 where possible).
Where data specific to young onset dementia as defined above is not held, please provide the closest available proxy (for example, individuals under 65 with a dementia diagnosis and note the proxy that has been used).
Questions
• The number of individuals who were diagnosed with dementia under the age of 65 currently under the care of your services.
• The number of individuals under the age of 65 diagnosed with dementia within the most recent 12 months of validated data.
• The number of individuals who were under the age of 65 when diagnosed with dementia who were detained under the Mental Health Act in the last 12 months (if recorded).
• The number of individuals who were diagnosed with dementia under the age of 65 currently receiving Section 117 aftercare (if recorded).
• The number of individuals who were diagnosed with dementia under the age of 65 currently:
o Receiving community-based support
o Admitted to inpatient mental health settings
• The number of individuals under the age of 65 with dementia who have experienced a delayed discharge from inpatient settings in the last 12 months (if recorded).
• Does your organisation routinely record young onset dementia as a distinct category within its data systems? (Yes/No)
If the requested information is not held in the exact format above, please provide the closest available data.
If any part of this request exceeds cost limits, please provide advice and assistance to refine the request.

Please let me know if you have any questions.
Kind regards,

Urgent & Emergency Services Provided – Young people who Self Harm

To whom it may concern,

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

I am seeking information about urgent and emergency services provided by your organisation for young people following self-harm.

Please could you provide the following information?

1. A list of all services/pilots/programmes provided by your organisation that offer support, assessment or intervention to young people (aged 25 years or under) within 24 hours of a self-harm episode (defined according to NICE 2022: intentional self-poisoning or injury, irrespective of the apparent purpose).

2. For each service identified, please provide (where available):

a. Service name
b. Brief description of the service (e.g., aim and objectives)
c. Eligibility criteria (including age)
d. Access routes (e.g., telephone, walk-in service, referral from A & E/GP)
e. Service setting (e.g., online, community-based, hospital-based)
f. Availability (days and hours of operation) g. Geographic area covered

I am specifically interested in services that respond within 24 hours of a self-harm episode, instead of longer-term or routine care (eligible services may include crisis teams, liaison psychiatry services, safe havens, crisis cafes, helplines and other urgent mental health support services). For the avoidance of doubt,

I am looking for any services for individuals aged 25 years or under, including both specialist children/young people’s services and services primarily designed for adults that may also be accessed by this age group.

Thank you in advance for your time and assistance.

Kind regards

Use of non-visual patient safety aid (NVPSA)

Copy of Trust Policy, Health, MH Services

Dear Gloucestershire Health and Care NHS Foundation Trust,

I am writing to make a request for information under the Freedom of Information Act 2000 regarding the Trust’s use of specific patient monitoring technology.

1. Does the Trust currently use, or have formal plans to trial or implement, a Non-Visual Patient Safety Aid (NVPSA) – for example, Safehinge Primera’s “Project X”, “Smart Ward” or other radar-based motion tracking – within ward bedrooms, Section 136 suites, and/or seclusion rooms?

2. If the response to the above question is ‘yes’, please provide the following information:

2.1. The number of wards, 136 suites, and seclusion rooms where the technology is deployed (please provide ward names and type of ward).

2.2. The current Policy or Standard Operating Procedure (SOP) governing the use of this technology, including details of your consent process.

2.3. The Data Protection Impact Assessment (DPIA).

2.4. The Equality Impact Assessment (EqIA).

2.5. The Clinical Safety Case Report and Clinical Hazard Log (as required by DCB0129/DCB0160 standards). Please also provide a copy of any entries on the Trust’s Organisational Risk Register that relate to “transferred risks” or residual risks identified during the deployment of this technology.

2.6. The contract start and end dates for the current provision.

2.7. Minutes of meetings where the decision to adopt, trial, continue, expand, or cease the use of the technology was made, including the rationale for the decision.

2.8. Copies of patient-facing information, such as posters, leaflets, or privacy notices provided to service users and carers.

2.9. Copies of all staff training materials or presentation slides relating to the use of NVPSA, including details of the Trust’s competency assurance framework, the mandated frequency of refresher training and the compliance rate (percentage of staff on the relevant wards who have completed training).

3. Please provide all recorded information relating to regulatory compliance, including:

3.1. Any internal audit, gap analysis, or briefing paper that demonstrates how the use of NVPSA technology complies with the Care Quality Commission (CQC) published guide on “Digital contactless patient monitoring technologies in mental health in-patient services”.

3.2. Evidence (e.g. a compliance statement or committee minute) showing how the deployment of this monitoring technology aligns with the NHS England’s “Principles for using digital technologies in mental health inpatient treatment and care”.

If you feel a Section 40 (Personal Information) or Section 43 (Commercial Interests) exemption applies to any part of this request, please provide a redacted version of the documents rather than a blanket refusal, and include the required public interest test for any qualified exemptions.

Yours faithfully,

Clinical Risk Assessment & Management and or Suicide Prevention

Hello Gloucestershire Health and Care NHS Trust FOI team,

I am writing to you under the Freedom of Information Act 2000 to request the following information from Gloucestershire Health and Care NHS Trust’s freedom of information department. Please may you provide me with:

1. A copy of your Policie(s)/ procedures, strategies and or any clinical guidance relevant to mental health care pertaining to clinical risk assessment and management and or suicide prevention.
2. Do you use any triage tools, rag rating or scales to stratify clinical risk?
2.1. If Yes, do they inform care in any way including different tiers.
2.2. If Yes please provide a copy.

Please provide the information in the form of word documents or if not possible pdf files.

If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request.

If you can identify any ways that my request could be refined, I would be grateful for any further advice and assistance.

If you have any queries please don’t hesitate to contact me via email and I will be very happy to clarify what I am asking for and discuss the request, my details are outlined below.

Thank you for your time and I look forward to your response.

Best wishes,

Digital Mental Health

Clinical Activity Data, MH Services

In accordance with the freedom of information act, please could you answer the following questions –

– Does the Trust commission or use any digital mental health and wellbeing platforms for its young people?

– Does the Trust mission or provide free access to digital mental health app for its young people?

– Which department, such as Public Health or Children’s Services, manages the commissioning of the digital services in this area?

– When does the current contract for this digital service with the Trust expire, and is it due to be recommissioned?

– Does the Trust provide access to any digital peer support services?

– Does the Trust provide access to any digital mental health services specifically for Autism?

– Does the Trust provide access to any digital mental health services specifically for those who are jobseekers?

Adults with Learning Disabilities

Finance, MH Services

Dear Sir/Madam,

Under the Freedom of Information Act, I am requesting information regarding supported living and residential care services for adults with a primary support need of learning disabilities (LD).

Long term care is provided to clients on an ongoing basis and has been allocated on the basis of eligibility criteria / policies (i.e. an assessment of need has taken place) and are subject to regular review. Please refer to the following link for further clarification, if needed (https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/social-care-collection-materials-2024/salt-data-return-2023-2024-guidance/lts001a).

Supported living may also be called Supported accommodation or Supported housing and is a housing scheme where housing, support and care services are provided to help people with disabilities live as independently as possible in the community.

Total placements is the total number of active funded placements in that period, included those carried over from previous years.

New placements are those newly commissioned in that period only, ie not carried over from a previous year.

Please respond using the attached excel template.

For financial year FY26, please provide the full year figure as at the date of your response. For financial year FY27, please provide a forecast or budgeted number of placements if available.

1. Residential Care: Please provide the total number of adults (aged 18-64) with a primary support need of LD in long-term residential care funded by the TRUST, in the following periods, broken down by the following weekly fee bands: £3,000 to £4,999 per week; £5,000 to £6,999 per week; £7,000 or more per week
•Financial year 2021/22 (FY22)
•Financial year 2022/23 (FY23)
•Financial year 2023/24 (FY24)
•Financial year 2024/25 (FY25)
•Financial year 2025/26 (FY26) – Year to Date
•Financial year 2026/27 (FY27) – budgeted / forecast

2. Residential Care: Please provide the number of new placements made for adults (aged 18-64) with a primary support need of LD in long-term residential care funded by the TRUST in the following periods, broken down by the same weekly fee bands: £3,000 to £4,999 per week; £5,000 to £6,999 per week; £7,000 or more per week
•Financial year 2021/22 (FY22)
•Financial year 2022/23 (FY23)
•Financial year 2023/24 (FY24)
•Financial year 2024/25 (FY25)
•Financial year 2025/26 (FY26) – Year to Date
•Financial year 2026/27 (FY27) – budgeted / forecast

3. Supported Living: Please provide the total number of adults (aged 18-64) with a primary support need of LD in long-term supported living funded by the TRUST, in the following periods, broken down by the following weekly fee bands: £3,000 to £4,999 per week; £5,000 to £6,999 per week; £7,000 or more per week
•Financial year 2021/22 (FY22)
•Financial year 2022/23 (FY23)
•Financial year 2023/24 (FY24)
•Financial year 2024/25 (FY25)
•Financial year 2025/26 (FY26) – Year to Date
•Financial year 2026/27 (FY27) – budgeted / forecast

4. Supported Living: Please provide the number of new placements made for adults (aged 18-64) with a primary support need of LD in long-term supported living funded by the TRUST in the following periods, broken down by the same weekly fee bands: £3,000 to £4,999 per week; £5,000 to £6,999 per week; £7,000 or more per week
•Financial year 2021/22 (FY22)
•Financial year 2022/23 (FY23)
•Financial year 2023/24 (FY24)
•Financial year 2024/25 (FY25)
•Financial year 2025/26 (FY26) – Year to Date
•Financial year 2026/27 (FY27) – budgeted / forecast

Please do let me know if there is any clarity that I can provide.

Kind regards,

Mental Health Service for Young People

CAMHS Services, CAMHS/CYPS, MH Services

To whom it may concern,
Under the Freedom of Information Act I would like to request the following information.

Does your NHS trust provide any mental health services for under 18 year olds (e.g. CAMHS)?

If you do not, please reply stating that you do not provide mental health services for under 18 year olds and none of the other questions of this FOI are required as they are not relevant.

If you do provide mental health services for under 18 year olds:

• What is the age brackets for the mental health services for young people before they move to adult services (for example 0-18 year olds or 0-25 years old)?
• What do you call this service (for example Child and Adolescent Mental Health Services (CAMHS) or if there is a specific name you use)?
• What methods of referral do you accept (for example- referrals from GPs/schools)?
• Are self referrals an option? If so what are the requirements (e.g. minimum age)?
• What is your method of advising patients of appointments (e.g. text/post)?

I would also like to request a blank document of the following forms:
• The form used by GPs/schools to refer a young person
• The form used if a young person is referring themselves
• Any forms that are provided at the first appointment for the young person/parent to fill out in regards to contact information, preferences of methods of contact, who is attending the appointments etc
• Any relevant forms to indicate who is attending the appointment/aware of the referral (young person/their guardian/both) and which of the two should be contacted and if there is a preference of contact method

Mental Health Clinical Activity Data

Dear Freedom of Information Officer,
I am writing to request information under the Freedom of Information Act regarding your mental health trust. Please could you provide the following details:
1. The current total number of staff employed by the mental health trust.
2. The number of inpatient episodes and Outpatient Appointments (OPA’s) recorded by the trust for each of the past three years, broken down annually.
3. The number of referrals made to your organisation for each of the past three years, broken down annually.
4. The organisational structure of your data quality staff, including the number of staff in each role and their respective pay bands.
If possible, I would appreciate the information in an electronic format.
Thank you for your assistance. I look forward to your response within the statutory timeframe.
Yours sincerely,

Eating Disorder Service

MH Services, What Do They Know

I would like to request from SEDS and The Sussex Family Eating Disorder Service, for each of the calendar years 2022, 2023, 2024 and 2025 (to date, if full-year data is not yet available):

1. The total number of referrals and admissions to the Eating Disorders Services at Brownhill.

Where possible, please:

• Provide the data broken down by year.
• Provide a separate figure for patients admitted with a primary diagnosis of Anorexia Nervosa.

If diagnostic breakdowns are recorded using ICD-10 or ICD-11 codes, please include the codes:

F50.01: Anorexia nervosa, restricting type.
F50.02: Anorexia nervosa, binge eating/purging type.
F50.00: Anorexia nervosa, unspecified.

If a breakdown by diagnosis is not readily available within the cost limit, please provide the aggregate totals only.

If the Trust does not hold some or all of this information, please confirm this and direct me to the appropriate body where possible.

I would prefer to receive the information in electronic format (Excel or CSV).

Memory Assessment Services-Development & Transformation

Dear FOI Team,
I am writing to request information under the Freedom of Information Act (2000). Please provide the following information:
________________________________________
1. Request for attachments
1. Any local service models or pathway adaptations that influence capacity, demand, or access to imaging and biomarkers.

2. If available, please provide any SOPs, pathway diagrams, or service specifications (with personal data removed).

________________________________________
2. Activity and Demand for the last three natural years (2025, 2024, 2023)
1. Referral rate per 100,000 population of your memory clinic’s catchment area per year.

2. Referral routes (GP, internal mental health teams, acute trusts, self referral, other).

________________________________________
3. Waiting Times
Please provide mean and median waiting times (in 2023, 2024, 2025):
1. From referral to initial assessment.

2. From initial assessment to diagnosis of dementia (or conclusion of the assessment episode including formal diagnosis of MCI).

________________________________________
4. Diagnostic Process
1. Do non medical professionals conduct routine diagnostic initial assessments and do these require medical input in anyway?

2. Neuroimaging:
o Is a head scan carried out prior to initial assessments? (CT, MRI, PET modalities).

3. Biomarkers:
o Are any biomarkers (blood, CSF) available as a part of the diagnostic process?

________________________________________
5. Pharmacological Treatment and Post Diagnostic Support
1. Are non medical prescribers involved in routinely prescribing medication, and if they do, do they have to routinely confer with a medical professional?

________________________________________
6. Workforce and Assessment Model
1. Which of the roles listed below are exclusively dedicated to memory clinic work (PLEASE MARK WITH X):
Medical consultants
Non consultant doctors
B8 Nursing staff
B7 Nursing staff
B6 Nursing staff
B5 Nursing Staf
Occupational therapists
Clinical Psychology
Assistant Psychologist
Support workers / assistants
Administrative staff
Indicate for each non medical clinician whether they are non medical prescribers.

2. Number of yearly initial assessments (in 2025), separately for:
Medical Staff
Non-medical clinical staff

3. Could you provide information regarding the number of face-to-face and non-face-to-face contacts in 2025?

4. Is your team involved after the assessment and initiation of treatment in providing post diagnostic support, or is this provided by another provider? (VCSE etc.)

________________________________________
Format of Response
Please provide all data electronically, in Word, PDF or Excel format.

Liaison psychiatry services for Functional Neurological Disorder

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

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

FoI questions:

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

a. No
b. Yes

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

a. No
b. Yes

i. What are the criteria?

3. Are there inclusion criteria within FND?

a. No
b. Yes

i. What are the criteria?

4. Where are patients with FND assessed?

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

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

a. No
b. Yes

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

a. No
b. Yes

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

a.
b. Data not held

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

a.
b. Data not held

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

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

If yes, please specify.

a. No
b. Yes

i. Please specify:

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

Mental Health Treatment Community and InPatient

Hi team,

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

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

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

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

Thank you,

Use of Electroconvulsive Therapy (ECT)

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

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

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

I look forward to hearing from you in due course.

Yours faithfully,

Talking Therapy Provider

Contracts, Health, MH Services

Dear Gloucestershire Health and Care NHS Foundation Trust,

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

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

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

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

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

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

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

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

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

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

Yours faithfully,

Patients Awaiting Initial Assessment-Memory Clinics-Suspected Dementia

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

1. Waiting List Size

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

2. Waiting Times

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

3. Historical Data

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

4. Referral and Assessment Source Data

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

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

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

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

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

Yours faithfully,

Adult Acute Mental Health Inpatient Beds

Dear Freedom of Information Team,

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

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

For the purposes of this request:

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

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

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

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

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

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

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

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

Thank you for your time and assistance.

Kind regards

Patient Transfers and Beds

Good Afternoon,
I am writing to request information under the Freedom of Information (FOI) Act 2000.
My questions are as follows:
1) How much was spent on secure mental health patient transfers by private ambulances in the 6 months to 30th November 2025
2) How many journeys were made on secure mental health patient transfers by private ambulances in the 6 months to 30th November 2025
3) Please provide a list of all private ambulance companies used for secure mental health patient transfers in the 6 months to 30th November 2025 and for each detail:
(a) Number of jobs
(b) Cost of providing the service

4) How much was spent on mental health patient bed watch by private companies in the 6 months to 30th November 2025
5) How many mental health patients were looked after by private bed watch companies in the 6 months to 30th November 2025
6) Please provide a list of all companies that provided mental health patient bed watch services in the 6 months to 30th November 2025 and for each detail:
(a) Number of patients looked after
(b) Cost of providing the service

7) What is the selection criteria for deciding which companies to use for secure mental health patient transfer by private ambulances
8) What is the selection criteria for deciding which companies to use for mental health patient bed watch by private companies

Thank you in advance for providing this information.

Regards,

Chemsex or Sexualised Drugs

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

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

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

I have attached the questions.

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

ADHD and Emotional Dysregulation

CAMHS/CYPS, Health, MH Services

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I look forward to hearing from you.

Dementia Inpatients