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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

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Electronic Tagging

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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,

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

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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,

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Gloucestershire Adult Autism and ADHD Service Policies

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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.

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Use of AI in NHS Talking Therapy

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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,

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Councelling Offered to Patients

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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,

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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.

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Electro Convulsive Treatment/Restraints/Seclusion/Medicated Errors

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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?

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Seclusion Practices

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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,

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Young Onset Dementia

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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,

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Urgent & Emergency Services Provided – Young people who Self Harm

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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

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Use of non-visual patient safety aid (NVPSA)

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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,

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Clinical Risk Assessment & Management and or Suicide Prevention

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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,

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Digital Mental Health

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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?

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Adults with Learning Disabilities

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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,

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Mental Health Service for Young People

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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

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Mental Health Clinical Activity Data

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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,

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Eating Disorder Service

,

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).

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Memory Assessment Services-Development & Transformation

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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.

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Liaison psychiatry services for Functional Neurological Disorder

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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.

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Mental Health Treatment Community and InPatient

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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,

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Use of Electroconvulsive Therapy (ECT)

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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,

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Talking Therapy Provider

, ,

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,

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Patients Awaiting Initial Assessment-Memory Clinics-Suspected Dementia

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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,

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Adult Acute Mental Health Inpatient Beds

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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

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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,

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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.

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ADHD and Emotional Dysregulation

, ,

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.

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Dementia Inpatients

,

To whom it may concern,

Please provide me with the following information under the Freedom of Information Act.

How many inpatients with Dementia at your Trust in 2024 and 2025 were accompanied by a healthcare worker or another member of staff when they were sent for scans or tests, where a family member, guardian or other non-member of staff were not present. For context, this doesn’t include porters, it refers to staff members who were there throughout the tests and scans, where a family member, guardian or other non-member of staff was not present. Can you please provide 2024 and 2025 as separate figures.

How many inpatients with Dementia at your Trust in 2024 and 2025 were not accompanied by anyone? For context, this means no family member or guardian were present, nor a healthcare worker or other NHS staff member. Again, porters don’t apply here. Can you please provide 2024 and 2025 as separate figures.

If it is not possible to provide some of the data requested, I would be grateful if you could provide whichever elements of this FOI request are eligible for release.

Therefore, if it is possible to ascertain within the prescribed time limit, without having to provide a fee for further investigations, please respond in electronic form with all the information above to my email address

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Young People Experiencing Homelessness

Dear Freedom of Information Officer,

I am writing to request information under the Freedom of Information Act 2000. I am an undergraduate student conducting research for my major study project, researching access to NHS Mental Health Services for young people experiencing homelessness.

Specifically, I am requesting anonymised data regarding service users who meet the following criteria:

1. Age range: 18 to 24 years.

2. Accommodation status: Those identified as NOT living in homeless supported accommodation, such as (but not limited to):
• Living with parents
• Living with friends
• Living alone
• Living with family

3. Time period: From 1 January 2020 to the most recent available data.

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

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

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

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

If it is easier to send over data regarding all contact from 18 – 24 year olds during the time period I am also happy to filter through the anonymised data and extract the relevant accommodation types – I want to make it as easy as possible for whoever handles my request.

Thank you for your assistance.

Yours sincerely,

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Mental Health Outsourcing

, ,

Good morning,

Please can you provide me with the below information:

In the last 6 months (June 25- November 25), please confirm if any Mental Health services have been outsourced:

If yes, please confirm:

-The service provided E.G ADHD, Autism etc (please provide breakdown for each service if applicable)

-The name of the company each service was outsourced to

-Is there a contract in place and the length of contract for each service provided (if applicable)

-The value of each service in the last 6 months

Please confirm how this contract was procured E.G Tender, Direct Award etc

Please provide an email and contact name within the outsource provider

Thanks

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Peer Support Workers

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

I am writing to request information regarding Peer Support Workers (PSWs) and other lived-experience roles within your trust. For clarity, “peer support workers” refers to staff employed in roles where lived experience of mental health challenges is essential to their work.

I would be grateful if you could provide the following information as of 1st November 2025:

1. Workforce numbers:

a. Total number of Peer Support Workers employed in the trust and number of volunteer PSWs (if applicable).
b. Total number of other roles where lived experience is an essential requirement (e.g., peer trainers, peer educators).
c. Percentage of PSW workforce who are on a fixed-term contract.

2. Role banding / grading:
a. Number of PSWs at each NHS band (e.g., Band 2, 3, 4, etc.).
b. Number and names of other lived-experience roles at each band.

3. Training and development:

a. Are PSWs trained internally by the trust, externally by a third party, or both?
b. Do PSWs receive training prior to starting their role, on-the-job, or a combination of both?
c. Continuing Professional Development (CPD) opportunities available for PSWs.
d. Career progression routes for PSWs (brief description or number progressing to other roles in the last 12 months).

4. Absence and wellbeing:

a. Average sickness absence for PSWs over the past 18 months (days lost per FTE).
b. If available, the percentage of sickness absence related to mental health.

5. Directorate allocation:

a. Number of PSWs employed in each directorate/service area (please name each directorate area within your response).
b. Where peer support sits within the organisation structure (e.g., Patient Participation and Involvement, Nursing, Recovery Services, or other)-please describe.

6. Workforce composition:

a. Percentage of the trust’s total workforce in lived-experience or peer support roles.
b. Number and percentage of roles with essential lived experience within the job description/person specification relative to total trust workforce.
c. Ethnic diversity of PSWs (percentage of PSW’s who identify as BAME).

7. Workforce trends:

a. Has the number of PSW or lived-experience roles increased, decreased, or stayed the same over the past 18 months?
b. Any anticipated change in the number of PSW roles over the next 18 months (optional/if available).

If the information is not held centrally, please provide it in the form that is available.

Thank you for your assistance.

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Brain Injuries

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I am writing regarding an FOI data request for the NHS Gloucestershire Health and Care you manage on the care provided for those with traumatic brain injuries. Please find all relevant questions in below and we look forward to receiving the data within 20 working days.


1) How many patients with the primary diagnosis of traumatic brain injury were referred for neurological care following discharge from a rehabilitation unit?
2020 2021 2022 2023 2024
Insert number Insert number Insert number Insert number Insert number

2) What is the average wait time for patients to access neurological care services following referral from rehabilitation?
2020 2021 2022 2023 2024
Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number

3) Please provide a list of neurological and rehabilitation services available for patients with traumatic brain injuries within your region

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Community Mental Health Services Model

Re. Community Mental Health Services Model: Question 1: In your Community Mental Health division:

1. Is there a specific age range you specify for eligibility to Adults of Working Age services and Older Adult services, if so, what are the age ranges that are stipulated?

– Or do you operate an all-adult/ageless service i.e. 18+?
– Or do you offer a needs-led service, and if so, can you describe how this operates?

2. Have you had experience of moving to a different model e.g. ageless or needs-led services? If so, what were the challenges and how successful has this been? If unsuccessful, have you reverted back to the old model or onto a new modified model?

3. What is outlined in your policy with regards to the process of transitioning from one service to another, e.g. from Adults of Working Age team to an Older Adults team?

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Psychiatry Agency Spend Breakdown

, ,

I am writing to request a detailed breakdown of psychiatrist agency spend for the following periods:

• 1st April 2024 – 31st March 2025
• 1st April 2025 – 31st October 2025

Please provide the data in Excel format, with the following details for each month:

• By grade and sub-specialty
• For each hospital
• Split by framework and non-framework agencies

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Services Users Currently Open to the Crisis Team

, ,

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

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

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

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

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Care Reviews – Crisis Team

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

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

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Care Plans/Risk Assessment & History/Suicide Prevention Awareness

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Please could you provide the:

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

– 1st September 2025 until present day

and

– January 2024 to January 2025

Many thanks in advance.

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CAAAS Waiting Lists

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

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

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

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

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

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

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

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

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

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Community Mental Health Access

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

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

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

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

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ADHD and Autism Assessments

Dear FOI Officer,

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

Please provide the following information:

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

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

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

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

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Transitions between Children & Adult Community MH Services

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

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

I would like to request the following information:

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

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

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

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

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

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

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

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

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

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

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

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

Total number of 18 year olds with active referral

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

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

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

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

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

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

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

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

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

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

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

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

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Monitoring Technology used in Patient Bedrooms

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Dear Gloucestershire Health and Care NHS Foundation Trust,

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

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

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

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

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

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

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

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

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

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

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

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

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

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Electroconvulsive Therapy (ECT) 2024

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Good evening,

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

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

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

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

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

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

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Referrals of Young People and Homeless Support Accommodation

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

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

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

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

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

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

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

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

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

Thank you for your assistance.

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Adult Deaf Sign Language Users

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

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

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

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

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

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

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

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Specialist Midwifery Roles Across Maternity Services

To whom it may concern,

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

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

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

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

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

Please complete for each of the following specialisms:

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

Please provide this information in an Excel document.

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

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Mental Health Patient Deaths

Dear Sir/Madam

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

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

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

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

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

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

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

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Mental Health Waiting Times

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

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