MH Services

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

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

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

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

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

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

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

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

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

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

This includes:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Please can you provide us with the following:

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

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

For each individual memory assessment service you operate:

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

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

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

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

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

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

I am writing to request the attached information under the Freedom of Information Act 2000 about psychological support for parents who have experienced pregnancy or baby loss in NHS Gloucestershire ICB.

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

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

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

1. The number and type of inpatient mental health wards managed by your organisation (e.g 2 older adult inpatient wards, 1 PICU, 3 acute inpatient wards etc)
2. How many patients have been enterally fed on these wards, by quarter, since January 2023.
3. How many of these patients were detained under the Mental Health Act 1983.
4. How is enteral feeding recorded on the electronic patient records, for example RiO and ePMA?
5. If no patients were enterally fed on inpatient mental health wards within the last 24 months, is this because of an exclusion criteria, i.e. if this treatment was clinically indicated would a patient be transferred to a different setting? If so, what is the rationale for this please.

We are interested in the role of peer support workers within your organisation.
A peer support worker is someone who has obtained their role (paid or voluntary) through having lived experience of mental health services.
1. How many peer support workers are employed within acute inpatient mental health settings
2. Are the posts voluntary or paid and if paid at what banding?
3. Are there any vacant peer support worker posts in these settings and if so how many?
4. What strategies and policy documents do you have in place in relation to supporting peer support workers in their roles?

1. Please identify the Talking Therapies service that you are answering on behalf of.
2. Please may you inform us whether Body Dysmorphic Disorder (BDD) appears on your drop-down menu as a diagnosis/ problem descriptor on for example
IAPTus or PC-MIS software for measuring outcomes? (If not, what descriptor, do you use?)
3. If it is not on the drop-down menu, can you identify people with BDD in a different way (for example, the number who have completed the Body Image Questionnaire for BDD)?  
4. Do you use a digital front door like Limbic to screen clients? If yes, which one do you use, and does it directly screen for BDD?
5. Please inform us whether your staff ask the recommended screening question to help identify people with BDD? (The “Talking Therapies manual for anxiety and depression” recommends a question “Have you worried a lot about your appearance or the way a bodily feature looked and wish you could think about it less?”. ) If you do not use the recommended question, do you routinely screen for BDD with a different question or leave it up to therapists to identify if it appears clinically relevant? (if yes, what is the question)?
6. If you use a screening question to try to identify people with BDD, at what stage do you ask the question. e.g., (a) first contact/triage, (b) at assessment at step 2 guided self-help (c) at assessment for step 3 (high intensity)?
7. Please inform us if you use the recommended Anxiety Disorder Specific Measure (ADSM) “The Body Image Questionnaire” (BIQ) in people with BDD to determine outcomes during therapy?  If not, do you use the PHQ9 and GAD7 for BDD or something else?
8. For people discharged in the year 1st April 2023 – 31st March 2024, please inform us of the total number of people you discharged (all diagnoses, at least one contact) and the total number of people discharged for BDD as the main problem.
9. For people discharged in the year 1st April 2023 – 31st March 2024, please inform us of the total number of people you took on for therapy (all diagnoses, at least 2 contacts) and the total number of people with BDD that you took on for therapy (at least 2 contacts) that were discharged.
10. Of those that you took on for therapy, what proportion / numbers of people with BDD received treatment at Step 2 with a PWP? If treatment is with a PWP, what proportion and number is a generic CBT for anxiety/ depression or other approach, and what proportion and number received a specific computer program or workbook for BDD?  Please specify which one you use.
11. Of those with BDD who received treatment at Step 2 with a PWP, what was the average number of sessions for generic CBT for anxiety/ depression and for a specific computer program or workbook for BDD?
12. For people discharged from the 1st April 2023 to 31st March 2024 with the last treatment type being step 3, what was the average number of sessions in the episode for those treated with BDD and the average for all other diagnoses in the service?
13. For people discharged in the year 1st April 2023 – 31st March 2024, please inform us of the number of people with BDD who had 2 Body Image Questionnaires completed prior to discharge (and the number who had the GAD7 instead of the BIQ) at Step 2 and at Step 3 (high intensity)?
14. For people discharged in the year 1st April 2023 – 31st March 2024, what percentage and number of people with BDD in the treated sample achieve reliable improvement at Step 2 and Step 3? (Note the reliable change on the BIQ is ≥10 – please state if you are using the GAD7 for reliable improvement). How does that compare to the percentage and number who achieve reliable improvement on all the other diagnoses in the service?
15. For people discharged in the year 1st April 2023 – 31st March 2024, what was the mean and standard deviation and number of clients of the Body Image Questionnaire in those taken on for treatment at Step 2 and at Step 3?
16. For people discharged in the year 1st April 2023 – 31st March 2024, what was the mean and standard deviation and number of clients with BDD on the Body Image Questionnaire after treatment at Step 2 and at Step 3?
17. For people discharged in the year 1st April 2023 – 31st March 2024, what proportion and number achieve reliable improvement and recovery after treatment (≤ 40 is no longer a case) with BDD on the Body Image Questionnaire at Step 2 and Step 3?
18. How many of your CBT therapists have attended a top up workshop or any other training in treating BDD?
19. Please can you do a survey of your CBT therapists in your service and ask them.  
“How much of a priority do you think is training in BDD compared to other problems in your service?”
1. – Not a priority 
2. – Low priority 
3. – Medium priority
4. – High priority
5. – Essential 

1 (a) In the last 12 months (of data), in total how many patients with Schizophrenia and other non-mood disorders (F20-F29 inclusive) were managed by your Trust.
1 (b) In the last 12 months (of data), in total how many patients diagnosed Schizophrenia (F20 only) were managed by your Trust.

2 (a) In the last 12 months (of data), how many patients with Schizophrenia and other non-mood disorders have been treated within each of the following services:
• Early Intervention Psychosis service team
• Community Mental Health Team

2 (b) In the last 3 months (of data), how many patients with Schizophrenia had no change to the antipsychotic medication within each of the following services. This includes patients with no change in dose.
• Early Intervention Psychosis service team
• Community Mental Health Team

3 (a) In the last 12 months (of data), how many patients with Schizophrenia and other non-mood disorders were discharged to primary care from each of the following services?
• Early Intervention Psychosis service team
• Community Mental Health Team

3 (b) In the last 12 months (of data), how many patients with Schizophrenia and other non-mood disorders were discharged from the Early Intervention Psychosis service team to the Community Mental Health Team

1. The number of individuals who have received support or counselling related to fireworks (e.g., anxiety, trauma, or phobias triggered by fireworks).

2. The data categorised by:
1. Age
2. Gender
3. Year (2021, 2022, 2023, and 2024).
4. Month
5. If possible, broken down by condition:
i. Anxiety, Trauma, Depression, PTSD, Phobia, Ligyrophobia (also spelled Ligurophobia or Phonophobia).

Freedom of Information Request – Ref: 184-2024 Thank you for your recent Freedom of Information...