Gloucestershire Health and Care- NHS Trust logo
with you, for you

Search for a reference number

MH Services

Mental Health Inpatient Readmissions

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

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

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

read more

Performance Data for the IAPT/NHS Talking Therapies

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

read more

Mental Health and Substance Use Data for Academic Research

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

read more

Treatment of Insomnia

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

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

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

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

read more

ECT, Seclusion, Restrains, Medication Errors

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

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

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

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

read more

ADHD Assessments

1.What is the name of your Trust?

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

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

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

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

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

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

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

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

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

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

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

13.Feel free to add any more information here

read more

Headbanging and Non-Anchored Ligatures

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

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

read more

Guidelines regarding Mental Health and Care Coordinators

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

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

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

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

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

read more

Peer Support Workers

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

read more

Bipolar Diagnosis and Specialist Care

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

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

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

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

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

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

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

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

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

read more

Impulse Disorders

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

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

read more

Diagnosis of Alzheimer’s Disease

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

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

read more

Mental Health Interventions

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

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

Individuals aged:
18 to 35
35 to 64
65+

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

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

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

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

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

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

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

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

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

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

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

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

read more

ADHD

This is a freedom of information request.

Section A

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

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

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

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

Section B

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

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

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

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

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

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

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

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

Section C

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

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

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

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

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

read more

Risk Assessment in Domestic Abuse

I am writing to request the following under the Freedom of Information Act, regarding use of and provision for the DASH checklist, aka Domestic Abuse, Stalking and Honour Based Violence

1. Is the DASH RIC used by your organisation as part of services (e.g. domestic abuse provision, victim support)?
2. Is the use of DASH RIC a standard provision or a requirement in contracts with third-party providers of relevant services (e.g. domestic abuse services, sheltered housing)?
3. If the DASH checklist is used by your organisation, which organisation or organisations provide the training that includes DASH training? (e.g. Domestic Abuse Matters training)
4. What is the cost to your organisation of such training? Please break this down by financial year over the last five years, as well as by organisation (if more than one organisation provides the relevant training)

read more

Outsourcing of Mental Health Services

Please can you provide me with the below information:

In the last 6 months, please confirm if any Mental Health services have been outsourced:

If yes, please confirm:

-The service provided E.G ADHD, Autism etc (please provide breakdown for each service if applicable)
-The name of the company each service was outsourced to
-Is there a contract in place and the length of contract for each service provided (if applicable)
-The value of each service in the last 6 months

Please provide an email and contact name within the outsource provider

read more

Funding Requests for External Providers via STAR Team

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

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

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

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

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

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

read more

Early Intervention in Psychosis

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

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

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

read more

Compulsive Buying Disorder

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

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

read more

Dementia Diagnosis

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

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

read more

Care for Patients with Dissociative Disorders

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

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

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

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

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

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

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

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

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

read more

ADHD

This is a request for the following data:

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

read more

Tier 3 Weight Management Services

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

Questions

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

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

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

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

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

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

For each consultant-led Tier 3 weight management service:

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

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

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

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

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

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

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

read more

Mental Health Data

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

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

read more

Electroconvulsive Therapy (ECT)

I am writing under the Freedom of Information Act to make a request for information on the use of electroconvulsive therapy (ECT).

The information being requested is as follows:

1. Please provide the number of ECT treatments given to patients for each of the calendar years 2023 & 2024.

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

read more

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

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

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

read more

Review and Action Plans regarding Homicides by Services Users

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

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

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

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

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

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

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

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

This includes:

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

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

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

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

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

read more

Physical Aggression in Mental Health Services

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

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

read more

Plastic Bags in Mental Health Wards

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

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

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

read more

Anxiety Disorders

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

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

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

read more

Specialist Treatment and Recovery (STAR) Team

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

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

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

read more

Mental Health Patient Homicides

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

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

read more

Memory Assessments

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

Please can you provide us with the following:

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

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

For each individual memory assessment service you operate:

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

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

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

read more

Mental Health of Emergency Call Handlers and Dispatchers

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

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

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

read more

Animal Assisted Therapy

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

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

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

read more

Mental Health Patient Homicides

FOI request: Mental health patient homicides at Gloucester Health and Care NHS Foundation Trust and independent investigations

1. Please disclose since 1994, how many homicides by trust patients have occurred within a year of contact with the trust (and its predecessor bodies).

Please give a breakdown by year.

2. How many of these patient homicides were reported to NHS England or its predecessor bodies?

Please give a breakdown by year.

3. How many of the patient homicides reported to NHS England were independently investigated under HSG 94-27?

If not all patient homicides were reported to NHS England and/or its predecessor bodies, can the trust explain why this was so?

read more

Early Intervention in Psychosis

Dear Gloucestershire Health and Care NHS Foundation Trust,

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

1. The number of patients treated year-on-year by the Early Intervention in Psychosis team of Gloucestershire Health and Care NHS Foundation Trust in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
2. The number of staff that work in the Early Intervention in Psychosis team of Gloucestershire Health and Care NHS Foundation Trust in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
3. The percentage increase/decrease in the budget for the Early Intervention in Psychosis team of Gloucestershire Health and Care NHS Foundation Trust in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
4. What was the mean waiting time for EIP patients between first referral and starting treatment in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
5. What was the longest waiting time for an EIP patient on your caseload between first referral and starting treatment in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24

read more

B&B Accommodation for Discharged Mental Health Patients

Under the Freedom of Information Act please can you provide the following information:

1. Between January 2024 and December 2024 (inclusive) did the trust use any bed and breakfast accommodation for discharged mental health patients?
If so, how many beds?
2. What was the reason for using them?
3. During the same period how much was spent in total on B&B accommodation for mental health patients?

read more

Digital Technology used in Mental Health Services

1. The names of any digital mental health technologies currently in use by the trust, including the start date for the contract and its duration. If the DMHT is being used as part of a pilot or research project please specify this.
2. The names of any service providers commissioned/sub-contracted by the trust to provide a healthcare service, which uses DMHT. I know that your ICB is responsible for commissioning services but I know that on occasion trusts will bring in third sector/independent sector providers on a sub-contract or other arrangement. Please only include those contracts arranged by the trust, not the ICB.

read more

Aspects of Section 136 of the Mental Health Act 1983

My FOI request is to ask for each of the two financial years 2018/19 and 2023/24:

1. Did your trust operate any HBPoS?
2. If yes, how many HBPoS were there in your Trust area?
3. During which days and hours was the HBPoS open or available to receive detainees. It might for example be generally closed but open on request between certain hours.
4. What was the maximum capacity of each HBPoS to receive detained persons?
5. If there has been a change in the number of HBPoS between the two years and if so is it possible to say why this has happened? It might for example be from changes in funding or it might be that alternative arrangements have been made.

read more

Mental Health information support

I am a Football Development Officer (Disability Pathway) at Gloucestershire Football Association. I am emailing as I am looking to find out if there is anyone from our local NHS foundation trust and supporting networks to help upskill my knowledge around Mental Health statistics within the county of Gloucestershire. This information will be used to further support an application for a large funding project to hopefully provide new and accessible Mental Health football teams across the County.

If you are able to help or point me in the right direction of who to talk to, that would be greatly appreciated.

read more

FOI 267-2024

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.

read more

299-2024

1. Any records regarding the recreational use of Ketamine in Gloucestershire, including the prevalence of Ketamine use and any services commissioned to address the problem
2. The total number of referrals made to the drug and alcohol services related to, in whole or in part, the consumption of Ketamine, for each calendar year

read more

300-2024

1. Clozapine Titration Protocol:
Please provide a copy of or details about the current Clozapine titration protocol used by the Trust. This includes the procedures, guidelines, and any specific criteria followed for titrating Clozapine doses.
2. Outpatient and/or Community Titration:
Does Gloucestershire Health and Care NHS Trust offer Clozapine titration in outpatient and/or community settings? If so, when was this service first introduced?
3. Specialised Teams vs. CMHT Responsibilities:
Is Clozapine titration conducted by a specialised team within Gloucestershire Health and Care NHS Trust, or are Community Mental Health Teams (CMHTs) expected to carry out the titration as part of their general duties?
If it is done by a specialised team, please provide further details regarding the structure of the team.
4. Clozapine Titration for Under-18s:
Does Gloucestershire Health and Care NHS Trust offer Clozapine titration for patients under the age of 18? If so, when was this practice introduced and are there any specific guidelines for titrating Clozapine in this age group?

read more

268-2024

Do you have a section 117 register that is kept up to date – i.e. new patients added when they have section 117 eligibility and patients removed when eligibility ends?
Is the register accessible to staff within your Trust via the intranet?
Do you have a timescale set for section 117 reviews? – i.e. 3 months, 6 months, annual review etc
Does the register include information about the people on your register that require a section 117 reviews and whether these are in date or overdue?
Does your Trust have processes in place to monitor overdue reviews and the number of people on the register who are eligible for section 117 aftercare? If so can you provide details of monitoring arrangements i.e. MHA Operations Committee, reports to teams etc and the frequency of these
Who is responsible for updating the section 117 register within your Trust – i.e. IT department, Performance team, MHA team
Do you have a single point of access for funding queries i.e. which ICB, which Local Authority is responsible for section 117 funding? If so is this via a legal team, social care team, MHA office?
How many patients do you have on your section 117 register?
What proportion of patients have reviews in date?
What proportion have out of date reviews?
Do you have a system in place i.e. a specific team that will undertake section 117 reviews for patients who have entitlement but are not currently open to services

read more

221-2024(2)

1. Can you confirm if Gloucestershire Health and Care NHS Foundation Trust have any Eating Disorder Inpatient Services?
2. Please provide the number of patients in total with an eating disorder that have died of any cause so far this year and in each of the past 5 years, providing figures as <5 for any years that include deaths less than 5. 

read more