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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.
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?
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
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?
I am writing to request information under the freedom of information act on your organisations waiting list information.
1. Please can you fill in the table provided on waiting list figures for Adults and Children and Young People (CYP) split by Mental Health Condition
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.
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.
The NHS small cases policy states that codes with less than 5 cases can be shared safely when recorded as <5. Please can you give me the information I have requested including the codes with less than 5 cases recorded as <5.
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.
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.
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
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?
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
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.
1. Please state any digital technologies, e-therapies, internet-delivered therapies, online or digital therapies, digitally enabled therapies or digital therapeutics for adult mental health problems that your Trust has procured, contracted or are paid for by the service for use by service users.
2. Additionally, please state any digital technologies, e-therapies, internet-delivered therapies, online or digital therapies, digitally enabled therapies or digital therapeutics for adult mental health problems that your Trust uses or recommends to service users.
3. For the period of 2023/24, please provide any data monitoring information you collect on the technologies listed above.
4. Please list any Talking Therapies (formerly known as IAPT) providers that run services on your behalf or in connection with your Trust.
5. If these services are not run directly by the NHS please state who runs them and what they are (e.g. Social Enterprise, Limited Company, third sector group).
6. Please state any organisations or third parties (e.g. ORCHA) you have partnered with or commissioned to create or provide an app library.
7. For the period 2023/24 please state the total number of people your Trust treated for common mental health problems
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
Q 1 Please provide for the five individual years 2019-24 the total number of patient safety reviews in inpatient mental health carried out by the trust.
Q 2 Out of those PSR’s how many examined a patient death?
Q 3 Out of those fatal PSR’s please let me know how many deaths in the report were linked to staffing levels. ( a straightforward wordsearch in the conclusions would suffice).
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 2023?
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 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 and CCG?
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 2023?
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 were restrained?
7.How many RESTRAINTS were investigated outside the NHS and CCG?
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?
15.How does the Trust plan to reduce restraints in the future?
Please provide SECLUSION information under the FOI act to the following questions: –
1.Please supply any SECLUSION reports/investigations
2.How many SECLUSIONS in 2023?
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 were secluded ?
7.How many SECLUSIONS were investigated outside the NHS and CCG?
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 2023?
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 endured medication errors ?
7.How many MEDICATION ERRORS were investigated outside the NHS and CCG?
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?
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).
For each of the last three calendar years (2022, 2023, and 2024) could you please provide me with:
1. the number of mental health patients who have been physically restrained;
2. the individual number of restraint incidents per patient on average;
3. the number that involved face-down restraint;
4. the number of patient injuries as a result of any physical restraint; and
5. the number of staff injuries as a result of any physical restraint.
Overview of Services:
A comprehensive list of all services and programmes currently offered specifically for people with co-existing mental health and substance use needs.
Details on whether these services are integrated (addressing both issues simultaneously) or if they operate separately.
Access and Eligibility:
The eligibility criteria for accessing these services.
Information on referral processes, including whether self-referrals are accepted.
Performance and Outcomes:
Copies of any evaluations, audits, or performance reports related to these services from the past three years.
Key performance indicators used to measure the effectiveness of the services.
Partnerships and Collaborations:
Information on any partnerships with other organisations (e.g., NHS trusts, charities, community groups) in delivering these services.
Details of joint initiatives or programmes aimed at supporting this client group.
Future Developments:
Any planned changes, expansions, or reductions to these services in the next 12 months.
Strategies in place to improve service delivery for individuals with co-existing mental health and substance use needs.
Access and Eligibility:
Average waiting times from referral to initial assessment and from assessment to commencement of treatment.
Service Capacity and Utilisation:
The total number of individuals who have accessed these services in the past three years, broken down by year.
The maximum capacity of each service or programme.
The number of staff dedicated to these services, including their professional qualifications.
Staffing and Expertise:
Details of any specialised training provided to staff for working with co-existing conditions.
Funding and Resources:
The annual budget allocated to these services for the past three financial years.
Information on any funding changes during this period and the reasons for such changes.
I am making a Freedom of Information Request for both ICD10 first diagnosis discharge codes and cases (and the same for OPCS codes and cases if you have any), recorded per individual facility in your health authority.
Any information must be totally anonymised.
I am requesting the data for the last five calendar years, i.e. 2018, 2019, 2020, 2021, 2022, 2023.
The suggested data format is in columns:
1. Facility name
2. Primary diagnosis ICD-10 4 or 5 digits (The ICD 10 data set I am asking for comprises the range A000 to Q999)
3. (all OPCS codes)
4. Number of cases
5. Years
Freedom of Information Request – Ref: 184-2024 Thank you for your recent Freedom of Information...