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Virtual Ward (Adult) Services

To whom it may concern,

I am a doctor in the NHS currently undertaking a review of Adult Virtual Ward services across the South West region. I would be grateful if you could provide the following information under the Freedom of Information Act.
Timeframe: 1 April 2024 – most recent month available (monthly breakdown if possible).

Please provide the following about your Adult Virtual Ward service(s):

Configuration
• Which adult pathways are delivered (e.g., frailty, acute respiratory infection, heart failure)?
• Date of go-live for each pathway.
• Usual operating hours.
• Definition of a “virtual ward bed” used in reporting.

Activity & Capacity
• Funded capacity (VW “beds”).
• Average occupied bed-days / occupancy.
• Number of patients admitted and discharged.
• Average length of stay on the VW.

Outcomes & Safety
• 7-day and 30-day unplanned ED attendances, hospital admissions, or readmissions following VW discharge.
• Number of patients escalated to inpatient care from the VW.
• Number of deaths occurring on the VW.

Finance & Benefits
• 2024/25 budget allocated to VW(s).
• Any available analysis of cost-effectiveness or “bed days avoided.”

Data definitions
• Please confirm whether your reporting matches the NHS England Virtual Ward SitRep definitions.

If the above data is routinely submitted to NHS England or available in existing reports, please provide those reports directly.
Many thanks for your assistance,

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Narcolepsy Service

Freedom of Information Request – Narcolepsy Services Please provide the following information regarding narcolepsy services provided or commissioned by your organisation: 1. Do you provide or commission narcolepsy services? • If yes, please provide: • The name and location of the service • The current Referral to Treatment Time (RTT) • The number of patients seen by the service during the most recent full financial year (to April 2025) • The number of patients the service is contracted to see • The key performance indicators (KPIs) or outcome measures are used to monitor the service. Additionally, how the services performed against the set KPIs (outcome measures) for the latest available period of time. • Whether the service is commissioned through a block contract (Yes/No). • If not, please specify: • The organisation or provider to which patients with suspected or confirmed narcolepsy are referred to.

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School Nursing Workforce – Royal College of Nursing

1. Do you currently commission a school nursing service? Yes/No

2. Which of the following best describes your current school nursing contract provider:
a. NHS trust
b. Charity
c. Local authority
d. Community Interest Company
e. Private healthcare provider
f. Other [please specify]

3. How many full-time equivalent (FTE) clinical staff were employed in your school nursing service in: March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

4. How many FTE SCPHN qualified school nurses were employed at each of the following bands (6, 7, 8a, 8b, 8c) in your school nursing service in: March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

5. If your school nursing team is employed on Agenda for Change bands, please tell us how many FTE clinical staff were employed on each Band (3, 4, 5, 6, 7, 8a, 8b, 8c) in March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

6. For each Band (3, 4, 5, 6, 7, 8a, 8b, 8c) please state the percentage of school nursing staff on: temporary (agency), temporary (employed), fixed term, permanent contacts in March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

7. What was the total number of school-aged children that your school nursing service was responsible for in: March 2025; September 2024, March 2024?

8. What was the average number of [primary, secondary and specialist] schools per SCPHN qualified school nurse in your area in: March 2025; September 2024, March 2024?

9. What was the SCPHN qualified school nurse (Band 6) FTE vacancy rate in your school nursing service in: March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

10. Is your school nursing service currently [in April 2025] employing any SCPHN student school nurses? Yes/No, If Yes how many? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

11. Is your school nursing service planning to employ the SCPHN student School Nurses upon completion of their training Yes/No, If Yes how many?

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090-2023

I would like to request a copy of your seclusion policy – as part of my doctoral thesis I am planning to review these to explore current practice in seclusions in the UK.

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120-2023

I would like to submit a Freedom of Information Act request regarding the cost of staffing, I have previously requested this information as part of other correspondence but it has not been provided. Specifically, I would like to know,
What is the cost of a Band 5 nurse working a bank shift?
What is the equivalent cost of an Band 3 Agency HCA for the same shift to the trust, not just their hourly rate.?

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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

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072-2023

I am writing to you under the Freedom of Information Act, to confirm if you hold and are able to share the following information.

Clinical Coding
• Please can you share a copy of your Clinical Coding policy if you hold this information?
• Please can you share if you hold any Standard Operating Procedures, Guidance, process guides for the clinical coding function?

Data Quality
• Please can you share a copy of your Data Quality policy if you hold this information?
• Please can you share if you hold any Standard operating Procedures, Guidance of process guides for staff working in the Data Quality Function?

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246-2024

• What training is provided at Trust level to ensure safe and holistic care of the patients with spinal cord injury and which group of professionals is the training directed to?
• What training is available at Trust level for the Spinal Manual Handling competencies, for band 2, 3, 4, 5 and above? Who is responsible for the delivery of such training, does it fall under the Manual Handling or the Spinal Unit/Centre remit?
• How often is training delivered and how are competencies achieved and maintained?Are updates required to maintain competency?
• What guidance document/competency (e.g. MASCIP) is used during training of Spinal Manual Handling skills?
• How frequently trainers on Spinal Manual Handling skills would require updates?

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095-2023

I am a pharmacy technician at Powys Health Board.

We are currently looking at if we have any patients who live in the Powys area who are accessing Clozapine services in neighbouring areas.

Please can you advise who is the best person to contact at Gloucester Health and Care Trust to confirm whether or not you have Powys clozapine patients your services.

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066-2023

Please would you consider answering the below four questions as a FOI request?

1. Which local risk management system does your trust currently use please? eg: Ulysses 2000 Ltd / InPhase Ltd / RLDatix etc etc.

2. How many responses are required as a minimum for your staff to complete a patient safety report?

3. On average how many patient safety forms have been completed by your staff per month over the previous 6 month period please?

4. What is your ratio of events associated with harm to events associated with no harm please?

5. How many staff does your organisation employ?

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041-2023

ID 21 Questions Responses Q1 Has your organiszation outsourced its ERP system? If you answered ‘YES’, please go to Q4.. Q2 What ERP system are you currently using? Q3 How long have you been using your current ERP system? Q4 How many invoices does your organisation process annually? Q5 What percentage of invoices in your ERP system are currently matched to a purchase order? Q6 What percentage of invoices received are single line invoices? Q7 Do you use 3-way matching? Q8 Do you employ price tolerances? Q9 If you answered ‘YES’ , what levels have your price tolerances been set at? Non Receipts Price variance Other
Q10 How many invoices are in query at any given point in time by query type.? – Q11 Do you currently employ an AP Invoice Automation tool to process supplier invoices? Q12 If you answered ‘YES’ to Q11, What AP Invoice automation tool do you use? Q13 Do you receive consolidated invoices from NHSSC, NHSP and Bunzl ?

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091-2023

Does your Trust employ nurse associates or assistant nursing practitioners? Y/N
If you employ nurse associates/assistant nursing practitioners, do these groups of staff undertake any of the nursing roles ascribed to RMNs or LD nurses in the Mental Health Act or the Mental Health Act Code of Practice? Y/N
If so does this role include:
Receipt and scrutiny of section papers?
Explaining s132 rights?

Granting leave at the nurse’s discretion?

Any other duties outlined in the Mental Health Act or the Mental Health Act Code of Practice?
If nurse associates or nursing practitioners undertake these role do they have additional training/supervision to gain competency?
Do other registered clinicians/practitioners working in inpatient care such as Occupational Therapists or Social Workers undertake any of the duties described in the Mental Health Act or the Mental Health Act Code of Practice?
If so can you describe what these are?

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