Dear FOI Team,
Under the Freedom of Information Act 2000, I request the following information relating to adult service users receiving secondary mental health services from the Trust.
Please provide the information for the reporting periods 2023/24, 2024/25 and 2025/26 (or the most recent data available for 2025/26).
For all questions below, please provide: Trust-wide totals; a breakdown by locality/borough or geographic service area, as organised by the Trust; and, where routinely available, a further breakdown by community mental health team (CMHT) or equivalent, however named locally. If information is not routinely held at that level, please provide the data at the lowest organisational level at which it is recorded.
This is a substantial request covering several distinct areas. To help keep it within the Section 12 cost limit, I have set it out in priority order.
If answering every section in full would exceed the appropriate limit of £450, please answer Sections 1.1 and 1.2 in full in the first instance, and advise under Section 16 how the remaining sections could be narrowed or clarified.
1. Mortality and Learning from Deaths
1.1 Please provide the total number of deaths recorded among adult service users under the care of the Trust during each reporting period, including both community and inpatient services.
1.2 Please provide, where available, the number of those deaths recorded as resulting from natural causes or physical health conditions.
1.3 Please provide the number of Structured Judgement Reviews (SJRs), Learning from Deaths reviews, Serious Incident investigations, Patient Safety Incident Investigations (PSIIs), or equivalent mortality reviews completed during each reporting period.
1.4 Of the reviews identified above, please provide the number where deficiencies, omissions, delays or failures relating to physical health monitoring, physical healthcare provision, or management of physical health conditions were identified as a contributory factor.
Where disclosure of small numbers would engage Section 40 of the Freedom of Information Act, I would be grateful if standard NHS disclosure control methods (such as suppression, banding or aggregation) could be applied rather than withholding the entire dataset.
2. Service Performance and Governance
2.1 Please provide copies of any internal performance dashboards, quality reports, audits, benchmarking reports, Board papers, Quality Committee papers, Learning from Deaths reports, Physical Health Committee reports, or equivalent documents produced during the reporting period that compare physical health monitoring compliance rates, physical health outcomes, mortality rates, patient safety indicators, or other quality indicators between localities or teams.
2.2 Please provide copies of any reports, audits, reviews, investigations or action plans undertaken during the reporting period that identified significant variation in service performance, patient outcomes or quality indicators between localities or teams.
3. Workforce and Resource Allocation – For each locality service and reporting period, please provide:
3.1 Approved staffing establishment (whole-time equivalent).
3.2 Actual staffing levels (whole-time equivalent).
3.3 Vacancy rates.
3.4 Vacancy rates specifically for Consultant Psychiatrists, Specialty Doctors, Mental Health Nurses, Physical Health Practitioners, and Care Coordinators.
3.5 Copies of any locality-level workforce reports presented to senior management, Trust Board committees or quality governance meetings relating to staffing pressures, recruitment challenges or service delivery risks.
Response Format
I would prefer the information in electronic format, such as Excel, CSV or PDF.
If any part of this request exceeds the cost limit under Section 12 of the Freedom of Information Act, please provide the information that can be supplied within the limit and advise how the remainder may be refined. If any information is withheld, please specify the exemption relied upon and explain why it applies.
I look forward to your response within the statutory 20 working day timeframe.
Yours sincerely,