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Pharmacy

NHS Trusts Buying and Supplying Paracetamol and Ibuprofen

This is an information request relating to NHS Trusts buying and supplying Paracetamol and ibuprofen.

Please include the following information for the financial years 2022/23, 2023/24 and 2024/25:

• The total number of individual patients to whom paracetamol and ibuprofen were prescribed by your Trust annually.
• The total amount spent by your Trust on supplying prescribed paracetamol and Ibuprofen in each of those financial years.
• If available, a breakdown of the form in which paracetamol was prescribed (e.g., tablets, capsules, liquid suspension, etc.) and associated costs for each form.
• What are the specific conditions which qualify a patient to be prescribed paracetamol or ibuprofen? Or what is your general policy for qualifying a prescription for paracetamol or ibuprofen?

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302-2024

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I would like to submit an FOI request for the amount of human albumin in grams purchased by the trust in 2023 and 2024 (the entire calendar year),
a. broken down by manufacturer (Bio Products Laboratory, Grifols, Biotest, CSL Behring, Octapharma, Takeda),
b. by concentration (4.5%, 5%, 20%) and
c. by service ordering albumin (ICU, Liver unit, etc.)

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300-2024

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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?

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295-2024

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Existing aseptic compounding services
1. Does your Trust provide in-house aseptic compounding services? If yes:
a. What type of aseptic products are prepared in-house (e.g. chemotherapy, SACT, parenteral nutrition, CIVAS, antibiotics)?
b. How many aseptic units does your Trust operate?
c. Please confirm whether each aseptic unit operated by your trust is on-site or off-site. If off-site, please specify the location.
2. Do you outsource any aseptic compounding services to external providers (either NHS Trusts or industry providers)? If yes:
a. To which organisations do you outsource aseptic compounding services?
b. What type of aseptic products are outsourced to these organisations (e.g. chemotherapy, SACT, parenteral nutrition, CIVAS, antibiotics)?
c. When are these contracts due to run until?
d. What is the value of each of these contracts per annum?

Future plans for aseptic compounding services
1. Does your Trust have plans to expand or upgrade its existing aseptic compounding facilities? If yes, please provide details.
2. Are there existing or planned strategic partnerships or collaborations (with other NHS Trusts or industry providers) to expand or enhance aseptic services?
3. Are there plans to transition more services in-house or increase outsourcing for aseptic preparations? If yes, please provide detail of these plans.

Additional
1. Who is the best person to contact regarding the setup of aseptic compounding services for your organisation? Please provide name, position and contact details where possible.

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182-2024

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Please include the following information for 2020/21, 2021/22, 2022/23, 2023/24:
– What lactose intolerance medication is prescribed by the NHS Trust
Total expenditure by the NHS Trust on
– Lactose intolerance medication for each financial year.
– Total number of people that received lactose intolerance
– A breakdown of the spending in terms of what form of lactose intolerance medication is administered.

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169-2024

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How many days of sick leave, recorded as being due to “Anxiety/Stress/Depression/Other Psychiatric Illnesses”, in line with NHS recording of sickness absence, were taken by pharmacy staff in your trust in each of the following years:
2024/25
2023/24
2022/23
2021/22
2020/21
2019/20
2018/19 
2017/18

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