Under the Freedom of Information Act, I am writing to request information about adult mental health services in High Secure Units (HSUs), Medium Secure Units (MSUs), Low Secure Units (LSUs) and Psychiatric Intensive Care Units (PICUs) – specifically where these services fall under adult mental health commissioning (excluding learning disability or other non-mental health pathways).
From what I have read, services may be commissioned under a combination of spot contracts, out-of-area (OOA) placements, and block contracts, depending on the service type and provider. I am seeking to better understand the structure of commissioning and the associated payment flows.
Please provide the information separately for the financial years 2024/25 and 2025/26 Year to Date (YTD) for the following:
1. Spot Contracts (excluding OOA)
• Total income (in £) on spot-priced adult mental health patients
• Total number of adult mental health bed days commissioned
• Average fee (in £) per bed day
2. OOA Contracts
• Total income (in £) on out-of-area adult mental health patients
• Total number of adult mental health bed days commissioned
• Average fee (in £) per bed day
3. Block Contracts
• Total value (in £) of the block contract obtained for adult mental health services
• Total adult mental health bed days commissioned under the block by type (HSUs, MSUs, LSUs, PICUs)
• Average fee (in £) per bed day under the block
4. If breakdown by 1, 2, 3 not available
• Please provide aggregate figures for adult mental health services only:
a) Total cost (in £) of delivering care for adults for each service type
b) Total number of adult bed days delivered for each service type
c) Average cost (in £) per occupied bed day (or per week) for adults for each service type
Please fill out your responses in the attached Excel spreadsheet and return the completed file via email reply.
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Procurement
Therapy and Community Rehabilitation Services
Under the Freedom of Information Act 2000, I am requesting the following information regarding your Therapy and Community Rehabilitation services, including Occupational Therapy, Physiotherapy, Speech and Language Therapy, and Dietetics:
Are any of these services currently delivered by external providers through:
Insourcing
Outsourcing
Subcontracting
For each external provider currently engaged, please provide:
Name of the provider
Type of engagement (insourced, outsourced, subcontracted)
Service(s) provided
Contract start date
Contract end date or review date
Annual contract value or total spend to date Volume of activity delivered (e.g. number of patients seen, sessions delivered, or hours worked) Performance metrics or KPIs, if available Was the contract awarded via a framework or open tender? If so, please specify which framework (e.g. NHS SBS, HealthTrust Europe, etc.).
Who is the internal lead responsible for managing these contracts? Please provide their job title and department.
Who do the external providers report into operationally within your organisation? (e.g. Clinical Lead, Service Manager)
Are there any current or upcoming plans to procure additional external support for these services in the next 12 months?
Have you experienced any challenges in meeting waiting time targets or service demand in these areas over the past 12 months?
Market for Bank or Agency Management Services
I am writing to submit a Freedom of Information (FOIA) request under the 20-day response requirement, to inquire whether your organisation intends to come to market for bank or agency management services in the next 12 months. Specifically, I would appreciate information on:
1. Whether the trust plans to tender for these services in the near future.
2. The scope of services expected to be included in the upcoming tender.
3. The key point of contact within the trust responsible for this area.
Use of Insourcing Providers
I am writing to request information under the Freedom of Information Act regarding your Trust’s use of Insourcing to support service delivery and reduce waiting lists.
Please could you provide responses to the following:
1. Do you currently use Insourcing providers to support delivery of clinical services and reduce patient waiting lists?
(Yes/No)
2. If yes, please provide the names of all Insourcing providers used by your Trust over the last 12 months.
3. For each provider listed above, please confirm:
o The specialties in which they have delivered services
o The total spend with each provider (for the most recent 12-month period available)
4. What specialties within your Trust currently use Insourcing providers?
5. What procurement route(s) did you use to award Insourcing contracts?
(e.g. NHS SBS, HealthTrust Europe, local procurement, etc.)
6. Are these contracts part of a framework or spot-purchased?
(Please specify for each provider if possible.)
7. What is the duration of the current Insourcing contracts?
(Start and end dates, and whether there are extension options.)
Insourcing
This is a freedom of information request under the Freedom of Information Act 2000. Please provide the following information you have pertaining to NHS insourcing within your Trust / Health Board.
1. Do you use insourcing providers?
2. If yes to the previous question (use of insourcing providers) what is the total value of spend, listed by speciality and insourcing provider, used for Apr-24-Mar-25?
Note: if an insourcing provider covers multiple specialties, please list that provider multiple times (one row for each specialty)
3. Please list below contracts with insourcing providers in the current financial year April 2025 – March 2026
HSCN and Connectivity
1. HSCN connectivity (Health and Social Care Network)
a. Please can advise who is the existing supplier
b. Contract end dates
c. Total contract value
d. Which framework this was purchased under
e. Name of the contact responsible for this
2. Software Defined WAN (SDWAN)
a. Please can advise who is the existing supplier
b. Contract end dates
c. Total contract value
d. Which framework this was purchased under
e. Name of the contact responsible for this
3. Local Area Network (LAN)
a. Please can advise who is the existing supplier
b. Contract end dates
c. Total contract value
d. Which framework this was purchased under
e. Name of the contact responsible for this
4. Wireless Access (WIFI)
a. Please can advise who is the existing supplier
b. Contract end dates
c. Total contract value
d. Which framework this was purchased under
e. Name of the contact responsible for this
Procurement of cyber security services and software platforms
I am conducting a research project into how public sector organisations procure cyber security services and enterprise software platforms. As part of this, I would be grateful if you could provide the most recent contract information you hold for the following areas:
1. Standard Firewall (Network)
Firewall services that protect the organisation’s network from unauthorised access and other internet security threats.
2. Anti-virus Software Application
Programs designed to prevent, detect, and remove viruses, malware, trojans, adware, and related threats.
3. Microsoft Enterprise Agreement
A volume licensing agreement that may include:
• Microsoft 365 (Office, Exchange, SharePoint, Teams)
• Windows Enterprise
• Enterprise Mobility + Security (EMS)
• Azure services (committed or pay-as-you-go)
4. Microsoft Power BI
Or any alternative business intelligence platform used for data connectivity, dashboards, and reporting.
________________________________________
For each of the above areas, I kindly request the following:
1. Who is the existing supplier for this contract?
2. What is the annual spend for each contract?
3. What is the description of the services provided?
4. Primary brand (where applicable)
5. What is the start date of the contract?
6. What is the expiry date of the contract?
7. What is the total duration of the contract?
8. Who is the responsible contract officer?
• Please include at least their job title, and where possible, name, contact number, and direct email address
9. How many licences or users are included (where applicable)?
Procurement Information
Could you please advise of the following in terms of your Trust:
1. Is your Procurement Function in- house or outsourced?
2. How many people FTE work in your Procurement Dept including roles and bands?
3. What is the cost of your Procurement Function?
4. What is the scope of activity your Procurement Function delivers? Does this specifically include: Operational Procurement ie: transactional activity raising requisitions/ orders, Strategic Procurement ie: Category Management, tendering etc, Contract Management, general advice and guidance?
Call-off contracts
I would like to make a Freedom of Information request.
I am doing a research project investigating call-off contracts in the public sector. I have identified several potential call-off contracts awarded by Gloucestershire Health and Care NHS Foundation Trust, but I can’t find details of the framework agreements they were awarded from.
I have attached an Excel file that contains the information I am looking at. The last two columns (“Title of framework used” and “Further framework info”) is where I am missing information. Please could you provide the name of the specific framework agreements or DPS agreements used here. If there is any further info which you think would help me locate the framework agreements (e.g., a link to the framework’s Contract Finder or FTS listing, the framework provider, or a widely-used reference number such as CCS’s RM codes), please use the final column for this.
Please note that I have identified these contracts as possible call-off contracts, so some of them might not be. Some could be, for instance, procured directly (without being called off from a framework agreement), or could be themselves notices of the establishment of a framework agreement. Therefore I would kindly ask you to specify in these incidences what kind of procurement was used in the “Title of framework used” column.
I have provided the title, description, the publication date, and procedure type used to award each potential call-off, as well as a URL link to the call-off in question and a unique reference ID for each potential call-off. Please let me know if there is anything else you need to complete the request.
If you do not feel like this request could be completed in good time, please could you work down the list and do as much of a subset as you can?
269-2024
1. Which software provider does the Trust use for medics rostering software
2. Which software provider does the Trust use for doctors temporary staff management software
3. Which software provider does the Trust use for direct engagement management of medical locums software
4. Which software provider does the Trust use for master vendor management software
5. What was the annual cost for the Trust’s medics rostering software in the last FY
6. What is the contractual end date of your current medics rostering software
7. What is the contractual end date of your current direct engagement software
8. What is the contractual end date of your current master vendor management software
9. What is the contractual end date of your current temporary staff management software
216-2024
SECTION 1: Hospital Demographics
1. Please indicate your trust/hospital type and type of care:
1. Trust/Hospital Type:
i) Acute
ii) Mental Health
iii) Community
iv) Ambulance
v) Other (please specify)
2. Type of Care:
i) Secondary
ii) Tertiary
iii) Other (please specify)
3. Total Number of Beds: Please indicate the total number of inpatient beds in your hospital, including all types (e.g., general, ICU, maternity) if applicable.
4. ICU/ITU Bed Count: How many beds are designated for intensive or high-dependency care?
5. Annual Admissions: Please provide the total number of patient admissions in the last calendar year. If exact figures are unavailable, please provide your best estimate.
SECTION 2: Procurement and Inventory Management
1. Formal Procurement Policies: Does your hospital have formal policies or guidelines for medical equipment procurement?
i) Yes (please provide a copy or summary)
ii) No
2. Designated Procurement Roles: Is there a designated individual or team responsible for managing the procurement of medical equipment? If yes, please provide the role(s) and a brief description of responsibilities.
i) Yes – Individual
ii) Yes – Team
iii) No
3. Inventory Review Frequency: How often is your medical equipment inventory reviewed for excess or unused items?
i) Monthly
ii) Quarterly
iii) Biannually
iv) Annually
v) Other (please specify)
4. Primary Sources for Procurement:
What are the primary sources for your medical equipment procurement?
Please indicate the proportion sourced from the NHS supply chain versus individual suppliers, and provide any additional details as applicable.
SECTION 3: Waste and Disposal
1. Excess/Expired Equipment:
What percentage of your medical equipment inventory was classified as excess, unused, or expired in the last 12 months?
Please provide a breakdown by equipment type, if available.
2. Disposal Responsibility: Is there a specific role or department responsible for overseeing the disposal of medical equipment? If yes, please provide the role(s) and responsibilities.
i) Yes – Individual
ii) Yes – Department
iii) No
3. Formal Disposal Policy: Does your hospital have a formal policy for the disposal of medical equipment?
i) Yes (please provide a copy or summary of any policies)
ii) No
4. Types of Commonly Disposed Equipment: Please specify the types of medical equipment most commonly disposed of due to expiry or non-use. Include examples and approximate percentages for each type, if possible.
i) Surgical instruments
ii) Diagnostic devices
iii) Monitoring equipment
iv) Imaging equipment
v) Other (please specify)
SECTION 4: Sustainability and Environmental Impact
1. Sustainability Initiatives: Does your hospital have a sustainability initiative for recycling, reuse, or redistribution of excess or unused medical equipment?
i) Yes (please provide details)
ii) No
2. Disposal of Excess or Expired Equipment: How does your hospital manage the disposal of excess, expired, or damaged equipment? Please provide a breakdown by disposal method and indicate the approximate amount (in tonnes) used per year for each method.
i) Recycling
ii) Donation
iii) General waste
iv) Other (please specify)
SECTION 5: Policies and Compliance
1. Compliance with Disposal Guidelines: How does your hospital ensure compliance with national or NHS guidelines on the disposal and management of medical equipment?
i) Internal audits
ii) External audits
iii) Regular staff training
iv) Other (please specify)
2. Internal Audits of Equipment Management: Has your hospital conducted internal audits within the last 12 months to assess the management of excess medical equipment?
i) Yes (If yes, please indicate the frequency of audits and any key findings, if available)
ii) No
197-2024
For all psychiatry grades (e.g. Consultant, SAS) and all sub-specialties (e.g. General Adult, Old Age, CAMHS) for the periods 2021/22, 2022/23, 2023/2024 and April to September 2024:
1. Please could you provide the data for total spend, for each locum agency used, divided between on and off framework
2. Please confirm the total number of agency locum psychiatrists working per month, for each agency supplier divided between on and off framework.
3. Please confirm the total number of hours worked by agency locum psychiatrists per month, for each agency supplier divided between on and off framework.
4. Please confirm the total number of unfilled vacancies (excluding locum filled posts) per month.
159-2024
This is in relation to the use of social value weighting of 10 per cent in your procurement of goods and services, which has been mandated by government for NHS Trusts and Foundation Trusts since April 2022.
Please send me:
1. What methods do you use to measure social value from your procurements? Please include any additional measurement methods you use (e.g. TOMs) as well as the NHS Social Value Model.
2. What is the total social value accrued by your procurement activities each year from April 2022, according to how you measure and report this at a corporate level? If possible, can you provide any explanatory notes to explain how you have measured this?
3. Do you use financial proxies to monetise the measurement of social value, such as social local economic value? If so:
1. a. Please specify the method or measure you use to monetise the measurement of social value
1. b. Please provide the total number of contracts to which you applied this financial proxy each financial year since April 2022
1. c. Please provide the total value of those contracts
1. d. Please provide the total monetized social value of those contracts
1. e. Please provide the total value of all contracts let during that same period
4. How much in total have you spent in procurement on local business/organisations, each financial year, since April 2022? Please including your definition of a local business/organisation, if you have one.
5. How much have you spent on SMEs each FY since April 2022? The government defines an SME as a company with fewer than 250 employees, turnover under €50m and balance sheet under €43. If the trust has a different definition then please provide it.
6. How much have you spent on VCSEs each FY since April 2022? Again, please include your definition of a VCSE if you have one.
202-2024
1. Codes used by insourcing provider: Please provide a list of each individual tariff (HRG) code, HRG reference name, and total count of references for each code for activity completed by third party insourcing providers. We do not need to know the provider nor the spend. Just the total number of references per code (e.g., FZ51Z, Diagnostic Colonoscopy. Count: 76).
2. Breakdown by Specialty: Please associate and provide the medical specialty (e.g., Gastroenterology, Dermatology, Ophthalmology, etc.).
3. Breakdown by clinical setting: Please specify whether this was for outpatients, day case procedures or diagnostic tests.
4. This information is requested for the financial years 2022-23, 2023-24, and financial year (2024-2025) to date.
Clarification of Terms:
For the purposes of this request, “HRG tariff” renamed “NHS Payment Scheme” refers to the standardised categories and pricing used for specific specialties and delivery types within the NHS.
For the purpose of this request, “elective insourcing services” refers to services provided by an external organisation within your facilities, typically aimed at reducing waiting lists and improving patient access to elective care.
213-2024
I am currently conducting some personal research on the size and age of imaging equipment across acute NHS Providers in England. To aid my research, I am requesting that you provide (in editable digital formats) the data points listed below per the Freedom of Information Act 2000.
1. CT Scanners
a. Number operated
b. Quantity
i. Make,
ii. model and
iii. age of each scanner
c. Use of outsourced CT service provider
i. Y or N
2. MR Scanners
a. Number operated
b. Quantity
i. Make,
ii. model and
iii. age of each scanner
c. Use of outsourced MR service provider
i. Y or N
3. PET/CT Scanners
a. Number Operated
b. Quantity
i. Make,
ii. model and
iii. age of each scanner
c. Use outsourced PET/CT service provider.
i. Y/N
ii. If Yes
1. Provider Name(s) and
2. Location
210-2024
1) Does the Trust / Health Board use a third-party inventory management / point of care solution?
1A) If yes – please confirm:
I: Which inventory management / point of care solution you use.
II: Contract value (p.a.)
III: Contract renewal date
IV: When did the Trust / Health Board first start using this solution?
1B) If no – does the Trust / Health Board use any internally-built IT inventory management / point of care solutions?
2) Please could you indicate which department(s) in the Trust / Health Board use inventory management / point of care solutions, whether third-party or internal?
165-2024
1. For your adult eating disorder service in 2024 what were the BMI of inpatients and community patients with an eating disorder at the time they were discharged?
2. For your adult eating disorder service in 2024 how many inpatients and community patients with an eating disorder were discharged with a BMI of under 15?
3. For your Children’s eating disorder service what was the weight for height percentage of inpatients and community patients with an eating disorder at the time they were discharged?
4. For your Children’s eating disorder service in 2024 how many inpatients and community patients with an eating disorder were discharged at a weight for height of less than 75 ?
5. At point of discharge if patients had a BMI of under 15, or equivalent to weight for height of less than 75, where were your patients discharged to? (for both adults and children)
6. In your adult and children’s eating disorder service what treatment is offered to inpatient and community patients who had a BMI of under 15, or equivalent to weight for height of less than 75?