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Safety and Security

Staffing Ratios, Abbey Ward, Wotton Lawn Hospital

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To whom it may concern,

I am writing to submit a Freedom of Information request in relation to Abbey Ward, Wotton Lawn Hospital.

Accordingly, under the Freedom of Information Act 2000, please provide the following information for Abbey Ward for the period 1 April 2025 to 24 April 2025:

• Planned staffing levels per shift (day and night)
• Actual staffing levels per shift (day and night)
• Nurse-to-patient ratios per shift
• Breakdown of staff by role (Registered Nurses, Healthcare Assistants, bank staff, and agency staff)
• Any recorded staffing shortfalls, red or amber staffing escalations, or capacity concerns
• Any documented mitigation measures implemented when staffing levels fell below the planned establishment.

This request does not seek any personal or identifiable staff information.

If any part of this request requires clarification, please contact me before refusal or redaction so that it may be refined if necessary.

I understand that a response is required within 20 working days under the Act and would be grateful if the information could be provided electronically.

Kind regards,

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Spiking Cases from October 2021 – September 2025

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Good Afternoon,

My name is Emily Youngs, and I am studying BSc (Hons) Crime and Investigative Studies. As part of my studies. I am currently conducting a study on spiking under the supervision of Dr. Lata Gautam, Principal Investigator for Spiking Research at Anglia Ruskin University. This research has received full ethical approval from the Faculty Research Ethics Panel [ETH2526-0983].
Under the Freedom of Information Act 2000, I would like to request the following information your organisation may hold regarding incidents of spiking:
1. The number of recorded incidents of suspected spiking cases from October 2021 – September 2025, broken down by month where possible.
2. Where available, provide a breakdown of the information, such as grouped data or percentages:
a. Type of spiking methods – needling, drink spiking, food spiking, vape spiking and any other means
b. Gender – Male, Female, Non-binary, Not disclosed, Other
c. Age group of individuals at the time of alleged spiking –
• Below 18
• 18 to 24
• 25 to 34
• 35 to 44
• 45 and above
d. Setting/location type where spiking took place (bar, nightclub, private residence, university accommodation, others)
3. Copies of or link to any guidance, protocols, or policies your organisation has for responding to suspected spiking incidents.
4. This question is for Sexual Assault Referral Centres — do you accept reports of spiking even if there hasn’t been a sexual assault?

Thank you for your assistance.

Yours sincerely,

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Fire Alarm Systems / Waking Watch

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For each hospital site operated by your trust, please provide the following information.

If information is not held at hospital level, please provide it at the closest available level of aggregation.

1. Does the hospital have a fully compliant fire alarm system in operation covering the entirety of this hospital’s estate? Please answer Yes/No.

2. During the 2024/25 financial year, did the hospital employ or contract a ‘waking watch’ service at any point? Please answer Yes/No.

a. If Yes, how much did the hospital spend on waking watch services during the 2024/25 financial year?

b. If Yes, what were the primary reasons for having a waking watch service?

Please select all which apply:

(i.) Fire alarm system absent, incomplete or not fully operational
(ii.) External wall system or cladding-related fire safety concerns
(iii.) Other

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Critical Incidents Declaration Records (Nov 2023 – Nov 2025)

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Dear Sir/Madam,

This is a freedom of information request regarding critical incidents declared by hospitals within your NHS Trust between 13th November 2023 and 13th November 2025.

Request Details: I am seeking information about the number of critical incidents declared by all hospitals within your NHS trust during two specific one-year periods:

– Period 1: 13th November 2023 – 12th November 2024
– Period 2: 13th November 2024 – 12th November 2025

Please provide this information in a table format as follows:

Hospital Name Number of incidents between 13.11.2023 – 12.11.2024 Number of incidents between 13.11.2024 – 12.11.2025
[Hospital 1]
[Hospital 2]

Clarification:
– By “critical incident,” I am referring to incidents declared under your Trust’s major incident/critical incident procedures, typically involving significant disruption to normal services.
– Please include all hospital sites/locations within your Trust
– If no critical incidents were declared during either period for any hospital, please indicate “0”.

If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in section 12 of the Freedom of Information Act, please provide advice and assistance, under the section 16 obligations of the act, as to how I can refine my request.

If you have any queries please do not hesitate to contact me for clarification via this email.

Thank you for your assistance,

Kind regards,

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Sexual Safety Incidents

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Dear Sir/Madam,
I hope you are well.

I am writing to you under the Freedom of Information Act 2000 to request the following information:

1.How many sexual safety incidents took place in trust premises since 1 Jan 2020 to date?
Total

2.Please provide a breakdown of the total provided in question 1 by calendar year*
a) 2020 b) 2021 c) 2022 d) 2023 e) 2024 f) 2025 to date

3.Please provide a breakdown of the total provided in question 1 by type of sexual safety incident – e.g. a) rape, b) sexual assault etc
a) Rape b) Sexual assault c) Sexual harassment d) Stalking e) Abusive sexual remarks f) Other

4.Please provide a breakdown of the total provided in question 1 by age of victim in the following categories: a) under 18, b) 18-64 and c) 65 and over**
a)Under 18 b) 18-64 c) 65+

5.Please provide a breakdown of the total provided in question 1 by status of the victim and perpetrator in the following categories:
1. Perpetrator was a staff member and victim was staff member
2. Perpetrator was a member of the public (or patient) and victim was a member of the public (or patient)
3. Perpetrator was a member of the public (or patient) and victim was a staff member
4. Perpetrator was a staff member and victim was a member of the public (or patient)
a)staff against staff b)public/patient against public/patient c)public/patient against staff d)staff against public/patient

6.Please provide a breakdown of the total number of rapes since 1 Jan 2020 (i.e. the answer to 3.a) by the age of the rape victim in the following categories: a) under 18, b) 18-64 and c) 65 plus**
a)Under 18 b) 18-64 c) 65+

7. Does your trust have a dedicated policy to deal with sexual assault and harassment? If so please provide a copy of your trust’s written policy and if possible provide a date that the current policy was put in place.

*If your trust records this information in tax year, please provide the following yearly totals instead: 2020/21, 2021/22, 2022/23, 2023/24, 2024/25, 2025/26 to date.
**If your trust records this information in different age categories, please provide any information on age of victim available.

I would appreciate it if you could acknowledge receipt of this request and CC in my colleagues Jim.Reed@bbc.co.uk and Alex.Fleming-Brown@bbc.co.uk
If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request.
If you have any questions don’t hesitate to contact me over email.
Many thanks,
BBC Newsnight and BBC Health

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Patient Safety Systems – Learning

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In 2023 you were kind enough to provide information regarding your patient safety systems for the first part of a 2 year project investigating national reporting trends following the introduction of the Learn from patient safety events (LFPSE) service.

Your help and support are invaluable for this work. This is the final stage of this study and if you can help again with the following 2 questions that will enable the study to be completed.

1) When did your trust complete transition to the Learn from patient safety events (LFPSE) service (Month/Year) ?

2) What is now the minimum number of data fields that a member of staff must complete to submit a patient safety report please? (This may vary with different subtypes of report so please provide the lowest number of data fields that is possible, you were previously able to provide this in 2023)

I appreciate the work required and if your trust would like a copy of the output of the completed study reviewing number of patient safety incidents submitted per member of staff related to number of minimum data fields pre and post LFPSE please let me know and when completed I will share this with you.

Thank you for your help and support,

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Monitoring Technology used in Patient Bedrooms

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Dear Gloucestershire Health and Care NHS Foundation Trust,

I am writing to request the following information under the Freedom of Information Act.

1. Please confirm, does the Trust use, or have plans to use, Oxevision* in ward bedrooms, 136 suites and/or seclusion rooms?

*Please note that Oxevision may be referred to by other names including LIO or ‘vision-based monitoring technology’ etc. It is an infrared camera system.

2. Please confirm, does that Trust use, or have plans to use, ‘Project X’^ in ward bedrooms, 136 suites and/or seclusion rooms.

^Please note that Project X may be referred to by different names, for the avoidance of doubt it is marketed by Safehinge Primera and may be described as a ‘non-visual patient safety aid’ and uses radar to track patients’ movements.

3. Please outline whether the trust uses any other video, camera or vision-based patient monitoring systems within patient bedrooms. Please state brand names if appropriate.

4. If the response to any of the above questions is ‘yes’, please provide the following information:

4.1. Please confirm the number of wards/136 suites/seclusion rooms, and provide ward names, where Oxevision/Project X/other vision based monitoring technologies is currently used.

4.2. Please provide your policy or standard operating procedure for the use of Oxevision/Project X/other vision based monitoring technologies, up to the date and time of this request.

4.3. Please provide your Data Protection Impact assessment for the use of Oxevision/Project X/other vision based monitoring technologies.

4.4. Please provide an Equality Impact Assessment in relation to the use of Oxevision/Project X/other vision based monitoring technologies

4.5. Please state the contract end date(s) for all current contract(s) with Oxehealth/LIO health/other organisations that provide the above technologies..

4.6. Please provide patient posters, leaflets and/or information packs.

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Racism/Racist Abuse towards Staff

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1. The number of reported incidents of racism/racist abuse towards staff by patients in 2022, 2023, 2024, and the first nine months of 2025.

– Can the data be categorised in calendar years please.

2. From the figures given in question 1, can you specify how many of the reported incidents were:

a) verbal

b) physical assaults please.

– Can the data be split with a) and b) columns and categorised in calendar years please.

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Staff assaulted by members of public

I am writing with a request under the Freedom of Information Act. Specifically, I would like to ask the following:

1. I) In the financial years 2022/23, 23/24, and 24/25 (Up to 08.01.25), how many members of clinical staff were physically assaulted by members of the public? Please provide a breakdown by role if it is possible and doesn’t exceed the cost threshold, e.g doctors, nurses, physicians, paramedics.

II) Of those clinical staff who were assaulted, how many required hospital treatment as a result of their injuries? Please provide a breakdown by role, if it is possible and doesn’t exceed the cost threshold, for the same financial years.

III) How many days of medical leave were granted to members of clinical staff owing to injuries sustained after an assault by a member of the public? Please provide a breakdown by role, if it is possible and doesn’t exceed the cost threshold, for the same financial years.

2. I) In the financial years 2022/23, 23/24, and 24/25 (Up to 08.01.25), how many members of non-clinical staff were physically assaulted by members of the public?

II) Of those who were assaulted, how many required hospital treatment as a result of their injuries?

III) How many days of medical leave were granted to members of non-clinical staff owing to injuries sustained after an assault by a member of the public?

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Violence Against Staff Policy

We would very much appreciate your help with our national survey of Violence against staff policy by answering these two questions.

1: Does your organisation provide support to staff who have experienced violence from service users or their carers?
2: Does your organisation have a policy in place, on how to support staff that have experienced violence from service users or their carers?

Thanking you

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Medical Incidents at Premier League Stadiums

Under the Freedom of Information Act 2000, I request information about medical call-outs or hospital admissions related to football matches at Premier League stadiums in your area.

Time Period: 2023/24 season and any available data from the 2024/25 season
Stadium-Specific: If possible

1. Number of ambulance call-outs or medical assistance requests from stadiums on matchdays.
2. Number of hospital admissions linked to injuries or incidents at the stadium (if available).
3. If possible, please indicate:
– The type of incident (e.g., collapse, injury, intoxication)

A breakdown by stadium and match date would be appreciated.
If possible, please provide the information in an Excel (.xls or .xlsx) or CSV format.

If parts of this request are not available, please provide the data that you do hold and if you have any other relevant information to premier league football games then please can you also share.

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Security Contract

I am writing to request information under the Freedom of information act. We are Blayde Security an NHS approved security company under the SBS framework.

We would like to know the following.

Who is the Head of Security for the trust?

Do you use an external provider for your security and if so when does this current contract end?

If this goes back out to tender where will it be advertised?

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Sexual Incidents

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Under the Freedom of Information Act 2000, please provide me with the following information about incidents of sexual harm and physical violence that have taken place at your trust. Incidents of sexual violence include, but are not limited to, sexual harassment, sexual abuse, sexual assault and rape. (See after the question for clarification on these definitions.)

In order to assist you, I understand that some, if not all of this information should be recorded in the trust’s safety incident reporting system, or it may be recorded by your HR team.

If possible, please use one of the attached spreadsheets to provide your answers. Please also explain any gaps in your data.

Please ensure that the data you provide is for financial years, not calendar years.

Total sexual safety incidents

1. How many sexual safety incidents did the trust record in the financial year 2024-25? (This includes incidents by all alleged perpetrators against all alleged victims: staff, patients, visitors, members of the public)
1.1 How many of these incidents took place on the trust premises?
1.2 How many sexual safety incidents on the trust premises did the trust record in the financial year 2023-24?*
1.3 How many sexual safety incidents on the trust premises did the trust record in the financial year 2022-23?*

(*My previous FOI asked for total incidents for 2022-23 and 2023-24 but did not specifically ask for only those incidents that occured on the trust premises. If your previous response only covered incidents on the trust premises please answer ‘no change’.)

Sexual safety incidents by staff against patients

2. How many sexual safety incidents allegedly perpetrated by staff against patients did the trust record in the 2024/25 financial year?

Sexual violence and misconduct by patients against other patients

3. How many sexual safety incidents allegedly perpetrated by patients against other patients did the trust record in the 2024-25 financial year?

Sexual safety incidents by patients against staff

4. How many sexual safety incidents allegedly perpetrated by patients against staff did the trust record in the 2024-25 financial year?

Sexual safety incidents by staff against other staff

5. How many sexual safety incidents allegedly perpetrated by staff against other staff did the trust record in the 2024-25 financial year

Age of alleged victims

Please provide figures for the 2024-25 financial year:

6. How many of the sexual safety incidents did the trust record where the victim was a patient:
6.1 Under 18 (this includes under 16 and under 13)
6.2 Under 16 (this includes under 13)
6.3 Under 13

Only include incidents that occured on the trust’s premises.

Physical violence

7. How many incidents of physical violence perpetrated by patients against staff did the trust record in the 2024-25 financial year?
7.1 Do the trust’s records of physical violence by patients distinguish between intentional/deliberate and un/non-intentional violence? (Unintentional violence might be due to lack of capacity, e.g. a symptom of dementia.)
7.2 If the trust does breakdown physical violence into intentional/deliberate and un/non-intentional violence, please provide the following data for the 2024-25 financial year:
• Number of intentional/deliberate incidents of physical violence by patients against staff.
• Number of un/non-intentional violence incidents of physical violence by patients against staff.

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Physical Aggression in Mental Health Services

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Please provide the following information for the financial year 2023/24:

1. The number of whole-time equivalent nursing staff (registered nurses and healthcare assistants) working in clinical roles in your mental health services.
2. The number of incidents of physical aggression towards these staff in your mental health services.
3. The number of incidents of physical aggression in your mental health services where any reference is made to a hijab/headscarf/burka.
4. A copy of your uniform policy.

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Independent Investigations

1. Please state how many independent investigations have been conducted into GHC Trust since Jan 2022

2. Please provide a copy of the ToRs of independent investigations since Jan 2022

3. Please provide a copy of the learning identified through independent investigations since Jan 2022

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Incidents Reviews

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Under the FOIA, please could you provide the following reviews mentioned in the ‘quality dashboard’, published in January 2025 board papers:

Please provide copies of these reviews, and detail the full findings of each review, and the resulting actions from the trust/ system.

Please note I’d like to see the specific findings of each review, rather than summaries.

– “The 78 incidents reported by MIIUs related to the pathway from the NHS 111 service and wider IUCS service are subject to a task and finish group review led by the GHC IUCS Governance Lead. All incidents where harm is unknown/suspected are subject to an end-to-end pathway review with input from the IUCS Clinical Lead”.

– “The sustained trend of high use of Rapid Tranquilisation (RT) has seen a rise to 110 incidents in December 2024. The Positive and Safe Group have confirmed this relates to care of specific patients at Wotton Lawn Hospital, for which individualised care plans are in place. Quality Committee received a deep dive into restrictive practices in November 2024 but has sought a further overview of details related to rapid tranquilisation given the sustained levels.”

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Risk Management

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Could you advise the following about your use of Risk Management systems in your trust?

1. What risk, compliance or incident management software do you currently use?

2. Which vendor provides this software?

3. What is your annual license fee for this software?

4. When is the contract renewal date for this software?

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