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Responses

022-2023

I am writing to submit a formal request under the Freedom of Information Act FOIA., for access to information related to use of print and print stock management including printed stationery, covering both your operational print requirements and communications requirements; Electronic Patient Records EPR. systems and use of document management services.

As a member of the public, I am seeking information related to the agency’s records management practices, policies, and procedures.
I would be most grateful if you would provide me details in respect to the following:

A. Print and print stock management
1. a. What is the actual spend on print stock management including printed stationery in the last year broken down by contractual managed stock and ad-hoc non-stock.?
b. What is the actual spend on print stock management including printed stationery over the last 5 years broken down by contractual managed stock and ad-hoc non-stock.?
2. What is the trust spending on print stock management including printed stationery – both operational and communications spend that isn’t covered contractually?
3. Could you please provide a copy of the service/product specification given to all bidders for when this contract was last advertised?
4. a. Has a decision been made yet on whether the frameworks./contracts. are being extended or renewed?
b. If yes, what decision was made?
c. If no, what is the reason the contract is not being extended or renewed?
5. What are the criteria used in selection of print management suppliers?

B. Electronic Patient Records EPR
1. Please could you confirm the main EPR system e.g Cerner Millennium, EPIC etc.. in place at your Trust?
2. a. If you currently do not have an EPR system in place, do you have plans to implement one? Yes/No.?
b. If yes, when?
3. Will a paper scanning system such as MediViewer. be used in conjunction with the EPR system for existing patient records and future documentation of patient records?
4. Is the department required to maintain paper records as well as digital records of patients?
5. a. Are EPR systems used alongside paper records or only one of the two?
b. If only one, please specify which is currently used.
6. a. Is there an existing project in place to fully implement EPR to replace all paper records?
b. If so, what is the expected timeline for this project?
c. If not, is there a plan to introduce one?

C. Document Management Services
1. What is the actual spend on Electronic Documents and Records Management Systems EDRMS. over the last 5 years?
2. What is the actual spend on digital mail rooms and/or hybrid mail rooms over the last 5 years?
3. What is the actual spend on document scanning over the last 5 years?
4. What is the actual spend on document storage over the last 5 years?
5. What is the actual spend on digital dictation over the last 5 years?
6. What is the actual spend on workflow process automation and cloud services over the last 5 years?
7. a. Are there existing contracts for these services?
b. If yes, who are the current suppliers broken down by EDRMS, digital mail rooms and/or hybrid mail rooms, document scanning, document storage, digital dictation workflow process automation and cloud services?
8. a. Were these contracts awarded following a tender process conducted under a framework?
b. If so, kindly provide details.
9. When were the contracts awarded, and for what period of time?
10. What are the records retention schedules including any schedules that outline the length of time records are to be retained and their final disposal, such as destruction or transfer to an archive?

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382-2024

I am writing from the organisation EveryDoctor, and would like to submit a Freedom of Information FOI. request to ask the following questions please.

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429-2024

I am emailing to initiate another Freedom of Information request:

• I would like copies of records of the statutory/mandatory training compliance for all staff working at Berkeley House, including bank and agency staff. from March 2019 to present day.

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428-2024

• I would like to know the number of DATIX reports submitted each calendar month for incidents which occurred at Berkeley House between March 2019 and the present day. If possible, I should like to know the reason/Category of incident for each DATIX report.
• I would like to know the safe staffing numbers for Berkeley House from March 2019 to the present day, including details of how many bank/agency staff were on shift, as well as any breaches where the unit was operating with insufficient staffing levels.

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427-2024

I would like to request the following information under the Freedom of Information Act.

1. As of 01/03/24, how many inpatients at psychiatric hospitals operated by your trust are transgender, or identify as a different sex to the sex assigned to them at birth?

2. Please provide your guidance on transgender inpatients, including the contact they are allowed with other patients, and whether they are treated on wards that correspond with the gender they identify as, or the gender they were assigned at birth.

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426-2024

I am writing to request, under the Freedom of Information Act, the following:
I. The total amount spent by the Trust on bank and agency doctors in each of the last 5 financial years including 2023/24 so far.
II. The total amount spent by the Trust on bank and agency nurses in in each of the last 5 financial years including 2023/24 so far.
III. The largest amount spent by the Trust on a single agency nurse shift in 2023/24
IV. The largest amount spent by the Trust on a single agency doctor’s shift in 2023/24

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422-2024

Technologies Supplier Software/system Contract expiry date Revised expiry date
Electronic patient record Access UK Rio Jun-24 Electronic patient record Mayden iaptus Nov-22 Electronic patient record TPP SystmOne Jun-24 Electronic patient record Software of Excellence SOEL Health Nov-22 Electronic prescribing and medicines administration ? ? ? Maternity information system ? ? ? Diagnostic imaging information system ? ? ? Laboratory information management system LIMS. ? ? ? Cyber security services Bytes ? Jun-25 Clinical communications system ? ? ? Remote consultation system provider e.g. video and online consultations. ? ? ? Cloud provider ? ? ? Barcode and scanning technology system provider ? ? ? Computer hardware provider laptops, PCs, smartphones, tablets, iPads etc. XMA ? Jul-24 Please note: In relation to cyber security we are asking for the name of your main cyber security provider. We do not need to know the software or sub-contractors used. Clarification on ” Responses:
• Please enter ‘No System Installed’ if your trust does not have such system.
• Please enter ‘No system needed’ if your trust does not have a department or service which requires such a system. Clarification on Contract expiry date: • If the contract is expiring in the next 6 months, please state if the trust plans to renew, re-procure or take any other action?
• If the contact is on a rolling basis, Please enter ‘Rolling’.
Additionally, could you please fill in the missing product names and revised contract expiry dates?

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420-2024

1. Do you currently have a contractual agreement in place for supply of services from S12 Solutions Limited based at 5 Kelso Place, Bath BA1 3AU?
2. If yes, when is that agreement due to end?
3. Could you please provide a copy of the service/product specification given to all bidders for when this contract was last advertised?
4. Is there an extension clause in the contract and, if so, the duration of the extension?
5. Has a decision been made yet on whether the contract are being either extended or renewed?
6. Who is the senior officer outside of procurement. responsible for this contract?
7. What is the total value of the contract?

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418-2024

ITV News would like to make a freedom of information request about your adult eating disorder services.

Please provide the following information by the following calendar years:

2020, 2021, 2022, 2023, 2024 up to the present date 28/2/24.

During each calendar year, in adult services:

1.How many new referrals started treatment for an eating disorder?
2.How many patients were discharged from your service following treatment for an eating disorder?
3. How many of those patients discharged. had achieved a BMI of 18.5 or higher when they were discharged?
4. How many of those patients discharged. had a BMI of below 15 when they were discharged?
5. What was the lowest BMI recorded of a patient when they were discharged out of patients from point 4.?
6.How many of those patients from point 4. were readmitted within 3 years of being discharged?

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417-2024

Freedom of Information Request
I am writing to you under the Freedom of Information Act 2000 to request the following
information from Gloucestershire Health and Care NHS Foundation Trust. Please may you
provide me with:
The most up to date version of the policy and procedure for complaints and concerns
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 can identify any ways that my request could be refined I would be grateful for any further
advice and assistance.
Pursuant to Section 10 of the Freedom of Information Act, it is incumbent upon Gloucestershire
Health and Care NHS Foundation Trust to provide a response to this request within a period of
20 working days. Consequently, I anticipate receiving a response no later than Monday, March
25
th 2024.

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416-2024

Please provide me with the following information under the Freedom of Information Act.

Based on your latest available data, how many fines have been handed out to members of staff at your Trust over the past five years for issues related to car parking? This could include parking in the wrong area, not having a permit etc.

How many staff does your Trust currently have and how many of these currently have a car parking permit?

How many are on the waiting list to receive a permit?

If possible, please provide data broken down by year by calendar year. Spreadsheet format preferred if possible.

If it is not possible to provide some of the data requested, I would be grateful if you could provide whichever elements of this FOI request are eligible for release.

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036-2023

1.Please supply patient’s information ECT leaflet.
2.Please supply patient ECT consent form
3.Please supply any ECT reports/investigations
4.How many ECT in 2022?
5.What proportion of patients were men/women?
6.How old were they?
7.What proportion of patients were classified people of the global majority or racialised communities POC / BAME.?
8.How many were receiving ECT for the first time?
9.How many patients consented to ECT?
10.How many ECT complaints were investigated outside the NHS and CCG?
11.How many patients died during or 1 month after ECT and what was the cause whether or not ECT was considered the cause.?
12.How many patients died within 6 months after ECT and what was the cause whether or not ECT was considered the cause.?
13.How many patients died by suicide within 6 months of receiving ECT whether or not ECT was considered the cause.?
14.How many patients have suffered complications during and after ECT and what were those complications?
15.Have there been any formal complaints from patients/relatives about ECT?
16.If so, what was their concerns?
17.How many patients report memory loss/loss of cognitive function?
18.What tests are used to assess memory loss/loss of cognitive function?
19.Have MRI or CT scans been used before and after ECT?
20.If so, what was the conclusion?
21.How does the Trust plan to prevent ECT in the future?

Please provide SERIOUS INCIDENT information under the FOI act to the following questions: –
1.Please supply any serious incident reports/investigations?
2.How many SERIOUS INCIDENT REPORTS in 2022?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities POC / BAME.?
6.How many SERIOUS INCIDENT REPORTS were investigated outside the NHS and CCG?
7.How many patients died during or 1 month after SERIOUS INCIDENT REPORTS and what was the cause whether or not SERIOUS INCIDENT REPORTS was considered the cause.?
8.How many patients died within 6 months after SERIOUS INCIDENT REPORTS and what was the cause whether or not SERIOUS INCIDENT REPORTS was considered the cause.?
9.How many patients died by suicide within 6 months of receiving SERIOUS INCIDENT REPORTS whether or not SERIOUS INCIDENT REPORTS was considered the cause.?
10.How many patients have suffered complications during and after SERIOUS INCIDENT REPORTS and what were those complications?
11.Have there been any formal complaints from patients/relatives about SERIOUS INCIDENT REPORTS?
12.If so, what was their concerns?
13.How does the Trust plan to prevent SERIOUS INCIDENTS in the future?

Please provide restraints information under the FOI act to the following questions: –
1.Please supply any Restraints/investigations?
2.How many RESTRAINTS in 2022?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities POC / BAME.?
6.How many RESTRAINTS were investigated outside the NHS and CCG?
7.How many patients died during or 1 month after RESTRAINTS and what was the cause whether or not RESTRAINTS was considered the cause.?
8.How many patients died within 6 months after RESTRAINTS and what was the cause whether or not RESTRAINTS was considered the cause.?
9.How many patients died by suicide within 6 months of receiving RESTRAINTS whether or not RESTRAINTS was considered the cause.?
10.How many patients have suffered complications during and after RESTRAINTS and what were those complications?
11.Have there been any formal complaints from patients/relatives about RESTRAINTS?
12.If so, what was their concerns?
13.Are counts of forced injections available?
14.How does the Trust plan to reduce restraints in the future?

Please provide SECLUSION information under the FOI act to the following questions: –
1.Please supply any SECLUSION reports/investigations
2.How many SECLUSIONS in 2022?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities POC / BAME.?
6.How many SECLUSIONS were investigated outside the NHS and CCG?
7.How many patients died during or 1 month after SECLUSION and what was the cause whether or not SECLUSION was considered the cause.?
8.How many patients died within 6 months after SECLUSION and what was the cause whether or not SECLUSION was considered the cause.?
9.How many patients died by suicide within 6 months of receiving SECLUSION whether or not SECLUSION was considered the cause.?
10.How many patients have suffered complications during and after SECLUSION and what were those complications?
11.Have there been any formal complaints from patients/relatives about SECLUSION?
12.If so, what was their concerns?
13.How does the Trust plan to reduce SECLUSIONS in the future?

Please provide MEDICATION ERRORS information under the FOI act to the following questions: –
1.Please supply any MEDICATION ERRORS reports/investigations
2.How many MEDICATION ERRORS in 2022?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities POC / BAME.?
6.How many MEDICATION ERRORS were investigated outside the NHS and CCG?
7.How many patients died during or 1 month after MEDICATION ERRORS and what was the cause whether or not MEDICATION ERRORS was considered the cause.?
8.How many patients died within 6 months after MEDICATION ERRORS and what was the cause whether or not MEDICATION ERRORS was considered the cause.?
9.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS whether or not MEDICATION ERRORS was considered the cause.?
10.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
11.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
12.If so, what was their concerns?
13.How does the Trust plan to prevent MEDICATION ERRORS in the future?

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380-2024

I am involved in negotiations with colleagues in my current service to acquire additional NHS budget to allow counsellors to be awarded the same salary as other therapists at the same level High Intensity Step 3. as recommended by all relevant NHS information. Part of this work requires the collation of the salaries paid by other Talking Therapies Services within England.
Under the Freedom of Information Act could you therefore please supply the following information –
The NHS Banding and salary range paid to counsellors who work within your service.

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379-2024

My name is Daniel Henry. I am a Sky News Correspondent.

Under the Freedom of Information Act, I would like to request the following information:

Between 2020 and 2023 – How many patients were admitted to hospitals within your NHS trust for attempted suicide?

It would be particularly helpful an annual breakdown of these figures could be provided:

EG.

2020: 10 admissions
2021: 11 admissions
2022: 12 admissions
2023: 13 admissions

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415-2024

Please disclose the following information pertaining to the Trust’s use of agency workers nurses and medical locums etc.. within the 20 working days permitted under the Freedom of Information Act.

Section A: Total Agency Spend Per Job Category – Last 6 Months

1. In the period between 1st August 2023 and 31st January 2024, how much did the Trust spend on Agency Medical Locums including all locum grades, including locum pay, agency fees, on costs etc. – excluding only VAT. Please exclude the cost of any MSP fee managed service provider fee. where such arrangements mean that this is distinguishable from the agency fee.

2. In the period between 1st August 2023 and 31st January 2024, how much did the Trust spend on Agency Nurses including nurse pay, agency fees, on costs etc. – excluding only VAT. Please exclude the cost of any MSP fee managed service provider fee. where such arrangements mean that this is distinguishable from the agency fee. Please include all nursing bands, including band 2 HCAs. If possible, please break down the spend by banding.

3. In the period between 1st August 2023 and 31st January 2024, how much did the Trust spend on Agency AHP/HSS workers including all AHP.HSS job roles, including pay, agency fees, on costs etc. – excluding only VAT. Please exclude the cost of any MSP fee managed service provider fee. where such arrangements mean that this is distinguishable from the agency fee.

4. In the period between 1st August 2023 and 31st January 2024, how much did the Trust spend on Non-Medical / Non-Clinical NMNC. agency workers including all NMNC job roles, including pay, agency fees, on costs etc. – excluding only VAT. Please exclude the cost of any MSP fee managed service provider fee. where such arrangements mean that this is distinguishable from the agency fee.

Section B: Supporting Services Managed Services / Master Vendors / Neutral Vendors / Vendor Management Technology etc..

1.0. For each of the agency staffing categories mentioned above Medical Locums, Agency Nurses, AHP/HSS and NMNC., does the Trust utilise either a technology provision and/or the services of any type of managed service provider MSP., be it Master Vendor, Neutral Vendor, Managed Service or otherwise, in the course of managing the supply of Medical Locums?

If yes to Section B – 1.0, please also answer 1.1 and 1.2:

1.1: For each staff Category, please describe the solution in place – including a. the type of solution i.e. tech or managed services etc.., b. the company providing the service e.g. Medacs, Retinue, NHSP etc.., c. the cost charged for the solution e.g. 4% of agency spend, or [X] per timesheet hour], and d. the procurement Framework under which the solution is contracted e.g. CCS RM6161 or HTE TWS11 Lot 2b etc…

1.2: For each of the solutions you’ve listed above, please state the contract expiry date.

Section C: Procurement Activity and Associated Persons

1. Please advise whether the Trust is likely to undertake procurement activity in relation to any of the solution either that are already in place, or in order to put such a solution in place, in the next 12 months.
2. Please provide the name, email address and telephone number, for the persons. involved in ‘buying’ such solutions. In case of the existing contracts mentioned above, please provide the details of the person who would take overall ownership of evaluating the contract renewal moving forward.

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414-2024

1. Could you please confirm whether your organisation uses a digital dictation provider? If so, kindly specify the name of the provider.
2. Could you confirm whether you employ a speech recognition system? If yes, please provide details about the provider.
3. Does your organisation use an outsourced transcription provider? If so, kindly state the name of the provider.
4. For all the services mentioned above, I would appreciate clarification on the contract expiration date. Alternatively, if your contracts are on a rolling basis, please indicate so.

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378-2024

This is a request for information under the Freedom of Information Act 2000. My request relates to the number of deaths of mental health patients whilst they were under your care, in the last three years. It also relates to the number of people waiting for treatment.

For the avoidance of doubt, I would like to know the number of deaths, either while the individual was a patient on one of your mental health wards, or within three months of being discharged. I would also like to know on the 1st of January, for the last three years, how many people had been waiting longer than 18 weeks for your services?

ITV News would like to request the following information:

1. In the last 3 years, how many patients have died whilst being treated on one of your mental health units?

2. In the last 3 years, how many patients have died within three months of being discharged from one of your mental health units?

3. For each year, in how many of those deaths do you know the cause of death?

Please break down the data as follows:
1st January 2021 – 31st December 2021
1st January 2022 – 31st December 2022
1st January 2023 – 31st December 2023

4. On the 1st January each year, for the last three years, how many people have been waiting longer than 18 weeks for your services?

Please break down the data as follows:

1st January 2021

1st January 2022

1st January 2023

If it is not possible to provide the information requested due to cost of compliance limits, please let me know how I can refine my request.

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109-2023

I am writing to request information regarding ‘care hotels’ as per the following NHS guidance: https://www.england.nhs.uk/publication/hotel-space-how-to-guide/
Q1. Per month in financial year 2022/23, how many hotel rooms were booked? Please provide a breakdown per hotel, and share both the name of the hotel and the provider/ company that runs the hotel. Q2. Per month in financial year 2022/23, please also share the following information: • The cost of a hotel room per care recipient per day
• The average patient stay in weeks. in a care hotel • Whether the Trust is the sole owner of the bookings, or if the booking is shared with another Trust. If the booking is shared with another Trust, please name the Trust. Q3. Please share the minutes from all Trust Board meetings in financial year 2022/23, including copies of any presentations, such as PowerPoint slideshows, which were shown during meetings and copies of any written documents that were distributed to those attending the meetings. Q4. I assume that the Trust records the complaints made. For the purposes of this request, I am going to call those records “complaints logs”. You may use a different terminology internally such as “complaint records” or “complaint notes”. Please can you conduct a keyword search across the complaints logs in the financial year 2022/23 for the term “hotel” and provide each complaint log, including the summary of the complaint, the date, the hotel and the provider. Please also provide a total for the number of times the term “hotel” appears.

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413-2024

I would like to submit a request for a disclosure of information relating to your NHS trust’s Information Technology IT. Spend, and your current HIMSS EMRAM and INFRAM scores.

Can you please provide your trust’s IT spend for the following financial years:
FY 2021-2022:
FY 2022-2023:

Which HIMSS EMRAM score have your Trust currently achieved 0-7.:
Which HIMSS INFRAM score have your Trust currently achieved 0-7.:
If your Trust are working towards achieving a new HIMSS EMRAM or INFRAM level, what level is this, and when will it be achieved:

Definitions:
Electronic Medical Record Adoption Model EMRAM. – is an eight-stage model, scored from stages zero least mature. to seven most mature.. At each stage, organisations need to demonstrate a progressive and eventual removal of paper, higher pervasiveness of use and compliance statistics, and an increasing reliance on automation and clinical decision support.
Infrastructure Adoption Model INFRAM. – The eight-stage INFRAM measures the maturity of a healthcare facility’s IT infrastructure across five areas: mobility, security, collaboration, transport and data centre.

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411-2024

1. Does your trust deal with any of the following: A yes/no is sufficient.
a. Adult ADHD diagnosis
b. Child and/or Adolescent ADHD diagnosis
c. Adult Autism Spectrum Disorder diagnosis
d. Child and/or Adolescent Autism Spectrum Disorder diagnosis
If Gloucestershire Health and Care NHS Trust does deal with any of these diagnosis pathways, for all that apply, please provide:
i. average wait-time from referral to first appointment
ii. average wait-time from referral to decision on diagnosis/discharge from diagnostic service
iii. Number of individuals on the wait list as of 31 December 2023 or nearest available date.
iv. average wait-time from first appointment to decision on diagnosis/discharge from diagnostic service

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377-2024

Please could your trust provide the following information about your employment of locally-employed doctors. By locally employed doctors we mean doctors who are not consultants, not in formal training or on a SAS contract speciality doctor, specialists and associate specialists.. Local contracts mean contracts of employment that are not nationally negotiated. 1. Please provide the number of FTE doctors employed on local contracts at your trust as of 15 January 2024. 2. Please provide the percentage of locally employed doctors who are international medical graduates. 3. Please provide the percentage of locally employed doctors who are from an ethnic minority group.
4. Please provide a sample contract used by your trust for locally employed doctors. 5. Please provide the job titles under which these LE doctors are employed. 6. What proportion of LE doctors have been employed with your organisation for more than two years?

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376-2024

Please could I request information on the following questions:-
How much did your Trust spend in total on education and training in the following financial years? April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Please advise how much of this total spend was with external providers?
April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Please can you break down the overall spend into the following categories?
Apprenticeship training April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Mandatory, statutory and compliance training April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Management and Leadership training
April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Healthcare support worker training
April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Nursing April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Allied Healthcare Professionals April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
What are the top five categories that you procure externally?

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375-2024

In accordance with the Freedom of Information Act 2000, I request the following information: 1. Please can you provide the number of physical assaults against hospital staff by patients and members of the public on the Trusts premises for the following five years: 2019, 2020, 2021, 2022, 2023?
2. How many of these physical assaults were reported to the police for the following five years: 2019, 2020,2021, 2022, 2023?
3. If you hold this data, how many had a criminal justice outcome e.g. cautioned, charged, taken to court. for the following five years: 2019, 2020, 2021, 2022, 2023?
4. Since 2019 has the Trust introduced any additional measures to try to reduce the number of physical assaults against hospital staff? If so, please specify what measures have been taken e.g. body cameras, CCTV in clinical areas, more security guards etc? As you know, under the Act you are required to provide a response within 20 working days.
If you do not provide the information requested, you must explain the legal basis for the information being withheld.
If you decline part of the request due to information being sensitive, the request being too vague, or reasonable cost being exceeded, you must still provide the part you can fulfil.

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374-2024

1. Has your trust implemented an integrated primary and community care team for adults and older adults with severe mental illnesses as outlined on page 25 of the implementation plan linked above?
2. How many vacancies for pharmacists were created in Adult Mental Health SMI. Community Care teams in each of the following financial years:
a. 2019/20
b. 2020/21
c. 2021/22
d. 2022/23
e. 2023/24 to date
3. How many pharmacists were in place in Adult Mental Health SMI. Community Care teams in each of the following financial years:
a. 2019/20
b. 2020/21
c. 2021/22
d. 2022/23
e. 2023/24 to date
4. How many current unfilled vacancies are there for pharmacists in Adult Mental Health SMI. Community Care teams?
Please provide the information by email. 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.

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373-2024

Please confirm the amount of total hours utilised by the Trust for Thornbury Nursing Services on a month by month basis for every month from January 2023 to December 2024.
I would like to add that this is not commercially sensitive information- as it is not asking for any confirmation of charge rates or any other financial data.
This is for safety purposes as I would like to establish the amount of usage an off contract supplier has at the Trust that is not regulated by any regional or national framework agreement. As this information is in the public interest and in the public domain I would expect a response within the 20 day allotted time frame.

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369-2024

1. Contract Register Request:
I am seeking the full and entirety of the organisation’s contract register or database. The register should include the following columns/headings or something similar:
Contract Reference -Unique reference number associated with the contract.
Contract Title
Procurement Category –
Supplier Name
Spend Total, Annual or contract value.
Contract Duration
Contract Extensions
Contract Start Date
Contract Expiry Date
Contract Description [Please provide me with as much detail as possible.]
Contact Owner Person that manages the contract register.
Contact details of section 151 officer
CPV codes/Pro-Class
If any of the headings within your contract register has not been provided, please state this within your response.
Please provide the contract’s register file in Excel format.
2. Procurement Strategy Document Request:
Can the organisation provide a full version of their Procurement Strategy for the fiscal year 2023-2024?
If the Procurement Strategy is a strategic direction 2022-2025. instead of an annual plan, please provide an update document for 2023-2024. If an update cannot be provided, please provide information on when an update is planned to be published.
We require the full document. If any parts of this document have been removed, please state this within your response.
3. Contact Details Request:
Provide contact details of the person responsible for API or data sharing, including [Name, Job Title, Telephone, Email Address].
Provide contact details of the person responsible for the actual contract’s register, including [Name, Job Title, Telephone, Email Address].
IMPORTANT:
1. If the organisation has a CRM system or a similar system, ensure there is a facility to download and extract contract data.
2. If providing a weblink to a portal, ensure that all contracts are included, as some organisations may only upload a small portion of their contracts.
3. For organisations planning to make an exemption around spend, clarify that the spend information requested is an overall figure, and a complete breakdown is not required.

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098-2023

This is an information request relating to Pride Month.
Please include the following information:
• Whether any events have been organised for Pride month. If so please provide the date, start and end time, and title/topic of the event
• Whether any LGBT themed merchandise has been purchased for Pride month. i.e. since the beginning of the 2023/24 financial year. If so please provide me with information on what has been purchased and the cost
• Whether the organisation has sponsored any Pride events. If so which events and please provide details of the nature of the sponsorship particularly the financial value.
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.

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052-2023

Under The Freedom of Information Act 2000, could you kindly answer the following questions:

1. How much has your Trust spent on specialist bariatric equipment for obese/bariatric patients patients over 160kg. during the last five financial years? Please give a figure for each year: 2018/19, 2019/20, 2020/21, 2021/22, 2022/23.

2. How many patients needed special adaptations due to their weight in the past 12 months?

3. Please give a breakdown of the amounts spent by the Trust by the type of specialist bariatric equipment.

3.1 If equipment is used on a rental contract basis, please provide a list of contracts, including the values and suppliers.

4. How many bariatric beds does the Trust own?

5. How many bariatric fridges does the Trust own?

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005-2023

Please could you provide the annual spend for the below suppliers from July 2021 to July 2022? Please note this information is not commercially sensitive as all you will be providing is the total money spent with each supplier not any detail of what you bought. Please could I have this in an excel spread sheet?

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004-2023

Can you please carry out an internal review of the handling of my request? My specific queries that necessitate this review are outlined below in this email. I look forward to receiving your response within the next 20 working days, as outlined in the Information Commissioner’s guidance.

Questions 1 and 3 – Please can you answer these questions? I am familiar with the national guidance, however there are differing interpretations of it across the country, which is a large part of the reason that we conducted this request.

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523-2023

I am writing on behalf of a registered charity dedicated to supporting elderly people in our local community. We are seeking information under the Freedom of Information Act 2000 to enhance our understanding of the services available to older residents within your NHS’s jurisdiction.

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372-2024

I am making this FOI request to obtain copies of any job descriptions and person specs you have in relation to Health Records.

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371-2024

Under the Freedom of Information Act I wish to request the following information: 1. The number of referrals made to each of the below services/through each of the below pathways* during 2015/16, 2022/23 and 2023/24 to date. Please break these figures down by the number of referrals received, the number of referrals accepted and the number of referrals responded to with advice and guidance or support, with the recorded reason for declination. Please provide earliest figures from 2015/16 and reasoning if you do not have 2015/16 figures available. 2. Details of any policy change regarding altered thresholds for referrals, altered access to pathways or triage systems and documentation outlining the change and reasoning of the change if available. as regards referrals to each of the below services/pathways.

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370-2024

Please find my request below, which relates to the organisation’s contract relating to their energy management system. Not all organisations have an energy management system and if the organisation does not have one, please ignore the contractual part of my request 1-6. and concentrate on questions 7-12.
1. The supplier who provides the software to the organisation?
2. The cost associated with the software. Please provide me with the annual spend.
3. What is the brand of the software?
4. What is the duration of the contract?
5. When does this contract expires?
6. When does the organisation plan to review this contract?
7. Can you please provide me with the contract description of the services provided under the agreement with the supplier? This also includes potential extensions and support and maintenance services.
8. What is the organisation’s annual energy spend for the following:
a. Electricity
b. Gas
c. Water
9. What is the total number of meter points for Electricity for:
a. Non Half Hourly NHH. meter points
b. Half Hourly HH. meter points
10. What is the total number of Gas meter points?
11. What is the total number of Water meter points?
12. What is the total number of meter points for specialist gases and liquids?
13. Can you please provide me with the contact details of the key person responsible for this contract or around energy management.
14. Can you please send me the organisations’ energy management strategy/plan that covers 2018?

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Electronic Patient Records

In accordance with the freedom of information act, please could you answer the following questions:

What EPR (Electronic Patient Record) is currently being used by the Trust?
Are there any plans to change this? If so, when?

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Policy Alignment with Supreme Court Ruling on Biological Sex

The recent Supreme Court ruling in ‘For Women Scotland vs The Scottish Ministers’, clarified the meaning of ‘sex’ in the Equality Act 2010 as ‘biological sex’. The Equality and Human Rights Commission states:

‘This means that, under the Act:
A ‘woman’ is a biological woman or girl (a person born female) A ‘man’ is a biological man or boy (a person born male) If somebody identifies as trans, they do not change sex for the purposes of the Act, even if they have a Gender Recognition Certificate (GRC).
A trans woman is a biological man
A trans man is a biological woman’

Please set out what action(s) you have taken in your NHS Trust to ensure that each of the following aligns with the Supreme Court ruling and, in consequence, with the Equality Act 2010:

1) Gender reassignment and/or transgender guidance and policies relating to staff
2) Gender reassignment and/or transgender guidance and policies relating to patients
3) Policies on same sex accommodation
4) Related Equality Impact Assessments

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Dementia Diagnosis

Please can you tell me over the last five financial years how many people with a dementia diagnosis have been detained under the Mental Health Act 1983 under section 2 or section 3 of the act. Please specify whether section 2 or section 3 was used.

Please specify where each person was detained i.e. name of ward

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System Data

I’m writing on behalf of Systech Innovations to request the following information under the Freedom of Information Act, relating to your organisation’s data storage for digitised patient records:

1. What system is used to store image files (i.e. records which have been scanned and digitised)?
2. The current total amount of data stored in the system. Please provide this in terabytes (TB).
3. The volume of data added to the system annually for the past two years (2022/23 and 2023/24), with figures in TB.
4. The hosting environment used for the system (e.g. on-premise, local cloud, or external private cloud).
5. The total amount of data that has been deleted from the system since its initial implementation, also in terabytes.

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Chronic Pain Waiting List

I am submitting this request, on behalf of myself, under the Freedom of Information Act and the Code of Practice on Openness in the NHS. Please confirm the Trust holds the following data, and where it is held please provide the data. Please use the attached spreadsheet if possible.

1. Does your trust provide a chronic pain service? (Yes/No)
If no, this is the end of our request.

If yes, and the service is consultant-led, please provide:
2. Please confirm that the Trust submits RTT data for this service (yes/no)
3. Please confirm that the Trust submits WLMDS data for this service (yes/no)
4. Please supply the Trust’s RTT submission for every month between April 2024 and April 2025 (inclusive), but please only show data for TFC 191 – Pain Management. This data is available in the public domain but it is supplied aggregated with other specialities in category: ‘X02 – Other – Medical Services’. We are requesting it be disaggregated from this category. Please share this in the format that you have it.
5. Only if the data requested in #4 is unavailable, please provide the data requested in 5a-e for every month between April 2024 and April 2025:
5a. The number of people on the waiting list, as of the first day of the month
5b. The average waiting time in weeks
5c. The distribution of waiting times, as of the first day of the month (see suggested breakdown in the attached spreadsheet)
5d. Number of clock starts during the month
5e. Number of clock stops during the month for treatment, broken down by reason
5f. Number of clock stops during the month for non-treatment, broken down by reason
6. The average time between clock start and an interventional pain procedure being performed, in weeks
7. Please provide the Trust definitions used for Pain Management services for:
7a. Clock starts (e.g. referral received, referral received and validated, etc.)
7b. Clock stops for treatment (e.g. first appointment, advice given, information provided, etc.)
7c. Clock stops for non-treatment (please provide breakdown)

If yes, and the service is not consultant-led, please provide:
8. What is the clinician’s role who holds overall clinical responsibility, including governance, outcomes and quality, for the service (e.g. specialist nurse, clinical psychologist, other)? We are requesting the person’s position rather than any personal information.
9. Does the service provide interventional pain procedures, such as injections? (Yes/No)
9a. If yes, please provide the clinician’s role that performs them (e.g. consultant in pain medicine)? We are requesting the person’s position rather than any personal information.
9b. If no, where do you refer patients requiring interventional pain procedures to?
10. Please provide the following data for the non-consultant-led Pain Management service for every month between April 2024 and April 2025 (inclusive):
10a. The number of people on the waiting list at the first day of the month
10b. The average waiting time in weeks
10c. The distribution of waiting times, as of the first day of the month (see suggested breakdown in the attached spreadsheet)
10d. The number of new referrals during the month
10e. The number of patients who started treatment during the month (i.e. had their first appointment)
10f. The number of patients discharged without treatment (i.e. rejected referrals)

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Care for Patients with Dissociative Disorders

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

1. Does your trust have any specific clinical care pathways, protocols, or service guidance specifically for the treatment or management of patients with:

Dissociative disorders (including DID, OSDD, DPDR etc..)?
Complex post-traumatic presentations involving dissociation?

2. If yes, please provide copies of any relevant documentation or pathway flowcharts.

3. Which clinical teams or services (e.g. CMHTs, trauma services, personality disorder services, psychology/psychotherapy teams) typically provide care for patients with dissociative disorders and dissociative presentations?

4. Does your Trust offer or commission any specialist assessment or treatment (e.g. SCID-D diagnostic assessment) specifically for dissociative disorders?

5. Are patients with dissociative disorders referred to external providers (e.g. Centre for Dissociative Studies, Pottergate Centre, or other independent services)? If so, under what circumstances?

6. Has your Trust delivered any training or guidance for clinicians on dissociative disorders in the past five years?

7. If possible, please provide the number or percentage of current patients under your care who have a diagnosis of a dissociative disorder. This may include conditions coded under ICD-10 (eg. F44.8), ICD-11 (e.g. 6B64) or equivalent SNOMED CT terms. (If your trust uses other diagnostic classification systems such as DSM, please indicate where applicable.)

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Agency Doctors

Please can I request the below information:
In the period 1st February 2025 to 30th April 2025 please provide a breakdown of:
• Total trust spend with framework agencies for locum doctors
Please provide a further breakdown for locum doctors by:
• Spend per grade
• Spend per specialty
• Spend per agency name

In the period 1st February 2025 to 30th April 2025 please provide a breakdown of:
• Total trust spend with off-framework agencies for locums doctors
Please provide a further breakdown for locum doctors by:
• Spend per grade
• Spend per specialty
• Spend per agency name

In the period 1st February 2025 to 30th April 2025 please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum doctors
Please provide a further breakdown for locum doctors by:
• Spend per grade
• Spend per specialty
• Spend per internal or associated external provider

Please confirm your allocated budget for agency locum doctors for the period 1st February 2025 to 30th April 2025
Please confirm the name of the framework used for the supply of locum doctors in your trust.

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ADHD

This is a request for the following data:

– How many ADHD patients do you have currently?
– What percentage of ADHD patients are prescribed stimulant medication?
– How many ADHD patients have stopped taking stimulant medication since 2020? Please specify how many patients stopped because of side effects they were experiencing and make a brief note of the side effect
– Since 2020 how many ADHD patients were prescribed non-pharmacological treatment? This could include Cognitive Behavioral Therapy, parent of family training, neurofeedback or advice and programs related to mindfulness and yoga. Please specify what the treatment was.

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Child Exploitation

I wish to make a freedom of information request and would be grateful if you could provide the following information:

The number of referrals made by your NHS Trust to other authorities – such as the police or social services – when there was a suspicion that a child is a victim of exploitation (sexual, criminal, gang-based grooming) for the years 2010 (or earliest available year of data) – 2024 inclusive.

The number of risks assessments conducted on children where there was concern that the had been the victim of child sexual exploitation (using the same timeframe as above).

Details of your NHS Trusts’ CSE safeguarding arrangements, including work in multi-agency partnerships.

The number of staff employed by your NHS Trust who have received training on CSE.

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Tier 3 Weight Management Services

Please confirm the Trust holds the following data and where it is held; please provide the data as requested.

Questions

Do you offer Tier 3 weight management services (sometimes called specialist weight management services)? (Yes/No)

If yes, do you offer consultant-led Tier 3 weight management services? (Yes/No)

For each non-consultant-led Tier 3 weight management service:

How many patients were waiting for treatment at the start of April 2024?

How many referrals to the Tier 3 weight management service were received per month from April 2024 to March 2025?

How many patients started treatment per month from April 2024 to March 2025?

For each consultant-led Tier 3 weight management service:

Please confirm whether these referrals and activity are submitted in the Trust’s RTT submissions.

Please confirm which Treatment function code (TFC) is used for this activity.

How many patients were waiting for treatment at the start of April 2024?

How many referrals were received per month from April 2024 to March 2025?

How many clock starts were there per month from April 2024 to March 2025

What are the mechanisms used to record clock stops/first definitive treatments (e.g. appointment, information provided etc)?

Please provide the number of clock stops per month by mechanism from March 2024 to April 2025

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Managed Bank Service

I am writing to request information under the Freedom of Information Act 2000 regarding your organisation’s Managed Bank service.

Please could you provide the following details:

1. Does your organisation currently use a Managed Bank service or system?
2. If yes, what is the name of the provider?
3. What is the end date of the current contract with this provider?
4. What are the current fees or costs associated with the service?

If possible, please also include any relevant documentation or links that provide further detail.

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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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Coroners’ Prevention of Future Deaths Reports

I am writing to request information under the Freedom of Information Act 2000.

The request relates to Coroners’ Prevention of Future Deaths Reports (PFDs or Reg 28 letters) issued for deaths ruled to have been caused by suicide.

Please provide the following information for the time period between 1st January 2019 (or the date of inception for your trust) and 5th May 2025, inclusive.

1. Please send me a copy of every PFD relating to suicide that the Trust received. Please include PFDs received where the Trust was a listed addressee and/or where the Trust was copied for information as an ‘interested person’.

2. Please also send me a copy of the Trust’s response to each PFD, clearly marking to which PFD the response refers.

3. Please send me a copy of any internal correspondence which relates to each PFD, clearly marking to which PFD the correspondence refers. This should include:

Minutes from meetings
Email conversations between staff and contractors
Details of any staff training undertaken
Memos sent

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Bullying and Racism/Racial Discrimination amongst Midwives

I’m writing under the Freedom of Information Act 2000 to request information about reports of bullying and racism/racial discrimination amongst midwives working at your trust.

From 1 Jan 2020 up to and including 6 May 2025, can you please tell me the following:

1) How many reports of bullying have been made by midwives against other midwives (including student midwives on placement) at your trust? Please provide the outcomes of these.

2) How many reports of racism or racial discrimination have been made by midwives against other midwives (including student midwives on placement) at your trust? Please provide the outcomes of these.

3) Have there been any dismissals in light of bullying reports? If so, when were these? Please provide the year.

4) Have there been any dismissals in light of racism or racial discrimination reports? If so, when were these? Please provide the year.

If this request is at risk of triggering the s12 cost exemption, please advise us on how we can amend the wording of our request to align with the trust’s categorisation and/or filing conventions.

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Current and Future Plans for IT Service delivery Models

I am writing under the Freedom of Information Act 2000 to request information about Gloucestershire Health and Care NHS Trust’s current and future plans for IT service delivery models. I believe this request is in the public interest as it promotes transparency in how public sector bodies manage and procure IT services, ensuring accountability and value for taxpayers.

Specifically, I am seeking information that would help me understand the strategic direction and considerations regarding outsourcing, in-sourcing, multi-sourcing, or optimising existing contracts.

Please provide the following information where available:
• Current IT Service Model – Is your IT delivery primarily in-house, outsourced, or a hybrid approach, and if not delivered in-house, who provides this service?
• Major IT Contracts – Key details of significant IT service contracts (including scope, value, end date and any options for extension or renegotiation).
• Future IT Plans – Any strategic plans or considerations for changing IT delivery models (e.g., outsourcing, in-sourcing, multi-sourcing).

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FOI 230-2024

FOI Request – Information requested:

1. Contract Register Request:

I am seeking the full and entirety of the organisation’s contract register or database. The register should include the following columns/headings or something similar:
• Contract Title: The title of the contract, e.g., “IT Services Contract”.
• Supplier Name: The name of the organisation providing the goods or services.
• Estimated Spend (Total or Annual): [Radio Button] Whether the estimated spend is for the entire contract period or annually.
• Contract Duration: The initial term of the contract in months.
• Total Contract Period: The total duration of the contract, including any potential extensions.
• Contract Extensions: The number of months for any potential extensions.
• Contract Start Date: The date the contract officially begins.
• Contract Expiry Date: The date the initial contract period ends.
• Contract Review Date: The date on which the contract should be reviewed for renewal or extension.
• Contract Description: A detailed description of the contract, this could include the purpose, scope, and key terms and conditions.
• Contact Owner: The name, job title, main contact number, and email address of the individual responsible for the contract.
• Contract Notes: Any additional relevant information, such as specific terms and conditions, risk assessments, or performance metrics.
• Department: The department within your organisation that the contract is associated with.
• Contract Award Date: The date the contract was awarded.
• Participating Organisations: Other organisations involved in the procurement process.
• Procurement Category: The category of the procurement, e.g., IT, Facilities, or Professional Services. [I will send you a list of categories]
• Framework Reference: The reference number of procurement framework.
• Central Purchasing Body: The organisation responsible for the overall procurement.
• Tender Reference: The reference number of the tender notice.
• CPV Codes/Pro-Class/eClass: Standard classification codes used to categorise public procurement. [Radio Button] On select they should be able to select the classes.
If any of the headings within your contract register has not been provided, please state this within your response.

Please provide the contract’s register file in Excel format.

2. Procurement Strategy Document Request:

• Can the organisation provide a full version of their Procurement Strategy for the fiscal year 2024-2025?
• If the Procurement Strategy is a strategic direction (2022-2025) instead of an annual plan, please provide an update document for 2023-2024. If an update cannot be provided, please provide information on when an update is planned to be published.
We require the full document. If any parts of this document have been removed, please state this within your response.

3. Contact Details Request:
• Provide contact details of the person responsible for API or data sharing, including [Name, Job Title, Telephone, Email Address].

• Provide contact details of the person responsible for the actual contract’s register, including [Name, Job Title, Telephone, Email Address].

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