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Freedom of Information request 112-2122

Response published: 5 May 2022

FOI Request

Sent: 10 June 2021 14:24 To: Freedom of Information Subject: RE: FOI 112-2122 - Clarification This email originated from outside of the organisation. Do not click links or open attachments unless you recognise the sender and know the content is safe. If unsure, please contact ghcit@ghc.nhs.uk --------------------------, Thank you for your email. Yes, please could the trust still try to answer all of the questions it can. I understand that questions 4 and 5 and possibly 6. may not be answerable due to this information only be recorded in patient notes. However, I hope that trust is still able to provide some information for questions 1-3 and questions 7 and 8. Kind regards, Alex From: Freedom of Information Sent: 10 June 2021 14:09 To: Alex Rossiter Subject: FOI 112-2122 - Clarification ------------------- Freedom of Information Request – Ref: FOI 112-2122 Thank you for your recent Freedom of Information request. In order to respond to your request our information teams are seeking the below clarification: • We would only be able to provide information for questions 1, 2 and 3. The information around self-harm is text recorded in the patient notes and therefore not reportable. Therefore, with this in mind would you still like the Trust to answer questions 1-3 only? Would you be able to provide clarification around the information you are expecting the response to include for this question? Kind Regards, - --- Legal Services Officer Legal Services. Gloucestershire Health and Care NHS Foundation Trust Address: Edward Jenner Court, Pioneer Avenue, Gloucester Business Park, Brockworth, GL3 4AW Telephone: 0300 421 8357 --- Website: www.ghc.nhs.uk From: Alex Rossiter [mailto:a.rossiter@samaritans.org] Sent: 14 May 2021 11:29 To: Freedom of Information Subject: Freedom of Information Request - Improving Access to Psychological Therapies IAPT. This email originated from outside of the organisation. Do not click links or open attachments unless you recognise the sender and know the content is safe. If unsure, please contact ghcit@ghc.nhs.uk -------------------------Gloucestershire Health and Care NHS Foundation Trust, I'd like to make a request under the Freedom of Information Act 2000 about Improving Access to Psychological Therapies IAPT. programmes. delivered by Gloucestershire Health and Care NHS Foundation Trust. I am part of a group of researchers carrying out an evaluation of NHS IAPT services across England. As part of this project, we are submitting FOI requests to a number of NHS Mental Health Trusts to ask about local policy and practice. In 2019 and 2020 please provide data for each year.: 1. How many referrals did the IAPT service receive? 2. How many people entered treatment with the IAPT service? 3. How many people were judged not suitable for treatment by the IAPT service with the following outcomes as a number and % of total referrals.: a. No action taken or directed back to referrer b. Signposted elsewhere c. Not assessed d. Referred to another therapy service 4. How many referrals did your service receive where self-harm was present? a. If possible, please answer with reference to the sub-questions below: i. How many people were assessed as presenting with intentional self-harm e.g. those whose problem descriptors. included ‘intentional self-harm’ code X60-X84.? ii. How many people were assessed as presenting with ‘non-accidental self-injury or repeated self-harm’ rated 2-4 when determining their mental health care cluster? 5. How many referrals were judged not suitable for treatment by the IAPT service where self-harm was present? a. If possible, please answer with reference to the sub-questions below: i. How many referrals were rejected that were assessed as presenting with intentional self-harm e.g. those whose problem descriptors. included ‘intentional self-harm’ code X60-X84.? ii. How many referrals were rejected that were assessed as presenting with ‘non-accidental self-injury or repeated self-harm’ rated 2-4 when determining their mental health care cluster? 6. How many people who currently self-harm were offered treatment with your service? Questions 7/8 refer to the IAPT service’s operational procedures affecting people who self-harm. 7. Does the IAPT service offer treatment for people who self-harm? 8. On what basis are judgments around treatment for people who self-harm made? a. Is self-harm included as part of the IAPT service’s operational policy for example, in exclusion/ inclusion criteria or equivalent thresholds.? i. If possible, please attach your IAPT operational policy or other internal documents that are used to determine exclusion and/or inclusion in treatment from the IAPT service. b. If possible, please attach any other relevant documents which support judgements for treatment related to self-harm. c. If possible, please attached the service’s risk assessment questions or outline. If it is not possible to provide the information requested, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request. Please get in touch with me if you would like to clarify this request. My contact details are below. Thank you very much for your time. I look forward to your response. Yours faithfully, Alex Rossiter a.rossiter@samaritans.org +44 7485 344934 Samaritans, Incorporated in England and Wales, a Company limited by guarantee Registered Number 757372, and a Registered Charity Number 219432, having its Registered Office at The Upper Mill, Kingston Road, Ewell, Surrey, KT17 2AF, and a Charity in Scotland Registered Number SC040604. This email is from Samaritans. This email and any files transmitted with it are confidential, may be subject to copyright and are intended solely for the use of the person to whom they are addressed. If you have received this email in error, please advise postmaster@samaritans.org or telephone 020 8394 8300 and delete this message immediately from your system. Any opinions expressed by an individual within this email are those of that individual unless otherwise stated and do not necessarily reflect the opinions of Samaritans. Internet communications including emails cannot be guaranteed to be secure or error free. While Samaritans has taken steps to control the spread of viruses on its systems it cannot guarantee that this email including any attachments. is free of any virus or other harmful matter and accepts no responsibility for any loss or damage resulting from the recipient receiving, opening or using it. Samaritans, Incorporated in England and Wales, a Company limited by guarantee Registered Number 757372, and a Registered Charity Number 219432, having its Registered Office at The Upper Mill, Kingston Road, Ewell, Surrey, KT17 2AF, and a Charity in Scotland Registered Number SC040604. This email is from Samaritans. This email and any files transmitted with it are confidential, may be subject to copyright and are intended solely for the use of the person to whom they are addressed. If you have received this email in error, please advise postmaster@samaritans.org or telephone 020 8394 8300 and delete this message immediately from your system. Any opinions expressed by an individual within this email are those of that individual unless otherwise stated and do not necessarily reflect the opinions of Samaritans. Internet communications including emails cannot be guaranteed to be secure or error free. While Samaritans has taken steps to control the spread of viruses on its systems it cannot guarantee that this email including any attachments. is free of any virus or other harmful matter and accepts no responsibility for any loss or damage resulting from the recipient receiving, opening or using it.

FOI Response

Trust HQ
Edward Jenner Court
1010 Pioneer Avenue
Brockworth
Gloucester
GL3 4AW

E-mail: freedomofinformation@ghc.nhs.uk
Website: www.ghc.nhs.uk
DATE: 11/06/2021
Freedom of Information Request – Ref: FOI 112-2122
Thank you for your recent Freedom of Information request. Please find our response below.
1. How many referrals did the IAPT service receive?
2. How many people entered treatment with the IAPT service?
3. How many people were judged not suitable for treatment by the IAPT service with the following
outcomes as a number and % of total referrals.:
. No action taken or directed back to referrer
. Signposted elsewhere
. Not assessed
. Referred to another therapy service
Patients Entering Treatment
discharge_reason_desc Multiple Items.
Column Labels
2019 2020 Grand Total
Count of referral_reference_num 13700 12344 26044
Referrals Received
Column Labels
2019 2020 Grand Total
Count of referral_reference_num 16340 15273 31613
Should you have any queries in relation to our response in this letter, please do not hesitate to contact
me. If you are unhappy with the response you have received in relation to your request and wish to ask
us to review our response, you should write to:-

Associate Director of Corporate Governance
Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth
GLOUCESTER GL3 4AW
If you are not content with the outcome of any review, you may apply directly to the Information
Commissioner’s Office ICO. for further advice/guidance. Generally, the ICO will not consider your case
unless you have exhausted your enquiries with the Trust which should include considering the use of
the Trust’s formal complaints procedure. The ICO can be contacted at: The Information
Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.
Yours sincerely,
Freedom of Information Officer
On behalf of Gloucestershire Health & Care NHS Foundation Trust