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Responses > 300-2024

Freedom of Information request 300-2024

Response published: 27 January 2025

FOI Request

1. Clozapine Titration Protocol:
Please provide a copy of or details about the current Clozapine titration protocol used by the Trust. This includes the procedures, guidelines, and any specific criteria followed for titrating Clozapine doses.
2. Outpatient and/or Community Titration:
Does Gloucestershire Health and Care NHS Trust offer Clozapine titration in outpatient and/or community settings? If so, when was this service first introduced?
3. Specialised Teams vs. CMHT Responsibilities:
Is Clozapine titration conducted by a specialised team within Gloucestershire Health and Care NHS Trust, or are Community Mental Health Teams (CMHTs) expected to carry out the titration as part of their general duties?
If it is done by a specialised team, please provide further details regarding the structure of the team.
4. Clozapine Titration for Under-18s:
Does Gloucestershire Health and Care NHS Trust offer Clozapine titration for patients under the age of 18? If so, when was this practice introduced and are there any specific guidelines for titrating Clozapine in this age group?

FOI Response

Freedom of Information Request – Ref: 300-2024

Thank you for your recent Freedom of Information request. Please find our response below.

You asked:

Please provide a copy of or details about the current Clozapine titration protocol used by the Trust. This includes the procedures, guidelines, and any specific criteria followed for titrating Clozapine doses.

Our response:

Please see attached link: Clozapine Commencement Pathway

You asked:

How many patients with an ICD-10 diagnosis of F20 to F29 were on the caseload in 2024?

Our response:

As of December 2024 there were 250 patients on Clozapine

You asked:

How many patients were initiated on clozapine in 2024 in any setting?

Our response:

11

You asked:

Does Gloucestershire Health and Care NHS Trust offer Clozapine initiation in an outpatient setting?

Our response:

Occasionally

You asked:

If so, how many patients were initiated via this route in 2024?

Our response:

None in 2024

You asked:

Is Clozapine titration conducted by a specialised or dedicated team within Gloucestershire Health and Care NHS Trust? Do Community Mental Health Teams (CMHTs) carry out clozapine initiation as part of their general duties? If it is done by a specialised / dedicated team, please provide further details regarding the structure of the team.

Our response:

There is no specialist team for initiation. It is carried out by either inpatient or community teams following Trust guidelines and policy

You asked:

Does Gloucestershire Health and Care NHS Trust offer Clozapine initiation for patients under the age of 18?

Our response:

No

You asked:

If so, when was this practice introduced and are there any specific guidelines for titrating Clozapine in this age group?

Our response:

Not applicable

Next steps:

Should you have any queries in relation to our response, please do not hesitate to contact us. 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:

Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk

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.