Freedom of Information Request – Ref: FOI 284-2026
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
1. Caseload and Antipsychotic Prescribing
1.1 Total number of adult service users on the caseload for secondary mental health services in each of 2023/24, 2024/25 and 2025/26.
Our response:
2023/24 – 2904
2024/25 – 2967
2025/26 – 2971
You asked:
1.2 Of these, the number of service users prescribed oral and/or depot antipsychotic medication in each year.
Our response:
The Trust does not hold the information requested in a way that can be reported on. Therefore we do not hold the information requested.
You asked:
2. Physical Health Monitoring
2.1 Percentage of antipsychotic-prescribed adults with a completed annual physical health check recorded in each of 2023/24, 2024/25 and 2025/26.
Our response:
The Trust does not hold the information requested in a way that can be reported on. Therefore we do not hold the information requested.
You asked:
2.2 For each check, the percentage completion rate for each component: HbA1c/blood glucose, lipids, liver function, blood pressure, weight/BMI, ECG (where indicated), prolactin (where indicated).
Our response:
The Trust does not hold the information requested in a way that can be reported on. Therefore we do not hold the information requested.
You asked:
2.3 Was monitoring undertaken by secondary care, evidenced via primary care, or via shared-care arrangement? If so, what was the number of such arrangements, and whether each is a formal, written, GP-accepted agreement consistent with NICE CG178.
Our response:
For service users on the Trust’s caseload with a serious mental illness, the Trust undertakes the six-point physical health check. For people on the serious mental illness register who are not open to Trust services, the check is undertaken by the GP. The Trust does not have formal, written, GP-accepted shared-care agreements for these checks. The Trust’s responsibilities are set out in its service specification as part of its contractual arrangements.
You asked:
2.4 Copies of current trust-wide policies, protocols, service specifications, MOUs or shared-care agreements setting out responsibility for this monitoring.
Our response:
The Trust’s current service specification setting out responsibilities for physical health checks is available at the following link: SCHEDULE 2 APHC GHC Service Specification
You asked:
2.5 Whether an internal audit of physical health monitoring completeness/accuracy has taken place since your most recent relevant CQC finding, and its headline compliance rate.
Our response:
All the physical health checks are reported monthly, click on link to access information; Q2.5
You asked:
3. Pre-Consultation Risk Assessment
3.1 Some services ask patients to fill in a short questionnaire before a medication review appointment (for example, DIALOG), so the clinician can see it before meeting the patient. Please provide a copy of any current policy stating that clinicians should review this questionnaire before the appointment takes place.
Our response:
DIALOG is integrated into the Trust’s care plans and is reviewed every six months. The requirement will be included in the new Assessment Care Management Policy, which is currently being rolled out. The Trust does not currently hold a policy stating that clinicians must review the questionnaire before the appointment takes place.
You asked:
3.2 If you have checked whether this actually happened, please provide the percentage of medication review appointments where the clinician reviewed the questionnaire beforehand, for each of 2023/24, 2024/25 and 2025/26.
Our response:
The Trust does not hold recorded information correlating appointment type with care-plan activity and is therefore unable to provide the requested percentages for 2023/24, 2024/25 and 2025/26.
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.