Freedom of Information Request – Ref: FOI 283-2026
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
The period for questions 2-4 below is 1 January 2022 to the date of this request.
1 Policies, Procedures and Clinical Guidance
Please provide the current version of any policy, procedure, clinical pathway, protocol, guidance, standard operating procedure or equivalent recorded document setting out:
a) how the individual patient’s goals, preferences, needs and treatment priorities are identified and incorporated into the psychological intervention.
b) how the effectiveness or clinical benefit of the psychological intervention is assessed for the individual patient.
c) which outcome measures, assessment tools or other measures are expected to be used before, during and/or following treatment.
d) how service-user satisfaction, helpfulness, acceptability or experience of the intervention is assessed or recorded.
e) how the intended course or “dose” of CBTp is determined and recorded, including the number of sessions planned and how compliance with the relevant CBTp model or core components is assured.
f) how non-initiation following referral or offer, disengagement, early discontinuation or non-completion is assessed and recorded, including the reasons for this and whether the suitability, accessibility or acceptability of the intervention is considered.
g) whether barriers to engagement or effective participation are expected to be assessed including, where relevant, cognitive or communication difficulties, sleep disturbance, distress or arousal, medication adverse effects, physical health problems or practical/social barriers.
h) what clinical review or action is expected where the intervention has not produced the intended benefit, including whether the diagnosis, clinical formulation, treatment plan, barriers to participation or treatment approach should be reconsidered.
I) how alternative or adapted psychological approaches are considered where CBTp is ineffective, unsuitable or unacceptable to the patient or cannot be completed.
j) how psychological interventions are adapted where an individual has relevant neurodevelopmental, cognitive or communication needs.
Our response:
Following searches of the relevant services and records, Gloucestershire Health and Care NHS Foundation Trust does not hold a current policy, procedure, clinical pathway, protocol, guidance document, standard operating procedure or equivalent recorded.
You asked:
2 Audit, evaluation and quality assurance
Please provide copies of any audits, evaluations, quality-improvement reviews, assurance reports or equivalent recorded assessments undertaken during the period specified above which examined any of the following:
* whether CBTp or other psychological interventions achieved intended clinical outcomes
* compliance with requirements to monitor outcomes routinely and systematically
* service-user satisfaction, helpfulness or acceptability
* referral, offer, commencement, completion or non-completion of psychological interventions
* reasons for non-initiation, disengagement, early discontinuation or non-completion
* the number of CBTp sessions planned compared with the number actually attended or delivered
* whether CBTp was planned and delivered in accordance with relevant NICE recommendations including the recommended course of at least 16 planned individual CBT sessions
* adherence to the intended CBTp model or its required/core components
* individualisation or personalisation of psychological treatment
* barriers affecting engagement or participation
* action taken following inadequate response to psychological treatment.
Our response:
The Trust identified one document within the scope of this part of the request and the specified timeframe. It is available at the following link: 24-142 Access to Psychological Interventions Audit Final Report (1)
You asked:
3 Aggregate management and outcome information
Please provide any existing aggregate report, dashboard, dataset summary or other recorded management information held by the Trust showing, for CBTp for psychosis:
a) numbers or proportions referred for CBTp
b) numbers or proportions offered CBTp
c) numbers or proportions commencing CBTp including where held, the numbers attending at least one session
d) numbers or proportions for whom a course of at least 16 sessions was planned
e) the number of sessions actually attended or delivered, where this is already held in aggregate form, including any existing mean, median, range or equivalent summary
f) numbers or proportions completing the planned course or any locally defined adequate course
g) numbers or proportions not commencing, disengaging early or not completing treatment
h) recorded reasons or reason categories for non-initiation, disengagement or non-completion
I) recorded clinical outcome or outcome measure results
j) any aggregate service-user satisfaction.
Our response:
The Trust does not hold the aggregate management information requested. Information about the Trust’s Gloucestershire Recovery in Psychosis service is collected through the National Clinical Audit of Psychosis as part of the national audit process; however, the Trust does not hold the requested information in the aggregate form described above.
You asked:
4 Governance oversight
Please provide copies of any reports, papers, presentations, relevant minute sections or action plans presented during the period specified above to the Trust Board or a Trust-level governance, quality, clinical effectiveness, psychological therapies or equivalent committee concerning:
* effectiveness or clinical outcome of CBTp or other psychological interventions for psychosis
* access to, engagement with or completion of CBTp
* the difference between psychological treatment being offered and treatment actually being commenced or received
* patient experience, satisfaction or acceptability
* treatment non-response, non-initiation, disengagement or non-completion
* deficiencies in outcome measurement or recording of treatment/dose sessions received
* compliance with relevant NICE recommendations concerning the delivery, monitoring and review of psychological interventions for psychosis
* competence, training or supervision of staff delivering CBTp
* action taken to improve the effectiveness, individualisation, accessibility or monitoring of those interventions.
Our response:
Following searches of the relevant Trust-level governance records for the specified period, the Trust does not hold any reports, papers, presentations, relevant minute sections or action plans within the scope of this part of the request.
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.moss20@nhs.net
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.