Freedom of Information Request – Ref: FOI 167-2025
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
Under the Freedom of Information Act, I am writing to request information about adult mental health services in High Secure Units (HSUs), Medium Secure Units (MSUs), Low Secure Units (LSUs) and Psychiatric Intensive Care Units (PICUs) – specifically where these services fall under adult mental health commissioning (excluding learning disability or other non-mental health pathways).
From what I have read, services may be commissioned under a combination of spot contracts, out-of-area (OOA) placements, and block contracts, depending on the service type and provider. I am seeking to better understand the structure of commissioning and the associated payment flows.
Please provide the information separately for the financial years 2024/25 and 2025/26 Year to Date (YTD) for the following:
1. Spot Contracts (excluding OOA)
Total income (in £) on spot-priced adult mental health patients
Total number of adult mental health bed days commissioned
Average fee (in £) per bed day
Our response:
A breakdown for question 1 is not available
You asked:
2. OOA Contracts
Total income (in £) on out-of-area adult mental health patients
Total number of adult mental health bed days commissioned
Average fee (in £) per bed day
Our response:
A breakdown for question 2 is not available
You asked:
3. Block Contracts
Total value (in £) of the block contract obtained for adult mental health services
Total adult mental health bed days commissioned under the block by type (HSUs, MSUs, LSUs, PICUs)
Average fee (in £) per bed day under the block
Our response:
A breakdown for question 3 is not available
You asked:
4. If breakdown by 1, 2, 3 not available
Please provide aggregate figures for adult mental health services only:
a) Total cost (in £) of delivering care for adults for each service type
b) Total number of adult bed days delivered for each service type
c) Average cost (in £) per occupied bed day (or per week) for adults for each service type
Our response:
We do not provide high and medium secure units.
| Component | Type | FY 2024/2025 YTD | FY 2025/2026 YTD |
| Low Secure Forensic Units | Total cost of delivering care for adults (in £) | £2,250,310.00 | £2,579,894.00 |
| Total number of adult bed days delivered for each service | £4,073.00 | £4,073.00 | |
| Average cost per occupied bed day (or per week) for adults (in £) | £550.00 | £633.00 | |
| Psychiatric Intensive Care Units (PICUs) | Total cost of delivering care for adults (in £) | £2,261,384.00 | £2,317,622.00 |
| Total number of adult bed days delivered for each service | £3,650.00 | £3,650.00 | |
| Average cost per occupied bed day (or per week) for adults (in £) | £620.00 | £635.00 |
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.