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Responses > Compounding and Automated Compounding Devices

Freedom of Information request Compounding and Automated Compounding Devices

Response published: 6 February 2026

FOI Request

, I would like to request information on compounding practice, and automated compounding devices in your aseptic unit. If you are in the process of opening an aseptic unit, please answer these questions as if it was open, based on estimated volumes. Section 1 Do you compound bespoke parenteral nutrition in your aseptic unit? (This should not include adding vitamins and trace elements to multi chamber licensed products) • Yes • No If no, why? • Completely Outsourced • Patient Numbers • Other, please specify If no, please proceed to Section 2 and 3. If yes, please proceed with the questions below. How do you compound bespoke parenteral nutrition? • Automated Compounding Device (ACDs) • Manual, Gravity or Syringe Fill (Please proceed to Section 2 and 3) • Other, please specify (Please proceed to Section 2 and 3) If you compound bespoke parenteral nutrition with an ACD, please answer the below. How many validated and in-use ACDs do you have in your aseptic unit? How many spares/not in-use ACDs do you have? Do you own your ACDs or are they loaned? How old are your ACDs? • Between 1 and 3 years old • Between 4 and 8 years old • Older than 8 years old Section 2 Do you compound Systemic Anti-cancer Therapies (SACT) (chemotherapy and/or immunotherapy) in your aseptic unit? • Yes • No If no, why? • Completely Outsourced • Patient Numbers • Other, please specify If no, please proceed to Section 3. If yes, please proceed with the questions below. How do you compound chemotherapy? • Manually • Automated compounding devices (ACDs) • Repeater pumps • Other, please specify If you use automation, how many ACDs do you have validated and in use? What drug categories do you compound, and in what quantity? • MABS • Cytotoxics • Other, please specify What are your final filling containers? • IV bags • Syringes • Elastomeric devices • Other, please specify Section 3 Do you compound antibiotic preparations in your aseptic unit? • Yes • No If no, why? • Outsourced • Patient Numbers • Other, please specify If no, please disregard this section. If yes, please proceed with the questions below. How do you compound antibiotics? • Manually • Automated compounding devices (ACDs) • Repeater pumps • Other, please specify If you use automation, how many ACDs do you have validated and in use? What antibiotic quantities do you manufacture? What are your final filling containers? • IV bags • Syringes • Elastomeric devices • Other, please specify

FOI Response

Freedom of Information Request – Ref: FOI 025-2026

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

You asked:

Section 1

Do you compound bespoke parenteral nutrition in your aseptic unit? (This should not include adding vitamins and trace elements to multi chamber licensed products)

  • Yes
  • No

If no, why?

  • Completely Outsourced
  • Patient Numbers
  • Other, please specify

If no, please proceed to Section 2 and 3.

If yes, please proceed with the questions below.

How do you compound bespoke parenteral nutrition?

  • Automated Compounding Device (ACDs)
  • Manual, Gravity or Syringe Fill (Please proceed to Section 2 and 3)
  • Other, please specify (Please proceed to Section 2 and 3)

If you compound bespoke parenteral nutrition with an ACD, please answer the below.

How many validated and in-use ACDs do you have in your aseptic unit?

How many spares/not in-use ACDs do you have?

 Do you own your ACDs or are they loaned?

How old are your ACDs?

  • Between 1 and 3 years old
  • Between 4 and 8 years old
  • Older than 8 years old

Section 2

Do you compound Systemic Anti-cancer Therapies (SACT) (chemotherapy and/or immunotherapy) in your aseptic unit?

  • Yes
  • No

If no, why?

  • Completely Outsourced
  • Patient Numbers
  • Other, please specify

If no, please proceed to Section 3.

If yes, please proceed with the questions below.

How do you compound chemotherapy?

  • Manually
  • Automated compounding devices (ACDs)
  • Repeater pumps
  • Other, please specify

If you use automation, how many ACDs do you have validated and in use?

What drug categories do you compound, and in what quantity?

  • MABS
  • Cytotoxics
  • Other, please specify

What are your final filling containers?

  • IV bags
  • Syringes
  • Elastomeric devices
  • Other, please specify

Section 3

Do you compound antibiotic preparations in your aseptic unit?

  • Yes
  • No

If no, why?

  • Outsourced
  • Patient Numbers
  • Other, please specify

If no, please disregard this section.

If yes, please proceed with the questions below.

How do you compound antibiotics?

  • Manually
  • Automated compounding devices (ACDs)
  • Repeater pumps
  • Other, please specify

If you use automation, how many ACDs do you have validated and in use?

What antibiotic quantities do you manufacture?

 What are your final filling containers?

  • IV bags
  • Syringes
  • Elastomeric devices
  • Other, please specify

Our response:

Gloucestershire Health and Care NHS Foundation Trust does not have Aseptic Suites.  . Please re-direct your request to Gloucestershire Hospitals NHS Foundation Trust at ghn-tr.foi@nhs.net.

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.