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Responses > FOI 328-2025

Freedom of Information request FOI 328-2025

Response published: 27 February 2025

FOI Request

1. How many episodes of care were coded by your organisation in 2024 (both inpatient and outpatient)? 2. How many episodes of care went uncoded in 2024? 3. How much income do you estimate was not generated due to uncoded activity? 4. Can you provide the split of coding volumes between specialities (e.g., oncology, cardiology)? 5. Please explain how your organisation manages coding activity. 6. Are outpatient and inpatient coding managed by the same team or separate teams? 7. How many Whole-Time Equivalent (WTE) staff complete clinical coding for the Trust? 8. What proportion of the total WTE staff for clinical coding is substantive (permanent), bank staff, and agency staff? 9. Does the Trust currently have any automated solutions in place for clinical coding? 10. If yes, please explain the automated solution that is in place. 11. If not, is the Trust planning to implement automated coding solutions in the next 12–24 months? Or would it be interested in exploring potential solutions? 12. Is the Trust currently on Payment by Results (PbR), block contracts, or another financial model? 13. What clinical coding systems or software does the Trust currently use to capture clinical codes? 14. Does your Trust’s Electronic Patient Record (EPR) system integrate clinical coding, or do clinical departments use standalone systems? 15. What are the main challenges the Trust faces in clinical coding (e.g., timeliness, accuracy, staffing shortages)? 16. Could you provide the contact details (name, job title, and email) of the person who is ultimately responsible for overseeing clinical coding within the Trust?

FOI Response

Freedom of Information Request – Ref: FOI 328-2025

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

You asked:

1. How many episodes of care were coded by your organisation in 2024 (both inpatient and outpatient)?

Our response:

1881 – Inpatient, 0 – Outpatient

You asked:

2. How many episodes of care went uncoded in 2024?

Our response:

41

You asked:

3. How much income do you estimate was not generated due to uncoded activity?

Our response:

The Trust does not hold the information requested, clinical coders are outsourced

You asked:

4. Can you provide the split of coding volumes between specialities (e.g., oncology, cardiology)?

Our response:

All inpatient episodes are General Medicine

You asked:

5. Please explain how your organisation manages coding activity.

Our response:

The Trust outsources clinical coding to CHKS for services that require national coding. For all other services, the Trust holds information in the patients electronic record that is recorded by our operational teams, not clinical coders

You asked:

6. Are outpatient and inpatient coding managed by the same team or separate teams?

Our response:

Inpatient coding is outsourced. The Trust does not submit outpatient data and only has community contacts for both Mental Health and Physical Health services, these are coded by the clinicians themselves

You asked:

7. How many Whole-Time Equivalent (WTE) staff complete clinical coding for the Trust?

Our response:

The Trust does not hold the information requested, clinical coders are outsourced

You asked:

8. What proportion of the total WTE staff for clinical coding is substantive (permanent), bank staff, and agency staff?

Our response:

The Trust does not hold the information requested, clinical coders are outsourced

You asked:

9. Does the Trust currently have any automated solutions in place for clinical coding?

Our response:

No

You asked:

10. If yes, please explain the automated solution that is in place

Our response:

Not applicable

You asked:

11. If not, is the Trust planning to implement automated coding solutions in the next 12–24 months? Or would it be interested in exploring potential solutions?

Our response:

Not at present

You asked:

12. Is the Trust currently on Payment by Results (PbR), block contracts, or another financial model?

Our response:

Block contracts

You asked:

13. What clinical coding systems or software does the Trust currently use to capture clinical codes?

Our response:

The Trust’s EPRs

You asked:

14. Does your Trust’s Electronic Patient Record (EPR) system integrate clinical coding, or do clinical departments use standalone systems?

Our response:

The Trust’s Electronic Patient Record (EPR) system integrates clinical coding

You asked:

15. What are the main challenges the Trust faces in clinical coding (e.g., timeliness, accuracy, staffing shortages)?

Our response:

Timeliness of discharge summaries being completed

You asked:

16. Could you provide the contact details (name, job title, and email) of the person who is ultimately responsible for overseeing clinical coding within the Trust?

Our response:

Head of Clinical Systems, Jessica Blakeman – contract manager only

ghcit@ghc.nhs.uk

Quality is managed through policy and NTQ

Having carried out a public interest test, we apply the exemption, S(2) 36 – prejudice to effective conduct of public affairs.

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.