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Responses > Invasive Procedure Data Capture

Freedom of Information request Invasive Procedure Data Capture

Response published: 2 June 2025

FOI Request

Under the Freedom of Information Act 2000, I would like to request information regarding clinical documentation practices, specifically in relation to the capture of information during interventional procedures, such as Central Venous Access Device (CVAD) insertions. 1. Clinical Documentation • What methods are currently used by clinicians to document key information during invasive procedures, such as CVAD insertions (e.g., paper forms, digital forms, voice dictation, other)? o Is any form of structured digital data entry used at the point of care for these procedures? • Are standardised templates or proformas used Trust-wide for documenting invasive procedures, such as Local Safety Standards for Invasive Procedures (LocSSIPs)? o Are any of these LocSSIPs or other forms digitised? 2. Voice Technology • Does the Trust currently use any voice-to-text or voice recognition technology for clinical documentation (e.g., Dragon Medical One, Nuance, Voice-Care, etc.)? • If yes, which departments or specialties currently use it, and for which types of documentation? 3. Administrative Efficiency • Has the Trust undertaken any assessments of the administrative time burden associated with completing procedural documentation (manual or digital)? o If so, is any information available on time spent per procedure or efforts to streamline the process? 4. Future Plans • Is the Trust currently planning any initiatives or procurements to digitise documentation processes for interventional procedures? o If yes, please outline the scope and timelines if available.

FOI Response

Freedom of Information Request – Ref: FOI 046-2025

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

You asked:

Clinical Documentation

1. What methods are currently used by clinicians to document key information during invasive procedures, such as CVAD insertions (e.g., paper forms, digital forms, voice dictation, other)?

Our response:

We do not insert CVADs, this is all completed in the acute, we only site peripheral access devices as an organisation.

You asked:

2. Is any form of structured digital data entry used at the point of care for these procedures?

Our response:

Not applicable

You asked:

3. Are standardised templates or proformas used Trust-wide for documenting invasive procedures, such as Local Safety Standards for Invasive Procedures (LocSSIPs)?

Our response:

All invasive procedures such as urinary catheterisation are conducted under IP&C guidance for safe standards of care as Trust policy

You asked:

4. Are any of these LocSSIPs or other forms digitised?

Our response:

No

Voice Technology

You asked:

1. Does the Trust currently use any voice-to-text or voice recognition technology for clinical documentation (e.g., Dragon Medical One, Nuance, Voice-Care, etc.)?

Our response:

Yes, we use BigHand software and Dragon medical One

You asked:

2. If yes, which departments or specialties currently use it, and for which types of documentation?

Our response:

The departments or specialities that have adopted the software are the following:

Accommodation service

ADHD Assessment

Assertive Outreach Service

Bone Health Service

Community

Crisis Service

Children and Young People Service

CAMHS

Eating Disorders

Heart Failure

Inpatients

Later Life

Learning Disabilities

Liaison Service

Managing Memory Service

Directorate

MHCIT

MSKAPS

Occupational Health

Perinatal Dept

Physiological Therapy

The software is used for the following documentation:

Progress notes
Assessment letters
Clinical letters
Clinical systems notes
Emails

Administrative Efficiency

You asked:

1. Has the Trust undertaken any assessments of the administrative time burden associated with completing procedural documentation (manual or digital)?

Our response:

No

You asked:

2. If so, is any information available on time spent per procedure or efforts to streamline the process?

Our response:

Not applicable

Future Plans

You asked:

1. Is the Trust currently planning any initiatives or procurements to digitise documentation processes for interventional procedures?

Our response:

No

You asked:

2. If yes, please outline the scope and timelines if available.

Our response:

Not applicable

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.