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Responses > IT Spend, DMA and HIMSS July 2025

Freedom of Information request IT Spend, DMA and HIMSS July 2025

Response published: 20 August 2025

FOI Request

I am writing to make an open government request for all the information to which I am entitled under the FOI Act 2000. 1. What is your whole Trust’s IT spend for the following financial year?: FY 2023/2024 (£): FY 2024/2025 (£): DEFINITION: Please include in your IT spend calculation the capital and revenue cost of your IT staff, Software, Services, Hardware, Communication equipment and Other IT spend for the requested financial year. 2. Based on your most recent Digital Maturity Assessment (DMA) submission to NHS England in 2024 (and 2025, if completed), please provide the following: a) Your overall DMA score (on a scale of 1.0 to 5.0). b) If readily available, the individual scores for each of the seven DMA pillars: • Empower Citizens • Ensure Smart Foundations • Healthy Populations • Improve Care • Safe Practice • Support People • Well Led DEFINITION: The Digital Maturity Assessment (DMA) is a self-assessment tool used by NHS organisations to evaluate their readiness for digital transformation. The overall score is usually the average of seven pillars, each scored from 1.0 (least mature) to 5.0 (most mature). The pillars are: Empower Citizens, Ensure Smart Foundations, Healthy Populations, Improve Care, Safe Practice, Support People, and Well Led. 3. Based on your most recent HIMSS EMRAM and HIMMS INFRAM assessment/ self-assessment, please provide the following: Which HIMSS EMRAM score have your Trust currently achieved (0-7): Which HIMSS INFRAM score have your Trust currently achieved (0-7): Do you have plans to reassess, if your Trust is working towards achieving a new HIMSS EMRAM or INFRAM level, what level is this, and when will it be achieved: Definitions: Electronic Medical Record Adoption Model (EMRAM) – is an eight-stage model, scored from stages zero (least mature) to seven (most mature). At each stage, organisations need to demonstrate a progressive and eventual removal of paper, higher pervasiveness of use and compliance statistics, and an increasing reliance on automation and clinical decision support. Infrastructure Adoption Model (INFRAM) – The eight-stage INFRAM measures the maturity of a healthcare facility's IT infrastructure across five areas: mobility, security, collaboration, transport and data centre.

FOI Response

Freedom of Information Request – Ref: FOI 140-2025

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

You asked:

I am writing to make an open government request for all the information to which I am entitled under the FOI Act 2000.

1. What is your whole Trust’s IT spend for the following financial year?:

FY 2023/2024 (£):

FY 2024/2025 (£):

DEFINITION: Please include in your IT spend calculation the capital and revenue cost of your IT staff, Software, Services, Hardware, Communication equipment and Other IT spend for the requested financial year.

Our response:

                                  IT Spend
Financial Year Revenue Capital Total
2023/2024  £3,079,558  £994,000  £4,073,558
2024/2025  £3,231,399  £3,290,000  £6,521,399

 

You asked:

2. Based on your most recent Digital Maturity Assessment (DMA) submission to NHS England in 2024 (and 2025, if completed), please provide the following:

a) Your overall DMA score (on a scale of 1.0 to 5.0).

b) If readily available, the individual scores for each of the seven DMA pillars:

  • Empower Citizens
  • Ensure Smart Foundations
  • Healthy Populations
  • Improve Care
  • Safe Practice
  • Support People
  • Well Led

Definition: The Digital Maturity Assessment (DMA) is a self-assessment tool used by NHS organisations to evaluate their readiness for digital transformation. The overall score is usually the average of seven pillars, each scored from 1.0 (least mature) to 5.0 (most mature). The pillars are: Empower Citizens, Ensure Smart Foundations, Healthy Populations, Improve Care, Safe Practice, Support People, and Well Led.

Our response:

We apply the exemption, S(2) 41 – information provided in confidence.

You asked:

3. Based on your most recent HIMSS EMRAM and HIMMS INFRAM assessment/ self-assessment, please provide the following:

Which HIMSS EMRAM score have your Trust currently achieved (0-7):

Which HIMSS INFRAM score have your Trust currently achieved (0-7):

Do you have plans to reassess, if your Trust is working towards achieving a new HIMSS EMRAM or INFRAM level, what level is this, and when will it be achieved:

Definitions:

Electronic Medical Record Adoption Model (EMRAM) – is an eight-stage model, scored from stages zero (least mature) to seven (most mature). At each stage, organisations need to demonstrate a progressive and eventual removal of paper, higher pervasiveness of use and compliance statistics, and an increasing reliance on automation and clinical decision support.

Infrastructure Adoption Model (INFRAM) – The eight-stage INFRAM measures the maturity of a healthcare facility’s IT infrastructure across five areas: mobility, security, collaboration, transport and data centre.

Our response:

We completed a different HIMMS assessment, therefore these questions are not applicable to us.

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.