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Freedom of Information request NHS Insourcing and Outsourcing

Response published: 17 July 2026
Contracts | Procurement

FOI Request

To whom it may concern This is a freedom of information request under the Freedom of Information Act 2000. Please provide the following information you have pertaining to NHS insourcing and outsourcing within your Trust / Health Board / ICB. Insourcing 1. Do you use insourcing providers? (Note: Insourcing definition as per NHS SBS copied at the end of this email / form. ) 2. If yes to the previous question what is the total value of spend, listed by specialty and insourcing provider, used for April 2024 to March 2025 and April 2025 to March 2026? (Note: if an insourcing provider covers multiple specialties, please list that provider multiple times (one row for each specialty) Specialty (e.g. general surgery, ophthalmology etc) Insourcing provider (fill empty rows with provider name, add rows if required) Total spend (Apr-24-Mar-25) Total spend (Apr-25-Mar-26) 3. Please list below contracts with insourcing providers in the current financial year April 2026 to March 2027? Specialty (e.g. general surgery, ophthalmology etc) Insourcing provider (fill empty rows with provider name, add rows if required) Contract start date Contract end date (please leave blank if not set) Formal tender process conducted? Procurement framework used for award (for example, NHS SBS) Estimated contract value Outsourcing 1. Do you use outsourcing providers? 2. If yes to the previous question what is the total value of spend, listed by specialty and outsourcing provider, used for April 2024 to March 2025 and April 2025 to March 2026? Note: if an outsourcing provider covers multiple specialties, please list that provider multiple times (one row for each specialty) Specialty (e.g. general surgery, ophthalmology etc) Outsourcing provider (fill empty rows with provider name, add rows if required) Total spend (Apr-24-Mar-25) Total spend (Apr-25-Mar-26) 3. Please list below contracts with outsourcing providers in the current financial year April 2026 to March 2027? Specialty (e.g. general surgery, ophthalmology etc) Outsourcing provider (fill empty rows with provider name, add rows if required) Contract start date Contract end date (please leave blank if not set) Formal tender process conducted? Procurement framework used for award (for example, NHS SBS) Estimated contract value If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request – for example by suggesting certain parts of the request to prioritise initially. Many thanks

FOI Response

Freedom of Information Request – Ref: FOI 182-2026

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

You asked:

Insourcing

1. Do you use insourcing providers?  

Our response:

No.

You asked:

2. If yes to the previous question what is the total value of spend, listed by specialty and insourcing provider, used for April 2024 to March 2025 and April 2025 to March 2026? – Note: if an insourcing provider covers multiple specialties, please list that provider multiple times (one row for each specialty)

Our response:

Not applicable.

You asked:

3. Please list below contracts with insourcing providers in the current financial year April 2026 to March 2027?

Our response:

Not applicable.

Outsourcing

1. Do you use outsourcing providers?

Our response:

Yes

You asked:

2. If yes to the previous question what is the total value of spend, listed by specialty and outsourcing provider, used for April 2024 to March 2025 and April 2025 to March 2026? – Note: if an outsourcing provider covers multiple specialties, please list that provider multiple times (one row for each specialty)

Our response:

Specialty (e.g. general surgery, ophthalmology etc) Outsourcing provider (fill empty rows with provider name, add rows if required) Total spend (Apr-24-Mar-25) Total spend (Apr-25-Mar-26)
BEAT eating disorders BEAT Eating Disorders                                     55,000                                              00.00
Provision of Specialist Care and Support Nurseline Community Services LTD                                              00.00                                   144,066
Out of County Acute Admissions 25/26 – Cygnet CYGNET DH Limited                                   274,188                                1,035,057
GP Services for Inpatients Tewkesbury Hospital 25/26 Church Street Partnership (Inspire Healhtcare)                                   116,647                                   116,647
Alexandra Wellbeing House Services Swindon and District Mind Limited                                   126,000                                   129,565
Provision of Mental Health Services – Placement prevention BEAM Consultancy Services                                              00.00                                     36,696
Patient Pathways – STAR team  patient Placement 25/26 Elysium Healthcare                                1,546,564                                1,497,546
Provision of GP Services to View Ward North Cots Mann Cottage Surgery                                     86,695                                     81,180
Provision of GP Services to View Ward North Cots The White House Surgery                                     71,898                                     81,180
Provision of GP Services to CLH – Charlton Lane The Partners, Aspen Medical Centre                                     42,675                                     42,280
Provision of Mental Health Therapy via a Digital Platform Dr Julian Medical Group                                   792,618                                   545,202
Provision of SARC Services YR4 First Light                                   278,639                                   278,472
Tele Coaching for Complex Emotional Needs Guideposts Trust                                   180,000                                   181,241
Provision of a Mental Health Navigator VFS Gloucestershire Rural Community Council                                     18,999                                     41,483
Out of County PICU Admissions 25/26 – Cygnet Cygnet Healthcare Ltd                                              00.00                                   364,709
Out of County Acute Admissions 25/26 – Priory Bristol Priory Northern Office                                     90,125                                   244,659
BSL Clinical Psychologist Sessions (CT) SignHealth                                       2,992                                       5,486
Pregnancy Advisory Services Marie Stopes                                   184,027                                   197,474
Pregnancy Advisory Services BPAS                                     98,164                                     72,451

You asked:

Please list below contracts with outsourcing providers in the current financial year April 2026 to March 2027?

Our response:

Specialty (e.g. general surgery, ophthalmology etc) Outsourcing provider (fill empty rows with provider name, add rows if required) Contract start date Contract end date (please leave blank if not set) Formal tender process conducted? Procurement framework used for award (for example, NHS SBS) Estimated contract value
Out of County Acute Admissions 26/27 – Priory GN Priory Hospital Lakeside Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
Out of Area Placement – STAR team  patient Placement 26/27 NG Cygnet Healthcare Ltd Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
Tele Coaching for Complex Emotional Needs Guideposts Trust Apr-26 Mar-27 No N/A                     181,241
Out of Area Placement – STAR team  patient Placement 26/27 CMc Cygnet Healthcare Ltd Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
Provision of Mental Health Therapy via a Digital Platform Dr Julian Medical Group Apr-26 Mar-27 No CCS Unable to provide, dependent on referal numbers
Provision of OATS service 26/27 Kingfisher Treasure Seekers Apr-26 Mar-27 Yes N/A                       47,032
Pregnancy Advisory Services BPAS Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
Out of County Acute Admissions 26/27 – Priory Bristol Priory Northern Office Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
GP Services for Inpatients Tewkesbury Hospital 25/26 Church Street Partnership (Inspire Healhtcare) Apr-26 Mar-27 No N/A                     116,647
Out of Area Placement PICU Admissions 26/27 – Cygnet Cygnet Healthcare Ltd Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
Out of Area Placement –  Acute Admissions 26/27 – Cygnet Cygnet Healthcare Ltd Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
Patient Pathways – STAR team  OOA Patient Placements 26/27 Elysium Healthcare Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
Provision of a Mental Health Navigator VFS Gloucestershire Rural Community Council Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
Provision of GP Services to View Ward North Cots Mann Cottage Surgery Apr-26 Mar-27 No N/A                            81,180
Pregnancy Advisory Services Marie Stopes Apr-26 Mar-27 No N/A Unable to provide, dependent on referal numbers
Provision of GP Services to CLH – Charlton Lane The Partners, Aspen Medical Centre Apr-26 Mar-27 No N/A                            42,280
Provision of GP Services to View Ward North Cots The White House Surgery Apr-26 Mar-27 No N/A                            81,180
Alexandra Wellbeing House Services 26-28 Swindon and District Mind Limited Apr-26 Mar-27 No N/A                          129,565
Provision of SARC Services YR4 First Light Apr-26 Mar-27 Yes N/A                          278,472

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.