Freedom of Information Request – Ref: FOI 294-2026
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
1. Please provide a quarterly breakdown of expenditure on mental health out of area placements* for financial years 2024/25 and 2025/26 in the table below
Our response:
| Financial Year | No of Total OAP Patients | Total OAP Spend (£) | OAP spend (£) specifically for inappropriate OAP adults no longer requiring a secure location |
| Quarter 1 (25/26) | 343,956 | 0 | |
| Quarter 2 (25/26) | 601,413 | 0 | |
| Quarter 3 (25/26) | 618,380 | 0 | |
| Quarter 4 (25/26) | 528,561 | 0 | |
| Full Year 2025/26 | 38 | 2,092,310 | 0 |
| Quarter 1 (24/25) | 383,381 | 0 | |
| Quarter 2 (24/25) | 401,242 | 0 | |
| Quarter 3 (24/25) | 351,965 | 0 | |
| Quarter 4 (24/25) | 215,534 | 0 | |
| Full year 2024/25 | 25 | 1,352,122 | 0 |
You asked:
2. What percentage of your overall mental health budget did these out of area placements represent in 2025/26?
Our response:
1.29% percentage of overall Mental Health budget.
You asked:
3. Does the organisation use a system to track their OAPs?
Our response:
Yes, we keep an active caseload for those on OAPs.
You asked:
4. If yes, what system is in place to track this?
Our response:
This is a caseload captured within the Clinical System, RiO.
You asked:
5. Is the organisation able to track escalations with OAP providers same day or are you required to wait till billing for this data?
Our response:
We have same day escalation meetings where required.
You asked:
6. Who is responsible within the organisation for tracking OAP patients?
Our response:
Mental Health Patient Flow Team.
You asked:
CMHT Caseload
7. How many Community Mental Health teams (CMHT) do you have within the organisation?
Our response:
The Trust currently has 17 adult community mental health teams.
You asked:
8. What is the current total caseload managed by each Community Mental Health Team (CMHT) within your organisation?
Our response:
The current number of people on each caseload at 12 October 2026.
Note – People could be on more than on caseload.
| Service | Team | Number on the caseload |
| Assertive outreach | Assertive outreach Cheltenham and Tewkesbury | 64 |
| Assertive outreach Stroud and Cotswolds | 49 | |
| Assertive outreach West | 69 | |
| Later Life | Later life Forest | 142 |
| Later life Gloucester | 193 | |
| Later life North | 268 | |
| Later life South | 360 | |
| Mental health intermediate care teams | Mental health intermediate care teams North | 244 |
| Mental health intermediate care teams South | 493 | |
| Mental health intermediate care teams West | 292 | |
| Recovery teams | Recovery Cheltenham | 270 |
| Recovery North Cotswolds | 93 | |
| Recovery Tewkesbury | 286 | |
| Recovery Cirencester and South Cotswolds | 177 | |
| Recovery Stroud | 323 | |
| Recovery Forest | 186 | |
| Recovery Gloucester | 503 |
You asked:
9. What is the highest individual caseload currently held by a practitioner within each CMHT?
Our response:
The current highest caseload held by a care coordinator at 12 October 2026.
Note – Some staff have larger low intensity caseloads, for example those people on annual reviews. Larger caseloads may reflect a temporary position whilst recruitment is in progress.
| Service | Team | Highest caseload held by a care coordinator or health care professional |
| Assertive outreach | Assertive outreach Cheltenham and Tewkesbury | 13 |
| Assertive outreach Stroud and Cotswolds | 11 | |
| Assertive outreach West | 13 | |
| Later Life | Later life Forest | 23 |
| Later life Gloucester | 50 | |
| Later life North | 26 | |
| Later life South | 40 | |
| Mental health intermediate care teams | Mental health intermediate care teams North | 42 |
| Mental health intermediate care teams South | 68 | |
| Mental health intermediate care teams West | 32 | |
| Recovery teams | Recovery Cheltenham | 31 |
| Recovery North Cotswolds | 13 | |
| Recovery Tewkesbury | 37 | |
| Recovery Cirencester and South Cotswolds | 39 | |
| Recovery Stroud | 57 | |
| Recovery Forest | 33 | |
| Recovery Gloucester | 30 |
You asked:
Provider Collaboratives
10. Is your organisation currently a member of one or more provider collaboratives? If yes, please provide:
- The name(s) of the provider collaboratives
- Do any of these collaboratives have a specific focus on mental health services, specifically OAPs?
Our response:
Yes, The Trust is a member of the following collaboratives:
- South West Provider Collaborative (MH Secure Services)
- Thames Valley Provider Collaborative (CAMHS Eating Disorders)
Both are Mental Health and both include OAPs.
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.moss20@nhs.net
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