Responses

Safety and Security, Serious Incidents

The Specialist Treatment and Recovery (STAR) team is a team commissioned by GICB to provide assistance with complex mental health needs that cannot be met by existing commissioned services.

Firstly can you provide all information you have regarding the responsibility, duties and aims of the STAR team? Are they a subsection of the recovery team? What facilities, treatments and resources do they have access to? Are they supposed to interact with patients directly or do they possess a more bureaucratic role or do the members provide treatment themselves?

Secondly can you provide a contact email address for the STAR team.

Risk Management

Could you advise the following about your use of Risk Management systems in your trust?

1. What risk, compliance or incident management software do you currently use?

2. Which vendor provides this software?

3. What is your annual license fee for this software?

4. When is the contract renewal date for this software?

Colposuspension – Management of Urinary Incontinence in Women

Clinical Activity Data

I am conducting a research project to compare the safety and efficacy of permanent versus absorbable sutures in Colposuspension for the management of stress urinary incontinence in women. I would be grateful if you could help me with this data.

From your hospital surgical database, please can you provide us with:
1. the number of Colposuspensions conducted in your unit between January 2020 and January 2025.
Of these, please clarify how many were conducted:
-open
-laparoscopically
-robotically

2. How many of these cases have needed to go back to theatre for any procedure under the care of urogynaecology/gynaecology/urology since the initial operation?
Please state, what procedures they then underwent.

The following questions, may be known by the theatre team via the surgeon’s cardex (information sheet which each surgeon will have with their preference of equipment for each operation) for Colposuspension. In the worst case, it may need to posed to the surgeons who usually perform colposuspensions but should be a quick answer:

“Which suture material is routinely used to suture onto the iliopectineal ligament in open cases? Please state name of suture or N/A if this route of colposuspension is not performed.”

“Which suture material is routinely used to suture onto the iliopectineal ligament in laparoscopic cases? Please state name of suture or N/A if this route of colposuspension is not performed.”

“Which suture material is routinely used to suture onto the iliopectineal ligament in robotic cases? Please state name of suture or N/A if this route of colposuspension is not performed.”

Mental Health Patient Homicides

1) Of the four homicides which the trust indicates have occurred since 2019, how many of these have undergone independent investigation under HSG 94/27?

2) If any HSG 94/27 reports have not been published, please can the trust explain why this is so.

Memory Assessments

I am writing to you on behalf of Alzheimer’s Research UK (Registered charity number 1077089) under the Freedom of Information Act 2000 to request the following information from Gloucestershire Health & Care NHS Foundation Trust.

Please can you provide us with the following:

A. The number of memory assessment services that you operate.

B. The area covered by each of these memory assessment services.

For each individual memory assessment service you operate:

1. The service’s annual funding for each of the years 2018-2024 inclusive.

2. The source/s of funding for the service for each of the years 2018-2024 inclusive.

3. The total annual number of patients seen by the service for each of the years 2018-2024 inclusive.

Doctors Ethnic Groups – Bands – Complaints

ESR/Workforce, HR

1. How many doctors work for your trust? By the term doctor, I mean those who treat patients, not those with a PhD, and/or who are not clinicians.
2. Break these into their ethnic groups and their corresponding grades e.g., white, black, Asian or whichever way you ethnically monitor your staff. If, for example, positions have fewer than five doctors in their grade and ethnicity, please use an asterisk and explain there are fewer than five.
3. Provide a key to explain your grading system e.g. lowest to the highest band or vice versa.
4. In the following years, how many complaints did you receive about doctors under MHPS during the following years? 1 Jan-31 Dec 2021; 1 Jan-31 Dec 2022; 1 Jan-31 Dec 2023; 1 Jan-31 Dec 2024.
5. Please break these down into ethnic groups e.g., white, black, Asian or whichever way you record your data for the corresponding years. If your numbers are fewer than five, then use an asterisk.
6. Of these complaints, how many resulted in your investigating them? Please list these in the corresponding years.
7. Please break these down into ethnic groups e.g., white, black, Asian or whichever way you record your data for the corresponding years. If your numbers are fewer than five, then use an asterisk.
8. Of these investigations, how many resulted in a sanction, adverse judgement or other disciplinary action? Please be clear about what the sanction was. Please list these in the corresponding years.
9. Please break these down into ethnic groups e.g., white, black, Asian or whichever way you record your data for the corresponding years. If your numbers are fewer than five, then use an asterisk.
10. Of all complaints how many resulted in a doctor being suspended during the inquiry? Please list these in the corresponding years.
11. Please break these down into ethnic groups e.g., white, black, Asian or whichever way you record your data for the corresponding years. If your numbers are fewer than five, then use an asterisk.
12. Of all the complaints how many did you refer the doctor to the GMC? Please list these in the corresponding years.
13. Please break these into ethnic groups e.g., white, black, Asian or whichever way you record your data for the corresponding years. If your numbers are fewer than five, then use an asterisk.
14. During your considering complaints, what is the average length of your investigations?
15. Please give the average length of your considering a complaint in terms of ethnic groups e.g., white, black, Asian or whichever way you record your data. If your numbers are fewer than five, then use an asterisk.

Bariatric Surgery

Weighing Scales

We are trying to determine the number of patients that are currently on the waiting list for bariatric surgery across the country i.e. they have been assessed as eligible and meet all the criteria for surgery and are now waiting for a surgical date. With that in mind please could you pass to us any information you have to address the following questions:

• How many referrals have you had into your Tier 4 Bariatric Services within the past year?
• What is the average time between their RTT into Tier 4 service and their first appointment in clinic?
• If you do not have a Tier 4 service in your Trust, how many patients have you referred to neighbouring Trust within the past year?

Exceptions for Routine Treatment Implants

I understand that whilst the Sexual Health team do not provide routine treatment regarding certain implants, exceptions may be made for certain groups. Please could you share a copy of the exceptions list / exceptions policy?

Formularies and Committees

Corporate Governance

We would like to request the following information from Gloucestershire Health & Care NHS Foundation Trust

1) We have the following formularies listed as used by the organisation:
Gloucestershire Joint Formulary
Please confirm if this is correct and if not, please provide any relevant online links or copies of formularies.

2) We understand the following committees maintain the formularies in question 1:
One Gloucestershire Medicines Optimisation Board (OGMOB)
Please confirm if this is correct. If not correct, please list the relevant committees with the corresponding formulary.

3) Does the organisation have representation on the committees listed in question 2?

4) Are any of the above formularies listed in question 1 dominant when making prescribing decisions or does this depend on therapy area? Please say which is the dominant formulary of the organisation.

5) If you use a PDF formulary, have you considered moving it to an online platform like Netformulary, and if yes, when are you planning to do so?

6) Request for Re-use
If your organisation does hold this information and is able to share it, then I would like to submit the following request for re-using the information:

We (IQVIA) request permission to re-use the information provided as part of independent analyses commissioned by our clients. The contents of the reports will not be made available publicly but may be used by other IQVIA Group entities and service suppliers. The information in the reports will be presented in a factual manner with all publication details staying true to the publisher.

Clinical Systems Information

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

Please provide information regarding the following 9 system contracts and their accompanying consulting support contracts:

1. Adult (working age) services
2. Child and Adolescent Mental Health Services (CAMHS)
3. Child Health System
4. Clinical noting
5. Eating disorders
6. EPR
7. Inpatient e-prescribing
8. Older Adults
9. Patients Note Tracking

Please enter ‘No System Installed’ or ‘No Department’ under supplier name if your trust does not use the system or have the department:

a) System type –
b) Supplier name –
c) System name –
d) Date installed –
e) Contract expiration –
f) Is this contract annually renewed? – Yes/No
g) Do you currently have plans to replace this system? – Yes/No
h) Procurement framework –
i) Other systems it integrates with? –
j) Total value of contract (£) –
k) Notes (e.g. we are currently out to tender) –

Can you please provide your trust’s IT spend for the following financial year:
FY 2023-24:

Please include in your IT spend calculation the cost of your IT staff, Software, Services, Hardware, Communication equipment and Other IT spend for the requested financial year.
Please provide your answer in the above format for each system.

Wheelchair Services: Open Caseloads and Waiting Times

As you will be aware, the recently released Wheelchair Alliance report has highlighted the postcode lottery experienced by wheelchair users, and the many long waits. I am interested in the underlying data.

Please provide the following information separately for each of the wheelchair services in your area. This data is ‘essential’ or ‘basic’ information relating to each referral and should be easily extracted from the relevant Case Management System, Electronic Patient Record, or similar. Please feel free to provide the data in alternative formats, e.g. an Excel spreadsheet, if appropriate.

1a) How many open referrals does the service have for ADULTS?
1b) Of those open referrals, how many have been open for LESS than 18 weeks?
1c) Of those open referrals, how many have open for MORE than 18 weeks?
1d) Of those open referrals, how many have been open for MORE than 52 weeks?
1e) Of those open referrals, how many are ‘low need’ (per NHS Wheelchair Data Collection definition)?
1f) Of those open referrals, how many are ‘medium need’?
1g) Of those open referrals, how many are ‘high need’?
1h) Of those open referrals, how many are ‘specialist need’?
1i) Of those open referrals, how many are for powered wheelchairs?

2a) How many open referrals does the service have for CHILDREN/YOUNG PEOPLE?
2b) Of those open referrals, how many have been open for LESS than 18 weeks?
2c) Of those open referrals, how many have open for MORE than 18 weeks?
2d) Of those open referrals, how many have been open for MORE than 52 weeks?
2e) Of those open referrals, how many are ‘low need’ (per NHS Wheelchair Data Collection definition)?
2f) Of those open referrals, how many are ‘medium need’?
2g) Of those open referrals, how many are ‘high need’?
2h) Of those open referrals, how many are ‘specialist need’?
2i) Of those open referrals, how many are for powered wheelchairs?

Management of Agency Staffing Supply Chains

Nursing & Agency Nursing

For ease, and for minimal admin effort at your end, I have attached a basic template in excel format – to be populated with your response to the 6 questions (repeated per agency staff group – one per worksheet), and have kept the questions basic and the reporting time frame short. I hope this is helpful.

Please return the information in the requested format – see instructions and clarifications in the attached MS Excel file. Please do not return the data in PDF formal unless also attaching the completed Excel file along with it.

Administering of Injections

Health, Pharmacy

I am writing to request information under the Freedom of Information Act 2000 regarding the administration of injections to patients without their consent within the Trust.

Specifically, I request the following information for the period 1 January 2020 – 15 March 2025:
1. The total number of times patients were administered injections without their consent and the date of any such cases.
2. A breakdown of the medications administered (e.g., antipsychotics, sedatives) in these cases.
3. The legal authority under which these injections were administered.
4. The number of incidents where rapid tranquilization was used and the date of any such cases.
5. Any policy documents or guidelines used by the Trust regarding the administration of injections without consent.

If any part of this request exceeds the cost limit under the FOI Act, I would appreciate advice on how I may refine my request to stay within the limit.

Sick Days Taken by Nurses

ESR/Workforce

This is an information request relating to sick days taken by nurses

Please include the following information for the following financial years: 2021/22, 2022/23, 2023/24, and 2024/25:

– Total number of days lost due to sick leave taken by NHS Nurses
– The total number of NHS nurses who took sick leave
– Total number of days lost to Mental Health issues taken by NHS nurses
– The total number of nurses who required sickness absence on mental health grounds
– The number of NHS nurses taking more than seven days of absence without a sick note
– The total number of days lost in excess of the seven days.

For example, if an individual has taken off 10 days without a sick note, then this would be 3 days in excess of the seven days

Agency Spend & Service Leads for Mental Health Roles

Nursing & Agency Nursing

Under the Freedom of Information Act 2000, I would like to request the following information regarding agency spend and hiring responsibility within your organisation:

1. The total agency spend for the financial year 2023-2024 broken by Agencies on the following roles:
o Psychological Wellbeing Practitioner (PWP)
o Social Worker
o CAMHS Practitioner
o Cognitive Behavioural Therapist (CBT)
o Mental Health Practitioner
o Psychologist
o Psychotherapist

2. The total agency spend from April 2024 to the present date broken by Agencies on the same roles listed above.

3. The name and job title of the appointed Service Lead or responsible hiring manager for each of the above staff groups. If direct names cannot be disclosed, please provide the relevant job titles and departments responsible for recruitment in these areas.

If possible, please provide a breakdown of spend per role. If this information is held in a different format or is only available in part, please provide any relevant data that you do hold.

Use of Processed Meats Containing Nitrates or Nitrites in Meals

I am writing to make a request for information under the Freedom of Information Act 2000.

I would like to request the following information regarding the use of processed meats containing nitrates or nitrites in meals provided by your authority.

1. Does your organisation procure or serve processed meat (such as bacon, ham, sausages, or other cured meats) that contain nitrates or nitrites as preservatives?

2. If so, please provide details of the types of processed meat served and any guidance or policies in place regarding their procurement.

Mental Health of Emergency Call Handlers and Dispatchers

I am a final-year PhD student at University College London’s Division of Psychiatry (UCL DoP). My research focuses on the mental health and wellbeing of NHS emergency and urgent call-handlers and dispatchers in England.
This study has received ethical approval from both the NHS Health Research Authority (HRA – Ref: 331921) and the UCL Research Ethics Committee (REC – Ref: 26015/001). The role of NHS emergency and urgent call-handlers and dispatchers is incredibly diverse, and these professionals provide vital support across various services within your Trust, including:
• NHS 999 ambulance services, coordinating urgent and emergency responses. • NHS 111 services, including helplines for mental health, physical health, and CAMHS (Children and Adolescent Mental Health Services). • Specialist NHS helplines, such as those supporting Crisis Teams (e.g., Crisis Assessment and Treatment Teams [CATT], Crisis Resolution and Home Treatment Teams [CRHTT]) or Single Point of Access (SPA) services, ensuring timely and appropriate care.
As part of my research, I would like to submit a Freedom of Information (FOI) request regarding the workforce mentioned above within your NHS Trust. Specifically, I am seeking:

• The total number of NHS emergency and/or urgent call-handlers and/or dispatchers currently employed.
• The mean and median age of these professionals, and a breakdown by age categories (number of staff in each age category)
• A breakdown by sex (number of females and males in each category).
• A breakdown by ethnicity, using the following categories only: (1) Asian, (2) Black, (3) Mixed or multiple ethnic groups, (4) White, or (5) Other ethnic groups (including the number of staff in each category).

Please note that individual Trust data will not be analysed separately; instead, it will be combined with data from other NHS Trusts to assess whether the staff participating in the study are representative of the wider NHS 999 or 111/Urgent helpline workforce.

NHS Treatment of Botched Overseas Surgeries

I am submitting this request under the Freedom of Information Act 2000 to obtain data on NHS treatment of complications arising from surgical procedures performed overseas.

Request Details

1. NHS Admissions for Complications Following Overseas Surgeries
• The total number of hospital admissions where the NHS has treated patients for complications resulting from surgeries conducted abroad.
• A yearly breakdown from January 2020 to January 2025 (or the most recent available period).

2. Breakdown of Patients Treated
For each year, please provide where available:
• Age group of patients (e.g.: under 18, 18-24, 25-34, 35-44, 45-54, 55-64, 65+).
• Gender of patients.

3. Data Classified Under Relevant ICD-10 Codes (or their NHS equivalents):
Please provide a breakdown of cases recorded under the following ICD-10 codes related to complications of surgical procedures:
• T81 – Complications of procedures (e.g., infections, wound disruption, foreign bodies left in the body).
• T82-T85 – Complications of prosthetic devices, implants, and grafts.
• T86 – Failure and rejection of transplanted organs and tissues.
• T87 – Complications of amputations and reattachments.
• T88 – Other complications of surgical and medical care (including anaesthesia-related complications).
• Y60-Y69 – Surgical errors and misadventures (e.g., accidental punctures, foreign objects left inside patients, failure of sterile precautions, inappropriate procedures).
• Y70-Y79 – Medical devices associated with adverse incidents.
• Y83-Y84 – Abnormal patient reactions or complications following surgery or other medical procedures.

4. Specific Details on Procedures Leading to NHS Admissions
Where available, please provide:
• The type of surgery the patient originally underwent abroad (e.g., cosmetic surgery, weight loss surgery, orthopaedic surgery, dental work, etc.).
• The intended purpose of the surgery (e.g., aesthetic enhancement, weight loss, joint replacement, reconstructive surgery, etc.).
• The type of complication requiring NHS intervention (e.g., infection, implant failure, excessive bleeding, wound breakdown, nerve damage, sepsis).

5. NHS Cost of Treating Complications from Overseas Surgeries
• The total annual cost incurred by the NHS in treating complications from overseas surgeries.
• If available, an estimated breakdown of costs by procedure type.

Maternal MH Services/ Psychological Support for Bereaved Parents

I am writing to request the attached information under the Freedom of Information Act 2000 about psychological support for parents who have experienced pregnancy or baby loss in NHS Gloucestershire ICB.

115-2023

What Do They Know

For each year 2020 – 2022., please confirm how many cyberattacks your Trust has suffered?

For each year 2020 – 2022., please confirm how many cyberattacks have resulted in the halting of or delay in delivery of care or services to patients?

For each year 2020-2022., please confirm:

The GBP £. value of budget allocated to cybersecurity

What percentage of the Trust’s entire budget for the financial year was spent on cybersecurity?

How many times in the last 12 months have you audited your third-party suppliers’ cybersecurity measures?

102-2023

This is a request for information under the Freedom of Information Act 2000, relating to detention under the Mental Health Act in a hospital in the Trust. Q1. Between 1 January 2018 and 31 December 2022, how many people were detained under the Mental Health Act? Alongside the total, please provide a breakdown by calendar year. Q2. How many people detained under the Mental Health Act between 1 January 2018 and 31 December 2022 were asylum seekers? Alongside the total, please provide a breakdown by calendar year. Q3. Between 1 January 2022 and 31 May 2023, how many people were detained under the Mental Health Act? Alongside the total, please provide a breakdown by month. Q4. How many people detained under the Mental Health Act between January 2022 to May 2023 were asylum seekers? Alongside the total, please provide a breakdown by month.

092-2023

Media

Can I please request the following information under the Freedom of Information Act.

1. The total amount that the trust has spent on the Good Governance Institute’s services since 2015.

2. A breakdown of the specific work that the Good Governance Institute has completed for the trust e.g. well-led reviews..

3. The basis on which the trust chose the Good Governance Institute as an external facilitator for such reviews, should this be applicable.

090-2023

NHS

I would like to request a copy of your seclusion policy – as part of my doctoral thesis I am planning to review these to explore current practice in seclusions in the UK.

068-2023

Media

For each question, please can you provide data for the following years – 2020, 2021, 2022, 2023 to date.

1. How many sexual assaults were reported to the trust?
a. Of these allegations, please advise whether they were:
i. On Staff carried out by a staff Member
ii. On Staff carried out by a patient or visitor
iii. By Staff on a Patient
iv. By Staff on a visitor
v. On Staff carried out by a visitor
vi. On a patient carried out by a patient
b. Of these alleged offences, how many were reported to the police?
c. If these alleged offences involved members of staff or contractors of the trust, please outline whether disciplinary proceedings took place and what was the outcome?

2. How many rapes were reported to the trust?

a. Of these allegations, please advise whether they were:
i. On Staff carried out by a staff Member
ii. On Staff carried out by a patient or visitor
iii. By Staff on a Patient
iv. By Staff on a visitor
v. On Staff carried out by a visitor
vi. On a patient carried out by a patient
b. Of these alleged offences, how many were reported to the police?
c. If these alleged offences involved members of staff or contractors of the trust, please outline whether disciplinary proceedings took place and what was the outcome?

056-2023

Please can you provide under the Freedom of Information Act, the details of your Screening & Immunisations staff inclusive of ‘Screening and Immunisation Lead’, ‘Screening and Immunisation Manager’ & ‘Screening and Immunisation Coordinator’ with their full job titles and the names of individuals who hold these positions with email addresses.

Projects invested in IT, Data and Transformation for 2025

What projects are they investing in within IT, Data and transformation for 2025?

How much is the budget spend allocated to this?

How many contractors do they have within IT, Data, Software, AI, Analytics and BI?

High Acuity Monitoring

We would like to place a Freedom of Information request, wishing to obtain an Install Base report for Monitoring systems within high acuity areas at your NHS hospitals.

Additional Questions

• How many anaesthetic rooms do you have in Theatres?
• How many theatre rooms do you have?
• Do you have a telemetry system for coronary care?
• How many telemetry systems do you have?

001-2023

This is a freedom of information request.
Please can you provide me with the number of employees employed on 1st April 2023 or the closest date to this where you have the data. whose role is specifically focused on the promotion of equality, diversity and inclusion.
Please also provide me with each of these employees’ annual salaries in GBP.
Please present this information in tabular format as a .xlsx file with each branch presented separately.
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.
If you can identify any ways that my request could be refined I would be grateful for any further advice and assistance.
Please provide your response by the statutory deadline of 20 days. This is Friday 28th June.

524-2023

I am writing to make a request under the Freedom of Information Act for the total amount spent by your trust on ‘collaborative banks’ between January 2022 and January 2023. Specifically, I am seeking information related to collaborative banks as opposed to the trust bank spend.
I would appreciate it if you could provide the information in electronic format, such as a spreadsheet or a PDF document. If this information is already available in the public domain, please provide me with references to the relevant sources.

496-2023

I am trying to understand the level of clinical trials activity that is taking place in the UK. Specifically can you tell me how many commercial clinical trials have been taking place in this hospital trust during the calendar year of 2022?
This could be completed trials, or trials that are ongoing. When I say “commercial trials”, I mean trials that are funded or sponsored by a commercial company such as a pharmaceutical company.

Access Controls, Security / CCTV & Care Comms/Nurse Call Systems

Estates

We would be most grateful if you could provide us, under the Freedom of Information Act, with some information regarding current Access Controls, Security / CCTV & Care Comms/Nurse Call Systems in place.

The details we require are:

– Hardware Brand: The primary hardware brand of the organisation’s:
a. Access Control
b. Security
c. CCTV
d. care comms/ nurse call

– Existing Supplier: If there is more than one supplier, please split each contract up individually.

– Contract Type: What is included in the current contracts with these suppliers? Comprehensive, Semi Comprehensive including call outs, Basic Service Only.

– Contract duration, end date and review date of the current contracts with these suppliers.

– On average, what is the annual spend on each of these systems for the Trust?

– Contact Detail: Of the person from with the organisation responsible for each contract with details including full name, job title, direct contact number and direct email address.

– If the contract is a managed by an outside Facility Management Company, please can you provide all the relevant details with including the contact details of the responsible person from the FM (Facilities Management) Company.

Animal Assisted Therapy

I would like to determine the number of NHS Mental Health Trusts that offer Animal Assisted Therapy to their patients.

I would also like to know how much is spent by the Mental Health Trusts on Animal Assisted Therapies each year.

Finally I would like to know who conducts the animal assisted interventions, is it NHS clinicians or teams brought in specifically to conduct the intervention.

Occupational Therapists in Mental Health Liaison Team

Organisation

We are trying to expand our network and reach out to practitioners who are not aware of this professional network.
I am reaching out to different trusts to ask if there are any mental health liaison practitioners in your trusts that are Occupational Therapists?

If so, would it be feasible to share this email/my details with them, or, would you be able to respond to my email with how many Occupational Therapists you have within your mental health liaison teams if any and contact details for their teams?

Analysis on the Uptake of Biosimilar Use for Ustekinumab

I am conducting an analysis on the uptake of biosimilar use for Ustekinumab.

I would be grateful if you could please tell me how many patients were treated with Ustekinumab (for any disease) for the three-month period specified within the questions.

Q1 – How many patients were treated with Ustekinumab and its biosimilars (for any disease) from the start of October 2024 to the end of December 2024?
Please use the latest available 3 months if October to December is not available and specify which 3 months have been used.

Q2 – How many patients were treated with Stelara and its biosimilars (for any disease) in the months October 2024, November 2024, and December 2024?
Please use the latest available 3 months if October to December is not available and specify which 3 months have been used.

Communications & Public Relations Spend

What Do They Know

Under the Freedom of Information Act, I would like to request the following information:

Please provide your total spend on communications and public relations for the last three financial year’s 20/21,21/22,22/23. For each year I would like a breakdown containing the following information:

Spend on communications and public relations activities.
Total number of communications and public relations employees.
Total salary cost for all communications and public relations employees

451-2023

This is a request for information under the Freedom of Information Act 2000, regarding reporting systems for sexual misconduct. 1. 2. 3. Do all hospitals in your Trust have a reporting system for sexual misconduct? If the answer is
4. ‘no’, please share how many hospitals within your Trust do have a reporting system for sexual misconduct and how many do not.
5. 2. 3. 4. If some or all of the hospitals in your Trust have a reporting system for sexual misconduct, please
5. outline the reporting system. 6. 3. 4. 5. If none or not all of the hospitals in your Trust have a reporting system for sexual misconduct,
6. please outline what a Trust staff member should do if they are a victim of sexual misconduct and another Trust staff member is the perpetrator. 7.

Ophthalmology IT Systems and Imaging Capabilities

Health, IT

Under the Freedom of Information Act 2000, I would like to request the following information regarding the ophthalmology services and IT systems used within your Trust:

Ophthalmology Department & IT Record System
1. Does your Trust have an ophthalmology department and/or provide ophthalmology clinics?
2. If so, what is the name of the principal IT record system used to document results from patient consultations within ophthalmology?

Imaging Capabilities & System Integration
3. Does the principal IT system allow clinicians to view images from scans conducted during a clinic visit?
4. Are there any types of medical images that cannot be imported into this principal IT system? If so:
• What is the name of the IT programme used by clinicians to view these images?
• What is the name of the scan/modality that generates these images?

Data Integration with National Systems
5. Does the principal IT system integrate with the NHS Spine or other national patient record systems (e.g., OpenEyes, Medisoft, Epic)?
6. Does the system support the exchange of structured data with other NHS Trusts or external healthcare providers?

Patient Access & Communication
7. Does the system allow patients to access their ophthalmology records, including images, via the NHS App or another patient portal?
8. Are there any restrictions on how imaging data can be shared with patients and external providers?

Image Storage & Viewing Capabilities
9. What is the storage capacity and retention policy for ophthalmology-related imaging within the IT system?
10. If images are not viewable within the principal IT system, does the Trust use a separate PACS (Picture Archiving and Communication System) for ophthalmology imaging?

Future IT Developments & Interoperability
11. Is the Trust planning any upgrades or changes to its ophthalmology IT infrastructure in the next five years?
12. Are there known interoperability challenges that affect the transfer of ophthalmology data within the Trust or between NHS organizations?

ADHD Assessments and Diagnoses in School-Aged Children.

CAMHS/CYPS

Under the Freedom of Information Act 2000, I request the following information relating to ADHD assessments and diagnoses in school-aged children.

The number of school-aged children assessed for ADHD symptoms in 2019/2020?
The number of school-aged children assessed for ADHD symptoms in 2020/2021?
The number of school-aged children assessed for ADHD symptoms in 2021/2022?
The number of school-aged children assessed for ADHD symptoms in 2022/2023?
The number of school-aged children assessed for ADHD symptoms in 2023/2024?
The number of school-aged children assessed for ADHD symptoms in 2024/2025?

The number of school-aged children diagnosed with ADHD in 2019/2020?
The number of school-aged children diagnosed with ADHD in 2020/2021?
The number of school-aged children diagnosed with ADHD in 2021/2022?
The number of school-aged children diagnosed with ADHD in 2023/2024?
The number of school-aged children diagnosed with ADHD in 2024/2025?

The Primary Care-Associated Helicobacter Pylori testing

Locum Doctors, Nursing & Agency Nursing

This FOI request seeks to establish the types, numbers, costs and timings of Helicobacter pylori tests performed by your Trust (or on its behalf) for primary care providers.

Question 1: Your Trust
In your response to this FOI request, could you please specify the identity of the parts of your Trust for which this FOI is relevant, and for which you are responding.

Question 2: Types of Tests and Providers Which types of tests relevant for the primary care diagnosis of Helicobacter pylori (e.g., stool antigen test, urea breath test, serology) do you perform within your Trust, or have performed on your behalf by a Third party? If outsourced, could you please specify the Third party used.

Question 3: Test Types and Volumes
How many Helicobacter pylori tests of each of these types were performed by your Trust or on its behalf in the most recent 12-month period, or other defined accounting period for which data is available?

Question 4: Requirements for in-Person Testing Which types of tests required the in-person attendance of the patient at your Trust or its Third-party provider for testing, how many such in-person attendances were required, and what was the average time taken between patient arrival and departure?

Question 5: Turnaround Time for Test Results Specifying each type of Helicobacter pylori test performed by your Trust, or on its behalf, could you please provide the average time (in hours) between receipt of sample to transmission of test result to the GP practice?

Question 6: Test costs and Tariffs
For each type of Helicobacter pylori test performed by your Trust or on its behalf, what is the total cost of performing the test to your Trust or the Third party provider (i.e., personnel, infrastructure, reagents and consumables, etc)? What does your Trust charge for performing each of these tests? Do these tests correspond to standard NHS tariffs or HRG codes? If so, could you please specify the tariff code and amount charged for each test type.

Management of Doctors, Nursing and AHPs

I am writing to submit a request under the Freedom of Information Act 2000. I am seeking clarification regarding the management of staffing contracts and associated services within your Trust. Specifically, I would like to request information about the companies or processes involved in managing the following areas across the staffing groups of Doctors, Nursing, and Allied Health Professionals (AHPs):

1. Direct Engagement – Management of direct engagement of staff.
2. Neutral Vendor Contracts – Oversight of neutral vendor agreements for agency staff.
3. Bank Staff Management – Administration and management of staff banks.
4. Master Vendor Contracts – Oversight and management of master vendor contracts.
For each of these areas, please provide the following information:
• The name(s) of the company or organization managing these services, if applicable.
• A brief description of their roles and responsibilities.
• Confirmation if the service is managed internally by the Trust, and if so, whether this is supported by any platforms or tools (in-house or otherwise).
• If a platform is used internally, confirmation that it is not managed by a third party.
• Confirmation if a particular area is not applicable to your Trust.
• An end date for the contract if applicable.

If it is not possible to provide all the information requested, please provide as much as you are able.

Staff Contact Details

The person who holds the following job title or responsibilities within your organisation. Please could you include their Job title, name and email address.

1. Director of Digital
2. Director of Digital Transformation
3. Chief Information Officer
4. Director of Information Technology
5. Chief Clinical Information Officer
6. Head of Information Technology
7. Digital Innovations Lead
8. Associate Director of Informatics – Infrastructure
9. Digital Systems Technical Lead
10. Deputy Digital Portfolio Director
11. Director of Improvement and Integration
12. Head of ICT Operations
13. Digital Services Project Manager
14. Chief Digital Information Officer
15. Chief Nursing Information Officer
16. Digital Applications Manager
17. Digital Services Manager
18. Head of Information and Performance

Children and Young People Mental Health Services Waiting Times

CAMHS/CYPS

For the 12 months between January 2024 to December 2024:

1. The number of children and young people (adolescents) who were referred to your mental health services?
2. The number of children and young people (adolescents) who were referred to your mental health services and are still waiting for first contact?
3. The number of children and young people (adolescents) who were referred to your mental health services and are still waiting for the second contact [assessment appointment]?
4. How many of those children and young people (adolescents) had their referral closed before accessing support?
5. How many urgent contacts to CAMHS did you receive due to an emergency situation while a child or adolescent is waiting for first contact from your mental health services?
6. Please can you provide the longest wait time from referral to first appointment?
7. Please can you provide a breakdown of the numbers of those children and young people (adolescents) referred to your mental health services who identify as male, female, transgender or undisclosed gender?
8. Please can you provide a breakdown of the numbers of those children and young people (adolescents) referred to your mental health services for ‘reaching crisis’?

For the 12 months between January 2023 to December 2023:
1. The number of children and young people (adolescents) who were referred to your mental health services?
2. The number of children and young people (adolescents) who were referred to your mental health services and are still waiting for first contact?
3. The number of children and young people (adolescents) who were referred to your mental health services and are still waiting for second contact [assessment appointment]?
4. How many of those children and young people (adolescents) had their referral closed before accessing support?
5. How many urgent contacts to CAMHS did you receive due to an emergency situation while a child or adolescent is waiting for first contact from your mental health services?
6. Please can you provide the longest the longest wait time from referral to first appointment?
7. Please can you provide a breakdown of the numbers of those children and young people (adolescents) referred to your mental health services who identify as male, female, transgender or undisclosed gender?
8. Please can you provide a breakdown of the numbers of those children and young people (adolescents) referred to your mental health services for ‘reaching crisis’?

Provision of Vestibular Assessment and Rehabilitation

I would like to make a Freedom of Information request regarding the provision of vestibular assessment and rehabilitation by your Trust’s Falls Prevention Service (or equivalent).
World Guidelines for Falls Prevention and Management for Older Adults: A Global Initiative published in September 2022 (see below link) recommend routinely asking about dizziness and undertaking follow up assessment to identify causes, including vestibular. They reference the high incidence of BPPV and vestibular dysfunction in those presenting with falls and suggest managing vestibular issues should be considered as part of a multifactorial approach.
World Guidelines for Falls Prevention and Management for Older Adults: A Global Initiative | British Geriatrics Society (bgs.org.uk)

The request therefore has 3 specific questions:
1. Does your falls prevention team (or equivalent) have staff trained to assess and treat vestibular dysfunction?
2. If so, from which profession(s)?
3. Do you have any plans to develop this part of your falls prevention service?

International Recruitment

Permanent / international recruitment – questions
How many roles did you recruit via international recruitment during the period August 2024 to January 2025?
Please provide a further breakdown by:
• Number of Nurses including banding
• Number of Doctors including grades
• Number of AHP including banding

Of these hires made please confirm the number of hires made using a recruitment agency.
Please provide a further breakdown by:
• Number of Nurses including banding
• Number of Doctors including grades
• Number of AHP including banding

Of the agencies used, please confirm:
• Which agency was used for the hire
• Which framework was utilised for the hire
• Please include non-framework agencies also

Mental Health Patient Homicides

Health, MH Services

FOI request: Mental health patient homicides at Gloucester Health and Care NHS Foundation Trust and independent investigations

1. Please disclose since 1994, how many homicides by trust patients have occurred within a year of contact with the trust (and its predecessor bodies).

Please give a breakdown by year.

2. How many of these patient homicides were reported to NHS England or its predecessor bodies?

Please give a breakdown by year.

3. How many of the patient homicides reported to NHS England were independently investigated under HSG 94-27?

If not all patient homicides were reported to NHS England and/or its predecessor bodies, can the trust explain why this was so?

Early Intervention in Psychosis

Health, MH Services

Dear Gloucestershire Health and Care NHS Foundation Trust,

This is a request for information under the Freedom of Information Act 2000. I would like to request the following information:

1. The number of patients treated year-on-year by the Early Intervention in Psychosis team of Gloucestershire Health and Care NHS Foundation Trust in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
2. The number of staff that work in the Early Intervention in Psychosis team of Gloucestershire Health and Care NHS Foundation Trust in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
3. The percentage increase/decrease in the budget for the Early Intervention in Psychosis team of Gloucestershire Health and Care NHS Foundation Trust in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
4. What was the mean waiting time for EIP patients between first referral and starting treatment in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
5. What was the longest waiting time for an EIP patient on your caseload between first referral and starting treatment in:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24

B&B Accommodation for Discharged Mental Health Patients

Health, MH Services

Under the Freedom of Information Act please can you provide the following information:

1. Between January 2024 and December 2024 (inclusive) did the trust use any bed and breakfast accommodation for discharged mental health patients?
If so, how many beds?
2. What was the reason for using them?
3. During the same period how much was spent in total on B&B accommodation for mental health patients?

Hospital Admissions Related to Sunbed Injuries

I am submitting a request under the Freedom of Information Act 2000. I would like to obtain data regarding the number of hospital admissions related to sunbed injuries. Specifically, I request the following information in whichever format is easiest to provide: SNOMED, ICD-11, or free text.

1. Sunbed Admissions (SNOMED)
The number of hospital admissions for patients presenting with sunbed-related injuries, classified under:
• 403588002 – Addiction to sunbed use (disorder)
• 242537009 – Exposure to man-made ultraviolet light (event)
• 466293001 – Ultraviolet tanning device (physical object)
If possible, please also include:
• Age group (e.g.: under 18, 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, 75-84, 85-94, 95-100, over 100)
• Gender of the patient
• Brief description of the reason for admission
• Treatment received for the injury
2. Sunbed Admissions (ICD-11)
The number of hospital admissions for patients presenting with sunbed injuries, categorised under:
• EJ41 – Burn from exposure to artificial source of ultraviolet radiation
o EJ41.0 – Burn from exposure to therapeutic ultraviolet radiation
o EJ41.Y – Other specified burn from exposure to artificial source of ultraviolet radiation
o EJ41.Z – Burn from exposure to artificial source of ultraviolet radiation, unspecified
If possible, please also include:
• Age group (as above)
• Gender of the patient
• Brief description of the reason for admission
• Treatment received for the injury
3. Sunbed Admissions (Free Text)
The number of hospital admissions for patients presenting with sunbed injuries, provided in free text format.
If possible, please also include:
• Age group (as above)
• Gender of the patient
• Brief description of the reason for admission
• Treatment received for the injury
Timeframe
For each month over the past five years (2019–2024), please provide the total number of individuals recorded.

Mechanical Ventilation