Responses

SUBJECT: RHEUMATOLOGY/RHEUMATOID ARTHRITIS 1) Does your Rheumatology Department prescribe Janus Kinase (JAK) inhibitors for severe cases of rheumatoid arthritis?; 2) If it does what JAK inhibitors are available/prescribed?; 3) Does your Rheumatology Department prescribe JAK Inhibitor Baricitinib (Olumiant) in table form?

This is a Freedom of Information request for statistics about patient homicides.

Please can you tell me the number of your patients that have committed, or who are suspected of committing, a homicide by date, for each of the years 2018 – 2023 inclusive?

I am writing to request information under the Freedom of Information Act 2020. Please provide the following information:

1. Does your organisation provide or contract out cognitive interventions, including Cognitive Stimulation Therapy (CST), as part of post-diagnostic services for dementia patients?
a. If you contract this out please can you confirm the provider(s)?
2. What is the current waiting period for patients to access cognitive interventions including CST at your organisation?
3. How many psychologists currently work in services delivering cognitive interventions to dementia patients in your organisation?
4. Are there other healthcare professionals, allied health professionals or support staff who deliver cognitive interventions specifically CST to dementia patients in your organisation?
5. Regarding Cognitive Stimulation Therapy specifically:
a. How many CST groups does your organisation currently run concurrently?
b. How many CST sessions have been delivered in the 2024/25 financial year to date?
c. What is the average size of a CST group in your organisation?
d. Is there currently a waiting list for CST groups? If so, how many patients are on it?
6. Does your organisation offer online CST services? If so:
a. How many online CST groups do you run per year?
b. What is the average size of an online CST group?
7. What was the budget allocation for CST in your organisation for the 2024/25 financial year?
8. Please provide the budget allocations for CST in your organisation for the financial years 2021/22, 2022/23, and 2023/24.
9. What recorded plans or strategies does your organisation have to expand access to CST? For clarity this may be a dementia strategy, a planned response to the Memory Services Spotlight Audit National Report 2023/24 or clinical service development plans.

I am writing under the terms of the Freedom of Information Act (2000).

The following questions concern the trust’s complaints handling responsibilities governed by the Local Authority Social Services and National Health Service Complaints (England) Regulations 2009), the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 (the 2009 and 2014 Regulations) and expectations to provide Patient Advocacy and Liaison Services (PALS) under the terms of the Health and Social Care Act (2001).

I would like to request the following information.

1. What budget (in £) did the trust allocate to Patient Advice and Liaison Services (PALS) in the following financial years (If no separate PALS budget exists, please provide an estimate based on approximate funds spent on PALS related activity)?:

a. 2019/20 (1 April 2019 to 31 March 2020)
b. 2020/21 (1 April 2020 to 31 March 2021)
c. 2021/22 (1 April 2021 to 31 March 2022)
d. 2022/23 (1 April 2022 to 31 March 2023)
e. 2023/24 (1 April 2023 to 31 March 2024)

2. How many FTE staff were employed as part of your PALS service in the following months (If staff members work across PALS and other duties, please provide an estimate based on approximate staff time spent on PALS-related activity)?:

a. 1 March 2019 (or nearest possible date, please state)
b. 1 March 2020 (or nearest possible date, please state)
c. 1 March 2021 (or nearest possible date, please state)
d. 1 March 2022 (or nearest possible date, please state)
e. 1 March 2023 (or nearest possible date, please state)
f. 1 March 2024 (or nearest possible date, please state)

3. How many FTE staff were employed to work on complaints handling in the following months (If staff members work across complaints handling and other duties, please provide an estimate based on approximate staff time spent on complaints related activity)?

a. 1 March 2019 (or nearest possible date, please state)
b. 1 March 2020 (or nearest possible date, please state)
c. 1 March 2021 (or nearest possible date, please state)
d. 1 March 2022 (or nearest possible date, please state)
e. 1 March 2023 (or nearest possible date, please state)
f. 1 March 2024 (or nearest possible date, please state)

I’m seeking information on the use of non-clinical management consultants hired by your Trust for advisory or project-based roles, specifically related to workforce management, cost reduction, financial efficiency or operational improvement. Please exclude any data related to Medical Locums, Clinical Consultants (doctors) or agency staff (unless upholding a post aligned with those mentioned above).

Please disclose the following information in accordance with the rules of the Freedom of Information Act 2000.

1. During the period between 1st April 2024 and 31st August 2024, how many external consultants were contracted by the Trust and what were their job roles (for example Software Developer, Agency Cost Reduction Program Director, Service Efficiency Lead etc.)? (For clarity, I’m referring to individuals, not Whole Time Equivalent (WTE) numbers).

2. Please list the Job Title / Role, pay type (Umbrella / PSC etc.), rate type (day rate, hourly) of any contractors / consultants engaged with the Trust at any time during April, May, June, July and August 2024. Please use the template below and include a one line description of the core purpose of the role (responsibilities / objectives), and whether the role pertains to the Trust only, or to a wider ICB project.

Job Title / Role Pay Type (i.e. Umbrella, PSC etc.) Rate Type (i.e. Daily or Hourly) Trust or ICB Core Responsibility / Objective(s)

3. For each job role, what was the average cost invoiced to the Trust, per day, per contractor, between 1st April 2024 and 31st 2024.

4. For each of the job roles, what is the average tenure of those who were engaged at any time during 1st April 2024 and 31st August 2024. If they are still in post, please detail their start date and earliest anticipated end date.

I am requesting information under the Freedom of Information Act.

It is lawful for providers of NHS services to refuse to provide treatment where a patient’s behaviour constitutes as discrimination or harassment, or abusive violent or threatening, towards staff. Please can you tell me the number incidences where your Trust has refused treatment in the last five years?

Please present the data annually by financial year.

For example:

2020/21 – 3 incidents
2021/22 – 17 incidents
etc

Please also provide information on reason for refusal. For example: “displays abusive, violent or threatening behaviour unacceptable to the Provider”, or “behaviour which the Provider determines constitutes discrimination or harassment towards any Staff or other Service User”.

For example: 2020/21 – 24 incidents including 4x incidences of abusive violent or threatening behaviour; 20 incidences of discrimination or harassment.

Please also provide, for the same period of time, an annual breakdown of how many of these recorded incidences have been logged as involving racial abuse or racism.

For example: 2020/21 – 24 incidents including 4x incidences of abusive violent or threatening behaviour; 20 incidences of discrimination or harassment. Of these, 5 were logged as racial abuse.

– How many children (under18) have been referred to CYMPHS/CAMHS in the last five years. [Between April 6 – April 5]?
– Can you provide the total number of children referred for each year; 2019/2020, 2020/21, 2021/22, 2022/23 and 2023/24.
– For each year, can you provide the number of children referred broken down by primary cause (such as, anxiety, depression etc.)
– For children referred this year alone (Between April 6 – April 5 2023/24), how many received treatment?
– Between April 6 – April 5 2023/24, how many referrals to CAMHS were either deemed inappropriate or rejected?
– Between April 6 – April 5 2023/24, what was the average and maximum waiting times for CAMHS treatments from referral to first appointment?
– Between April 6 – April 5 2023/24, how many CAMHS patients were sectioned?
– As of September 2024, how many children and adolescents are on the waiting list for CAMHS?

I am writing to request information concerning the use and evaluation of clinical artificial intelligence systems within your trust. For the purposes of this request, ‘clinical AI’ refers to artificial intelligence models used in patient diagnosis or treatment.

Context for the Request:
The integration of AI technologies into healthcare is rapidly advancing and has the potential to significantly impact patient care, diagnostics, and treatment outcomes. Understanding how NHS trusts are adopting and utilizing clinical AI systems is crucial for assessing the current landscape, identifying best practices, and informing future developments in this field.

Information Requested:
Current Use of Clinical AI Systems:
• Question 1: Does the trust currently use any clinical AI systems in diagnosing or treating patients?
Details of Clinical AI Systems in Use:
• Question 2: Please provide a list of clinical AI systems currently used by the trust.
• Question 3: If available, please provide any existing reports or summaries detailing the usage frequency of these clinical AI systems within the trust over the past 12 months.
Decision Making for Clinical AI
• Question 4: If available, please provide copies of any policies, procedures, or committee meeting minutes from the past two years that outline how the trust selects and approves clinical AI systems for use.

1. Can you confirm your head of procurement name, phone number and email address?
2. How many agency nursing shifts have your Trust used Thornbury Nursing Services for between 1st June 2024 and 1st August 2024?
3. Please provide a breakdown of the amount of shifts per ward or department where Thornbury Nursing Services were used between 1st June 2024 and 1st August 2024?
4. Please name any other OFF CONTRACT SUPPLIERS who have been utilised by the Trust between 1st June 2024 and 1st August 2024 above the NHS Improvement + 50% caps and how many shifts each of these agencies have filled.
5. If for any reason you are unable to supply data up until 1st June 2024 and 1st August 2024 please provide from 1st March until 1st May.
6. Can you confirm medical director name, phone number and email address for Psychiatry?

Please can you provide the below information
Agency and bank fill rate by grade in all departments
What each agency has filled by grade and staff group
Details of off contract spend
If an MSP or Neutral Vender is in place and when the contract is coming to an end

Please can you provide the below information
• Agency and bank fill rate by grade in all departments
• What each agency has filled by grade and staff group
• Details of off contract spend
• If an MSP or Neutral Vender is in place and when the contract is coming to an end

Under the Freedom of Information Act 2000, I would like to request the following information regarding nursing and care agencies at Gloucestershire Health and Care NHS Foundation Trust:

– A list of nursing agencies currently utilized for nursing and care staff at the Trust.
– Information on off-framework agencies that supplied nursing staff between April 2023 and April 2024, including the associated spend data.

1. What system is currently used by the Trust for Theatre Management and Scheduling?
2. When does the contract for this system expire, and when is it due for renewal?
3. What system is currently used by the Trust for managing pre-operative assessments?
4. When does the contract for this system expire, and when is it due for renewal?
5. Are your patients able to complete a pre-operative questionnaire electronically at home? If so, which system facilitates this?

FOI Questions on NHS Infrastructure; Hospital Repairs, Backlog, and Investments (2019-2024)

1. Building Age and Infrastructure Risks
1.1 For each year from 2019 to 2024, how many hospital buildings under your Trust were identified as being in urgent need of repair due to their age? Please also include the age of each building.
1.2 For each hospital building under your Trust, what specific infrastructure risks were identified (e.g., structural deficiencies, malfunctioning equipment, fire safety hazards, etc.)?
1.3 How much funding has been allocated for the maintenance and repair of ageing hospital buildings under your Trust over the past five years?

2. Annual Backlog of Repairs in NHS Hospitals
2.1 Please provide the total cost of the backlog of repairs for hospitals buildings under your Trust, broken down by year for the period 2019 to 2024.
2.2 Could you also break down these costs into the following risk categories, for each year:
• High Risk and Critical Repairs: What is the estimated cost to eradicate high-risk backlog maintenance in hospital buildings under your Trust from 2019 to 2024?
• Moderate and Low Risk Repairs: What is the estimated cost to eradicate non-critical repairs in hospital buildings under your Trust for the same period?

3. Major Infrastructure Failures
3.1 From 2019 to 2024, have there been any significant failures in hospital infrastructure within your Trust, such as structural problems, mechanical breakdowns, fires, etc., related to repair backlogs? Please provide details for each occurrence, including:
• The type of failure (e.g., structural issues, mechanical breakdowns, fires, etc.).
• The date the failure occurred.

1. Did any services within your trust provide SSIs to Children and Young People (CYP)?
2. If yes, which services and what SSIs did they offer? (please give as much detail as possible about these, including whether these are individual/group, aimed at a specific type of disorder or age group, what therapeutic modality/model these are based on)
3. Who delivered these interventions?
4. At what point(s) in the care pathway are SSIs are offered to CYP/families?

1. Please share the total number of full time equivalent staff at your organisation on 1st April 2024, as well as the total number of physician associates, junior-level doctors and consultant doctors.
2. Please share the same information for 1st April 2023, 1st April 2022, 1st April 2020 and so on back to 1st April 2015.

• What Emergency Preparedness, Resilience and Response (EPRR) resourcing that you have in post. I would appreciate if this could be broken down in to: FTE, permanent/not permanent etc, job title and band?
• What is the trust’s budget in relation to EPRR?
• What the total patient population served by the trust?
• What is the trust’s current operating budget?

1. Does the Trust have a Social Value strategy in place?
2. If so, can you provide a link to the Trusts Social Value policy, strategy, framework or similar document.
3. Please outline the economic, social, environmental and other priorities for the Trust.
4. Please outline the KPI’s (Key Performance Indicators) the Trust use to measure Social Value output and impact.
5. Who is the key contact for Social Value within the Trust

Since April 2020, have you commissioned or received any Royal College invited reviews into your services? Please list service involved, Royal College involved, date commissioned and date delivered.
For each of the reviews
1. Were any patient safety issues raised by the invited review?
2. If so, did you inform your regulator/s? Which ones and when?
3. If patient safety issue was identified, was this discussed by the board, either in public or private? When was this and can you include a link to the relevant board papers?
4. If a patient safety issue was identified, did you publish a summary of the report – its conclusions, recommendations, terms of reference and actions taken by you? Please include a link showing where it can be seen.
5. If a patient safety issue was identified, did you exercise duty of candour to those patients affected? How many and when were they contacted?
Please attach all invited reviews commissioned or received since April 2020.