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Spinal Muscular Atrophy (SMA) Treatment

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I would be grateful if you could please answer the following questions with regards to treatment of spinal muscular atrophy:

1. Within your Trust/ Health Board, where are patients (aged 2yrs +) with a diagnosis of Spinal Muscular Atrophy referred to for treatment?

2. How many patients with Spinal Muscular Atrophy have been referred in:

A. The last 12 months? (or the latest 12 months of data you have available)
B. The last 5 years?

Could you please split this out into SMA type if possible ( Type 0, 1, 2, 3, 4) – (see attached ICD-10 codes)

3. If your Trust/ Health Board receives referrals, where are these referrals made from?

4. How many patients return to local care for continued treatment once referred to a specialist centre?

5. If you have a treating centre for Spinal Muscular Atrophy in your trust, what is the average length of stay (or annual bed days) of patients being treated?

If you are unable to answer all of these questions, please provide answers to those that are possible to answer. Thank you for taking the time to look into this request.

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Legacy Clinical Systems

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Under the Freedom of information Act please could you answer the following questions based
On Legacy Clinical Systems used for Data Storage within the Trust.
‘An NHS legacy clinical system is an outdated or unsupported/supported technology used for storing and processing patient data and records. These older systems are often deeply embedded in hospital workflows but pose challenges for data storage, including limited interoperability, security risks, and high maintenance costs. ‘
1. Does the Trust use legacy clinical systems for data storage, e.g. Read-only systems that are only used for patient data storage
2. If yes, please provide the name of the
• System/s
• Supplier/s
• Current contract end date/s
3. Is this system used Trust wide or for a limited number of departments?
4. Please provide list of departments system is used?
5. What is the total annual licence cost of these systems per annum?
6. If service contracts are in place, what are the total annual costs cumulatively?

Thank you for your assistance

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Workforce Systems

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I would like to make a request under Freedom of Information Act relating to Medics workforce systems
Please respond to the following questions
1. Which software provider does the Trust use for junior doctors rotas software
2. Which software provider does the Trust use for medics rostering software
3. Which software provider does the Trust use for medics job planning software
4. Which software provider does the Trust use for direct engagement management of medical locums software
5. Which software provider does the Trust use for master vendor management software
6. Which software provider does the Trust use for medics temporary staff management software
7. What was the annual cost for the Trust’s junior doctors rota software in the last FY
8. What was the annual cost for the Trust’s medics rostering software in the last FY
9. What was the annual cost for the Trust’s medics job planning software in the last FY
10. What is the contractual end date of your current junior doctors rota software
11. What is the contractual end date of your current medics rostering software
12. What is the contractual end date of your current direct engagement software
13. What is the contractual end date of your current medics job planning software
14. What is the contractual end date of your current medics temporary staff management software
15. What is the contractual end date of your current master vendor management software

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Complaints – IT Operations

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Dear FOI Team,

I am requesting the following information under the Freedom of Information Act:

The number of complaints raised against the IT Ops department of Gloucestershire Health and Care NHS Foundation Trust between 2020 and 2025.

A summary of the nature of these complaints.

The outcomes of any investigations or resolutions.

Any internal governance reviews or audits related to IT service delivery during this period.

Please confirm receipt and let me know if any clarification is needed.

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CAAAS Waiting Lists

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Please can you answer the following (I have already FOI’d and I am happy to include this in the next FOI).

1. How are the waiting times for the CAAAS shared within the organisation?

2. What is the governance process from team to Board to ensure the Board is sighted on this issue?

3. I note your Trust risk register as reported in latest board figures is quite generic.

a. Is the CAAAS waiting list issue on the risk register?
b. What is it scored and what are the mitigating actions?

4. There was limited mention of CAAAS in any of your 2025 Board Papers (this links to my point above). There was a quote from a NED at the Go and See in May Board papers ‘the waiting list is impacted by several factors including the amalgamation of others’ waiting lists into CAAAS’.

a. What is the material impact?
b. What is the nature of the problem?
c. How is the service mitigating the impact?

5. How are you assuring yourself around actual or potential harm relating to the extremely extended waits in CAAAS?

6. Further to above if the waiting list is growing what is the organisation doing regarding mutual aid or outsourcing?

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Adoption of Digital Technology within the NHS

I am writing under the Freedom of Information Act (2000) to please request the following information regarding your Trust’s patient portal, also known as a Patient Engagement Portal (PEP).

General Information

1. Does your Trust have a PEP?     Yes / No
• If no, do you plan to have one? ___________

2. What is the name of your PEP product? ___________________________
3. What year did your PEP go live? __________

Staff Training and Support

4. Did staff receive formal training on using the PEP during implementation?     Yes / No
• If yes, was this mandatory? ___________________

5. Do staff receive formal ongoing training on the PEP?     Yes / No
• If yes, is this mandatory? ___________________

6. Which job role and/or department provides support for staff using the PEP? __________________________________________________

7. Is it mandatory for staff to use the PEP?     Yes / No

Implementation and Management

8. Which team led the PEP implementation process? ____________________________________

9. Did your Trust have a formal implementation strategy or project plan for the PEP? Yes / No

10. Does your Trust have dedicated Project Management support for digital transformation? Yes / No
• If yes, please provide the job title ______________________________________

11. Does your Trust have any ring-fenced funding to support digital transformation?     Yes / No

12. Does your Trust have a designated board-level role with responsibility for digital strategy?      Yes / No
• If yes, please provide the job title ______________________________________

13. Do you have a dedicated team solely working on the PEP?   Yes / No
• If yes, how many members of staff work on this team? _____________________

PEP Functionality

14. From the following list, please tick which PEP functionalities are:

• Live currently
• Due to be implemented in the next 12 months

Live 12 Mths
Notifications such as appointment confirmation and reminders
Appointment scheduling/rescheduling
Digital letters
Test results
Asynchronous messaging
Forms for patients to complete via the portal such as PROMs, PREMs, pre and post-operative forms etc
Patient-initiated follow-up (PIFU)
Wait list validation
Use of Artificial Intelligence

Usage Data

15. How many staff have logged on to the PEP in the last 6 months ___________

16. Please provide a breakdown of the staff groups who have logged on to the PEP in the last 6 months, shown as percentages:

For example: 60% Administrative, 20% Clinical, 10% IT Support, 10% management.

______________________________________________________

With many thanks for your assistance with this request,

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Community Mental Health Access

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This Freedom of Information request question is for your Community Mental Health Teams in your area (i.e. NOT your Early Intervention in Psychosis team; Crisis Resolution or Home treatment team; or Rehabilitation and Recovery team or Assertive Outreach team).

Please can you provide information on the below questions in relation to the following case example.

A 35-year-old person with severe OCD and BDD has been assessed by your local Talking Therapies service as being too complex and inappropriate for them. They are severely impaired, virtually housebound, have no social life and unable to work. Their basic needs are provided by the family, but the family is struggling to support them. They are not an immediate risk of suicide, self-harm or violence to others and do not need admission to an acute ward. They are not personality disordered. The GP has already followed the NICE guidelines for OCD/BDD, and the patient has had 2 trials of SSRIs at maximum dose for at least 4 months each with little benefit. The patient and their family are seeking an assessment by a consultant psychiatrist and cognitive behaviour therapy with exposure and response prevention which is specific for OCD/BDD.

1. How long approximately is the wait list (e.g. number of weeks) to obtain an assessment by the CMHT and would this be by a consultant psychiatrist or their specialist trainee?
2. Are there criteria used to accept a rereferral onto your Community Mental Health Teams to have a care co-ordinator and provide treatment? If you have criteria, please can you supply them?
3. How long approximately is the wait list to obtain (a) a psychological assessment and then (b) how long is wait for CBT for OCD/BDD in secondary care (e.g. number of weeks)?
4. What is the documented or expected care pathway (e.g. do they have to be seen first by the CMHT and then referred by the CMHT for secondary care psychological therapies or can the referral be done directly by the Talking Therapies or GP for example)?
5. Do your policies or procedures indicate that any alternatives offered to CBT with ERP, for people in the above scenario, e.g. a different type of psychological therapy?
6. Has your team made a referral to tertiary services for OCD/BDD in the last 5 years a) under the Highly Specialised Service stream of funding or b) under local funding?

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Hemophilia A Patients

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1. Please provide Hemophilia A patient numbers broken down by: age, disease severity and treatment regimen (PPx denotes use for prophylaxis and OD denotes use on demand). I have proposed a format below to capture the relevant information. If data is not available by age breakdown, then please provide aggregated total in the yellow highlighted column:
July through September 2025 Age
Brand name (scientific) 0-12 years 13+
Mild Moderate Severe Mild Moderate Severe
PPx OD PPx OD PPx OD PPx OD PPx OD PPx OD
Hemlibra (emicizumab)
Altuvoct (giroctocogene fitelparvovec)
Esperoct (turoctocog alfa pegol)
Elocta (efmoroctocog alfa)
Advate (octocog alfa)
Kovaltry (octocog alfa)
Iblias (octocog alfa)
Refacto AF (moroctocog alfa)
Xyntha (moroctocog alfa)
NovoEight (turoctocog alfa)
Nuwiq (simoctocog alfa)
Vihuma (simoctocog alfa)
Inhibitor patients
2. For Hemlibra-treated Hemophilia A Inhibitor patients, please indicate the number of patients by age group and dosing frequency for Q3’25 (July–September 2025). If data is not available by age breakdown then please provide aggregated total:
Age group (Hemophilia A inhibitor patients) Once weekly Every 2 weeks Every 4 weeks
0-12 years
13+ years
Total
Non-inhibitor patients
3. For Hemlibra-treated Hemophilia A non-inhibitor patients, please indicate the number of patients by age group and dosing frequency for Q3’25 (July–September 2025). If data is not available by age breakdown then please provide aggregated total:
Age group (Hemophilia A non-inhibitor patients) Once weekly Every 2 weeks Every 4 weeks
0-12 years
13+ years
Total

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Device Connectivity

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Under the Freedom of Information Act 2000, I would like to request information regarding connectivity between devices used at the hospital bedside and electronic patient notes. Could you please assist by answering the following questions, using the latest available data:

1. Name of Hospital Trust.

2. Does your hospital trust current use electronic patient notes? – This is also known as EPR (Electronic Patient Records) system.

3. Do you use any ward-based devices that connect to your EPR system? Examples maybe devices that monitor the patient’s vital signs. If yes, please provide examples of the devices name and model number.

4. Do you have barcode scanning devices on the ward that connect to your EPR system? – Examples Zebra DataWedge. If yes, please provide examples of the devices name and model number.

5. Which EPR software does the trust use? Examples, Epic, Cerner,etc.

6. Which EPR middleware do you use? Examples, Mirth Connect, Rhapsody, InterSystems Ensemble

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MRI Diagnostic Capacity Data

On behalf of Merck, the healthcare company, we are currently conducting national research into access to MRI diagnostics for people with neurological conditions across NHS Trusts in England. The results will be used to identify best practice and key learnings to inform policy and planning.
Under the Freedom of Information Act 2000, I would like to request the following recorded information for your Trust. Where data is unavailable, please indicate that, and if only partial data is available, please provide what you can.

For your convenience, you can provide your answers in the tables below.

Requested information

Are your local GPs able to request neurology MRI scans at your Trust? Yes/No
Do admitted neurology patients have access to MRI 7 days a week? Yes/No
What % of neurology patients have their MRI test within 14 days from request from the most recent data available?
What % of neurology patients receive their MRI results within 14 days of the test from the most recent data available?
What % of neurology patients received a diagnosis within 6 weeks from the time the diagnostic test was sent from the most recent data available?
How many MRI scanners are there in your trust? For any of these scanners, please state the year of installation and the TESLA rating (1.5 TESLA, 3 TESLA, 7 TESLA). See table below
How many neuro-radiologists do you have in your trust?
Is there access to MRI and specialist neuroradiological opinion 24 hours a day? Yes/No
MRI scanners table
Scanner Year of installation Tesla rating
1
2
3
…
Example:
1 2017 1.5
2 2023 3

Notes
• If any of the questions is unclear, please not hesitate to get in touch
• If the Trust already publishes some or all of this information (e.g., in a disclosure log), a link or reference to the disclosure entry will suffice
• If the Trust does not hold this information in the requested level of detail, please provide any available version or summary, and indicate the level (e.g., Trust-wide totals of TESLA 1.5/3/7 scanners if you don’t have this detail per scanner)
• If some information is exempt under the Act, please specify the relevant exemption(s) and provide all non-exempt parts.

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Systems and Contracts – IT

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

Please could you confirm whether your organisation, Gloucestershire Health and Care NHS Trust, currently holds a contract or agreement with S12 Solutions Ltd or Vital Hub UK for any services or systems provided by the company relating to S12 or Mental Health Act administration, or has written plans to enter into one.

If such a contract or plans exists, please provide the following details:

1. Confirmation of contract – does your organisation currently have a contract, licence, agreement or any other commercial relationship with S12 Solutions Ltd or Vital Hub UK?
2. Procurement details – how was the contract/s procured (e.g. open tender, framework agreement, direct award under a waiver etc)?
3. Contract duration – what is the start and end date of the current contract/s?
4. Renewal or extension plans – are there any recorded plans to procure, renew, extend, or retender the contract? If so, please provide details of any proposed procurement timeline, including expiry or re-tender dates if known.
5. Services provided – what specific services or systems are included under the contract/s?
6. Current provision of services – what are the most recently recorded realised benefits of any services you have in place, and what is the most recently recorded level of uptake across professional groups?
7. Contract value – what was the total contract value at point of award and what is the current total contract value, including any variations, extensions or changes since the original award?
8. If the contract has previously been extended can you confirm the procurement process that was administered. If the contract was renewed by direct award without evaluating other options and pricing through a competitive process please outline the rationale for doing so in the context of the new UK Procurement Act 2023 .
9. If you are an ICB and do not hold a contract but have written information about such a contract held by one of the bodies you commission, please provide details as such.

If any part of this request exceeds the appropriate cost limit, please advise how it could be refined. If any information is exempt from disclosure, please cite the relevant exemption and explain why it applies.

Thank you for your time and assistance.

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ADHD and Autism Assessments

Dear FOI Officer,

I am writing to request information under the Freedom of Information Act 2000 regarding waiting times for children’s ADHD and autism assessments within your organisation.

Please provide the following information:

1. ADHD Assessments
o The mean waiting times (in weeks or months) for children referred for an ADHD assessment, for each of the last three financial years (e.g., 2023/24, 2024/25 and 2025/26 YTD). Please also include the range (longest and shortest wait)
o The number of children currently waiting for an ADHD assessment.
o The number of children who have waited more than 12 months for an ADHD assessment and time banded 12-18 months, 18-24 months, 24-30 months, 36-42 months, 42 months plus

2. Autism Assessments
o The mean waiting times (in weeks or months) for children referred for an autism assessment, for each of the last three financial years (e.g., 2023/24, 2024/25 and 2025/26 YTD). Please also include the range (longest and shortest wait)
o The number of children currently waiting for an autism assessment.
o The number of children who have waited more than 12 months for an autism assessment and time banded 12-18 months, 18-24 months, 24-30 months, 36-42 months, 42 months plus

3. Mitigating actions
o What actions have been deployed by the CAAAS team to reduce waiting times i.e. outsourcing/mutual aid

4. NICE
o Please provide the latest self-assessment against NICE Guidance CG128 (Autism spectrum disorder in under 19s: recognition, referral and diagnosis)
Thank you for your time and assistance.

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Transitions between Children & Adult Community MH Services

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I am making this request under the Freedom of Information Act 2000.

I am a researcher working on research project about transitions between children’s and adults community mental health services.

I would like to request the following information:

1. Does your Trust have a policy on Transition between children and adult mental health services? Could you please share a copy of the policy or include a link if it is available online.

2. Does your Trust offer 0 to 25 pathway for mental health support and if it does, who is it offered to past the age of 18 (eg. all young people or specific groups/conditions)?

3. What are the mental health care pathways for those under the age of 18 and 18+ within your Trust. Please provide the list for both of these age groups?

4. Please provide information in the table below on the total number of 17 year olds with an active referral to community children’s mental health services and the number of 17 year olds who accessed treatment (treatment means 2 or more contacts with services) within your Trust’s community children and young people mental health services in the following periods of time

a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025

Total number of 17 year olds with active referral due to children and young people mental health services

Total number of 17 y.o who accessed treatment from children and young people mental health services

5. Of the 17 year olds who accessed treatment (treatment means 2 or more contacts with services) within your Trust’s community children and young people mental health services how many were: discharged back to GP; recorded as completed treatment; referred to adult mental health services; and continued treatment with children mental health services upon reaching the age of 18 in the following periods of time: 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025. Please provide information in the table below.

1 April 2021- to 31 March 2022 1 April 2022 to 31 March 2023 1 April 2023 to 31 March 2024 1 April 2024 to 31 March 2025

number of children age 17 discharged back to GP
number of children age 17 recorded as completed treatment
number of children age 17 referred to adult mental health services
number of children age 17 continuing treatment with children mental health services upon reaching the age of 18

6. Please provide information in the table below on the total number of 18 year olds with active referral to community adults mental health services within your trust in the following periods of time

a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025

Total number of 18 year olds with active referral

7. How many of young people age 18 with active referral to community adults mental health services within your trust had referral source recorded as ‘children and young people mental health services’ in the following periods of time a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025. Please provide information in the table below

a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025

Total number of 18 year olds with active referral by referral source ‘children and young people mental health services’

8. Of young people age 18 who had active referral to adult mental health services within your Trust by referral source ‘children and young people mental health services’ how many accessed treatment (2 or more contacts with services) within community adult mental health services in your trust in the following periods of time

a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025

Total number of 18 year olds referred from ‘children and young people mental health services’ who accessed treatment within community adult mental health services

9. For young people age 18 who accessed treatment from adult mental health services within your Trust and whose referral source was ‘children and young people mental health services’ what was the median wait in days; the longest wait in days; and the shortest wait in days from referral to second contact in the following periods of time

a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 20

Median wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services

Longest wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services

Shortest wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services

10. Does your trust record information on the sources of referrals to children and young people mental health services and adult mental health services? If yes, what are the sources of referrals listed in both cases.

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Monitoring Technology used in Patient Bedrooms

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Dear Gloucestershire Health and Care NHS Foundation Trust,

I am writing to request the following information under the Freedom of Information Act.

1. Please confirm, does the Trust use, or have plans to use, Oxevision* in ward bedrooms, 136 suites and/or seclusion rooms?

*Please note that Oxevision may be referred to by other names including LIO or ‘vision-based monitoring technology’ etc. It is an infrared camera system.

2. Please confirm, does that Trust use, or have plans to use, ‘Project X’^ in ward bedrooms, 136 suites and/or seclusion rooms.

^Please note that Project X may be referred to by different names, for the avoidance of doubt it is marketed by Safehinge Primera and may be described as a ‘non-visual patient safety aid’ and uses radar to track patients’ movements.

3. Please outline whether the trust uses any other video, camera or vision-based patient monitoring systems within patient bedrooms. Please state brand names if appropriate.

4. If the response to any of the above questions is ‘yes’, please provide the following information:

4.1. Please confirm the number of wards/136 suites/seclusion rooms, and provide ward names, where Oxevision/Project X/other vision based monitoring technologies is currently used.

4.2. Please provide your policy or standard operating procedure for the use of Oxevision/Project X/other vision based monitoring technologies, up to the date and time of this request.

4.3. Please provide your Data Protection Impact assessment for the use of Oxevision/Project X/other vision based monitoring technologies.

4.4. Please provide an Equality Impact Assessment in relation to the use of Oxevision/Project X/other vision based monitoring technologies

4.5. Please state the contract end date(s) for all current contract(s) with Oxehealth/LIO health/other organisations that provide the above technologies..

4.6. Please provide patient posters, leaflets and/or information packs.

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Non-Pharmacological ADHD Interventions for Children

Subject: Freedom of Information Request – Non-Pharmacological ADHD Interventions for Children

Dear FOI Officer,

I am writing to request information under the Freedom of Information Act 2000 regarding the provision of non-pharmacological interventions for children and young people with Attention Deficit Hyperactivity Disorder (ADHD) within your Trust. To help me understand your service model, I would be grateful if you could provide responses to the following:

1. Service Provision
• – Do you provide non-pharmacological interventions for children and young people diagnosed with ADHD?
• – If so, please list the types of interventions offered (e.g., parent training, CBT, psychoeducation, skills groups, school liaison, peer support, digital interventions, etc.).
• – Are these delivered by your Trust directly, jointly with external providers, or commissioned from other organisations?
• With what frequency are patients/families offered these sessions?
• How many sessions are offered to patients/families or at what point is intervention ceased?

2. Referral & Access
• – At what stage of the care pathway are non-pharmacological interventions offered (e.g., pre-diagnosis, post-diagnosis, alongside medication, instead of medication)?
• – What are the eligibility criteria (if any) for accessing these interventions?

3. Workforce & Delivery
• – Which professional groups deliver these interventions (e.g., psychologists, nurses, occupational therapists, social workers, peer support workers)?
How many WTE (whole time equivalent) staff are currently employed in delivering ADHD-related non-pharmacological interventions?

4. Capacity & Outcomes
• – Approximately how many children/young people accessed these interventions in the last financial year (April–March)?
• – Do you collect outcome measures for these interventions? If yes, please specify which tools or measures are used (e.g., SDQ, SNAP-IV, goal-based outcomes, parent/carer feedback, etc.).

5. Commissioning & Funding
• – Are these interventions funded within core CAMHS/neurodevelopmental services, or separately commissioned?
• – Has your Trust secured any additional funding streams (e.g., NHS Long Term Plan, local authority joint commissioning) to support delivery?

6. Future Planning
• – Are there plans to expand, reduce, or change the provision of non-pharmacological ADHD interventions for children in the next 2 years?

Notes

– Please provide the information in electronic format (Word, Excel, or PDF).
– If the information requested exceeds the cost/time limit, please advise which elements could be prioritised.
– If you do not hold the information, please confirm whether another organisation may be responsible.

Thank you for your assistance. I look forward to your response within the statutory 20 working days.

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Head of Procurement

Under the Freedom of Information act 2000, I would like to request the following information;

1.The Name , Job Title and email address of the Head of Procurement ( or equivalent senior procurement lead ) at Your Trust.

2. If available the names , Job Titles and email addresses of any procurement category managers responsible for Capital Equipment.

If direct email addresses cannot be released , please provide the generic procurement contact email for supplier enquires.

I would prefer the information in electronic format Excel or email.

Thank you for your time. I look forward to your response within the statutory 20 working days

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Employment Tribunal Claims

I am submitting this request under the Freedom of Information Act 2000.

1. How many active Employment Tribunal claims are currently ongoing against your Trust and what are the projected legal costs of these cases?

2. How many Employment Tribunal claims has your Trust had in the last five years and what was the total cost of these cases.

I look forward to your response within 20 working days, as required by law.

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Insourcing Spend

Please can I request the below information on the utilisation of Insourcing for the following period 01/07/2025-30/09/2025

Total spend during the period for insourcing

Total spend during the period for Insourcing for the below specialties:

1. Neurology
2. Neurophysiology
3. Dermatology
4. Gastroenterology
5. Endoscopy
6. Cardiology
7. Respiratory
8. Orthodontics
9. Dental
10. OMFS
11. ENT
12. Rheumatology
13. Gynaecology
14. Ophthalmology
15. Surgery- including all subspecialties

Please break the spend down by insourcing company

Please confirm if there was a budget and how much budget for insourcing for the specialties outlined during the same period

What was the service type relating to the specialties outlined, for example, outpatient, diagnostic or theatres.

Was it a fully managed service or Team provision for each specialty outlined

Please can you confirm the Frameworks utilised for each specialty

Please confirm any direct awards or mini competitions which are being utilised for each specialty

Total procedures/tests/patients seen completed by insourcing companies for the specialties outlined during the same period

Example:

Total spend Specialty Specialty spend Insourcing provider Insourcing provider spend Budget Service type Fully managed service Team provision Framework utilised Direct award Mini comp Total procedures

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Right Care, Right Person

I am requesting the following information under the Freedom of Information Act:

1. Please state which police force/s serve the area covered by the Trust

2. Any reports, assessments or data – internal or published – where the Trust has monitored the implementation and impact of Right Care, Right Person by the local police force/s

3. Details of any serious incidents or patient safety incidents where Right Care, Right Person was a factor

I would like the information sent by email.

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Wholly-Owned Subsidiaries – SubCos

I am writing to you on behalf of the Health Service Journal (HSJ). I am submitting a request for information held by the trust under the Freedom of Information Act.

This has two parts. They are not dependent on one another. Please respond to the second part regardless of your answer to the first. Please provide this information to me an electronic format.

1. Please list the names of any wholly-owned subsidiaries (also known as SubCos) to the trust

2. In March 2025 Sir James Mackey the chief executive of NHS England told the wider NHS that trusts should normally be transferring support staff to wholly-owned subsidiary companies adding that all trusts will need to introduce or consider SubCos. It is my understanding that at that point NHS foundation trusts began looking into the possibility of setting up new SubCos or expanding the use of their current SubCo, if they have one or more already. To that end, please provide the following pieces of information:

a. The name of any management consultancy and/or professional services firms you engaged to provide advice and support following this announcement by Sir James in regard to setting up new or expanding the use of extant SubCos. For the avoidance of doubt, by professional services firms I mean companies (of any size) that provide advice and support in fields such as law, technical areas of expertise such as IT, audit, accountancy, IT, tax including VAT, etc.

b. The sum of money paid to those firms in the course of delivering the required service relating to setting up new or expanding the use of extant SubCos

c. The number of person hours of time that your trust staff put into scoping out possible actions the trust could make in response to Sir James’ announcement as cited above, including time spent working on compiling a business case for the creation of or expansion of SubCos.
Thank you for your assistance.

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Cardiology Software and Vendor Neutral Archive Systems

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Good morning,
I am writing to request information under the Freedom of Information Act 2000.

Please could you provide the following details regarding your Trust’s use of digital systems in the cardiology department:

1. Does your Trust currently use any software systems to manage clinical records, diagnostics, or workflows within cardiology?

2. If yes, please provide:

a The name of the software provider and product.
b The start date and duration of the current contract.
c The expiry date or next renewal date of the contract.
d Whether the contract includes options for extension or renewal.

Additionally:

3. Does your Trust currently use a Vendor Neutral Archive (VNA) system to store and manage medical imaging or other clinical data across departments?

4. If yes, please provide:

a The name of the VNA provider and product.
b The departments where it is currently deployed.
c The start date, duration, and expiry/renewal date of the contract.
d Whether the contract includes options for extension or renewal.

I would prefer to receive the information electronically, if possible. I understand that under the Act, you are required to respond to this request within 20 working days. If any of the requested information is exempt from disclosure, please specify the exemption and provide any non-exempt information that can be released.

Thank you for your assistance.

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Software Contracts

,

Thank you for the reply. I have looked trough your Disclosure log.

1. Could you provide an a update to the contract expiry of your Software of Excellence (SOEL Health) system?

2. Could you provide the Supplier, System name and contract start and expiry dates of your Virtual Ward system?

3. Could you provide an update regarding the contract expiry of your Electronic Staff Record (ESR) system?

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Digital Dictation, Transcription, Speech Recognition, AI, Systems

1. Digital Dictation
● Name of supplier & product
● Number of user licences
● Procurement method (e.g., framework)
● Contract start date
● Contract expiry date (please specify fixed end date vs option to extend/rolling contract)
● Total contract value (if available)
● Integration with PAS/EPR (please specify if outbound only – e.g., patient demographics, clinic work list – or outbound and inbound, e.g., document return)
● Key internal stakeholder role/title
● Desired features not currently delivered (optional)

2. Outsourced Transcription
● Name of supplier & product
● Procurement method (e.g., framework)
● Contract start date
● Average monthly volume of letters (if available)
● Average monthly volume of lines (if available)
● Total contract value (if available)
● Key internal stakeholder role/title
● Desired features not currently delivered (optional)

3. Speech Recognition
● Name of supplier & product
● Number of user licences
● Procurement method (e.g., framework)
● Contract start date
● Contract expiry date (please specify fixed end date vs option to extend/rolling contract)
● Total contract value (if available)
● Integration with PAS/EPR (please specify if outbound only – e.g., patient demographics, clinic work list – or outbound and inbound, e.g., document return)
● Key internal stakeholder role/title
● Desired features not currently delivered (optional)

4. Ambient AI Scribe
● Name of supplier & product
● Number of user licences
● Procurement method (e.g., framework)
● Contract start date
● Contract expiry date (please specify fixed end date vs option to extend/rolling contract)
● Total contract value (if available)
● Integration with PAS/EPR (please specify if outbound only – e.g., patient demographics, clinic work list – or outbound and inbound, e.g., document return)
● Pilot stage (if applicable, please specify supplier, pilot duration, and scope)
● Key internal stakeholder role/title
● Desired features not currently delivered (optional)

5. Video Consultation
● Name of supplier & product
● Number of user licences
● Procurement method (e.g., framework)
● Contract start date
● Contract expiry date (please specify fixed end date vs option to extend/rolling contract)
● Total contract value (if available)
● Integration with PAS/EPR (please specify if outbound only – e.g., patient demographics, clinic work list – or outbound and inbound, e.g., document return)
● Key internal stakeholder role/title
● Desired features not currently delivered (optional)
● Average number of video appointments per month/year
● % of virtual/remote consultations conducted using video vs telephone

6. Health Information Systems
● PAS (Patient Administration System)
● EPR (Electronic Patient Record)
● eDMS (Electronic Document Management System)
● RIS (Radiology Information System)
● LIMS (Laboratory Information Management System)
● e-Correspondence (e.g., Docman)
● Hybrid Mail (e.g., Synertec, Healthcare Communications)
● Patient Portal (e.g., Patient Knows Best)

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Racism/Racist Abuse towards Staff

1. The number of reported incidents of racism/racist abuse towards staff by patients in 2022, 2023, 2024, and the first nine months of 2025.

– Can the data be categorised in calendar years please.

2. From the figures given in question 1, can you specify how many of the reported incidents were:

a) verbal

b) physical assaults please.

– Can the data be split with a) and b) columns and categorised in calendar years please.

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Designing safe spaces for patients at high risk of infection

To: Infection Control Teams Dear Colleagues,

We are carrying out a short 10 question survey to understand how NHS Trusts are implementing the guidance from NHS Estates Technical Bulletin 2024/3: Designing safe spaces for patients at high risk of infection from nontuberculous mycobacteria (NTM) and other waterborne pathogens.

This survey is being carried out to gain insight into how the recommendations of the bulletin have informed local water safety practice and capital planning across NHS organisations; and to identify common challenges in water safety management across healthcare settings.

A summary of anonymised findings will be shared with participating Trusts on request.

Under the Freedom of Information Act 2000, we seek the following information within your NHS Trust / NHS Foundation Trust:

1. Name of NHS Trust/Foundation Trust:

2. Has your organisation reviewed NHS Estates Technical Bulletin 2024/3 with the specific note on non-tuberculous mycobacteria?

Yes
No

3. Does your organisation treat any of the “high-risk” patient groups listed in the NHS Estates Technical Bulletin 2024/3? Tick all that apply

Lung and/or heart transplant
Cystic fibrosis
Haematology/oncology patients with neutropenia,
CAR-T cell patients
Other solid organ transplant,
Patients with long-term lines

4. Do you have a Water Safety Group or equivalent multidisciplinary body for any water-related issues?

Yes
No

5. Do you currently conduct routine environmental water testing for NTM? If yes, please state the areas tested and the frequency of testing.

Yes
No

Areas tested (type here):

Frequency (type here):

6. Does your Water Safety Plan include specific controls for NTM, separate from general Legionella/Pseudomonas measures? – If yes, please specify.

Yes
No

Specify (Type here):

7. If NTM testing is undertaken, which laboratory/method is used, and is it UKAS-accredited to ISO 17025 for NTM testing or according to the methods suggested in the bulletin?

N/A (have not tested for NTM)

If testing, which laboratory/method is used? (type here):

Is testing method accredited (type here):

8. If you have tested, have you detected NTM in water samples from patient care areas in the last 3 years? (Yes/No; if yes, please indicate the area(s) and summarise the control measures taken).

Yes
No

N/A (have not tested for NTM)

Specify areas (type here):

Summarise control measures (type here):

9. Which control and/or remedial measures are you currently using to manage waterborne pathogens in your organisation? Tick all that apply

Point-of-use filters
Temperature controls
Chemical controls (any, i.e. chlorine, silver-copper ionization)
Pipe removal work (including new copper pipes)
Descaling and cleaning of water outlets
Complete removal of outlets/sink
Other (please list below)

Other (type here):

10. In the last 5 years, have you made any design changes in high-risk areas specifically to reduce waterborne infection risk (e.g., removal or relocation of sinks, drainage modifications, point-of-entry filtration)? (Yes/No; please provide brief examples).

Yes
No

11. Are you planning any major refurbishment in the next 5 years and/or is your organization part of the NHS New Hospital Programme? (Tick all that apply)

Yes – planning refurbishment works
Yes – part of the NHS New Hospital Programme
No – neither

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Doctors / Nurses Mess

,

Under the Freedom of Information act please can I request the following information:

• Contact name for the doctor mess within the trust
• Contact email for the doctor mess within the trust
• Postal address for the doctors mess within the trust

• Contact name for the nurses mess within the trust
• Contact email for the nurses mess within the trust
• Postal address for the nurses mess within the trust

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Electroconvulsive Therapy (ECT) 2024

,

Good evening,

This is a request under the Freedom of Information Act 2000.

Please provide the following information relating to your Trust’s use of electro-convulsive therapy for the period between 1 January 2024, to 31 December 2024:

Treatments delivered by consent status, specifically including the number of treatments given to a) those incapable of consenting, but ECT authorised where patient resists or objects (under Mental Health Act Section 58A), and b) those incapable of consenting, but ECT authorised where a patient does not resist or object (under Mental Health Act Section 58A).

If information with this distinction is unavailable, please simply provide it for the number of treatments where a patient did not consent.

Please confirm the number of patients this pertains to for this period.

Please also separate this information out by age, gender, and IMD decile (or if not possible, quintile).

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Referrals of Young People and Homeless Support Accommodation

,

I am writing to request information under the Freedom of Information Act 2000. I am an undergraduate student conducting research for my major study project, researching access to NHS Mental Health Services for young people experiencing homelessness.
Specifically, I am requesting anonymised data regarding service users who meet the following criteria:

1. Age range: 18 to 24 years.
2. Accommodation status: Those identified as living in homeless supported accommodation targeted at 16–24 year olds, such as (but not limited to):

• YMCA supported housing
• Depaul supported housing
• Foyer projects
• Similar supported accommodation schemes for homeless young people.
3. Time period: From 1 January 2020 to the most recent available data.

For clarity, when searching your records, relevant terms might include “homeless”, “supported housing”, “supported accommodation”, “foyer”, “YMCA”, “Depaul”, or similar categories your Trust may use to classify accommodation status.

I would be grateful if the information could include the following, presented in aggregate/anonymised form:

• The number of individuals aged 18–24 each year since 2020 who were identified as living in homeless supported accommodation (as defined above).
• If available, a breakdown by year (2020, 2021, 2022, 2023, 2024, and 2025 to date).

I am not seeking any personal or identifiable information. I only require anonymised, aggregated data.

If it is not possible to provide the information in full due to cost or other limitations, please provide as much of the requested information as possible within the cost limits of the Act.

Please confirm receipt of this request and let me know if clarification is required. I would prefer to receive the data in electronic format (e.g., Excel or CSV) if possible.

Thank you for your assistance.

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Adult Deaf Sign Language Users

,

The lifetime prevalence of mental disorder in the general population is 1 in 4. For profoundly deaf people this approaches 1 in 2 yet the number of deaf adults accessing mental health services is very low.

The National Deaf Mental Health Service supports Deaf BSL users across the middle third of England.

We have seen a fall in referrals for community and inpatients in recent years.

We are keen to know if there are people accessing local services who may not have been considered for referral to specialised services.

I would be grateful if you could provide the number of adult deaf sign language users who are have been inpatients within your Trust over the last 5 years.

Please could you provide the number of adult Deaf sign language users currently on the community caseload of the Trust.

Please provide the number of adult Deaf sign language users supported by the trust community services in the last 5 years.

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Energy Contracts

Please consider this a formal request under the Freedom of Information Act. I would be grateful if you could provide the information requested below, related to the energy contracts within your NHS trust.

1. In relation to your Electricity contract(s):
1.1. name of current supplier?
1.2. start date of current contract?
1.3. end date of current contract?
1.4. total number of meters?
1.5. agreed unit prices pence per kWh (average or range)?
1.6. standing charges pence per day (average or range)?
1.7. total annual volume of electricity supplied for the last year?
1.8. any other fixed fees pence per day (e.g. capacity charges)?
1.9. is a future contract already agreed following the end of the current contract?
1.10. if so, what is the duration of the new contract?
1.11. total amount paid to your supplier in each of the last 3 financial years?
1.12. was your contract procured through the CCS (Crown Commercial Service) or another basket/framework, and if so which one?
1.13. what notice period/break clause (if any) exist within your current contract/framework?
1.14. what is the earliest date on which notice can be served?
1.15. is your contract a fixed price contract, or a flexible contract (where prices can vary according to market prices and when you purhcase)?
1.16. was an energy broker used in the procurement of your electricity contract? If so which one?
1.17. if a broker was used what commission was paid to the broker (in pence per kWh and total £ amount)?
1.18. do you have any power purchase agreements (PPAs) in place with any renewable electricity generators?
1.19. If so can you provide details?
1.20. what proportion of your electricity was sourced from renewable sources?

2. In relation to your Gas contract(s):
2.1. name of current supplier?
2.2. start date of current contract?
2.3. end date of current contract?
2.4. total number of meters?
2.5. agreed unit prices pence per kWh (average or range)?
2.6. standing charges pence per day (average or range)?
2.7. total annual volume of gas supplied for the last year?
2.8. any other fixed fees pence per day (e.g. capacity charges)?
2.9. is a future contract already agreed following the end of the current contract?
2.10. if so what is the duration of the new contract?
2.11. total amount paid to your supplier in each of the last 3 financial years?
2.12. was your contract procured through the CCS (Crown Commercial Service) or another basket/framework, and if so which one?
2.13. what notice period/break clauses (if any) exist within your current contract/framework?
2.14. what is the earliest date on which notice can be served?
2.15. is your contract a fixed price contract, or a flexible contract (where prices can vary according to market prices and when you purhcase)?
2.16. was an energy broker used in the procurement of your electricity contract? If so which one?
2.17. if a broker was used what commission was paid to the broker (in pence per kWh and total £ amount)?

3. In relation to your sustainability activities:
3.1. what are the Trust’s priorities in regard to a net zero pathway?
3.2. what carbon reporting you have in place, or plans to put in place?
3.3. please provide the contact details for the Energy, ESG or Sustainability lead within the Trust.

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Armed Forces Community Support and Veteran Data

Dear FOI Team,

I am writing under the Freedom of Information Act 2000 to request the following information in relation to veterans and the Armed Forces community within your Trust:

1. Inpatient treatment pathway for veterans
o Does your Trust have a dedicated inpatient treatment pathway specifically for veterans? If so, please provide details.

2. Veteran staff employed by the Trust
o How many members of staff currently employed by your Trust identify as veterans?
o Please provide this information broken down by gender.

3. Veterans treated within the Trust in the last 12 months
o How many veterans have been treated by your Trust in the last 12 months?
o Please provide a breakdown by division/service (e.g., Adult Mental Health, Forensic services, etc.), and specify whether treatment was provided in inpatient or community care settings where possible.

4. Support for the Armed Forces community
o What specific support does your Trust offer for the Armed Forces community (including serving personnel, reservists, veterans, and their families)?

For clarity, a veteran is a person who has served in the UK’s Armed Forces for at least one day, whether as a regular service member or a reservist, and has since left that service. A member of the Armed Forces community may include serving personnel, reservists, veterans, and their families.

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Withdraw, Discontinuing or Stopping of Psychiatric Drugs

Hello, Please provide any training materials held by the Trust that relate to withdrawing from, discontinuing or stopping psychiatric drugs. Psychiatric drugs include antidepressants, benzodiazepines, antipsychotics, mood stabilisers and stimulants. Please provide this information in relation to the last 12 months: 26/09/24 – 26/09/25 If you are unable to provide this information, please advise on how the request can be amended so that you are able to comply. Many thanks!

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Organisation Chart – Digital, Data and Technology (DDaT)

,

Dear Gloucestershire Health and Care NHS Foundation Trust,

I am writing to you under the Freedom of Information Act 2000 to request the following information regarding the Digital, Data and Technology departments of your organisation:

I would like to request an organisation chart for all C-Suite, Directors (including Associates), Heads of Department and Managers within these departments.

Please provide the information in the form of a table, inserted in an email.

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 your Section 16 obligations, as to how I can refine my request to be included in the scope of the Act.

In any case, if you can identify ways that my request could be refined please provide further advice and assistance to indicate this.

I look forward to your response within 20 working days, as stipulated by the Act.

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Agency Usage – MIiUs

,

I am writing under the Freedom of Information Act 2000 to request information from Gloucestershire Care Services regarding Urgent Treatment Centres (UTCs) and Minor Injury Units (MIUs).
Specifically, I would be grateful if you could provide the following:

1. UTCs / MIUs operated or managed by your Trust
o Please confirm whether Gloucestershire Care Services currently manages or oversees any Urgent Treatment Centres (UTCs) and/or Minor Injury Units (MIUs).
o If so, please provide a list of the sites.

2. Agency usage (Nursing & Paramedic Practitioners)
o For each UTC or MIU, please provide the total number of agency hours supplied in May, June, July and August 2025 for:
 Band 7 Nurses
 Paramedic Practitioners

3. Agency charge rates
o For the above roles, please provide the hourly charge rates paid to agencies in May, June, July and August 2025.
o If rates vary, please supply the minimum, maximum, and average hourly rates for each month.

4. Please confirm the correct Trust person/team that manages the temporary staffing for the UTC or MIU services along with their contact number and email.

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Specialist Midwifery Roles Across Maternity Services

To whom it may concern,

I am writing on behalf of the Royal College of Midwives to request information under the Freedom of Information Act regarding the commissioning of specialist midwifery roles within maternity services across your Integrated Care Board (ICB).

We are seeking to understand the extent to which these roles have been commissioned nationally. The findings will be used solely for internal planning and to inform our engagement with government and stakeholders. Individual responses will not be attributed or published.

I would be grateful if you could take a few minutes to respond to the following questions:

1. How many maternity services does your ICB cover?
2. Has your ICB commissioned any of the following specialist midwifery roles/posts?
For each role, please indicate:

• Whether it has been commissioned (Yes/No)
• If yes, the number of Full Time Equivalent (FTE) posts in each service
• If yes, the number of FTE vacancies for each specialism listed below
• Whether administrative support has been commissioned alongside (Yes/No)
• If yes, the number of FTE administrative posts

Please complete for each of the following specialisms:

• Perinatal Mental Health
• Infant Feeding
• Safeguarding
• Digital Midwifery
• Diabetes
• Bereavement
• Alcohol/Substance Misuse
• Public Health
• Screening
• Sonography
• Maternal Health/Foetal Medicine

Please provide this information in an Excel document.

Thank you in advance for your time and assistance. If you have any questions or require further clarification, please do not hesitate to contact me.

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Sexual Misconduct

,

1. Can you provide a breakdown of sexual offences which have been reported in your trust for the last three financial years (2022/23, 2023/24 and 2024/25)

2. Can this be broken down by whether the person making the accusation is a member of staff, a patient, or a member of the public.

3. How many staff members at your trust have been disciplined over the last three financial years (2022/23, 2023/24 and 2024/25) in relation to a sexual offence?

4. How many staff members at your trust have been dismissed over the last three financial years (2022/23, 2023/24 and 2024/25) in relation to a sexual offence?

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Contraceptive Implants

Dear Sir/Madam,

This is a Freedom of Information Act request. I would like to know the following information:
• How many children (under 18s) have been given the contraceptive implant for each of the last five calendar years (2021, 2022, 2023, 2024 and 2025 so far)?
• Please provide a breakdown by age of all children given the contraceptive implant for each of the last five calendar years (2021, 2022, 2023, 2024 and 2025 so far).
• Please consider all ages from the youngest person given the implant up to and including those given the implant aged 17. For the answer to this question, a table like this may help illustrate the information I am asking for:
•
Age 9 10 11 12 13 14 etc up to 17
2021
2022
2023
2024
2025 so far

I look forward to a response within 20 working days. Please contact me on this email address if you have any queries.

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Exception Reporting

,

Dear Gloucestershire Health and Care NHS Foundation Trust,

I am writing to request information under the Freedom of Information Act regarding Exception Reporting FOI. Please can you complete the below questions.

1. Please complete the below table on the software currently used in each department to allow resident doctors to submit exception reports*:
* exception reporting refers to a system that allows doctors and other healthcare professionals to formally log any deviations from their agreed work schedule

Department Software Annual License of Software (if other costs, please specify) Contract Start Date Contract End Date Does the system meet the latest NHS Employers requirements on exception reporting? Tick if yes
Urgent and Emergency Services
Medical Care
Surgery
Critical Care
Maternity
Services for Children and Young People
End of Life care
Outpatient
Community
Mental Health
Other (please specify)

2. Are there any plans to change or upgrade the current exception reporting system? Given the NHS requirement for full implementation of the exception reporting reforms by 12th September 2025 (as reported by NHS England)
3. Can you provide the name and contact nformation for the Trusts Guardian of Safe Working Hours contact?
4. Can you provide the name and contact information for the Trusts Medical Education lead?

Please do not hesitate to contact me if you have any questions.

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Surgical Delays Caused by Missing/Late/Unsterilised Instruments

(20 October 2025)

I am writing under the Freedom of Information Act 2000 to request information relating to surgical delays caused by equipment or instrument availability within your Trust.

This request aims to understand how logistical and operational factors — rather than clinical causes — may contribute to surgery scheduling challenges across the NHS.

Please provide data for 2024, and any available for 2025 to date for the following:

1️⃣ Surgical delays
• The number of operations delayed or cancelled where the recorded cause included:
o Missing or incomplete surgical instrument sets
o Late arrival of loan sets or consignment trays from suppliers
o Equipment or instrument sterilisation or cleaning faults
o Missing documentation, instructions for use (IFUs), or traceability records
If your Trust does not record these categories specifically, please provide the nearest equivalent data (e.g. “equipment failure,” “instrument availability,” or “theatre preparation delays”).

2️⃣ Delay duration
• Where available, please provide the average or total delay time (e.g. hours or days) attributed to these causes.

3️⃣ Reporting system
• If available, please confirm which system(s) your Trust uses to record and categorise surgical delays (e.g. Datix, ORMIS, Bluespier, or another).

4️⃣ Internal reports
• If available, please share any summaries, reports, or audits produced since 2023 that discuss equipment-related surgical delays, loan set management, or theatre efficiency
If it is not possible to provide all of this data within the cost or time limits set by Section 12 of the Act, please provide as much of the information as possible and advise how I may refine my request to bring it within scope.
If certain data is unavailable or not centrally recorded, please confirm this and provide any partial or relevant information held.

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Employee Ages

,

I’m looking to find out how many people your trust employs in all capacities who are aged over 70, over 80 and over 90 years old. Please can I have the figures for each of these age bands?

And can you please tell me how many people the trust employs overall? (Of all ages and in all capacities).

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Slips, Trips and Falls in Home Bathrooms

Dear FOI Officer,

I am writing to request information under the Freedom of Information Act 2000.
Please could you provide the following information:

1. 1. The total number of recorded incidents of slips, trips, and falls in home bathrooms involving patients within your Trust/Health Board for each calendar year from 2020 to September 2025.

2. 2.If available, a breakdown of these figures by:

a. Age groups (50–59, 60–69, 70–79, 80–99, 100+)
b. Gender (Male, Female)

If any part of this request is unclear or would exceed the cost limit, please provide advice and assistance as required by Section 16 of the FOI Act.

I look forward to your response within the statutory 20 working days.

Please provide the data in an electronic format if possible.

Best wishes,

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Multi-Professional Approved / Responsible Clinicians

Dear FOI team, I hope this message finds you well.

I am writing to request information under the Freedom of Information Act 2000 regarding employment and related details of multi-professional approved clinicians and multi-professional responsible clinicians within your trust.

I believe this information is essential for public interest, transparency and to better understand the role of multi-professional approved and responsible clinicians within the healthcare system.

Please provide the information in one of the following digital formats PDF, Excel, or Word documents.

Please could you provide the following information:

1. The total number of multi-professional approved clinicians (as approved under the mental health act) employed by the trust currently

2. A breakdown of this number by base profession (psychologist, nurse, occupational therapist or social worker)

3. The number of these working as responsible clinicians

4. A breakdown of which teams these staff are working in based on the following:

a. inpatient vs outpatient setting
b. Specialty (old age, general adult, child and adolescent, intellectual disability, forensic or other)
c. For inpatient settings whether male ward, female ward or mixed ward

5. The total number of trainee multi-professional approved clinicians currently in training in the trust

6. The mean pro-rata salary of multi-professional approved clinicians and multi-professional responsible clinicians currently employed by the trust (as two values if these are different.)

7. Are multi-professional approved/responsible clinicians currently allowed to cover gaps in service left by doctor approved/responsible clinicians?

8. Do multi-professional approved/responsible clinicians contribute to on call rotas?

a. If yes are these on rotas shared with doctor approved/responsible clinicians
b. If yes is this in hours, out of hours, or both

I understand that the Act requires a response within 20 working days. If, for any reason, my request cannot be fulfilled within this timeframe, please let me know the expected timeframe for a response and the reasons for any delays. Please also provide confirmation of receipt of this request. Thank you for your attention to this matter. Your cooperation in providing the requested information will be greatly appreciated. Yours sincerely, Dr Harry Waterman

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Mental Health Patient Deaths

Dear Sir/Madam

I am requesting the following information under the Freedom of Information Act.

1. For each of these financial years – 2022/23, 2023/24, 2024/25 – please state:
a. The number of mental health patients aged 0-17 who were in contact with the Trust that year
b. The number of mental health patients aged 0-17 in contact with the Trust that year who died during that year (be it as an inpatient or not; be it on the Trust’s estate or elsewhere)

2. For each of these financial years – 2022/23, 2023/24, 2024/25 – please state:
a. The number of mental health patients aged 18-64 who were in contact with the Trust that year
b. The number of mental health patients aged 18-64 in contact with the Trust that year who died during that year (be it as an inpatient or not; be it on the Trust’s estate or elsewhere)

3. For each of these financial years – 2022/23, 2023/24, 2024/25 – please state:
a. The number of mental health patients aged 65+ who were in contact with the Trust that year
b. The number of mental health patients aged 65+ in contact with the Trust that year who died during that year (be it as an inpatient or not; be it on the Trust’s estate or elsewhere)

If the Trust classifies older patients as being 70+ rather than 65+, then it may replace 18-64 with 18-69 in question 2 and replace 65+ with 70+ in question 3. Please state if this is the case.

With questions 1b, 2b and 3b I am asking for figures for patient deaths that the Trust is aware of; the Trust may not be aware of all deaths of patients.

This request should not be combined with any other request for section 12 purposes. If any individual question would exceed the section 12 cost limit, please mark that question as “information not held” and respond to the remainder of the request (NB: this is not the same as asking the Trust to “run the clock” up to the section 12 cost limit).

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Equality Diversity and Inclusion (EDI)

,

Dear Sir/Madam, I am writing to you under the Freedom of Information Act 2000 to request the following information.

1. The number of staff employed by your Trust whose primary role relates to Equality Diversity and Inclusion (EDI) as of September 2025.

2. The total salary cost for these staff in the most recent financial year.

3. The total spend by your Trust on EDI-related training, workshops, events or external consultancy in each of the past three financial years.

4. Copies of any mandatory EDI training materials currently in use for staff.

If it is not possible to provide this 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 have any queries please don’t hesitate to contact me and I will be very happy to clarify what I am asking for and discuss the request, my details are outlined below. Thank you for your time and I look forward to your response.

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IT Systems / Contracts

,

I am writing under the Freedom of Information Act 2000 to request information about several systems and services in use at Gloucestershire Health and Care NHS Foundation Trust.
My inquiries are as follows:

Technology Supplier Product / System Name Contract Ending Date
Cyber security services Bytes ? ?
Financial management system Capita Integra ?
Electronic patient record Idox Lilie ?
Staff rostering system RLDATIX HealthRoster Optima ?
Electronic patient record Software of Excellence SOEL Health ?

Please note: In relation to cyber security we are asking for the name of your main cyber security provider. We do not need to know the software or sub-contractors used.
Clarification on ‘N/A’ Responses:
• Please enter ‘No System Installed’ if your trust does not have such system.
• Please enter ‘No system needed’ if your trust does not have a department or service which requires such a system.
Clarification on Contract expiry date:
• If the contract is expiring in the next 6 months, please state if the trust plans to renew, re-procure or take any other action.
• If the contact is on a rolling basis, Please enter ‘Rolling’.
Additionally, could you please fill in the missing product names and revised contract expiry dates?

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Interpreting Service Request Spend June 2024 to June 2025

,

I am writing to request the following information under the Freedom of Information act.

• Volume of requests for F2F interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Spend on F2F interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Volume of requests for BSL interpreting last 12 months (July 2024 to June 2025)

• Spend on BSL interpreting last 12 months (July 2024 to June 2025)

• Volume of requests for telephone interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Spend on telephone interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Volume of requests for video interpreting for spoken languages last 12 months (July 2024 to June 2025)

• Spend on video interpreting for spoken languages last 12 months (July 2024 to June 2025)

• What are the top 10 languages requested in the last 12 months (July 2024 to June 2025)

• Are you currently engaged in a contract with a language service agency/multiple agencies?

• What is the name of those agencies?

• If a contract for language services/interpreting is in place, what date does this end on?

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NHS Budget and Spending Breakdown

I would like to request a complete breakdown of all NHS spending and expenditure for the most recent full financial year. I am seeking a comprehensive account of how the entire NHS budget is allocated and spent, covering all categories and sub-categories of expenditure, including every item and contract where possible.

Specifically, I am requesting all spending information across the NHS, including but not limited to:

Staffing costs (all salaries, benefits, training, recruitment, agency staff, consultancy fees, etc.)
Hospital and primary care service expenditure
Administrative and management costs
Procurement and contracts (medical supplies, pharmaceuticals, PPE, IT, external services, etc.)
Capital projects (buildings, infrastructure, IT systems, digital programmes)
Payments to private providers, charities, and third-party organisations
Regional, trust-level, and other local allocations of funding
Research and development expenditure
Any other areas of expenditure not listed above
I request this information at the most detailed level available, including line-by-line or transaction-level data if such records exist, so that every pound spent can be accounted for.

If the complete dataset is too large to provide by email, please advise on the format in which it is held and how it can be accessed. My preference would be to receive the information electronically, ideally in an open format such as Excel or CSV.

Thank you for your assistance. I look forward to your response within the statutory timeframe.

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IT Data

Under the Freedom of Information Act, I would request you to respond to questions included in the attachment.

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