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Temporary Staff Management 2024/25

I am writing to make a request under the Freedom of Information Act regarding Temporary Staff Management. Please can you complete the below questions.
Sourced Staffing Arrangements
1a. Do you have a master vendor (MV) or neutral vendor (NV) arrangement in place for sourcing agency staff? If so, please state which arrangement is in place
1b. What is the name of the MV/NV provider(s) and what staffing groups do they source? e.g. medical, nursing etc.
1c. As part of the arrangement, is any NV technology provided by the supplier to help manage the procurement of agency staff?
1d. Please provide the contract start and end date for the supplier (dd/mm/yy)
Direct Engagement
2a. Does the organisation use a third party to provide a Direct Engagement/Outsourced Employment Solution*?
2b. What is the name of the Direct Engagement (DE)/Outsourced Employment supplier**
2c. Under the DE/Outsourced Employment arrangement, which staffing groups are managed? For example; Medical, Admin, Scientific staff. Please list all applicable
2d. Please provide the contract start and end date for the DE supplier (dd/mm/yy)
2e. How much did the organisation pay the supplier in 24/25 (April 2024 to March 2025) for the provision of the direct engagement service?
2f. What type of Direct Engagement contract is in place between the trust and the worker? E.g. Fixed term, casual, zero hours etc.
2g. Are workers issued a P45 at the end of their assignment?
2h. Does your DE provider process DE payroll?
2i. If not, who is responsible for processing DE payroll?
2j. Who is responsible for inputting timesheet data into your DE solution?
2k. Who is responsible for inputting workers’ bank details into the DE solution?
Bank Management

3a. Please name the technology provider used to manage the supply of your bank staff, inclusive of any outsourced or managed arrangements *** If more than one supplier is used, please name all suppliers

3b. Please name the staffing group each provider is used for e.g. medical, nursing, AHPs, admin and clerical
3c. Please provide the contract start and end date for each bank supplier (dd/mm/yy)

3d. How much did the organisation pay the supplier(s) in 24/25 for the provision of the bank service?

Violence and Aggression Towards NHS Staff

Staffing

Dear Freedom of Information Officer, Under the Freedom of Information Act 2000 I hereby request the information set out from your Trust. I am conducting research into the prevalence of violence and aggression (V&A) towards all levels of NHS staff and researching the increase since the COVID-19 pandemic. Please provide the information for the time periods specified unless otherwise stated. Definition / scope: For clarity, by “violence and aggression” I mean incidents reported as directed against staff (including physical assault, verbal threats/abuse, threatening behaviour, sexual assault, hate incidents, antisocial behaviour, security etc.). Please include incidents occurring across all NHS-funded services delivered by the Trust (acute, ambulance, mental health, community, etc.). If any item cannot be provided for legal, commercial, or personal data reasons, please state the exemption relied upon. Information requested (please number responses to match) 1 – Incident / risk management system a. Which integrated incident/risk management system does the Trust currently use (e.g. Datix, Ulysses, Radar, InPhase, other)? Please give the product name and vendor. b. If more than one system is used by different services (e.g. mental health vs acute), list each system and which services use it. 2 – Violence prevention lead / security manager a. Who is the Trust’s designated Violence Prevention Lead and/or Security Manager? Please supply name and job title. b. If the Trust does not have a designated single lead, please state the department or team responsible. 3 – Contact email a. Please provide the official work email address for the person named in (2) or the generic team email for the role (e.g. security@trust.nhs.uk). b. If personal data prevents disclosure of an individual’s email address, please provide an appropriate alternative contact (team mailbox is preferable). 4 – Reporting categories a. Within your incident reporting system, what exact subcategories are used under the main “violence and aggression” (V&A) category? Please give the verbatim list of subcategory labels used (for example: “Verbal abuse”, “Physical assault”, “Threatening behaviour”, “Sexual assault”, “Hate incident”, etc.). b. If categories changed during the period below, provide the date(s) of change and both old and new category lists. 5 – Total incidents — quarterly counts For the following periods, provide the total number of reported V&A incidents against staff for each quarter (broken down by quarter). Use financial-quarter ordering where Q1 = Apr–Jun, Q2 = Jul–Sep, Q3 = Oct–Dec, Q4 = Jan–Mar. Periods required: Financial year 2020/21 (Apr 1, 2020 – Mar 31, 2021) — give counts for each quarter. Financial year 2021/22 (Apr 1, 2021 – Mar 31, 2022) — give counts for each quarter. Financial year 2022/23 (Apr 1, 2022 – Mar 31, 2023) — give counts for each quarter. Financial year 2023/24 (Apr 1, 2023 – Mar 31, 2024) — give counts for each quarter. Financial year 2024/25 (Apr 1, 2024 – Mar 31, 2025) — give counts for each quarter. Quarter 1 2025/26 (Apr 1, 2025 – Jun 30, 2025) — give count for this quarter. Possible suggested Table for (5) 2020/21 Q1 Q2 Q3 Q4 2021/22 Q1 Q2 Q3 Q4 2022/23 Q1 Q2 Q3 Q4 2023/24 Q1 Q2 Q3 Q4 2024/25 Q1 Q2 Q3 Q4 2026-26 Q1 6 – Incident breakdown by subcategory — quarterly For the same periods as (5), provide the number of incidents by each subcategory listed in item (5) for each quarter (i.e., a table showing, for each quarter, counts for “Verbal abuse”, “Physical assault”, etc.). If exact subcategories differ between services, provide a crosswalk or note. I have included a sample table below, if additional columns are necessary, please include them: Subcategory 1 Subcategory 2 Subcategory 3 Subcategory 4 Subcategory 5 Subcategory 6 EG Physical Eg Verbal Eg Threatening EG Sexual Eg Hate EG Antisocial 2021/22 Q1 Q2 Q3 Q4 2022/23 Q1 Q2 Q3 Q4 2023/24 Q1 Q2 Q3 Q4 2024/25 Q1 Q2 Q3 Q4 2026-26 Q1 7 – Staffing numbers (total) a. What is the total current number of staff employed by the Trust? Please state whether this is headcount or Full-Time Equivalent (FTE) and give the date the figure applies to (e.g. headcount / FTE as at 31 March 2025 or as at date of FOI response). 8 – Operational / clinical staff numbers a. Of the total in (7), how many are clinical or front-line operational staff? Please define the metric used (headcount or FTE) and the date. 9 – Board minutes a. Please provide a copy of the most recent publicly available board meeting minutes (or relevant pages) in which violence, aggression, staff security incidents, or staff safety pertaining to violence and aggression were discussed. If these minutes are published online, please provide the link and the meeting date. Data format & delivery Please use the tables provided unless they are incompatible, in which case Preferred format: machine-readable (CSV or Excel). I am happy to receive multi-media response to account for the questions and then the data tables, Administrative / additional points If any element of this request is refused or withheld, please cite the specific FOIA exemption or data-protection reason and provide any available public-interest test explanation. I would be grateful for a response within 20 working days as required by the Act. If you need to clarify any part of this request or if any item is unclear, please contact me at the email address below. Thank you for your assistance. Please note I have sent this email from a personal email account from where I am doing this research in addition to my role with the Association of Ambulance Chief Executives as National Ambulance Violence Prevention Lead. Yours faithfully, Adam Hopper National Ambulance Violence Prevention & Reduction Operational Lead Association of Ambulance Chief Executives adam.a.hopper@outlook.com

Education and Training Tariff – Post Graduate Doctors

Staffing

Dear FOI Officer, Under the Freedom of Information Act 2000, I am writing to request information regarding the NHS Trust’s use of the Education and Training Tariff, specifically for postgraduate doctors in training, and request the annual self-assessments. Please could you provide the following: Annual Education and Training Self-Assessments A copy of the NHS Trust’s annual education and training self-assessment report. Can you please provide the latest report submitted. The reports are mandatory according to the NHS Education Funding Agreement Schedule 3 Total amount of Education and Training Tariff funding received by the Trust for postgraduate medical education over the financial year relating to the last Education and Training Self-Assessment report. Breakdown of Education and Training Tariff for Postgraduate Doctors A detailed and itemised breakdown of how the Education and Training Tariff allocated for postgraduate doctors in training has been spent over the same financial period relating to the latest Annual Education and Training self-assessment submitted. Specifically, I would like to know a breakdown of all expenditures covered by this tariff including but not limited to: Teaching staff salaries (including number of staff employed) Administrative staff salaries (including number of staff employed) Any contribution of tariff towards Consultants programmed activities (PAs) to educational roles Facilities provided specifically for medical education and training (e.g. libraries, study areas) Pastoral support and well-being services for trainees Any contributions towards trainee study leave, clinical exams, and related support activities. 4. Does the trust have any mechanisms in place to review if the Education and Training Tariff is providing appropriate educational value to Postgraduate Doctors and what are those mechanisms? I would appreciate it if the information could be provided in a digital format (e.g., PDF or spreadsheet). If data are unavailable or if certain details cannot be disclosed, please provide as much relevant information as possible and explain any exclusions under the Act. Thank you for your attention to this request. Please let me know if you require further clarification. I look forward to your response within the statutory 20 working day period.

Violence Against Staff Policy

Safety and Security

We would very much appreciate your help with our national survey of Violence against staff policy by answering these two questions.

1: Does your organisation provide support to staff who have experienced violence from service users or their carers?
2: Does your organisation have a policy in place, on how to support staff that have experienced violence from service users or their carers?

Thanking you

Prescriptions Issued for Sleep Medication in the UK

Clinical Activity Data

We’re looking to conduct FOI requests with NHS trusts regarding prescriptions issued for sleep medications in the UK. For example, how many prescriptions were issued for sleep medications (e.g. Zopiclone, melatonin) in the last 5 years
• Total number of sleep disorders recorded in the last five years (broken down by year) and split by age range – I have attached a spreadsheet with the full list.
• The total number of drug prescriptions issued for the following sleep disorders in the past five years (broken down by year and by drug type e.g. Melatonin, Benzodiazepines, Z-drugs)
• The total number of patients referred to non-drug treatments, such as CBT-I

Cost Improvement Plans

Finance

Please provide the following information-
1. The trust’s total planned CIP/efficiency savings for 2025-26 (£)
2. What a) % proportion and b) value of CIPs are not identified, at the date of this request being received?
3. The CIP/efficiency plan for 2025-26 as a % of operating expenses (as reported to NHS England).
4. Total planned ‘recurrent’ and ‘non recurrent’ CIP/efficiency savings for 2025-2026
5. Total CIPs/efficiencies for 2025-26 broken down to ‘pay’, ‘non-pay’ and ‘income’, in £

Radiology Reporting Services

Clinical Activity Data

Please could you provide the following information: General Information

1. The total number of radiology scans performed at NHS hospitals in the last 12 months, broken down by modality (CT, MRI, and nuclear medicine scans).
2. A detailed breakdown of the scans performed by body part for each of the above modalities (For example CT head, MRI Spine, bone scan etc) at each trust.
3. The total number of outsourced scans for reporting purposes, categorized by modality (CT, MRI, and nuclear medicine) for each hospital / trust. Outsourcing and Teleradiology
4. Whether any radiology scans are outsourced to external providers by the hospitals.
5. The percentage of scans outsourced for each modality, if applicable at each hospital.
6. The names of the external providers contracted for outsourced radiology reporting to each NSH hospital.
7. The cost per scan for outsourced services, broken down by modality and body part. Financial Information
8. The total expenditure on outsourced radiology reporting services in the last financial year per trust.
9. Whether there are fixed pricing agreements between teleradiology providers and the hospitals, and if so, the details of these agreements to include start and finish dates and the cost in pounds. Contracts and Agreements
10. Any active contracts the hospitals have with teleradiology companies, including: a. The names of the contracted providers. b. The start and end dates of the contracts. c. The performance or quality metrics outlined in the contracts. Backlogs and Reporting Times
11. The current backlog for radiology scan reporting, broken down by modality and body part at each NHS trust.
12. The average reporting time for in-house radiology scans, categorized by modality.
13. The average reporting time for outsourced scans.
14. Whether specific modalities or body parts have more significant backlogs. Additional Details
15. Any delays in reporting radiology scans over the last 12 months and the primary causes of such delays.
16. Whether the hospital has plans to reduce reliance on outsourcing for radiology reporting, and if so, the details of these strategies.

Data Breaches and Security Incidents

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

1) Has your organisation been notified of any data breach or security incident in the last 3 years involving systems built upon or integrated with Salesforce?

2) Has your organisation experienced, or been informed of, any incidents relating to procurement or contract management systems that operate using Salesforce, namely the Atamis e-Procurement suite of software?

Please provide details of;

• The date the incident occurred
• The nature of the compromised data (such as commercial, personal, financial)
• If the breach was reported to the Information Commissioner’s Office
• Any remedial action taken by your organisation

3) Further to this, has your organisation undertaken any risk assessments in relation to the use of systems integrated with Salesforce. If so, please provide a summary of the findings.

ECT Treatment – 2025

Clinical Activity Data

Dear Sir/Madam,

I am writing under the Freedom of Information Act to make a request for information on the use of electroconvulsive therapy (ECT).

The information being requested is as follows:

1. Please provide the number of ECT treatments given to patients in the year 2025 to date (with the date range this applies to)

2. Please provide the number of patients having received ECT treatment in the year 2025 to date (with the date range this applies to)

I look forward to hearing from you in due course.

CAMHS Services

I am writing to request information under the FOI Act about your CAMHS services/neurodevelopmental assessment services for Children and Young People. If you cannot provide this information, please tell me where I can find it.
Please tell me:

1. The number of young people on your waiting list for a first appointment (assessment) as of the date of this email or nearest available.
2: The average length of time young people are currently waiting between referral and first appointment (assessment)
3: The average length of time young people are currently waiting between initial referral and first therapeutic intervention.
4: How many young people assessed were not offered follow up treatment at Camhs in the year 2024-25, as a number and a proportion of the total of young people assessed?
5: The longest time any young person has been on your current waiting list (as of the date of the receipt of this email or nearest)
6: The average wait between referral and assessment for neurodevelopmental/neurodiverse conditions on the date of this request or nearest available data.
7: The number of young people on the waiting list for neurodevelopmental/neurodiverse assessments on the date of this request or nearest available data.

Bronchiectasis – CT Scan Referrals

Clinical Activity Data

Good afternoon,
After extensive research, we have been unable to find the following data, and I would now like to request it from you.
Please can I request the number of CT scans referred from primary care for SCITID 12295008 Bronchiectasis, and if you have open access to CT scans from primary care.
Best wishes,

Mortuaries – NHS Trusts

Clinical Activity Data, What Do They Know

Dear NHS Trust officers,

I’m writing to request some information under the Freedom of Information Act.

For each month in the past 2 years (Aug 2023 – Aug 2025), please let me know:
1) the Number of people’s bodies that were moved between hospitals’ mortuaries
2) the Median and Maximum number of days for a body to be released from a hospital mortuary to a funeral director

Please provide such data electronically, ideally as a spreadsheet.

Permanent Medical Recruitment

ESR/Workforce

I am writing to request the following information under the Freedom of Information Act 2000 in relation to permanent medical recruitment at your Trust:

1. A list of all permanent medical vacancies (e.g., Consultant or Specialty Doctor level) that have been advertised but remain unfilled, including the relevant specialties, over the past 12 months.
2. The number of permanent medical appointments made by the Trust during the same 12-month period.
3. The name, job title, and contact email address of the person who oversees and is responsible for all permanent medical recruitment across the Trust.

This request is made for research and planning purposes only and is not promotional in nature.

Please do not hesitate to contact me if any part of the request requires clarification.

Technology Contracts with US Companies

Procurement

I am writing under the Freedom of Information Act 2000 to request the following information:
A list of all technology-related contracts currently held by the Trust with companies headquartered in the United States, where the contract value exceeds £25,000 per annum.
For each relevant contract, please provide:
• Name of the company
• Description of the product or service.

LINAC Machines

Estates

Dear Gloucestershire Health and Care NHS Trust,
I am writing to request the following information under the Freedom of Information Act 2000:

1. The year of purchase of every LINAC machine in operation at your trust?

Kind Regards,

Mental Health Service Clinical Policy – Hyperprolactinemia

MH Services

I am requesting a Mental Health Service Clinical Policy specifying the Clinical Procedure in respect of minimising the dangers of hyperprolactinemia balancing the need for anti psychotic stability with managing elevated prolactin levels and long term health risks.

Medical Incidents at Premier League Stadiums

Safety and Security

Under the Freedom of Information Act 2000, I request information about medical call-outs or hospital admissions related to football matches at Premier League stadiums in your area.

Time Period: 2023/24 season and any available data from the 2024/25 season
Stadium-Specific: If possible

1. Number of ambulance call-outs or medical assistance requests from stadiums on matchdays.
2. Number of hospital admissions linked to injuries or incidents at the stadium (if available).
3. If possible, please indicate:
– The type of incident (e.g., collapse, injury, intoxication)

A breakdown by stadium and match date would be appreciated.
If possible, please provide the information in an Excel (.xls or .xlsx) or CSV format.

If parts of this request are not available, please provide the data that you do hold and if you have any other relevant information to premier league football games then please can you also share.

Dexamethasone Dispensing

Pharmacy

Please let me know the patient group directive or other means by which paramedics are allowed to dispense dexamethasone without medical / doctor input at community hospitals, particularly Cinderford Community Hospital. Thank you

Myeloma Patients

Clinical Activity Data

To whom it may concern, I am writing to you under the Freedom of Information Act 2000 on behalf of Myeloma UK to request the following information: 1. Is your health trust currently treating myeloma patients 2. Please list the hospitals in your board/trust that are currently treating myeloma patients. 3. Please list how many myeloma patients are being treated by your board/trust. Please break this down by hospital. 4. Is your health trust currently treating myeloma patients with elranatamab or teclistamab. Please break this down by hospital. 5. Please list how many people have been given a) elranatamab or b) teclistamab since approval by the National Institute of Health and Care Excellence in 2024 (TA1023 and TA1015. If possible, please break this down by hospital. 6. Do you have a service level agreement or referral system in place with any other health trusts to deliver a) elranatamab or b) teclistamab to patients. If the answer this question is yes, which health boards / trusts do you have an agreement in place with. If you have any queries, please don’t hesitate to contact me via e-mail. Thank you for your time and I look forward to your response.

Cyber Security

To whom it may concern, I am writing to request information under the Freedom of Information Act 2000 regarding the cyber security of your NHS Trust, specifically relating to incidents and the current measures in place to mitigate such threats. 1. Ransomware incidents (FY2022–FY2025) Please confirm whether any digital systems within hospitals managed by your NHS Trust were affected by ransomware attacks during the financial years 2022–2023 through to 2024–2025 (inclusive). If yes: How many separate ransomware incidents occurred within this period? For each incident, please provide: The date or month of occurrence A brief description of the nature of the attack (e.g. type of ransomware, point of system entry, services impacted) 2. Data breaches following cyber incidents (FY2022–FY2025) Were any data breaches reported as a result of ransomware or other cyber incidents during this period? If yes, please provide for each breach: The type(s) of data affected (e.g. patient records, staff information) The specific impacts of each breach, categorised as follows (where applicable): Loss of patient data Loss of staff data Disruption to patient services (please specify which services, if known) Disruption to operational processes Financial impact (e.g. cost of recovery, penalties, compensation, etc.) Other impacts – please specify 3. Current cyber security measures (as of date of request) Please list all cyber security measures and protocols currently in place across the Trust. These may include, but are not limited to: Cyber insurance (including provider and coverage if available) Internal and external firewall systems Use of multi-factor authentication (MFA) for user accounts Access control systems for sensitive data and critical systems Anti-virus and anti-malware protection Cyber security training or awareness programmes for employees Regular penetration testing or security audits (please specify frequency) Existence and status of an incident response plan (e.g. last updated date) I look forward to your reply.

Master / Neutral Vendor and E-Roster Platforms

ESR/Workforce

Please can you provide me with the following information:

• Do you use a master or neutral vendor for your supply of Medical Staff (Doctors – all grades)?
• If yes, please supply the name of the master or neutral vendor
• When does the contract expire?

• What is the name of the e-rostering platform that you use to support with medical staff rosters e.g. RL Datix, Rotageek etc
• When does the contract expire?

Pride Month 2025

Misc

This is an information request relating to Pride month 2025

Please include the following information:
Whether any events have been organised for Pride month. If so please provide the date, start and end time, and title/topic of the event
Whether any LGBT themed merchandise has been purchased for Pride month. i.e. since the beginning of the 2025/26 financial year. If so please provide me with information on what has been purchased and the cost
Whether the organisation have sponsored any Pride events. If so which events and please provide details of the nature of the sponsorship (particularly the financial value)

Procurement and Contract Information

Procurement

I am writing to make a formal request under the Freedom of Information Act 2000 for information regarding your organisation’s procurement activities and current contracts.

Information Requested:

1. Current Procurement Opportunities
• Details of any ongoing procurement exercises or tenders currently open or planned to commence within the next 12 months
• Estimated contract values and duration
• Key procurement contact details
2. Existing Contract Information
• List of major contracts (over £50,000 annual value) due for renewal or review in the next 24 months
• Contract end dates and review periods
• Primary contract categories
Scope: Please provide information covering the period from [current date] to [24 months forward];

Agency Spend on Clinical Nurses and Doctors

Nursing & Agency Nursing

I am writing to request information under the Freedom of Information Act 2000. Please provide the following information for your Trust for the period from 1st April 2025 to the date of this request:

1. Agency Spend Breakdown (April 2025 – Present)

For each month, please provide the total amount spent on:

a. Clinical Nurses:
• Via NHS-approved framework agencies
• Via off-framework agencies

Please separate the above by Agenda for Change (AfC) banding levels (e.g. Band 2, Band 5, Band 6, etc.).

b. Medical Doctors:
• Via NHS-approved framework agencies
• Via off-framework agencies

Please break down the above by grade (e.g. FY1, SHO, Registrar, Consultant) and specialty (e.g. A&E, General Medicine, Psychiatry).

2. Agency Details
Please provide the names of the agencies used in each category above (framework and off-framework) for nurses and doctors.

3. Activity Data (if available)
If available and within the appropriate cost/time limits, please also include the number of shifts or hours filled for each staff group, broken down as above.

ADHD and Autism Assessments and Post-Diagnostic Services

MH Services

Freedom of Information Request – Ref: FOI 169-2025 Thank you for your recent Freedom of...

Current use of Moreton Clinic Space (18/09/2025)

Clinical Activity Data

I keen to understand how much use the Acute Trust specialists are able to make of the Outpatient clinic facilities in Gloucestershire’s Community Hospitals. I am particularly interested in to know what Acute Trust services are provided at Moreton Community Hospital, although the question is also relevant to all of Gloucestershire’s Community Hospitals.

I believe that prior to the Pandemic good use of Moreton’s clinic space by Acute Trust Consultants etc was made, but that now clinics are few and far between – physio, orthoptists, hearing aid support. Your website suggests that clinics are held in response to demand. What constitutes “demand”?
Given the Secretary of State’s wish to move more specialist provision into the community, it would be helpful to know to what extent that already happens in our Community Hospitals, and what are the issues that prevent greater use. I guess that cost is a major block to greater use – but who bears what cost (GHC? GHT? ICB?)

As background, I am a retired GP and am currently a Public Governor at Gloucestershire Hospitals Trust. This issue has recently been raised with me by PPG members from North Cotswolds GP Practices. Residents in that area have long journey times to and from GRH or CGH, and are increasingly frustrated that OP clinics appear not to be held in the excellent facility at Moreton and elsewhere. I have family living in North Cotswolds too and understand their frustrations.

Would it be possible to provide me with a timetable of current use of Moreton clinic space, or would that need to go through FOI channels?

Vendor Management System for Agency Staff

Nursing & Agency Nursing

Good morning,

Under the FOI act please can you confirm the following:

Please confirm if you operate a vendor management system for agency staff such as an MSP/neutral vendor/master vendor etc.
If so, please can you name the below:

-Company name
-Contract start and end date
-Framework utilised
-Healthcare specialty used for, EG Doctors/Nursing/AHP/HSS/NMNC
-Do you utilise a direct engagement model and the name of the model, eg Tempre/Own DE model etc

Please confirm if you operate a vendor management system for bank staff.
If so, please can you name the below:

-Company name
-Contract start and end date
-Framework utilised
-Healthcare specialty used for, EG Doctors/Nursing/AHP/HSS/NMNC

Thanks

Fraud / Irregularity Metrics

Finance, Orgainisation

I am kindly requesting the information below, and If any element risks exceeding the FOI cost limit (£450), or contains disclosable personal data, please let me know which parts could be modified or removed to bring the request within the limit. I am happy to accept redacted or summarised information where necessary.

For the years 2017-2022, please provide:

i) Annual trust-level totals:

1. Referrals to the NHS Counter Fraud Authority (count)
2. Number of suspected fraud incidents
3. Number of proven fraud incidents (disciplinary or criminal)
4. £ value lost (total)
5. £ value recovered (total)

Or:

i) For each period (monthly is preferred; quarterly is acceptable), please provide:

1. Cases opened (count)
2. Cases closed (count)
3. Closure outcomes – counts by category:
[No fraud/irregularity, Management/disciplinary action, Civil recovery pursued Referred for criminal investigation/prosecution, Criminal sanction obtained] 4. Referrals to the NHS Counter Fraud Authority (count) 5. Estimated financial loss/exposure recognised in the period (£) 5. £ value recovered (total)

ii) Case-level details (each incident):

1. Date discovered (DD/MM/YY)
2. Discovery method (audit, whistle-blower, analytics, other) 3. Fraud type (procurement, payroll, patient, drug, cyber, other) 4. £ value lost / exposure 5. £ recovered to date

iii) Payment practice signal

Better Payment Practice Code: percentage of invoices paid later than 30 days, by month.

I would be grateful if the information was supplied in CSV format with the organisational code and financial year.

Paediatric Neurodiversity Assessment Waiting Times

CAMHS/CYPS

This request specifically concerns a child aged 14 who has been referred for neurodevelopmental assessment.
I would be grateful if you could confirm:
1. The current average waiting time for children referred and accepted for neurodiversity testing.
2. The referral date (month and year) of the most recent cohort currently being invited to attend their initial assessment.
3. Whether the Trust maintains separate waiting lists or pathways for different age groups (e.g. under-16s vs adults).
4. Any projected changes to waiting times or service capacity for paediatric neurodiversity assessments in the next 6–12 months.
If available, please include any internal guidance, reports, or service planning documents used to manage or forecast waiting list progression.
I would prefer to receive the information electronically. If any part of this request is unclear or would incur a cost, please let me know so I can refine it.

Air Pollution Exposure

Clinical Activity Data

Please provide the following information, broken down by month, between January 2020 and July 2025 inclusive. If this is not possible, please instead provide it broken down by calendar year, 2020 to 2025 inclusive.

1. The number of times a patient was admitted where exposure to air pollution (International Classification of Diseases, tenth revision (ICD-10) code Z581)* was recorded as a contributing factor to the admission.
(* I understand this is the code used by NHS trusts to log exposure to air pollution, but if your trust uses a different code or some other system, please still provide the relevant data)

1a. If possible, please tell me what the primary diagnosis was for each of these admissions.
(For clarity, I want to know total numbers admitted with each primary diagnosis — for example, if 45 people were admitted with a primary diagnosis of asthma where exposure to air pollution was identified as a contributing factor.)

2. Please tell me how many of the patients in question 1 subsequently died in hospital.

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.

If you are able to supply some of this information more quickly than other items, please supply each item when you can rather than delay everything until it is all available.

Capital Spend and Research 2025/2026

Finance

Please treat this as a freedom of information request.
Please provide:
1. Total planned capital spend in 2025-26
2. Planned research spend in 2025-26.

Out of Area Placements – 2019 to 2025

Clinical Activity Data

I’d like to make the following request under the freedom of information act.
Could you tell me, for 2019-2025
a) how many patients were transferred out-of-area
b) the furthest distance a patient was transferred
c) the longest period a patient was placed in an out-of-area trust

Advanced Decision to Refuse Treatment / Lasting Power of Attorney

Copy of Trust Policy, MH Services

Freedom of Information Request

1. Do you have a policy (or policies) which outlines the responsibilities of health and care professionals and the Trust towards a patient who has an Advance Decision to Refuse Treatment (ADRT) or Lasting Power of Attorney (LPA) for Health and Welfare?

This document might include:

– how an ADRT/LPA should be used in decisions about a person’s treatment,

– what to do if there are doubts about the validity and/or applicability of the document,

– how to involve Health and Welfare Attorneys when making treatment decisions

– how or when decisions will be referred to the Court of Protection

If yes, please share a copy with us in any available format.

2. In the event that a patient or family member, or someone using the Trust’s services has a concern about the implementation of an Advance Decision to Refuse Treatment (ADRT) or a Lasting Power of Attorney (LPA) for Health and Welfare, does the Trust/Health Board have a documented process or course of action that would be provided to the person to allow them to resolve their concerns?

If yes, please share a copy with us.

If this information is covered within a policy you have included in the response above, please leave blank.

3. Do you have a named individual who is responsible for overseeing the Trust’s compliance with the Mental Capacity Act 2005?

If yes, please share their contact details.

Vehicle Fleet List (2)

Estates

Dear Gloucestershire Health and Care FOI Team,

Under the Freedom of Information Act 2000, I would like to request details of all vehicles currently used or operated by Gloucestershire Health and Care, whether owned, leased, or otherwise provided for use by the Trust. For each vehicle, please provide the following information: Make and model Body colour Date of first registration with the DVLA Date of the next MOT (where applicable – I am aware that vehicles under three years old are exempt from MOT testing) I would also be grateful if you could confirm whether the Trust itself holds the V5C registration documents for these vehicles, or whether these are retained by a leasing company or another third party.

The information requested relates only to basic vehicle details and statutory roadworthiness requirements.

It does not include registration marks or any personal data, and should therefore be straightforward to disclose.

If possible, I would appreciate the information in a spreadsheet format such as CSV or Excel. Thank you for your assistance.

Management Pathway of Elderly Patients – Emergency Departments

Clinical Activity Data

Dear colleagues,

We are undertaking a survey regarding the management pathway of elderly patients (>65 years old) presenting with trauma in the Emergency Department.

I am emailing you to a make freedom of information request with regard to trauma protocols for silver trauma patients. We would like to know the following information if available:

. Does your hospital have a guideline for silver trauma patients (>65 years old) attending ED?

. What are the ED’s indications for initiating a silver trauma call and requesting a trauma CT for elderly patients at your hospital?

· Which specialties are called for silver trauma in ED? Does it include General surgery, Orthopaedics, Anaesthetics and Medicine of the elderly?

· Does your hospital have a guideline for assessing delirium in silver trauma patients (>65 years old)?

· Do all the silver trauma patients get reviewed by medicine of the elderly on the ward if admitted? · Do you have a guideline for assessment of the silver trauma patients on the ward by medicine of the elderly?

· Can you please attach your hospital’s guidelines for silver trauma patients in your reply?

Thank you for your help! Looking forward to your response.

Please do not include any patient confidential information in your response.

Patient Attending A & E regarding Carbon Monoxide

Clinical Activity Data

Dear FOI Officer, I am writing to request information, under the Freedom of Information Act 2000, regarding carbon monoxide (CO) cases in relation to research for Project SHOUT.

Could you please provide the following information, from the Gloucestershire Health and Care NHS Foundation Trust, for the periods: 1st August 2018 to 31st July 2019: