Responses

Use of insourcing in FY 2024-25:

1. What was the total amount spent by the Trust on insourcing services during the financial year 2024/25?
2. Please provide a list of all external providers engaged to deliver insourcing services during 2024/25.
3. For each provider listed in response to Question 2, please state the total amount paid to that provider for insourcing services during 2024/25.
4. For each provider, please list the types of clinical services or specialties they delivered (e.g. endoscopy, dermatology, ophthalmology, etc.).

Under the Freedom of Information Act 2000, please provide me with the following information about incidents of sexual harm and physical violence that have taken place at your trust. Incidents of sexual violence include, but are not limited to, sexual harassment, sexual abuse, sexual assault and rape. (See after the question for clarification on these definitions.)

In order to assist you, I understand that some, if not all of this information should be recorded in the trust’s safety incident reporting system, or it may be recorded by your HR team.

If possible, please use one of the attached spreadsheets to provide your answers. Please also explain any gaps in your data.

Please ensure that the data you provide is for financial years, not calendar years.

Total sexual safety incidents

1. How many sexual safety incidents did the trust record in the financial year 2024-25? (This includes incidents by all alleged perpetrators against all alleged victims: staff, patients, visitors, members of the public)
1.1 How many of these incidents took place on the trust premises?
1.2 How many sexual safety incidents on the trust premises did the trust record in the financial year 2023-24?*
1.3 How many sexual safety incidents on the trust premises did the trust record in the financial year 2022-23?*

(*My previous FOI asked for total incidents for 2022-23 and 2023-24 but did not specifically ask for only those incidents that occured on the trust premises. If your previous response only covered incidents on the trust premises please answer ‘no change’.)

Sexual safety incidents by staff against patients

2. How many sexual safety incidents allegedly perpetrated by staff against patients did the trust record in the 2024/25 financial year?

Sexual violence and misconduct by patients against other patients

3. How many sexual safety incidents allegedly perpetrated by patients against other patients did the trust record in the 2024-25 financial year?

Sexual safety incidents by patients against staff

4. How many sexual safety incidents allegedly perpetrated by patients against staff did the trust record in the 2024-25 financial year?

Sexual safety incidents by staff against other staff

5. How many sexual safety incidents allegedly perpetrated by staff against other staff did the trust record in the 2024-25 financial year

Age of alleged victims

Please provide figures for the 2024-25 financial year:

6. How many of the sexual safety incidents did the trust record where the victim was a patient:
6.1 Under 18 (this includes under 16 and under 13)
6.2 Under 16 (this includes under 13)
6.3 Under 13

Only include incidents that occured on the trust’s premises.

Physical violence

7. How many incidents of physical violence perpetrated by patients against staff did the trust record in the 2024-25 financial year?
7.1 Do the trust’s records of physical violence by patients distinguish between intentional/deliberate and un/non-intentional violence? (Unintentional violence might be due to lack of capacity, e.g. a symptom of dementia.)
7.2 If the trust does breakdown physical violence into intentional/deliberate and un/non-intentional violence, please provide the following data for the 2024-25 financial year:
• Number of intentional/deliberate incidents of physical violence by patients against staff.
• Number of un/non-intentional violence incidents of physical violence by patients against staff.

I am writing to request information under the Freedom of Information Act 2000 regarding your compliance with the Learning from Deaths Guidance issued by NHS England (2017) which ensures your trust complies with the National Health Service (Quality Accounts) (Amendment) Regulations 2017.

This requires every NHS Trust to annually report (with a quarterly breakdown) the number of patients who died during the reporting period, how many case record reviews or investigations took place, and estimate how many deaths were determined to be likely due to problems in the care provided. It also requires the reporting of a summary of lessons learnt, what actions have been taken as a result, and what the impact of these actions has been.

Included in the Quality Accounts should also be the number of case record reviews and investigations relating to deaths in the previous reporting period that were only concluded in the most recent period and an estimation of how many of those deaths were due to problems in the care provided.

Please provide answers to the following questions for the most recent reporting period (2023/24):

1. Policy and Governance
a) Does your trust currently comply with the requirements of the Leaming from Deaths Guidance?
b) If not do you have plans to comply with it and if so by when?
 
2. Reporting
a) How many deaths were reported within your trust during the reporting period (2023/24)?
b) How many of these deaths were reviewed, and how many were judged more likely than not to have been avoidable?
c) Have you published quarterly reports on learning from deaths on your website, as required by the guidance? Please provide links to the most recent reports.
d) Is information on learning from deaths included in your latest Quality Account?

3. Family Involvement
a) Are families and carers involved in the review process where appropriate?
b) Please provide the number of deaths that were reviewed in this period (2023/24) where families and carers were involved and engaged in the review.

4. Actions and Learning
a) Please provide a summary of all actions taken as a result of the learning from deaths process in the last reporting period.

Please find a questionnaire attached.

I am writing to make a Freedom of Information request.

Do you have a waste management software in place in your NHS Board currently? If so, which software are you using?
* How do you ensure compliance is followed in regard to storing Hazardous Waste Consignment Notes?
* How do you store Waste Transfer Notes?
* What reporting, if any, do you produce based on data from Hazardous Waste Consignment Notes or Waste Transfer Notes?
* How many hours a month are spent on: Storing/Organising Waste related documents, reporting on information contained in Hazardous Waste Consignment Notes/Waste Transfer Notes
* On average, how many Hazardous Waste Consignment Notes per month do you receive?
* On average, how many Waste Transfer Notes do you receive per month?
* What processes are in place to verify waste contractors are providing the correct documentation and operating with correct permits?
* What is your waste audit process?
* What is the contact information for your department that deals with Waste Management?

I am writing to you under the Freedom of Information Act to request answers to the following questions:

1. Has the trust implemented a Patient Engagement Portal (also known as a Patient Portal)?
2. If so, please provide the name of this solution, and the name of the company that supplied it.
3. When was this solution procured?
4. Does the trust have any plans in the near future to replace this solution?

I am writing to you under the Freedom of Information Act 2000 to request the following information from your organisation. Please may you provide me with an answer to the following:

FOI NHS estate capital investment plan questions

1. What are your Trust’s capital investment priorities over the next five years?

2. How much capital funding has the Trust been allocated for estates development this financial year (2025/26), or (where unknown) how much is the Trust expecting to be allocated?

3. Are there any confirmed or proposed capital investment projects at your Trust relating to new healthcare facilities, such as new hospital buildings, Community Diagnostic Centres (CDCs), surgical hubs, new wards, theatres, pathology labs, or aseptic units? If so, please provide details, including the nature of these plans, current stage of planning, whether a construction partner has yet been contracted, project scopes, estimated costs, timelines, and contact details for the project’s Senior Responsible Officer (where available).

4. If there are any current OPEN procurement opportunities (e.g. expressions of interest or opportunity notices) related to construction projects at your Trust, please provide links to the tender notices where available, and contact details for the relevant department or individual(s) responsible for these projects?

5. Who within the Trust is responsible for overseeing estates development and capital projects (e.g. Director of Estates)? Please provide name and contact details where possible.

I would be grateful if you could please answer the following question with regards to cancer treatment:

In the last 12 months, how many unique patients in your trust have been treated privately for the following ICD-10 codes?

A) C61 Malignant neoplasm of prostate
B) C16.0 Malignant neoplasm of the gastroesophageal Junction

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

1. Board (and associated Committees) and Senior Management Review of all homicides committed by service users whilst under Trust care between 2014 and 2020.
2. Board (and associated Committees) and Senior Management Review of the action plans relating to homicides committed by service users whilst under Trust care between 2014 and 2020.
3. Board (and associated Committees) and Senior Management Review monitoring of the action plans relating to all homicides committed by service users whilst under Trust care between 2014 and 2020.

A homicide conducted by a patient is an incident which would be recorded in each Trust’s DATIX patient safety electronic software (or equivalent). As I understand it all Trusts have an obligation to report patient safety incidents and their response at designated intervals to NHS England and other regulatory bodies such as the CQC and NHS Improvement. As a result, the information which I have requested from the Trust may already have been generated and collated.

I am aware that NHS England publishes reviews of selected homicides conducted by NHS patients and that the results of those reviews are published in part on their website. However, the actions which are taken to promote patient safety at individual Trust level following such a homicide and the monitoring of the success of those actions are not included in the publications made by NHS England. In addition, NHS England is not under an obligation to publish reviews of all homicides involving NHS patients.

My request does not refer to information which would cause individuals to be identified as it is relates to governance as opposed to individual patient care.

As I do not have a detailed knowledge of the way in which you organise and structure your governance records or the terminology which you use to describe and classify your information internally, I believe that the following additional information may be helpful in relation to each of the categories of documentation which I have requested:

In relation to each of the homicides committed by Trust service users I require the following information:

1. Board (and associated Committees) and Senior Management Review of homicides committed by service users whilst under Trust care between 2014 and 2020.

This includes:

• Minutes and Reports of Board and Senior Management meetings which reviewed or discussed the learning generated by the homicide.
• Minutes of Meetings between the Trust and Stakeholders to discuss outcomes of learning.

2. Board (and associated Committees) and Senior Management Review of the action plans relating to homicides committed by service users whilst under Trust care between 2014 and 2020.

This includes:
• Detail of the consideration of the monitoring and construction of action plans by the Board and Senior Management
• Reporting arrangements between management team and Board regarding optimising learning from the event and support for staff.
• Minutes and Reports of Board and Senior Management meetings
• Minutes of Meetings between the Trust and Stakeholders to discuss outcomes of learning from the homicide and necessary funding
3. Board (and associated Committees) and Senior Management Review monitoring of the action plans relating to all homicides committed by service users whilst under Trust care between 2014 and 2020.
This includes:
• Minutes and Reports of Board Senior Management and stakeholder meetings which relate to the monitoring of the action plan
• Data and statistics gathered to monitor systemic changes made following implementation of action plan.
I should like to point out that notwithstanding any concerns which the Trust might have regarding the costs associated with this disclosure, Section 12(2) of FOI makes it clear that the Trust has a duty, to inform applicants, such as myself, as to whether it holds the information which I have requested.

Further, if the Trust seeks to raise an issue with regard to the costs associated with this disclosure in accordance with section 12 of FOI, I would request that a detailed estimate is provided in light of the fact that much of the information which I have requested can be readily identified through use of existing Trust governance and patient safety systems.

I would again take this opportunity to reiterate that it is information relating to the monitoring of systemic change implemented by the Board following such a patient safety event of this nature through its existing governance framework (including information governance) rather than information relating to the individual patient’s care that this FOI request relates to.

I am writing to ask for some information under a freedom of information request.

Specifically please could you provide me with the following information:

1. Over the last 5 years how many IV fluid bags have been bought/used by your trust (can you please give in X bags/year)?

2. For the amounts in answer 1, can you advise what different types were used ie what was the saline concentration, different size bags, any bags containing pre-mixed medication other than saline etc?

3. What brands/makes of IVbags do you purchase? Are they bought directly from the manufacturer or via a distributor?

4. Is there a contract in place for purchasing IV Fluids, and if so when does the current contract expire?

5. What is the average unit price for normal saline solution? Has this price changed in the last 5 years?

May I please ask for the following information under the FOI act.

1. Does your NHS Trust/Board have an executive board where health research strategy for the hospital/s is set? e.g a Research and Innovation Board or other relevant high-level board.
2. If yes, is there a PPIE (patient public involvement engagement) representative on this board with the specific remit to provide insights into research agenda setting from the perspective of a patient with lived experience of health issues or as a member of the public/community? [I am not referring to the presence of a lay chair].
3. Is there a PPIE advisory structure (e.g. board, committee, panel) which provides PPIE insights to inform the work of the executive board? (not within individual study groups- I refer to high level feedback into your research strategy meetings).
4. If yes to question 2, 3, 4 or 5, please provide the most recent minutes/agenda with a list of members with designated roles/remits (not names).
5. Are PPIE representatives remunerated?
6. Do you require PPIE representatives to do any training? If yes, please specify e.g NIHR training or in house-training.
7. I realise that some of this information may already be available. However, I was unable to locate it. So, if it is, please provide me with a link to the data.

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

For the period from January 2019 to the most recent available data, please provide the following details relating to admissions involving the insertion of objects into the anus or vagina.

• The total number of incidents recorded per year.
• The age and gender of the individual involved in each incident (if available and anonymised).
• A brief description of the incident or nature of injury and if the insertion was accidental or deliberate (if available and anonymised).
• The item used – including but not limited to sex toys, household objects, and food.

Please provide the following information for the financial year 2023/24:

1. The number of whole-time equivalent nursing staff (registered nurses and healthcare assistants) working in clinical roles in your mental health services.
2. The number of incidents of physical aggression towards these staff in your mental health services.
3. The number of incidents of physical aggression in your mental health services where any reference is made to a hijab/headscarf/burka.
4. A copy of your uniform policy.

Please can you state if the Trust typically informs individual clinics regarding FOI requests made by the public. If this is not routine, please indicate circumstances when a clinician would be informed regarding a FOI request.

Did the hospital trust use high dose PPI medication, e.g. omeprazole to treat Eosinophilic Oesophagitis (EoE) in children before June 2018?
2. When did the use of high dose PPI become routine treatment for
EoE?

I would be most grateful if you would provide me, under the Freedom of Information Act, details in respect to the contract below.

Boiler Room Sitewide

The details we require are:

Who is the senior officer (outside of procurement) responsible for this contract?

Who would be the installation contractor?

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

I would like to have the following information in possession of Gloucestershire Health and Care NHS Foundation Trust in Microsoft Excel format please:

1. Details (Supplier Name, Type of Service, Value, Expiry Dates) of Contracts the Trust holds with suppliers of transport, courier and delivery services (including taxi services)
2. Details (Supplier Name, Type of Service, Value, Expiry Dates) of Contracts the Trusts holds with suppliers of logistics, warehousing and off-site storage services
3. Names and contact information for staff members at the Gloucestershire Health and Care NHS Foundation Trust who are responsible for procuring and managing the above contracts

1. Please state how many independent investigations have been conducted into GHC Trust since Jan 2022

2. Please provide a copy of the ToRs of independent investigations since Jan 2022

3. Please provide a copy of the learning identified through independent investigations since Jan 2022

Please provide me with the following information under the Freedom of Information Act.

Based on your latest available data, how many fines have been handed out to members of staff at your Trust in 2024 for issues related to car parking? This could include parking in the wrong area, not having a permit etc.

If possible, please provide data broken down by year by calendar year.

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

1a: Are plastic bin liners used on psychiatric inpatient wards run by your Trust?
b: If they are not allowed, when were they prohibited?
c: How many incidents of inpatient self-harm involving plastic bin liners have there been in the last five years (specifically 2020, 2021, 2022, 2023 & 2024)?
d: How many inpatient deaths involving plastic bin liners have there been in the last five years (specifically 2020, 2021, 2022, 2023 & 2024)?

2a: Are other types of plastic bags (i.e. not bin liners) allowed into psychiatric inpatient wards run by your Trust?
b: If they are not allowed, when were they prohibited?
c: How many incidents of inpatient self-harm involving plastic bags (excluding bin liners counted above) have there been in the last five years (specifically 2020, 2021, 2022, 2023 & 2024)?
d: How many inpatient deaths involving plastic bags (excluding bin liners counted above) have there been in the last five years (specifically 2020, 2021, 2022, 2023 & 2024)?

I would like information on employment tribunal (ET1) claims involving nursing staff at your organisation.

Please answer the following 4 questions under the Freedom of Information Act and see example answers as a guide.

For each financial year between 2020 and 2025 (or the latest available date), please provide yearly figures for the below:

1. The number of employment tribunal claims bought by nurses, trainee nurses and nursing associates against the trust. [example answer: 2020 – 0, 2021 – 2, 2022 – 0, 2023 – 1, 2024 – 1]

2. The outcome from each claim [E.g. withdrawn, won, lost- e.g: In 2020, 1 was in favour of the claimant, 2 were in favour of the respondent, 1 was discontinued/settled out of court]

3. How many cases each year led to an employment tribunal ruling the organisation must pay costs to the claimant, and how much was paid [example answer: 2020 – 1 case, £0 paid; 2021 – 2 cases, £12,000 paid; 2022 – 3 cases, £0 paid; 2023 – 0 cases, £0 paid, 2024 – 3 cases, £0 paid]

4. If possible, please break down each claim by type [e.g. public interest disclosure, unfair dismissal, discrimination]

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

The number of patients at your trust treated for the following issues:
• IDC-10 code F41.9 Anxiety Disorder Unspecified
• IDC-10 code F41.1 Generalized Anxiety Disorder

Please provide a breakdown of patients for these conditions by age, and gender where possible for each of the following years:
• 2024
• 2023
• 2022
• 2021

Under the FOIA, please could you provide the following reviews mentioned in the ‘quality dashboard’, published in January 2025 board papers:

Please provide copies of these reviews, and detail the full findings of each review, and the resulting actions from the trust/ system.

Please note I’d like to see the specific findings of each review, rather than summaries.

– “The 78 incidents reported by MIIUs related to the pathway from the NHS 111 service and wider IUCS service are subject to a task and finish group review led by the GHC IUCS Governance Lead. All incidents where harm is unknown/suspected are subject to an end-to-end pathway review with input from the IUCS Clinical Lead”.

– “The sustained trend of high use of Rapid Tranquilisation (RT) has seen a rise to 110 incidents in December 2024. The Positive and Safe Group have confirmed this relates to care of specific patients at Wotton Lawn Hospital, for which individualised care plans are in place. Quality Committee received a deep dive into restrictive practices in November 2024 but has sought a further overview of details related to rapid tranquilisation given the sustained levels.”

I would like information on complaints received by your hospital relating to staff member’s uniforms/appearance.

Please answer the following four questions under the Freedom of Information Act and see example answers as a guide.

Please could you provide the following information:

1. What was the total number of complaints received by the Trust in the financial year between April 2023 – March 2024, and in the financial year from April 2024 to date [example answer: 2,034 between April 2023 – March 2024, 1,999 between 1 April 2024 – present day]

2. How many of those complaints related to the uniform, appearance or dress code of staff members (including but not limited to concerns about tattoos, hair colour, piercings, political or religious symbols/statements, hygiene or adherence to uniform policy)? Of those, how many complaints related to nurses. [example answer: 12, of which 3 related to nurses]

3. What did the complaints with regards to the uniform, appearance or dress code specifically relate to? [example answer: nurse had multiple visible tattoos]

4. What was the outcome of the complaints? [example answer: upheld, not upheld, partially upheld]

Please can you provide the current vacancy rates for the bellow staffing groups-

• Medical
• Nursing and Healthcare Assistants
• Scientific, Therapeutic and Technical (STT) and Allied Health Professionals (AHPs)
• Healthcare Scientists
• Administrative and Support Staff

This is a Freedom of Information request for information relating to the letter this summer from Dame Emily Lawson and Vin Diwaker, to all trust executives and COOs, asking them to confirm “that [they] plan to adopt the NHS FDP in the next two years”.

I would like to see all emails, documents, attachments, and any other forms of response relating to this request between Gloucestershire Health and Care NHS Foundation Trust and the two senior NHS officials.

It is public information that you have been asked to inform the NHS when you “envisage adopting already available nationally commissioned local Products”.

I would like to know when specifically you plan to start adopting the FDP and who you are naming as lead (as is requested in the letter)?

I would also like to know what your plans are for how you will maximise the benefits of the Federated Data Platform to deliver better joined-up care for their patients within the next two years (again, asked of you in the above mentioned letter)?

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

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

2. Which vendor provides this software?

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

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

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

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

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

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

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

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

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

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

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