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Diagnosis of Alzheimer’s Disease

FOI Request – Diagnosis of Alzheimer’s Disease
1. I would be grateful if you could send the Trust’s most recent planning document(s) for the diagnosis and treatment of Alzheimer’s Disease including implementation of lumbar punctures (CSF) and Blood-based Biomarker testing. Please include planning documents that cover the entire Trust and specific department plans, such as neurology, psychiatry, care of the elderly, pathology or memory clinic teams.

2. How many patients were diagnosed with Alzheimer’s Disease (ICD-10 codes = G30, G30.1, G30.8, G30.9, F00, F00.1, F00.2 or F00.9) in your Trust in the last 12-month period for which data are available?
3. How many patients were diagnosed with Mild Cognitive Impairment and / or Mild Dementia due to Alzheimer’s Disease (ICD-10 codes = G31.84, G30.1, or MMSE scores = 21 to 24) in your Trust in the last 12-month period for which data are available?
4. Where, if at all, does the Trust carry out lumbar punctures (cerebrospinal fluid) for diagnosing patients with Alzheimer’s Disease?
5. Please provide a list of the full names of other Trusts or other organisations to which the Trust refers patients for lumbar punctures in the diagnosis of Alzheimer’s Disease.
6. What is the average waiting time for a patient to get an appointment for a lumbar puncture to test for a diagnosis of Alzheimer’s Disease?
7. How many lumbar punctures to test for Alzheimer’s Disease took place in the last 3-month period for which data are available?
8. How many Blood-based Biomarker (BBBM) tests from Cerebrospinal fluid (CSF) to test for Alzheimer’s Disease were conducted in the last 3-month period for which data are available?
9. Where, if at all, does the Trust carry out Blood-based Biomarker (BBBM) tests from Cerebrospinal fluid (CSF) for diagnosing patients with Alzheimer’s Disease?
10. Please provide a list of the full names of other Trusts or other organisations, to which the Trust refers Blood-based Biomarker tests from cerebrospinal fluid (CSF) for pathology in the diagnosis of Alzheimer’s Disease.
11. What is the average waiting time for pathology results to come back from Blood-based Biomarker tests?
12. To what extent are there plans for service improvement of diagnosing Alzheimer’s Disease?
13. Are the plans for service improvement of diagnosing Alzheimer’s Disease related to:
Cognitive assessment services
Biomarker services
None / neither
14. Which of the following services does the Trust have in place in preparation for increased service delivery for Alzheimer’s Disease? Please complete the table provided.

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Learning Technologies and Associated Services

Under the Freedom of Information Act 2000, I would like to request the following information relating to your organisation’s use of learning technologies and associated services.
1. Current Learning Management System (LMS)
a. What Learning Management System (LMS) or e-learning platform(s) does your organisation currently use?
b. If Totara or Moodle is in use, please confirm which version is currently implemented.
c. What is the LMS primarily used for (e.g. internal staff development, compliance training, onboarding, external learner access, apprenticeship delivery)?

2. Contract and Provider Details
a. Who is your current LMS support, hosting, or implementation provider?
b. What is the value of your LMS-related contract per annum?
c. What is the contract start and end date (including any optional extension periods)?
d. Please confirm if the LMS is hosted on-premise, via a private cloud, or through a SaaS model.
3. Procurement and Decision-Making
a. What is the name and role of the person responsible for the learning platform and/or digital learning strategy?
b. What is the name and role of the commercial contact responsible for LMS procurement or renewals?

4. Planned Changes or Reviews
a. Are there any plans to review or replace your LMS in the next 12–24 months?
b. Are there any scheduled or anticipated procurement events or tenders related to learning, compliance, or workforce development systems?

5. Integration and Strategic Use
a. Is your LMS currently integrated with other internal systems (e.g. HRIS, payroll, CRM)?
b. Are there strategic goals linked to digital learning, compliance reporting, or learner engagement which the LMS is expected to support?

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Mental Health Interventions

I am compiling some data for a research project, and would appreciate it if you could provide answers to the following 10 questions under the Freedom of Information Act 2000.

1. How many individuals are currently receiving mental health interventions from the community mental health team and associated community mental health initiatives, such as Talking Therapies.

Individuals aged:
18 to 35
35 to 64
65+

2. How many in each age range are male, how many are female and how many identify as other genders?

3. How many of those individuals have been known to community mental health services for more than three years?

4. What is the average length of time for an individual to reach treatment of some kind (group, one to one, or skills course etc) from self or GP’s referral?

5. What is the average length of time from referral for an individual to reach one to one treatment with a clinician?

6. In the past 12 months, how many individuals have received the following:

Group therapy sessions.
One to one therapy sessions (CBT/counselling etc)
Other forms of therapy.

7. In the past 12 months how many individuals attended group therapy remotely?

8. In the past 12 months how many individuals attended group therapy in person?

9. In the past 12 months, how many individuals received therapeutic interventions (such as CBT/psychotherapy/IPT/counselling etc) one to one with a clinician via the following methods:

Face to face appointments.
Video Meeting (Teams/Attend Anywhere etc)
Telephone calls.

10. In the past 12 months, how many individuals have stopped engaging or failed to complete treatment?

11. How many individuals in the past 12 months have received onward referral from the CMHT/Talking Therapies etc to psychiatric services for further assessment?

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ADHD

This is a freedom of information request.

Section A

(A1) Does your organisation commission Adult ADHD Assessments? If yes, please list:
(A1-i) the organisation or organisations in receipt of commission from you alongside the contract value for the last public sector financial year (1st April 2024 – 31st March 2025) and the current public sector financial year (1st April 2025 – 31st March 2026).

(A2)Does your organisation commission Child ADHD Assessments? If yes, please list:
(A2-i) the organisation or organisations in receipt of commission from you alongside the contract value for the last public sector financial year (1st April 2024 – 31st March 2025) and the current public sector financial year (1st April 2025 – 31st March 2026).

(A3) Does your organisation undertake Adult ADHD Assessments? If yes, please list:
(A3-i) the organisation or organisations that have contracted you to provide the ADHD Assessment service alongside the financial contract value for the last public sector financial year (1st April 2024 – 31st March 2025) and the current public sector financial year (1st April 2025 – 31st March 2026).

(A4) Does your organisation undertake Child ADHD Assessments? If yes, please list:
(A4-i) the organisation or organisations that have contracted you to provide the ADHD Assessment service alongside the financial contract value for the last public sector financial year (1st April 2024 – 31st March 2025) and the current public sector financial year (1st April 2025 – 31st March 2026).

Section B

Please could you provide the information for the last public sector year (the period covering 1st April 2024 – 31st March 2025).

(B1). The number of Adult ADHD Assessments undertaken in that period
(B2). The number of Adults waiting for an ADHD Assessment at the end of that period.
(B3). The number of Adults waiting for an ADHD Assessment at the date of receipt of this FOI request.
(B4). The number of Child ADHD Assessments undertaken in that period
(B5). The number of Children waiting for an ADHD Assessment at the end of that period.
(B6). The number of Children waiting for an ADHD Assessment as of the date of receipt of this FOI request.

If it does not take us over the FOI cost threshold, then please can we ask similar questions for the prior public sector year. For the period covering 1st April 2023 to 31st March 2024.

(B7). The number of Adult ADHD Assessments undertaken in that period
(B8). The number of Adults waiting for an ADHD Assessment at the end of that period.
(B9). The number of Child ADHD Assessments undertaken in that period
(B10). The number of Children waiting for an ADHD Assessment in that period.

If it does not take us over the FOI cost threshold, then please can we ask the same questions for the public sector, the year before the above. For the period covering 1st April 2022 to 31st March 2023.

(B11). The number of Adult ADHD Assessments undertaken in that period
(B12). The number of Adults waiting for an ADHD Assessment at the end of that period.
(B13). The number of Child ADHD Assessments undertaken in that period
(B14). The number of Children waiting for an ADHD Assessment in that period.

If it does not take us over the FOI cost threshold, then please can we ask the same questions for the public sector, the year before the above. For the period covering 1st April 2021 to 31st March 2022.

(B15). The number of Adult ADHD Assessments undertaken in that period
(B16). The number of Adults waiting for an ADHD Assessment at the end of that period.
(B17). The number of Child ADHD Assessments undertaken in that period
(B18). The number of Children waiting for an ADHD Assessment in that period.

Section C

If it does not take us over the FOI cost threshold, then please can we ask this additional set of questions

(C1). Did you pay out under Right to Choose for Adult ADHD Assessments in the prior public sector year? If yes:

(C1-i) How many Adult ADHD Assessments were paid out under Right to Choose in the last public sector year (20024-25)
(C2-ii) What was the total value of Adult ADHD Assessments under Right to Choose in the last public sector year (20024-25).
(C2-iii) Please list the organisations you paid out for Adult ADHD Assessments under Right to Choose, alongside the total financial amount paid, and the quantity of Adult ADHD Assessments undertaken for the last public sector year (April 1st 2024- 31st March 2025).

(C2). Did you pay out under Right to Choose for Child ADHD Assessments in the prior public sector year? If yes:

(C1-i) How many Child ADHD Assessments were paid out under Right to Choose in the last public sector year (20024-25)
(C2-ii) What was the total value of Child ADHD Assessments under Right to Choose in the last public sector year (20024-25).
(C2-iii) Please list the organisations you paid out for Child ADHD Assessments under Right to Choose, alongside the total financial amount paid, and the quantity of Child ADHD Assessments undertaken for the last public sector year (April 1st 2024- 31st March 2025).

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School Nursing Workforce – Royal College of Nursing

1. Do you currently commission a school nursing service? Yes/No

2. Which of the following best describes your current school nursing contract provider:
a. NHS trust
b. Charity
c. Local authority
d. Community Interest Company
e. Private healthcare provider
f. Other [please specify]

3. How many full-time equivalent (FTE) clinical staff were employed in your school nursing service in: March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

4. How many FTE SCPHN qualified school nurses were employed at each of the following bands (6, 7, 8a, 8b, 8c) in your school nursing service in: March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

5. If your school nursing team is employed on Agenda for Change bands, please tell us how many FTE clinical staff were employed on each Band (3, 4, 5, 6, 7, 8a, 8b, 8c) in March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

6. For each Band (3, 4, 5, 6, 7, 8a, 8b, 8c) please state the percentage of school nursing staff on: temporary (agency), temporary (employed), fixed term, permanent contacts in March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

7. What was the total number of school-aged children that your school nursing service was responsible for in: March 2025; September 2024, March 2024?

8. What was the average number of [primary, secondary and specialist] schools per SCPHN qualified school nurse in your area in: March 2025; September 2024, March 2024?

9. What was the SCPHN qualified school nurse (Band 6) FTE vacancy rate in your school nursing service in: March 2025; September 2024, March 2024? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

10. Is your school nursing service currently [in April 2025] employing any SCPHN student school nurses? Yes/No, If Yes how many? [If you do not have data for these specific months please provide the most recent full workforce data that you have]

11. Is your school nursing service planning to employ the SCPHN student School Nurses upon completion of their training Yes/No, If Yes how many?

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Risk Assessment in Domestic Abuse

I am writing to request the following under the Freedom of Information Act, regarding use of and provision for the DASH checklist, aka Domestic Abuse, Stalking and Honour Based Violence

1. Is the DASH RIC used by your organisation as part of services (e.g. domestic abuse provision, victim support)?
2. Is the use of DASH RIC a standard provision or a requirement in contracts with third-party providers of relevant services (e.g. domestic abuse services, sheltered housing)?
3. If the DASH checklist is used by your organisation, which organisation or organisations provide the training that includes DASH training? (e.g. Domestic Abuse Matters training)
4. What is the cost to your organisation of such training? Please break this down by financial year over the last five years, as well as by organisation (if more than one organisation provides the relevant training)

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Social Media Management and Listening Tools

1) Do you use a social media management platform?
2) If so, what tools do you use?
3) What is your annual spend on a Social media management tool?
4) What dates does your contract with your current supplier end (in the format of [month/year]) ?
5)Do you use a social listening / media monitoring platform?
6) If so, what tools do you use?
7) What is your annual spend on a social listening / media monitoring tool?
8) What dates does your contract with your current supplier end (in the format of [month/year])

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LINAC Machines

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?

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Rental Suppliers for Pressure Care Beds

Under the Freedom of Information Act 2000, I would like to request the following information:

1. Which suppliers are currently engaged to provide air-fluidised beds and/or low-air-loss pressure care mattresses via rental or service agreements?
2. For each supplier, please include:
o Type of equipment hired/cost
o Hire terms (daily/weekly)
o Approximate number of units hired in the last 12 months
3. Is the contract managed via NHS Supply Chain, regional procurement, or direct agreement?

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Treatment of Bruxism

Please provide the following information, Any and all annual data on record to the present day.

1. How many patients have been referred to the trust and presented for the treatment of BRUXISM (Grinding of the teeth)?

2. Please provide geographical date in regards which hospital the patients presented to.

3. Annual cost to the trust and its subsidiaries.

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Wearing/Use of Fragranced Products

Does the Trust have a staff policy in respect of the wearing/use of fragranced products? Please provide a copy of your staff policy concerning the wearing/use of fragranced products (including use of fragranced laundry products). Where terms such as ‘overwhelming’, ‘overpowering’ or ‘discreet’ are used in respect of fragrance, how are these terms defined and who decides if the level of scent contravenes the guidance: the wearer, the Trust or the patient? How is the policy brought to the attention of staff? Is the policy in respect of the wearing of fragranced products enforced? How is it enforced? What training is given to staff to make them aware that the use of fragranced products can be an accessibility barrier for patients? Please provide details. If any such material is third party copyrighted, please provide a synopsis. Please provide copies of any correspondence, memos or minutes of meetings pertaining to discussion of the use of/ wearing of fragranced products by staff, including use of fragranced laundry products to wash clothing worn at work.

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Outsourcing of Mental Health Services

Please can you provide me with the below information:

In the last 6 months, please confirm if any Mental Health services have been outsourced:

If yes, please confirm:

-The service provided E.G ADHD, Autism etc (please provide breakdown for each service if applicable)
-The name of the company each service was outsourced to
-Is there a contract in place and the length of contract for each service provided (if applicable)
-The value of each service in the last 6 months

Please provide an email and contact name within the outsource provider

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098-2023

This is an information request relating to Pride Month.
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 2023/24 financial year. If so please provide me with information on what has been purchased and the cost
• Whether the organisation has sponsored any Pride events. If so which events and please provide details of the nature of the sponsorship particularly the financial value.
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.

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052-2023

Under The Freedom of Information Act 2000, could you kindly answer the following questions:

1. How much has your Trust spent on specialist bariatric equipment for obese/bariatric patients patients over 160kg. during the last five financial years? Please give a figure for each year: 2018/19, 2019/20, 2020/21, 2021/22, 2022/23.

2. How many patients needed special adaptations due to their weight in the past 12 months?

3. Please give a breakdown of the amounts spent by the Trust by the type of specialist bariatric equipment.

3.1 If equipment is used on a rental contract basis, please provide a list of contracts, including the values and suppliers.

4. How many bariatric beds does the Trust own?

5. How many bariatric fridges does the Trust own?

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005-2023

Please could you provide the annual spend for the below suppliers from July 2021 to July 2022? Please note this information is not commercially sensitive as all you will be providing is the total money spent with each supplier not any detail of what you bought. Please could I have this in an excel spread sheet?

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004-2023

Can you please carry out an internal review of the handling of my request? My specific queries that necessitate this review are outlined below in this email. I look forward to receiving your response within the next 20 working days, as outlined in the Information Commissioner’s guidance.

Questions 1 and 3 – Please can you answer these questions? I am familiar with the national guidance, however there are differing interpretations of it across the country, which is a large part of the reason that we conducted this request.

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Integration Engine

In accordance with the Freedom of Information Act, could you kindly confirm the name of your Trust’s Integration Engine?

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Office Print Procurement Contracts

I would be grateful if you could help in answering our request for information regarding any current office print procurement contracts your organisation may hold.

1. Do you have a print contract for your general office printers or multi-functional devices (MFDs), if so, please provide the name of the contract provider?
2. Please confirm the start and end date of each contract named in question 1.
3. Please confirm the end date of any extension periods for each contract named in question 1.
4. When do you intend to start re-tendering for each contract named in question 1.
5. How many printers and MFDs are deployed across your organisation?
6. What is your annual output (print and copy) volume (mono and colour) and spend?
7. Who is the person(s) within your organisation responsible for these contract(s)? please provide their role/title and contact details?

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Logistics and Supply Chain for Medical Devices and Consumables

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:

1. Current logistics and supply chain model
a. How much space (in sq ft) does your organisation currently use for inventory storage of medical devices and consumables (please indicate whether this is on-site or off-site)?
b. Does your organisation make use of consolidated logistics hubs or off-site storage facilities for medical devices and/or consumables?
c. Is this done in partnership with other NHS organisations?
i. If so, does your organisation run this or is it run by another organisation?
ii. If so, which organisation?
d. How much does your organisation spend on medical devices and consumables through NHS Supply Chain?
i. What is this spend as a proportion of your organisation’s total spend on medical devices and consumables?

2. Delivery and stock management
a. What systems (if any) does your Trust use to manage inventory and logistics for medical devices and consumables?
b. Are these systems integrated with NHS Supply Chain or other regional or national systems?

3. Strategic priorities
a. Is your Trust actively exploring or piloting any new logistics models, technologies, or partnerships to improve supply chain efficiency? If so, please give any details.
b. Would your organisation be open to participating in a pilot of an alternative logistics model (i.e. one offering consolidated supply, enhanced stock visibility, and just-in-time delivery capabilities)?

4. Additional
a. Who in your organisation is responsible for logistics and supply chain operations? Please provide name and contact details where possible.
b. Who in your organisation is responsible for procurement decision-making relating to medical technology and consumable supplies? Please provide name and contact details where possible.

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HSCN and Connectivity

1. HSCN connectivity (Health and Social Care Network)

a. Please can advise who is the existing supplier
b. Contract end dates
c. Total contract value
d. Which framework this was purchased under
e. Name of the contact responsible for this

2. Software Defined WAN (SDWAN)

a. Please can advise who is the existing supplier
b. Contract end dates
c. Total contract value
d. Which framework this was purchased under
e. Name of the contact responsible for this

3. Local Area Network (LAN)

a. Please can advise who is the existing supplier
b. Contract end dates
c. Total contract value
d. Which framework this was purchased under
e. Name of the contact responsible for this

4. Wireless Access (WIFI)

a. Please can advise who is the existing supplier
b. Contract end dates
c. Total contract value
d. Which framework this was purchased under
e. Name of the contact responsible for this

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Contact Details for Legal Correspondence from Third Parties

I am writing to request information under the Freedom of Information Act 2000.
After reviewing your website and other publicly available information, I have not been able to identify the appropriate contact details for third parties (such as suppliers or service providers) to send formal legal correspondence to your organisation.
Please could you confirm the following:
1. Whether your organisation has one or more specific teams, departments, or named individuals responsible for receiving formal legal correspondence from third parties.
2. The relevant postal address(es), email address(es), and telephone number(s) that such correspondence should be directed to. If responsibility differs by type of issue (e.g. contractual, procurement-related, legal) or by region, please provide the details for each as applicable.
3. If this information is already published, please confirm where it can be found.
This request is made in the public interest to ensure there are clear and transparent routes for formal engagement with public authorities.

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NHS Patients SARC

I wish to make a freedom of information request and would be grateful if you could provide the following information within 20 working days:

a) The number of staff employed at your Trust’s Sexual Assault Referral Centre (SARC) for the years 2010 – 2024.

b) The number of children aged under 18 years old who have been received support by your Trust’s SARC between the years 2010 – 2024 and, if possible, the number of these who are identified as having been victims of gang-based CSE.

c) The number of victims of CSE who received mental health support from your trust between 2018 and 2024.

d) The number of children identified by your Trust as requiring safeguarding measures as a result of CSE between the years 2010 and 2024.

This should not exceed any cost limits you may have but should you, for whatever reason, decide that it does, the please proceed with parts a – c.

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523-2023

I am writing on behalf of a registered charity dedicated to supporting elderly people in our local community. We are seeking information under the Freedom of Information Act 2000 to enhance our understanding of the services available to older residents within your NHS’s jurisdiction.

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Procurement of cyber security services and software platforms

I am conducting a research project into how public sector organisations procure cyber security services and enterprise software platforms. As part of this, I would be grateful if you could provide the most recent contract information you hold for the following areas:
1. Standard Firewall (Network)
Firewall services that protect the organisation’s network from unauthorised access and other internet security threats.
2. Anti-virus Software Application
Programs designed to prevent, detect, and remove viruses, malware, trojans, adware, and related threats.
3. Microsoft Enterprise Agreement
A volume licensing agreement that may include:
• Microsoft 365 (Office, Exchange, SharePoint, Teams)

• Windows Enterprise

• Enterprise Mobility + Security (EMS)

• Azure services (committed or pay-as-you-go)

4. Microsoft Power BI
Or any alternative business intelligence platform used for data connectivity, dashboards, and reporting.
________________________________________
For each of the above areas, I kindly request the following:
1. Who is the existing supplier for this contract?

2. What is the annual spend for each contract?

3. What is the description of the services provided?

4. Primary brand (where applicable)

5. What is the start date of the contract?

6. What is the expiry date of the contract?

7. What is the total duration of the contract?

8. Who is the responsible contract officer?
 • Please include at least their job title, and where possible, name, contact number, and direct email address

9. How many licences or users are included (where applicable)?

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372-2024

I am making this FOI request to obtain copies of any job descriptions and person specs you have in relation to Health Records.

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371-2024

Under the Freedom of Information Act I wish to request the following information: 1. The number of referrals made to each of the below services/through each of the below pathways* during 2015/16, 2022/23 and 2023/24 to date. Please break these figures down by the number of referrals received, the number of referrals accepted and the number of referrals responded to with advice and guidance or support, with the recorded reason for declination. Please provide earliest figures from 2015/16 and reasoning if you do not have 2015/16 figures available. 2. Details of any policy change regarding altered thresholds for referrals, altered access to pathways or triage systems and documentation outlining the change and reasoning of the change if available. as regards referrals to each of the below services/pathways.

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370-2024

Please find my request below, which relates to the organisation’s contract relating to their energy management system. Not all organisations have an energy management system and if the organisation does not have one, please ignore the contractual part of my request 1-6. and concentrate on questions 7-12.
1. The supplier who provides the software to the organisation?
2. The cost associated with the software. Please provide me with the annual spend.
3. What is the brand of the software?
4. What is the duration of the contract?
5. When does this contract expires?
6. When does the organisation plan to review this contract?
7. Can you please provide me with the contract description of the services provided under the agreement with the supplier? This also includes potential extensions and support and maintenance services.
8. What is the organisation’s annual energy spend for the following:
a. Electricity
b. Gas
c. Water
9. What is the total number of meter points for Electricity for:
a. Non Half Hourly NHH. meter points
b. Half Hourly HH. meter points
10. What is the total number of Gas meter points?
11. What is the total number of Water meter points?
12. What is the total number of meter points for specialist gases and liquids?
13. Can you please provide me with the contact details of the key person responsible for this contract or around energy management.
14. Can you please send me the organisations’ energy management strategy/plan that covers 2018?

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Translation and Interpretation Costs

Under the Freedom of Information Act 2000 I would like to request the following information from your organisation:
How much was spent on translation and interpretation costs over the last five financial years (2020/2021, 2021/2022, 2022/23, 2023/24, 2024/25)? Please could this data be broken down into a total sum over the five years and also broken down by each financial year.
Please can a separate list of the top five languages incurring the highest cost in the financial year 2024/25 also be included, with how much was spent on each language.

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Data about Wheelchairs

How many wheelchairs does Gloucestershire Health and Care NHS Foundation Trust issue each year and how many are currently owned/in circulation by the trust?

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Funding Requests for External Providers via STAR Team

I am writing to request information under the Freedom of Information Act 2000 regarding funding requests for external assessments and/or treatment of dissociative disorders (including DID, OSDD, DPDR, etc.) made via the Specialist Treatment and Rehabilitation Team (STAR).

Please provide the following information covering the period from 1st January 2020 to the present:

1. How many requests have been received by the STAR team for funding of assessment and/or treatment for dissociative disorders with external providers (e.g. Centre for Dissociative Studies, Pottergate Centre, CTAD, SLAM, etc)?

2. Of these requests, how many were approved for funding?

3. What is the typical cost of:
a. An initial assessment at these external providers.
b. A course of treatment (e.g. per session, per year, or other available metric).

4. Are there any planned changes to how the STAR team manages referrals or funding for dissociative disorder care (e.g. new internal pathways, new commissioning plans, or external contracting)?

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Dravet Syndrome and Lennox-Gastaut Syndrome/Treatments

I would like to submit an FOI request for the following data for Gloucestershire Health and Care NHS Foundation Trust:
1. The number of unique patients with a recorded diagnosis of Dravet syndrome in 2024-2025. Likely coded as ICD-10 code G40.3 or SNOMED code of 230437002, ideally separated by month.
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
2. The number of unique patients with a recorded diagnosis of Lennox-Gastaut syndrome in 2024-2025. Likely coded as ICD-10 code G40.4 or SNOMED code of 230418006, ideally separated by month.
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
3. The number of unique patients who have been treated with fenfluramine in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside fenfluramine, and indicate the number of patients receiving each
4. The number of unique patients who have been treated with cannabidiol in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside cannabidiol, and indicate the number of patients receiving each
5. The number of unique patients who have been treated with cenobamate in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside cenobamate, and indicate the number of patients receiving each
6. The number of unique patients who have been treated with rufinamide in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside rufinamide, and indicate the number of patients receiving each
7. The number of unique patients who have been treated with stiripentol in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside stiripentol, and indicate the number of patients receiving each
8. The number of unique patients who have been treated with clobazam in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside clobazam, and indicate the number of patients receiving each
9. The number of unique patients who have been treated with sodium valproate in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside sodium valproate, and indicate the number of patients receiving each
10. The number of unique patients who have been treated with levetiracetam in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside levetiracetam, and indicate the number of patients receiving each
11. The number of unique patients who have been treated with topiramate in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
18 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside topiramate, and indicate the number of patients receiving each
12. The number of unique patients who have been treated with lamotrigine in 2024-2025, separated by month
Patient numbers segmented by age:
0-3 years old
4-8 years old
9-18 years old
8 years+
For these patients, how many of them had a diagnosis of:
Dravet Syndrome (ICD10 Code: G40.3) SCTID: 230437002
Lennox-Gastaut syndrome (ICD10 Code: G40.4) SCTID: 230418006
For these patients, please provide a detailed breakdown of concurrent treatments. Specifically, list each additional treatment received alongside lamotrigine, and indicate the number of patients receiving each

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Spiritual, religious and/or chaplaincy services

As part of a piece of work I am undertaking to review the spiritual, religious, and / or chaplaincy services offered by NHS England, I am contacting you to ask for the following information to please be provided.

1. How many whole-time equivalents are employed in the spiritual, religious, and / or chaplaincy service(s) and what are their bandings? Please differentiate between staff on substantive and temporary contracts, as well as staff working in the service on bank or agency contracts.

2. What are the typical core hours of the spiritual, religious, and / or chaplaincy service(s) on offer? How are these service(s) provided over the week (i.e. weekdays only, seven days a week, etc)?

3. What type of support (such as regular activities, events, or gatherings) is offered by the spiritual, religious, and / or chaplaincy service(s)? Please differentiate this between support offered to patients, support offered to family / friends, and support offered to staff members.

4. What on-call or out-of-hours provisions are made by the spiritual, religious, and / or chaplaincy service(s) at your Trust? Please differentiate between provisions offered by staff members employed by the Trust, and provisions offered by external contractors / arrangements.

5. What support is offered to the spiritual, religious, and / or chaplaincy services(s) by external organisations? For instance, what contracts are held by the Trust for this / these service(s) and who are these contracts with?

6. On average, how many service users are supported by the spiritual, religious, and / or chaplaincy service(s) in a week? Please take an average of service users supported between January and December 2024.

7. What is the overall satisfaction for the spiritual, religious, and / or chaplaincy service(s) offered by your Trust? Please provide the overall satisfaction for the period January 2024 to December 2024.

8. What supervision, if any, is provided to staff working in the spiritual, religious, and / or chaplaincy service(s)? Please identify whether this is provided by your Trust or by an external provider, and the average annual cost for this provision.

9. Please provide a contact name and contact email address if there should be any additional queries relating to this Freedom of Information request.

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Pancreatic Enzyme Replacement Therapy

(1) Has your Trust procured any pancreatic enzyme replacement therapy (PERT) products from overseas suppliers between January 2023 and present? Please respond with yes or no. If yes, please answer the following: (a) Which countries were these products sourced from? (b) How many ‘special order’ prescriptions for these products have been dispensed? (c) What percentage of the local demand has been covered by these overseas products?

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Agency Spend

Please can you provide me with the Agency Spend, split between the 3 individual staff groups below :

1. Agency Registered Nurses (all specialities e.g. adult nursing, children’s nursing, community, mental health, midwives, etc) – April 2025
2. Agency Health Care Support Workers – April 2025
3. Agency Doctors – April 2025

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Early Intervention in Psychosis

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

The percentage of patients who met waiting time standards of two weeks between first referral and starting treatment in Early Intervention in Psychosis (EIP) services at Gloucestershire Health and Care NHS Foundation Trust in:

a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24

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Neonatal Leave and Pay/Lease Cars

I am wondering if you could please help me with a couple of benchmarking queries?

Neonatal Leave and Pay
• Have you got a family leave policy to share for this guidance and how you will process the leave for colleagues?

Lease Cars
• We are looking to add to our current guidance around scenarios where colleagues have a lease car and then for example, go on maternity leave, return on reduced days which could put them below the national minimum wage which could revoke the car. This could also apply to any substantive employees who adjust their hours for example. How do you support colleagues in this situation?

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Procurement Information

Could you please advise of the following in terms of your Trust:

1. Is your Procurement Function in- house or outsourced?
2. How many people FTE work in your Procurement Dept including roles and bands?
3. What is the cost of your Procurement Function?
4. What is the scope of activity your Procurement Function delivers? Does this specifically include: Operational Procurement ie: transactional activity raising requisitions/ orders, Strategic Procurement ie: Category Management, tendering etc, Contract Management, general advice and guidance?

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Workforce Systems

I would like to make a request under the Freedom of Information Act relating to Workforce systems
Please respond to the following questions
1. Which software provider does the Trust use for medics rostering software
2. Which software provider does the Trust use for “direct engagement” management of temporary medical staff
3. Which software provider does the Trust use for the management of temporary medical staff
4. Which software provider does the Trust use for master vendor management software
5. What was the annual cost for the Trust’s medics rostering software in the last financial year
6. What is the contractual end date of your current medics rostering software
7. What is the contractual end date of your current direct engagement software
8. What is the contractual end date of your current temporary medical staff management software
9. What is the contractual end date of your current master vendor management software

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Radiology Equipment and Systems

**Freedom of Information Request: Radiology Equipment and Systems**
I am currently conducting personal academic research on the radiology equipment operated by NHS providers in England. To support this research, I am requesting the following information under the Freedom of Information Act 2000. I kindly ask that the data be provided in an editable digital format (e.g., Excel, Word, or CSV).

Digital X-Ray Systems (static, non-fluoroscopy)
For each system, please provide:
– Hospital where installed
– Make
– Model
– Date installed

CT Scanners
For each system, please provide:
– Hospital where installed
– Make
– Model
– Date installed

MR Scanners
For each system, please provide:
– Hospital where installed
– Make
– Model
– Date installed

Mobile X-Ray Systems
For each system, please provide:
– Hospital where installed
– Make
– Model
– Date installed

Interventional X-Ray Systems (Angiography)
For each system, please provide:
– Hospital where installed
– Make
– Model
– Date installed

Gamma Camera and SPECT-CT Systems
For each nuclear medicine system, please provide:
– Hospital where installed
– Make
– Model
– Year installed

Ultrasound Systems (Radiology)
For each system, please provide:
– Hospital where installed
– Make
– Model
– Year installed

Fluoroscopy Systems
(including remote control, multi-purpose, and under-couch variants)
For each system, please provide:
– Hospital where installed
– Make
– Model
– Year installed

Mobile/Surgical C-Arm Fluoroscopy Systems
For each system, please provide:
– Hospital where installed
– Make
– Model
– Year installed

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Curosurf and Peyona

I would like to please request information relating to the following question –

1. In the last 12 months, how many unique patients in your trust were treated with the following products:

A) Curosurf
B) Peyona

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Dravet Syndrome/Lennox-Gastaut Syndrome

I would like to submit an FOI request for the following data for Gloucestershire Health and Care NHS Foundation Trust:
• The number of patients treated for Dravet syndrome in 2024, ideally separated by month, or quarter
o Patient numbers segmented by age:
 0-3 years old
 4-8 years old
 9-18 years old
 18 years+
• The number of patients treated for Dravet syndrome in 2025, ideally separated by month, or quarter
o Patient numbers segmented by age:
 0-3 years old
 4-8 years old
 9-18 years old
 18 years+
• The number of patients treated for Lennox-Gastaut syndrome in 2024, ideally separated by month, or quarter
o Patient numbers segmented by age:
 0-3 years old
 4-8 years old
 9-18 years old
 18 years+
• The number of patients treated for Lennox-Gastaut syndrome in 2025, ideally separated by month, or quarter
o Patient numbers segmented by age:
 0-3 years old
 4-8 years old
 9-18 years old
 18 years+
• The above data separated by treatment, focusing on the following treatments:
o fenfluramine
o sodium valproate
o stiripentol
o clobazam
o cannabidiol
o levetiracetam
o topiramate
o potassium bromide
o Other treatments
 carbamazepine
 gabapentin
 lacosamide
 lamotrigine
 oxcarbazepine
 phenobarbital
 pregabalin
 tiagabine
 vigabatrin
 rufinamide
• Numbers of patients moving from one specific treatment to another e.g. fenfluramide gains from cannabidiol, sodium valproate losses to cannabidiol
• Alternatively, just the numbers of patients on each treatment for each month/quarter will be able to show how the numbers on each treatment are changing

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Insourcing for Pathology Services

Under the Freedom of Information Act 2000, I request the following information regarding your use of insourcing for haematology, histopathology, and/or microbiology services between 1 April 2024 and the date of this request (i.e., the last 12 months):

Service Usage:

Does your trust currently use (or has it used in the last 12 months) insourcing providers for any of the following services?

a) Haematology
b) Histopathology
c) Microbiology
d) Oncology
(If yes, please specify which specialties)

Provider Details:

For each insourced specialty above, provide:
a) The name(s) of the external provider(s).
b) The start and end date(s) of the contract(s).

Scope & Volume:

A brief description of the services covered (e.g., “blood film reporting,” “biopsy analysis,” “infection screening”).

Estimated annual spend (or total spend) on these insourcing arrangements for 2023/24.

Procurement Method:
Was the contract awarded via a framework (e.g., NHS SBS DPS, Crown Commercial Service)? If yes, state which one.

If no insourcing is used for these specialties, please state “None.”

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Compulsive Buying Disorder

Can you please provide the following information under the Freedom of Information Act 2000. This query relates to shopping addiction, which is also known as Compulsive Buying Disorder (CBD) or Oniomania. Could the information please be provided in financial years.

For background, I have been advised that:
• GPs or NHS talking therapies would be the first point of call for such patients.
• Generally those diagnosed with the condition would rarely be diagnosed with it on its own as other mental health problems are likely to be present as well.
• The ICD-11 diagnosis criteria may be used and under that, this condition could be listed as ‘obsessive compulsive disorder – other’ (which was what gambling used to be noted as before it was added to the diagnosis criteria).
1. How many people have been identified as possibly having the condition (Compulsive Buying Disorder – CBD) during the following periods:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
e. 2024/25
f. 2025-to date
2. What is the age and gender of those mentioned in question 1?
3. If someone presented to the NHS with this condition, what support or treatment options are available?
4. How many people have been identified as having Compulsive Buying Disorder (CBD) alongside another mental health diagnosis? E.g OCD or ADHD.
5. What is the age and gender of those mentioned in question 4?
6. How many people have been identified as having a behavioural addiction e.g gambling, porn or gaming, during the following periods:
a. 2020/21
b. 2021/22
c. 2022/23
d. 2023/24
e. 2024/25
f. 2025-to date
7. What is the age and gender of those identified in question 6?
For questions 2, 5 and 7, I am not requesting any information that would identify patients.

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Trust’s Infrastructure

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

Can you please provide an update on your Trust’s Infrastructure, including aspects of Database software, Wifi coverage, and Virtualisation? The questions are in the attached spreadsheet, which I would be grateful if you could fill in.

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Adherence to NHS Guidance on Overactive Bladder Treatment

Under the Freedom of Information Act 2000, I would be grateful if you could provide the following information:
1. Adherence to National Guidelines
Does your Trust currently follow any of the following national guidelines for the treatment and management of Overactive Bladder (OAB)? Please indicate “Yes” or “No” for each of the following:
a) NICE Interventional Procedure Guidance on sacral nerve stimulation for urge incontinence and urgency-frequency (IPG64)
b) NICE Clinical Guideline on Urinary Incontinence in Women (CG171)
c) NICE Clinical Guideline on Lower Urinary Tract Symptoms in Men (CG97)
d) Any NHS England-issued clinical guidelines related to OAB management
2. Locally Adopted Guidelines
For any of the above guidelines that your Trust follows, please provide the title, version number, and date of the current guidance or policy document in use.
3. Local Protocols or Deviations
If your Trust does not follow one or more of the national guidelines listed above, or has developed local clinical pathways or protocols for the management of OAB, please provide a copy of the relevant local policy or a summary of the key differences compared to national guidance.

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Cancer Treatment

Under the Freedom of Information Act 2000, I would like to request the following information:
1. For each of the last five years (or as many years as data is available), please provide:
o The total number of patients recorded on the urgent referral cancer treatment pathway.
o The number of these patients whose waiting time was stopped due to an enabling treatment, as defined in the National Cancer Waiting Times Monitoring Dataset Guidance.
2. If available without exceeding cost limits, please also provide a breakdown by:
o Type of enabling treatment used (e.g., stent, dental treatment, or any others as set out in National Cancer Waiting Times Monitoring Dataset Guidance)

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Clinical Waste Collection and Disposal

Please could I request the below information as a FOI request.

– Who is your provider/s for clinical waste collection and disposal?
– Which internal department manages this contract?
– What is the contract term and expiry date?
– When and how is the contract likely to be renewed or come to market?
– Do you use a framework or your own tender etc?
– Current contract spend for clinical waste?

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Security Contract

I am writing to request information under the Freedom of information act. We are Blayde Security an NHS approved security company under the SBS framework.

We would like to know the following.

Who is the Head of Security for the trust?

Do you use an external provider for your security and if so when does this current contract end?

If this goes back out to tender where will it be advertised?

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Sexual Assault Referral Centre

I am writing to request information under the Freedom of Information Act 2000.
You are receiving this request as it is believed you operate an NHS-run SARC or provide a SARC service on behalf of the NHS.

The information being requested is contained in the attached Microsoft Word document.

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