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Information – Senior Strategic Lead for AHP

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

I would be grateful if you could provide the following information.

I am seeking information from your most senior strategic lead for allied health professions to answer the following 10 questions.

1 What is the job title of the strategic lead/ most senior Allied Health Professional (AHP) in your Trust?
• Chief AHP
• Director of AHPs
• Other (please specify)

2 Is there someone employed in this post currently?
Yes
No
If not, why not?

3 How many hours a week are dedicated specifically to this role?
• Full time (1.0wte)
• Part time (please specify wte hours)
• Job share (please specify)
Do they have other portfolios / operational leadership responsibilities in addition to the strategic leadership of the AHPs in the Trust? For example: quality and safety, patient experience, complaints, workforce, professional development, social work etc
If so, what?

4 What Agenda for Change band is the most senior strategic (Chief) AHP role?
• 7
• 8A
• 8B
• 8C
• 8D
• 9
• Very senior manager pay scale
• Other (please specify)

5 If someone is currently in post, are they a HCPC registered Allied Health Professional?
Yes
No

If yes, which allied health profession (please specify):
Art therapist
Dietitian
Drama therapist
Music therapist
Occupational therapist
Operating department practitioner
Orthoptist
Osteopath
Paramedic
Physiotherapist
Podiatrist
Prosthetists and orthotist
Radiographer Diagnostic
Therapeutic
Speech and language therapist

6 If they are not a registered AHP, what is their professional background? (Please specify)

7 Who does the most senior strategic (Chief) AHP report to? (please specify)

8 Is the most senior strategic (Chief) AHP an executive member of the Trust Board, are they able to vote as a full board member?
Yes
No

9 Is the most senior strategic (Chief) AHP a member of any sub committees of the Trust Board, for example quality and safety, workforce, performance? (Please specify)

10 Does the most senior strategic (Chief) AHP deputise for an exec member of the board?

Agencies Spend

Nursing & Agency Nursing

For the 6-month period ending 30th June 2025, can you please provide:

1. Total Framework Agency Spend for the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

2. Total Off Framework Agency Spend for the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

3. Total hours filled by Framework Agencies for the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

4. Total hours filled by Off Framework Agencies for the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

5. A list of all Framework Agencies utilised by the Trust for the below specialties and total number of shifts for each framework agency:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

6. A list of all Off Framework Agencies utilised by the Trust for the below specialties and total number of shifts for each Off Framework agency:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

7. The highest Framework Agency Charge Rate within your Trust for each of the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

8. The highest Off Framework Agency Charge Rate within your Trust for each of the below specialties:
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

9. A list of any agency (Framework and Off Framework) that have ongoing block booking arrangements for the below specialties within your Trust within the identified time frame (01.01.2025 – 30.06.2025):
– Occupational Health Nurses
– Nurse Assessors
– Health Visitors
– Dental Nurses
– Chemotherapy Nurses
– Paediatric Nurses
– Social Workers

Enteral Tube Feeding

Misc

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

The request relates to home enteral tube feeding, which is a way of providing nutrition to people who can’t eat and drink normally. Dietitians within your organisation will likely be best placed to help with this information request.

1. Does your organisation provide care to individuals aged 0-25 who may use home enteral feeding tubes? Yes/No
2. How many patients has your organisation provided dietetic care for home enteral tube feeding between 01-01-2023-31-12-2024?
a. Divided into the following age categories: 0-18, 18-25, 25+ (age when they joined the caseload or age on 01-01-23 if they were on the caseload throughout this period).
b. If possible, please provide caseload numbers by age (e.g. <1, 1-2, 2-3... years etc.) 3. Of these, how many individuals use a blended diet*? a. Divided in the following age categories: 0-18, 18-25, 25+ b. If possible, please provide caseload numbers by age (e.g. <1, 1-2, 2-3... years etc.) 4. Does your organisation have the following: a. Local blended diet policy – Acute setting (Yes/No) b. Local blended diet policy – Community setting (Yes/No) c. Blended diet guideline (Yes/No) d. Blended diet standard operating guideline or procedure (Yes/No) e. Blended diet training package (Yes/No) f. If yes to 4a-4e, please provide a copy. 5. Are any staff employed by your organisation in roles funded by income provided by an enteral feeding provider (e.g. Nutricia, Abbott)? a. If yes, please state number of posts (whole time equivalent) and Agenda for Change banding. b. *A blended diet is the use of everyday foods blended to a puree and given via an enteral feeding tube. This may be used exclusively or in combination with commercial formula.

413-2024

What Do They Know

I would like to submit a request for a disclosure of information relating to your NHS trust’s Information Technology IT. Spend, and your current HIMSS EMRAM and INFRAM scores.

Can you please provide your trust’s IT spend for the following financial years:
FY 2021-2022:
FY 2022-2023:

Which HIMSS EMRAM score have your Trust currently achieved 0-7.:
Which HIMSS INFRAM score have your Trust currently achieved 0-7.:
If your Trust are working towards achieving a new HIMSS EMRAM or INFRAM level, what level is this, and when will it be achieved:

Definitions:
Electronic Medical Record Adoption Model EMRAM. – is an eight-stage model, scored from stages zero least mature. to seven most mature.. At each stage, organisations need to demonstrate a progressive and eventual removal of paper, higher pervasiveness of use and compliance statistics, and an increasing reliance on automation and clinical decision support.
Infrastructure Adoption Model INFRAM. – The eight-stage INFRAM measures the maturity of a healthcare facility’s IT infrastructure across five areas: mobility, security, collaboration, transport and data centre.

411-2024

Organisation

1. Does your trust deal with any of the following: A yes/no is sufficient.
a. Adult ADHD diagnosis
b. Child and/or Adolescent ADHD diagnosis
c. Adult Autism Spectrum Disorder diagnosis
d. Child and/or Adolescent Autism Spectrum Disorder diagnosis
If Gloucestershire Health and Care NHS Trust does deal with any of these diagnosis pathways, for all that apply, please provide:
i. average wait-time from referral to first appointment
ii. average wait-time from referral to decision on diagnosis/discharge from diagnostic service
iii. Number of individuals on the wait list as of 31 December 2023 or nearest available date.
iv. average wait-time from first appointment to decision on diagnosis/discharge from diagnostic service

377-2024

Media

Please could your trust provide the following information about your employment of locally-employed doctors. By locally employed doctors we mean doctors who are not consultants, not in formal training or on a SAS contract speciality doctor, specialists and associate specialists.. Local contracts mean contracts of employment that are not nationally negotiated. 1. Please provide the number of FTE doctors employed on local contracts at your trust as of 15 January 2024. 2. Please provide the percentage of locally employed doctors who are international medical graduates. 3. Please provide the percentage of locally employed doctors who are from an ethnic minority group.
4. Please provide a sample contract used by your trust for locally employed doctors. 5. Please provide the job titles under which these LE doctors are employed. 6. What proportion of LE doctors have been employed with your organisation for more than two years?

376-2024

Media

Please could I request information on the following questions:-
How much did your Trust spend in total on education and training in the following financial years? April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Please advise how much of this total spend was with external providers?
April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Please can you break down the overall spend into the following categories?
Apprenticeship training April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Mandatory, statutory and compliance training April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Management and Leadership training
April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Healthcare support worker training
April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Nursing April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
Allied Healthcare Professionals April to March 2021-2022 overall spend.
April to March 2022- 2023 overall spend.
What are the top five categories that you procure externally?

Radiotherapy Equipment and Systems

Estates, Medical Equipment

I am currently conducting some personal research on Radiotherapy equipment installed at NHS Providers in England.

In order to aid my research, I am requesting that you provide (in editable digital formats) the data requested per the Freedom of Information Act 2000.

Linear accelerators

For each linear accelerator could you provide the hospital where the system is installed, the make, model and date installed.

CT scanners in Radiotherapy

For CT scanner could you provide the hospital where the system is installed, the make, model and date installed.

MR scanners in Radiotherapy

For each MR scanner could you provide the hospital where the system is installed, the make, model and date installed.

Treatment planning systems

For each Treatment planning systems could you provide the hospital where the system is installed, the make, model and date installed.

Oncology Information Systems

For each oncology information systems could you provide the hospital where the system is installed, the make, model and date installed.

Medical Microbiology, Virology and Infectious Disease

Pharmacy

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

I would like to request the following information regarding MM, VIR & ID workload within the Trust.

The request is as follows:

1. Does your trust have dedicated virology laboratories, or are diagnostic tests for viral infections conducted in microbiology laboratories?

2. Do you provide clinical advice to more than 1 trust? If so, does that include onsite availability and how many trusts, hospitals, health boards, and organisations?

3. Is your trust responsible and/or do they cover any other laboratory, if so, how many laboratories?

4. What type of lab setup does your organisation currently use?

5. Approximately how many tests have you received yearly for swabs, blood, urine & stools in the last 5 years for MM, MVIR & ID?

6. As a medical microbiologist / medical virologist accredited in infectious diseases, do you provide inpatient care?

7. How many of your working hours are spent between the listed work areas, per week?

8. How many microbiologists also do virology workload

9. Does the service cover the listed out-of-hours (inpatient or other)

Telephony System and Contact Centre Details

I would like to request information on your organisation under the Freedom of Information Act.
SIP Trunking
Have you implemented SIP?
If yes, when does the contract expire?
Who is your SIP provider?
The email address of the primary contact for this contract?

Telephony
What is your current telephony system?
How many users of the telephony system?
When is the contract up for renewal?
The email address of the primary contact for this contract?

Team Telephony
Have you voice enable your Teams Licences?
If yes, when does the contract expire?
If not, is that something you are considering?

Contact Centre
What is the manufacturer of your contact centre.
How many concurrent agents do you have.
Who supplied and maintains the contact centre When does the contract expire

Clinical Waste Service Provision

Estates

I am looking for information with regards to your current clinical waste service provision and would like to ask the below questions under the Freedom of Information Act.

If you could kindly complete and respond.

1. The date of the next tender for the collection and disposal of clinical and offensive waste?

2. Where will details of this tender be published ? Will it be direct or run by a 3rd party?

3. Please can you give the name of the incumbent service provider for Clinical and Offensive Waste collection and disposal.

4. Current contract Term in Years with any notes relating to Extensions.

5. Contract Expiry Date

6. Annual Tonnage or Volume for Clinical Wastes

7.Estimated Contract Value

Scanning Processes for Digitised Patient Records

I’m contacting you as part of an independent review into the use of Electronic Document Management Systems (eDMS) across NHS Trusts in England. Specifically, I’m seeking information on how digitised patient records are processed, scanned, and managed within your Trust as I have seen from a previous request that I have need of further clarification on.

The questions below focus on scanning operations and any technology or providers involved.

**eDMS Implementation and Scanning Practices**

1. How is content added to your eDMS? (Please delete as appropriate)

– Scanned Internally by Trust Staff
– Scanned Internally by a Company
– Scanned Externally by a Company
– Digital Documents Uploaded by Trust Staff
– Digital Documents Fed Through From Other Systems

2. If records are scanned internally by Trust staff, is this undertaken via a centralised scanning bureau or departmentally?

3. If some, or all records are scanned externally, what is the scanning service provider(s) company name(s)?

4. What is the scanning service provider’s contract expiry date?

5. If some, or all records are scanned via an internal, centralised scanning bureau, please specify the scanning hardware manufacturer and device models that are in use (e.g. 54Falcon Scanners by Opex Corporation 6).

6. If some, or all records are scanned internally at a departmental level, please confirm if desktop scanners or Multi-Function Devices (MFDs) are used. (Please delete as appropriate)
o Desktop Scanner
o Multi-Function Device (MFD)

7. Please specify the scanning hardware manufacturer and device models that are in use at a departmental level.

June 2025 Agency Spend

Nursing & Agency Nursing

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) – June 2025
2. Agency Health Care Support Workers – June 2025
3. Agency Doctors – June 2025

The UK Fleet & Transport Directory 2025

Estates

Previously you have kindly helped us with your free listing within The UK Fleet & Transport Directory and would be most grateful if you could help us do the same for the new edition.

We are currently in the process of preparing our 2025 Edition, which is scheduled to be will published in September 2025
In this edition we would like to also include Size of Fleet (including Electric/Eco Friendly vehicles) and personnel at Managerial/Director Level in the following positions:

• Cycling
• Electric Vehicles/ Zero Emissions
• Fleet & Environmental Services
• Fleet Compliance Manager
• Fleet Co-ordinator
• Fleet Manager
• Fleet Operations Manager
• Workshop Manager
• Green Fleet – Combat Specific Vehicles
• Low Carbon Sustainability (Fleet Strategy)
• Waste Vehicles
• Car Park / Parking Managers
• Public Transport Manager
• Road Safety Manager
• Roads & Pavements
• Street Care & Cleaning Managers
• Transport related
• Highways
• Vehicle Maintenance

Please feel free to add any other positions/people whose inclusion might be useful to their counterparts in other Public Sector establishments across the UK for the exchange of information, in pursuit of best practice and value in this difficult time of budget restraint.

Registered Nursing Recruitment

ESR/Workforce

I would like to make a request under the Freedom of Information Act.

Please supply information on registered nursing recruitment at your trust over the last two financial years 2023-24 and 2024-25, and the months since the start of the 2025-26 financial year, answering the following questions:

1. Are there currently, or have there been any recruitment freezes in place affecting solely, or including, the registered nurse workforce [i.e band 5 and up] in the last two financial years, and/or up to present day?
I. If yes, have any of these recruitment freezes specifically targeted at entry level band 5 nurses [i.e: registered nurses on the starting pay point of band 5]?
II. If yes, please provide the timeframes and reason for the freezes.

2. How many band 5 registered nurse vacancies do you currently have at your trust?

3. How many entry-level band 5 domestically trained/recruited nurses have you recruited at your trust during the last two years? [Please also detail separately any internationally recruited nurses you have taken on in same time period]

Contact Centre

I wish to submit to the organisation a freedom of information request relating to the organisation’s ICT contracts, specifically around:
1. contact centre contract(s)
2. inbound network services contract (s)
The first part of my request relates to contact centre service contracts which could relate to one of the following:

1. Advanced call distribution to control the flow of calls and maximise customer experience
2. Email, website live chat and integrations with popular social media apps like Facebook and Instagram
3. Performance monitoring tools to track performance, customer satisfaction and other key sales metrics

This could be part of a whole package or separate service applications.

Please send me the following information for each provider:

1. Incumbent Supplier: For each of the contract(s) please can you provide me with the supplier of the contract.

2. Annual Average Spend: For each supplier, please state the annual average (over 3 years) spend for each supplier

3. Contract Duration: For each supplier, please state the contract duration of the contract expires. If available please also include any contract extensions.

4. Contract Expiry: For each supplier, please state the date of when the contract expires.

5. Contract Review: For each supplier, please state the date of when the contract will be reviewed.

6. Contract Description: For each supplier, please state a brief description of the services provided of the overall contract.

7. Contact Details: For each supplier, please state the person from within the organisation responsible for the contract. Please provide me with their full name, actual job title, contact number and direct email address. At the very least please provide me with their actual job title.

8. Number of Agents; please provide me with the total number of contact centre agents;

9. Number of Sites; please can you provide me with the number of sites the contact centre covers.

10. Manufacturer of the contact centre: Who is the manufacturer of the contact centre system that you operate?

11. Do you use Microsoft Exchange 2003 as your email server? If not, then which products do you use?

12. Number of email users: Approximate number of email users across the organisations.

The second part of my request relates to the use inbound network services contracts which could relate to one of the following:
1. 0800, 0845, 0870, 0844, 0300 number
2. Routing of calls
3. Caller Identifier
4. Caller Profile- linking caller details with caller records
5. Interactive voice response (IVR)
For a contract relating to the above please can you provide me with?

1. Incumbent Supplier: For each of the contract(s) please can you provide me with the supplier of the contract.
2. Annual Average Spend: For each supplier, please state the annual average (over 3 years) spend for each supplier
3. Contract Expiry: For each supplier, please state the date of when the contract expires.
4. Contract Review: For each supplier, please state the date of when the contract will be reviewed.
5. Contract Description: For each supplier, please state a brief description of the services provided of the overall contract.
6. Contact Details: For each supplier, please state the person from within the organisation responsible for the contract. Please provide me with their full name, actual job title, contact number and direct email address.

Also, I would appreciate it if the contract information was included within a spreadsheet.

Mental Health Assessments

MH Services

1. What is the current average and 90th percentile waiting time for ADHD post diagnostic therapies (including psychotherapies), broken down by (a) NHS providers and (b) outsourced private providers?

2. What is the current average and 90th percentile waiting time for ASD post diagnostic therapies (including psychotherapies), broken down by (a) NHS providers and (b) outsourced private providers?

3. How many ADHD referral requests were (a) declined and (b) deemed ‘not clinically urgent’ by NHS services in the last 12 months?

4. How many ASD referral requests were (a) declined and (b) deemed ‘not clinically urgent’ by NHS services in the last 12 months?

5. What percentage of patients diagnosed with ADHD by the NHS receive (a) medication titration and (b) follow-up care within 3 months?

6. Are any post-diagnosis services outsourced to private providers? Which?

7. What is the current waitlist time for dementia assessment?

8. What is the split by demographics (under 60 vs over 60)?

9. Which providers are you working with to support on memory assessments (eg. dementia)?
Please can you share the spend broken down by provider for FY24/25
Please can you share the spend broken down by provider for FY23/24

10. What other mental conditions does the NHS use private providers to deliver assessments for?

11. Which providers are you working with for these assessments?
Please provide a breakdown of all NCA spend by category across mental health services for FY24/25
Please provide a breakdown of all NCA spend by category across mental health services for FY23/24

Bounty Packs

CAMHS/CYPS, Misc

I am writing to make a request under the freedom of information act 2000. I write to request information about the Trust’s relationship with the company that produces Bounty packs, which are handed out to expectant / new parents accessing NHS maternity services, and specifically to ask:

– Whether the Trust currently allows, or previously allowed, Bounty representatives on its wards, and if so, when this began / ended;
– Whether the Trust currently distributes or allows the distribution of Bounty packs to expectant parents and / or new mothers, and if so, which Bounty packs are distributed, how (e.g. by midwives / by Bounty representatives), and the approximate number of packs supplied by Bounty to the Trust each year;
– Whether the Trust has any financial relationship involving the payment or receipt of funding or support from Bounty UK or its affiliates / partners (Bounty Group Ltd, Joy Memories Inc) in relation to the distribution of Bounty packs or other services from Bounty, and if so, what such payment/support relates to, when such payments/support began, the total £ value received to date and the £ value of any current contract;
– Copies of any contracts, agreements or memorandums of understanding with Bounty (or its parent company or affiliates, including Bounty Group Ltd, Bounty UK Ltd, or Joy Memories Inc.) in relation to the distribution of Bounty packs or other services from Bounty;
– Whether the trust has received any assurances from Bounty in relation to data protection, and if so, the nature of these assurances;
– Whether the Trust has ever received any complaints about Bounty UK and if so, the numbers and nature of complaints over the period received.

Recruitment Drive Exercise

HR, Misc

Under the Freedom of Information Act 2000 I would like to request the following information from the trust from the last five financial years:
1. The number of staff who were sent to a foreign country to facilitate recruitment drives (to address shortages as set out as part of the NHS Long Term Plan).
2. The total cost to the trust of each recruitment drive exercise including flights and accommodation
3. The city and country that were visited as part of the exercise
4. The type of staff it was hoped would be recruited
Please can the information be broken down by year, for the last five financial years (2020/21, 2021/22, 2022/23, 2023/24, 2024/25)
Please limit the search to just those where the bills for the recruitment were paid in any of the last five financial years.

Prosthetics and/or Orthotics Service

Clinical Activity Data

I have attached a Freedom of Information request regarding your PROSTHETIC and/or ORTHOTIC services.

NHS Trust Payroll Over/Underpayments

Finance

Please consider the following as a request under the Freedom of Information Act (2000).

Please provide the following:

1. For each of the following financial years (24/25, 23/24, 22/23, 21/22, 20/21):

a) The number of financial overpayments made to staff
b) number of financial underpayments made to staff.
c) The respectively amounts of overpayments in GDP
d) the respective amounts of underpayments in GDP

2. And then the number of times bailiffs or any other debt enforcement agency was brought in to pursue trust staff in order to recover overpayments.

Please provide this for each of the following financial years (24/25, 23/24, 22/23, 21/22, 20/21):

*If financial year is not possible, please provide instead by calendar year / any other format in which you hold your data

Commissioning and Data of ADHD and Autism Services

MH Services

I am writing to request information under the Freedom of Information Act 2000. Please could you provide the following information in relation to your ICB’s commissioning of ADHD and Autism services:
Commissioning Contacts
1. The name(s) of the person or people responsible for commissioning ADHD assessment and diagnosis services.
2. The name(s) of the person or people responsible for commissioning Autism assessment and diagnosis services.
3. The telephone number(s) for the above contacts (ADHD and Autism commissioning).
4. The email address(es) for the above contacts (ADHD and Autism commissioning).
If personal details cannot be provided due to GDPR, please supply a team or departmental contact instead.
Waiting Lists
5. The current size of the ADHD assessment waiting list for adults.
6. The current size of the ADHD titration waiting list for CAMHS.
7. The current size of the Autism assessment waiting list (please specify if this is for adults, children, or both).
Referral Volumes
8. The average number of ADHD referrals for adults received per month over the past 12 months.
9. The average number of ADHD referrals for CAMHS received per month over the past 12 months.
10. The average number of Autism referrals received per month over the past 12 months.
Private Sector Support
11. Do you currently utilise any private provider support to manage ADHD referrals?
If yes, please provide:
• Name of the provider
• Contract start and end date
• Annual contract value (£GBP)
12. Do you currently utilise any private sector support to manage Autism referrals?
If yes, please provide:
• Name of the provider
• Contract start and end date
• Annual contract value (£GBP)

Parkinson’s Disease

MH Services

I am writing to request information under the Freedom of Information Act 2000.
Please could you provide the following information:
1. The total number of new diagnoses of Parkinson’s disease recorded by your Trust/Health Board for each of the past four calendar years (2022,2023,2024,2025).
2. If available, a breakdown of these figures by:
a. Age groups (e.g. under 50, 50–59, 60–69, 70–79, 80+)
b. Gender e.g. Male, Female

Physician Associate Safety Events

Serious Incidents

Under the Freedom of Information Act 2000, please can you disclose the following information:

1. The number of patient safety events involving a physician associate or anaesthesia associate in the last five years. (Broken down by calendar years: 2020, 2021, 2022, 2023, 2024)
1a) Broken down by types of injuries resulting from these safety events. (Broken down by same years as above)
1b) Broken down by injury causes. (Broken down by same years as above)
1c) Broken down by injury severity (no harm, slight, moderate, severe, catastrophic). (Broken down by same years as above)

Secondary Healthcare

Finance

I wish to make a freedom of information request and would be grateful if you could supply the following information within twenty working days.

The number of individuals who should have paid for secondary healthcare, but have not, who were referred to the Home Office, broken down by year for 2018 – 2024. Please set out the current total outstanding balance due to your trust by debtors who have not paid for secondary healthcare.

Commissioning of Mental Health Services

Procurement

Under the Freedom of Information Act, I am writing to request information about adult mental health services in High Secure Units (HSUs), Medium Secure Units (MSUs), Low Secure Units (LSUs) and Psychiatric Intensive Care Units (PICUs) – specifically where these services fall under adult mental health commissioning (excluding learning disability or other non-mental health pathways).
From what I have read, services may be commissioned under a combination of spot contracts, out-of-area (OOA) placements, and block contracts, depending on the service type and provider. I am seeking to better understand the structure of commissioning and the associated payment flows.
Please provide the information separately for the financial years 2024/25 and 2025/26 Year to Date (YTD) for the following:
1. Spot Contracts (excluding OOA)
• Total income (in £) on spot-priced adult mental health patients
• Total number of adult mental health bed days commissioned
• Average fee (in £) per bed day
2. OOA Contracts
• Total income (in £) on out-of-area adult mental health patients
• Total number of adult mental health bed days commissioned
• Average fee (in £) per bed day
3. Block Contracts
• Total value (in £) of the block contract obtained for adult mental health services
• Total adult mental health bed days commissioned under the block by type (HSUs, MSUs, LSUs, PICUs)
• Average fee (in £) per bed day under the block
4. If breakdown by 1, 2, 3 not available
• Please provide aggregate figures for adult mental health services only:
a) Total cost (in £) of delivering care for adults for each service type
b) Total number of adult bed days delivered for each service type
c) Average cost (in £) per occupied bed day (or per week) for adults for each service type
Please fill out your responses in the attached Excel spreadsheet and return the completed file via email reply.

Digital Experience

I would be grateful if you could help in answering a request for information, answering for A & B on questions 1-11:

Q1) When purchasing software do you manage the licenses in house or outsource this to an MSP?

Q2) Which SAAS solutions are you utilising to manage the estate across Print, Desktop, Laptop, Peripherals, software assets & Telephony?

Q3) Are you using Autopilot or Intune today?

Q4) Is there a specific team that manages your software applications today in which is separate to the hardware asset management team?

Q5) How many devices are in the estate in totality including Laptops, Desktops, Printers, Virtual environments and telephones?

Q6) Do you usually pay for your software as a CAPEX or OPEX expense?
:- also do you pay for your hardware as an CAPEX or OPEX expense?

Q7) What is the process in place to test new software implementations and who would be the lead on new software implementations & how long would this usually take?

Q8) How many meeting room spaces do you have & do you have any management tools to make the most of your meeting room spaces?

Q9) How many operating systems are managed within the estate and which ones E.G Windows, Mac OS , Linux?

Q10) Is there a DEX (digital employee experience) strategy in place within the organisation?

Q11) do you have any services in place today to Track, Lock & wipe endpoint devices even if not connected to the network or powered down?

Management Protocols for CRE, C. Difficile and TB infections

Misc, Pharmacy

I am writing to you under the Freedom of Information Act 2000 to request the following information from Gloucestershire Health and Care NHS Foundation Trust. Please may you provide me with the information for the following:

1. Testing and Management Protocols for Carbapenem-Resistant Enterobacteriaceae (CRE)

1.1. Does your trust have a clinical protocol for testing and managing patients for Carbapenem-Resistant Enterobacteriaceae (CRE)?

If yes:
a) Is your CRE testing protocol primarily molecular-based?
b) If not, please specify which type of testing protocol is followed.

1.2. Which diagnostic companies or providers does your trust procure molecular testing kits for services for CRE from?

2. Testing Protocols for Clostridioides difficile (C. difficile) Infection

2.1. Does your trust have a formal protocol for testing patients for Clostridioides difficile (C. difficile) infection?

If yes:
a) Is your C. difficile testing protocol molecular-based?
b) If not, please specify the testing method used.

2.2. Which diagnostic companies or providers does your trust procure molecular testing kits for services for C. difficile from?

3. Testing and Procurement for Tuberculosis (TB) Resistance

3.1. What methods does your trust use to test for tuberculosis (TB) resistance?
3.2. Which diagnostic companies or providers does your trust procure molecular testing kits for services for TB resistance from?

Number of Community Nurses

ESR/Workforce

I am currently writing an essay as part of my master’s degree and I have a question that I am trying to find an answer to: number of community nurses working for the Integrated Care Teams.
If you have even a rough estimate I would be so grateful if you could let me know.

NHS Uniform Policy

Misc

We are a law firm and act for Health Workers 4 Palestine (“HW4P”), a private company limited by guarantee (Company number: 15544250). HW4P advocates for the rights of Palestinian health workers, and its aims include ensuring that healthcare workers are protected and supported globally during humanitarian crises and armed conflict.

The purpose of this letter is to submit a FOIA request on HW4P’s behalf, expeditious compliance with which is necessary for its vital work.

Request for Information

1. Please disclose any correspondence received by your organisation (including by your chief executive) in the last 6 months from NHSE regarding (i) uniform policy, (ii) use of political symbols by NHS staff.

2. Please disclose any new uniform policy for your organisation from the last 6 months, including policies which are in draft and not yet published or implemented.

Charging Status F

Misc

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

The number of patients processed by your Trust between the years 2018 and 2025 who were classified as having a chargeable status.

The number of individuals in receipt of secondary care who, under the ‘NHS Charges to Overseas Visitors Regulation, 2015’ were classified as “Charging Category F”.

The total value of the treatment provided to those individuals who were classified as falling under “Charging Category F”.

Please also confirm whether your Trust has an Overseas Visitor Manager position(s), the total number, and whether all roles are presently filled.

Parental Leave Data

I am writing to request the following information relating to parental leave under the Freedom of
Information Act 2000:
• The total number of employees who took shared parental leave (SPL) in the last five
financial years: 2020/21; 2021/22; 2022/23; 2023/24; and 2024/25.
• In the same period, the number of employees who took:
• Maternity leave
• Paternity leave
• Any internal policy documents or guidance issued to staff regarding shared parental leave
entitlement, including any updates in the past five years.
• Whether enhanced pay is offered during shared parental leave, and if so, how it compares
to maternity and paternity leave packages.

Therapy and Community Rehabilitation Services

Procurement

Under the Freedom of Information Act 2000, I am requesting the following information regarding your Therapy and Community Rehabilitation services, including Occupational Therapy, Physiotherapy, Speech and Language Therapy, and Dietetics:

Are any of these services currently delivered by external providers through:

Insourcing
Outsourcing
Subcontracting
For each external provider currently engaged, please provide:

Name of the provider
Type of engagement (insourced, outsourced, subcontracted)
Service(s) provided
Contract start date
Contract end date or review date
Annual contract value or total spend to date Volume of activity delivered (e.g. number of patients seen, sessions delivered, or hours worked) Performance metrics or KPIs, if available Was the contract awarded via a framework or open tender? If so, please specify which framework (e.g. NHS SBS, HealthTrust Europe, etc.).

Who is the internal lead responsible for managing these contracts? Please provide their job title and department.

Who do the external providers report into operationally within your organisation? (e.g. Clinical Lead, Service Manager)

Are there any current or upcoming plans to procure additional external support for these services in the next 12 months?

Have you experienced any challenges in meeting waiting time targets or service demand in these areas over the past 12 months?

Referrals and Treatments for Overactive Bladder

Misc

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

1. The number of patients referred to your Trust for Overactive Bladder (OAB) in each of the past five calendar years, from 2020 to 2025 (year to date). Please include both internal referrals within the Trust and external referrals from primary care or other organisations.

Please provide the information broken down by calendar year.

2. The number of patients treated for OAB using each of the following modalities in each calendar year from 2020 to 2025 (year to date):
a. Intradetrusor botulinum toxin (Botox) injections
b. Sacral nerve stimulation (SNS) or tibial nerve stimulation (TNS)

Please provide this data broken down by year and treatment type.

If available, please also include whether any patients received both treatments concurrently or sequentially.

Mental Health Inpatient Readmissions

MH Services

I am currently completing a Master’s in Digital Operations and Improvement, with a focus on data. Given my role and the area, I work in, I have decided to focus my data piece on Mental Health Inpatient Readmissions. To build my dataset, I am placing a Freedom of Information Request to all NHS Mental Health Inpatient Services.

I kindly ask if you could provide responses to the following questions:

1. Do you collect data on the readmission rates of patients who have been admitted to an inpatient facility for a mental health condition at your Trust?
2. If you do, how many patients were readmitted for inpatient mental health care, including out-of-area admissions:
– Three months after they were discharged.
– Six months after they were discharged.
– Twelve months after they were discharged.
3. At what intervals do you follow up with patients after they are discharged from secondary mental health care? Tick all that apply:
– 1 week
– Within 1 month
– Between 1 and 3 months
– 3 to 6 months
– 12 months
4. In the last 12 months (May 2024 to May 2025), how many patients who required secondary mental health services were discharged from your Trust to Primary Care?
5. How many people detained under the Mental Health Act (MHA) were discharged to primary care?
6. How many patients were admitted to hospital following care by the Crisis Resolution Home Treatment Team/Home-based Treatment Team after:
– 3 months
– 6 months
– 12 months
7. What has been the average length of stay over the last five years in adult acute mental health care at your Trust, including those patients sent out of area?

Information to Patients Diagnosed with C. Difficile Infection

Misc

We are writing on behalf of the trustees of C diff Trust (Charity Commission no.1210298), a new charity to support patients, carers and healthcare professionals to recognise and manage C. difficile infections.

Under the Freedom of Information Act, please can you tell us:

What information material do you provide to patients diagnosed with C. difficile infection in your care?

If possible, please provide either the material or a link to this information if available?

Performance Data for the IAPT/NHS Talking Therapies

MH Services

Please could you provide the following performance data for the IAPT/NHS Talking Therapies service covering following years:
2021 to 2024 inclusive and 2025 YTD, broken down annually and monthly as appropriate
1. Average waiting time for patients from referral to assessment
appointment in weeks
2. Average waiting time for patients after the assessment
appointment to the start of treatment in weeks
3. Total number of patients on waiting list by month
4. The reliable recovery rate % by month
5. How many total patients are in contact with the service (Referrals, Assessment, Treatment etc)
6. Names of the providers operating the IAPT/NHS Talking Therapies
Counselling services during the periods
requested
7. Any contract warnings or breach notices issued to the provider
due to performance failures/failure to meet KPIs 8. How many FTE Staff are employed in the Talking Therapies service?
9. How many Vacant FTE roles are there within the Talking Therapies Service?
10. Number of referrals received each month?

Trust Estate Infrastructure

Misc

I am emailing to submit a Freedom of Information (FOI) request regarding your Trust’s estate and infrastructure. Please find all relevant questions in the attached document.

Provision of Transcranial Magnetic Stimulation (TMS).

Misc

I was hoping you could answer the following queries in relation to provision of Transcranial Magnetic Stimulation (TMS).

1. Does the Trust provide TMS to patients in its own TMS clinics?

2. In the last 24 months, has the Trust funded TMS for any patients in external (private or neighbouring NHS) clinics?

Food Poisoning Admissions

Misc

I am requesting this information under the Freedom of Information Act.
1. How many hospital admissions in the past five years had the recorded reason for attendance of ‘food poisoning’? Please provide figures for the financial years 2020/21, 2021/22, 2022/23, 2023/24 and 2024/25.
Note: If it is not possible to provide a response for ‘food poisoning’ specifically, please include all admission codes under which a food poisoning-related admission could be logged.
2. How many reported admissions in total involved the following?:
2a. Salmonella
2b. E.Coli
2c. Campylobacter
For 2a, 2b and 2c, please also provide a breakdown by financial year (same years as in Q1)
If possible, please provide a breakdown of the foodstuffs stated as the cause of the illness.

Nursing Agency Spend

Nursing & Agency Nursing

Please can you provide the below information:

In the period 1st April 2025 to 30th June 2025 please provide a breakdown of:
• Total trust spend with framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st April 2025 to 30th June 2025 please provide a breakdown of:
• Total trust spend with off framework agencies for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st April 2025 to 30th June 2025 please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum nurses
Please provide a further breakdown for locum nurses by:
• Spend per band
• Spend per specialty
• Spend per agency name

Please confirm the total number of nursing shifts booked during this period for all agency nursing only, no bank staff nursing to be included (1st April 2025 to 30th June 2025)

Please confirm the total number of nursing shifts booked above NHSE capped rates during this period for all agency nursing only, no bank staff nursing to be included (1st April 2025 to 30th June 2025)

IT Spend, DMA and HIMSS July 2025

I am writing to make an open government request for all the information to which I am entitled under the FOI Act 2000.
1. What is your whole Trust’s IT spend for the following financial year?:
FY 2023/2024 (£):
FY 2024/2025 (£):
DEFINITION: Please include in your IT spend calculation the capital and revenue cost of your IT staff, Software, Services, Hardware, Communication equipment and Other IT spend for the requested financial year.

2. Based on your most recent Digital Maturity Assessment (DMA) submission to NHS England in 2024 (and 2025, if completed), please provide the following:
a) Your overall DMA score (on a scale of 1.0 to 5.0).
b) If readily available, the individual scores for each of the seven DMA pillars:
• Empower Citizens
• Ensure Smart Foundations
• Healthy Populations
• Improve Care
• Safe Practice
• Support People
• Well Led

DEFINITION: The Digital Maturity Assessment (DMA) is a self-assessment tool used by NHS organisations to evaluate their readiness for digital transformation. The overall score is usually the average of seven pillars, each scored from 1.0 (least mature) to 5.0 (most mature). The pillars are: Empower Citizens, Ensure Smart Foundations, Healthy Populations, Improve Care, Safe Practice, Support People, and Well Led.

3. Based on your most recent HIMSS EMRAM and HIMMS INFRAM assessment/ self-assessment, please provide the following:
Which HIMSS EMRAM score have your Trust currently achieved (0-7):
Which HIMSS INFRAM score have your Trust currently achieved (0-7):
Do you have plans to reassess, if your Trust is working towards achieving a new HIMSS EMRAM or INFRAM level, what level is this, and when will it be achieved:

Definitions:
Electronic Medical Record Adoption Model (EMRAM) – is an eight-stage model, scored from stages zero (least mature) to seven (most mature). At each stage, organisations need to demonstrate a progressive and eventual removal of paper, higher pervasiveness of use and compliance statistics, and an increasing reliance on automation and clinical decision support.
Infrastructure Adoption Model (INFRAM) – The eight-stage INFRAM measures the maturity of a healthcare facility’s IT infrastructure across five areas: mobility, security, collaboration, transport and data centre.

Response to Courts Clarification in the Vs Women’s Scotland

Misc

I request all information, including directions to staff concerning new policies, regarding the response to the supreme courts clarification in the Vs Women’s Scotland, which clarified that the word woman in the Equality act 2010 means Adult Human Females and sex refers to biological sex. I particularly request any guidance provided to locations such as hospitals, GPs and any treatment centres with regard to single sex services, information regarding the provision of facilities such as toilets, locker rooms, changing facilities and who has access to them, and any disputes having arisen from policies being single sex only.

I request any documentation on policy after the ruling in April 25 that deals with these issues or details plans to go against the law and plans to allow men to enter women only spaces or access to single sex women’s services. I also request any directive or documents that have mentioned needing further clarification from the EHRC.

Extended Reality (XR) in Healthcare

Misc

The University of Liverpool’s Civic Health Innovation Labs, as part of the Liverpool City Region’s Health and Life Science Innovation Zone, has commissioned a UK-wide landscape mapping study to better understand the current state of extended reality (XR) in healthcare. This research is being led by the XR Health Alliance, in collaboration with the University of Nottingham’s Mindtech, and will culminate in an interactive online report. This report aims to identify and showcase the breadth of XR-related research, development, and deployment across physical and mental health applications in the UK. It will serve as a valuable tool to help foster collaboration, shape future grant programmes, and support sector-wide growth and innovation.
The questions for this Freedom of Information request and further information can be found in the attached Word Document.

Mental Health and Substance Use Data for Academic Research

MH Services

I am writing to submit a request under the Freedom of Information Act 2000 as part of my PhD research investigating the mental health and social harms related to cannabis and cocaine use within the UK healthcare system.
Please provide anonymized, aggregate data for the period from 1 January 2000 to 31 December 2024 covering the following areas:
1. Mental Health Service Users
o Number of individuals accessing psychiatric services related to cannabis and cocaine use.
o Number of individuals receiving counselling or psychotherapy (including CBT, psychodynamic therapy, and other modalities) for mental health conditions linked to cannabis and cocaine use.
o Age, gender, and geographical breakdowns of these service users where available.
2. Treatment Episodes and Modalities
o Total number of treatment episodes delivered for cannabis and cocaine-related mental health conditions, including inpatient, outpatient, community, and day services.
o Types of psychiatric and psychological interventions provided (e.g., medication management, counselling, psychotherapy, group therapy).
3. Outcomes and Follow-Up
o Available data on treatment outcomes (e.g., completion rates, relapse rates) and follow-up or readmission rates for cannabis and cocaine-related cases.
4. Referral Sources and Waiting Times
o Main referral pathways for cannabis and cocaine-related mental health services (e.g., GP, self-referral, criminal justice system, hospital).
o Average waiting times from referral to first appointment for psychiatric, counselling, or psychotherapy services linked to cannabis and cocaine use.
5. Co-occurring Conditions
o Proportion of service users presenting with co-occurring mental health and substance use disorders.
o Data on co-use of other substances where available.
While I am particularly interested in data coded under ICD-10 codes F12 (mental and behavioural disorders due to cannabinoids) and F14 (due to cocaine), I request that you also include any relevant data on mental health conditions, treatments, service usage, and outcomes related to cannabis and cocaine use, regardless of coding systems or classifications used within your trust.
Please also can you provide details of any other clinical / internal codes used to classify or record such cases and treatments.
If some of the requested data is not held in exactly the format specified, please provide data in the closest available format or inform me of any limitations.

Use of Non-Disclosure Agreements in Trusts

For the period 1 April 2019 to 31 March 2025 (or as far back as records are held, if full data for this period is not available):

1. Total number of Non-Disclosure Agreements (NDAs) — also referred to as confidentiality clauses or settlement terms within COT3 agreements or other settlement agreements, entered into with current or former staff members by your organisation.

2. Of those NDAs, please provide a breakdown of how many were associated with settlement agreements relating to:
a) Complaints of bullying or harassment
b) Complaints of discrimination (related to any protected characteristic under the Equality Act 2010)
c) Whistleblowing or the raising of protected disclosures
d) Other reasons (please specify if available)

3. Total amount of money paid out under all settlement agreements or COT3s that included an NDA during this period.

4. The highest individual settlement amount paid out under a settlement agreement or COT3 that included an NDA during this period.

5. If available, please also provide:
A breakdown by staff group or job role (e.g. nursing, medical, administrative, etc.) A breakdown by department or service area A breakdown by type of complaint (if not already provided above) If the information is not held in this level of detail, please provide whatever level of detail is recorded.

If any part of this request is likely to exceed the cost limit, please prioritise questions 1–3 and advise how I might reasonably narrow the scope of the remaining questions.

Holter ECG Analysis

Estates

I am writing on behalf of Philips Electronics to submit a formal Freedom of Information request, to obtain Install Base information relating to Holter ECG Monitors.

Please can you provide the following information.
• Hospital & Trust Name
• Original Equipment Manufacturer
• Contact Start date
• Contract End Date

For your convenience, I have attached a template that outlines the requested information format.

Wound Care Services

Commercial

Freedom of Information Requests:

1. Please provide the total number of patients treated where wound care represented the primary reason for admission, in the financial years i) 2021-22, ii) 2022-23, iii) 2023-24, iv) 2024-25. If available, please provide a breakdown of inpatients compared to outpatients/community visits.
2. Please provide the number of Full-Time Equivalent (FTE) staff delivering wound care services within your organisation, broken down by professional role (e.g. community nurse, tissue viability nurse, podiatrist), in the financial years i) 2021-22, ii) 2022-23, iii) 2023-24, iv) 2024-25.
3. Please provide the number of Tissue Viability Nurses (TVNs) employed by your Trust, in the financial years i) 2021-22, ii) 2022-23, iii) 2023-24, iv) 2024-25.
4. What is the average waiting time for an initial wound care assessment in the financial years i) 2021-22, ii) 2022-23, iii) 2023-24, iv) 2024-25?
5. What is the average waiting time for a referral to a specialist tissue viability nurse in the financial years i) 2021-22, ii) 2022-23, iii) 2023-24, iv) 2024-25?
6. Please provide the total number of patients referred from A&E or minor injury/urgent care units to any form of wound care service, in the financial years i) 2021-22, ii) 2022-23, iii) 2023-24, iv) 2024-25. Please provide the total number of A&E and minor injury/urgent care unit admissions in each financial year for comparison.
7. If available, please provide a breakdown of the nature of wounds or conditions most commonly referred to wound care services (e.g. pressure ulcers, leg ulcers, post-operative wounds, diabetic foot ulcers, traumatic wounds).
8. Please provide total spend on wound management dressings via Part IXA of the drug tariff (see link below), in the financial years i) 2021-22, ii) 2022-23, iii) 2023-24, iv) 2024-25. https://www.drugtariff.nhsbsa.nhs.uk/#/00726198-DD/DD00726112/Part%20IXA-%20Wound%20Management%20Dressings

Job Planning for Pharmacists

Misc

Under the Freedom of Information Act, please could I request the following information from your trust:

1. In your organisation, do you employ “job planning” for pharmacists (job planning in this instance is typically the division of a working week into half day “sessions” allocated to commitments such as clinical work, development, supporting professional activities time, teaching, research, etc)?

2. How many pharmacists do you employ? Please state headcount

3. Of the pharmacists that you employ, how many have job plans?

4a. For each pharmacist with a job plan, please provide the proportion of contracted hours allocated to protected* time for supporting professional activities (SPA), also known as protected learning time or professional development time

4b. For each pharmacist without a job plan, please provide the proportion of contracted hours allocated to protected time for supporting professional activities (SPA), also known as protected learning time or professional development time

5. If it is not possible to provide an answer to question 4a or 4b, please provide the recommended allocation to supporting professional activities (SPA), also known as protected learning time or professional development time, in hours per week for a full-time employed pharmacist.

*For the purposes of this FOI request, protected is defined as a time allocation that should be uninterrupted and dedicated to non-mandatory training and development, although this may not always be the case.

Market for Bank or Agency Management Services

Procurement

I am writing to submit a Freedom of Information (FOIA) request under the 20-day response requirement, to inquire whether your organisation intends to come to market for bank or agency management services in the next 12 months. Specifically, I would appreciate information on:
1. Whether the trust plans to tender for these services in the near future.
2. The scope of services expected to be included in the upcoming tender.
3. The key point of contact within the trust responsible for this area.

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