Responses

– How many children (under18) have been referred to CYMPHS/CAMHS in the last five years. [Between April 6 – April 5]?
– Can you provide the total number of children referred for each year; 2019/2020, 2020/21, 2021/22, 2022/23 and 2023/24.
– For each year, can you provide the number of children referred broken down by primary cause (such as, anxiety, depression etc.)
– For children referred this year alone (Between April 6 – April 5 2023/24), how many received treatment?
– Between April 6 – April 5 2023/24, how many referrals to CAMHS were either deemed inappropriate or rejected?
– Between April 6 – April 5 2023/24, what was the average and maximum waiting times for CAMHS treatments from referral to first appointment?
– Between April 6 – April 5 2023/24, how many CAMHS patients were sectioned?
– As of September 2024, how many children and adolescents are on the waiting list for CAMHS?

I am writing to request information concerning the use and evaluation of clinical artificial intelligence systems within your trust. For the purposes of this request, ‘clinical AI’ refers to artificial intelligence models used in patient diagnosis or treatment.

Context for the Request:
The integration of AI technologies into healthcare is rapidly advancing and has the potential to significantly impact patient care, diagnostics, and treatment outcomes. Understanding how NHS trusts are adopting and utilizing clinical AI systems is crucial for assessing the current landscape, identifying best practices, and informing future developments in this field.

Information Requested:
Current Use of Clinical AI Systems:
• Question 1: Does the trust currently use any clinical AI systems in diagnosing or treating patients?
Details of Clinical AI Systems in Use:
• Question 2: Please provide a list of clinical AI systems currently used by the trust.
• Question 3: If available, please provide any existing reports or summaries detailing the usage frequency of these clinical AI systems within the trust over the past 12 months.
Decision Making for Clinical AI
• Question 4: If available, please provide copies of any policies, procedures, or committee meeting minutes from the past two years that outline how the trust selects and approves clinical AI systems for use.

1. Can you confirm your head of procurement name, phone number and email address?
2. How many agency nursing shifts have your Trust used Thornbury Nursing Services for between 1st June 2024 and 1st August 2024?
3. Please provide a breakdown of the amount of shifts per ward or department where Thornbury Nursing Services were used between 1st June 2024 and 1st August 2024?
4. Please name any other OFF CONTRACT SUPPLIERS who have been utilised by the Trust between 1st June 2024 and 1st August 2024 above the NHS Improvement + 50% caps and how many shifts each of these agencies have filled.
5. If for any reason you are unable to supply data up until 1st June 2024 and 1st August 2024 please provide from 1st March until 1st May.
6. Can you confirm medical director name, phone number and email address for Psychiatry?

Please can you provide the below information
Agency and bank fill rate by grade in all departments
What each agency has filled by grade and staff group
Details of off contract spend
If an MSP or Neutral Vender is in place and when the contract is coming to an end

Please can you provide the below information
• Agency and bank fill rate by grade in all departments
• What each agency has filled by grade and staff group
• Details of off contract spend
• If an MSP or Neutral Vender is in place and when the contract is coming to an end

Under the Freedom of Information Act 2000, I would like to request the following information regarding nursing and care agencies at Gloucestershire Health and Care NHS Foundation Trust:

– A list of nursing agencies currently utilized for nursing and care staff at the Trust.
– Information on off-framework agencies that supplied nursing staff between April 2023 and April 2024, including the associated spend data.

1. What system is currently used by the Trust for Theatre Management and Scheduling?
2. When does the contract for this system expire, and when is it due for renewal?
3. What system is currently used by the Trust for managing pre-operative assessments?
4. When does the contract for this system expire, and when is it due for renewal?
5. Are your patients able to complete a pre-operative questionnaire electronically at home? If so, which system facilitates this?

FOI Questions on NHS Infrastructure; Hospital Repairs, Backlog, and Investments (2019-2024)

1. Building Age and Infrastructure Risks
1.1 For each year from 2019 to 2024, how many hospital buildings under your Trust were identified as being in urgent need of repair due to their age? Please also include the age of each building.
1.2 For each hospital building under your Trust, what specific infrastructure risks were identified (e.g., structural deficiencies, malfunctioning equipment, fire safety hazards, etc.)?
1.3 How much funding has been allocated for the maintenance and repair of ageing hospital buildings under your Trust over the past five years?

2. Annual Backlog of Repairs in NHS Hospitals
2.1 Please provide the total cost of the backlog of repairs for hospitals buildings under your Trust, broken down by year for the period 2019 to 2024.
2.2 Could you also break down these costs into the following risk categories, for each year:
• High Risk and Critical Repairs: What is the estimated cost to eradicate high-risk backlog maintenance in hospital buildings under your Trust from 2019 to 2024?
• Moderate and Low Risk Repairs: What is the estimated cost to eradicate non-critical repairs in hospital buildings under your Trust for the same period?

3. Major Infrastructure Failures
3.1 From 2019 to 2024, have there been any significant failures in hospital infrastructure within your Trust, such as structural problems, mechanical breakdowns, fires, etc., related to repair backlogs? Please provide details for each occurrence, including:
• The type of failure (e.g., structural issues, mechanical breakdowns, fires, etc.).
• The date the failure occurred.

1. Did any services within your trust provide SSIs to Children and Young People (CYP)?
2. If yes, which services and what SSIs did they offer? (please give as much detail as possible about these, including whether these are individual/group, aimed at a specific type of disorder or age group, what therapeutic modality/model these are based on)
3. Who delivered these interventions?
4. At what point(s) in the care pathway are SSIs are offered to CYP/families?

1. Please share the total number of full time equivalent staff at your organisation on 1st April 2024, as well as the total number of physician associates, junior-level doctors and consultant doctors.
2. Please share the same information for 1st April 2023, 1st April 2022, 1st April 2020 and so on back to 1st April 2015.

• What Emergency Preparedness, Resilience and Response (EPRR) resourcing that you have in post. I would appreciate if this could be broken down in to: FTE, permanent/not permanent etc, job title and band?
• What is the trust’s budget in relation to EPRR?
• What the total patient population served by the trust?
• What is the trust’s current operating budget?

1. Does the Trust have a Social Value strategy in place?
2. If so, can you provide a link to the Trusts Social Value policy, strategy, framework or similar document.
3. Please outline the economic, social, environmental and other priorities for the Trust.
4. Please outline the KPI’s (Key Performance Indicators) the Trust use to measure Social Value output and impact.
5. Who is the key contact for Social Value within the Trust

Since April 2020, have you commissioned or received any Royal College invited reviews into your services? Please list service involved, Royal College involved, date commissioned and date delivered.
For each of the reviews
1. Were any patient safety issues raised by the invited review?
2. If so, did you inform your regulator/s? Which ones and when?
3. If patient safety issue was identified, was this discussed by the board, either in public or private? When was this and can you include a link to the relevant board papers?
4. If a patient safety issue was identified, did you publish a summary of the report – its conclusions, recommendations, terms of reference and actions taken by you? Please include a link showing where it can be seen.
5. If a patient safety issue was identified, did you exercise duty of candour to those patients affected? How many and when were they contacted?
Please attach all invited reviews commissioned or received since April 2020.

We are collecting data about recruitment rates on commercially sponsored clinical trials (primarily Phase II and III) and would appreciate it if you could share with us a list of the trials that your hospitals have participated in the past five (5) years. We are happy to receive this information in any format but, ideally, we would like the information to include:
• A Study Identifier such as: NCT Study Number / Study Name / EudraCT no / Protocol no.;
• The name of the Hospital participating in the Study;
• Confirmation of how many patients were successfully enrolled by the Hospital (i.e. completed screening and recruited).

Subject: Freedom Of Information Request Regarding Supplier Selection Under Lot 1 Of Workforce Alliance Rm6281

Dear Gloucestershire Health and Care NHS Foundation Trust,
I am writing to formally submit a Freedom of Information (FOI) request concerning the procurement and award of contracts under Lot 1 of the Workforce Alliance RM6281 framework for providing temporary nurses and clinical staffing. I kindly request your assistance in addressing the following inquiries:

1. Compliance with Public Contracts Regulations 2015: Please provide information on how the Trust ensures that the awarding of contracts under Lot 1 of the Workforce Alliance RM6281 framework adheres to the Public Contracts Regulations 2015.
2. Non-discrimination and Fairness: How does the Trust ensure that it does not discriminate or act unfairly towards suppliers when selecting contractors under this framework?
3. Supplier Invitation: Does the Trust invite all approved suppliers under the framework to bid or supply services, as stipulated by the framework’s rules? If so, could you provide evidence or examples of this process in practice?
4. Supplier Selection Process: Please outline the legal justification the Trust uses when selecting certain suppliers while excluding others under the Workforce Alliance RM6281 framework.
5. Compliance with Selection Criteria: Could you explain the process by which suppliers are selected under the framework, particularly concerning ensuring compliance with the selection criteria set out in the Workforce Alliance RM6281 framework and the Public Contracts Regulations 2015?
6. Further Competition Process: Could you describe the process your Trust follows for further competition under the Workforce Alliance RM6281 framework? Specifically, do you use direct awards, or do you invite suppliers for further competition for Lot 1? Please provide evidence to support your response.
7. Evidence of Compliance: Kindly provide any documentation or evidence demonstrating how the Trust ensures compliance with the aforementioned regulations and framework rules when awarding contracts under Lot 1 for the provision of temporary nurses and clinical staffing.
8. Legal Queries and Proceedings: Please provide contact details (department and individual, if available) for submitting legal queries or initiating legal proceedings related to procurement processes under this framework

Please could you provide the annual spend for the below suppliers from August 2023 to July 2024?

The suppliers are:-

Arco Ltd

Banner Group Ltd

Bunzl Greenham

Lyreco UK Ltd

Camfil Ltd

Alan Wilson Electrical Supplies

Albion Electric

AN Supplies Ltd

B E D ELECTRICAL DISTRIBUTIONS

Bennett & Fountain

Bridge Electrical Supplies

C & K Supplies

CEL Electrical

City Electrical Factors

Contact Electrical Distributor

CRS Electrical Supplies Ltd

CUMBERLAND ELECTRICAL WHOLESALERS LTD

DINNING ELECTRICAL WHOLESALE

Edmundson Electrical

Electric Base

Electric Centre

ELECTRICAL WHOLESALE SUPPLIES LTD (EWS)

Electrical Wholesale Supplies Swansea Ltd

EXPERT ELECTRICAL SUPPLIES LTD

Eyre and Elliston Ltd

FYLDE ELECTRICAL SUPPLIES LTD

GCG ELECTRICAL WHOLESALERS LIMITED,

GILBEY ELECTRICAL WHOLESALERS LTD

GILTBROOK ELECTRICAL DISTRIBUTORS LTD

Hardings Electrical

IMPACT ELECTRICAL DISTRIBUTORS LTD

Independent Electrical Supplies

Juice Electrical Supplies

KEW ELECTRICAL DISTRIBUTORS LTD

LH Evans

LINCS ELECTRICAL WHOLESALERS LTD (LEW)

Links Electrical Supplies

MAINS ELECTRICAL DISTRIBUTORS LTD

Medlock

Newey & Eyre

NORTHERN & CENTRAL ORMSKIRK ELECTRICAL LTD

Park Electrical Distribution

Phase Electrical Distributors

QUALITY ELECTRICAL SUPPLIES AND TECHNOLOGY LTD

R & M Electrical

Rexel

Roblett Electrical Supplies Ltd

RS Components

Ryness Electrical

S & A Electrical Distribution

Screwfix

Service Electrical Wholesale

Smith Brothers

Stearn Electrical

SWIFT ELECTRICAL SUPPLIES

THE WHOLESALE LIGHTING & ELECTRICAL COMPANY

TJ ELECTRICAL WHOLESALE LTD

TLC Electrical Supplies

TN Robinson

TRAFFORD ELEC WHOLESALERS

Upex Electrical Distributors Ltd

WF Senate

Wilson Electrical Distibutors Ltd

Wilts Wholesale

Wyeverne Electrical

YESSS Electrical

Cu-Plas

1. What is your organisation’s name?

2. How many full-time employees are at your organisation?

3. Who is your mobile phone network provider?

Renewal

4. Did you switch on last renewal?

5. When did you renew the last time?

6. What is the contract length?

7. Did you use a Framework, if so which one?

Contract and usage details

8. How many total connections do you currently have?

9. How many connections are Voice only?

10. How many connections are Voice and Data?

11. Do you use a shared data bundle, if so, what is the data allowance?

12. What is your average data usage of the last 3 months?

13. Please provide your total mobile phone contract costs for July 2023 (excluding purchase of handsets):

14. Please provide your total mobile phone contract costs for August 2023 (excluding purchase of handsets):

15. Please provide your total mobile phone contract costs for September 2023 (excluding purchase of handsets):

16. Please provide your total mobile phone contract costs for October 2023 (excluding purchase of handsets):

17. Please provide your total mobile phone contract costs for November 2023 (excluding purchase of handsets):

18. Please provide your total mobile phone contract costs for December 2023 (excluding purchase of handsets):

19. Please provide your total mobile phone contract costs for January 2024 (excluding purchase of handsets):

20. Please provide your total mobile phone contract costs for February 2024 (excluding purchase of handsets):

21. Please provide your total mobile phone contract costs for March 2024 (excluding purchase of handsets):

22. Please provide your total mobile phone contract costs for April 2024 (excluding purchase of handsets):

23. Please provide your total mobile phone contract costs for May 2024 (excluding purchase of handsets):

24. Please provide your total mobile phone contract costs for June 2024 (excluding purchase of handsets):

25. Is VAT included in the above figures?

26. Do you have a hardware fund, if so, how much and is it included in the monthly spend?

27. Do you host any mobile phone masts on your premises, if so, how many and who provides them?

28. Who is the primary contact for this contract?

1. Does your Trust provide mental health services for children and young people?
2. NHS England has decided that referrals to children and young people’s gender services must come from NHS Paediatric or mental health services. It has said that this will come into effect from 1 September 2024 to allow time for NHS services to adjust their operating protocols. Please outline what changes you have made to your operating protocols in response to this decision by NHS England and what date these changes were made by.
3. Can you identify:
a. Which staff assess patients requesting access to gender services
b. Which staff decide whether to refer onward to gender services
c. What is the basis of the decision whether to refer to gender services
4. Please outline any training your trust provides staff around trans healthcare. Please include:
a. the title of the training
b. the length of the training
c. who provides the training
d. what staff group it is for
e. whether it is mandatory
5. What percentage of staff who assess patients requesting access to gender services have completed the training listed above around trans healthcare?

The British Medical Association is the trade union and professional body for doctors and medical students in the UK. As part of ongoing work undertaken by the BMA to improve the working lives of doctors and medical students, we are currently conducting a Freedom of Information request to all NHS Trusts/Health Boards in the UK to better understand the support and accommodations offered to disabled doctors and medical students.

We would therefore be grateful if you could reply to the following questions within 20 working days:

1. Sickness absence
The Bradford factor is a formula used by HR departments to calculate the impact of employees’ absences on an organisation.

Q1. Does your Trust/Board use Bradford Factor scoring as part of monitoring sickness absence?

Q2: Does your Trust/Board’s sickness absence policy include a threshold at which sickness absence triggers performance management action?
-If yes, what is the threshold? (either days absent or, if used, Bradford Factor score)

Q3: Does your Trust/Board’s record disability-related absence separately from sickness absence?

2. Disability Leave
Disability leave is a period of time off work for a reason related to an employee’s disability; for example, to attend hospital appointments or to receive treatment, usually agreed in advance.

Q4: Does your Trust/Board have a disability leave policy?
-If yes, please provide a link to/copy of the policy.

Q5: Does your Trust/Board offer paid disability leave?

3. Championing disability
Disability champions are people in roles that provide a personal lead and commitment to championing accessibility and opportunity for disabled people within their organisation.

Q6: Does your Trust/Board have the following available to doctors and medical students:
– A disabled staff/student network
– A disability champion at a senior/Board level *
– Disability advocates/champions with lived experience

Q7: Do you have anyone who is employed in a paid role specifically to ensure that disabled doctors receive workplace support?
– If yes, please provide a brief description of the job role

4. Reasonable adjustments process
Q8: Does your Trust/Board have a reasonable adjustments policy?
-If yes, please provide a link/copy

Q9: Does your Trust/Board have a centralised budget for making workplace adjustments for disabled doctors/medical students?

Q10: Does your Trust/Board have a single point of contact/centralised process for disabled doctors/medical students to request reasonable adjustments?
-If no, please provide brief details of how individual employees can make requests for adjustments (e.g. via their line manager)

1. a) The total amount paid in waiting list initiative payments (and other higher rate additional payments for weekend and evening work) to consultants for the following financial years
• i) 2023-24
• ii) 2022-23
• iii) 2021-22

b) The five highest totals of such payments paid to individual consultants, stating the department of each consultant, and how many sessions and hours they worked, for the 2023-24 financial year.

c) The maximum hourly rate or session rate for such payments for the 2023-24 financial year (if providing by session please state length of session (in hours).

2. During junior doctor strike days since March 2023 and up to and including the one in late June / early July 2024 please provide the five highest hourly rates paid to consultants to provide cover, stating their normal department and what department they provide cover in, and the date of payment and how long their shift was for

1. Does your NHS Trust provide its employees (doctors, nurses, other clinical staff) with Occupational Health (OH) Services? (Yes/No)

2. If yes, what has been your annual spend on Occupational Health (OH) services for your employees over the last 3 years (FY 2021/22, 2022/23, 2023/24)?

3. Please split the annual spending between physical occupational health services and mental occupational health services for the last 3 years (FY 2021/22, 2022/23, 2023/24).

4. Does the trust provide these services in-house, or does it outsource it through a contract?

a. Please provide the split of the percentage of in-house vs outsourced services based on the values provided in Question 2 (i.e., how much is spent on OH services in-house vs contracting to outsourced providers) for the last 3 years (FY 2021/22, 2022/23, 2023/24)?

1/ How much money was spent by your trust on private security for the protection of staff in the following years?

2018 –
2019 –
2020 –
2021 –
2022 –
2023 –

Secondly,

2/ How many attacks were recorded on members hospital/ambulance staff by non-hospital staff in the same years?

2018 –
2019 –
2020 –
2021 –
2022 –
2023 –

Finally,

3/ If recorded, what was the nature of these incidents (verbal/physical/racial etc)?

2018 –
2019 –
2020 –
2021 –
2022 –
2023 –

Under the Freedom of Information Act 2000, I would like to request the following information regarding expenditure for mental health provision, healthcare software, dermatology, imaging and medical devices.

Mental Health
• Which providers are you working with to support on ADHD assessment and treatment?
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23
• Which providers are you working with for Autism assessment and treatment?
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23
• Which providers are on the NHS Talking Therapies (IAPT) framework?
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23
• Which online mental health providers are you working with?
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23

Healthcare software
• Which software providers are you working with for electronic patient/health records?
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23
• Which software providers are you working with for healthcare compliance/incident tracking e.g RL Datix, inphase etc…
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23
• Which consultancy providers are you working with for digital transformation support?
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23

Dermatology
• Which providers are you working with to provide community dermatology/skin screening services?
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23

Imaging
• Which providers are you working with to provide teleradiology services
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23
• Which private radiology providers are you working with to increase capacity?
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23

Medical Devices
• Which medical device suppliers are you working with for wound care products?
• Please can you share the spend broken down by provider for FY23/24
• Please can you share the spend broken down by provider for FY22/23

Under the Freedom of Information Act, I am requesting detailed information regarding your organisations Access Control System. This information is likely known by someone within Estates, Security, or Facilities Management.

Please provide the following details:


Access Control System Overview:


1. Current System(s):
* What electronic access control system(s) do you currently have in place? Please include manufacturer of control unit & model (e.g. SALTO, PAXTON, ASSA)


2. Access-Controlled Doors:
* How many doors across all of your sites have access control systems installed? How many per each site? 


3. Access Control Types:
* Please provide a detailed breakdown of the different types of access control setups in place (e.g., magnetic lock doors, electric strike doors, battery-operated electronic handle sets, battery-operated electronic cylinders, etc.).


4. System Age:
* When was your current access control system installed? Which company installed it? 


5. System Integration:
* Is your access control system integrated with your ID card production or other systems (e.g., time and attendance, building management/CCTV and/or fire/security alarm systems)? If so, which system(s) is it integrated with? 


6. Supplier Information:
* What are the names of the suppliers of your existing access control system?
* Who is your current supplier for access cards and fobs, and do you purchase these directly or through your access control installers/maintenance contractors?


7. Manufacturer and Models:
* What manufacturer and model of cards and fobs do you use for your access control system? Please provide specific details of each of the exact manufacturer/model of card(s)/fob(s) that you use at each site (e.g. Paxton 692-052 Net2 Proximity ISO Cards Pack of 500 SKU: AC-PAX-692-052) together with the cost (including VAT) each month/year.


8. Management Software:
* What software is used to manage the door controllers and readers in your access control system? (e.g. Paxton Net2 Pro)


Usage and Distribution Details:

9. Consumable Usage:
* Please provide data on the monthly and annual usage/purchases of access control cards and fobs. This should include how many are issued, lost/replaced, and returned faulty/damaged each month/annum. 


10. User Information:
* How many individual users require access control cards/fobs across all sites? If possible, please provide a breakdown by site or building.


Maintenance and Support:

11. Management and Contact Information:

* Who manages your site’s access control system? Please provide a name, direct email address and direct telephone number / extension for this contact.


12. Support/Maintenance Contracts:

* Do you have a current support/maintenance contract for your access control system? If so, when does this contract expire?


Future Plans:

13. Planned Changes:
* What are the organisations plans related to the installation, upgrade, or support/maintenance of access control systems over the next three to five years?