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Air Pollution Exposure

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

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

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

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

If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request.

If you can identify any ways that my request could be refined I would be grateful for any further advice and assistance.

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

Capital Spend and Research 2025/2026

Finance

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

Out of Area Placements – 2019 to 2025

Clinical Activity Data

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

Advanced Decision to Refuse Treatment / Lasting Power of Attorney

Copy of Trust Policy, MH Services

Freedom of Information Request

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

This document might include:

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

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

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

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

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

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

If yes, please share a copy with us.

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

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

If yes, please share their contact details.

Vehicle Fleet List (2)

Estates

Dear Gloucestershire Health and Care FOI Team,

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

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

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

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

Management Pathway of Elderly Patients – Emergency Departments

Clinical Activity Data

Dear colleagues,

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

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

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

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

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

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

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

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

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

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

Patient Attending A & E regarding Carbon Monoxide

Clinical Activity Data

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

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