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Injuries Treated in A&E – Collision with an E-Bike / Cyclist

Clinical Activity Data, GHNHSFT - Redirect

I am writing to make an application for data using the Freedom of Information Act. Please could you release the below in a “machine readable” format.

If available, please provide for me statistics for either the calendar or financial years from 2020 to 2025 (or 2020/1 to 2025/6, or as much as available for the latter).

Across the entire Trust, how many people have been treated for injuries in A&E where they have been recorded as having been involved in a collision with an e-bike (of any kind)?

If at all possible, can you say whether they were pedestrians or fellow cyclists? I am particularly interested in the former.

Please include the patient’s age, sex and whether they have any recorded disability.

Can you please break the above down for each hospital within your Trust, including if possible the date of admission and discharge.

Please include the severity of the injury (ie lower/upper limb fracture/concussion).

If available, please include how many – if any – of these culminated in a fatality.

If available, please include what type of e-bike was involved. I understand some notes have stated whether a “Lime”, “Forest”, “Human Forest” or “Tier” were involved.

If possible, please state whether the bike was moving or stationary.

On some occasions, vulnerable pedestrians, such as the blind or elderly, have tripped over badly parked e-bikes. To be able to identify such incidents would be very useful.

If there are any other details that you could include, such as a short description of any notes (without obviously revealing the injured parties identities) I would be very grateful.

I totally understand that some information may be readily available, while other elements may prove more difficult. Essentially,

I’m trying to establish how common (or not) it is for pedestrians to be injured by e-bikes. So, mere numbers will be a big help. However, the more detail you can share will help me build a more accurate picture.

I believe you have 20 working days in which to reply.

I look forward to hearing from you. If there is anything I can do to assist, please do not hesitate to contact me via email or on the number below.

Yours

Critical Incidents Declaration Records (Nov 2023 – Nov 2025)

Safety and Security, Serious Incidents

Dear Sir/Madam,

This is a freedom of information request regarding critical incidents declared by hospitals within your NHS Trust between 13th November 2023 and 13th November 2025.

Request Details: I am seeking information about the number of critical incidents declared by all hospitals within your NHS trust during two specific one-year periods:

– Period 1: 13th November 2023 – 12th November 2024
– Period 2: 13th November 2024 – 12th November 2025

Please provide this information in a table format as follows:

Hospital Name Number of incidents between 13.11.2023 – 12.11.2024 Number of incidents between 13.11.2024 – 12.11.2025
[Hospital 1]
[Hospital 2]

Clarification:
– By “critical incident,” I am referring to incidents declared under your Trust’s major incident/critical incident procedures, typically involving significant disruption to normal services.
– Please include all hospital sites/locations within your Trust
– If no critical incidents were declared during either period for any hospital, please indicate “0”.

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

If you have any queries please do not hesitate to contact me for clarification via this email.

Thank you for your assistance,

Kind regards,

Ambient AI Systems for Clinical Documentation & Transcription

Dear Gloucestershire Health and Care NHS Foundation Trust,

Under the Freedom of Information Act 2000, I would like to request information regarding your use of ambient or AI-assisted systems to support clinical documentation during patient consultations.

For the purposes of this request, “ambient AI” refers to systems that passively listen to, record, transcribe, summarise, or otherwise process clinician–patient conversations in order to generate clinical notes, letters, or structured records, either in real time or after the consultation.

Please confirm:

Whether the Trust currently uses, is piloting, or has contracted for any ambient AI or AI-assisted clinical documentation system (for example systems provided by suppliers such as Heidi, Lexacom, Tortoise, or similar).

If yes, for each system in use or under contract, please provide:

– The name of the software/system and the supplier.
– The clinical setting(s) in which it is used (for example outpatient clinics, community services, mental health services).
– Whether the system records live audio, processes audio locally, or transmits audio to a third party or cloud service.
– The total contract value or annual spend.
– The contract start date and end date, including any extension options.

Whether the system was procured via a formal procurement framework, and if so the name of the framework used (for example NHS SBS, Crown Commercial Service, Health Systems Support Framework, or similar).

The department and job title responsible for oversight of the system (for example Medical Director, Chief Clinical Information Officer, or equivalent).

If the Trust does not currently use an ambient AI system, please confirm whether procurement, evaluation, or pilot activity has taken place within the last 24 months.

If any part of this request is unclear, please contact me for clarification.

Yours faithfully,

Patient Transfers and Beds

Good Afternoon,
I am writing to request information under the Freedom of Information (FOI) Act 2000.
My questions are as follows:
1) How much was spent on secure mental health patient transfers by private ambulances in the 6 months to 30th November 2025
2) How many journeys were made on secure mental health patient transfers by private ambulances in the 6 months to 30th November 2025
3) Please provide a list of all private ambulance companies used for secure mental health patient transfers in the 6 months to 30th November 2025 and for each detail:
(a) Number of jobs
(b) Cost of providing the service

4) How much was spent on mental health patient bed watch by private companies in the 6 months to 30th November 2025
5) How many mental health patients were looked after by private bed watch companies in the 6 months to 30th November 2025
6) Please provide a list of all companies that provided mental health patient bed watch services in the 6 months to 30th November 2025 and for each detail:
(a) Number of patients looked after
(b) Cost of providing the service

7) What is the selection criteria for deciding which companies to use for secure mental health patient transfer by private ambulances
8) What is the selection criteria for deciding which companies to use for mental health patient bed watch by private companies

Thank you in advance for providing this information.

Regards,

Call-Off Contracts – Framework Agreements

Hello,

I would like to make a freedom of information request.

I am doing a research project investigating call-off contracts in the public sector. I have identified three potential call-off contracts awarded by Gloucestershire Health and Care NHS Foundation Trust, but I can’t find details of the framework agreements they were awarded from, or which lots were used.

I have attached an Excel file that contains the information I am looking at. The last two columns (“Title of framework used” and “Further framework info”) is where I am missing information. Please could you provide the name of the specific framework agreement or DPS/Dynamic Market used here, as well as the lot used if the framework was divided into lots. If there is any further info which you think would help me locate the framework agreements (e.g., a link to the framework’s Contract Finder or FTS listing, the framework provider, or a widely-used reference number such as CCS’s RM codes), please use the final column for this. Please use the second column for the relevant lot information.

Please note that I have identified these contracts as possible call-off contracts, so some of them might not be. Some could be, for instance, procured directly (without being called off from a framework agreement), or could be themselves notices of the establishment of a framework agreement. Therefore I would kindly ask you to specify in these incidences what kind of procurement was used in the “Title of framework used” column.

I have provided the title, description, the publication date, and procedure type used to award each potential call-off, as well as a URL link to the call-off in question and a unique reference ID for each potential call-off. Please let me know if there is anything else you need to complete the request.

Thank you very much in advance.

Best wishes,

CIDP, Neuropathy, and GBS Diagnoses (2015–Present)

Clinical Activity Data

Chronic Inflammatory Demyelinating Polyneuropathy (CIDP), Neuropathy, and Guillain-Barré Syndrome (GBS) – 2015–Present

I am asking whether your Trust holds any activity data relating to patients who already have these diagnoses, including:

– community nursing contacts
– community therapy or rehabilitation contacts
– community outpatient episodes
– community inpatient episodes
– any other activity recorded under these conditions (if applicable)

If your Trust does not hold any activity data for patients with these conditions, please confirm this explicitly.

Parkinsons Specialists

Hi I’m writing from Parkinson’s UK to ask for data relating to Parkinson’s specialists who work in your Trust, at your different sites. Ahead of the publication of the government’s 10 year workforce plan we are trying to understand the number of consultants and specialist nurses who provide care and treatment to people with Parkinson’s in your Trust at your different sites. Please could you therefore provide me with details of the number of: Specialist nurses you have working wholly or mostly with people with Parkinson’s at your Trust? Neurologists who have a specialist interest or declared knowledge of Parkinson’s at your Trust? Geriatricians who have a specialist interest or declared knowledge of Parkinson’s at your Trust? Thanks very much

Migrant Workers / Staff

Dear FOI Team

Please could you provide the following information being requested under the Freedom of Information Act 2000:

1) How many migrant workers are currently employed in your trust at each Agenda for Change band?
Band 2:
Band 3:
Band 4:
Band 5:
Band 6:
Band 7+:

2 ) Please provide the number of migrant staff currently employed on the following visa types:

Skilled Worker visas:
Health and Care Worker visas:
Training visas (e.g., Medical Training Initiative):
Graduate visas:
Dependent visas:
Other ( please

3) In the next 12 months how many Migrant Worker visa’s will come up for renewal within the trust?

Skilled Worker visas:
Health and Care Worker visas:
Training visas (e.g., Medical Training Initiative):
Graduate visas:
Dependent visas:
Other ( please

4) Of those visa’s coming up for renewal, how many will not meet the new pay thresholds?

Band 2:
Band 3:
Band 4:
Band 5:
Band 6:
Band 7+:

5) Has your trust implemented any solutions to help migrant staff meet the July 2025 immigration thresholds? ()

Yes, already implemented
Planned, but not yet in place
No plans currently

6) If yes/planned, what solutions has your trust introduced? (tick all that apply) ()

Pay adjustments/uplifts
Re-banding or job description review
Offering more contracted hours/overtime
Accelerated progression (e.g., Band 5 to Band 6)
Providing immigration/visa advice or legal support
HR or pastoral support services
Covering costs of 5-year visa renewals
Other (please specify):

7) Has your trust costed out the option of funding 5-year visa renewals for affected staff?

Yes, already costed
Currently under consideration
No, not considered

8) If costed, what is the estimated financial impact for your trust?

9) Do you have any staff that you are unable to support to meet the threshold, if yes how many?
Yes
No

Technology – Contracts

Dear FOI Team,

I am writing under the Freedom of Information Act 2000 to request information about several systems and services in use at Gloucestershire Health and Care NHS Foundation Trust. My inquiries are as follows:

Technologies Supplier Software/System Contract Ending Date Revised expiry date
Workflow efficiency systems NHS England Attend Anywhere ? ?
Business support tools No system installed ? ? ?
Business support tools IBM ESR ? ?
Patient and clinical information systems Software of Excellence SOEL Health ? ?
Workflow efficiency systems No system installed ? ? ?
Business support tools Capita Integra ? ?
Business support tools No system installed ? ? ?
Workflow efficiency systems No system installed ? ? ?
Business support tools RLDATIX HealthRoster Optima ? ?
Workflow efficiency systems No system installed ? ? ?
Workflow efficiency systems No system installed ? ? ?
Patient and clinical information systems Bytes ? ? ?
Patient and clinical information systems No system needed ? ? ?
Business support tools IBM ESR ? ?
Patient and clinical information systems Access UK Rio ? ?
Workflow efficiency systems No system installed ? ?
Patient and clinical information systems Clinisys ICE ? ?
Patient and clinical information systems TPP SystmOne ? ?
Workflow efficiency systems No system installed ? ? ?
Business support tools CDW ? ? ?
Patient and clinical information systems Idox Lilie ? ?
Business support tools No system installed ? ? ?
Workflow efficiency systems No system installed ? ? ?
Trust Integration Engine(s) ? ? ? ?

Please note: In relation to cyber security, we are asking for the name of your main cyber security provider. We do not need to know the software or sub-contractors used.

Clarification on ‘N/A’ Responses:

• Please enter ‘No System Installed’ if your trust does not have such system.
• Please enter ‘No system needed’ if your trust does not have a department or service which requires such a system.
Clarification on Contract expiry date:

• If the contract is expiring in the next 6 months, please state if the trust plans to renew, re-procure or take any other action.
• If the contact is on a rolling basis, Please enter ‘Rolling’.
Additionally, could you please fill in the missing product names and revised contract expiry dates?

Regards,

Adult Continence Service

GHNHSFT - Redirect

Freedom of Information Request – Ref: FOI 015-2026 Thank you for your recent Freedom of...

Use of AI

AI Use in Operations

1. Does your organisation currently use any form of Artificial Intelligence (AI) or automated systems in its operations?

o If yes, please list the tools or systems in use and provide a brief description of their purpose (e.g., administrative support, triage, analytics, chatbot services, etc.).

o If not, please state whether your organisation has explored or piloted any AI-based technologies in the past 3 years.

AI for Decision-Making

2. Does your organisation use AI or algorithmic systems to support or inform decision-making in any area (e.g., resource allocation, risk assessments, case prioritisation)?

o If yes, please describe the type of decision-making supported and the nature of the AI’s role (e.g., advisory, automated assessment, automated decision).

o Please also confirm whether human oversight is applied.

AI Chatbots and Customer Interaction

3. Does your organisation currently use chatbots or virtual assistants—AI-driven or rules-based—to support public enquiries or internal staff functions?

o If yes, please specify their purpose, whether they are AI-based, and when they were implemented.

Policies and Governance

4. Does your organisation have any formal policy, strategy, or guidance relating to the use of Artificial Intelligence or automated decision-making?

o If yes, please supply a copy or provide a link.

o If not, please indicate whether such a policy is in development.

Data Protection and Ethics

5. If AI systems are used, what measures or frameworks does your organisation have in place to ensure:

o Compliance with data protection and privacy obligations
o Transparency for service users
o Ethical or responsible use

(For example, DPIAs, algorithmic impact assessments, ethical guidelines—if applicable.)

Trials, Pilots, or Future Plans

6. Has your organisation run any pilots, trials, or exploratory projects involving AI in the last 3 years, or does it plan to do so in the next 12–24 months?

o If yes, please provide brief details of the purpose, timeline, and status of these initiatives.

Staff Training and Awareness

7. Does your organisation provide any training, guidance, or internal communications to staff relating to AI, its use, or its implications?

o If yes, please describe the type of training or include documents if available.

If any of the above information is already publicly accessible, please feel free to provide links instead of attachments.

Thank you for your time and assistance.

Kind regards,

IT / Systems

1. Digital Dictation

Name of supplier & product
Number of user licences
Procurement method (e.g., framework)
Contract start date
Contract expiry date (please specify fixed end date vs option to extend/rolling contract)
Total contract value (if available)
Integration with PAS/EPR (please specify if outbound only – e.g., patient demographics, clinic work list – or outbound and inbound, e.g., document return)
Key internal stakeholder role/title
Desired features not currently delivered (optional)

2. Outsourced Transcription

Name of supplier & product
Procurement method (e.g., framework)
Contract start date
Average monthly volume of letters (if available)
Average monthly volume of lines (if available)
Total contract value (if available)
Key internal stakeholder role/title
Desired features not currently delivered (optional)

3. Speech Recognition

Name of supplier & product
Number of user licences
Procurement method (e.g., framework)
Contract start date
Contract expiry date (please specify fixed end date vs option to extend/rolling contract)
Total contract value (if available)
Integration with PAS/EPR (please specify if outbound only – e.g., patient demographics, clinic work list – or outbound and inbound, e.g., document return)
Key internal stakeholder role/title
Desired features not currently delivered (optional)

4. Ambient AI Scribe

Name of supplier & product
Number of user licences
Procurement method (e.g., framework)
Contract start date
Contract expiry date (please specify fixed end date vs option to extend/rolling contract)
Total contract value (if available)
Integration with PAS/EPR (please specify if outbound only – e.g., patient demographics, clinic work list – or outbound and inbound, e.g., document return)
Pilot stage (if applicable, please specify supplier, pilot duration, and scope)
Key internal stakeholder role/title
Desired features not currently delivered (optional)

5. Video Consultation

Name of supplier & product
Number of user licences
Procurement method (e.g., framework)
Contract start date
Contract expiry date (please specify fixed end date vs option to extend/rolling contract)
Total contract value (if available)
Integration with PAS/EPR (please specify if outbound only – e.g., patient demographics, clinic work list – or outbound and inbound, e.g., document return)
Key internal stakeholder role/title
Desired features not currently delivered (optional)
Average number of video appointments per month/year
% of virtual/remote consultations conducted using video vs telephone

6. Health Information Systems

Name of supplier & product of the following HIS:
PAS (Patient Administration System)
EPR (Electronic Patient Record)
eDMS (Electronic Document Management System)
RIS (Radiology Information System)
LIMS (Laboratory Information Management System)
e-Correspondence (e.g. Docman)
Hybrid Mail (e.g. Synertec, Healthcare Communications)
Patient Portal (e.g. Patient Knows Best)

A & E Waiting Times

GHNHSFT - Redirect

To NHS Trust:

Dear NHS Trust,

I am requesting this information under the Freedom of Information Act.

Could you please provide data in response to the following questions:

1. What are the longest A&E waiting times for NHS Trust patients for the past three calendar years? (Broken down by years 2023, 2024, 2025)
1a) If possible, please break down by age of patient.
1b) If possible, please break down by month.

2. What is the average A&E waiting time for NHS Trust patients for the past three calendar years? (Broken down by years 2023, 2024, 2025)
2a) If possible, please break down by age of patient.
2b) If possible, please break down by month.

3. How many NHS Trust patients have waited more than 24 hours to be admitted to hospital at A&E in the past three years? (Broken down by years 2023, 2024, 2025)
3a) If possible, please break down by age of patient.
3b) If possible, please break down by month.

If possible, can this be presented in PDF format please?

Many thanks,

International Training Fellows

GHNHSFT - Redirect, HR, Staff Training, Staffing

Dear Gloucestershire Health and Care NHS Foundation Trust,

I wish to make a freedom of information request. Please can you tell me the following:

– The number of International Training Fellows accepted by your trust for the years 2023, 2024, 2025 (if possible, broken down by country of the training org from which they have come).
– The names of all overseas organisations from which your Trust accepts ITFs.
– The total salary of ITFs working and receiving training in your Trust for the years 2023, 2024, 2025.
– The number of ITFs who arrived in 2023 who have a) left the Trust, b) remain employed by the Trust.

Yours faithfully,

Chemsex or Sexualised Drugs

Health, MH Services

Dear FOI Officer, Under the Freedom of Information Act 2000,

I would like to request the attached information relating to chemsex or sexualised drug use within your Trust.

This is part of a research project being conducted at King’s College London.

I have attached the questions.

Please let me know if you have any questions about the information being requested or need any clarification.

Agency Spend Non Medical / Non Clinical

ESR/Workforce, Staffing

Good morning,

Under the FOI Act please can you provide me with the answers to the below:

From January 2025 to 31st December 2025 please provide a breakdown month by month of total trust spend for framework agency staff within NON medical NON clinical, please break it down by:

• Total spend
• Spend per area EG –

Admin and Clerical: Includes roles like receptionists, medical secretaries, ward clerks, administrators, and HR staff.
Estates and Facilities: Encompasses porters, cleaners, caterers, maintenance workers, security staff, and drivers.
Scientific, Therapeutic, and Technical Staff: A diverse group including various professions that do not fall under the direct ‘medical’ or ‘nursing’ umbrella.
Corporate Services: Includes areas such as IT, finance, legal, and clinical coding.

• Spend per agency

EG- Total £10,000
Facilities £5,000 Admin £5,000
Agency x £5,000 facilities £5,000 Admin

From January 2025 to 31st December 2025 please provide a breakdown month by month of total trust spend for off-framework agency staff within NON medical NON clinical, please break it down by:

• Total spend
• Spend per area EG –

Admin and Clerical: Includes roles like receptionists, medical secretaries, ward clerks, administrators, and HR staff.
Estates and Facilities: Encompasses porters, cleaners, caterers, maintenance workers, security staff, and drivers.
Scientific, Therapeutic, and Technical Staff: A diverse group including various professions that do not fall under the direct ‘medical’ or ‘nursing’ umbrella.
Corporate Services: Includes areas such as IT, finance, legal, and clinical coding.

• Spend per agency

EG – Total £10,000
Facilities £5,000 Admin £5,000
Agency x £5,000 facilities £5,000 Admin

From January 2025 to 31st December 2025, please confirm which framework was used for the recruitment of agency staff within NON Medical NON clinical

Please confirm whether the trust utilises a 3rd party vendor or tech system for the hiring of the NON Medical NON Clinical agency staff. If so, please confirm the name of the vendor / tech provider:

Thanks in advance

Advanced Practitioners

ESR/Workforce, Staffing, What Do They Know

Dear NHS Trust/ Board,

Please could you provide us with the following information relating to advanced practitioners:

1.
Please provide the total number of advanced practitioners employed in your Trust/Board for each of the years 2021 to 2025. If possible, please break this information down by department or specialty.

2.
a)Please could you provide the salary range for advanced practitioners employed in your Trust/Board for each of the years 2021 to 2025.

b) Please could you provide the total salary expenditure for advanced practitioners employed in your Trust/Board for each of the years 2021 to 2025.

3.
Please could you provide the total number of hours worked by advanced practitioners employed in your Trust/Board for each of the years 2021 to 2025.

4.
a) Please could you provide us with any existing documentation which describes the job duties and responsibilities of advanced practitioners within your Trust/Board.

b) If not covered in existing documentation, please confirm whether in your Trust/Board advanced practitioners ever

i) make referrals to other specialties
ii) hold crash / emergency bleeps

5.
Within your Trust/Board, please could you tell us

a) if advanced practitioners are ever deployed on medical rotas

b) if advanced practitioners are permitted to cover doctor rota gaps

c) what grade of doctors advanced practitioners are permitted to cover for

d) if merged/tiered/general rotas with mixed staffing groups are used and if so, which types and grades of clinicians appear on these rotas.

6.
a) Please provide us with a copy of bank shift rotas currently used for all medical and non-medical roles within your Trust/Board

b) Please provide us with the current hourly rate-range paid to advanced practitioners working bank shifts in your Trust/Board, broken down by years of service if applicable.

Yours faithfully,

ADHD and Emotional Dysregulation

CAMHS/CYPS, Health, MH Services

Dear FOI Officer,
I am writing to make a request for all the information to which I am entitled under the Freedom of Information Act 2000.

Could you please supply me with the following information concerning the number of people with ADHD and emotional dysregulation in your area as of 2025, if 2025 data is not able to be supplied for any of the questions please supply it for the year 2024.

I would like the above information to be provided to me electronically, preferably in an Excel or Word document. If there are other relevant statistics or links that have not been specified above please also supply those.

If this request is too wide or unclear, I would be grateful if you could contact me, as I understand that under the Act you are required to advise and assist requesters.

I understand that all data must be anonymised, and I am only requesting summary figures rather than any detailed patient reports.

1. The number of patients with ADHD under your trust that also have documented emotional dysregulation, mood disorders, anxiety or self-harm / mood-instability issues recorded.

2. Of those with ADHD, how many have comorbid mental health conditions recorded (e.g., anxiety, depression, low self-esteem, mood disorders)? If possible, please provide the number for each comorbid condition separately.

3. How many ADHD patients were seen by crisis services or home treatment teams in the last 12 months under your trust? (if possible, please also state the reason).

4. How many people with ADHD under your trust are currently in therapy, or waiting for therapy, due to emotional regulation difficulties being recorded as the presenting issue or reason for referral?

5. If possible, please provide the information for each different form of therapy

If any of this information is already in the public domain, please can you direct me to it, with page references and URLs if necessary.

Additionally, if you are only able to answer or hold the information for some of the questions, please supply that still.

I understand that you are required to respond to my request within 20 working days after you receive this letter. I would be grateful if you could confirm in writing that you have received this request.

If you have any queries, please do not hesitate to contact me via email or phone, and I will be happy to clarify what I am asking for. My details are outlined below.

I look forward to hearing from you.

Blood Cancers

GHNHSFT - Redirect

Dear FOI officer

I am currently a first year PhD student at Queen’s University Belfast, studying clinical trial participation rates for blood cancer throughout the UK.

Under the Freedom of Information Act of 2000, I would like to request the following information for your healthcare trust during the period 1st Jan2015 to 31st December 2025:

Annual number of patients diagnosed with blood cancers per year overall, and by subtype: Lymphomas (C81-86) Malignant immunoproliferative diseases (C88) Multiple myeloma and malignant plasma cell neoplasms (C90) Leukaemia (C91-C95) Unspecified malignant neoplasms of lymphoid, haematopoietic and related tissues (C96)

The number of blood cancer clinical trials available, including active trials that are recruiting and trials that are not actively recruiting.

Annual number of patients who were enrolled in interventional or observational clinical trials related to these blood cancers per year.

The scientific title, clinical trial registration number, phase (I/II/III/IV/other), opening and closing recruitment dates, number recruited at this trust, and location of each trial related to blood cancer.

The current number of dedicated research staff (e.g. research nurses, research practitioners, study coordinators etc.) assigned to haematological clinical trials.

If available, annual counts of invitations/offers made to eligible patients to consider trial participation.

Format: please provide data in a machine-readable format (e.g. excel or CSV) and return to me via email.

If any part is held or cannot be provided, please explain why and provide aggregated alternatives.

I am requesting aggregated counts and non-identifiable data only. Please withhold any information that would potentially identify individual patients and instead provide aggregated counts (by year, diagnosis category, and demographic bands)

Please contact me if you need to clarify any details of my request.

Many thanks for your assistance,

Yours Sincerely,

Leadership

Freedom of Information Request – Ref: FOI 002-2026 Thank you for your recent Freedom of...

Migrant Workers

Dear FOI Team

Please could you provide the following information being requested under the Freedom of Information Act 2000:

1) How many migrant workers are currently employed in your trust at each Agenda for Change band? Band 2: Band 3: Band 4: Band 5: Band 6: Band 7+

2 ) Please provide the number of migrant staff currently employed on the following visa types: Skilled Worker visas: Health and Care Worker visas: Training visas (e.g., Medical Training Initiative): Graduate visas: Dependent visas: Other

3) In the next 12 months how many Migrant Worker visa’s will come up for renewal within the trust? Skilled Worker visas: Health and Care Worker visas: Training visas (e.g., Medical Training Initiative): Graduate visas: Dependent visas: Other

4) Of those visa’s coming up for renewal, how many will not meet the new pay thresholds? Band 2: Band 3: Band 4: Band 5: Band 6: Band 7+

5) Has your trust implemented any solutions to help migrant staff meet the July 2025 immigration thresholds? () Yes, already implemented Planned, but not yet in place No plans currently

6) If yes/planned, what solutions has your trust introduced? (tick all that apply) () Pay adjustments/uplifts Re-banding or job description review Offering more contracted hours/overtime Accelerated progression (e.g., Band 5 to Band 6) Providing immigration/visa advice or legal support HR or pastoral support services Covering costs of 5-year visa renewals Other (please specify):

7) Has your trust costed out the option of funding 5-year visa renewals for affected staff? Yes, already costed Currently under consideration No, not considered

8) If costed, what is the estimated financial impact for your trust?

9) Do you have any staff that you are unable to support to meet the threshold, if yes how many? Yes No

End of Life Care and Unsafe Housing

Hi there,

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

For the most recent three financial years for which data is held, please provide:

The number of patients recorded by the Trust as receiving end of life or palliative care whose housing was documented by Trust staff as

a unsafe or unfit for habitation

b affected by damp, mould, overcrowding or serious disrepair

c temporary accommodation or homelessness

The number of cases where housing conditions were recorded as contributing to

a delayed discharge from hospital

b an inability to provide safe end of life care at home

The number of patients receiving end of life or palliative care who died in hospital where housing conditions were noted as a factor in discharge planning or care decisions.

If question 3 cannot be answered in this form, please instead provide:

The number of patients receiving end of life or palliative care who died in hospital following a delayed discharge, where housing conditions were noted as a contributing factor.

If the information is held in a different format or only partially held, please provide what is available.

If this request exceeds the cost limit, please provide all within the limit.
Thank you for your assistance.

Dementia Inpatients

Health, MH Services

To whom it may concern,

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

How many inpatients with Dementia at your Trust in 2024 and 2025 were accompanied by a healthcare worker or another member of staff when they were sent for scans or tests, where a family member, guardian or other non-member of staff were not present. For context, this doesn’t include porters, it refers to staff members who were there throughout the tests and scans, where a family member, guardian or other non-member of staff was not present. Can you please provide 2024 and 2025 as separate figures.

How many inpatients with Dementia at your Trust in 2024 and 2025 were not accompanied by anyone? For context, this means no family member or guardian were present, nor a healthcare worker or other NHS staff member. Again, porters don’t apply here. Can you please provide 2024 and 2025 as separate figures.

If it is not possible to provide some of the data requested, I would be grateful if you could provide whichever elements of this FOI request are eligible for release.

Therefore, if it is possible to ascertain within the prescribed time limit, without having to provide a fee for further investigations, please respond in electronic form with all the information above to my email address

Fibrinogen & Prothrombin Complex Concentrate, DOAC Antidote & Blood Products

Dear Sir/Madam,

I would like to submit an FOI request for the number of vials used and patients treated for the following products (see table below) at your trust used in 2025 (total January to December), broken down by brand and size, if possible. If the full-year data is not yet available, you can inform me about the currently available data.

If not all products are available at your institution, you can just fill in the data that you have access to.

Product Manufacturer Size (Units/mg) Number of vials used (Jan 19-Dec 2025) Number of patients treated
(Jan 19-Dec 2025)
Prothrombin Complex Concentrate (PCC)
Beriplex CSL Behring 500IU 20ml
1000IU 40ml
Octaplex Octapharma 500IU 20ml
1000IU 40ml
Prothromplex Takeda 600IU 17ml
FEIBA Takeda 200IU 10ml
500IU 20ml
1000IU 40ml
Others (if any please specify) (if any please specify)
Reversal Agents
Ondexxya (andexanet alfa) Astrazeneca 5x 200 mg
Praxbind (Idaracizumab) Boehringer Ingelheim 2x 2.5 g
Fibrinogen Concentrate (FC)
RiaSTAP CSL Behring 1.0g
FibCLOT LFB 1.5g
Fibryga Octapharma 1.0g
Others (if any please specify) (if any please specify)
Fresh Frozen Plasma (FFP)
Fresh Frozen Plasma Blood banks
Octaplas Octapharma
Cryoprecipitate
Cryoprecipitate Blood banks
Labile Blood Products
Whole blood Blood banks
Red blood cells Blood banks
Platelets Blood banks
Factor XIII
Fibrogammin CSL Behring 250IU 4ml
1250IU 20ml
Thank you in advance for your time and assistance!

NHS Sustainability

Staff Contact Details

I am keen to understand Sustainability in Nhs & Blue light, are you able to help and complete the attached.

I am interested in understand how Sustainability is maximised in the Nhs & Blue Light and who are the key people who have an interest. Could you advise who these are for your organisation: Name E Mail Phone Full Address

Sustainability Manager
IT Recycling Manager
Policy Lead
IT Asset Manager
IT Asset Disposal (ITAD) Manager
IT Lifecycle Manager
End-User Computing (EUC) Asset Manager
IT Operations Asset Manager
Technology Asset Manager
Sustainable IT Manager
Green IT Lead

If your Titles are different, please add.

Thanks

Hybrid Mail

Dear Louise Moss

Thank you for responding to this request.

In addition to Qs 4,5,6 (FOI ref: 288-2025) please could you also answer the questions regarding Hybrid Mail.

Print Room
1. Do you have a print room equipped with one/more high-speed production device/s to handle large volume printing?
2. Is this run by your own staff or outsourced to a third-party provider?
3. If run internally, how many full-time equivalent (FTE) run this facility?
4. Number of devices & model type/s?
5. Name of incumbent supplier?
6. Contract start / end date and length of any option to extend?
7. If outsourced, please advise contract start / end date and length of any option to extend?
8. Was this contract awarded through a framework? If yes, which one used?
9. Annual spend (ex VAT) covering equipment & staff costs or total outlay if this service is outsourced

External Print
1. Do you outsource any print requirement to an external supplier/s (for example to print forms, booklets, leaflets, manuals, posters, banners etc)?
2. Name of incumbent supplier/s?
3. If this arrangement provided under contract, please advise start / end date and length of any option to extend?
4. Was this contract awarded through a framework? If yes, which one used?
5. Alternatively, was this awarded through a DPS arrangement?
6. Annual spend (ex VAT) for this service over the past 12 months?

Mail Room (Inbound and/or Outbound)
1. Do you have your own in-house Mail Room operation?
2. If yes, how is the service run – physical or digital mail distribution?
3. Is this run by your own staff or outsourced to a third-party provider?
4. If run by your own staff, how many full-time equivalent (FTE) staff run this facility?
5. If outsourced, please advise name of current provider, contract start / end date and length of any option to extend?
6. Was this contract awarded through a framework? If yes, which one used?
7. Annual spend (ex VAT) covering running and staff costs or total outlay if this service outsourced?
8. Do you use a Hybrid Mail service as part of your patient communications approach?
9. If yes, please (a) name supplier (b) contract start / end date (c) framework through which this awarded?

Medical records / Digital Forms / Storage
1. Have you yet to start, partly started or completed scanning your medical records?
2. If started or completed, was this handled in-house or by an external company? If yes, please name the supplier
3. Have you digitalised all your forms and are running a PiP (Paperless in Patient) approach (from the point of patient presentation to them leaving are all patient records digitalised)?
4. If you are not using a PiP approach, do you scan your end of episode material?
5. Do you store medical records on site or is this handled off site by an external company? If yes, please name supplier
6. Do you use a digital HR staff onboarding and administration system that interfaces with ESR to support HR processes and workflows?
Finally, who at the Trust is responsible for these arrangements?

Use of Recruitment Agencies

Dear FOI team,

I am writing with a Freedom of Information request regarding your trust’s use of recruitment agencies.

I would like to receive data on:

1. The current number of executives, managers, and clinical staff employed by your trust (separately for each staff category)

2. The number of executives, managers, and clinical staff hired by your trust using a recruitment agency in each of the last 5 fiscal years, separately for each staff group

3. The annual staff turnover rate for each staff group over the last 5 fiscal years. Please see the following definitions to help you in processing this request:

– Executives: Any members of top-level trust leadership, such as Chair, Chief Executive, Executive Directors (e.g., medical director, nursing director, finance director, Chief Operating Officer) responsible for overall strategy, quality, and governance.
– Managers: Senior management, such as service or care group directors, heads of nursing, clinical directors, general managers, and heads of corporate departments, typically overseeing multiple departments or an entire division, as well as Middle managers and Frontline managers, such as matrons, ward or department managers, team leaders, and service managers who manage day-to-day operations and directly supervise clinical and non-clinical teams.
– Clinical staff: Frontline clinical staff and support staff

Please let me know if there are any questions, and I look forward to your response.

Kind regards,

Digital Transformation

Dear FOI Team,

Under the Freedom of Information Act 2000, please provide the information held by the Trust for the following questions relating to digital transformation:

1. Core Digital Systems
Please provide a list of the Trust’s core clinical and operational systems (e.g., EPR, PAS, ED, theatres, e-rostering, diagnostics), including the system name, supplier and contract end dates.

2. System Infrastructure Model (IaaS, PaaS, SaaS)
Please confirm, for each of the Trust’s core clinical and operational systems listed in Question 1, the type of infrastructure model used:
• Infrastructure as a Service (IaaS)
• Platform as a Service (PaaS)
• Software as a Service (SaaS)
• On-premise / locally hosted
If only partially held, please provide whatever information is available
3. Digital Priorities & Transformation Initiatives
Please provide details of the Trust’s current digital transformation priorities and any major programmes underway (e.g., EPR optimisation, cloud migration, AI, automation, data platform development).

4. Use of Emerging Technology
Please provide information on any current or planned use of artificial intelligence (AI), automation, machine learning, or advanced analytics tools within the Trust.

5. Digital Transformation Contact
Please provide the name, job title, and email address of the person (or team) responsible for leading the Trust’s digital transformation or digital strategy (e.g., CIO, CDIO, CCIO, Director of Digital).

I would be grateful if you could provide the requested information electronically. If the Trust requires any clarification, please let me know.

Yours sincerely,

Assaults, Bullying and Harassment

Media, Serious Incidents

To whom it may concern,

Under the Freedom of Information Act, please provide me with the following information about assaults, bullying and harassment recorded by the trust.

Please acknowledge receipt of this request, and I look forward to receiving the information within 20 working days.

N.B. If the decision is made to withhold some of this data using exemptions in the Data Protection Act, please inform me of that fact and cite the exemption/s used.

If you have any advice on how I might revise the request, due to a potential exemption, please contact me asap before the 20 working day deadline under your section 16 duty to provide advice and assistance.

If you do not record any of the categories of data requested please state this in your response.

Similarly, if you require any clarification, please contact me asap before the 20 working day deadline under your Section 16 duty to provide advice and assistance.

N.B. This is my dedicated FOI email address. Please respond to this email rather than my Guardian work account.

Questions

1. How many injuries to staff as a result of physical assaults by patients, visitors and other members of the public were recorded in the following financial years?

2024-25
2023-24
2022-23

2. How many injuries to staff as a result of physical assaults by patients were recorded in the following financial years?

2024-25
2023-24
2022-23

3. How many incidents of physical assault by patients, visitors and other members of the public against staff that involved weapons were recorded in the following financial years?

2024-25
2023-24
2022-23

4. How many incidents of physical assault by patients against staff that involved weapons were recorded in the following financial years?

2024-25
2023-24
2022-23

5. How many incidents of bullying and harassment by staff against other staff were recorded in the following financial years?

2024-25
2023-24
2022-23

6. How many incidents of physical assaults by staff against other staff were recorded in the following financial years?

2024-25
2023-24
2022-23

7. How many injuries to staff as a result of physical assaults by other staff were recorded in the following financial years?

2024-25
2023-24
2022-23

DSPT-Relevant Current & Incoming Suppliers

Corporate Governance

Dear Gloucestershire Health and Care NHS Foundation Trust,

Under the Freedom of Information Act 2000, please provide the following information:

1. A list of all external suppliers, contractors, or partner organisations who currently fall within the remit of the NHS Data Security & Protection Toolkit (DSPT) for your organisation.

This includes any supplier that handles patient data, accesses NHS systems, or provides digital, software, cloud, data-processing, or cyber-security services requiring DSPT compliance.

2. A list of any new, incoming, or planned suppliers (contracted or due to go live within the next 12 months) who will fall within the DSPT remit for the same reasons.

3. For each supplier identified in Q1 or Q2, please confirm (if recorded):

– Whether they are required to maintain a “Standards Met” DSPT submission

– The date you last checked or verified their DSPT status (or expected verification date for new suppliers)

4. Does your organisation maintain an internal register or log of DSPT-relevant suppliers (including planned or onboarding suppliers)?

– If yes, please provide the relevant extract.

– If no, please confirm that no such register exists.

Sexual Health

Communications, Medical Equipment

Under the Freedom of Information Act, we would like to request the following information from your Trust. We would be grateful for any information you can provide, and if you are unable to answer certain questions, please complete the remaining questions. In line with the latest classification, Vaginismus and Dyspareunia have been redefined under the same diagnostic category, Genito Pelvic/Pain Penetration Disorder (GPPPD). GPPPD is a combination of painful sex, penetration difficulties and involuntary vaginal muscle spasm. Therefore, any information on the three conditions would be appreciated.

Young People Experiencing Homelessness

Dear Freedom of Information Officer,

I am writing to request information under the Freedom of Information Act 2000. I am an undergraduate student conducting research for my major study project, researching access to NHS Mental Health Services for young people experiencing homelessness.

Specifically, I am requesting anonymised data regarding service users who meet the following criteria:

1. Age range: 18 to 24 years.

2. Accommodation status: Those identified as NOT living in homeless supported accommodation, such as (but not limited to):
• Living with parents
• Living with friends
• Living alone
• Living with family

3. Time period: From 1 January 2020 to the most recent available data.

I would be grateful if the information could include the following, presented in aggregate/anonymised form:

• The number of individuals aged 18–24 each year since 2020 who were identified as living in homeless supported accommodation (as defined above).
• If available, a breakdown by year (2020, 2021, 2022, 2023, 2024, and 2025 to date).

I am not seeking any personal or identifiable information. I only require anonymised, aggregated data.

If it is not possible to provide the information in full due to cost or other limitations, please provide as much of the requested information as possible within the cost limits of the Act.

If it is easier to send over data regarding all contact from 18 – 24 year olds during the time period I am also happy to filter through the anonymised data and extract the relevant accommodation types – I want to make it as easy as possible for whoever handles my request.

Thank you for your assistance.

Yours sincerely,

Mental Health Outsourcing

Health, MH Services

Good morning,

Please can you provide me with the below information:

In the last 6 months (June 25- November 25), please confirm if any Mental Health services have been outsourced:

If yes, please confirm:

-The service provided E.G ADHD, Autism etc (please provide breakdown for each service if applicable)

-The name of the company each service was outsourced to

-Is there a contract in place and the length of contract for each service provided (if applicable)

-The value of each service in the last 6 months

Please confirm how this contract was procured E.G Tender, Direct Award etc

Please provide an email and contact name within the outsource provider

Thanks

Networking, Virtualisation and Cloud

Question
1. For each of the elements below, please provide details about your cloud provider: Main provider Total annual spend 2025/2026 (£) Contract end date Additional notes
Data storage
Networking
Back-up and archive
Application databases
Big Data analytics databases
Email

2. For each of the network supply systems listed below, please provide the requested details: Main supplier Total annual spend 2025/2026 (£) Contract end date Additional notes
Mobile telecoms
Data network (broadband)
DEFINITION: Broadband is the actual internet connection afforded by your internet service provider (ISP), which you can access directly via a LAN or ethernet connection between your modem and device
WiFi (hardware)
DEFINITION: Wifi is a wireless connection between multiple devices and your router, and just one of the ways you can access the internet
CoIN (if applicable) – Community of Interest Network
WAN (Wide Area Network)
DEFINITION: WANs connect users and applications in geographically dispersed locations
LAN (Local Area Network)
DEFINITION: LANs connect users and applications in close geographical proximity (same building)
VPN provider
Other (please specify)

3. Please supply the following details regarding your servers: Main supplier Total annual spend 2025/2026 (£) Contract end date Additional notes

4. For each element of IT infrastructure below, please provide the requested details: Main provider Total annual spend 2025/2026 (£) Contract end date Additional notes
Desktop management
Networking
Data Centre: hardware
Server management
IT/cyber security support supplier?

5a: What percentage of your servers are virtualised? % Virtualised Main supplier Additional notes

DEFINITION: A virtual server re-creates the functionality of a dedicated physical server. It exists transparently to users as a partitioned space inside a physical server.

5b: In relation to your trust’s virtual servers please provide the requested information: Number of servers Owned or Leased Average age of servers Main supplier Annual spend 2025/2026 (£) Additional notes

6a: Does your trust have any virtualised desktops? Main product Main Supplier Total annual spend 2025/2026 (£) Number of virtual desktops Contract end date Additional notes
DEFINITION: A virtual desktop is a preconfigured image of operating systems and applications in which the desktop environment is separated from the physical device used to access it. Users can access their virtual desktops remotely over a network.

6b: If your organisation does not have virtualised desktops, are you planning to implement any within the next two years? Yes/No Preferred supplier Expected number Additional notes
Where you plan to implement new virtualised desktops, please provide details as requested

7: Please outline your trust’s WiFi coverage for each element listed below Patient WiFi coverage Staff WiFi coverage Additional notes
Community wide (e.g. CoIN – Community of Interest Network)
Enterprise wide (whole campus)
Main building only
Sections of building(s) only
Mobile phone signal enabled through WiFi
No wireless networks are used in the trust

Ophthalmic Diagnostic Staff, Community Diagnostic Centre

GHNHSFT - Redirect

Dear Freedom of Information Officer,

I am writing to request information under the Freedom of Information Act 2000 regarding ophthalmic diagnostic staff, Community Diagnostic Centre? (CDC) within your Trust’s Ophthalmology service.

Specifically, I am requesting the following:

Job Descriptions for all bands of ophthalmic technicians/ophthalmic photographers and their imaging lead who perform diagnostic investigations/Jobs such as: Optical Coherence Tomography (OCT) Fundus Fluorescein Angiography (FFA) Visual Acuity (VA) assessment Intraocular Pressure (IOP) measurement Corneal Topography Visual Field testing Optos widefield or fundus imaging Training and assessing ophthalmic staff Handling and managing patient images in accordance with legal, regulatory, and governance requirements Research-related ophthalmic photography

Any other ophthalmic imaging or diagnostic procedures carried out by this staff group Job Matching Reports (AFC job matching panel documentation) for these roles, including the matched national job profile used for each post.

If these staff report to an Ophthalmic Lead (or equivalent supervisory role), please provide the job description and job matching report for that lead role.

Note: If the supervisory role is held by nursing staff (e.g., Matron, Sister), this information is not required.

Also attached a questionnaire to fill in if the information is available The purpose of this request is to compare ophthalmic technician job descriptions and their associated national job profiles across NHS Ophthalmology services in England.

If any part of this request is unclear, or if the information is not held in the exact form requested, please advise and provide the closest available information.

Thank you for your time and assistance.

Yours faithfully,

Gastroenterology / Dietetic Service

GHNHSFT - Redirect

Dear Trust Officer, I am writing to request information under the Freedom of Information Act 2000. I would be grateful if you could provide the following data relating to irritable bowel syndrome (IBS) and gastroenterology/dietetic services. 1. Patient Referrals a. The number of patients diagnosed with IBS who have been referred to gastroenterology services in each of the past five years. b. The number of patients diagnosed with IBS who have been referred to dietetic services in each of the past five years. c. What criteria are used to determine whether an IBS patient is referred to gastroenterology vs dietetics? 2. Workforce a. The number of dietitians currently employed by the Trust who are trained or specialised in gut health, IBS, or gastrointestinal disorders. 3. Waiting Times and Waiting List Size a. The current average waiting time for a gastroenterology appointment, and the number of IBS patients currently on the gastroenterology waiting list and for how long. b. The current average waiting time for a dietitian appointment, and the number of IBS patients currently on the dietetic waiting list and for how long. 4. Service Capacity and Referral Pathways a. If the Trust is unable to offer appointments to all patients with IBS who are referred to gastroenterology or dietetic services, please describe the process followed. Where are these patients directed or signposted to (e.g., community services, external providers, self-management resources)? 5. Service provision: • Does the Trust offer any specialist IBS clinics or multidisciplinary clinics? • What patient education or self-management resources are provided for IBS? • Does the Trust outsource IBS-related dietetic or gastroenterology care to private or third-party providers? If so, to which providers and how many patients in each of the last five years? 6. Follow-up and discharge policy: • What is the Trust’s policy for follow-up appointments for IBS patients? • Under what circumstances are IBS patients discharged back to GP care? If any part of my request cannot be fulfilled, please provide advice and assistance as required under Section 16 of the FOI Act. I would prefer to receive this information electronically at the email address above. I understand that I am entitled to a response within 20 working days, but I appreciate that this is a detailed request and the holiday season; if an extension is required under the Act, I would be grateful if you could advise me accordingly.

GHC-27122025-645766

GHNHSFT - Redirect

Dear Trust Officer, I am writing to request information under the Freedom of Information Act 2000. I would be grateful if you could provide the following data relating to irritable bowel syndrome (IBS) and gastroenterology/dietetic services. 1. Patient Referrals a. The number of patients diagnosed with IBS who have been referred to gastroenterology services in each of the past five years. b. The number of patients diagnosed with IBS who have been referred to dietetic services in each of the past five years. c. What criteria are used to determine whether an IBS patient is referred to gastroenterology vs dietetics? 2. Workforce a. The number of dietitians currently employed by the Trust who are trained or specialised in gut health, IBS, or gastrointestinal disorders. 3. Waiting Times and Waiting List Size a. The current average waiting time for a gastroenterology appointment, and the number of IBS patients currently on the gastroenterology waiting list and for how long. b. The current average waiting time for a dietitian appointment, and the number of IBS patients currently on the dietetic waiting list and for how long. 4. Service Capacity and Referral Pathways a. If the Trust is unable to offer appointments to all patients with IBS who are referred to gastroenterology or dietetic services, please describe the process followed. Where are these patients directed or signposted to (e.g., community services, external providers, self-management resources)? 5. Service provision: • Does the Trust offer any specialist IBS clinics or multidisciplinary clinics? • What patient education or self-management resources are provided for IBS? • Does the Trust outsource IBS-related dietetic or gastroenterology care to private or third-party providers? If so, to which providers and how many patients in each of the last five years? 6. Follow-up and discharge policy: • What is the Trust’s policy for follow-up appointments for IBS patients? • Under what circumstances are IBS patients discharged back to GP care? If any part of my request cannot be fulfilled, please provide advice and assistance as required under Section 16 of the FOI Act. I would prefer to receive this information electronically at the email address above. I understand that I am entitled to a response within 20 working days, but I appreciate that this is a detailed request and the holiday season; if an extension is required under the Act, I would be grateful if you could advise me accordingly.

SAR / Information Sharing Policy

Copy of Trust Policy

Dear FOI team,

Under the FOI Act, please can you provide the following:

1. A copy of your Trusts SAR Policy and Information Sharing Policy
2. Copies of SOPs or documents used for training and guidance to your SAR staff (or the staff that processes SARs on behalf of the Trust) e.g. reviewing for third party material, recognising a SAR etc.
3. The number of WTE employed in your SAR teams, including A4C banding
4. The structure for SAR team
5. Compliance rate for the following calendar years: 22, 23, 24, 25(thus far)

Thank you

Paternity Leave Policies and Data

Copy of Trust Policy, Staffing

Dear Gloucestershire Health and Care NHS Foundation Trust,

I would please like to know:

1) Your parental leave policies, including paternity leave and pay and maternity leave and pay. If you have different policies for medical and non-medical staff, please include all different policies.

2) In the last three years for which you have data, how many staff members were eligible for paternity leave?

3) In the last three years for which you have data, how many staff members took paternity leave, and for how many weeks on average?

4) In the last three years for which you have data, what was the average salary for staff who were eligible for paternity leave? (If it is not possible to provide this, please provide the average salary for all the trust’s staff instead)

For queries 2 – 4, please provide separate data for medical and non-medical staff, but if this is not possible, please provide combined data for both instead.
If you are unable to answer all of these questions, please prioritise answering them in order.

Agency and Bank Staffing for Internal and External Communications

Communications, ESR/Workforce, Staffing

Dear Freedom of Information Officer,

Request for Information: I request the following information under the Freedom of Information Act 2000 regarding temporary worker usage for communications roles.

Definition of Scope: For the purposes of this request, “communications” refers to any function or team managed, hosted, or funded through the Trust’s structures (including work performed for Integrated Care Boards (ICBs), regional partnerships, or shared service models) that encompasses:

Internal or external communications functions;

Media relations or the Press Office;

Social media management and digital content;

Marketing and brand management (where these sit within the communications structure).

Definition of Personnel: For the purposes of this request, the term “agency” refers to all temporary or non-permanent staff, including those engaged via an external recruitment agency, a Managed Service Provider (MSP), or the Trust’s internal “Staff Bank” where such an arrangement exists.

Timing and Cooperation: To ensure the data provided is accurate and aligned with your internal reporting cycles, I am happy to allow the necessary time for your teams to complete the December 2025 (Month 9) month-end close before running these reports. I recognise that the holiday period may impact administrative capacity and I seek a collaborative approach to ensure the provision of a complete and reconciled dataset.

Please provide the following data:

1. 2025/26 Actuals and Outturn Forecast

1a. Provide the total number of days a temporary worker was employed via an agency or bank for the communications roles defined above from 1 April 2025 to the end of the December 2025 (Month 9) reporting period. (If data is only held in hours, please provide the total hours and specify the standard working day length).

1b. Provide the current projected year-end outturn for the total number of agency/bank days for these roles for the full 2025/26 financial year (ending 31 March 2026).

1c. Provide a breakdown of these days by Agenda for Change (AfC) Band or job title.

2. 2026/27 Planned Requirements

2a. Provide the total number of days currently budgeted or forecasted for agency-provided or bank communications staff for the 2026/27 financial year.

2b. Funding and Management Qualifier: This request explicitly includes all agency and bank requirements managed or funded through the Trust, regardless of whether the end-user is the Trust itself, an ICB, or a regional partnership.

2c. Financial Qualifier: Note that I am requesting the currently held financial forecasts and draft budget allocations for 2026/27 as they exist at the time of this request. If these forecasts do not yet segment requirements by specific band, please provide the overall forecasted budget for temporary staffing within the communications function.

Public Interest and Statutory Compliance: This information is requested to ensure transparency regarding the use of public funds and the efficiency of NHS staffing structures. There is a clear and compelling public interest in disclosure regarding how authorities manage workforce budgets and their reliance on non-permanent staffing models.

Requirement for Third-Party Data: If this information is held on your behalf by a Managed Service Provider (MSP) or Master Vendor, note that under Section 3(2)(b) of the Freedom of Information Act 2000, this information is deemed to be held by the public authority. I respectfully request you immediately retrieve this data from your provider to fulfill this request without delay.

Format of Response: Provide this data in a machine-readable format (Excel or CSV). Please include separate columns for: “Band/Role Title,” “Actual Days (YTD),” “Forecasted Outturn (25/26),” and “Planned Requirement (26/27).”

To ensure full compliance and avoid data processing delays, provide the requested information in a machine-readable Microsoft Excel (.xlsx) or CSV format, specifically organized into separate columns for Role Title, Actual Days (YTD), Forecasted Outturn (25/26), and Planned Requirement (26/27).

Cost of Compliance If you estimate the cost of compliance will exceed the statutory limit, please prioritize the data for Section 1 (2025/26). Under Section 16, please advise how I might refine the remainder of the request to bring it within the limit.

Yours faithfully,

Mealtime / Dining Room Support – Patients with an Eating Disorder

Eating Disorder, Health

To Whom It May Concern, I am writing to request information under the Freedom of Information Act 2000.

I would be grateful if you could provide copies of any internal guidelines, protocols, policies or standard operating procedures that relate specifically to mealtime/ dining room support in the treatment of eating disorders within your services.

This includes, but is not limited to documents that cover:

– expectations and roles of staff during mealtimes
– levels of supervision and support before, during and after meals or snacks management of meal‑related distress, behaviours or incidents
– use of any structured mealtime programmes or approaches
– nasogastric feeding or the use of oral nutrition supplements If different guidelines are used in different settings,

Please provide all relevant documents. For example, where your organisation has separate or adapted guidance for: inpatient wards day‑hospital or day‑programme services intensive outpatient / intensive community treatment outpatient or community services Similarly.

I would also be grateful if you could provide all protocol versions, if different protocols apply to different age groups, including: adult eating disorder services CAMHS / children and young people’s eating disorder services all‑age or transition services, if applicable

If your organisation does not have written mealtime support guidelines, please kindly let me know.

If you require any clarification in order to process this request, please let me know.

Workforce Management Solutions

ESR/Workforce, Nursing & Agency Nursing

Under the Freedom of Information Act 2000, I would like to request the following information relating to the Trust’s workforce management solutions, covering the financial years 2020/21 through to 2025/26 (projected).

To avoid any doubt or misinterpretation when responding to this request, please refer to the following definitions:

‘Workforce Management Solutions’ refers to all tools, systems, processes, or platforms used by Trust to plan, deploy, manage, record, analyse, or support the workforce, including both clinical and non-clinical staff

‘Digital Workforce Management Solutions’ refers specifically to software-based systems used by the Trust to manage any part of the above workforce lifecycle

‘Substantive staff’ are defined by NHS Digital as: Employees who hold a permanent contract of employment with the NHS organisation, or who are employed on a fixed-term contract directly by the organisation, and are recorded in the Electronic Staff Record

Bank staff: employees working via the Trust’s internal staff bank

Locum staff: temporary medical or AHP workers directly engaged by the Trust

Agency staff: temporary workers supplied via external agencies
For the purpose of this request, ‘shift fill rate (%)’ refers to the percentage of shifts filled out of the total number of shifts requested (i.e., number of shifts filled ÷ number of shifts requested × 100).
Please provide answers on the attached and accompanying spreadsheet
1. Please could you supply the name, email address and telephone number of the individual responsible for procuring digital workforce solutions within the Trust.
2. Please provide details of all digital workforce management systems currently used by the Trust. For each system, complete the table attached on the accompanying spreadsheet with all relevant information. Please provide the requested information in the columns as fully as possible. If a field is not applicable, please indicate ‘NA’.
Guidance for completion:
– Solution: e.g., E-rostering, Staff Bank, Locum Management, Agency Management, Compliance, Payments, Integrated Platform
– Supplier: Name of the company or provider of the system
– Procurement Route: e.g., direct award, framework call-off, open tender, G-Cloud, SBS, HSSF, other. Name of framework if the system was procured through one
-Contract Start: Enter the official contract commencement date for the system
-Contract End: Please enter the official contract end date for the current agreement. If the contract includes automatic extensions, option years, or renewal clauses, please list the scheduled end date of the current term, rather than the potential maximum duration
-Renewal Status: e.g., rolling contract, fixed-term with remaining duration, under review
3. Across each of these staff groups, HCHS Doctors, Nurse & Health Visitors, AHPs and Others, please provide the average shift fill rate (as a percentage), from the financial years 2020/21 to 2025/26 (projected) attributable to
a. Bank staff
b. Agency staff
c. Locum staff
d. Other temporary staff
e. Permanent staff
4. Please provide the number of temporary staffing requests made by the Trust, from the financial years 2020/21 to 2025/26 (projected), broken down by staff group:
– Bank staff
– Locum staff
– Agency staff
5. Please provide the Trust’s allocated annual budget for digital and technology services, from the financial years 2020/21 to 2025/26 (projected)
(If a formal digital budget is not held as a single line, please provide the closest available equivalent recorded internally)
6. Of this overall digital/technology expenditure, please provide the Trust’s annual spend specifically on workforce management solutions, from the financial years 2020/21 to 2025/26 (projected) (including both digital systems and non digital/operational workforce management services)
(If no dedicated budget line exists, please provide the Trust’s best internal estimate)
7. Within that workforce management expenditure, from the financial years 2020/21 to 2025/26 (projected) , please provide the annual spend on digital workforce management systems, including (but not limited to) e-rostering, bank systems, agency management systems, job planning, locum management, compliance systems, payments platforms, and integrated workforce platforms
If reported across multiple contracts or cost centres, aggregated totals are acceptable
8. What is the Trust’s total spend on temporary workforce, from the financial years 2020/21 to 2025/26 (projected) by type?
– Staff banks shifts
– Locum shifts
– Agency shifts
9. Please provide the total number of vacancies (FTE) within the Trust, broken down by staff group, from the financial years 2020/21 to 2025/26 (projected)
– HCHS Doctors
– Nurses & Health Visitors
– AHPs
– Others

Peer Support Workers

MH Services, Staffing

Dear FOI Officer, Under the Freedom of Information Act 2000,

I am writing to request information regarding Peer Support Workers (PSWs) and other lived-experience roles within your trust. For clarity, “peer support workers” refers to staff employed in roles where lived experience of mental health challenges is essential to their work.

I would be grateful if you could provide the following information as of 1st November 2025:

1. Workforce numbers:

a. Total number of Peer Support Workers employed in the trust and number of volunteer PSWs (if applicable).
b. Total number of other roles where lived experience is an essential requirement (e.g., peer trainers, peer educators).
c. Percentage of PSW workforce who are on a fixed-term contract.

2. Role banding / grading:
a. Number of PSWs at each NHS band (e.g., Band 2, 3, 4, etc.).
b. Number and names of other lived-experience roles at each band.

3. Training and development:

a. Are PSWs trained internally by the trust, externally by a third party, or both?
b. Do PSWs receive training prior to starting their role, on-the-job, or a combination of both?
c. Continuing Professional Development (CPD) opportunities available for PSWs.
d. Career progression routes for PSWs (brief description or number progressing to other roles in the last 12 months).

4. Absence and wellbeing:

a. Average sickness absence for PSWs over the past 18 months (days lost per FTE).
b. If available, the percentage of sickness absence related to mental health.

5. Directorate allocation:

a. Number of PSWs employed in each directorate/service area (please name each directorate area within your response).
b. Where peer support sits within the organisation structure (e.g., Patient Participation and Involvement, Nursing, Recovery Services, or other)-please describe.

6. Workforce composition:

a. Percentage of the trust’s total workforce in lived-experience or peer support roles.
b. Number and percentage of roles with essential lived experience within the job description/person specification relative to total trust workforce.
c. Ethnic diversity of PSWs (percentage of PSW’s who identify as BAME).

7. Workforce trends:

a. Has the number of PSW or lived-experience roles increased, decreased, or stayed the same over the past 18 months?
b. Any anticipated change in the number of PSW roles over the next 18 months (optional/if available).

If the information is not held centrally, please provide it in the form that is available.

Thank you for your assistance.

Alzheimer’s Claims

Corporate Governance, Organisation

To whom it may concern,

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

How many negligence claims related to Alzheimer’s Disease has your trust received in the years 2021, 2022, 2023, 2024 and 2025? Can you please provide the number per year and not as a total.

If this is too much, could you please just provide the year 2024 and 2025.

Can you also provide how much has been paid out for these negligence claims for each year – 2021, 2022, 2023, 2024 and 2025? Can you please provide the number per year and not as a total.

If this is too much, could you please just provide the year 2024 and 2025.

If it is not possible to provide some of the data requested, I would be grateful if you could provide whichever elements of this FOI request are eligible for release.

Therefore, if it is possible to ascertain within the prescribed time limit, without having to provide a fee for further investigations, please respond in electronic form with all the information above to my email address.

Thanks,

CIDP, Neuropathy, and GBS Diagnoses (2015–Present)

GHNHSFT - Redirect

FOI Request – CIDP, Neuropathy, and GBS Diagnoses (2015–Present) Dear FOI Team, I am writing to request information under the Freedom of Information Act 2000. Please provide the following data for the period January 2015 to the present, separated by calendar year:

1. The number of patients diagnosed with Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)

2. The number of patients diagnosed with Guillain-Barré Syndrome (GBS)

3. The number of patients diagnosed with neuropathy-related conditions, including sensory neuropathy, motor neuropathy, and autoimmune neuropathies For each condition, please indicate:

– The total number of patients diagnosed per year
– How many were treated as inpatients and how many as outpatients
– If possible, please include data from inpatient admissions, outpatient referrals, and neurology department records.

I do not require data broken down by age, gender, or vaccine status.

Please treat this as a formal FOI request.

I understand you are required to respond within 20 working days.

Sexual Safety Incidents

Safety and Security, Serious Incidents

Dear Sir/Madam,
I hope you are well.

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

1.How many sexual safety incidents took place in trust premises since 1 Jan 2020 to date?
Total

2.Please provide a breakdown of the total provided in question 1 by calendar year*
a) 2020 b) 2021 c) 2022 d) 2023 e) 2024 f) 2025 to date

3.Please provide a breakdown of the total provided in question 1 by type of sexual safety incident – e.g. a) rape, b) sexual assault etc
a) Rape b) Sexual assault c) Sexual harassment d) Stalking e) Abusive sexual remarks f) Other

4.Please provide a breakdown of the total provided in question 1 by age of victim in the following categories: a) under 18, b) 18-64 and c) 65 and over**
a)Under 18 b) 18-64 c) 65+

5.Please provide a breakdown of the total provided in question 1 by status of the victim and perpetrator in the following categories:
1. Perpetrator was a staff member and victim was staff member
2. Perpetrator was a member of the public (or patient) and victim was a member of the public (or patient)
3. Perpetrator was a member of the public (or patient) and victim was a staff member
4. Perpetrator was a staff member and victim was a member of the public (or patient)
a)staff against staff b)public/patient against public/patient c)public/patient against staff d)staff against public/patient

6.Please provide a breakdown of the total number of rapes since 1 Jan 2020 (i.e. the answer to 3.a) by the age of the rape victim in the following categories: a) under 18, b) 18-64 and c) 65 plus**
a)Under 18 b) 18-64 c) 65+

7. Does your trust have a dedicated policy to deal with sexual assault and harassment? If so please provide a copy of your trust’s written policy and if possible provide a date that the current policy was put in place.

*If your trust records this information in tax year, please provide the following yearly totals instead: 2020/21, 2021/22, 2022/23, 2023/24, 2024/25, 2025/26 to date.
**If your trust records this information in different age categories, please provide any information on age of victim available.

I would appreciate it if you could acknowledge receipt of this request and CC in my colleagues Jim.Reed@bbc.co.uk and Alex.Fleming-Brown@bbc.co.uk
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 have any questions don’t hesitate to contact me over email.
Many thanks,
BBC Newsnight and BBC Health

Sick Leave Data

ESR/Workforce, Staffing

Dear Gloucestershire Health and Care NHS Foundation Trust,

I would please like to know, in each of the last three years for which you have data:

1) The number of staff employed by the trust

2) The total number of days of sick leave taken by staff who took paternity leave in the preceding 12 months

3) The total number of days of sick leave taken by all staff across the trust

If you are unable to provide all this data, please provide it for only the most recent full year for which you have data.

Yours faithfully,

Sick Days / Paternity Leave

ESR/Workforce, Staffing

in each of the last three years for which you have data:

1) The number of staff employed by the trust

2) The total number of days of sick leave taken by staff who took paternity leave in the preceding 12 months

3) The total number of days of sick leave taken by all staff across the trust

Brain Injuries

CAMHS/CYPS, Health, MH Services

I am writing regarding an FOI data request for the NHS Gloucestershire Health and Care you manage on the care provided for those with traumatic brain injuries. Please find all relevant questions in below and we look forward to receiving the data within 20 working days.


1) How many patients with the primary diagnosis of traumatic brain injury were referred for neurological care following discharge from a rehabilitation unit?
2020 2021 2022 2023 2024
Insert number Insert number Insert number Insert number Insert number

2) What is the average wait time for patients to access neurological care services following referral from rehabilitation?
2020 2021 2022 2023 2024
Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number Under 18 weeks: insert number
Over 18 weeks: insert number

3) Please provide a list of neurological and rehabilitation services available for patients with traumatic brain injuries within your region

Use of Restraints in Mental Health Services

CAMHS/CYPS, Health

We are submitting a request under the Freedom of Information Act 2000 regarding admissions into mental health inpatient services, disaggregated by demographic characteristics.

1. For the financial year 2023/24, please give the total number of patients disaggregated collectively by disaggregated by gender, ethnicity, and religion or belief, disability status, and sexual orientation admitted into:
a) CAMHS in-patient services*
b) Adult mental health in-patient services

2. For the financial year 2023/24, and disaggregated by gender, ethnicity, and religion or belief, disability status, sexual orientation and restraint type, i.e. prone restraint (also known as face-down restraint), chemical restraint, etc., please give the number of patients who experienced restraint by one or more members of staff in both:
a) adult inpatient mental health services
b) CAMHS inpatient mental health services*

3. For the financial year 2023/24, and disaggregated by gender, ethnicity, and religion or belief, disability status, and sexual orientation and restraint type, i.e. prone restraint (also known as face-down restraint), chemical restraint, etc., please give the number of incidents of restraint experienced by patients in both:
a) adult inpatient mental health services
b) CAMHS inpatient mental health services*

*If your ICB does not provide in-patient CAMHS services please make this clear.

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