Responses

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

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

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

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

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

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

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

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

Referrals and Treatments for Overactive Bladder

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

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

Please provide the information broken down by calendar year.

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

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

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

Mental Health Inpatient Readmissions

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

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

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

Information to Patients Diagnosed with C. Difficile Infection

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

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

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

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

Performance Data for the IAPT/NHS Talking Therapies

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

Trust Estate Infrastructure

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

Provision of Transcranial Magnetic Stimulation (TMS).

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

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

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

Food Poisoning Admissions

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

Nursing Agency Spend

Nursing & Agency Nursing

Please can you provide the below information:

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

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

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

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

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

IT Spend, DMA and HIMSS July 2025

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

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

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

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

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

Response to Courts Clarification in the Vs Women’s Scotland

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

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

Extended Reality (XR) in Healthcare

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

Mental Health and Substance Use Data for Academic Research

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

Use of Non-Disclosure Agreements in Trusts

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

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

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

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

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

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

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

Holter ECG Analysis

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

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

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

Wound Care Services

Commercial

Freedom of Information Requests:

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

Job Planning for Pharmacists

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

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

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

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

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

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

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

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

Market for Bank or Agency Management Services

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

Elastomeric Infusion Devices

Does your trust use Elastomeric Infusion Devices? If so, please can you answer the below questions:

Which departments use Elastomeric Infusion Devices?
i.e. Oncology, Haematology, Urology, ENT, Surgery, Orthopaedics, OPAT, Paediatrics, Virtual wards, Palliative Care, other

Which brand(s) of Elastomeric Infusion Devices do you use?
i.e. Baxter Intermate, Baxter Infusor, Vygon Accufuser, Adriamed Easyflow, Nipro Surefuser+, B. Braun Easypump II, Leventon Dosi-Fuser, other

Does your trust purchase pre-filled Elastomeric Infusion Devices from commercial providers?
If yes,
How many do you buy pre-filled per year?
Which drugs do you buy pre-filled?

Does your trust fill Elastomeric Infusion Devices in your pharmacy aseptic unit?
If yes,
How many do you fill in your pharmacy aseptic unit per year?
Which drugs do you fill in your pharmacy aseptic unit?

Does your trust fill Elastomeric Infusion Devices in patient’s homes/outpatient clinic/community setting or similar environment?
If yes,
How many do you fill in patient’s homes/outpatient clinic/community setting per year?
Which drugs do you fill in patient’s homes/outpatient clinic/community setting?

Treatment of Insomnia

Clinical Activity Data, MH Services

I would be grateful if you could please answer the following question.

In the last 12 months, how many unique patients have been treated for Insomnia (ICD-10 code G47.0) with the following products:

1). Zopiclone
2). Zolpidem
3). Any other Melatonin product

If you cannot provide the information for each product, please provide the information that you do have available.

Information on Late Payment

Finance

We request under FOIA that you provide, (preferably in Microsoft Excel or an equivalent machine-readable format) the following information in respect of suppliers which were not paid in within 30 days for the period starting 1 April 2019 to the date of this request:
1. Supplier Name
2. Invoice Date
3. Gross Invoice Value
4. Payment Date
5. Late Payment Compensation or Interest Paid (if any)

Restorative Justice in Sexual Safety and Patient Complaints

Serious Incidents

1. NHS Sexual Safety in Healthcare Charter
a) Has your Trust signed up to the NHS England Sexual Safety in Healthcare Charter (2023)?
b) If yes:
o Please confirm the date of adoption
o Provide any internal implementation plans, policy updates, or cultural change programmes associated with the Charter
c) Does your Trust interpret the Charter’s emphasis on person-centred and trauma-informed approaches as including or supporting the use of restorative practices?
2. Restorative Practices in Complaint Resolution
a) Does your Trust use dialogue-based or restorative approaches in patient complaints more generally (e.g., apology meetings, mediation, facilitated dialogue)?
b) If yes, please describe the approach and provide any supporting documents.
3. Use of Restorative Justice or Restorative Practice
a) Has your Trust ever used restorative justice or restorative practices in the context of:
o Sexual harassment, assault, or misconduct involving staff or patients?
o Patient complaints involving interpersonal harm or conflict?
b) If yes to either, please provide:
o A brief description of the approach used
o Any relevant policies, procedures, or internal guidance
o Any staff training materials relating to restorative practice
o Any available summary evaluations or outcome reports without any identifying details included.

Agency Locum AHP/HSS Staffing

Nursing & Agency Nursing

Please can you provide the below information:

From 1st April 2025 to 30th June please provide a breakdown of:
• Total trust spend with framework agencies for locum AHP/HSS staffing.

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st April 2025 to 30th June please provide a breakdown of:
• Total trust spend with off-framework agencies for locum AHP/HSS staffing.

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per band
• Spend per specialty
• Spend per agency name

In the period 1st April 2025 to 30th June please provide a breakdown of:
• Total trust spend with the internal trust bank or associated external provider for locum AHP/HSS staffing

Please provide a further breakdown for locum AHP/HSS staffing by:
• Spend per grade
• Spend per specialty
• Spend per internal or associated external provider

Please confirm your allocated budget for agency locum AHP/HSS staffing for the period 1st April 2025 to 30th June

ECT, Seclusion, Restrains, Medication Errors

Please provide Electro Convulsive Treatment (ECT) information under the FOI act to the following questions: –
1.Please supply patient’s information ECT leaflet
2.Please supply patient ECT consent form
3.Please supply any ECT reports/investigations
4.How many ECT in 2024?
5.What proportion of patients were men/women?
6.How old were they?
7.What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
8.How many people covered by the equality act – specific protected characteristics – excluding age + gender – received ECT ?
9.How many people were offered talking therapy prior to ECT ?
10.How many were receiving ECT for the first time?
11.How many patients consented to ECT?
12.How many ECT complaints were investigated outside the NHS ?
13.How many patients died during or 1 month after ECT and what was the cause (whether or not ECT was considered the cause)?
14.How many patients died within 6 months after ECT and what was the cause (whether or not ECT was considered the cause)?
15.How many patients died by suicide within 6 months of receiving ECT (whether or not ECT was considered the cause)?
16.How many patients have suffered complications during and after ECT and what were those complications?
17.Have there been any formal complaints from patients/relatives about ECT?
18.If so, what was their concerns?
19.How many patients report memory loss/loss of cognitive function?
20.What tests are used to assess memory loss/loss of cognitive function?
21.Have MRI or CT scans been used before and after ECT?
22.If so, what was the conclusion?
23.How does the Trust plan to prevent ECT in the future?

Please provide restraints information under the FOI act to the following questions: –
1.Please supply any Restraints/investigations
2.How many RESTRAINTS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
6.How many people covered by the equality act – specific protected characteristics – excluding age + gender – were restrainted?
7.How many RESTRAINTS were investigated outside the NHS?
8.How many patients died during or 1 month after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
9.How many patients died within 6 months after RESTRAINTS and what was the cause (whether or not RESTRAINTS was considered the cause)?
10.How many patients died by suicide within 6 months of receiving RESTRAINTS (whether or not RESTRAINTS was considered the cause)?
11.How many patients have suffered complications during and after RESTRAINTS and what were those complications?
12.Have there been any formal complaints from patients/relatives about RESTRAINTS?
13.If so, what was their concerns?
14.Are counts of forced injections available? if so how many people were forcible injected ?
15.How does the Trust plan to reduce restraints in the future?
16.How many of these restraints were face down restraints?

Please provide SECLUSION information under the FOI act to the following questions: –
1.Please supply any SECLUSION reports/investigations
2.How many SECLUSIONS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
6.How many people covered by the equality act – specific protected characteristics – excluding age + gender – were secluded ?
7.How many SECLUSIONS were investigated outside the NHS?
8.How many patients died during or 1 month after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
9.How many patients died within 6 months after SECLUSION and what was the cause (whether or not SECLUSION was considered the cause)?
10.How many patients died by suicide within 6 months of receiving SECLUSION (whether or not SECLUSION was considered the cause)?
11.How many patients have suffered complications during and after SECLUSION and what were those complications?
12.Have there been any formal complaints from patients/relatives about SECLUSION?
13.If so, what was their concerns?
14.How does the Trust plan to reduce SECLUSIONS in the future?

Please provide MEDICATION ERRORS information under the FOI act to the following questions: –
1.Please supply any MEDICATION ERRORS reports/investigations
2.How many MEDICATION ERRORS in 2024?
3.What proportion of patients were men/women?
4.How old were they?
5.What proportion of patients were classified people of the global majority or racialised communities (“POC / BAME”)?
6.How many people covered by the equality act – specific protected characteristics – excluding age + gender – endured medication errors ?
7.How many MEDICATION ERRORS were investigated outside the NHS ?
8.How many patients died during or 1 month after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
9.How many patients died within 6 months after MEDICATION ERRORS and what was the cause (whether or not MEDICATION ERRORS was considered the cause)?
10.How many patients died by suicide within 6 months of receiving MEDICATION ERRORS (whether or not MEDICATION ERRORS was considered the cause)?
11.How many patients have suffered complications during and after MEDICATION ERRORS and what were those complications?
12.Have there been any formal complaints from patients/relatives about MEDICATION ERRORS?
13.If so, what was their concerns?
14.How does the Trust plan to prevent MEDICATION ERRORS in the future?

Staff with Purple Passports/Support for Staff with Long Covid

HR, Misc

I am writing to request the following information under the Freedom of Information Act 2000.
1. How many staff members currently employed by Gloucestershire Health and Care NHS Foundation Trust have declared a disability via the Electronic Staff Record (ESR) or any other internal systems?
2. Of these, how many are:
o Issued a Purple Passport (or equivalent), or
o Have been granted reasonable adjustments ?
o How many Purple passport holders have long covid if any ?
3. Does the Trust operate a Purple Passport scheme (or similar system) to support disabled staff in accessing adjustments? If so, please provide a brief description.of what adjustments have been granted and indicate numbers gaining this status

ADHD Assessments

1.What is the name of your Trust?

2. Where are you based?
England
Scotland
Wales
Northern Ireland

3. Do you run an adult ADHD service?
Yes
No (If No the form will skip everything until Q13)

4. How many adults are currently waiting for an ADHD assessment across your Trust?
Please enter the total number. If you do not record this information please enter: Not recorded

5. How many referrals for adult ADHD assessments did you receive across your trust in 2024?
Please enter the total number. If you do not record this information please enter: Not recorded

6.How many adult ADHD assessments did you carry out across your trust in 2024?
Please enter the total number. If you do not record this information please enter: Not recorded

7.Do you support patients while they are on the waiting list?
Yes
No (If No the form will skip Q8)

8.Please outline what support you offer patients while they are on the waiting list?

9.Has your any part of your Trust closed waiting lists for new adult ADHD assessment referrals at any point in the last 12 months?
Yes
No (If No the form will skip Q10)

10. Please give details of which services were affected and for how long?

11.Do any adult ADHD services across your trust have an exclusion criteria for assessment referrals?
Yes
No (If no, the form will skip Q12)

12.Please select all relevant reasons from this list:
We do not accept patients over a certain age
We only accept patients with complex cases, eg other mental health conditions
We do not accept patients who are being seen by an adult mental health team or have complex mental health conditions
We do not accept patients if we believe their symptoms are not causing significant functional impairment
The service is only commissioned to see a certain amount of patients, so new referrals are rejected after that target is reached

13.Feel free to add any more information here

Safety Screening Forms prior to Imaging Examination

We would ask for your NHS Trust to provide information on two aspects:

1. Whether safety screening forms or checklists which are completed by patients prior to a diagnostic imaging examination are in paper form or in digital format (e.g. web-based or tablet)?
This includes but may not be limited to:
• Inclusive Pregnancy status (IPS) or last menstrual period (LMP) forms
• Magnetic resonance imaging (MRI) safety forms
• Contrast media administration (all modalities)
• Bone densitometry (DXA) patient questionnaire
• Any other examination-specific forms e.g. CT colonography or cardiac questionnaires.

2. If any of these are completed in paper form, we would ask for a copy of the current version to be sent via email.

We do not require information regarding staff completed forms e.g. WHO safety forms however, we would request that forms initially completed by a patient and co-signed by a staff member at the time of the examination are included.

The information is being sought to compare practice across Trusts.

Minor Injuries Wait

I am writing to update and clarify my request for information under the Freedom of Information Act 2000.
The purpose of this request is to gather data on overnight Minor Injuries wait times within the trust.
Specifically, I am seeking anonymised data on the following:
1. How many patients in Minor Injuries waited 24 hours or more from time of arrival until admission to hospital or discharge for each of the past five calendar years 2020, 2021, 2022, 2023, 2024 and partial data for 2025 if available
2. How many patients in Minor Injuries waited for 3 hours or more between the hours of 11pm-6am from time of arrival until admission to hospital or discharge for each of the past five calendar years 2020, 2021, 2022, 2023, 2024 and partial data for 2025 if available
3. The average Minor Injuries wait time from time of arrival until admission to hospital or discharge for each of the past five calendar years 2020, 2021, 2022, 2023, 2024 and partial data for 2025 if available
If you are unable to provide the specified information:
• 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 are unable to provide the specified information exactly as requested, please provide *any* data you have that is relevant to the request, e.g. 2024 only, and explain why the other information cannot be provided.

375-2024

Media

In accordance with the Freedom of Information Act 2000, I request the following information: 1. Please can you provide the number of physical assaults against hospital staff by patients and members of the public on the Trusts premises for the following five years: 2019, 2020, 2021, 2022, 2023?
2. How many of these physical assaults were reported to the police for the following five years: 2019, 2020,2021, 2022, 2023?
3. If you hold this data, how many had a criminal justice outcome e.g. cautioned, charged, taken to court. for the following five years: 2019, 2020, 2021, 2022, 2023?
4. Since 2019 has the Trust introduced any additional measures to try to reduce the number of physical assaults against hospital staff? If so, please specify what measures have been taken e.g. body cameras, CCTV in clinical areas, more security guards etc? As you know, under the Act you are required to provide a response within 20 working days.
If you do not provide the information requested, you must explain the legal basis for the information being withheld.
If you decline part of the request due to information being sensitive, the request being too vague, or reasonable cost being exceeded, you must still provide the part you can fulfil.

374-2024

Organisation

1. Has your trust implemented an integrated primary and community care team for adults and older adults with severe mental illnesses as outlined on page 25 of the implementation plan linked above?
2. How many vacancies for pharmacists were created in Adult Mental Health SMI. Community Care teams in each of the following financial years:
a. 2019/20
b. 2020/21
c. 2021/22
d. 2022/23
e. 2023/24 to date
3. How many pharmacists were in place in Adult Mental Health SMI. Community Care teams in each of the following financial years:
a. 2019/20
b. 2020/21
c. 2021/22
d. 2022/23
e. 2023/24 to date
4. How many current unfilled vacancies are there for pharmacists in Adult Mental Health SMI. Community Care teams?
Please provide the information by email. 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.

373-2024

Public

Please confirm the amount of total hours utilised by the Trust for Thornbury Nursing Services on a month by month basis for every month from January 2023 to December 2024.
I would like to add that this is not commercially sensitive information- as it is not asking for any confirmation of charge rates or any other financial data.
This is for safety purposes as I would like to establish the amount of usage an off contract supplier has at the Trust that is not regulated by any regional or national framework agreement. As this information is in the public interest and in the public domain I would expect a response within the 20 day allotted time frame.

369-2024

Public

1. Contract Register Request:
I am seeking the full and entirety of the organisation’s contract register or database. The register should include the following columns/headings or something similar:
Contract Reference -Unique reference number associated with the contract.
Contract Title
Procurement Category –
Supplier Name
Spend Total, Annual or contract value.
Contract Duration
Contract Extensions
Contract Start Date
Contract Expiry Date
Contract Description [Please provide me with as much detail as possible.]
Contact Owner Person that manages the contract register.
Contact details of section 151 officer
CPV codes/Pro-Class
If any of the headings within your contract register has not been provided, please state this within your response.
Please provide the contract’s register file in Excel format.
2. Procurement Strategy Document Request:
Can the organisation provide a full version of their Procurement Strategy for the fiscal year 2023-2024?
If the Procurement Strategy is a strategic direction 2022-2025. instead of an annual plan, please provide an update document for 2023-2024. If an update cannot be provided, please provide information on when an update is planned to be published.
We require the full document. If any parts of this document have been removed, please state this within your response.
3. Contact Details Request:
Provide contact details of the person responsible for API or data sharing, including [Name, Job Title, Telephone, Email Address].
Provide contact details of the person responsible for the actual contract’s register, including [Name, Job Title, Telephone, Email Address].
IMPORTANT:
1. If the organisation has a CRM system or a similar system, ensure there is a facility to download and extract contract data.
2. If providing a weblink to a portal, ensure that all contracts are included, as some organisations may only upload a small portion of their contracts.
3. For organisations planning to make an exemption around spend, clarify that the spend information requested is an overall figure, and a complete breakdown is not required.

Mortuary Practices

I am writing to request information under the Freedom of Information Act 2000 concerning the handling and storage of deceased persons at your hospital’s mortuary.
This request is being made to all NHS hospitals with mortuary facilities located in the UK. I would be grateful if you could provide the following information for your hospital for the most recent 24-month period available:
1. The average length of time deceased individuals are kept in your hospital mortuary prior to release for burial or cremation.
2. The minimum and maximum duration any deceased individual was retained in your mortuary during that period.

3. The total number of deceased released from your mortuary, broken down by:
– Online funeral directors (those primarily operating through online platforms)
– Local/traditional funeral directors (those with a physical local presence)

4. The average duration of stay in your mortuary for deceased individuals handled by:

– Online funeral directors
– Local funeral directors

5. The total number of requests for jewellery to be removed, broken down by:

– Online funeral directors (those primarily operating through online platforms)
– Local/traditional funeral directors (those with a physical local presence)

6. The total number of requests for the deceased to be dressed for viewing in the mortuary, broken down by:

– Online funeral directors (those primarily operating through online platforms)
– Local/traditional funeral directors (those with a physical local presence)

If applicable, I would also appreciate it if you could share any internal protocols or policy documents regarding the standard retention period for deceased individuals in your care.

Referral Criteria for the Community Learning Disability Team

I am making a FOI request in respect of the referral criteria for the Community Learning Disability Team (CLDT), Gloucestershire.

Use of Insourcing Providers

I am writing to request information under the Freedom of Information Act regarding your Trust’s use of Insourcing to support service delivery and reduce waiting lists.

Please could you provide responses to the following:

1. Do you currently use Insourcing providers to support delivery of clinical services and reduce patient waiting lists?
(Yes/No)
2. If yes, please provide the names of all Insourcing providers used by your Trust over the last 12 months.
3. For each provider listed above, please confirm:
o The specialties in which they have delivered services
o The total spend with each provider (for the most recent 12-month period available)
4. What specialties within your Trust currently use Insourcing providers?
5. What procurement route(s) did you use to award Insourcing contracts?
(e.g. NHS SBS, HealthTrust Europe, local procurement, etc.)
6. Are these contracts part of a framework or spot-purchased?
(Please specify for each provider if possible.)
7. What is the duration of the current Insourcing contracts?
(Start and end dates, and whether there are extension options.)

Insourcing

This is a freedom of information request under the Freedom of Information Act 2000. Please provide the following information you have pertaining to NHS insourcing within your Trust / Health Board.
1. Do you use insourcing providers?
2. If yes to the previous question (use of insourcing providers) what is the total value of spend, listed by speciality and insourcing provider, used for Apr-24-Mar-25?
Note: if an insourcing provider covers multiple specialties, please list that provider multiple times (one row for each specialty)
3. Please list below contracts with insourcing providers in the current financial year April 2025 – March 2026

Minimally Invasive Cancer Therapies (MICTs)

I am writing to request information under the Freedom of Information Act (2000).
I would be most grateful if you could please provide details on the use of Minimally Invasive Cancer Therapies (MICTs), commissioned or delivered within your Trust area during the 2024-2025 financial year. The types of treatments MICTs include are:
• Cryoablation
• Selective Internal Radiation Therapy (SIRT)
• High-Intensity Focused Ultrasound (HIFU)

Please confirm if your Trust does or does not commission any of these procedures. If so, please list the therapies involved.
In addition, if your Trust carry out any of these procedures, I would be most grateful if you could please provide me with details of the number of times each therapy was used or delivered within the 2024 – 2025 financial year.
To summarise, I am requesting the following:
1. Does your trust commission and/or deliver any of the following MICTs: Cryoablation, Selective Internal Radiation Therapy (SIRT) and High-Intensity Focused Ultrasound (HIFU)? If yes, which therapies?
2. For each therapy commissioned or delivered, how many times was it used or delivered within the 2024-2025 financial year?

Headbanging and Non-Anchored Ligatures

I am currently looking into the available evidence on behaviours of headbanging and non-anchored ligatures within adult inpatient mental health settings.

As part of this review, I am keen to include information on policies, procedures, areas of good practice that may have been developed. Is there anything within your setting that is shareable?

Wound Care

Health

I have attached a word document which has been laid out for ease. It clearly identifies what information I would like to receive from this freedom of information request.
By saving the attached word document file, it will allow you to fill in the boxes directly, alternatively, it can be printed off and filled in manually if that is easier.

Mental Health Patients who have Died from Diabetes Complications

I would like to make a freedom of information request for the following:

The number of mentally unwell people in your care that have died from diabetes complications from 2014 – 2024. If you do not have these records then please direct me to the government department that does if possible.

Maintenance of Medical Devices

This email is a Freedom of Information request. I would like to request the following information:
• Is the maintenance of medical devices (EBME) managed by an in-house engineering team or fully outsourced?
– If partially outsourced, please specify the approximate percentage of services that are outsourced.
• Who is responsible for managing the maintenance of medical equipment?
– If in-house, please provide key contacts for the EBME Department (e.g., Manager, Deputy Manager, Team Leader).
– If outsourced, please provide the name(s) and contact details of the Trust’s contract manager(s).
• How many pieces of medical equipment are listed for the hospital?
• How many operating theatres does the hospital have?
• How many patient beds are there in the hospital?

Guidelines regarding Mental Health and Care Coordinators

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

Please provide the following information for the time period between 1st January 2019 (or the date of inception for your trust) and 5th May 2025, inclusive.

1. Please send me a copy of any documents outlining guidelines or codes of conduct regarding mental health care plans which have been used or disseminated within the Trust. This should include any materials relating to NICE, CPA Policy, and ‘Triangle of Care’.

2. Please send me a copy of any documents outlining guidelines or codes of conduct regarding care coordinators which have been used or disseminated within the Trust. This should include any materials relating to NICE and ‘Triangle of Care’.

3. Please send me copies of all Serious and Untoward Incident Review documents which relate to the treatment of mental health patients within your trust.

Peer Support Workers

1. How many peer workers/peer mentors or similar roles does your Trust employ?
2. How many senior peer worker/peer supervisor/peer development worker or similar roles does
your Trust employ?
3. What band(s) are your senior peer worker (or similarly titled) roles?
4. Can you provide a job description for these roles?
5. Who supervises the senior peer workers in your Trust
6. Does your Trust employ a lived experience lead/peer support lead?
7. If so, what band(s) are they recruited to?
8. Can you provide a job description for your peer support lead (or similarly titled) role(s)?
9. Did you receive any allocations via the NHSE Mental Health Programme grant funding over the
last 4 years?
10. How many peer workers and peer supervisors (or similarly titled roles) have you trained through
the NHSE training grant funding route?
11. How did the grant money help your organisation?

Solar Energy Usage and Future Plans

Under the Freedom of Information Act 2000, I would like to request information regarding your current and planned usage of solar energy across your estate.

Please could you provide responses to the following questions:

1. Governance & Responsibility
o Do you have a dedicated person or team responsible for solar energy investment and/or sustainability energy initiatives within your organisation?
o If so, please provide their role/title (personal names are not required).

2. Current Solar Deployment
o How many solar panel installations (PV systems) do you currently operate across your estate?
o What is the total installed capacity of these systems (in kWp)?
o What proportion of your organisation’s energy usage is currently provided by solar generation?

3. Investment & Strategy
o Does your organisation have a documented investment strategy for expanding the use of solar panels or increasing on-site renewable energy generation?
o If so, please provide a copy of or link to the relevant strategy or plan (or summarise key points if not published).

4. Solar and Net Zero Commitments
o Does solar energy form part of your organisation’s Net Zero / Carbon Reduction Strategy?
o If yes, how is progress against this strategy communicated to the public (e.g. via website, reports, dashboards, etc.)?

5. Future Plans
o Are there any planned solar panel projects or expansions within the next 3 years? If yes, please provide high-level details (e.g. number of sites, scale of deployment, approximate timescales).
o Have you conducted any feasibility studies on increasing solar capacity in the past 3 years? If so, can these be shared?

6. Procurement & Partnerships
o Does your organisation currently use any third-party companies or frameworks to deliver solar energy solutions or manage installations? If yes, which ones?
o Are there any upcoming procurement exercises planned relating to solar energy or wider renewable energy solutions?

7. Battery Storage
o Do you currently use battery storage alongside your solar panels?
o Are there plans to invest in battery storage in future?

8. Funding
o Has your organisation accessed or applied for any external funding to support solar energy projects (e.g. SALIX, Public Sector Decarbonisation Scheme, LEP funding)?

9. Barriers
o What are the main barriers your organisation faces to further adoption of solar energy (e.g. funding, planning restrictions, roof suitability, internal resource)?

Safeguarding

I would be very grateful for your time and support with providing the below information.

Information requested:

1. Does your Trust provide mental health services for:
o Adults (18+)?
o Children and adolescents (under 18)?

2. Please provide a brief overview of the services provided to Adults
3. Please provide a brief overview of services provided to Children

4. Please provide the number current number of employees

5. Please provide your organisations safeguarding team structure, including Executive, Named Dr’s, all statutory and non-statutory roles and admin support including:

Job titles (specifying adults and or children), MCA and Prevent etc
Please include Grade

Please can you kindly share
Whether the safeguarding function is managed centrally or across individual service areas
What the safeguarding team duties include
Do you provide Looked After Children services?
Is the LAC team part of the safeguarding team?

Who is the lead for implementing sexual safety? (job title and directorate)

Who is the lead for managing allegations against staff? (job title and directorate)

Who manages the child protection invites i.e. centrally, operational teams, safeguarding etc?

Data:

Please could you kindly share the following data

Safeguarding Adults

· Total number of Safeguarding Adult referrals made to the local authority per quarter from Q1 2024 through to Q4 2025
· Total number of referrals by Care Act category of abuse per quarter from Q1 2024 through to Q4 2025
· Total Number of Prevent Referral Q1 2024 through to Q4 2025
Total Number of Allegations against staff referred to the local authority between April 2024 to March 2025
Total Number of allegations against staff managed internally between April 2024 and March 2025

Safeguarding Children

· Safeguarding children referrals made to the local authority per quarter from Q1 2024 through to Q4 2025
· Referrals by Children Act category of abuse per quarter from Q1 2024 through to Q4 2025
· Total Number of Children Early Help referrals per quarter from Q1 2024 through to Q4 2025
· Total Number of Prevent Referrals Q1 2024 through to Q4 2025
Total Number of Allegations against staff referred to the LADO between April 2024 to March 2025
Total Number of allegations against staff managed internally between April 2024 and March 2025

Child Protection Engagement Data

· Total % of engagement (attendance or report) with Children protection Initial Case Conferences per Quarter Q1 2024 through to Q4 2025
Please clarify the % proportion of attendance per quarter
Please clarity the % proportion of reports send instead of attendance

· Total % of engagement with Review Child Protection Conferences per Quarter
Please clarify the % proportion of attendance per quarter
Please clarity the % proportion of reports send instead of attendance

Domestic Homicide Review, SAR’s and Rapid Reviews

Total Number of DHR’s which the organisation has contributed to April 2024 to March 2025
Themes of DHR’s in this time frame

Total Number of SAR’s which the organisation has contributed to April 2024 to March 2025
Themes of the SAR’s in this time frame

Total Number of Rapid Reviews which the organisation has contributed to April 2024 to March 2025
Themes of the RR in this time Frame

Training

Do you delivery DASH training? Are your trainers accredited?

Please provide training compliance as of Q4 2025 for the below:

Children Safeguarding Level 1
Children Safeguarding Level 2
Children Safeguarding Level 3
Adults Safeguarding Level 1
Adults Safeguarding Level 2
Adults Safeguarding Level 3
Prevent
MCA

Bipolar Diagnosis and Specialist Care

I am writing to request information under the Freedom of Information Act 2000. I would be grateful if you could provide the following information.

1. The number of individual patients treated in your trust who are diagnosed, either as a primary diagnosis or a co-morbid diagnosis, with the following mental health conditions/available categorisation over the past five years/available time period:

– Psychosis / Schizophrenia / Schizo-Affective Disorder
– Treatment Resistant Depression
– Bipolar / Cyclothymia / Hypomania
– Eating Disorders
– EUPD/CEN
– Other
– Diagnosis not recorded

2. The total number of admissions in your trust involving the following mental health conditions/available categorisation, where individuals have been sectioned under the Mental Health Act over the past five years/available time period:

3. Does your trust have a specialist care pathway, such as EIP (Early Intervention in Psychosis), that provides treatment for the following conditions:

– Bipolar/Cyclothymia/Hypomania
– Psychosis/Schizophrenia/Schizo-Affective Disorder
– EUPD/CEN
– Treatment resistent depression
– Eating Disorders

4. If ‘yes’, please describe these care pathways.

5. If ‘yes’, please provide the estimated annual spend for said specialist care pathways for each year / available time period, providing the name of each service, from 2019 to 2025.

Dementia Diagnosis Pathways