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409-2024

1. The amount of waste generated within the last year for each of the below categories:
o General o Recycling
o Food Waste
o Confidential o High Temperature Incineration clinical.
o Alternative Treatment clinical.
o Offensive clinical.
2. The amount of waste Spend within the last year for each of the below categories:
o General o Recycling
o Food Waste
o Confidential o High Temperature Incineration clinical.
o Alternative Treatment clinical.
o Offensive clinical.
3. Contract Start Dates for:
o General Waste Services
o Recycling Services
o Food Waste Services
o Confidential Services
o High Temperature Incineration clinical. Services
o Alternative Treatment clinical. Services
o Offensive clinical. Services
4. Contract End Dates for:
o General Waste Services
o Recycling Services
o Food Waste Services
o Confidential Services
o High Temperature Incineration clinical. Services
o Alternative Treatment clinical. Services
o Offensive clinical. Services
5. Waste Company who holds the current contract
o General Waste Services
o Recycling Services
o Food Waste Services
o Confidential Services
o High Temperature Incineration clinical. Services
o Alternative Treatment clinical. Services
o Offensive clinical. Services
6. Name and Contact Details for the Waste Manager associated to the Trust
7. Name and Contact Details for the Sustainability Lead associated to the Trust
8. Name and Contact Details for the Procurement Lead associated to the Trust
9. Name and Contact Details for the Infection Prevention Control Lead associated to the Trust
10. Do the Trust have a reusable sharps solution in place to reduce the amount of single use plastic that is incinerated in traditional practices?
11. Are there any onsite treatment facilities located on Trust premises which would mitigate the need for ensuing carbon footprint through the road miles that it takes to take the waste away?

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408-2024

Please can we request the following information under FOI.

1. How many patients were excluded from care at your Trust in the calendar years 2010,2011, 2012, 2013, 2014, 2015, 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023
2. How many of the above patients received a planned review of their status?
3. How many excluded patients were subject of an Equality Impact Assessment?
4. Where do you record patients excluded status?
5. Do you have a policy for the exclusion of patients?
6. Please supply a copy of that policy?

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406-2024

I am writing to request information under the Freedom of Information Act 2000.
Questions:
Please could you provide me the trust’s commercial income for the financial years 2019/2020, 2020/21, 2021/22, 2022/23 broken down into the following categories:
Clinical Services:
· Private Patient Services
· Overseas Visitors
· Services to Private Hospitals
· Other clinical support services
Intellectual property related:
· Commercialising intellectual property
· Commercial Research including clinical trials
· Commercialising data
· Spin-ins
Commercial Training and Education activities including Continuing Professional Development
Consultancy
Commercial Facilities Management and non-clinical support services
Property and Estates related:
· Retail
· Tech hubs
· Advertising
Car parking
Property rental
Other
Please specify

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Invasive Procedure Data Capture

Under the Freedom of Information Act 2000, I would like to request information regarding clinical documentation practices, specifically in relation to the capture of information during interventional procedures, such as Central Venous Access Device (CVAD) insertions.

1. Clinical Documentation
• What methods are currently used by clinicians to document key information during invasive procedures, such as CVAD insertions (e.g., paper forms, digital forms, voice dictation, other)?
o Is any form of structured digital data entry used at the point of care for these procedures?
• Are standardised templates or proformas used Trust-wide for documenting invasive procedures, such as Local Safety Standards for Invasive Procedures (LocSSIPs)?
o Are any of these LocSSIPs or other forms digitised?

2. Voice Technology
• Does the Trust currently use any voice-to-text or voice recognition technology for clinical documentation (e.g., Dragon Medical One, Nuance, Voice-Care, etc.)?
• If yes, which departments or specialties currently use it, and for which types of documentation?

3. Administrative Efficiency
• Has the Trust undertaken any assessments of the administrative time burden associated with completing procedural documentation (manual or digital)?
o If so, is any information available on time spent per procedure or efforts to streamline the process?

4. Future Plans
• Is the Trust currently planning any initiatives or procurements to digitise documentation processes for interventional procedures?
o If yes, please outline the scope and timelines if available.

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Hip Fractures at Minor Injuries Department

I am writing under the Freedom of Information Act 2000 to request information relating to the diagnosis and treatment of hip fractures for patients presenting at your Minor Injuries department, broken down by year, for the past four calendar years (2021, 2022, 2023, 2024) up to and including 03 May 2025:

· The number of patients who presented at Minor Injuries with hip pain and were referred for: X-Ray o MRI scan.

· Of those who underwent an X-ray only, how many had negative or inconclusive results but were later diagnosed with a femoral neck or other hip fracture?

If the request exceeds the cost exemption, as per s12 of the 2000 Act, please advise me on how to amend my request accordingly.

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Maternity Care

Under the Freedom of Information Act 2000, I would like to request the following information relating to maternity care provided by your Trust.

I am conducting research into potential disparities in pain relief experienced by patients of different ethnic backgrounds during childbirth and maternity care. Specifically, I would like to request the following:

a) Does your Trust provide any mandatory training to maternity staff on cultural competence, anti-racism, or unconscious bias, particularly relating to patient care or pain management?

b) If so, please provide: · The name(s) of the training programme(s) used · Which organisation provides the training · Whether completion is mandatory · When it was introduced

I understand that not all data may be held in the exact format requested. However, I would be grateful for any partial or relevant information you can provide. If any part of this request exceeds the cost limit, please inform me as soon as possible so that I can refine the request.

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Very Senior Manager (SM) Grade

I would like to know how many people the trust employs in the Very Senior Manager (SM) grade please.
This should cover the current financial year, 2024-25 and 2023-24.
Please also include their job titles.

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Allegations of antisemitism, islamophobia and racism

– Please provide the number of persons who work or have worked at your NHS Trust who have been the subject to complaints on the basis of allegations of (1) antisemitism (2) islamophobia (3) racism against Palestinians and/or Arabs since 7 October 2023.

– For each of the above persons who works or has worked at your Trust, please confirm:
(i) whether the complaint(s) is/are based on allegations of antisemitism or islamophobia and/or racism towards Palestinians and/or Arabs;
(ii) the name of any organisation that submitted the complaint;
(iii) whether the complaint arises from the person’s actions at work and/or outside work;
(iv) whether the complaint is being or has been dealt with under informal or formal disciplinary procedures;
(v) the content of the complaint (deleting any personally identifiable information)
(vi) the outcome of any disciplinary hearing;
(vii) any sanction which has been applied against the person.

– Please provide the definitions used by your NHS Trust for (i) antisemitism, (ii) islamophobia, (iii) racism towards Palestinians and/or Arabs.

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Paper Medical Records

I recently came across a published FOI response from another requester regarding the med recs EDM System. After reviewing the details, I’m seeking information about paper records instead and would like to raise an FOI. Given that medical records are important information assets containing Personally Identifiable Information (PII), some of which will be sensitive, I am particularly interested in how the Trust manages (or who manages!) and safeguards paper medical/health records.
I’ve had a look at the NHSE ERIC data but can only see on-site and off-site spend. Nothing around the number of paper records etc. therefore could you have a look at the below request? Most of it should be in your info asset logs, registers and/or DPIAs so hopefully the request is not too much of an impact.
Paper Medical Records Management
How many paper medical records does the Trust have as a data controller?
How many primary on-site record libraries are there? (Just looking for primary storage locations, not local departmental stores etc. as that would take a long time to repply to).
How many off-site record libraries are there?
Is records management outsourced for some paper medical records?
Is records management outsourced for all paper medical records?
How many records are Trust-managed and how many are outsourced to a records management provider?
If some or all records management is outsourced, what is the records management provider(s) company name(s)?
Is the company (if more than 1, please list) a Data Controller and/or a Data Processor for the Trust?
How many records has the Trust authorised and had destruction undertaken for within the last two years (2022/23 & 2023/24)?
Was destruction undertaken by a BS15713 provider?
If yes, which of the following are they accredited to: BS15713:2009 or BS15713:2023?
If records management is outsourced, does this include active records (records that have been in active circulation within the last three years)?
If records management is outsourced, does this include dormant records (records that have been in active circulation in the last four to eight years)?

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Policy Compliance

In accordance with the Freedom of Information Act, please could you answer the following questions –

Who holds trust wide responsibility for the maintenance of procedures and policies?

What is their name and email address?

What digital tools does the Trust use for the staff to reference these procedures and policies? – i.e. – intranet.

How does the Trust record that staff have read and comply with the procedures and policies?

Which tools are used for on-boarding new staff in relation to reading procedures and policies?

How do the heads of department monitor that clinical and non clinical staff have read/understood mandatory procedural updates?

How many staff have accessed your NHS Intranet in the past year?

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Management of Temporary Staffing

I am writing to formally request information under the Freedom of Information Act 2000 regarding the management of temporary staffing at your Trust. Specifically, I would like to request the following:

1. Fulfilment: Are bank workers directly engaged with the Trust or provided by 3rd parties (such as NHS Professionals)
2. Arrangement: Are bank workers legally ‘workers’ or ’employees’ within your organisation?
3. Temporary Staffing Policy: Please provide a copy of the current policy or guidelines in place for managing bank workers within the Trust.
4. Management of Conduct and Performance Bank Workers: Is there a clear process for managing complaints in relation to conduct / performance? Is this part of policy and procedure also used for permanent employees? Please supply documentation / SOPs where applicable.
5. Appraisal Arrangements / Supervision: Is an appraisal, PDR or supervision offered to bank workers? If so, at what interval and is this a mandatory requirement?

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ICT Staff Information

I am contacting the Trust on behalf of the Government Property Agency, an Executive Agency of the Cabinet Office.

Please could you provide me with the names and contact details of the senior ICT managers for the NHS Trust?

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Mental Health Data

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

Please provide data for the period April 2024 to March 2025, broken down by calendar month where applicable as well as planned capital works for the current year 2025/2026. The following request: 1. People in Beds a. Acute Mental Health Placements (Out-of-Trust / Private Sector) • The number of female patients placed in private sector or out-of-trust acute mental health beds each month. • The number of male patients placed in private sector or out-of-trust acute mental health beds each month. b. PICU (Psychiatric Intensive Care Unit) Placements (Out-of-Trust / Private Sector) • The number of female patients placed in private sector or out-of-trust PICU beds each month. • The number of male patients placed in private sector or out-of-trust PICU beds each month. c. Rehabilitation Mental Health Placements • The number of patients placed in rehabilitation mental health placements, broken down by gender (male/female) and by month. 2. Bed Day Costs For the period April 2024 to March 2025, please provide the average daily bed fee paid for private sector placements, broken down by patient gender (if available) and setting: • Acute mental health placements • PICU placements • Rehabilitation placements 3. Placement Locations Please provide the names and addresses (or town/city) of all private sector or out-of-trust facilities where patients (both male and female) were placed in the following settings: • Acute mental health • PICU • Rehabilitation 4. Clinically Ready for Discharge (CRFD) Please provide the number of patients occupying NHS Trust acute mental health beds each month who were deemed clinically ready for discharge but remained in hospital (commonly referred to as Delayed Transfers of Care – DTOC). 5. Planned Capital Improvement Works Please confirm whether there are any planned or ongoing capital improvement works during the period April 2025 – March 2026 that may impact patient flow (e.g. reduction in bed availability, ward closures, reconfigurations). If so, please provide a summary of the works, broken down by service area: • Acute (Adult and Older Adult) • CAMHS (Child and Adolescent Mental Health Services) • Forensic Services • Specialist Services (e.g. Perinatal, Eating Disorders, Neuropsychiatry) T

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Wait Times and Repeat Referrals

I am submitting this request under the Freedom of Information Act 2000. Please provide the following information:

1. Longest wait times for therapy services. Please provide the longest recorded wait times for local NHS Talking Therapies in 2024.
2. Percentage of patients waiting more than 90 days for their first completed appointment.
3. Repeat referrals within 12 months of discharge. Please provide the number of patients who were discharged from local NHS Talking Therapies but required a repeat referral within 12 months in 2024.
4. Total referrals for local NHS Talking Therapies in the 2024 calendar year.
In the event you can’t respond to all four questions please answer as many as possible taking each in turn, 1-4.

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Cardiopulmonary Exercise Testing Systems (CPET/CPEX)

I am interested to know how many Cardiopulmonary Exercise Testing Systems (CPET/CPEX) are in use throughout the trust.

For each system I’d like to know:

1. The number of current devices in use
2. Manufacturer and type of device
3. Which hospitals are they in
4. Which departments are they in
5. Date of installation

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CAFM Solution

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

• Please confirm the current CAFM Solution used by the Estates Team to manage Reactive and Planned Maintenance tasks and the name of the provider?

• Please confirm the current system used by the Estates Team to manage CAD floor plans of the Trust estate buildings?

• When is the current CAFM solutions support and maintenance contract due for renewal?

• How much is paid per annum for support and maintenance of the CAFM system?

• How many main system user licences and mobile licences does the CAFM solution utilise?

• Please provide a list of modules used by estates within the current CAFM system?

• When was the last time the current system was reviewed by procurement for functionality/fit for purpose and value for money?

• Please confirm contact details for the below positions with name, email address and telephone number:

• Director of Estates:

• Director of Facilities:

• Estates Manager:

• Facilities Manager:

• Director of Soft Services:

• Soft Services Manager:

• EBME Manager:

• Property Asset Manager:

• Procurement Manager Estates:

• Director of Procurement:

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Direct Engagement Model and Technology Platform

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

1. What technology platform does the Trust currently use to support its Direct Engagement (DE) model for the medical locum workforce?
2. What is the name of the platform provider?
3. What is the cost of the platform expressed as a percentage fee or pence per hour?
4. What staffing groups does the Trust include in its Direct Engagement (DE) model (e.g., medical, AHPs, clinical, non-clinical)?
5. What is the current uptake of the DE model within the Trust, specifically as a percentage or proportion of the total locum workforce?

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Community Eating Disorders Service

I am writing to request information under the Freedom of Information Act 2000 for data around your Community Eating Disorders Service.

Active (not historic) current data set (Snapshot) of your Community Eating Disorders Service data, otherwise not available via other methods (online data collections).

Please complete the two tables provided.

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Electroconvulsive Therapy (ECT)

I am writing under the Freedom of Information Act to make a request for information on the use of electroconvulsive therapy (ECT).

The information being requested is as follows:

1. Please provide the number of ECT treatments given to patients for each of the calendar years 2023 & 2024.

2. Please provide the number of people who received the ECT in each of the calendar years 2023 and 2024.

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Cide Use

I would like to request the following:

1. A list of all -cides used by the Trust. This is inclusive of, but not limited to: any and all avicides, biocides, fungicides, herbicides, insecticides, pesticides, and rodenticides.
2. The annual cost and volume of purchase of each of these -cides, broken down by -cide, from January 2014 to December 2024. Please list this on a spreadsheet (CSV), broken down by:

1. -Cide
2. Product Name
3. Volume Purchased
4. Price Paid
5. Purchase Date

3. A list of each of these -cides’ use, by volume. Through this I am trying to ascertain whether the purchased volume is matched by the used volume, so if there is a record of expired or unused -cides too, that would be ideal. Please add this to the above CSV as an additional column, also on an annual basis over the same time period. Please list volume in either litres or kilograms, whichever is more appropriate.
4. Only if available and easily accessible, the location and purpose of each specific -cide’s use. For the former, this may be classified by: location grouping, address, coordinate, or otherwise.

For all of the above, please only list -cide use for facilities not managed by NHS Property Services. Where relevant, also include the -cide use of defunct Trusts now integrated into the current Trust.

If any of the individual pieces of information listed above are not available but others are, like cost and volume, then please signal this while responding with the other available information. Additionally, if records are only available for a time period less than that specified above, please provide these instead of rejecting the request as a whole.

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Agency Nursing Shifts

• Can you confirm your head of procurement name, phone number and email address?
• How many agency nursing shifts have your Trust used Thornbury Nursing Services for between 1st Jan 2025 and 1st March 2025?
• Please provide a breakdown of the amount of shifts per ward or department where Thornbury Nursing Services were used between 1st Jan 2025 and 1st March 2025?
• Please name any other OFF CONTRACT SUPPLIERS who have been utilised by the Trust between 1st Jan 2025 and 1st March 2025 above the NHS Improvement + 50% caps and how many shifts each of these agencies have filled.
• If for any reason you are unable to supply data up until 1st Jan 2025 and 1st March 2025 please provide from 1st December 2024 and 1st Feb 2025?
• Can you confirm your head of procurement name, phone number and email address?
• Can you confirm medical director name, phone number and email address for Psychiatry?

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Call-off contracts

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 several 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.

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 agreements or DPS agreements used here. 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 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.

If you do not feel like this request could be completed in good time, please could you work down the list and do as much of a subset as you can?

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Scam/Fake QR Codes in Hospital Car Parks

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

It relates to occurrences of scam/fake QR codes in hospital car parks. I would be interested in the following information relating to any incidents of this in hospital car parks owned or controlled by your trust:

– Have hospital parking enforcement officers (or equivalent role with oversight over hospital car parks) recorded/noted any incidents of fake or scam QR codes in hospital car parks owned or controlled by the trust? (Yes or No)

– If the trust uses 3rd party operators to manage their hospital car parks – have these operators made the trust aware of any incidents of fake/scam QR codes in these car parks? (Yes or No)

– Has the trust received any reports from members of the public relating to incidents of fake/scam QR codes in these car parks?

– if yes to any of the above, please provide details of (i) how many and (ii) which sites these incidents took place at.

– If held, please also provide documentation relating to the most recent five incidents (this may include photos/internal reporting/correspondence etc, redacted where necessary)

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Use of Insourcing

Use of insourcing in FY 2024-25:

1. What was the total amount spent by the Trust on insourcing services during the financial year 2024/25?
2. Please provide a list of all external providers engaged to deliver insourcing services during 2024/25.
3. For each provider listed in response to Question 2, please state the total amount paid to that provider for insourcing services during 2024/25.
4. For each provider, please list the types of clinical services or specialties they delivered (e.g. endoscopy, dermatology, ophthalmology, etc.).

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Agency AHP/HSS staffing

Under the FOI Act please can I request:

From 1st January 2025 to 31st March 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

From 1st January 2025 to 31st March 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

From 1st January 2025 to 31st March 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 January 2025 to 31st March

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Complaints Submitted by Midwives, Nurses and Doctors

I am writing under the Freedom of Information Act 2000 to request information about complaints submitted by the midwives, nurses and doctors working at your trust.

From 1st January 2023 up to and including 15th April 2025, can you please tell me the following:

The number of grievances submitted by midwives, broken down into the nature of the complaint, including but not limited to:

Bullying and harassment work relations terms and conditions of employment health and safety.
Please break this down by year and month.

For “bullying and harassment” and “work relations” (above) please provide us with the trust’s summary of each grievance submitted by midwives and, where relevant, the outcome. Where necessary, please remove identifying details.

The number of grievances submitted by doctors. Please break this down by year.

The number of grievances submitted by nurses. Please break this down by year.

If this request is at risk of triggering the s12 cost exemption, please advise us on how we can amend the wording of our request to align with the trust’s categorisation and/or filing conventions for grievances and complaints.

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Audiology

I am contacting you with a FoI request for the benefit of RNID.

Please can you provide the name and contact details for the current Head of Adult Audiology for Gloucestershire Health and care NHS foundation trust.

If this role does not exist in your Trust, please provide the name and contact details for the most senior member of staff responsible for audiology services.

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Food Poisoning due to Consuming Wild Food

I would like to submit a request for information under the Freedom of Information Act 2000 (FOIA) regarding cases of food poisoning due to incorrect identification or inappropriate preparation of wild food.

Please provide the relevant information for the period between 1 April 2020 and the most recent date for which data is available. Please could you provide the following:

A yearly breakdown of the number of cases of food poisoning due to incorrect identification or inappropriate preparation of wild food.
The type of wild food that caused the food poisoning (for example: fungi, plant, berries, etc…). Please include the specific species if known.
The symptoms experienced by the patient and the recovery time (for example: overnight stay or discharged within a couple hours)
The location where this food was picked. We would define ‘wild or foraged’ foods to be either: Wild, naturally growing food which was picked and consumed by an individual Wild, naturally growing food which was consumed by an individual, but was served in a restaurant environment, having been picked in the wild within the UK.

If you need to carry out a key terms search to locate these records, please include the terms “foraged”, “foraging”, “wild food”, “forager”, “wild ingredients”. If you would document these cases in another way, please include these results as per the spirit of my request.

If you feel that my request is unclear or too broad, I would be grateful if you could provide me with some guidance as to how I could refine it.

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Sexual Incidents

Under the Freedom of Information Act 2000, please provide me with the following information about incidents of sexual harm and physical violence that have taken place at your trust. Incidents of sexual violence include, but are not limited to, sexual harassment, sexual abuse, sexual assault and rape. (See after the question for clarification on these definitions.)

In order to assist you, I understand that some, if not all of this information should be recorded in the trust’s safety incident reporting system, or it may be recorded by your HR team.

If possible, please use one of the attached spreadsheets to provide your answers. Please also explain any gaps in your data.

Please ensure that the data you provide is for financial years, not calendar years.

Total sexual safety incidents

1. How many sexual safety incidents did the trust record in the financial year 2024-25? (This includes incidents by all alleged perpetrators against all alleged victims: staff, patients, visitors, members of the public)
1.1 How many of these incidents took place on the trust premises?
1.2 How many sexual safety incidents on the trust premises did the trust record in the financial year 2023-24?*
1.3 How many sexual safety incidents on the trust premises did the trust record in the financial year 2022-23?*

(*My previous FOI asked for total incidents for 2022-23 and 2023-24 but did not specifically ask for only those incidents that occured on the trust premises. If your previous response only covered incidents on the trust premises please answer ‘no change’.)

Sexual safety incidents by staff against patients

2. How many sexual safety incidents allegedly perpetrated by staff against patients did the trust record in the 2024/25 financial year?

Sexual violence and misconduct by patients against other patients

3. How many sexual safety incidents allegedly perpetrated by patients against other patients did the trust record in the 2024-25 financial year?

Sexual safety incidents by patients against staff

4. How many sexual safety incidents allegedly perpetrated by patients against staff did the trust record in the 2024-25 financial year?

Sexual safety incidents by staff against other staff

5. How many sexual safety incidents allegedly perpetrated by staff against other staff did the trust record in the 2024-25 financial year

Age of alleged victims

Please provide figures for the 2024-25 financial year:

6. How many of the sexual safety incidents did the trust record where the victim was a patient:
6.1 Under 18 (this includes under 16 and under 13)
6.2 Under 16 (this includes under 13)
6.3 Under 13

Only include incidents that occured on the trust’s premises.

Physical violence

7. How many incidents of physical violence perpetrated by patients against staff did the trust record in the 2024-25 financial year?
7.1 Do the trust’s records of physical violence by patients distinguish between intentional/deliberate and un/non-intentional violence? (Unintentional violence might be due to lack of capacity, e.g. a symptom of dementia.)
7.2 If the trust does breakdown physical violence into intentional/deliberate and un/non-intentional violence, please provide the following data for the 2024-25 financial year:
• Number of intentional/deliberate incidents of physical violence by patients against staff.
• Number of un/non-intentional violence incidents of physical violence by patients against staff.

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SOPs for Restrictive Intake Self-Harm (RISH) or Restricted Food

I’d like to request whether you hold any SOPs for the management of Restrictive Intake Self-Harm (RISH) or restricted food in the context of eating disorders or similarly titled SOPS in either your general or acute hospitals.

CAMHS liaison service in Portsmouth (Queen Alexandra Hospital) are hoping to review existing literature to support general hospital colleagues to construct a SOP for supporting this patient group in general hospitals.

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Compliance from the Learning from Death Guidelines

I am writing to request information under the Freedom of Information Act 2000 regarding your compliance with the Learning from Deaths Guidance issued by NHS England (2017) which ensures your trust complies with the National Health Service (Quality Accounts) (Amendment) Regulations 2017.

This requires every NHS Trust to annually report (with a quarterly breakdown) the number of patients who died during the reporting period, how many case record reviews or investigations took place, and estimate how many deaths were determined to be likely due to problems in the care provided. It also requires the reporting of a summary of lessons learnt, what actions have been taken as a result, and what the impact of these actions has been.

Included in the Quality Accounts should also be the number of case record reviews and investigations relating to deaths in the previous reporting period that were only concluded in the most recent period and an estimation of how many of those deaths were due to problems in the care provided.

Please provide answers to the following questions for the most recent reporting period (2023/24):

1. Policy and Governance
a) Does your trust currently comply with the requirements of the Leaming from Deaths Guidance?
b) If not do you have plans to comply with it and if so by when?

2. Reporting
a) How many deaths were reported within your trust during the reporting period (2023/24)?
b) How many of these deaths were reviewed, and how many were judged more likely than not to have been avoidable?
c) Have you published quarterly reports on learning from deaths on your website, as required by the guidance? Please provide links to the most recent reports.
d) Is information on learning from deaths included in your latest Quality Account?

3. Family Involvement
a) Are families and carers involved in the review process where appropriate?
b) Please provide the number of deaths that were reviewed in this period (2023/24) where families and carers were involved and engaged in the review.

4. Actions and Learning
a) Please provide a summary of all actions taken as a result of the learning from deaths process in the last reporting period.

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Waste Management Software

I am writing to make a Freedom of Information request.

Do you have a waste management software in place in your NHS Board currently? If so, which software are you using?
* How do you ensure compliance is followed in regard to storing Hazardous Waste Consignment Notes?
* How do you store Waste Transfer Notes?
* What reporting, if any, do you produce based on data from Hazardous Waste Consignment Notes or Waste Transfer Notes?
* How many hours a month are spent on: Storing/Organising Waste related documents, reporting on information contained in Hazardous Waste Consignment Notes/Waste Transfer Notes
* On average, how many Hazardous Waste Consignment Notes per month do you receive?
* On average, how many Waste Transfer Notes do you receive per month?
* What processes are in place to verify waste contractors are providing the correct documentation and operating with correct permits?
* What is your waste audit process?
* What is the contact information for your department that deals with Waste Management?

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NDAs and Settlement Agreements

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

For the period 1 April 2024 to 31 March 2025:

1. How many Non-Disclosure Agreements (NDAs), also referred to as confidentiality clauses were signed with staff (current or former) by your organisation?
2. Of those NDAs, how many were part of settlement agreements related to:
a) Complaints of bullying or harassment
b) Complaints of discrimination (on any protected characteristic)
c) Whistleblowing
d) Other reasons (please specify if possible)
3. What was the total amount of money paid out in settlement agreements that contained NDAs?
4. What is the highest individual settlement amount paid in this period as part of a settlement agreement that contained an NDA?

Please include any available breakdowns by department, staff role, or type of claim where possible.

If it is not possible to provide all of the information requested, please provide as much as you are able to within the appropriate cost and time limits.

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Patient Engagement Portal

I am writing to you under the Freedom of Information Act to request answers to the following questions:

1. Has the trust implemented a Patient Engagement Portal (also known as a Patient Portal)?
2. If so, please provide the name of this solution, and the name of the company that supplied it.
3. When was this solution procured?
4. Does the trust have any plans in the near future to replace this solution?

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Utilisation of Insourcing

Please can I request the below information on the utilisation of Insourcing for the following period 01/01/2025-31/03/2025

• Total spend during the period for Insourcing for the below specialties:

• Neurology
• Neurophysiology
• Dermatology
• Gastroenterology
• Endoscopy
• Cardiology
• Respiratory
• Orthodontics / Dental
• OMFS
• ENT
• Rheumatology
• Gynaecology

– Please break the spend down by insourcing company

• Please confirm if there was a budget for insourcing for the specialties outlined during the same period

• What was the service type relating to the specialties outlined, for example, outpatient, diagnostic or theatres.

• Was it a fully managed service or Team provision

• Please can you confirm the Frameworks utilised for each specialty

• Please confirm any direct awards or mini competitions which are being utilised for each specialty

• Total procedures completed by insourcing companies for the specialties outlined during the same period

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NHS Trust Estates Capital Investment plans

I am writing to you under the Freedom of Information Act 2000 to request the following information from your organisation. Please may you provide me with an answer to the following:

FOI NHS estate capital investment plan questions

1. What are your Trust’s capital investment priorities over the next five years?

2. How much capital funding has the Trust been allocated for estates development this financial year (2025/26), or (where unknown) how much is the Trust expecting to be allocated?

3. Are there any confirmed or proposed capital investment projects at your Trust relating to new healthcare facilities, such as new hospital buildings, Community Diagnostic Centres (CDCs), surgical hubs, new wards, theatres, pathology labs, or aseptic units? If so, please provide details, including the nature of these plans, current stage of planning, whether a construction partner has yet been contracted, project scopes, estimated costs, timelines, and contact details for the project’s Senior Responsible Officer (where available).

4. If there are any current OPEN procurement opportunities (e.g. expressions of interest or opportunity notices) related to construction projects at your Trust, please provide links to the tender notices where available, and contact details for the relevant department or individual(s) responsible for these projects?

5. Who within the Trust is responsible for overseeing estates development and capital projects (e.g. Director of Estates)? Please provide name and contact details where possible.

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Cancer Treatment

I would be grateful if you could please answer the following question with regards to cancer treatment:

In the last 12 months, how many unique patients in your trust have been treated privately for the following ICD-10 codes?

A) C61 Malignant neoplasm of prostate
B) C16.0 Malignant neoplasm of the gastroesophageal Junction

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Review and Action Plans regarding Homicides by Services Users

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

1. Board (and associated Committees) and Senior Management Review of all homicides committed by service users whilst under Trust care between 2014 and 2020.
2. Board (and associated Committees) and Senior Management Review of the action plans relating to homicides committed by service users whilst under Trust care between 2014 and 2020.
3. Board (and associated Committees) and Senior Management Review monitoring of the action plans relating to all homicides committed by service users whilst under Trust care between 2014 and 2020.

A homicide conducted by a patient is an incident which would be recorded in each Trust’s DATIX patient safety electronic software (or equivalent). As I understand it all Trusts have an obligation to report patient safety incidents and their response at designated intervals to NHS England and other regulatory bodies such as the CQC and NHS Improvement. As a result, the information which I have requested from the Trust may already have been generated and collated.

I am aware that NHS England publishes reviews of selected homicides conducted by NHS patients and that the results of those reviews are published in part on their website. However, the actions which are taken to promote patient safety at individual Trust level following such a homicide and the monitoring of the success of those actions are not included in the publications made by NHS England. In addition, NHS England is not under an obligation to publish reviews of all homicides involving NHS patients.

My request does not refer to information which would cause individuals to be identified as it is relates to governance as opposed to individual patient care.

As I do not have a detailed knowledge of the way in which you organise and structure your governance records or the terminology which you use to describe and classify your information internally, I believe that the following additional information may be helpful in relation to each of the categories of documentation which I have requested:

In relation to each of the homicides committed by Trust service users I require the following information:

1. Board (and associated Committees) and Senior Management Review of homicides committed by service users whilst under Trust care between 2014 and 2020.

This includes:

• Minutes and Reports of Board and Senior Management meetings which reviewed or discussed the learning generated by the homicide.
• Minutes of Meetings between the Trust and Stakeholders to discuss outcomes of learning.

2. Board (and associated Committees) and Senior Management Review of the action plans relating to homicides committed by service users whilst under Trust care between 2014 and 2020.

This includes:
• Detail of the consideration of the monitoring and construction of action plans by the Board and Senior Management
• Reporting arrangements between management team and Board regarding optimising learning from the event and support for staff.
• Minutes and Reports of Board and Senior Management meetings
• Minutes of Meetings between the Trust and Stakeholders to discuss outcomes of learning from the homicide and necessary funding
3. Board (and associated Committees) and Senior Management Review monitoring of the action plans relating to all homicides committed by service users whilst under Trust care between 2014 and 2020.
This includes:
• Minutes and Reports of Board Senior Management and stakeholder meetings which relate to the monitoring of the action plan
• Data and statistics gathered to monitor systemic changes made following implementation of action plan.
I should like to point out that notwithstanding any concerns which the Trust might have regarding the costs associated with this disclosure, Section 12(2) of FOI makes it clear that the Trust has a duty, to inform applicants, such as myself, as to whether it holds the information which I have requested.

Further, if the Trust seeks to raise an issue with regard to the costs associated with this disclosure in accordance with section 12 of FOI, I would request that a detailed estimate is provided in light of the fact that much of the information which I have requested can be readily identified through use of existing Trust governance and patient safety systems.

I would again take this opportunity to reiterate that it is information relating to the monitoring of systemic change implemented by the Board following such a patient safety event of this nature through its existing governance framework (including information governance) rather than information relating to the individual patient’s care that this FOI request relates to.

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Histopathology Department

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

In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that are greater than 0.3ppm but less than or equal to 0.4ppm in the Trust’s Histopathology Department? In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that are greater than 0.4ppm but less than or equal to 0.5ppm in the Trust’s Histopathology Department? In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that are greater than 0.5ppm but less than or equal to 0.6ppm in the Trust’s Histopathology Department? In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that are greater than 0.6ppm but less than or equal to 0.7ppm in the Trust’s Histopathology Department? In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that are greater than 0.7ppm but less than or equal to 0.8ppm in the Trust’s Histopathology Department? In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that are greater than 0.8ppm but less than or equal to 0.9ppm in the Trust’s Histopathology Department? In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that are greater than 0.9ppm but less than or equal to 1ppm in the Trust’s Histopathology Department? In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that are greater than 1ppm but less than or equal to 1.5ppm in the Trust’s Histopathology Department? In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that are greater than 1.5ppm but less than or equal to 2ppm in the Trust’s Histopathology Department? In the past 12 months, on how many separate occasions have formaldehyde levels been recorded that exceed 2ppm in the Trust’s Histopathology Department?

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Solar Panels

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

Please could you provide the following information:

• The names of the companies that installed the solar panels at Charlton Lane; Stroud General Hospital; Cirencester Hospital. Please state which companies relate to which sites.
• The names of the company / brand that manufactured the panels installed at each site.
• Any internal or external correspondence that discusses the risk of slave labour from the Xinjiang region being a part of this supply chain.

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126-2023

RE: Request under the Freedom of Information Act 2000.
Dear Information Team
This is an information request relating to EHIC cards.
Please include the following information for the 2020/21, 2021/22 and 2022/23 financial years:
• How much has the organisation spent broken down by financial year. on providing treatment to foreign patients supplying an EHIC card
• How much has been recovered broken down by financial year. from the relevant health authorities for treatment provided through EHIC
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 queries please don’t hesitate to contact me via email or phone and I will be very happy to clarify what I am asking for.
I would prefer a response via email, but if this is not possible, I will gladly accept letters to the address below.
Please acknowledge this information request as soon as possible.

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123-2023

I’d be grateful if you could provide me with details of which hospitals. within your trust area:
1. Have medical staff/surgical team trained to carry out bloodless surgery.
2. Have autologous blood transfusion and patient’s own cell salvage equipment available.
3. Keep stocks of synthetic blood transfusion substitutes.

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085-2023

Dear Gloucestershire Health and Care NHS Foundation Trust,

Please can you provide the data that answers the following questions:

– What is the current waiting time from referral to first appointment for mental health therapy in general, and what was the waiting time 1, 5, and 10 years ago?

– What is the current waiting time from referral to first appointment for the following, and what was the waiting time 1, 5, and 10 years ago?
Cognitive behavioural therapy CBT.
Guided self-help
Counselling
Behavioural activation
Interpersonal therapy IPT.
Eye movement desensitisation and reprocessing EMDR. Mindfulness-based cognitive therapy MBCT. Psychodynamic psychotherapy Couple therapy

– What other mental health therapy options do you offer and what are the waiting times from referral to the first appointment, currently, 1, 5, and 10 years ago?

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076-2023

Request 1
Please confirm or deny if Gloucestershire Health and Care NHS Foundation Trust has a specific policy on provision of support for all forms of infant feeding, specifically breastfeeding, formula feeding, and combination feeding.
If confirm, please provide a copy of this policy.
Request 2
Please confirm or deny if Gloucestershire Health and Care NHS Foundation Trust holds information on the number of infants breastfed, formula fed, and combination fed.
If confirm, please release this data.
Request 3
Please confirm or deny if Gloucestershire Health and Care NHS Foundation Trust provides information on all forms of infant feeding including breastfeeding, formula feeding, and combination feeding. at the 28-week antenatal appointment as outlined in the NICE guideline NG201, post-birth before the family has been discharged and at any other times.
If confirm, please provide a copy of the information on infant feeding that is provided and confirm how as well as when it is delivered.
Request 4
Please confirm or deny if Gloucestershire Health and Care NHS Foundation Trust requires mothers to sign a consent form before any information or advice is given on formula feeding OR before an infant receives formula milk in the hospital instead of or alongside breastmilk.
If confirm, please publish a copy of the associated policy and corresponding form.
Request 5
Please confirm or deny if Gloucestershire Health and Care NHS Foundation Trust holds information on the number of infants admitted with malnutrition every year, over the last 5 years.
If confirm, please release this data and please publish the Gloucestershire Health and Care NHS Foundation Trust policy for addressing infant malnutrition.

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063-2023

I am writing to you under the Freedom of Information Act 2000 to request the following information. Please will you provide me with information relating to the waiting lists for Adult and CYP ADHD and ASD referrals. I am seeking:
ADHD
• How many adults are waiting for a first appointment following referral?
• How many CYP are waiting for a first appointment following referral?
• How long are Adults waiting for a first appointment?
• How long are Adults waiting for an assessment and diagnosis?
• How long are CYP waiting for a first appointment?
• How long are CYP waiting for an assessment and diagnosis?
ASD
• How many adults are waiting for a first appointment following referral?
• How many CYP are waiting for a first appointment following referral?
• How long are Adults waiting for a first appointment?
• How long are Adults waiting for an assessment and diagnosis?
• How long are CYP waiting for a first appointment?
• How long are CYP waiting for an assessment and diagnosis?
Please provide the information in the form that is most convenient to the Trust.

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