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Freedom of Information request Talking Therapy Provider

Response published: 12 February 2026

FOI Request

Dear Gloucestershire Health and Care NHS Foundation Trust, I would be most grateful if you would provide me, under the Freedom of Information Act, answers to the below questions: 1. For contracts held with external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, please confirm: • The contract start and end dates • Whether the contract is block-funded, activity-based, or outcome-based • Whether payment is triggered by completed contacts, completed episodes of care, or other milestones 2. For each financial year from 2022/23 to 2024/25, please confirm the total expenditure paid to each of the external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services. 3. For the same period, please provide: • The total number of completed clinical contacts delivered by external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services and/or • The total number of completed treatment episodes (courses of care), broken down where available by Step 2 and Step 3 4. If held, please provide any internally reported or calculated figures showing: • Average cost per completed treatment episode • Average cost per completed clinical contact for services delivered by external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services 5. Please provide any board papers, performance reports, or internal evaluations which reference: • Recovery rates, reliable improvement, or waiting-time performance • In relation to the cost or value for money of services delivered by external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services 6. Please confirm whether external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, costs were benchmarked against: • In-house NHS Talking Therapies provision • Other external providers and if so, whether the supplier was assessed as lower-cost, comparable, or higher-cost. 7. Please confirm whether the contract with external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, included: • Minimum activity volumes • Volume caps • Break clauses linked to activity or outcomes 8. Please list any contract variations, extensions, or price uplifts agreed with external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, since contract award, including the reason (e.g. demand growth, workforce pressures). 9. Please confirm whether charges payable to external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, included separate line items for: • Referral processing • Digital platform access • Administration or reporting and if so, the value of these charges. 10. Please confirm whether the ICB/Trust anticipates: • Re-tendering • Extending • Expanding NHS Talking Therapies capacity using external providers within the next 24 months. Yours faithfully,

FOI Response

Freedom of Information Request – Ref: FOI 011-2026

Thank you for your recent Freedom of Information request. Please find our response below.

You asked:

1. For contracts held with external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, please confirm:
• The contract start and end dates
• Whether the contract is block-funded, activity-based, or outcome-based
• Whether payment is triggered by completed contacts, completed episodes of care, or other milestones

Our response:

Current Contract Start: 1 February 2026

Current Contract End: 31 January 2027

Contract is activity based

Payments triggered by sessions completed.

You asked:

2. For each financial year from 2022/23 to 2024/25, please confirm the total expenditure paid to each of the external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services.

Our response:

Year  Supplier Spend £
2022/23 Dr Julian 181,915
Xyla 169,824
2023/24 Dr Julian 576,975
Xyla 100,095
2024/25 Dr Julian 660,515
Xyla 0

You asked:

3. For the same period, please provide:
• The total number of completed clinical contacts delivered by external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services and/or
• The total number of completed treatment episodes (courses of care), broken down where available by Step 2 and Step 3

Our response:

DEF Event OCC Therapist Name 2022 – 23 2023 – 24 2024 – 25
Appointments attended DrJulian Therapist 2536 7025 8052
Xyla Therapist 2530 1130 0
Total 5066 8155 8052

 

DEF Event PTL Stage To Group REF Therapist Name 2022 – 23 2023 – 24 2024 – 25
Finished Course Treatment Step 2 Treatment DrJulian Therapist 84 94 157
Xyla Therapist 151 6 0
Total 235 100 157
Step 3 Treatment Dr Julian Therapist 285 698 767
Xyla Therapist 155 253 0
Total 440 951 767
Total 675 1051 924

You asked:

4. If held, please provide any internally reported or calculated figures showing:
• Average cost per completed treatment episode
• Average cost per completed clinical contact
for services delivered by external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services

Our response:

Not held.

You asked:

5. Please provide any board papers, performance reports, or internal evaluations which reference:
• Recovery rates, reliable improvement, or waiting-time performance
• In relation to the cost or value for money of services delivered by external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services

Our response:

No board papers, performance reports or internal evaluations are held.

You asked:

6. Please confirm whether external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, costs were benchmarked against:
• In-house NHS Talking Therapies provision
• Other external providers
and if so, whether the supplier was assessed as lower-cost, comparable, or higher-cost.

Our response:

The provider of IAPT costs were not benchmarked again:

• In-house NHS Talking Therapies provision
• Other external providers

You asked:

7. Please confirm whether the contract with external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, included:
• Minimum activity volumes
• Volume caps
• Break clauses linked to activity or outcomes

Our response:

Maximum volume per annum.

You asked:

8. Please list any contract variations, extensions, or price uplifts agreed with external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, since contract award, including the reason (e.g. demand growth, workforce pressures).

Our response:

None.

You asked:

9. Please confirm whether charges payable to external providers of Talking Therapies (formerly IAPT), engaged by you to deliver Talking Therapy services, included separate line items for:
• Referral processing
• Digital platform access
• Administration or reporting
and if so, the value of these charges.

Our response:

Our invoices do not contain separate lines.

You asked:

10. Please confirm whether the ICB/Trust anticipates:
• Re-tendering
• Extending
• Expanding
NHS Talking Therapies capacity using external providers within the next 24 months.

Our response:

Dr Julian contract was extended for a further 12 months as of February this year.

Next steps:

Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:

Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk

If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.