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Responses > Therapy and Community Rehabilitation Services

Freedom of Information request Therapy and Community Rehabilitation Services

Response published: 20 August 2025

FOI Request

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?

FOI Response

Freedom of Information Request – Ref: FOI 160-2025

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

You asked:

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:

1. Are any of these services currently delivered by external providers through: insourcing, outsourcing or subcontracting?

Our response:

Yes

You asked:

2. For each external provider currently engaged, please provide name of the provider

Our response:

The OT Practice

You asked:

3. Type of engagement (insourced, outsourced, subcontracted)

Our response:

Outsourced by Gloucestershire County Council

You asked:

4. Service(s) provided

Our response:

Occupational Therapy, waiting list

You asked:

5. Contract start date

Our response:

Please refer to Gloucestershire County Council, the Trust does not manage this contract.

You asked:

6. Contract end date or review date

Our response:

Please refer to Gloucestershire County Council, the Trust does not manage this contract.

You asked:

7. Annual contract value or total spend to date Volume of activity delivered (e.g. number of patients seen, sessions delivered, or hours worked)

Our response:

Please refer to Gloucestershire County Council, the Trust does not manage this contract.

You asked:

8. Performance metrics or KPIs

Our response:

Please refer to Gloucestershire County Council, the Trust does not manage this contract.

You asked:

9. 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.)

Our response:

Please refer to Gloucestershire County Council, the Trust does not manage this contract.

You asked:

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

Our response:

Please refer to Gloucestershire County Council, the Trust does not manage this contract.

You asked:

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

Our response:

Please refer to Gloucestershire County Council, the Trust does not manage this contract.

You asked:

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

Our response

Please refer to Gloucestershire County Council, the Trust does not manage this contract.

You asked:

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

Our response:

Yes

Occupational Therapy – performance has been meeting 18 weeks referral to treatment (RTT) target since January 2025 by the transfer of patients to the external provider.

Physiotherapy – challenges with meeting RTT since December 2024 attributed to waits in specialist lists (pelvic health / hands) and in a particular area of the county, being managed through targeted local work.

Speech and Language Therapy  – position is challenged with almost half of patients breaching 18 weeks prior to assessment driven by dysphagia and voice waiting lists.

Dietetics – not applicable, the service is managed by Gloucestershire Hospitals NHS Foundation Trust

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.