A CQC review in December 2016, 'Learning, candour and accountability: a review of the way trusts review and investigate the deaths of patients in England’ found that some Trusts do not focus on the opportunity to learn and improve from deaths.        

In March 2017, the National Quality Board published its National Guidance on Learning from Deaths - A Framework for NHS Trusts and NHS Foundation Trusts on Identifying, Reporting, Investigating and Learning from Deaths in Care.

Gloucestershire Care Services NHS Trust (GCS) has for a number of years been undertaking learning from deaths through a process that has evolved to match the expectations of the organisation in delivering high quality care, and also to comply with national guidance.

The Trust’s Learning from Deaths policy is available here - it incorporates the MIDAS process, the pilot Medical examiner service and involvement of the bereaved, improve the quality of the care they provide to patients and their families, and identify where the Trust could do more.

Please click on the tabs below to read Freedom of Information responses from that month.


Counter Fraud Banner


Who we are
The Gloucestershire Local Counter Fraud Service (LCFS) is based at Victoria Warehouse, The Docks, Gloucester and provides a counter fraud service for ²gether NHS Foundation Trust, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire Care Services NHS Trust and NHS Gloucestershire Clinical Commissioning Group.

We are part of a national network of specialist investigators and our aim is to prevent fraud from happening and to deal with allegations that it has taken place – by NHS employees or members of the public.

What is fraud?
Fraud is when someone does something dishonestly in order to make a gain for themselves or someone else or cause a loss to another.  According to the Fraud Act 2006 it is not necessary to prove a person has been deceived.  The focus is on the individual’s dishonest behaviour and intent – and just trying to do it, even if not successful, makes the act complete.

Types of Fraud
Fraud manifests itself in the NHS in a variety of ways.  Fraud is said to cost the NHS an estimated £5 billion every year.  It is important that we are all aware of the types of fraud that are committed and are not afraid to report fraudulent behaviour.

  • Patient Fraud
    Patient fraud includes wrongful claiming of exemption from fees or travel expenses, alteration of prescriptions, and using aliases to obtain controlled drugs.
  • Clinicians
    Fraud by NHS professionals includes claiming for treatment or services not provided, undertaking private work in NHS time and using Trust equipment and materials for private work
  • Support functions
    This type of fraud can include the submission of a false CV or references; false or inflated time sheets or expenses; working elsewhere whilst on sickness absence from the Trust; abuse of Trust equipment; misappropriation of funds; claims for non-existent employees; and for goods and services that are for personal use.
  • Contractors and Suppliers
    Contractor and supplier fraud includes charging for items of a higher quality or greater quantity than those supplied; using an inappropriate tendering processes; false or duplicate invoices; and price fixing.
  • Immigration Matters
    Individuals who work, or attempt to work for NHS organisations supplying false documentation ranging from false passports, visas and national insurance numbers to secure employment.

Anti-Bribery Statement
You can find the Trust's anti-bribery statement here

What should I do if I suspect fraud?
If you are suspicious or have concerns:

DO tell your Local Counter Fraud Service immediately by email or telephone – your confidentiality will be respected.  We never disclose the name of an informant
DO keep or copy any document that arouses your suspicions
DO NOT confront the individual with your suspicions
DO NOT try to investigate your suspicions yourself
IF YOU ARE A MEMBER OF STAFF you can tell your line manager, but you are not required to – you can come directly to your Local Counter Fraud Service

All colleagues play a vital role in helping reduce losses throughout the NHS. We all therefore have a responsibility to protect the NHS from fraud and bribery at any level. If you have any concerns in regard to fraud or bribery at this Trust, or would more information or an awareness session for your team, please contact us.

Report fraud by contacting a member of the team below:

Lee Sheridan
Head of Counter Fraud Service
Telephone: 01452 318826 Email: leesheridan@nhs.net

Rayna Kibble
Local Counter Fraud Specialist
Telephone: 01452 318826 Email: raynakibble@nhs.net

Paul Kerrod
Local Counter Fraud Specialist
Telephone 01452 318853  Email paul.kerrod@nhs.net

Rose Williams
Local Counter Fraud Support Assistant
Telephone 01452 318842  Email rose.williams2@nhs.net
NHS Protect

Alternatively, you can contact the NHS Counter Fraud Authority. It is a simple means of reporting genuine suspicions of NHS fraud.  All calls are dealt with by experienced, trained staff.  Callers may remain anonymous if they wish. Freephone 0800 028 4060 (Monday to Friday 8am to 6pm).


What is the Accessible Information Standard?

The Accessible Information Standard is a new mandatory requirement that all NHS and adult social care services must follow. Its purpose is to ensure that all service users (or their carers) can receive / access information in the format that is right for them so that they may best understand it: this requires the Trust to make information available in large print, EasyRead, audio files, languages other than English etc, and/or to provide professional communication support if needed, for example from a British Sign Language interpreter.

From 1 December 2016, service users will be asked if they have a preferred format for their information and communication when they attend an appointment with one of the Trust’s services. This preference will then be recorded on the person’s clinical record, and with consent, shared with other health and social care professionals to ensure that every individual gets the information they need.  This includes letters for appointments and information leaflets about clinical conditions or treatment.

If you have any questions about the Standard, please speak to a member of staff when you go for your appointment.

Download the Accessible Information Standard Patient Poster 



Listening into Action

Services in 60 Seconds - Adult Physiotherapy


Services in 60 Seconds - Dental

Services in 60 Seconds - Vale Community Hospital

Service in 60 Seconds - Stop Smoking

Risking Happiness

(Source:Gloucestershire County Council/Gloucestershire Clinical Commissioning Group)

Board webpageGloucestershire Care Services NHS Trust (GCS) is run by a board of directors, who set the strategic direction for the Trust and monitor performance and progress. The Board consists of the Chair, six non-executive directors, and five voting executive directors. There is also one non-voting director (Director of Human Resources). Non-executive directors use the skills and experience gained from the private, public and voluntary sectors to help run the Trust, but do not have day-to-day managerial responsibilities within the trust. Executive directors are paid employees with clear areas of work responsibility within the Trust.  

The Board is responsible for the leadership, management and governance of the organisation and setting the strategic direction and supporting the development of organisational culture. Its meetings cover comprehensive items on quality, finance and strategy. At each meeting it considers the Board Assurance Framework, Quality and Finance.

The Board continually self-assess its performance to support continuous improvement.

The Board regularly meets in public, and details of the board meetings, including the public papers are available here.  

Useful Information

Role of our Committees

Self-Certification Compliance

GCS Self-Certification Compliance


Our Integrated Five Year Business Plan is currently in development.

It will include details on:

  • The strategic vision for the Trust
  • How we intend to attain Foundation Trust status and how that will make a difference for service users
  • Service development plans
  • Financial evaluations
  • Risks assessments
  • Workforce and leadership development
  • Governance arrangements

The plan will be made available here once it has been agreed by the Trust.



AGM  website

All colleagues at the Trust have a responsibility for maintaining a clean, hygienic and tidy environment in which patients are cared for.

With thousands of patients and visitors walking through the doors of our healthcare services each year, you can help too.

It is simple personal hygiene that can really make a difference.

Hand washing is the single most important measure we can all take to prevent the spread of infection in our hospitals.

If you are visiting our community hospitals or someone who is unwell in the community, please wash your hands using soap and water or use the hand sanitising gel available from the wall dispensers in all our premises.

We also ask you, in order to protect our patients from the risk of cross infection, that if you have a friend or relative in one of our hospitals and have been recently unwell with diarrhoea and or vomiting, that you refrain from visiting until at least 48 hours or 2 days after your symptoms have ended.


What is MRSA?

MRSA is a common name for the bacteria (germ) Methicillin-resistant Staphylococcus aureus. In line with Department of Health recommendations, Gloucestershire Care Services undertakes MRSA screening for all those admitted either as a planned admission or as an emergency.

What is Clostridium difficile?

Clostridium difficile, also known as C. diff is an antibiotic associated diarrhoeal illness.

A Guide to Clostridium difficile - Department of Health

Contacting the Infection Control team

We need you to tell us if our healthcare facilities are not as clean as they should be. Unfortunately or facilities are sometimes left in a less than satisfactory condition after use and we need you to let us know. For cleanliness issues please speak to a team member who will then arrange for cleaning and decontamination to take place as soon as possible.

If there is something that you are concerned about or you require more information on any infection or how we are controlling infections then please contact the infection prevention and control team on 0300 422 6166 where one of the team will be happy to discuss or meet with you.

Our office hours are from 8.30am to 4.30pm Monday to Friday.