Publication of Spend

As part of the government’s commitment to improve the transparency of how public funds are used, central government is required to publish all expenditure made by NHS Bodies. HM Treasury has confirmed this requirement applies to all NHS bodies.

Salary payments to staff are excluded from the scope of these disclosures, as are any invoices that are protected under the Data Protection Act.

Expenditure reports are in the drop-down menus below.


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

Counter Fraud policy
You can read the Trust's counter fraud policy 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:

Rayna Kibble
Local Counter Fraud Specialist
Telephone: 01452 318826 Email:

Paul Kerrod
Local Counter Fraud Specialist
Telephone 01452 318853  Email

Rose Williams
Local Counter Fraud Support Assistant
Telephone 01452 318842  Email


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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.