Dear Dr Razzaque
I am writing in response to your recent request for information as follows:
I would be grateful if you could send me information on how many extra contractual referrals (ECRs) your Trust has made for acute working age adult psychiatric in-patient beds over the last 3 years.   This excludes any referrals for specialist or long stay beds – i.e. forensic, rehab or other tertiary referrals - as I am referring only to acute admissions that had to be sent to another Trust (often out of hours – either NHS or private sector) as a result of periodic bed pressures within your own area.
I would also be grateful if you could break the information down as follows;
i) Totals for each month (over the last 36 months).
ii) Gender ratios (i.e. what percentage was male and what percentage was female).
iii) Which Trusts you made these referrals to (totals for each year).
Please note that the Trust has not made any ECRs during this time period and therefore we do not hold any relevant information.
I hope this response satisfies your request in full. If you are not satisfied, you may appeal by setting out your concerns in writing for the attention of myself, the Information Governance Manager.  In the event that you remain dissatisfied with the outcome of any appeal, you have the right to appeal to the Information Commissioner’s Office (ICO), although they will expect you to exhaust the Trust’s internal complaints policy before they will consider a case.  For further details see: .
Yours sincerely
John Hughes
Information Governance Manager
Information Services / IM&T Department
South West London & St George’s Mental Health NHS Trust
Springfield Hospital
Building 7A
61 Glenburnie Road
London SW17 7DJ
[email address]
Tel:  020 3513 6184
Fax: 020 3513 6845