FOI Tracker

Freedom of Information Requests

This page tracks all Freedom of Information requests submitted as part of The Heart Campaign Torbay's investigation into cardiac services in Devon.

Payroll quietly moves to Exeter, and the campaign asks the ICB to show what it actually spends on Torbay Update – 2 to 5 July 2026: On 2 July, an announcement on the Trust's staff intranet confirmed that payroll services for Torbay and South Devon NHS Foundation Trust had already been transferred to a shared service hosted by Royal Devon, with effect from 1 July. Staff were told after the event. The public were not told at all. The campaign has written to the Chief Executive asking whether this is the first stage of a wider programme of moving functions to Royal Devon, and whether it is connected to the pathology relocation to Exeter. On 5 July the campaign submitted two Freedom of Information requests to NHS Devon ICB, whose own published figures show expenditure of roughly £102 million in March 2026 alone. The requests ask what the ICB spends on the Torbay and South Devon population, whether it has ever modelled the cost of moving acute services out of Torbay Hospital, and for a payment-level record of every pound paid to the three Devon acute trusts, including any funding already redirected away from Torbay. Either the efficiency case has been costed and can be published, or it has not been made.
£7.5m loan to move services to Exeter, three formal challenges to the Trust, and the campaign takes its case to the Prime Minister Update – 6 to 10 June 2026: The campaign understands Torbay Council has agreed a £7.5 million loan to the Royal Devon trust to help set up the pathology hub in Exeter. The campaign has written to both hospital boards and the council leader asking for the business case, the impact on local cancer surgery (which relies on rapid tissue testing during operations), and why the existing Torbay building was not upgraded instead. It has formally challenged three of the Trust's recent refusals: the Epic computer contract, the Section 75 adult social care finances, and the pathology evidence base. In two of those, the Trust admitted it holds no analysis showing the savings it claims, and that clinical safety checks were still being written after the lease was already signed. The campaign has now escalated to national government, writing to the Prime Minister on 9 June and to the Commons Health and Social Care Committee on 10 June, arguing that the cumulative effect of changes at Torbay Hospital may amount to a substantial variation in services that legally requires full public consultation.
The Trust spent £4.6m moving cancer testing to Exeter, and won't say who it consulted first Update – 2 to 4 June 2026: The Trust has confirmed in writing that £4.6 million of government money is being spent moving routine tissue-sample testing from Torbay Hospital to a new lab in Exeter, with cancer screening going to the Royal Devon hospital. The funding had to be spent by 31 March 2026, and the Chief Executive and Chair approved the deal on 26 March under "urgent" rules, six days after staff were told the outcome. The whole decision took eleven weeks. The campaign has asked who was actually consulted, what other options were looked at, and what risks were identified. The Trust has described the process but not released the paperwork.
What was said in public did not match what was being planned behind the scenes Official Position vs. Reality: In December 2025, NHS Devon published an open letter to the people of Devon assuring residents there were no proposals to change or close cardiac services. Freedom of Information requests later revealed that, at the same time, internal discussions were already underway about suspending emergency cardiology on an "eight-week test and learn basis." When the campaign challenged this, NHS Devon never answered on the merits.
Update – 19 May 2026: Answering the campaign's questions about its new Epic patient-record system, the Trust confirmed the funding is ring-fenced, does not count against its normal capital limit, and benefits from "central spending flexibility" not available to other projects such as the cath lab replacement. In short, money is available for Epic that is not available for cardiac services. The Trust refused to release contract values, payment schedules and cost changes, and one refusal appeared to reference "patient records" by mistake. The campaign has asked for these refusals to be reviewed.
Update – 8 April 2026: NHS Devon has confirmed it will not progress the case for change programme "at this time", following a Joint Committee decision on 26 March 2026. The programme has been absorbed into the ICB's five-year commissioning plan. This is a significant development, but the language is carefully qualified throughout - "at this time" and "right now" are not permanent commitments. The campaign's FOI requests remain active and the evidence gathered continues to form part of the public record. The cath lab failure of 8-9 March 2026, the unanswered questions about the Teignmouth patient transfer, and the Trust's financial pressures have not gone away. We will continue to monitor and report.
Update – 21 April 2026: Torbay and South Devon NHS FT issued four FOI decisions on the same day. The Trust refused both cath lab outage requests in full under Section 40(2) (TSD10425 transfer handling and TSD10426 divert log), applying a blanket personal data exemption even to questions about decision-maker roles, escalation pathways, and which receiving hospitals were contacted. The Trust extended deadlines on the EPR Epic procurement requests (TSD10299 and TSD10421) under Section 43(2) (commercial interests) and on the Section 75 Adult Social Care request (TSD10396) under Section 12(1) (cost limit). Revised response date for all three extensions: 20 May 2026. The two refusals are candidates for internal review.
Update – 27 April 2026: The campaign has submitted a comprehensive forensic FOI to Torbay and South Devon NHS FT requesting the full evidence base behind the proposed pathology reconfiguration, including business cases, raw activity data, financial and operational modelling, clinical risk assessments, Carter-based efficiency claims, and the full governance trail from 2018 to present. The request follows NHS Devon ICB's confirmation on 14 April that the Trust Board has approved the relocation of routine histopathology services to a new laboratory at Gadeon House in Exeter, with confirmation due at the public Board of Directors meeting on 7 May 2026. The campaign has set a 7-working-day response deadline (6 May 2026) to obtain the underlying evidence before the public meeting. The statutory deadline is 26 May 2026.

Click any request to view details and download documents where available.

Last updated: 13th July 2026

13
Documents Available
4
Overdue
4
Awaiting Response
6
Under Review/Challenge
8
Correspondence on Record

Overdue

RDF3784-25 Royal Devon & Exeter
OVERDUE
Royal College of Physicians recommendations for cardiology services
Submitted: 20 October 2025 | Was due: 15 December 2025

Seeks the Royal College of Physicians' recommendations and any reviews of cardiology services at RDE conducted after the 2020 report that identified 29 concerns. Response overdue; claimed exemptions challenged.

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R4932/RDF2832/24 TSD / RDE
OVERDUE
Was Briggs aware of RCP review and 6 key issues?
Submitted: 28 November 2025 | Statutory deadline: ~7 January 2026 | No response received

Asks whether key decision-makers were aware of the Royal College of Physicians review findings and the six critical issues identified before proceeding with plans to move services. No acknowledgement or response from either Trust.

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R4932-1 NHS Devon ICB (concerns TSD / RDE)
OVERDUE
Timeline of RCP investigation awareness and Case for Change formulation
Submitted: 13 January 2026 | Response due: 10 February 2026 | No response received

Detailed follow-up seeking to establish precisely what was known about the RCP investigation, when, by whom, and whether it informed the Case for Change proposals, including the 8-week "test and learn" closure of emergency cardiology. Significantly overdue.

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Governance Failures Challenge NHS Devon ICB
RESPONSE OVERDUE
RDE £40m+ Deficit - Financial Viability of Service Transfer
Submitted: 27 February 2026 | 7-day deadline: ~10 March 2026 | No response received

Formal challenge demanding the ICB explain how a Royal Devon trust with a £40m+ forecast deficit can safely absorb additional cardiac workload from Torbay. Tests a core assumption of the entire Case for Change. No response received.

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Awaiting Response

RDF3768-25 Royal Devon & Exeter
DEFLECTED
RDE efficiency concerns, locum use, weekend working costs
Submitted: 13 October 2025 | RDE deflected to ICB

RDE declined to answer questions about its own efficiency, locum use, and weekend working costs, redirecting the campaign to the ICB. Tests whether RDE can absorb Torbay's workload when it won't share basic capacity data.

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TSD10523 Torbay & South Devon NHS FT
CLARIFICATION REQUESTED
Ten-Year Account of Services Reduced, Relocated, Outsourced, or Withdrawn from Torbay Hospital
Submitted: 26 April 2026 | Trust acknowledged: 29 April 2026 | Trust response: 27 May 2026 ("not held") | Campaign clarification: 4 June 2026

Seeks a complete account of services reduced or withdrawn from Torbay Hospital since 2016. The Trust replied "we do not hold this information" on commissioning grounds; the campaign is challenging this, since the Trust holds provider records about its own service changes.

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Pharmacy Capacity (ref awaited) TSD NHS FT / RDE / NHS Devon ICB
AWAITING RESPONSE
Outpatient Pharmacy Capacity at the Royal Devon and Exeter Hospital and Service Transfer Risk
Submitted: 11 June 2026 | References and acknowledgements awaited from all three bodies

Tests whether the Boots outpatient pharmacy at the Royal Devon and Exeter Hospital can absorb the extra demand created if cancer, pathology, and cardiology services move from Torbay to Exeter, and seeks the risk-register and Board Assurance Framework material.

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ICB Expenditure (ref awaited) NHS Devon ICB
AWAITING RESPONSE
Expenditure Relating to the Torbay and South Devon Catchment, and Payments to the Three Acute Trusts
Submitted: 5 July 2026 | Statutory deadline: 3 August 2026 | Acknowledgement awaited

Two linked requests following the ICB's own published spend of roughly £102 million in March 2026 alone. Seeks a full breakdown of what the ICB spends on the Torbay and South Devon population, every payment made to the three acute trusts, and any modelling or business case for moving acute services out of Torbay Hospital.

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Under Review or Challenge

RDF3688-25 Royal Devon & Exeter
ICO COMPLAINT ELIGIBLE
Waiting times, weekend working, referrals to Torbay, locum costs
Submitted: 17 September 2025 | ICO complaint eligible: 6 November 2025 | ICO ref: IC-450170-C5F5

Asked fundamental questions about RDE's capacity and reliance on Torbay. After a failed internal review, the ICO has confirmed the complaint is eligible for investigation (ref IC-450170-C5F5) and is awaiting allocation to a case officer.

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FOINHSD25/1474 NHS Devon
INTERNAL REVIEW RECEIVED
Edge Health commissioning - Demand & Capacity Modelling across Devon hospitals
Submitted: 26 October 2025 | Initial response: "does not hold" | Internal Review received: 16 February 2026

After first claiming "we do not hold", NHS Devon now admits it holds the Edge Health modelling that underpins the cardiac reconfiguration, but withholds it under Section 22 (no publication date) and Section 36 ("safe space"). Part of the linked systemic-failure ICO complaint.

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FOINHSD25/1520 NHS Devon
ICO COMPLAINT
Authorisation of Edge Health Demand & Capacity Modelling
Submitted: 27 November 2025 | Response received: 16 February 2026 | ICO complaint: 23 December 2025

NHS England says NHS Devon commissioned Edge Health, but NHS Devon claims it holds no contract, business case, or correspondence. A 23 December 2025 ICO complaint argues this circular redirection, with the cardiology complaint, shows a system-wide FOI failure.

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TSD10299 / TSD10421 Torbay & South Devon NHS FT
UNDER INTERNAL REVIEW
EPR (Epic) Procurement - Contract Value, Payment Profile, Funding, Capital Regime, and Programme Risk
Submitted: 24-29 March 2026 | Trust final response: 20 May 2026 | Section 12 template error admitted: 9 June 2026 | Internal review deadline lapsed: 18 June 2026

Seeks the full cost, funding, and capital treatment of the Epic EPR programme. The Trust applied five exemptions, then admitted in writing that its Section 12 refusal was a copied-and-pasted template error. The internal review deadline has lapsed.

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TSD10396 Torbay & South Devon NHS FT
UNDER INTERNAL REVIEW
Section 75 Partnership - Adult Social Care Financial Pressures and Recovery Plan
Submitted: 29 March 2026 | Trust final response: 20 May 2026 | Internal review requested: 6 June 2026

Seeks to establish when financial pressures in the Section 75 Adult Social Care partnership were first recognised. The Trust refused the request in full under a blanket Section 36, including historic factual records; the campaign's internal review challenges that.

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TSD10513 Torbay & South Devon NHS FT
UNDER INTERNAL REVIEW
Pathology Reconfiguration - Forensic Request for Business Cases, Modelling, and Decision-Making Records
Submitted: 27 April 2026 | Trust final response: 27 May 2026 | Internal review requested: 6 June 2026

Seeks the evidence base behind the pathology move to Gadeon House. The Trust applied layered exemptions and admitted it holds no Carter efficiency analysis, and that clinical risk assessments were still being completed after the lease was signed.

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Responses Received

FOINHSD26/1566 NHS Devon ICB
RECEIVED
Case for Change - Current Status and Decision Not to Progress
Response received: 8 April 2026 | Signed: Libby Ryan-Davies

The ICB confirmed it will not progress the cardiology case for change as a standalone programme, following a Joint Committee decision on 26 March 2026. The language is time-limited throughout ("at this time", "right now"), with no long-term assurance for Torbay. Also covers FOINHSD25/1493.

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FOINHSD25/1398 NHS Devon
RECEIVED
Waiting times for cardiac procedures
Submitted: 29 August 2025 | Received: 17 September 2025

Requested waiting times for cardiac procedures at RDE from 1 July 2025. NHS Devon does not hold the information and referred the request to RDE.

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FOINHSD25/1415 NHS Devon
RECEIVED
Allocation of Cardiology Income and Cath Lab refurbishment
Submitted: 8 September 2025 | Trust response: 16 Feb 2026 | Cath labs failed: 8-9 March 2026

The cath-lab funding saga and the weekend both labs failed. The Trust confirmed a £5.7m replacement to September 2027, with manufacturer support ending June 2026. A documented patient case contradicts the Trust's account that RDE "offered support".

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FOINHSD25/1493 NHS Devon
RECEIVED
Case for Change timeline and SRO absence
Submitted: 7 November 2025 | Internal Review: 9 December 2025 | Resolved via FOINHSD26/1566

Sought documented timelines for the Case for Change and details of the SRO's unplanned absence. The ICB admitted holding "part" of the information; the internal review was never answered on its merits before the programme was absorbed into the five-year plan.

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RDF3779-25 Royal Devon & Exeter
RECEIVED
Cardiology service capacity, weekend working, and patient transfers
Submitted: 18 October 2025 | Received: 10 December 2025

RDE's own data shows its cath labs are "fully utilised during weekdays" and running weekend sessions, while already transferring 284 inpatients to Torbay. Raises the question of how RDE could absorb Torbay's workload.

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FOI-2510-2272157 NHS England
RECEIVED
Edge Health Commissioning - Demand & Capacity Modelling Across Devon Hospitals
Submitted: 26 October 2025 | Response received: 17 November 2025

NHS England confirmed it does not hold the Edge Health commissioning information and directed the request to NHS Devon ICB as the body "responsible for the majority of NHS budget and services in Devon", making the ICB's later "not held" claims implausible.

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FOI 36915 South Western Ambulance Service
RECEIVED
Prehospital thrombolysis capability for STEMI patients
Submitted: 11 December 2025 | Received: 26 January 2026

SWASFT confirmed there is no prehospital thrombolysis in South Devon and no paramedic training for over 10 years. Moving cardiac services to Exeter would extend diagnostic uncertainty well beyond NICE thresholds for STEMI patients.

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RDF4140-26 / TSD10426 Torbay & South Devon NHS FT / RDE / SWASFT
REFUSED s40(2)
Full Divert Log - Cath Lab Outage and Teignmouth Patient Transfer
Submitted: 12 March 2026 | TSD response: 21 April 2026 (TSD10426)

Requested the raw divert log and operational records for the cath-lab outage. The Trust refused in full under Section 40(2), applying a blanket personal-data exemption even to timestamps and operational records that contain no personal data. A candidate for internal review.

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TSD10012 Torbay & South Devon NHS FT
RECEIVED
Virtual Wards - Frailty versus Cardiac Virtual Ward Comparison
Submitted: 3 November 2025 | Response received: 9 December 2025

Asked for a comparison between the Trust's frailty virtual ward and any cardiac virtual ward provision, to test parity of investment between specialties. Substantive response received; full content to be added when available.

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RDF4139-26 / TSD10425 RDE / SWASFT / NHS Devon ICB / Torbay & South Devon NHS FT
REFUSED s40(2)
Cath Lab Outage - Emergency Transfer Handling and RDE Refusal Allegation
Submitted: 12 March 2026 | TSD response: 21 April 2026 (TSD10425)

Asked all four bodies for the documented record of the transfer that RDE allegedly declined. The Trust refused in full under Section 40(2), including questions about decision-maker roles and which Trusts were contacted, neither of which is personal data. The second blanket s40(2) refusal that day.

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TSD10532 Torbay & South Devon NHS FT
RECEIVED
Agency Nursing Costs - Weekend Shift Hourly Rates and Total Expenditure
Submitted: 30 April 2026 | Trust response: 19 May 2026 | Clarification: 4 June 2026

The Trust disclosed that in April 2026 alone, 648 agency nurses worked 7,037 weekend hours at a cost of £225,140. It answered "N/A" on whether it holds any value-for-money comparison against enhanced pay for substantive staff. The campaign is pressing for clarification.

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Correspondence on Record

This section captures substantive email correspondence that is not yet a formal numbered FOI but where the campaign has put matters on record. Items here may graduate to a numbered FOI, or move to "Responses Received" if a substantive response arrives.

One Plan for Devon NHS Devon ICB
ON RECORD
ICB Signposting Response and Anonymous Correspondence Challenge
ICB email: 14 April 2026 | Campaign challenge: 25 April 2026 | No response received

The ICB's 14 April Q&A on the One Plan for Devon, which makes eight testable factual claims (no PPCI relocation, histopathology to Gadeon House, £14.2m ED redevelopment), plus the campaign's challenge to the ICB's practice of issuing unsigned correspondence from a generic inbox.

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Gadeon House Clarification Torbay & South Devon NHS FT
STATEMENT CHALLENGED
Clarification of 7 May Board Statement on Gadeon House and the Peninsula Pathology Network
Sent: 9 May 2026 | Trust responses: 19 May, 2 June & late June 2026 | Campaign responses: 4 June, 1 July & 2 July 2026 | Board meeting in public: 2 July 2026

Two Trust responses confirm £4.6m ring-fenced funding, a 15-year lease, and decisions taken 19-26 March 2026 under urgent arrangements. After the CEO told the 2 July public Board meeting that emergency capital had been secured for histopathology, the campaign submitted twelve questions that evening demanding to know why that money is not being spent at Torbay, who proposed the £7.5m council loan, and whether more pathology services will follow.

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NHF and Trust Strategy Torbay & South Devon NHS FT
SECOND CEO RESPONSE
Clarification of the Relationship Between the Trust's Draft Strategy and the Neighbourhood Health Framework
Campaign letter: 17 April 2026 | Trust CEO responses: 1 & 18 May 2026 | Campaign follow-up: 4 June 2026

The CEO has committed in writing that the draft strategy is principles-based, names no cardiac services, and that the NHF imposes no binding requirements. But his assurances are all present-tense; the campaign is pressing the unanswered future-facing question of whether the NHF could later be operationalised to drive service change.

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£7.5m Loan and Edginswell Land TSD NHS FT / RDE / Torbay Council
FOI LOGGED (RDUH)
Torbay Council Loan to RDE for Gadeon House, Impact on Torbay Pathology, and Edginswell Land Disposal
Multi-body letter: 6 June 2026 | RDUH FOI RDF4347-26 due 3 July 2026 | Council & Trust follow-ups: 23 June 2026

Public money raised in Torbay is reportedly being lent (£7.5m through prudential borrowing) to relocate pathology to Exeter. The 23 June follow-ups disclosed a 25-year lease, a 15-year break, and a proposed direct award bypassing competitive tender. Royal Devon has logged it as a formal FOI; the Trust and ICB have not.

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ICB Engagement Evidence NHS Devon Integrated Care Board
ON RECORD
Challenge to NHS Devon ICB's Claims of Public Engagement on the One Plan for Devon
ICB response to Dr Phil Keeling: 15 May 2026 | Campaign challenge: 4 June 2026 | No further response received

The ICB claims significant engagement and co-development but provides no dates, numbers, or data, and attributes much of it to the separate national 10 Year Plan. The campaign sets out eight areas where the duty under Section 14Z45 appears discharged with language rather than evidence, and questions the cancelled 13 April public meeting.

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MP Letter (James Murray) Member of Parliament
ON RECORD
Request for Parliamentary Assistance on the Transfer of Services from Torbay to Exeter
Sent: 6 June 2026 | No response received

Escalation to the parliamentary level, asking James Murray MP to seek explanations from the ICB, the Trust, and Torbay Council, to press for publication of the business cases, and to consider whether the cumulative service transfers require formal consultation or ministerial scrutiny.

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PM & Health Select Committee Prime Minister / House of Commons
ON RECORD
Ministerial and Parliamentary Scrutiny of Acute Services at Torbay Hospital
Letter to the Prime Minister: 9 June 2026 | Letter to the Health and Social Care Committee: 10 June 2026 | No response received

The campaign's highest escalation: a letter to the Prime Minister and one to the Commons Health and Social Care Committee, arguing the cumulative effect of cardiac and pathology changes amounts to a substantial variation in services triggering statutory consultation duties under Sections 242, 14Z45, and 244 of the NHS Act 2006.

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Payroll Transfer Torbay & South Devon NHS FT
ON RECORD
Transfer of Payroll Services to the One Devon Payroll and Pensions Service Hosted by Royal Devon
Trust intranet announcement: 2 July 2026 | Campaign letter: 5 July 2026 | No response received

Payroll for the Trust quietly moved to a One Devon service hosted by Royal Devon from 1 July, announced only on the staff intranet after the event. The campaign asks whether this is efficiency or integration, whether it is linked to Gadeon House, whether more transfers will follow, and requests the answer be published.

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FOI Contact Information

To submit Freedom of Information requests to the relevant organisations:

  • Royal Devon University Healthcare NHS Foundation Trust:
    Email: rduh.foi@nhs.net
  • Torbay and South Devon NHS Foundation Trust:
    Visit: Freedom of Information page
  • NHS Devon ICB:
    Email: d-icb.foi@nhs.net

All documents obtained through legitimate Freedom of Information requests.
Documents are provided for transparency and public interest in cardiac healthcare services across Devon.