Stop Oxevision

Nine NHS Trusts have stopped their use of Oxevision– following a national patient-led campaign, a statutory public inquiry and media coverage – now is the time for the remainder to take notice and end their own contracts with Oxehealth. This is how you can help.

A recent article published by Oxehealth / LIO claims their technology is “perceived not as an optional extra, a nice-to-have or an idea to trial, but as a foundation for safety and quality in mental health hospitals”. However, these bold claims appear, to us, to be unfounded. Instead, patterns of institutional defensiveness, silence and evasiveness from the NHS Trusts that currently use Oxevision tell a different story. With mounting national concerns about the safety, legality, and value of Oxevision, the pressure on Trusts to remove the technology is growing – far from a “foundation of safety” – even beyond the risk it may pose to patients, the use of Oxevision has become a point of reputational risk for the Trusts still using it.

Oxehealth / LIO have long boasted that “Oxevision is currently used by approximately 50% of the National Health Service (NHS) mental health trusts”. However, this figure is no longer correct. Firstly, this relates only to the Trusts that provide inpatient mental health services in England. Secondly, whilst these figures were once true, due to the number of Trusts uninstalling Oxevision, the figure currently stands at 20 NHS Trusts (40%) [1].

In 2023, Stop Oxevision submitted Freedom of Information (FOI) requests to all mental health Trusts asking about their use of Oxevision as well as regular CCTV in bedrooms/seclusion and body-worn cameras. This allowed us to map where Oxevision had been installed and how it was being used across services. We submitted follow up requests to track the services that were still in a process of installing Oxevision in their services. 

We can now provide an updated list of where Oxevision is currently being used – highlighting where it has been removed. Whilst some Trusts (e.g. EPUT, Devon Partnership, TEWV, Oxford Health and Surrey and Borders) have expanded their use of Oxevision since 2023, none of the other Trusts that weren’t using Oxevision in 2023 have since installed it or report plans to do so.

The information we present is correct to the best of our knowledge, however, this comes with caveats. This information has, primarily, been pieced together through conducting hundreds of FOI requests. Unfortunately, in our extensive experience over the last few years, Trusts are often evasive and lack transparency or clarity in the information they share, routinely exceeding statutory timeframes, withhold information, and regularly skirt addressing direct questions. Consequently, while it is a challenge to present an accurate national picture, this makes it all the more essential that we present the knowledge we have gathered with the few resources available to us [2]. 

Are Trusts ‘stuck’ in contracts?
It is important to clarify the contractual relationships between Oxehealth/LIO and Trusts. Oxehealth/LIO operate a ‘software as a service’ model meaning they incur initial hardware installation costs and sign a contract to pay for ongoing software use. The contracts Trusts sign with Oxehealth/LIO are typically for a period of 3-4 years, after which they may opt to extend the contract for another 3-5 years (with incentives from Oxehealth) or transfer to yearly rolling contracts [3]. The wording of Oxehealth/LIO contracts does not appear to permit Trusts to terminate these contracts early except in specific instances [4]. Therefore, where Trusts have signed contracts for multiple years, they may feel limited in options to remove Oxevision.

Additionally, in some instances, end of contracts “make good” fees are incurred by Trusts at the end of the contract [5]. Whilst this depends on the specifics of the contract agreed between Oxehealth/LIO and Trusts, “make good” payments appear to be based on the number of individual Oxevision cameras installed, thus trusts with hundreds of Oxevisions may be expected to incur greater costs.

How you can help

If you work in, are a patient/user-led group working besides, or are a patient, carer of a patient using one of the services of the Trusts listed, there are many ways you can help.

We have provided a draft letter of concern, which encourages Trusts to cancel their contracts with the company. We are asking people to send this to their local Trust, so they understand the extent of public feeling about the technology – regardless of the financial ‘losses’ they may incur as a result. While you are welcome to copy/paste this template, we encourage you to edit and personalise it as much as you can so it has the most impact, as in our experience, a large volume of copy/pasted complaints are often ignored. 

Moreover, if you have any additional information about how Oxevision is used in the Trust or any plans to uninstall or expand usage of this, please let us know at stopoxevision@gmail.com. We will maintain and protect the identity of any concerned staff or patients. 

Trusts no longer using Oxevision 

This is an enormous win for the campaign, everyone who has supported us, and especially for those who have had to face this technology. With your continued support, we can add to this list in 2026.

Black Country Healthcare NHS Trust	Black Country planned to install Oxevision on acute and older adult mental health wards and had policies in place in 2023. However the Trust reports that they never actually installed Oxevision.
Hertfordshire Partnership NHS Foundation Trust	Previously used Oxevision within 136 suites, however, following the work of a local user-led group, the cameras have been unplugged since October 2025 and will be removed in January 2026 once the contract with Oxehealth/LIO has ended.
Kent and Medway NHS and Social Care Partnership Trust	Kent previously used Oxevision within 2 seclusion rooms. As of February 2026, the Trust have ended their contract with Oxehealth/LIO following an internal review. The cameras will be uninstalled in due course.
Leicestershire Partnership NHS Trust	Oxevision was installed on two wards and a seclusion room with apparent plans to install the cameras on at least six other wards. However, a two month pilot period was only conducted on one of the wards. It appears Oxevision was never switched on within one ward or the seclusion room. Following the short pilot between November 2024-January 2025, Oxevision contracts were ended as “the Trust decided the benefits were limited”.  Leicestershire were required to pay a £60,000 “contractual conclusion payment” to Oxehealth/LIO.
North East London NHS Foundation Trust	Having installed Oxevision within all bedrooms and seclusion rooms within the Trust, NELFT have ended the contract following an internal review of their use of Oxevision, and are removing Oxevision cameras from patient bedrooms in January 2026.
North London NHS Foundation Trust (previously Camden and Islington and Barnet, Enfield and Haringey NHS Trusts)	Oxevision was installed on female acute wards, however this was uninstalled in 2022 following complaints from patients and media coverage.
Nottinghamshire Healthcare NHS Foundation Trust	Oxevision cameras were installed in six bedrooms within Rampton High Security hospital women’s wards. This was removed in 2022. Nottinghamshire Healthcare reported that issues with poor wifi connectivity led to the termination of contracts.  “Due to challenges with Internet connectivity it was felt that the Oxevision technology would not be of sufficient benefit to the small patient cohort”.
Southern Health NHS Foundation Trust (now Hampshire and Isle of Wight Healthcare NHS Foundation Trust)	Southern Health planned to trial Oxevision on two CAMHS wards. Cameras were installed and policies were written, however the equipment was never turned on or used. Southern Health Trust spent in excess of £350,400 [5].
South London and Maudsley NHS Foundation Trust	Oxevision was installed within one seclusion room. However, this was not used after 2022 when the seclusion room was decommissioned and Oxevision was not transferred to the replacement seclusion rooms. The contract was terminated and technology removed in 2023.

Trusts still using Oxevision in ward bedrooms as well as seclusion / 136 suites [6]

If your local Trust is on this list or the list following, you can help by writing to them, expressing your concern, and the importance of ending their contract.

Cambridge and Peterborough	Cambridge and Peterborough are currently undertaking a trial of Oxevision within one acute mental health ward (Mulberry 2) and seclusion room. This will be reviewed in December 2025. It is currently unclear whether the trust will be continuing their use of Oxevision.
Central and North West London NHS Foundation Trust	Oxevision is used in 12 wards, seclusion rooms, as well as 2 136 suites and an extra care unit at HMP Woodhill. The original business case outlined plans to also install Oxevision within the Mother and Baby unit, however this was not actualised.
Coventry and Warwickshire Partnership NHS Trust	Previously had installed Oxevision on older adult, acute and PICU wards, this is now used on two older adult wards at nighttime only.
Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust	Oxevision is used in 35 wards as well as seclusion rooms and 136 suites. The Trust have also been charged for ‘unused licences’ even though Oxevison has not been installed/is not in use.
Derbyshire Healthcare NHS Foundation Trust	Oxevision was originally installed on older adult, rehab and forensic wards. It was then rolled out further to other new build wards in 2024/5, taking the total to 9 wards with Oxevision.
Devon Partnership NHS Trust	DPT previously used Oxevision in 2 seclusion rooms at Langdon Hospital secure services. In October 2025, DPT installed Oxevision within four wards and an additional seclusion room at Langdon Hospital. However, following a complaint raised to the Trust, the cameras have reportedly not been turned on yet. DPT continues to use Oxevision within seclusion rooms.
Essex partnership University NHS trust	Continue to use Oxevision within 30 inpatient wards, 4 health based places of safety, 8 seclusion rooms and 2 intensive care rooms. During the Lampard Inquiry hearings, Zephan Trent of EPUT, reported the trust was planning to install Oxevision within a further 5 wards (transcript pg.83). Stop Oxevision’s legal representatives – supported by legal representatives for bereaved families, patients and INQUEST – have called for the Lampard Inquiry to issue interim recommendations for EPUT to end their use of Oxevision.
Lancashire and South Cumbria	Oxevision was installed in three dementia units in 2023 and 2024.
Midlands partnership	Oxevision is installed on four wards, including an acute ward, two older adult wards, a PICU, and 2 seclusion rooms.
North Staffordshire Combined Healthcare NHS Trust	Oxevision is installed on two wards: a dementia unit and a PICU.
Oxford Health NHS Foundation Trust	Oxevision is installed on 24 wards and 37 seclusion rooms/136 suites (as an aside, this is a staggering number of seclusion rooms, it’s unclear why Oxford Health have so many in comparison to other trusts).  This is all wards except two (one is a pre-discharge ward) and includes an eating disorder unit, CAMHS wards, acute, PICU, secure and older adult units. Oxford Health is planning to install Oxevision within a final ward, another eating disorder unit in Wiltshire, however this has been delayed due to issues with Avon and Wiltshire Partnership (who don’t use Oxevision) owning the building.  You can read our timeline of Oxford Health’s installation of Oxevision as part one here and part two here.
Rotherham Doncaster and South Humber NHS Foundation Trust	Oxevision is installed/used in ten wards including acute, PICU and older adult units. It has previously also been installed in two rehab wards.
Surrey and Borders Partnership NHS Foundation Trust	Currently use Oxevision on 10 wards (adult and older adult) and a ‘health based place of safety’.
Tees, Esk and Wear Valleys NHS Trust	Oxevision is installed in at least 38 wards. This includes learning disability wards, eating disorder units, secure, adult and older adult mental health wards, seclusion rooms and 136 suites.
West London NHS Trust	Oxevision is installed in all bedrooms and seclusion rooms within Broadmoor high security hospital (14 wards).

Trusts using Oxevision in seclusion and/or 136 suites (but not patient bedrooms) [7]

Berkshire Healthcare NHS Foundation Trust	Oxevision is installed within two seclusion rooms.
East London NHS Foundation Trust	Oxevision is used in seclusion rooms associated with 12 wards.
Pennine Care NHS Foundation Trust	Oxevision is used in two seclusion (including CAMHS seclusion) and 136 suites.
South West London and St George’s Mental Health NHS Trust	Oxevision is used in 6 seclusion rooms (including CAMHS seclusion) and 2 136 suites [8].

This article was updated on 21st February 2026 to confirm that Kent and Medway NHS Trust have ended their Oxehealth/LIO Health contract

[1] In addition to the above mental health units, Oxevision has previously been used by Devon and Cornwall Police and the Metropolitan Police within police custody cells. It was also installed in at least one private care home as well as some wards run by Active Care Group (previously Huntercombe).

[2]  In addition, Live Well South West NHS Trust (Plymouth) is a ‘community interest company’ and is not classed as a public authority under the FOI Act. Similarly, despite providing publicly funded services, private providers such as Active Care Group (previously Huntercombe), are not subject to the FOI Act.

[3] For example, Lancashire and South Cumbria NHS Foundation Trust ‘benefits realisation’ pg. 11-12.

[4] Such as if Oxehealth/LIO enter administration or liquidation; if Oxehealth  “[commit] an unauthorised public disclosure of the Partner’s Clear Video Data”; or if another material breach of the contract is committed (13.3 pg. 8). Oxehealth/LIO may terminate a contract with a Trust for late payment, or “in the event of a relevant decision or indication by a regulatory or governmental body which Oxehealth believes requires this Agreement to be terminated” (13.2 pg.8).

[5] For example, Pennine Care NHS Foundation Trust Oxevision business case pg.15.

[6] These figures are based on the expenditure over £25k reported by the Trust. These figures may not include any payments below £25K. They will also exclude the costs associated with installing Oxevision monitors and servers and related infrastructure.

[7] Many of the Trusts who use Oxevision in seclusion rooms use this in addition to regular CCTV (for example EPUT, Devon Partnership and NELFT). Some Trusts who don’t use Oxevision do use regular CCTV systems in 136 suites and seclusion rooms.

[8] As with many trusts using Oxevision, SWLstG’s Oxevision usage reports have shown periods of time where Oxevision has not been used at all. For example, Oxevision was not used at all in some of the seclusion rooms between October and November 2025.