.

Requests - April 2015

Date

Reference

Question(s)

Response

01/04/2015 41/15

This is a request for information under the Freedom of Information Act (2000).  A separate attachment details the application for commercial re-use of the data and preferably use under the Open Government License.  Please supply the CCG position on use under OGL.

Please supply the data requested without restriction to diabetic datasets as most CCGs have been unable to do this.  From other national datasets it is possible to extrapolate diabetic activity for tests that are not used exclusively for the diagnosis and/or treatment of diabetes i.e. please supply the TOTAL numbers of each of the tests carried out on behalf of the CCG.

The data is for PRIMARY CARE only.

Please note Data Set A is for the financial year April 2014 - March 2015 inclusive.  If your CCG received an FoI request in Jan\Feb this year that was for a different date period - this is a different date period and slighly modified request.

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01/04/2015 42/15

Does NHS Southern Derbyshire CCG have a defined visual acuity threshold for patients to be referred for cataract surgery? 

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10/04/2015 43/15

Service Design and Makeup

1. Who are your current providers for community and secondary care dermatology services within your locality?

2. Which of these services are:
a) Contracted as consultant led 18-week services
b) GPwSI services
c) Primary care nurse services 

3. Has the CCG, since its formation, been made aware of any service capacity issues by providers? If so were these:
a) Workforce capacity issues
b) Other issues (please specify). 

4. For each GPwSI dermatology service directly contracted by the CCG do all the GPwSIs:
a) Attend a monthly clinic at their local hospital or
b) Have access to another consultant dermatologist resource 

Consultation and Needs Assessment

1. Since the CCGs formation have you put dermatology services locally out to tender?

2. What activity data did you use to inform the service specification requirements? Please list the data sets used to inform the care pathway requirements contained within your specification.

3. Please list the type and number of individuals or organisations you consulted with during the design of the care pathway requirements contained within your service specification.

4. What activities do you undertake to identify the local health care need or requirements for service redesign? (please list)

5. Has the CCG conducted:
a) A healthcare needs assessment to determine the likely level of demand for a dermatology service?
b) A review of current service provision? Please provide details of how this was conducted. 

6. When was the last time your CCG conducted a review of local dermatology service demand and workforce capacity?

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10/04/2015 44/15

Please can you tell me how much the CCG spent on management consultants each year since 2012?

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10/04/2015 45/15

1. What budget did you allocate for personal health budgets in 2013/14?

2. How many patients took up a personal health budget in 2013/14?

3. What budget did you allocate for personal health budgets in 2014/15?

4. How many patients took up a personal health budget in 2014/15?

5. What budget have you allocated for personal health budgets in 2015/16?

6. How many patients are expected to take up a personal health budget in 2015/16?

7. What items and services did patients spend their personal health budgets on in 2013/14? Please list items and total expenditure for each.

8. What items and services did patients spend their personal health budgets on in 2014/15? Please list items and total expenditure for each.

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13/04/2015 46/15

A breakdown of the LES payments made to surgeries for providing INR services (Warfarin related testing).  If this could be provided in excel format as to review each surgery individually that would be very helpful.

I would also like to request any documentation regarding these payments and any review dates planned etc.

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14/04/2015 47/15

I am interested in primary care rebate schemes within your CCG.

Which Primary Care Rebate schemes are you currently engaged in and what methods are used to implement the schemes?

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14/04/2015 48/15

1. What does your organisation spend on legal fees e.g. external legal advice and what is the breakdown of fees and expenses

2. What is the breakdown of spend e.g. what percentage of work is completed on an hourly rate basis, capped fee, fixed fee etc.

3. Who in your organisation is responsible for managing external legal spend

4. What controls do you have in place to manage external legal counsel spend

5. Do you use any of the eBilling (also known as Enterprise Legal Management or Legal Spend Management) tools (e.g. Serengetti, Mitratech, CT Tymetrix, Datacert etc.) available in the market to manage your legal spend – if yes what are you currently paying for this system and does the vendor charge your firms to use the same

6. Do you use a matter management system and if yes how much do you pay for the system

7. How do you decide if work is completed internally or by external counsel

8. What performance management do you complete with your external legal counsel to ensure you are receiving value for money

9. What is the breakdown of spend e.g. % of time billed by partner, by senior associate, junior associate, trainee and paralegals etc.

10. What is the breakdown of your legal spend by location e.g. how much work is performed in London, Manchester, Birmingham, Edinburgh, Glasgow, Cardiff, Belfast etc.

11. How do you measure what value added services law firms provide to you (e.g. free advice, free training, free secondees etc.)

12. Do you use external consultants to advice on how to manage your legal spend more effectively.  If yes, who and what have you spent with them in the last 12 months

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15/04/2015 49/15

Please would you indicate if your CCG has a contract with a CSU or other provider organisation for medicines management and/or medicines optimisation services that support the appropriate use of medicines. YES/NO

Please would you indicate the total value of these contracts? £ / annum

Please would you indicate the term of these contracts and the date on which they expire?

Please would you supply either the full contract or at least the service specification for these contracts?

Please would you indicate the key performance indicators or the outcomes that are measured within the monitoring of these contracts?

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20/04/2015 50/15

1. How many specialist urology/continence nurses were there within your CCG in each of the last five financial years?

2. How many hours of staff training were allocated in the last financial year, under the remit of continence care, to catheterisation? (E.g. If 50 staff received one hour each the answer would be 50 hours.) Of this
a. How many were for indwelling Foley catheters? 
b. How many were for intermittent catheters?

3. How many full time equivalent staff spend their time delivering this training? (E.g. if three staff spend half their working time on urology training the answer would be 1.5 FTEs.)

What is the job title/function of these individuals?

4. Do you have a named continence lead within your CCG's Trust(s)?
a. If so, please provide their name and contact details.
b. If not, who is responsible for this remit?

5. Are catheter passports* used at all within your CCG?

6. Are catheter passports used for all patients within your CCG who are issued with a catheter, both in hospital and in the community?

7. If a catheter passport is used within your CCG, does it contain a urine colour chart?

8. Do you have a urine colour chart on every toilet door within each hospital?

9. How many district nurses are available on call within your CCG on a typical: 
a. Weekday at 1am?
b. Weekday at 1pm?
c. Sunday at 1am?
d. Sunday at 1pm?

10. What visibility do your continence leads have of continence patients in the community? 

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23/04/2015 51/15 1. How many People received full CHC funding for 2014 in GEM

2. Of these split by county

3. How many of these were in Residential Care homes, Nursing Care Homes, Hospitals, how many were in Domiciliary.

4. How many continued to receive CHC funding following first review

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23/04/2015 52/15

Information relating to the time commitments, remuneration and contract types of some Governing Body member roles and two non-governing body CCG roles types.

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27/04/2015 53/15 1. What is this CCG’s policy towards re-use of aids for the elderly such as commodes, zimmer frames, raised chairs, toilet seats and bed rails once they have been issued for use once? 

2. Are theses aids sterilised and re-used or are they written off?’

3. If the above aids are not re-used, what was the expenditure on those aids in financial year 2013-14 and year to date 2014-15.

4. What is your patient population?

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27/04/2015 54/15

1. How many GPs in your area have taken ’24-hour retirement’ under the NHS Pension Scheme and returned part- or full- time to the same role in each of the last three financial years (please give separate figures for each year)?

2. If you set an alternative minimum ‘retirement’ period (other than 24 hours) before returning, please provide those figures – and stipulate what your minimum period is.

3. What was the youngest age that somebody ‘retired and returned’ over those three years?

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28/04/2015 55/15

1a. How many people who have worked for you were paid off-payroll in the financial years 2013/14 and 2014/15?

1b. How many people working for you are currently paid off-payroll?

2a. How many of the off-payroll workers in the 2013/14 financial year were either board members or senior officials with significant financial responsibility?

2b. How many of the off-payroll workers in the 2014/15 financial year were either board members or senior officials with significant financial responsibility?

2c. How many of the off-payroll workers currently working for you are either board members or senior officials with significant financial responsibility?

3a. Please provide the names and job titles for the off-payroll workers in 2013/14 who were either board members or senior officials with significant financial responsibility.

3b. Please provide the names and job titles for the off-payroll workers in 2014/15 who were either board members or senior officials with significant financial responsibility.

3c. Please provide the names and job titles for the off-payroll workers who are currently board members or senior officials with significant financial responsibility.

4. For each of the off-payroll workers named in 3a, 3b and 3c, please state the length of time that they have been paid off-payroll.

5. For each of the off-payroll workers named in 3a, 3b and 3c, please state the name of the company which was paid for the work.

6. For each of the off-payroll workers named in 3a, 3b and 3c, please state whether this firm is a personal service company.

7. For each of the off-payroll workers named in 3a, 3b and 3c, please state whether assurances were sought that the correct amount of tax was paid for the work.

8. For each of the off-payroll workers named in 3a, 3b and 3c, please state whether assurances were received that the correct amount of tax was paid for the work.

9. For each of the off-payroll workers named in 3a, 3b and 3c, please state whether proof was received that the correct amount of tax was paid for the work.

10. For each of the off-payroll workers named in 3a, 3b and 3c, please state whether you took on PAYE responsibilities for the worker and whether you paid National Employment for the work.

11. For each of the off-payroll workers named in 3a, 3b and 3c, please confirm whether or not the appointment was made because of ‘exceptional circumstances’. If so, please explain what these exceptional circumstances were.

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28/04/2015 56/15

1. What was the total Primary Medical Services (PMS) budget spent on GP practice members of NHS Southern Derbyshire CCG in 2013/14 and 2014/15 respectively?

2. What is the total PMS budget for 2015/16 for GP practices that are members of NHS Southern Derbyshire CCG?

3. How many PMS contracted GP practices were members of NHS Southern Derbyshire CCG on 31 March 2013; 31 March 2014; and 31 March 2015 respectively?

4. Over how many years is ‘premium’ PMS funding being phased out in NHS Southern Derbyshire CCG area?

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29/04/2015 57/15

1. What are the number and cost of abortions commissioned by the CCG or (all the) CCGs for which you are Freedom of Information officer, and undertaken in the private/independent sector in the last five years, broken down by year and type of procedure?

2. What are the number and cost of abortions commissioned by the CCG or (all the) CCGs for which you are Freedom of Information officer, and undertaken in NHS services in the last five years, broken down by year and type of procedure?

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29/04/2015 58/15

What are the charges for abortion services negotiated between the CCG or (all the) CCGs for which you are FOI officer and any and all independent sector abortion providers, such as (but not limited to) the British Pregnancy Advisory Service (BPAS), Marie Stopes International (MSI), BMI Healthcare, Spire Healthcare, and Fraterdrive Ltd.? 

Please break these agreed charges down according to independent sector provider and according to abortion procedure.

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