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Previous Requests Log - April 2017

Date Reference

Question(s)

Response 
02/04/2017 561/17

1. The total expenditure that has been incurred on:

a. Consultants (other than NHS staff) – broken down by firm (and project type if available),
b. On NHS staff, and;
c. On other running costs - broken down by category (e.g. logo design, printing, catering, engagement materials), for the production of the Derbyshire Sustainability and Transformation Plan from 1 January 2016 to date.  

2. The budget for each of these three items for the financial year 2017/2018.

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03/04/2017 562/17

1. The number of elective (a) hip replacement and (b) knee replacement surgeries funded each year in 2013/14, 2014/15, 2015/16 and 2016/17.

2. The number of successful Individual Funding Requests (or equivalent procedure) made for (a) hip replacement and (b) knee replacement surgeries each year in 2013/14, 2014/15, 2015/16 and 2016/17.

3. The number of unsuccessful Individual Funding Requests (or equivalent procedure) made for (a) hip replacement and (b) knee replacement surgeries each year in 2013/14, 2014/15, 2015/16 and 2016/17.

Questions 1-3 cover both full and partial replacements within each category.

4. The number of people recorded as having malnutrition (ie undernutrition) each year by GP practices in the area in 2013/14, 2014/15, 2015/16 and 2016/17 (if this is recorded by the CCG).

5. The number of people prescribed Oral Nutritional Supplements each year in 2013/14, 2014/15, 2015/16 and 2016/17, broken down by gender.

6. Please provide a list of all GP practices in the CCG area and a contact email address for each (to which FOI requests might be sent).

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04/04/2017 563/17

1. Please supply me with your most up to date wound care formulary (please indicate if you do not work from a formulary).

2. Who has operational responsibility for the formulary including the addition or deletion of products?

3. Please provide information on how compliance with your formulary is enforced?

4. Please provide information on how products are evaluated prior to being accepted onto the formulary? If this is part of a clinical evaluation or clinical trial, please provide the results.

5. Please provide information on who is responsible for the cost of wound care in your setting – is it CCG or Acute?

6. Please provide information if the wound care products are on prescription FP10?

7. Please provide a list of the wound care products that you are planning to keep on prescription FP10?

8. Please provide information if you are planning to take wound care products off prescription FP10?

9. Please provide a list of the wound care products that you are planning to take off prescription FP10?

10. Do you hold information about your patient demographic? If so, please provide information on what is your patient demographic and what are the most commonly treated wounds from your patient demographic

11. Please provide any information that you have relating to the average monthly usage of each product in the formulary?

12. Please provide information on the number of wound care products used that are not currently on the formulary?

13. Please provide any information on the monthly usage levels for non-formulary wound care products in the last twelve months?

14. How often do you review your wound care formulary and when was this last undertaken?

15. Please provide information about the procedure that you use of the information you assess when reviewing your formulary?

16. Please provide a list of the suppliers that are currently on your formulary?

17. Please provide figures for your total spend on wound care products in 2015 and 2016?

18. Please provide figures for your total spend on Compression bandages in 2015 and 2016?

19. Please provide figures for your total spend on Foam dressings in 2015 and 2016?

20. Please provide figures for your total spend on Anti-Microbial wound care products in 2015 and 2016?

21. Please provide figures for your total spend on Alginate (Silver) wound care products in 2015 and 2016?

22. Please provide figures for your total spend on Hydrocolloid wound care products in 2015 and 2016?

23. Please provide figures for your total spend on Wound contact products in 2015 and 2016?

24. Please provide figures for your total spend on Exudate Absorber (Super Absorber) Dressings products in 2015 and 2016?

25. Please provide figures for your total spend on Acute Wound Care products - Post Op Film Dressing Plus Pads, Steri-Strips, Stockinette and Semi Permeable Film Dressings in 2015 and 2016?

26. Please provide figures for your total spend on Skin Integrity wound products – Barrier Films and Barrier Creams in 2015 and 2016?

27. Please provide figures for your total spend on Vascular Access wound products – Semi Permeable Film Dressings and IV Dressings in 2015 and 2016?

28. Please provide figures for your total spend on hosiery products in 2015 and 2016?

29. Are you planning on collaborating with another healthcare entity to provide wound care services?

30. Please provide information on your current supply route – DHL, wholesaler or vendor direct?

31. Do you currently have a contract in place for supply of wound care products? If so when does it expire?

32. Please provide information on how many delivery points do you have for wound care deliveries?

33. Please provide information on how many community locations are holding stock of wound care and prescribing to the community?

34. Please provide information on what software platform do you use for ordering wound care products?

35. Do you have a wound care clinic in place for your local demographic and where do your referrals come from? 

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Wound Management Product Evaluation Standard Operating Procedure

05/04/2017 564/17

1. Please state the total number of Individual Funding Requests (IFRs) received by the CCG in each of the following years:

a. 2016-17
b. 2015-16
c. 2014-15
d. 2013-14 

2. For each of the four years listed in Q1, please list the three most common treatment categories in which IFRs were submitted and how many requests were made in each category.

3. Please state the number of IFRs which were approved in each of the four years listed in Q1.

4. Please state the number of appeals cases which were considered by the IFR panel in each of four years listed in Q1.

5. Please state the number of appeals cases which were upheld by the IFR panel in each of the four years listed in Q1.

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05/04/2017 565/17

1. Total planned spending by the CCG on general practice services for 2017/18, and a breakdown of how this figure is made up.

2. Total spending by the CCG on general practice services in 2016/17, and a breakdown of how this figure is made up.

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05/04/2017

566/17

1. Number of mental health beds for CAMHS Tier 4 inpatients every year from 2010-present.

2. Your procedure for dealing with CAMHS Tier 4 inpatients if no beds are available.

3. If/when beds are unavailable how many times from 2010-present have CAMHS Tier 4 inpatients been admitted to:

a. Adult psychiatric wards
b. Prison cells

Please provide the information broken down per year where available.

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06/04/2017 567/17

1. As of March 31st, 2017, can you tell me how many children were on the waiting list to visit the CCG children's dental hospital?

2. If the CCG does not have a dedicated dental hospital, how long is the wait as of March 31st, 2017, for children's dental services?

3. How long is the present waiting list, in terms of months/weeks to be seen?

4. How long is the wait for teeth extractions?

5. How many children are affected by the wait for teeth extractions?

6. Is there a wait for youngsters to be added to the waiting list? if, so how many children are waiting to be placed on to the waiting list?

7. How many dental nurses does the CCG employ for children's dental services?

8. How many vacancies does it have at present?

9. How many children were on the waiting list to visit the CCG's children's dental hospital on:

a. March 31st, 2016?
b. March 31st 2015?
c. March 31st 2014?
d. March 31st 2013? 

10. If the CCG does not have a dental hospital, how many children were on the waiting list to visit the CCG's children's dental services on:

a. March 31st, 2016?
b. March 31st 2015?
c. March 31st 2014?
d. March 31st 2013?

11. How many children received treatment at the children's dental services between January 1, 2016 and December 31, 2016?

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06/04/2017 568/17

1. Please state the number of patients that your trust transferred to private mental health inpatient units in each of the following financial years. Please break this down by month.

i. 2012-13
ii. 2013-14
iii. 2014-15
iv. 2015-16
v. 2016-17 to date 

2. Please state how much your trust spent on treatment in private mental health inpatient units in the following financial years.

i. 2012-13
ii. 2013-14
iii. 2014-15
iv. 2015-16
v. 2016-17 to 31st December 2016 

3. Please state on how many days that your trust could not source any beds in private sector inpatient units. Please provide information for the following financial years. Please break this down by month.

i. 2012-13
ii. 2013-14
iii. 2014-15
iv. 2015-16
v. 2016-17 to date

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06/04/2017 569/17 1. How much in total has your CCG spent on providing patients with homeopathy services and medicine in (i) 2014/15 and (ii) 2015/16?

2. Please provide me with a list of the products/services that you sanctioned in relation to Question 1.

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07/04/2017 570/17

1. What is the longest amount of time in days a patient had been kept in hospital due to delayed transfer in the past 12 months?

2. Could you give me details for the three longest delayed transfer stays, the name of the hospital concerned and if possible the age and sex of the patients concerned and the department they were in (ie elderly care/general surgery, paediatrics etc.)?

3. Are you also able to give a brief reason for the delay in each instance (ie lack of beds in care facility/delay equipping home etc.)?

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07/04/2017 571/17

Please give the amounts spent and number of referrals made by the CCG/health board for the following treatments or services in each of the last three financial years (2014/15, 2015/16 and 2016/17):

  • Iscador aka Mistletoe Therapy
  • Chiropractic/Spinal Manipulation
  • Osteopathy/Cranial Osteopathy/Craniosacral Therapy
  • Herbal remedies
  • Reflexology
  • Traditional Chinese Medicine
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10/04/2017 572/17

1. Please provide a list of all the organisations that have held contracts (or other formal agreement) for the delivery of community health services since the creation of the CCG (plus any predecessor CCGs), together with the start and end dates of each contract.

2. Please state what services were covered by each contract.

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11/04/2017 573/17

1. The number of (a) adults and (b) children receiving Continuing Healthcare (CHC)/Continuing Care in your area.

2. The number of those from 1(a) and 1(b) who receive a Personal Health Budget (PHB)?

3. The number of those from 1(a) and 1(b) who receive (a) care in their home and (b) care in a residential or nursing home.

4. The number of those from 2(a) and 2(b) who receive (a) care in their home and (b) care in a residential or nursing home.

5. The smallest and largest weekly budgets in £’s for 1(a), 1(b), 2(a) and 2(b).

6. The indicative hourly rate paid for Personal Assistants/carers (PAs) under a PHB for (a) standard care and (b) complex care.

7. The indicative hourly rate paid for Personal Assistants/carers (PAs) under CHC/CC for (a) standard care and (b) complex care.

8. The maximum amount used under a PHB to fund social activities per annum?

9. The maximum amount used under a PHB to fund respite per annum?

10. The maximum amount used under a CHC/CC to fund respite per annum?

11. Whether you permit ‘close family members’ who do not live with the ‘service user’ to be employed under (a) CHC and (b) PHB?

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11/04/2017 574/17

Activity and waiting times

1. Please confirm how many of the following diagnostic tests have been carried out in your area in each financial year since April 2013: (a) x-ray; (b) ultrasound; (c) CT scan; (d) MRI scan; (e) gastroscopy; (f) colonoscopy; (g) flexible sigmoidoscopy; and (h) histopathology.

2. Please confirm what the average waiting time in your CGG was for the following tests in each financial year since April 2013: (a) x-ray; (b) ultrasound; (c) CT scan; (d) MRI scan; (e) gastroscopy; (f) colonoscopy; (g) flexible sigmoidoscopy; and (h) histopathology.

Funding

3. Please confirm your CCG's budget allocation to fund imaging, pathology and endoscopy activity in each financial year since April 2013, and what it is forecast to be in 2017/18.

4. Please confirm whether your CCG received additional funding from the National Diagnostics Capacity Fund to increase capacity and productivity of diagnostic services. If so, how much?

Plans to invest and monitoring

5. Please confirm how your CCG assesses anticipated changes in demand for (a) x-ray; (b) ultrasound; (c) CT scan; (d) MRI scan; (e) gastroscopy; (f) colonoscopy; (g) flexible sigmoidoscopy; and (h) histopathology, and what assessment it has made of projected changes in demand.

6. Please confirm whether your CCG has plans to improve and expand diagnostic capacity in 2017/18 and, if so, what those plans are.

7. Please confirm how your CCG monitors capacity and performance for (a) x-ray; (b) ultrasound; (c) CT scan; (d) MRI scan; (e) gastroscopy; (f) colonoscopy; (g) flexible sigmoidoscopy; and (h) histopathology.

8. If diagnostic capacity has not been subject to increased investment, which of the 9 ‘must dos’ from the 2016/17 NHS England planning guidance have been prioritised?

Referral management centres

9. Please confirm whether your CCG operates or commissions a referral management centre that assesses referrals by local GPs.

10. If yes to question nine, please confirm whether the list of specialities that fall under the referral management centre’s remit include suspected cancer cases.

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11/04/2017 575/17

1. All in-patient and out-patient eating disorder services currently provided for CAMHS and adult services in your area.

2. The budget and monies promised to deliver the CAMHS access and waiting time standards on Eating Disorders.

3. The budget and monies received to deliver the CAMHS access and waiting time standards on Eating Disorders.

4. Your total budget and expenditure for all CAMHS eating disorder services (please include any additional monies received to deliver access and waiting time standards, as specified in Question 3).

5. Your total budget and expenditure for all adult eating disorder services.

6. Your average and range of waiting times for CAMHS eating disorder services for both severe and non-severe cases.

7. Your average and range of waiting times for adult eating disorder services for both severe and non-severe cases.

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13/04/2017 576/17

1. The number of FOI requests received for each of the following years:
2014/15
2015/16
2016/17               

2. The average response time for each of the following years:
2014/15
2015/16
2016/17                

3. The number of responses that breached the 20 working day statutory limit in each of the following years:
2014/15
2015/16
2016/17               

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13/04/2017 577/17

1. Name and contact details of the Head of Continuing Health Care Services at the CCG and the Head of Procurement (person responsible for the procurement of products and service that relate to the CCG's needs and requirements). Please could you also provide the details of the area/s they cover (if they cover more than 1 CCG).

2. Would you be able to provide data on the amount of spend by your CCG to contractors who deliver services to help people settle back at home after a hospital stay?

These may be referred to as:

  • Independent living services
  • Re-enablement services
  • Care in the community services

And would include tasks such as companionship, transport to medical appointments and collecting prescriptions. Are you able to provide the most up to date data available on this, per annum?

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15/04/2017 578/17

The Provision of Non-Emergency Patient Transfers Services in relation to Derby Teaching Hospitals NHS Foundation Trust.

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19/04/2017 579/17

1. At the time of responding to this request, has the CCG’s financial plan for 2017/18 and 2018/19 been agreed by NHS England? 

2. In the CCG’s financial plan for 2017/18, or latest draft of this plan if this has not been finalised by NHS England at the time of responding to this request, has the Mental Health Investment Standard (formerly Parity of Esteem) been achieved?

3. If the Mental Health Investment Standard (formerly Parity of Esteem) has not been achieved for 2017/18, please indicate the reason using the codes below:

1 - Commissioners in deficit, not achieving 1% plan metric or with very low growth.
2 - Mental Health Investment Standard (Parity of Esteem) achieved across health economy.
3 - Historically high investment in mental health.            
4 - Other.

4. If answering ‘Other’, please provide further explanation as to why the Mental Health Investment Standard (Parity of Esteem) has not been achieved for 2017/18.

5. In the CCG’s financial plan for 2018/19, or latest draft of this plan if this has not been finalised by NHS England at the time of responding to this request, has the Mental Health Investment Standard (formerly Parity of Esteem) been achieved?

6. If the Mental Health Investment Standard (formerly Parity of Esteem) has not been achieved for 2018/19, please indicate the reason using the codes below:

1 - Commissioners in deficit, not achieving 1% plan metric or with very low growth.   
2 - Mental Health Investment Standard (Parity of Esteem) achieved across health economy.
3 - Historically high investment in mental health.            
4 - Other.

7. If answering ‘Other’, please provide further explanation as to why the Mental Health Investment Standard (Parity of Esteem) has not been achieved for 2018/19.

8. At the time of responding to this request, has the Chief Executive of your main mental health provider signed a letter stating that the CCG’s mental health planned spend for 2017/18 and 2018/19 is an accurate reflection of health economy investment in mental health, as requested by NHS England?

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24/04/2017 580/17

Email addresses of all Practice Managers within the CCG area and the relevant GP surgeries they manage?

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26/04/2017 581/17

Could you please send me contract information relating to Banking Services, Audit Services and Card Processing Services.  If you do not understand what each of these mean please see below:

  • Banking Services- contract information relating to the organisation banking services.
  • Audit Services (Financial) – contract relating to internal and external audit services.
  • Accountancy – Contracts relating to TAX advisory services.
  • Card Processing Services This is a contract the organisation may have that relates to the use debit/credit cards used by staff to make payments to suppliers. This also includes procurement cards.
  • Merchant services – This is a contract where by people make payments to the organisation via a machine or terminal. This also includes machines that have chip and pin and contact less

1. Contract Category: Please see select from the categories provided; Banking Services; Financial Audit Services; Card Processing Services

2. Existing Supplier Name for each contract

3. Contract Description: Please do not just state two to three words can you please provide me detail information about this contract and please state if upgrade, maintenance and support is included. Please also include the modules included within the contract.

4. Annual Average Spend for each contract

5. Contract Duration: What is the duration of the contract please include any available extensions within the contract.

6. Contract Start Date: What is the start date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY.

7. Contract Expiry: What is the expiry date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY.

8. Contract Review Date: What is the review date of this contract? Please include month and year of the contract. If this cannot be provided, please provide me estimates of when the contract is likely to be reviewed. DD-MM-YY or MM-YY

9. Contact Details: I require the full contact details of the person within the organisation responsible for this particular contract.

10. Notes: Please provide me with any further information with regards to this contract this could include any contract extension available as well as information on renewals or plans for future tenders.

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27/04/2017 582/17

1. How many of the GP practices within your CCG have switched on ‘Enhanced Data Sharing’ from TPP?

2. How is patient data being protected from being viewed by individuals who are not involved with that patient’s care?

3. How do patients with sensitive medical issues eg. Mental Health, HIV positive, early pregnancy, prevent their data being shared?

4. How is the CCG working to ensure data protection compliance and the avoidance of misuse of the data?

5a. Does SystmOne have the capability to identify unauthorised access to a patient record by a user not involved with the patient’s care?
5b. If so, how is this unauthorised access to patient data reported to the CCG?

6. How is the CCG planning to report unauthorised access to the patient?

7. What plans does the CCG have to handle data protection claims from patients whose data has been illegally accessed?

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27/04/2017 583/17

List of names and business email addresses of the non-clinical members who sit on the Governing Body of the NHS Southern Derbyshire CCG.

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Last modified: 01/06/2017