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Requests - August 2016

Date Reference

Question(s)

Response 
02/08/2016 353/16 Has your eligibility criteria for who can/cannot have a hip replacement changed since 2013?

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02/08/2016 354/16

1. In Southern Derbyshire how many women, since 1980 (or from the date you began to hold these records), have reported depression to their GP which they believe is a consequence of taking the contraceptive pill/or which their GP has identified as such?

2. In Southern Derbyshire how many women, since 1980 (or from the date you began to hold these records)  have reported anxiety - of some form - to their GP which they believe is a consequence of taking the contraceptive pill/or which their GP has identified as such?

3. In Southern Derbyshire how many women, since 1980 (or from the date you began to hold these records), have sought help from their GP for decreased libido which they believe is a consequence of taking the contraceptive pill/or which their GP has identified as such?

4. How many women in Southern Derbyshire are currently being prescribed the contraceptive pill and anti-depressants simultaneously?

5. How many women in Southern Derbyshire are currently being prescribed the contraceptive pill and beta blockers simultaneously?

6. How many non-fatal cases of DVT have been reported in Southern Derbyshire by women who are currently or have previously been taking the contraceptive pill?

7. How many fatal cases of DVT have been reported in Southern Derbyshire by women who are currently or have previously been taking the contraceptive pill?

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04/08/2016 355/16

1. Are there any gainshare agreements in place between you the CCG and a provider?

If yes, then please provide the following details:

  • Disease area

  • Provider included in the gainshare agreement

  • Names of any specific drugs involved

  • How will savings be apportioned between you the CCG and the provider?

2. Who (what position or job role/department) within the CCG is responsible for agreement?         

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08/08/2016 356/16 

1. Corporate
a. Annual Report 2015-16 (May not be available as yet but should be towards the end of June)               
b. Financial Strategy 2016 Update/Version
c. Annual, Strategic, Operational Plan 2016 Update/Version –
d. Capital Programme 2016 Update/Version -
               

2. Information Technology

a. IM&T, IS, ICT Strategy 2016 (Not Clinical Strategy)               
b. IM&T, IS, ICT Business/Departmental Plan 2016 Update/Version
c. IM&T, IS, ICT Organogram               

3. Estates and Facilities Management

a. Estates and Facilities Management Strategy 2016 Update/Version               
b. Estates and Facilities Business/Departmental Plan 2016 Update/Version               
c. Estates and Facilities Management Organogram               

4. Waste and Environmental Services

a. Waste Management Strategy 2016 Update/Version               
b. Waste and Environmental Services Business/Departmental Plan               
c. Waste and Environmental Services Organogram
           

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08/08/2016 357/16

1. How many patients in your area have been diagnosed with type 1 diabetes?

2. How many patients in your area with type 1 diabetes are currently using insulin pump therapy?

3. How many new individual insulin pumps have you commissioned in:

a. 2012/13?
b. 2013/14?
c. 2014/15?
d. 2015/16?
                              

4. What number of the population do you cover?

5. What percentage of your diabetes population were a) offered and b) received an insulin pump in i) 2012/13, ii) 2013/14, iii) 2014/15 and iv) 2015/16?

6. Do you give all eligible patients the choice of insulin pump therapy in line with NICE guidance on insulin pumps (TA151)?

7. What guidance, information and structured education do you provide on insulin pumps for a) providers and b) patients?

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09/08/2016 358/16

1. How many acute mental health patients (ie. those that require an in-patient bed) did your trust send to facilities run by other trusts?

2. Where no NHS beds were available (in or out of area), how many acute mental health patients did you send to private providers?

3. What is the furthest distance you have sent an acute mental health patient? Please provide specific locations and postcodes.  

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09/08/2016 359/16

1. Do you fund/commission any twenty-four hour care placements for adult clients/patients in the City Of York area – including supported living, nursing care, rehabilitation either long-term or short-term?

If yes:

2. How many patients? 

3. From which services?

4. Do patients have an allocated case worker in your CCG?

5. How often do you undertake a review of their care?

6. Do receive updates about your patients from the provider services?

7. If no to questions 4-6 how do you gain assurance about the quality of the care provided?

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11/08/2016 360/16

1. Please can you list the names of contracts you have commissioned under Any Qualified Provider status? Specifically in these categories:

a. Ambulances
b. Diagnostic Equipment
c. Diagnostic Imaging
d. Laboratory
e. Endoscopy

2. We are looking for information on the contracts concerning the following points:

Company name:
Company registration number:
Date of Contract started:
Date of Contract expiration:
Total amount of contract GBP:
Type of equipment:
Contact Person:
Contact Telephone:
Contact Address: 

3.   Please could you also confirm the next date at which a provider can be added onto each contract?

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11/08/2016 361/16

1. The type of neonatal unit you have (NICU, Local Neonatal Unit or SCBU). If you have more than one site, please provide the highest level.

2. The region your hospital is in from this list (trusts will only be identified by region in the analysis):

a. South East
b. London
c. North West
d. East of England
e. West Midlands
f. South West
g. Yorkshire and Humber
h. East Midlands
i. North East

3. Activity (in bed days) for the following Healthcare Resource Groups (HRGs):

a. XA01Z
b. XA02Z
c. XA03Z
d. XA05Z

4. Your 2015/16 and 2016/17 Tariff for the above HRGs. Please provide your full tariff including any MFF enhancements.

5. Current neonatal nursing vacancy rate (% of expected) at

a. Band 5
b. Band 6
c. Band 7

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11/08/2016 362/16

For each of the questions, please can you provide answers for each of the financial years 2013/14, 2014/15 and 2015/16:

Paracetamol

1. Which suppliers did you buy paracetamol from?

2. How many packets of paracetamol did you buy from each supplier? Please disclose how many tablets were in the packets.

3. How many packets of paracetamol did you buy in total? Please disclose how many tablets were in the packets.

4. How much did you pay each supplier for paracetamol?

5. How much did you spend on paracetamol in total?

6. How many prescriptions in total did you make for paracetamol?

7. How many of these prescriptions were free for the patient?

8. How much money were you paid by patients for paracetamol?

Ibuprofen

1. Which suppliers did you buy ibuprofen from?

2. How many packets of ibuprofen did you buy from each supplier? Please disclose how many tablets were in the packets.

3. How many packets of ibuprofen did you buy in total? Please disclose how many tablets were in the packets.

4. How much did you pay each supplier for ibuprofen?

5. How much did you spend on ibuprofen in total?

6. How many prescriptions in total did you make for ibuprofen?

7. How many of these prescriptions were free for the patient?

8. How much money were you paid by patients for ibuprofen?

Aspirin

1. Which suppliers did you buy aspirin from?

2. How many packets of aspirin did you buy from each supplier? Please disclose how many tablets were in the packets.

3. How many packets of aspirin did you buy in total? Please disclose how many tablets were in the packets.

4. How much did you pay each supplier for aspirin?

5. How much did you spend on aspirin in total?

6. How many prescriptions in total did you make for aspirin?

7. How many of these prescriptions were free for the patient?

8. How much money were you paid by patients for aspirin?

Codeine Phosphate

1. Which suppliers did you buy codeine phosphate from?

2. How many packets of codeine phosphate did you buy from each supplier? Please disclose how many tablets were in the packets.

3. How many packets of codeine phosphate did you buy in total? Please disclose how many tablets were in the packets.

4. How much did you pay each supplier for codeine phosphate?

5. How much did you spend on codeine phosphate in total?

6. How many prescriptions in total did you make for codeine phosphate?

7. How many of these prescriptions were free for the patient?

8. How much money were you paid by patients for codeine phosphate?

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17/08/2016 363/16

1. A copy of the Sustainability and Transformation plan draft submitted to meet the 30th June deadline.

2. A copy of the most recent draft of the Sustainability and Transformation plan.

3. A copy of all agendas and minutes of the Sustainability and Transformation plan leadership team meetings.

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17/08/2016 364/16

Details of any prescribing rebate schemes and QIPP prescribing schemes active within the CCG during the financial year 2015/16.

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19/08/2016 365/16

1. What was your total expenditure in the financial year 2014-15 for ‘Community and Integrated care’* for people with mental health** problems?

2. How many adults of working age (18-65 years old) with mental health** problems were placed in an in-patient rehabilitation unit (locked and unlocked) during the financial year 2014-15.

3. How many of these individuals were on placements within and how many were outside your local CCG area?

4. What was your total expenditure in the financial year 2014-15 for in-patient rehabilitation unit (locked and unlocked) placements for people with mental health** problems.

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22/08/2016 366/16

1. Does your organisation already offer charging facilities (Electric Vehicle Charging Points EVCP) for electric vehicles and if so, how many charge points?

2. If there is currently no charging provision, what plans do you have to install EVCP and when?

3. Will the charge points be for fleet usage or public charging?

4. Within your organisation, which department is responsible for the selection and installation of EVCP?

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21/08/2016 367/16

1. Whether the organisation possesses a copy of the local NHS "footprints" Sustainability and Transformation Plan (STP), as currently formulated. The organisation should possess a copy, as it is the lead organisation for the local footprint.

2. Please provide a copy of the local STP, as currently formulated.

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22/08/2016 368/16

1. The number of after care packages under Section 117 of the Mental Health Act 1983 each financial year from 2013/14 to 2015/16 and at the beginning of 2016/17 at NHS Southern Derbyshire CCG.

2. Can you break down the above figures by whether the patients were detained under the act or part of a community treatment order (CTO)?

3. The amount spent on after care packages for people leaving detention and on CTOs commissioned under Section 117 of the Mental Health Act 1983 each financial year during the same period.

4. Can you break down the amount spent by whether the patients were detained under the act or part of a community treatment order (CTO)?

5. The length of time patients are provided after care, broken down by people being discharged from detention or on CTOs.

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24/08/2016 370/16

1. At the start of the financial year 2014/15 (eg April 6, 2014) how many of the following did you employ or commission?

a. District nurses?
b. Practice nurses?

2. At the start of the financial year 2015/16 (eg April 6, 2015) how many of the following did you employ or commission?

a. District nurses?
b. Practice nurses?

3. At this current date, how many of the following did you employ or commission?

a. District nurses?
b. Practice nurses?

4. How many of the following do you plan to employ or commission for the next financial year 2017/18?

a. District nurses?
b. Practice nurses?

5. If you plan to decommission or reduce any nursing services or posts in the coming year, please state the reason why:

6. Please provide a copy of the risk assessment around any reductions in nurse numbers.

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24/08/2016 371/16

1. The number of children (under 18) who have been prescribed anti-depressants in the areas covered by the CCG(s) you administer in the past three complete financial years (i.e. 2013-14, 2014-15 and 2015-16).

2. I would like this information broken down by single year of age, gender, and type of drug prescribed. I would also like the total number for each year across all ages, genders and drug types.

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24/08/2016 372/16

1. Who is the current contracted provider of the Diabetic Eye Screening Programme (also known as DESP) in the CCG area?

2.  When did the contract start?

3. When is it scheduled to end?

4. What is the value of the contract?

5. Who is the current contracted provider of Age Related Macular (sometimes abbreviated to AMD) Degeneration Screening service ?

6. Is the service contracted as part of a contract which includes screening or treatment of other eye conditions?

7.  When did the contract start?

8. When is it scheduled to end?

9. What is the value of the contract?

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26/08/2016 373/16

1. A list of all organisations currently contracted to provide NHS community health services by your CCG, the services provided by these organisations, and the type of provider these organisations are (NHS, third sector or private).

2. The total value and start and end dates of the contracts for each NHS community health service provided by the NHS and independent sector organisations

3. Whether multiple providers applied for each community service contract, and if possible how many.

4. Where there were multiple providers, the criteria you used to select the preferred provider.

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26/08/2016 374/16 

1. The amount spent from 2013/14 to 2015/16 per year, by each of the following mental health services split by NHS and independent hospitals overall:

a. Acute psychiatry care
b. High secure
c. Medium secure
d. Low secure/PICU
e. Locked rehab
f. Substance abuse
g. Brain injury rehab
h. Learning disabilities
i. CAMHS
j. Eating disorders 

2. The number of patients from 2013/14 to 2015/16 per year by the hospital they are admitted to, split by the following mental health service:

a. Acute psychiatry care
b. High secure
c. Medium secure
d. Low secure/PICU
e. Locked rehab
f. Substance abuse
g. Brain injury rehab
h. Learning disabilities
i. CAMHS
j. Eating disorders

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26/08/2016 375/16

1. From the most recent assessment, is the CCG in financial surplus, or deficit? And by how much?

2. From the most recent assessment, what is the value of medicines wastage in the CCG annually?

3. Is the CCG considering implementing, or has it implemented a scheme to direct patients to order repeat prescriptions directly from their GPs?

4. Is the CCG considering implementing, or has it implemented, a scheme to stop community pharmacies from ordering repeat prescriptions on behalf of patients?

5. If the CCG has considered, or is implementing, either or both schemes, what is the value of the predicted or achieved savings from reduced medicines wastage?

6. If the CCG has considered, or is implementing, either or both schemes, is there an evaluation of the consequences for a) patients? b) GPs? C) pharmacists?

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26/08/2016 376/16

Please provide copies of each of the three submissions that have been sent to NHS Improvement for your STP, regarding consolidation and re-provision of back office services, pathology services and unsustainable services.

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26/08/2016 377/16 

This request concerns the following clinical "listed procedures":

  • Adenoidectomy
  • Assisted Conception Services (including IVF/ICSI)
  • Cataract removal in adults
  • Total hip replacement
  • Partial hip replacement
  • Total knee replacement
  • Partial knee replacement
  • Knee arthroscopy
  • Trigger finger surgery

Depending on how the CCG classifies different procedures, it may combine "total" and "partial" hip replacement as "all hip replacements", and "total" and "partial" knee replacement as "all knee replacements".

1. Please state how many instances of each listed procedure were funded by the CCG each financial year from 2013/14 to 2015/16 inclusive. The data should be broken down by procedure by year.

2. Please state whether each listed procedure is covered by specific clinical commissioning criteria - these may be known as "Procedures of Low/Limited Clinical Value", "Efficient Use of Resources", or a similar term.

3. Where a listed procedure is covered by PLCV/EUR policies as referred to in question 2, please state the date the most recently adopted criteria for each procedure took effect. Where the CCG (or cluster of CCGs, where appropriate) has simply continued to use the predecessor PCT's criteria, please state this to be the case.

4. Where the most recent PLCV/EUR clinical commissioning criteria for a procedure has been adopted since the CCG came into existence, please provide both the current criteria and the previous criteria that applied to that procedure.

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31/08/2016 378/16

Would it be possible to get a breakdown of the contracts, including the sum of money spent on each contract, that make up the ‘Purchase of healthcare from non-NHS bodies’ category in your annual accounts?

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31/08/2016 379/16

For each of the financial years 2012/13, 2013/14, 2014/15 and 2015/16 and to date in 2016/17:

1. What NHS services at the CCG were delivered by independent (private) hospitals?

2. How many patients were treated on the NHS at independent (private) hospitals?

3. How much did the CCG spend on NHS treatments (ie, where patients were treated using NHS funding) that were provided at independent (private) hospitals?

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