.

Previous Requests - August 2017

Date Reference

Question(s)

Response 
01/08/2017 656/17

1. Does the CCG provide a local incentive payment to primary care for undertaking 24Hr ECG monitoring of patients?

2. If the CCG does provide such an incentive payment, how much is it?

3. What support does the CCG supply to practises in addition to the payment?

Click here for Response
01/08/2017 657/17

Please could you provide us with the following information on your organisations contribution to your local Sustainability and Transformation Partnership or STP (formerly Sustainability and Transformation Plan:

1. The total number of staff that have been seconded over to your local STP programme since December 2015. Please provide the name of your STP and data both in total number and Full Time Equivalent if staff have only been partially seconded.

2. The total pay bill of these staff seconded to the STP footprint area and the time period this covers.

3. Your organisation's total spend on outsourced consultancy related to drafting and implementing the STP programme, if possible broken down by contracted company

4. The total value of any further financial contributions or benefits in kind to the STP programme from your organisation with a brief description of what it constituted.

Click here for Response
02/08/2017 658/17

1. Please can you provide me with a copy of the current statement of car parking charges for staff? If such a document doesn’t exists, please can you tell me how much you charge (hourly rate) for staff working at your hospital(s)?

2. What are the wages and job titles of your five highest paid members of staff?

3. How much money has the trust spent on public relations and marketing (including staff costs) in the past two financial years (15/16 and 16/17). (If this information is easy to obtain please include – if this will take my combined request over the cost/time limit, please do not process this part of the request).

Click here for Response
02/08/2017 659/17

The actual number of registered patients with a diagnosis of Parkinsons Disease (G20X) in Southern Derbyshire CCG.

Click here for Response
03/08/2017 660/17

1. Please provide the number of jobs created to work with the STP. Please provide a job title, job description, and remuneration for each role. Please also separately provide any secondments from other areas of the NHS/local authorities with the same details. Please also provide the number of staff being paid from private firms with the same details.

2. Please provide the amount of money the STP (and the constituent organisations) has spent on private consultancy firms to date. Please break the figures down by firm, cost of transaction, a description of the project/job role and the hours of service provided where available.

Click here for Response

Click here for Job Description 1

Click here for Job Description 2

Click here for Job Description 3

03/08/2017  661/17

1. Please provide any details/documents outlining clinical reviews – and the consequences of those reviews – undertaken by the STP. An example of one part of an STP clinical review is attached FYI.

2. Please provide full details/documents of any public engagement carried out regarding the STP – please provide details of the process and any results/consequences.

Click here for Response
03/08/2017

662/17

1. Any data you have on the amount spent by NHS Southern Derbyshire CCG on management consultancy broken down by year from 2012/13 –  2016/2017.

2. Any planned expenditure on management consultancy fees for 2017-18.

Click here for Response
04/08/2017 663/17

1. Does NHS Southern Derbyshire Clinical Commissioning Group fund toric intraocular lenses for NHS patients with astigmatism undergoing cataract surgery?

2. If yes to Q1, please list the criteria under which toric intraocular lenses are available to patients, and please send us copies of any policy document.

Click here for Response
05/08/2017 664/17

1. Would you be so kind to please send me information regarding several aspects of cardiology investigations?

The cardiac investigation tests are:

a. 24-Hour Holter Monitor (also known as 24-Hour ECG)
b. 48-Hour Holter Monitor
c. 72-Hour Holter Monitor
d. 7-day Holter Monitor
e. Echocardiogram (also known as ‘Cardiac Ultrasound’)
f. 24-hour Blood Pressure Monitor
g. Exercise Tolerance test 

For each of the tests stated above, please may you provide the following information from years 2014-present (financial years acceptable):

1. Cost of each individual test

2. Number of tests requested

3. Average waiting time for each test i.e. from request to examination

4. Breach time (if any) for each test

5. Cost of breaching on each said test

Click here for Response
06/08/2017 665/17 Please complete the table to show the total spend by your CCG in each of the categories listed for the financial years.

Click here for Response

Click here for Attachment

07/08/2017 666/17

1. What was your total spend on all mental health, learning disability and dementia services in 2016/17?

2. What is your total planned spend on all mental health, learning disability and dementia services in 2017/18?

3. Please breakdown the total spend figures.

Click here for Response

Click here for Attachment

07/08/2017 667/17

1. Please state the total number of orthopaedic referrals from primary care in:

a. 2015/16
b. 2016/17 

2. Please state the total number of referrals from primary care for cataract treatment in:

a. 2015/16
b. 2016/17 

3a. What are the current eligibility guidelines/criteria for referrals for orthopaedic procedures?
3b. When were these current guidelines introduced? 

4a. What are the current eligibility guidelines/criteria for referrals for cataract treatment?
4b. When were these current guidelines introduced?

Click here for Response
08/08/2017 668/17

1. Number of inpatients with heart failure in the last 5 years, with heart failure being any part of the diagnosis

2. Number of inpatients with heart failure in the last 5 years, with heart failure being the primary diagnosis

3. Number of inpatients, regardless of condition, were treated with Furosemide (tablets or intravenous injection) in the last 5 years

4. Number of inpatients that were treated with Furosemide in the last 5 years had heart failure as any part of the diagnosis

5. Number of inpatients that were treated with Furosemide in the last 5 years had heart failure as the primary diagnosis

Click here for Response
08/08/2017 669/17

1. How many people are living with type 1 diabetes in your CCG? (Total number)

2. How many type 1 diabetic patients in your CCG currently use CGM? (Total number)

3. Does your CCG have a policy on the use and funding of CGM? (Yes/No)

4. How is CGM currently funded within your CCG? (Eg. routinely commissioned/ routinely commissioned within the scope of the NICE guidance/ Individual Funding Request/patient self-funded/ Hospital funded etc.)

5. Does your CCG specify specific CGM systems? (Yes/No)

6. Does your CCG differentiate between CGM and flash glucose monitoring (FGM)? (Yes/No)

7. How many IFR applications were received between 1st April 2016 and 31st March 2017 for CGM? (Total number)

8. How many IFR applications were received between 1st April 2016 and 31st March 2017 for FGM? (Total number)              

Click here for Response
11/08/2017 670/17

1. Do you, or have you at any point since 2010, employed a maximum BMI limit above which someone is not allowed to have a procedure? (Please specific whether still in force and, if not, when it was introduced and ended). If yes:

2. What is the BMI limit?

3. To which procedures does this apply (for example, routine hip and knee surgery, breast reduction, cataract removal)? Please list all types of procedure where a BMI limit is in force.

4. How many people have been stopped from having a procedure because their BMI was too high since the restriction came into force? Please also break this information down by calendar year.                

Click here for Response
11/08/2017 671/17

1. Please confirm or deny that the clinical commissioning group received financial payments or benefits in kind from private sector companies or charities in 2015.

2. If the clinical commissioning group received any financial payments or benefits in kind from private sector companies or charities in 2015, please state:

a. How much each payment was for, and whether this value is exclusive or inclusive of VAT
b. The date of the payment
c. The organisation or individual from which the payment was received
d. What was funded through the payment or benefit 

3. Please confirm or deny that the clinical commissioning group received financial payments or benefits in kind from private sector companies or charities in 2016.

4. If the CCG received any financial payments or benefits in kind from private sector companies or charities in 2016, please state:

a. how much each payment was for, and whether this value is exclusive or inclusive of VAT
b. the date of the payment
c. the organisation or individual from which the payment was received
d. what was funded through the payment or benefit 

For all questions, if this information is usually collected by tax year, rather than calendar year, please provide data for the tax years 2015/16 and 2016/17, rather than the calendar years 2015 and 2016.

Click here for Response
14/08/2017 672/17

1. What criteria, if any, has been stipulated by your CCG in relation to the provision of bariatric surgery? (Eg. surgery restricted to BMI over 45 and/or other co-morbidities, surgery only for those with BMI over 50)

2. When was the criteria introduced?

3. How many patients have been refused bariatric surgery since the criteria was introduced?

4. How many patients have received bariatric surgery since the criteria was introduced and how much has this cost the CCG?

Click here for Response

Click here for Attachment

15/08/2017 673/17

1. Does the CCG have a formulary for Blood Glucose Test Strips and Insulin Pen Needles? If so, please can provide the formulary/s or link to the formulary/s. If you cannot provide a link can you advise which products are included under what guidance?

2. Are there any Area Prescribing Committee guidelines or other regional guidance consulted when forming the above formularies for BGTS and PNs?

3. Please advise the responsible Medicines Optimisation contact for the above formularies and their contact details.

4. Please advise the date when the above Formularies are set for next review.

Click here for Response
17/08/2017 674/17

1. Please send me the rating (of either red/amber/green) received from NHS England for NHS Southern Derbyshire CCG’s phase 1 GPFV delivery plan submitted to NHS England in December 2016.

2. Please send me the rating (of either red/amber/green) received from NHS England for NHS Southern Derbyshire CCG’s phase 2 GPFV delivery plan which was submitted in February 2017.

3. Please send me a copy of the phase 1 and phase 2 delivery plans submitted to NHS England.

Click here for Response
18/08/2017 675/17

1. How many GP practices in NHS Southern Derbyshire CCG’s area had to shut down any IT systems in response to the ransomware attack, known as WannaCry, on or after 12 May, 2017?

2. How many computers/servers/devices in GP practices were infected in the ransomware attack, known as WannaCry, on 12 May, 2017?

3. How many planned appointments and did the GP practices have to cancel/postpone/reschedule as a result, either direct or indirect, of the WannaCry ransomware attack?

4. How many patients had to be recalled for tests by GP practices, as a result, either direct or indirect of the WannaCry ransomware attack?

Click here for Response
21/08/2017 676/17

A list of individual funding request applications made during the 2015/16 and 2016/17 financial years.

Please break each record down by:

a. Procedure requested (e.g. tattoo removal)
b. Outcome of the decision
c. Financial year

Click here for Response

Click here for Attachment

22/08/2017 677/17

1. Does the CCG have an approved policy which defines a threshold of funding packages of care for patients eligible for CHC funded care?

2. If yes, what is the current threshold of funding packages of care for patients who are eligible for CHC funded care?

3. Does the CCG have a panel/meeting that considers the funding requests for CHC packages of care?

4. If yes, how does the panel determine if someone should be supported in receiving funding in excess of the agreed threshold and how is that authorised?

Click here for Response
23/08/2017  678/17

Please provide in relation to NHS Continuing Healthcare funding eligibility decisions appeals and for:

  • Each of the years between and including 2012 and 2016
  • All appeals
  • Appeals for Previously Unassessed Periods of Care cases,

The following data:

A.

  • Number of appeals to the CCG
  • Number of appeals that resulted in the CCG reversing the previous decision for the whole period
  • Number of appeals that resulted in the CCG reversing the previous decision for part of the period
  • Number of appeals that were heard at NHS England Independent Review Panel (IRP)
  • Number of appeals where NHS England recommended that the previous CCG decision on eligibility was unsound
  • Number of appeals that were submitted to the Parliamentary and Health Service Ombudsman (PHSO)
  • Number of appeals where the PHSO recommended that the previous CCG decision on eligibility was unsound
  • Number of appeals that were heard at tribunal/court
  • Number of appeals that were heard at tribunal/court that were settled out of tribunal/court
  • Number of appeals that were heard at tribunal/court that reversed the previous CCG eligibility decision

B. I would ask if you would also provide the number of current appeals awaiting review at:

  • IRP stage
  • PHSO stage
  • Tribunal/court stage

C. I would also ask if you would confirm which is the responsible tribunal/court which an appeal should be escalated to should a previous CCG decision not be reversed.

Click here for Response

Click here for Attachment

23/08/2017  679/17

1. Have you integrated children and adults’ health and/or social care teams for children and young people 0-25yrs with SEND in Derby?

2. What does this integration cover? Please include teams, functions and management structures if possible.

3. Who is the best contact in your local area to discuss this further?

Click here for Response
23/08/2017 680/17

1. The number of adults (18+) with Learning Disabilities as registered on GP lists.

2. The total number of adults as registered on GP lists.

Click here for Response
24/08/2017 681/17 Complete the attached document regarding commissioning services that deliver high quality VTE prevention.

Click here for Response

Click here for Attachment

25/08/2017 682/17

1. With the exception of IVF, do you have any commissioning policies which delay access to surgery based on alcohol consumption?

2. If so, please provide a copy of these policies.

Click here for Response
25/08/2017 683/17

1. Do your member practices use prescribing decision support systems?

2. If yes, how many practices (or what % of practices) use the following systems:

  • Script Switch
  • Eclipse
  • FDM Optimise RX
  • DXS
  • Other (please specify).

3. Please can you confirm whether we are permitted to reuse any information provided under the Open Government Licence?

Click here for Response
31/08/2017 684/17

1. Are there any gainshare agreements in place between you the CCG and a provider (e.g. hospital trust)?

2. Do you have any other agreements with a provider to switch from branded to biosimilar products?

3. Are there any other agreements between you the CCG and a provider, not included in the above, for the following services?

Click here for Response

31/08/2017

685/17

1. Does your CCG have a system in place or auditing the use of the Fast Track Pathway tool for Continuing Healthcare?

2. How many packages of Continuing Healthcare did you approve in the financial year 2016/17 (including fast track packages)?

3. How many Fast Track Pathway packages of Continuing Healthcare did you fund in the financial year 2016/17?

4. How many people are there in your Continuing Healthcare team?

5. How many people are there in your Continuing Healthcare team dedicated to processing Fast Track Pathway packages of care?

Click here for Response
Last modified: 20/09/2017