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December 2016

Date Reference

Question(s)

Response 
01/12/2016 450/16

Over the past 3 years I would like to know what the CCG has authorised funding for in cosmetic procedures not routinely carried out by the NHS.

Please tell me what the 11 cosmetic procedures were that were declined for funding in the last 3 years.

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03/12/2016 451/16

1. Contract Type:

A. Lift Service and Maintenance
B. Air Conditioning and Ventilation Servicing and Maintenance
C. Cleaning and Janitorial
D. Mechanical And Electrical Maintenance
E. Property Maintenance And Day To Day Repairs 

2. Existing Supplier – Please state the supplier for each contract

3. Annual Spend- Please can you provide me with the spend for each individual supplier

4. Contract Duration- please note if there are any extensions period available and if so what?

5. Contract Start

6. Contract Expiry

7. Contract Review

8. Contract Description- a small description of the type of services included within each contract.

9. Number of sites covered for each contract e.g. the Council may have a maintenance agreement with a supplier that covers several sites/buildings.

10. Can you also send me the contact details of the person within the Council that is responsible for each one of these contract you have submitted.

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06/12/2016 452/16

Could you provide me with a name, email address & telephone contact number for the following people within your CCG:

  • Chief Operating Officer
  • Chief Finance Officer
  • Chief Nurse (for equivalent)
  • Clinical Chair (for equivalent)
  • Practice Manager Lead (for equivalent)
  • Practice Nurse, clinical lead (for equivalent)
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07/12/2016 453/16

CAMHS Funding

I would like to request information held on a) the CCG’s funding allocation for Child and Adolescent Mental Health Services (CAMHS) each financial year from 2010/11 to 2015/16; and b) information on the allocation of the CCG’s funding between different tiers of CAMHS.

Please provide:

a. The funding allocation for CAMHS each financial year from 2010/11 to 2015/16

b. The following information on the allocation of funding between different tiers of CAMHS, for each financial year from 2010/11 to 2015/16:

i. The Amount of funding to universal services (Tier 1)
ii. The Amount of funding to targeted services (Tier 2)
iii. The Amount of funding to specialist services (Tier 3)
iv. The Amount of funding to highly specialist services (Tier 4)

CAMHS Referrals

I would like to request information held on the number of referrals to Children and Adolescent Mental Health Services (CAMHS) in the CCG each year from 2010 to 2015; the source of referrals to CAMHS in the CCG for the period 2010 to 2015; the age of patients referred to CAMHS between 2010 and 2015; the average waiting time between referral and a young person accessing CAMHS each year from 2010 to 2015.

a. Please provide CCG data for each year between 2010-2015 on:

i. The number of referrals to CAMHS
ii. The number of referrals to CAMHS by tier of service referred to
iii. The recorded reasons for these referrals
iv. The recorded sources of these referrals
v. The ages of the child/adolescent of the young people referred.

b. The average waiting time in days between a referral to CAMHS being made and an initial CAMHS assessment for each year from 2010-15.

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08/12/2016 454/16

1. How many people in the CCG are:

a. Diagnosed with myalgic encephalomyelitis/chronic fatigue syndrome (M.E.)?
b. Estimated to have M.E.? 

2. Are there specialist local services for people with M.E. commissioned within the CCG?

If yes:
a. What services are commissioned?
b. How much does it cost annually to run each service? 

3. What other local services are people with M.E. directed to after diagnosis?

4. Have people diagnosed with M.E. in the locality been referred to out-of-area specialist M.E. services? If any:

a. How many were referred?
b. What was the overall cost to the CCG for the out-of-area provision of specialist services for people with M.E.?

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09/12/2016 455/16

1. How many stages of clinical triage do you have for a dermatology referral letter, when the GP has recommended that they need to be seen under an 18-week consultant service?

2. For routine dermatology referrals at your trusts, what is the typical waiting time for first appointment for a patient presenting with mild to moderate plaque psoriasis?

3. Do you have a GP triaging system and/or a GPSI or consultant led triaging system for dermatology referrals?

4. In 2015, how many dermatology referrals were inappropriately sent to secondary care or community services for excluded skin condition criteria?

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09/12/2016 456/16

1. How many GP surgeries exist in your area?

2. Of those, how many have offered video consultations to patients?

3. How many still offer them?

4. For each of the years 2014, 2015 and 2016 please give the following figures:

a. How many GP consultations of any kind took place?
b. Of these, how many were carried out over skype/ other videoconferencing services? (Please give the name of the programme or programmes used, eg Skype, VaaS.)
c. What was the average length of a video consultation?
d. Who is the service provider for your video consultations?
e. How much have they been paid?
f. Did these payments come from the GP access fund grant provided to your Trust/ CCG?
g. Was any assessment carried out on the success/ uptake/ impact of videoconferencing services? If so please give details of what was found 

5. Please list all telehealth/ telemedicine services or programmes your trust/ CCG has commissioned in the past four years.

6. For each, please give the following details:

a. When they were commissioned
b. How many patients used the services?
c. Are the services are still running?
d. Please name the telehealth / telemedicine provider that was contracted to provide the service
e. How much did your CCG/ Trust spend on this service?
f. Was any assessment made of the success of the service? If so, please provide details of what the assessment found? 

7. Have you commissioned Tunstall Ltd to provide any telehealth / telemedicine service?

8. If you have commissioned Tunstall Ltd to provide telehealth / telemedicine services:

a. Which services did you contract them for?
b. Are these services still running?
c. How much were Tunstall Ltd paid?
d. Was any assessment made of the success of the service? If so, please provide details of what the assessment found. 

9. Do you have plans to trial or use Giraffe robots? If so, please give the following details

a. How many of the devices will you trial?
b. What will the trial cost?
c. When will it be launched? 

10. Do you have plans to trial or use telepresence robots in dementia services or for those suffering from dementia? If so, please give the following details

a. How many of the devices will you trial?
b. What will the trial cost?
c. When will it be launched? 

Telehealth or Telemedicine is the use of technology provided by the NHS to patients, in order that the patient can carry out self- monitoring, use the technology to communicate with a healthcare provider. In the context of dementia care it is used to try and assist dementia sufferers to live independently, by monitoring them in their homes and assisting them with daily tasks.

11. Please provide details of all telehealth/ telemedicine services you offer dementia patients?

12. Please name all services and/or devices which have been provided.

13. For each service/ device provided, please

a. Name the provider or manufacturer
b. State how much the provider or manufacturer was paid to provide the devices. 

14. How many patients are diagnosed as suffering from dementia in your area?

15. Of those, how many dementia patients have been provided with telehealth / telemedicine services?

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11/12/2016 457/16

1. The number of GPs in your CCG area who have received training to develop strategies within their practice to improve the prevention, diagnosis and management of TB.

2. The number of GPs practices with staff who have received training to develop strategies within their practice to improve the prevention, diagnosis and management of TB.

3. The number of health care professionals other than GPs, within your CCG area, who have received training to develop strategies within their practice to improve the prevention, diagnosis and management of TB.

4. Details of TB services in your area, including the number of staff in each team, the profession of each person in each team and the location of each team.

5. The number of outreach workers in your CCG area responsible for TB case finding/ and contact tracing in the community.

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12/12/2016 458/16

Please supply me with a breakdown of all the monies spent on external support/private sector consultants who have been involved in/assisted with drawing up the Derbyshire Sustainability and Transformation Plan (STP) plan since December 2015.

This should include all the amounts spent by each of the organisations involved in the STP. It should also include amounts spent by each individual CCG area on their local plan as part of the overall STP.

Please state how much was spent by each organisation, who the consultants were (ie Deloitte/Ernst & Young etc.), and give a description of what work they carried out.

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15/12/2016 459/16

1. Please provide the names of the acute trusts you contract with (broken down by CCG if you cover more than one area).

2. Please provide a list of all services currently provided by those hospital trusts which face being decommissioned or redesigned and the date from which that will be the case.

3. Please provide a reason for the change – ie Sustainability and Transformation Planning etc.

4. Please provide the contracting value (latest figures are acceptable) for each of those services.

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16/12/2016 460/16

1. Do you outsource your NEPTS work to private sector?

2. If you do outsource, when is your initial contract term due and can you tell me the maximum term granted for these contracts?

3. What is the annual value of your NEPTS contract?

4. Do you have plans to join with any other Trusts as part of your procurement?

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19/12/2016 461/16

The address and contact details of all Healthy Living Pharmacies in your CCG.

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21/12/2016 462/16

Please confirm whether or not the CCG has arrangements in place for the commissioning of care for blood and marrow transplantation (BMT) patients who are beyond 100 days following a stem cell or bone marrow transplant.

If arrangements are in place, please provide details in electronic format.

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12/12/2016 463/16

1. Does this CCG use a system, for example, a Rapid Specialist Opinion system to review patient referrals from GPs to hospital specialists?

a. If yes:
How long has this system been in place for?
What consultation was undertaken before the decision to implement this system was made?
What company is used to carry out the review of the referral?

b. If no:
Do you have any plans in place to implement a Rapid Specialist Opinion system, or other system to review GP referrals to specialists?
What are the details of the plan?  

2. What is your policy for consultation with the public before contacting private companies to run NHS services?

3. Do you obtain consent from patients before passing their medical records and personal details to private companies?

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21/12/2016 464/16

I am writing you under the Freedom of Information Act 2000 to ask for the following information about GPs at your local CCG, NHS Southern Derbyshire CCG:

1. Name of the GP

2. Business email address of the GP              

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22/12/2016 465/16

1. How many reports of hospitals breaching the new rules on workload dump have you received from practices? Please can these figures be broken down for each hospital the complaint was made against?

2. What action or sanctions has the CCG enforced so far?

3. Please can you share any documents the CCG has produced setting out its policy for managing inappropriate workload dump by hospitals.

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28/12/2016 466/16

1. Since 2015 has your Clinical Commissioning Group restricted or stopped providing services? If so what were they?

2. If you restricted or stopped providing a service how many people did it treat previously?

a. Can I have that detail for financial year 2013/14 and 2014/15?
b. Can I have that data year by year? 

3. Also what was the waiting list for the service at the point it was decommissioned and rationed?

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30/12/2016 467/16

1. How much has your CCG spent on breast implant removal in the last five years?

2. Of that amount, how much was spent on removing PIP implants?

3. How much has your CCG spent on breast implant surgery in the past five years?

4. Of that, how many were for psychological reasons and NOT post mastectomy/cancer or severe chest trauma? Is it possible to break down why the surgery was carried out on the NHS?

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Last modified: 24/01/2017