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Requests - February 2016

Date Reference

Question(s)

Response 
01/02/2016 234/16 

1. Does the clinical commissioning group (CCG) currently have a nominated lead for palliative and/or end of life care for i) adults and/or ii) children?

2. Does the CCG have a specific palliative and/or end of life care strategy for i) Adults and/or ii) Children?

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01/02/2016 235/16

1. Do you use a centralised management system* to manage the care of continence patients in your area?

2. If so, when did you start using the system?

3. The budget for continence care for the following years: 2012/13, 2013/14, 2014/15

4. The spend on continence care for the following years: 2012/13, 2013/14, 2014/15

*A centralised database system that allows for the automated management of prescriptions and monitoring of individual continence patients within the community.

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01/02/2016 236/16

1. Number of GP members

2. Number of management and finance (including lay persons) members

3. Number of nursing members 

4. Number of secondary care members

5. Number of any other clinical staff 

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03/02/2016 237/16

1. How long in weeks children (under 16s) waited for an assessment for a wheelchair or specialist seating following an initial referral to the children's wheelchair service?

2. How long in weeks children had to wait to receive equipment following the assessment?

3. Please provide data for children referred in 2014 and for those referred in 2015.

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04/02/2016 238/16

1. How many people with MS in your CCG (including the source for this number):

a. Relapsing-Remitting MS
b. Primary Progressive MS
c. Secondary Progressive MS
d. Benign MS

e. Unconfirmed Type
 

2. The percentage of each of 1a, 1b, 1c, 1d, and 1e, who receive an annual review by a healthcare professional with expertise in MS, and it’s complications (NICE guidelines CG 186).

3. The current waiting times targets for accessing an appointment with a Consultant Neurologist with MS expertise for:

a. New appointments
b. Follow up appointments

4. The number of Individual Funding Requests (IFRs) received for each of the below treatments

5. The number of people with MS currently being prescribed the following licensed treatments for multiple sclerosis:

a. Avonex (Beta interferon – 1a)
b. Aubagio® (Teriflunomide)
c. Betaferon (Interferon beta 1b)
d. Botox (Botulinum toxin)
e. Copaxone (Glatiramer Acetate)
f. Extavia (Beta interferon – 1b)
g. Fampyra® (Fampridine)
h. Gilenya (Fingolimod)
i. Lemtrada (Alemtuzumab)
j. Plegridy (Peginterferon beta 1a)
k. Rebif® (Beta interferon – 1a)
l. Sativex (Nabiximols)
m. Tecfidera (Dimethyl fumarate)
n. Tysabri (Natalizumab) 
              

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08/02/2016 239/16

1. What block contracts are currently awarded and who these are operated by?

2. What services are provided within these contracts?

3. What is the current block weekly price applicable for each block contract?

4. What date are these contracts up for renewal?

5. How will you notify providers about block contract opportunities?

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08/02/2016 240/16

1. Please can I have a copy of the results/reports for both the 2014 and 2015 Ipsos MORI 360 degree stakeholder surveys for your CCG?

2. Please can you also let me know the number of members on your Governing Body as enshrined within your constitution on:

a. 1 April 2015
b. 1 April 2013

The figure should include all voting and non-voting Governing Body members/positions set out within your constitution, irrespective of whether they are vacant or in non-attendance. Please DO NOT include attendees who are not specified as members in your constitution such as the board secretary or any CCG officers who attend Governing Body but are not stipulated as members within your constitution.

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10/02/2016 241/16

1. Could you provide me with copies of any prescribing incentive scheme, medicines optimisation plan or CCG-level prescribing action plan for each of the financial years?

a. 2013-14
b. 2014-15
c. 2015-16

d. Any published documents for 2016-17

2. Can you please confirm whether you have a formulary which provides recommendations for primary care prescribed drugs?

a. If yes, please confirm whether this formulary is available online and provide the URL

3. Can you, for each of the financial years 2013-14, 2014-15 and 2015-16 confirm whether the CCG had purchased the following prescribing decision support software:

a. Scriptswitch
b. Eclipse
c. Other (please specify
              

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Click here for Attachment6

           

 

17/02/2016 242/16

1. Within your organisation, which healthcare professional (role) clinically recommends the LHRH that is prescribed?

2. Which healthcare professional (role) within your organisation usually administers the first injection?

3. Where is the first injection usually given (hospital or primary care)?

4. Which healthcare professional (role) within your organisation usually administers subsequent injections?

5. Where are subsequent injections usually given (hospital or primary care)?

6. For subsequent injections, does the patient still remain under the care of the hospital (eg attends hospital clinics although injections are given in primary care), and if so, for how long? 

7. If injections are administered in primary care, what recommendation/advice comes from the hospital?

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19/02/2016 243/16

We would like to request information on the services you commission with regards to the treatment and support of those affected by mental health conditions.

  • The service provider
  • Name of service
  • Region it supports
  • Brief summary of key functions
  • Address and contact information
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21/02/2016 244/16

1. For every year since 2005 until 2015/2016: the number, value and length of all contracts for mental health services by type and name of provider (ie NHS trust, NHS FT, company Name), voluntary sector (Name)

2a. For each contract please provide numbers of CCG patients treated as inpatients, out patients and day cases and costs of each case annually since 2000-2015/16

2b. Where available please can you send copies of all contracts awarded to the independent sector for mental health services since 2005 until 2015/6

3. For each contract for in-patient mental health services - please give data on staffing levels and average length of stay, average cost per patient, and quality monitoring by provider

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22/02/2016 245/16

1. Do you use a centralised management system* to manage the care of continence patients in your area?

2. If so, when did you start using the system?

3. The budget for continence care for the following years: 2012/2013, 2013/2014 and 2014/2015

4. The spend on continence care for the following years: 2012/2013, 2013/2014 and 2014/2015

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23/02/2016 246/16

1. Which clinical contracts are the CCG planning to re-tender in the next 12 to 18 months?

2. Which clinical services contracts is the CCG planning to roll-on, i.e. continue with the current provider once the current contract term has ended?

3. Are there any clinical services/service areas which are being redesigned by the CCG and for which new contracts will be put out to tender over the next 12 to 18 months?

4. Will the process of redesigning services noted in question 3 involve a prior consultation with stakeholders and/or the public?

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24/02/2016 247/16

1. Do you provide and/or commission a 24/7 dedicated and clinically staffed palliative service specifically designed for patients dying at home, and their carers? Yes/No

2. Please complete the table (see the second attachment to this email) detailing which specific palliative services you provide and/or commission, the hours of operation and geographic areas that they cover for 201516.

NB. For the purposes of our research, we would only consider you to commission these palliative services listed in the table if they are specifically designed for patients dying, and their carers, as opposed to a more general service that might only incidentally cover end of life care.

3. What is your annual budget for all dedicated end of life care services provided and commissioned for the current financial year, 20152016? If it is impossible for you to give a precise figure for whatever reason, please give a best estimate.

4. What is this as a % of your total budget? Again, if you cannot give a precise figure here, please give a best estimate.

5. Do you work in partnership with other organisations to deliver palliative care services in the community? If yes, state who the lead provider is.

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28/02/2016 248/16

1. Please provide the number of staff employed by the CCG by AfC banding

2. Please provide the number of staff employed under the job title of Intern, Apprentice (or variations of this) where they are not paid under AfC pay scale

3. The number of staff who are regarded as Accountable Officers and who are paid via Personal Services Companies

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29/03/2016 249/16

1. The number of adults currently receiving NHS Continuing Healthcare

2. The number of adults currently receiving NHS Continuing Healthcare who are currently in receipt of a Personal Health Budget

3. The number of children currently receiving NHS continuing care

4. The number of children currently receiving NHS continuing care who are currently in receipt of a Personal Health Budget

5. The number of people not covered by questions 2 and 4 who are currently in receipt of a Personal Health Budget

6. The number of people who have requested Personal Health Budgets and are awaiting a decision on their request

7. The total 2015/16 value of Personal Health Budgets awarded to people currently in receipt of them

8. The number of people who currently receive their Personal Health Budget wholly or partly in the form of Direct Payments

9. The number of investigations conducted by (or on behalf of) the CCG since April 2013 into suspected fraud relating to Personal Health Budgets (broken down by financial year)

10. The number of proven cases of fraud relating to Personal Health Budgets since April 2013 (broken down by financial year)

11. The value of each fraud committed related to Personal Health Budgets since April 2013, and details of each case (who committed the fraud - ie patient, carer, family member etc - and what the fraudulent spending was on)

12. Please tell me what information the CCG collects on payments made under PHBs to brokers

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29/02/2016 250/16

1. Who provides special school nursing in your area?

2. Who funds special school nursing in your area?

3. How many schools receive a special school nursing service?

4. How many on nominal roll the above schools? (if known)

5. How many Band 6 wte?

6. How many Band 5 wte?

7. How many Band 4 wte?

8. How many Band 3 wte?

9. Contact details of person completing benchmark tool.

10. Please add any information that may help explain how special school nursing is delivered or any plans you have to change the way the service is delivered in future.

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29/02/2016 251/16

1. A copy of your care pathway for children and young people with cerebral palsy.

2. A copy of your service framework for children and young people with cerebral palsy.

3. Whether your CCG commissions the following services for children and young people with cerebral palsy:

a. Paediatric speech and language therapy
b. Paediatric physiotherapy
c. Paediatric occupational therapy
d. Conductive Education

If so:

i. What is the annual cost of these commissioned services to the CCG?
ii. Are they provided in an integrated manner (under one roof?)                              

4. Whether NHS Southern Derbyshire CCG commissions/funds any other programmes or initiatives by independent or third sector providers to improve outcomes for children and young people with cerebral palsy.

5. An overview of training and advice provided by NHS Southern Derbyshire CCG, as part its co-commissioning duties, for GPs and other health professionals on identifying and referring children with cerebral palsy.

6. Whether there is a specific timescale set out in your care pathway for referral for diagnosis of cerebral palsy, from the point of the formal identification of symptoms.

7. What the estimated cost is to the CCG of medical and therapy costs for children and young people with cerebral palsy.

8. The total number of children and young people diagnosed with cerebral palsy in your CCG population area within each of the last five years.

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