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Requests - July 2015

Date

Reference

Question(s)

Response

03/07/2015 99/15

Please provide me with further information relating to the supply of Agency Allied Health and Health Science Professions for the 2014-2015 Financial year.  I would be grateful if you could please provide the following information:

1. Spend on Agency Dieticians for the April 2014 – March 2015 Financial Year

2. Spend on Agency Podiatrists for the April 2014 – March 2015 Financial Year

3. Spend on Agency Arts Therapists for the April 2014 – March 2015 Financial Year

4. Spend on Agency Chaplains for the April 2014 – March 2015 Financial Year

5. Spend on Agency Clinical Psychologists, Counsellors or Psychotherapists for the April 2014 – March 2015 Financial Year

6. Spend on Agency Orthoptists for the April 2014 – March 2015 Financial Year

7. Spend on Agency Play Specialists for the April 2014 – March 2015 Financial Year

8. Spend on Agency Sexual Health Advisors for the April 2014 – March 2015 Financial Year

9. Spend on Agency Diagnostic Radiographers and Sonographers for the April 2014 – March 2015 Financial Year

10. Spend on Agency Therapy Radiographers / Radiotherapists for the April 2014 – March 2015 Financial Year

11. Spend on Agency Physiotherapists for the April 2014 – March 2015 Financial Year

12. Spend on Agency Speech & Language Therapists for the April 2014 – March 2015 Financial Year

13. Spend on Agency Occupational Therapists for the April 2014 – March 2015 Financial Year

14. Spend on Agency staff within Pharmacy (Pharmacists, Technicians & ATO’s) for the April 2014 – March 2015 Financial Year

15. Spend on Agency Audiologists for the April 2014 – March 2015 Financial Year

16. Spend on Agency Mortuary Technicians/Anatomical Pathology Technicians for the April 2014 – March 2015 Financial Year

17. Spend on Agency Cancer Screeners for the April 2014 – March 2015 Financial Year

18. Spend on Agency Cytology Screeners for the April 2014 – March 2015 Financial Year

19. Spend on Agency Healthcare Scientists for the April 2014 – March 2015 Financial Year

20. Spend on Agency Dental Staff for the April 2014 – March 2015 Financial Year

21. Spend on Agency Optometry Staff for the April 2014 – March 2015 Financial Year

22. Spend on Agency Phlebotomists for the April 2014 – March 2015 Financial Year

23. Spend on Agency Biomedical Scientists & Medical Lab Assistants for the April 2014 – March 2015 Financial Year

24. Spend on Agency Genetic Counsellors for the April 2014 – March 2015 Financial Year

25. Spend on Agency Clinical Physiologists (Including Cardiac) for the April 2014 – March 2015 Financial Year               

26. Spend on Agency Medical Physicists for the April 2014 – March 2015 Financial Year

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06/07/2015 100/15

1. Do you commission podiatry services provided under AQP?

2. If you do commission podiatry services provided under AQP who do you commission these services from?

3. What is your tariff description and costs for AQP podiatry services?

4. Please indicate your tariff type and volume for AQP podiatry services?

5. Please indicate activity type by tariff, by provider for AQP podiatry services for 2012-2013, 2013-2014, and 2014 to current date?

6. Does your AQP provider ensure decontamination of instruments in line with European standards?

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07/07/2015 101/15 Under the Freedom of Information Act 2000, I wonder if you could let me know the level of clinical evidence, cost effectiveness data and other supporting evidence the Medicines Management team require to consider recommending its adoption by the clinical commissioning programs or its incorporation into local guidelines for an ISO accredited Class IIA medical device? Click here for Response
07/07/2015 102/15 1. Which of these procedures do you offer freely and which on an individual basis for those patients with facial palsy?

   a. Botox injections for synkinesis or facial asymmetry
   b. Static Therapies (4 procedures)

  • Browlift

  • Canthopexy/Canthoplasty
  • Static facial slings
  • Face lifts

c. Dynamic Therapies: (2 procedures)

  • Sliding temporalis myoplasty
  • Cross facial nerve graft and free muscle transfer (facial reanimation)

2. If you only offer these on an individual evaluated basis why is this?

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09/07/2015 103/15 1. Please can you tell me how many cycles of IVF treatment the CCG offers to women under the age of 40 and how many cycles to women over the age of 40?

2. Please can you also tell me how many individual funding requests the CCG has received since April 2013 for IVF treatment and how many have been granted funding? Please list the number of applications and those which were successful on an annual basis since April 2013.

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09/07/2015 104/15 1. Has NHS Southern Derbyshire CCG introduced, or is it planning to introduce, new limits to access/eligibility for services during 2015-16, for financial/efficiency/value reasons?


2. Is your CCG planning to introduce new limits to access/eligibility for services during 2016-17, for financial/efficiency/value reasons?

3. If you responded ‘yes’ to either of the previous questions, please state your plans for limiting access/eligibility.

4. If you responded ‘yes’ to either of the first two questions, how much money do you estimate this will save?

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13/07/2015 105/15 1.

a. How many patients have applied to the CCG for a personal health budget since April 2015? 
b. How many patients in the CCG area who applied since April 2015 now hold a personal health budget?c. How many requests made since April 2015 for personal health budgets were not approved by the CCG?

2.

a. How many patients have applied to the CCG for a personal health budget in total? 
b. How many patients are there in total in the CCG area who now hold a personal health budget?
c. How many requests made in total to the CCG for personal health budgets were not approved by the CCG?

3. How many patients in the CCG area are eligible for personal health budgets?

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13/07/2015 106/15 1. How much in total did NHS Southern Derbyshire CCG spend on procuring external support from a CSU and other external providers for each of the following functions / business areas in the 2013/2014 financial year? (Please indicate amount per functional area)
  • HR and organisational development
  • Financial management, accounting and payroll
  • Information communication technology (ICT)
  • Corporate governance and risk
  • Provider management
  • Market management
  • Communications
  • Patient and public consultation and engagement
  • Business intelligence and informatics
  • Medicines management/optimisation
  • Service redesign, transformation and reconfiguration

2. How much in total did NHS Southern Derbyshire CCG spend on procuring external support from a CSU and other external providers for each of the following functions / business areas in the 2014/2015 financial year? (Please indicate amount per functional area)

  • HR and organisational development
  • Financial management, accounting and payroll
  • Information communication technology (ICT)
  • Corporate governance and risk
  • Provider management
  • Market management
  • Communications
  • Patient and public consultation and engagement
  • Business intelligence and informatics
  • Medicines management/optimisation
  • Service redesign, transformation and reconfiguration

3. Which of the following functions / business areas were delivered in full or part by a CSU under a Service Level Agreement on behalf of NHS Southern Derbyshire CCG in 2013/2014 financial year.

  • HR and organisational development
  • Financial management, accounting and payroll
  • Information communication technology (ICT)
  • Corporate governance and risk
  • Provider management
  • Market management
  • Communications
  • Patient and public consultation and engagement
  • Business intelligence and informatics
  • Medicines management/optimisation
  • Service redesign, transformation and reconfiguration

4. Which of the following functions / business areas were delivered in full or part by a CSU under a Service Level Agreement on behalf of NHS Southern Derbyshire CCG in the 2014/2015 financial year.

  • HR and organisational development
  • Financial management, accounting and payroll
  • Information communication technology (ICT)
  • Corporate governance and risk
  • Provider management
  • Market management
  • Communications
  • Patient and public consultation and engagement
  • Business intelligence and informatics
  • Medicines management/optimisation
  • Service redesign, transformation and reconfiguration

5. Which of the following functions / business areas are currently delivered in full or part by a CSU under a Service Level Agreement on behalf of NHS Southern Derbyshire CCG?

  • HR and organisational development
  • Financial management, accounting and payroll
  • Information communication technology (ICT)
  • Corporate governance and risk
  • Provider management
  • Market management
  • Communications
  • Patient and public consultation and engagement
  • Business intelligence and informatics
  • Medicines management/optimisation
  • Service redesign, transformation and reconfiguration
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14/07/2015

107/15 1. The name of the provider of your local Community Dermatology Services?

2. The name and contact details of the Commissioner within the CCG responsible for the contract with this provider?

3. When the current contract with this provider is due to expire?

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14/07/2015 108/15 A questionnaire which addresses the following goals for the purposes of NCHA research:
  • assessing whether service provision varies across England and if so how
  • assessing whether commissioning meets best practice guidelines
  • measuring the impact of policy intervention from Monitor and NHS England

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16/07/2015 109/15 1. How much did you spend on obesity services in the financial year 2014/15?


2. In financial year 2014/15 how much did you spend on tier 2 obesity services?

3. In financial year 2014/15 how much did you spend on tier 3 obesity services?

4. In financial year 2014/15 how much did you spend on orlistat medication?

5. In financial year 2014/15 how much did you spend on bariatric surgery?

6. In financial year 2014/15 how much did you spend on obesity training?

7. How much did you spend on obesity services in the financial year 2013/14?

8. In financial year 2013/14 how much did you spend on tier 2 obesity services?

9. In financial year 2013/14 how much did you spend on tier 3 obesity services?

10. In financial year 2013/14 how much did you spend on orlistat medication?

11. In financial year 2013/14 how much did you spend on bariatric surgery?

12. In financial year 2013/14 how much did you spend on obesity training?

13. How much did you spend on obesity services in the financial year 2012/13?

14. In financial year 2012/13 how much did you spend on tier 2 obesity services?

15. In financial year 2012/13 how much did you spend on tier 3 obesity services?

16. In financial year 2012/13 how much did you spend on orlistat medication?

17. In financial year 2012/13 how much did you spend on bariatric surgery?

18. In financial year 2012/13 how much did you spend on obesity training?

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17/07/2015 110/15 1. Details of the number of wigs that dermatology patients can obtain via a NHS wig prescription including details of the type of wig allowed, whether a monetary value is placed on allowance, any limitations/timescales.


2. Can people with all types of alopecia obtain a wig via a prescription? i.e can androgenetic and scarring alopecia patients obtain a prescription or is one offered just to those with alopecia areata?

3. If wig prescriptions are only offered to those with a certain severity of hair loss, what extent of the head needs to be affected for a prescription to be offered?

4. Are prescriptions for human hair wigs ever offered?

5. What is the annual CCG budget for wigs?

6. Does the annual CCG budget for wigs include wigs for oncology patients as well as dermatology patients? Or are there separate budgets? If so, please provide details of both.

7. Do patients have a choice as to a supplier to take their wig prescription?

8. If a choice of supplier is provided, please confirm the number of choices patients receive and the names and addresses of the NHS approved suppliers.

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17/07/2015 111/15 1. A list of all non-NHS providers the CCG commissions services from.


2. The money attached to each individual contract and the end dates.

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21/07/2015

112/15

I wish to submit a freedom of information request to the organisation with regards to their current recycling and waste support and maintenance contracts.

Examples of recycling contracts you could have:

  • Green Waste Disposal
  • Household Waste Recycling Centres
  • Refuse Recycling Street Cleaning
  • Recycling Collection Services

Examples of waste management contracts you could have:

  • Waste Development Environmental Assessment
  • Waste Transfer & MRF (Materials recovery facility)
  • Waste Disposal Landfill
  • Bulky Waste

For each of the types of contract above please can you send me:

1. Contract Type- From the examples given above please state what type of contract this is. Please state other and type of contract if the type of contract is not listed above. In some cases the organisation will have one or two big contracts that is covered in a managed contract please state in the contract description what services the contract provides as well.

2. The supplier of the recycling or waste contract

3. What is the annual average spends for each of the suppliers. For those organisations with new contracts can you please specify the estimated spend?

4. A brief description of what the contract entails. Please to specific to the services provided under these contract(s). Please provide me with a few sentences.

5. What is the contract duration of the each of the contract(s)?

6. What is the start date of each contract(s)?

7. What is the expiry date of each contract(s)?

8. When does the organisation intend to review these contract(s)?

9. Who is responsible for reviewing this contract? Please send me their full name, actual job title, contact number and their direct email address.

10. Even if the organisation has a managed contract please can you send me all the contract information I have requested including the contact details.

11. If this contract has just been award within the last six months can you please send me information on the shortlist of suppliers that bid on the contract?

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21/07/2015 113/15 1. Names of the external medicines management providers used in the last 10 years


2. The purpose of contract with them

3. Who was employed, and by whom, to do what work, and who paid

4. Whether persons doing the work had direct access to patients and/or patient notes

5. The guidelines which your CCG uses in respect of working with industry

6.All copies of correspondence relating to the commissioning and working of this service.

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22/07/2015 114/15 1. The total amount spent by your organisation on non-medical / non-clinical interim staff (i.e staff that may work within contract management, human resources, IT, finance, procurement, business development, administration, et cetera).


When responding, please confirm if the value given is inclusive of agency fees and VAT

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27/07/2015 115/15 I am after the contact details and addresses for all the doctors surgery's in Derbyshire. Click here for Response
27/07/2015 116/15 1. Is your GP out of hours (OOH) service required or recommended to meet a minimum staffing level?


2. If so, what is the requirement or recommendation?

3. Is this staffing level a contractual requirement?

4. On how many occasions per month for the past 6 months has your GP OOH provider failed to meet that minimum staffing requirement/recommendation?

5. Please detail for each occasion how far below the required/recommended staffing level the service was?

6. What sanctions have been applied to the GP OOH provider in the past 6 months due to failure to meet a minimum staffing level?

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28/07/2015 117/15 1. What are the contact details (name and email) of your children’s commissioner?

2. What are the contact details (name and email) of your commissioner/s responsible for commissioning of physiotherapy for children?

3. Who is your GP lead for children?

4. If a parent in your area has a child with a specific health problem, e.g. cerebral palsy, who would benefit from specialist physiotherapy (at a tertiary centre and not available through community physiotherapists), what is the defined process or pathway for

a. Securing a referral? 
b. Securing NHS funding?

5. Have you heard of The Movement Centre and Targeted Training?

a. If yes, how did you hear about us?
b. Has your CCG ever funded a child through the Targeted Training programme?

6. What is the process we should undertake to request that Targeted Training be routinely funded by your CCG and adopted within your annual commissioning plan?

7. Are you planning any co-design events open to providers in the next year?

8. What work-related publications do your commissioners read?

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28/07/2015 118/15 1. Please list the total number of patients seen on each of the following pathways in 2013/2014 and 2014 to the present time:

a. Cataract Post-Op
b. Cataract Referral‎
c. Children’s Post Screening
d. Glaucoma Referral Refinement
e. Glaucoma Repeat Reading
f. Learning Disabilities
g. Low Vision
h. OHT Monitoring
i. Ophthalmology Referral Triage
j. PEARS/MECS Other Community Referral Pathway
k. Stable Glaucoma/Monitoring‎

2. How many locations within your CCG area offer these services? How are these services currently commissioned? Does the CCG intend to change the way services are commissioned in the next 12 months?

3. How do patients access these services in your CCG area? Is the CCG currently running or planning any pilots or trials with Local Optical Committees or any other provider?

4. For each of the 11 Enhanced Optical Services detailed above, how much does each pathway cost with your current provider?

5. How many of those patients who accessed the above services required onward referral for treatment?

Please provide details of the number of patients requiring onward referral broken down by service.

6. How do you measure patient satisfaction? How do you measure patient satisfaction after 6 and 12 months?

7. What form of aftercare is provided to patients who access these services? Please provide specific aftercare details related to each pathway.

8. Are there any costs to the patients who are on these pathways?

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29/07/2015 119/15 1. For 2013/14 and 2014/15 financial years:
  • Number of providers commissioned to deliver INR testing/blood coagulation analysis in non-hospital settings
  • Number of patients managed for INR testing/blood coagulation analysis in non-hospital settings
  • Number of patients managed for INR testing/blood coagulation analysis in hospital settings
  • Total number of unique patients managed for INR testing/blood coagulation analysis

2. List of all providers currently commissioned to deliver INR/blood coagulation analysis

3. Contact details of current INR/blood coagulation providers, ideally to include name, site, location, site postcode, NHS code, phone and email

4. Details of any new and/or additional INR testing/blood coagulation services planned during the 2015/16 financial year

5. Contact details of the INR/blood coagulation commissioning lead(s) at NHS Southern Derbyshire Clinical Commissioning Group.

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29/07/2015 120/15 1. Does your CCG commission domiciliary care?

2. How many patients do you provide health funded domiciliary care for?

3. How many hours per week are commissioned?

4. How many service users / patients do you care for under this agreement?

5. What is the average hourly rate of services provided?

6. Do you provide simple homecare or complex clinical care in the community?

7. What is the name of the person who is responsible for commissioning these services?

8. Could you please confirm the population base for this CCG area?

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30/07/2015 121/15 1. Does the CCG currently operate any schemes for GPs which include a ‘maximum number of referrals’ as a target? (Please list all relevant, including schemes to be implemented in the next year)

a. Which procedures does this scheme target?(Please list all relevant)
b. Are there any incentives or sanctions linked to achieving these targets? (Please give details. This could include a payment per patient for achieving targets, or loss of payments for exceeding them, but does not have to be financial)

2. Does the CCG have similar targets for prescribing, excluding schemes to switch from branded drugs to generics? (Please list all relevant, including schemes to be implemented in the next year)

a. Which conditions or medicines does this scheme target? (Please list all relevant)
b. Are there any incentives or sanctions linked to achieving these targets?
(Please give details. This could include a payment per patient for achieving targets, or loss of payments for exceeding them, but does not have to be financial)

3. Please include documents or details of these schemes that would be sent to GPs.

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31/07/2015 122/15 1. How many applications have you had for funding for high cost drugs for non-NICE indications in the last year?

2. How many of these applications were successful?

3. How much funding has been allocated to high costs drugs for non- NICE indications in the last year?

4. Please indicate the number of applications and funding in the last year for the specified indications below:

  • Hidradenitis Suppurativa
  • Juvenile Idiopathic Arthritis
  • Non-Radiographic Axial Spondyloarthritis
  • Ulcerative Colitis
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