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Previous Requests Log - July 2017

Date Reference

Question(s)

Response 
03/07/2017 625/17

1. Copies of any workforce strategy documents – or any other documents related to workforce planning for the STP, including appendices.

2. Copies of any estate strategy documents – or any other documents related to estates planning for the STP including appendices.

3. Copy of/details of the latest implementation timeline the STP group is working to.

4. Copy of any documentation detailing the results of public or staff consultation.

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03/07/2017 626/17

The cost of melatonin prescriptions for children in your area for the last year.              

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04/07/2017 627/17

1. Which IT Service Management (ITSM) solutions are currently being used by your organisation in their IT operations and Service Desk functions?

2. How much did the organisation spend on this solution? Please provide initial setup / deployment costs and on-going costs.

3. Which company did your organisation procure the current solution from and by which method? (ie. Direct Award/Tender etc.)

4. When does the current ITSM solution contract expire?

5. Who in the organisation is responsible for deciding which ITSM tool is used? Please provide name and job title.

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04/07/2017 628/17

Please could you send a copy of your "Continuing Healthcare Choice & Equity Policy", or any similar policy which sets out how decisions for Continuing Healthcare are made.

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05/07/2017 630/17

1. How many babies (ie. below the age of 1) were diagnosed with issues of ankylossia (tongue-tie) in each financial year since 2012/13?

2. Of the babies diagnosed with issues of ankylossia (tongue-tie) in 2016, how many had a surgical procedure carried out by NHS surgeons to resolve these specific issues, and how long did they wait (on average, in calendar days) for the procedure following diagnosis?

3. In 2016, what was the mean age of babies with such issues when the ankylossia (tongue-tie) procedure was performed?

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06/07/2017 632/17

1. Are there any financial rebates in place with chosen suppliers relating to the supply of blood glucose strips/meters? If so, please could you provide details of which company and details of any agreement including how the amount of rebate is calculated and agreed period?

2. Could you please confirm if there is a guidance/formulary in place relating to the prescribing of insulin pen needles across the CCG area? If this does currently exist, please provide a copy.

3. Are there any financial rebates in place with any suppliers relating to the supply of insulin pen needles? If so, please could you provide details of which company and details of any agreement including how the amount of rebate is calculated and agreed period?

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06/07/2017 633/17

Could you please provide your CCG’s policy or care pathway for the following scenario in which a local patient and GP is seeking funding:

a. The patient concerned has a mental health disorder, namely body dysmorphic disorder/obsessive compulsive disorder.
b. The patient is being referred by the GP for a course of out-patient cognitive behaviour therapy which is specific for BDD/ OCD, for which there are NICE guidelines. The CCG has a commissioned provider for referrals through either a local primary care (Improving Access to Psychological Therapies – IAPT) service or for more complex problems with a local community mental health team (CMHT) and psychological therapy service.
c. The GP and patient however wish the patient to be referred “out of area” to a provider that has existing NHS contracts with other CCGs. They have no other reason other than that it is the patient’s choice to be seen at different service for BDD/ OCD to that provided locally or is already commissioned. The patient and GP are fully aware of their local commissioned service but do not wish to use it.
d. The GP believes the referral to be clinically appropriate. The referral would be to another IAPT provider or if the patient has more complex problems to a consultant led tam for medication advice and to a more experienced psychologist/ cognitive behaviour therapist. The GP has assessed for risk – the patient does not have any significant risk factors (e.g. a risk of suicide or self-neglect) that require local CMHT involvement. Neither does the patient need care integrated with social services nor inpatient care.

My questions for the FOI request all relate to the CCG’s policy documents or agreed care pathway in the above scenario:

1. Can the GP refer direct to an out of area provider? If not, what is the pathway for such referrals? If yes, what are the criteria used in the scenario above for the patient to be referred out of area? When does the CCG consider the “exceptionality” issue applies for a referral out of area? For example, must the patient have exhausted or tried treatment in local services?

2. If the patient can be referred direct for an assessment to another provider and the provider seeks authorisation for funding, what is the pathway for such referrals? As in question (1) does the panel or commissioner use any specific criteria to agree to fund the assessment of the patient?

3. If a patient is assessed by another provider and found suitable for treatment, must a further application for funding be made for treatment? As in question (1) does the panel or commissioner use any criteria to agree to fund the patient’s treatment or suggest that they are treated locally?

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06/07/2017 634/17

1. How many new assessments for standard NHS Continuing Healthcare (Adult) has the CCG undertaken between July 2016 – July 2017?

Of those, how many were found ineligible for funding?

2. How many reviews for NHS Continuing Healthcare funding has the CCG undertaken between July 2016 – July 2017?

Of those how many have had their funding withdrawn, where previously they had NHS Continuing Healthcare funding?

3. What is the CCG’s annual budget for NHS Continuing Healthcare and what is your year to date actual spend in relation to this budget? (i.e. overspend or underspend). Please provide this for both CHC Adult Fully funded CHC and also for CHC assessment and support.

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06/07/2017 635/17

1. The CCG’s policy on the commissioning of Tier 3 weight management clinics (in April 2017 commissioning transferred from NHS England to CCG’s).

2. The CCG’s policy on the commissioning of Tier 4 bariatric surgery (in April 2017 commissioning transferred from NHS England to CCG’s).

3. Does the CCG offer Tier 3 services or outsource them, and if so where would patients be sent?

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06/07/2017 636/17

Wheelchair Service

1. Which geographical area(s) does the service cover?

2. Does the service provide for Adults and Children?

3. What population size does the service cover?

4. Which organisation provides your clinical assessments?
a. What is the annual value of the contract?
b. What are the start and end dates of the contract including any permitted extension?

5. Which organisation provides you’re Approved Repairer services?
a. What is the annual value of the contract?
b. What are the start and end dates of the contract including any permitted extension?

6. What are the contact details of the Commissioner(s) responsible for the service?

Integrated Community Equipment Service (ICES)

1. Which geographical area(s) does the service cover?

2. Does the service provide for Adults and Children?

3. What population size does the service cover?

4. Which organisation provides your clinical assessments?
a. What is the annual value of the contract?
b. What are the start and end dates of the contract including any permitted extension?

5. Which organisation provides you’re Approved Repairer services?
a. What is the annual value of the contract?
b. What are the start and end dates of the contract including any permitted extension? 

6. What are the contact details of the Commissioner(s) responsible for the service?

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07/07/2017 637/17

1. Which STP the CCG belongs to?

2. Who is the Programme Director of the STP?

3. Who leads the; Primary care, urgent care, frailty work streams of the STP?

4. Who Leads the Local Digital Programme?

5. Can you please confirm the name and email address of the non-clinical manager/head of/lead/programme director of:

  • Urgent Care
  • Planned Care
  • Primary Care
  • Mental Health
  • L&D
  • Children’s
  • Adults community
  • Integrated Care
  • PMO
  • Transformation
  • Accountable Care

6. Could you also confirm which of these non-clinical managers/leads is an interim and their contact details?

7. Could you please confirm the name of the organisation and general manager contact details for your local GP Federations?

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09/07/2017 638/17

1. Do you currently fund metal on metal hip resurfacing procedures (either routinely or if a specific request for funding is made)?

2. If so, do you provide additional funding for follow up, compared to a standard total hip replacement, to cover the additional follow-up requirements for these implants as per the MHRA guidance of 29/6/17?

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09/07/2017 639/17

1. Please could you tell me how you choose to allocate your resources (money)? What is your decision making process?

2. How do you budget?

3. Please send me your monthly management information pack that the CEO receives as a spreadsheet so that I can manipulate it and as a word document for the commentary. This should show me the main budget holders. I will take a quarterly pack if that is what you use.

4. Please also send the pack from the last financial year so I have a full 12 month view. I do not know if your business is seasonal or not.

5. Please fill in the spreadsheet showing expenditure by illness and age for 2011-2016. If you do not have information in this format please state this.

6. You may then wish to fill in the spreadsheet using departmental spending to do so. Please state where there is not an exact fit and use your management knowledge to make an estimate of splitting up costs to fit my request. Where even this is impossible state this

7. Use different age ranges if you wish, Please state why

8. Answer by illness family (eg Malignant neoplasms) if you do not have the detail of the illnesses (eg lung cancer)

9. If you would like to use a number of spreadsheets, for example you might choose to use a separate one for a children’s hospital if you have one

10. Could you confirm whether this expenditure includes prescription medication. I would like this added to the spreadsheet by illness and age where possible

11. Does your expenditure include community services like mental health, please include it if it is in your budget or state where community services, mental health or otherwise, are funded from another source. I would like a complete picture of health spending in your area

12. Where you cannot allocate resource place the remaining part of your expenditure to ‘Other’ so that it all ties up with your total expenditure. Comment on what is in other. State your total expenditure. This should all be easy to verify using a spreadsheet

13. List the departments (major budget holders or contracts) in ‘other’

14. If you allocate an overhead cost by department state this and your reasons. But I would like any overhead that you allocate in this way split out separately, so that I can allocate it if I so choose

15. How many people does your Clinical Commissioning Group serve? And please provide any demographic information you use to allocate resources, for example age and sex or health data

16. Please send your information in a spreadsheet format or word format. Pdf a letter if you must but I DO NOT want a pdf with a lot of numbers that I can do nothing with or have to spend hours transcribing or get someone to OCR for me. You are required to send me data in a reusable format.

17. Section 12 of the Freedom of Information Act. £450/18 hour cost limit. If to complete the spreadsheet there is a cost involved to extract the data in the format I have requested from your systems over £450/18 hours then I would like you to prioritise extraction of data in the following order: 1 Mental Health (including addictions) all ages; 2 Child and Adolescent Mental Health (please state the age range for this, including addictions); 3 Addiction all ages; 4 Addiction child and adolescent ; 5 Cancer all ages; 6 children’s cancer; 7 cardiovascualar disease all ages. Stop when you reach the £450 limit and advise me of the costs for extracting any of 1-7 that you have not been able to extract and then the balance of the data.

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10/07/2017 640/17

1. What is the total spend on ophthalmology east Berks CCG in total and per 100,000 population (please provide this data for the financial years 2010 to 2017) excluding drug costs?

2. How much is money was spent on each of the providers for ophthalmology (please provide this data for the financial years 2010 to 2017) excluding drug costs?

3. What is the average spend per 100,000 population nationally?

4. What population does your CCG represent?

Information for ophthalmology only:

1. How many providers are providing ophthalmology related work (paid for by your CCG) apart from acute trust hospitals (please include optometry as well if this is coming out of CCG budget)?

2. Can you please provide the service specification for each of the providers (please name the providers)?

3. Can you please provide the number of appointments (breakdown of new and follow up) for each provider and also the number of outpatient procedures and surgeries performed by each provider for the last 3 years.

4. Can you please provide the total amount spent by the CCG for the above; number of appointments (breakdown of new and follow up) for each provider and also the number of outpatient procedures and surgeries performed by each provider for the last 3 years.

5. Please provide the breakdown of tariffs for the various providers and service specification for each provider, if different to national tariff (if national tariff: please state “national tariff”)

6. When the services were commissioned, what was the anticipated activity and spend for each provider? What was the spend 3 years after the commissioned date on the level of spend (compared to the spend expected at the start of commissioning)?

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11/07/2017 641/17

1. What services the CCG currently commissioned through community pharmacy?

2. Please send SLAs or service specifications for each commissioned service and details of lead commissioner plus contact details.

3. Date that each service ends.

4. Do you commission any health services through other providers and if so what services and who are the providers, please include contact details?

5. Are there any future services being looked at that community pharmacy may be able to provide, and if so what are these services?

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13/07/2017 642/17

1. Can you provide me a table of information including data for each dispenser within the CCG's remit?

a. For each of the five financial years beginning 2012-13 until 2016-17 I wish to know the total number of prescription issued by a GP surgery, doctor or otherwise by a health practitioner known to the CCG (dispensers) as recorded by the NHSBSA.

b. As well as the total prescriptions for each year, I wish to know the total number of prescriptions of Adderol and again of Modafinil. If prescriptions of these drugs are recorded not by specific brand but under a category please provide me the number of prescriptions for these kinds of medications in each case.

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13/07/2017 643/17

1. Please state the name of your clinical commissioning group:

2. Who is the designated policy lead for weight management/obesity-related intervention provision in your CCG? Please provide their name and email address.

3. Please state the number of patients requiring weight management intervention(s) in the past years 2014, 2015 and 2016 by tier 1, 2, 3 or 4.

4. What tier weight management intervention(s) do you commission? Please select all that apply:

  • Tier 3
  • Tier 4

5. Who is the commissioned organisation to deliver the intervention? Please specify and indicate which tiers each intervention covers (e.g. Tier 3, Tier 4 etc.)

6. Please state the name of the relevant organisation and intervention previously provided that has been decommissioned in the past five years.

7. How do patients access this intervention(s)? Please select all that apply from the list below:

  • Universally available
  • Self-referral
  • GP/nurse referral
  • Other health professional referral
  • Direct referral from NHS Health Checks

8. What is the eligibility criteria for adults? Please select all that apply from the list below:

  • BMI
  • Postnatal Black and Minority Ethnic (BME) groups
  • People with learning disabilities
  • People with poor mental health
  • People with physical disabilities
  • Low income groups
  • Unemployed
  • Other, please specify

9. What is the title and name of the intervention(s)?

10. What are the aims and objectives of these intervention(s)?

11. What NICE guidance is the intervention(s) based on?

  • NICE Guidance PH47
  • NICE Guidance PH53
  • NICE Guidance CG43
  • NICE Guidance PH27
  • Other

12. How long does the intervention last for? Please specify in weeks, months and years:

13. What is covered by the intervention?

  • Behaviour change concept - please specify under ‘other’
  • Healthy eating principles - please specify under ‘other’
  • Physical activity
  • Physical activity theory
  • Prescription drugs
  • Building resilience
  • Other, please specify

14. What is the amount that has been spent on all commissioned weight management intervention by your CCG, and amount budgeted for the 2014/2015, 2015/2016 and 2016/2017 financial years?

15. What is this spend as a percentage of the total health programme spend for your local authority for the years 2014/2015, 2015/2016 and 2016/2017 financial years?

16. How long is the intervention commissioned for? Please specify in months/years:

17. How many individuals access or are referred these intervention(s)?

18. How many individuals are eligible to access the intervention(s)?

19. What is the average weight loss at the end of the intervention (%)?

20. What is the average weight loss at 12 months (%)?

21. How many patients as a percentage of those receiving obesity interventions have sustained weight loss beyond the 12 months following the intervention?

22. As a percentage, how many people have voluntarily ceased receiving an intervention before its completion in the years 2014, 2015 and 2016.

23. Are participants directed into any other intervention(s) at the end?

  • Yes
  • No
  • Please specify

24. Please provide any additional comments relating to weight management services in your area that you have.

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18/07/2017 644/17

Any information or any concern available in the public domain about Derby Urgent Care Centre.

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18/07/2017 645/17

1. Who currently supplies you with labels?

2. Who is currently the contact to deal with label supplies?

3. How much do you currently spend on labels annually?

By labels I mean anything from stickers you would use around the hospital to inform people (warning labels?), or labels for prescriptions on medication, or labels you might use on machines etc.

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18/07/2017 646/17

1. Please provide dates in which your Clinical Commissioning Group will be contracting for NHS 111 services over the next 5 years.

2. Please can you also advise when the existing contract ends with your current provider of 111 services?

3. Who is the main point of contact responsible for procurement of NHS 111 services? Please also provide contact details.

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21/07/2017 647/17

1. In the 2016/17 financial year, how many trips overseas have been undertaken by staff at your CCG?

For each trip, please state and break down:

  • The date, destination and number of days the trip lasted
  • The purpose of the trip
  • Number of staff members who went on the trip
  • Total amount of money spent on hotels
  • Total amount spent on flights
  • Total amount of any other costs incurred
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23/07/2017 648/17

1. How many patients with severe Complex Regional Pain Syndrome have been referred to Ellern Mede clinic in the last 6 years?

2. How many of those patients with severe Complex Regional Pain syndrome went into remission or improved?

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24/07/2017 649/17

I require financial spend and forecast for FY 2015-16, FY 2016-17 and FY 2017-18.

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25/07/2017 650/17 Contact details for the Occupational Therapy lead within your STP. Click here for Response
26/07/2017 651/17 I require the names, job titles, email addresses and telephone numbers of:  

1. The person who leads and is responsible for IT & Information Security.

2. The Person who is responsible for the compliance of GDPR (General Data Protection Regulation).

3. Can you also please confirm the number of contractors in said areas?

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26/07/2017 652/17

I would like to request information regarding the organisation’s overall financial spend for FY 2015-16, FY 2016-17 and projected spend for FY 2017-18.

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27/07/2017 653/17

1. The total yearly spend of the CCG on children and adolescent mental health services broken down by year for as many years as you have information?

2. The amount of extra funding provided to the CCG for the purpose of providing extra child and adolescent mental health services broken down by year?

3. The amount of extra funding that has been provided for child and adolescent mental health services which has been spent or allocated to other services broken down by year?

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31/07/2017 654/17

Name and email address of the person with the following job title:

  • Chief Clinical Information Officer
  • Chief Nursing Information Officer
  • Chief Information Officer
  • Chief Nurse
  • Director of Nursing
  • Assistant Director of Nursing
  • CEO
  • Chief Operating Officer
  • CFO/Finance Director
  • Medical Director / Chairperson
  • IT/ICT Manager
  • Head of Information Governance
  • Caldicott Guardian
  • SIRO
  • Head of IT
  • Director of IT
  • Director of Transformation
  • Head of Compliance
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31/07/2017 655/17

1. What was the total amount of money spent (£) on all psychological therapies (any type, across primary, secondary care and tertiary care) by your CCG?

2. What was the total amount of money spent (£) on IAPT (Improving Access to Psychological Therapies) services by your CCG?

3. How much of this total spend on IAPT was made up of central-government funding earmarked for IAPT? Please answer as an amount of money (£).

4. Does your CCG commission primary care psychological therapies other than IAPT? If so, what was spent (£) on these? Please specify.

5. What was the total amount of money spent (£) on all secondary care (non-IAPT) psychological therapies by your CCG?

6. Please provide a breakdown of the type of secondary care (non-IAPT) psychological therapy (e.g. cognitive behavioural therapy, dialectical behavioural therapy, family therapy, dynamic psychotherapy etc.) and the amount of money spent (£) on each type of therapy by your CCG.

7. Does your CCG commission any other more specialised (e.g. tertiary care) psychological therapies? If so, what was spent (£) on these? Please specify.

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Last modified: 22/08/2017