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Requests - June 2015

Date

Reference

Question(s)

Response

30/05/2015 78/15

1. Please provide a list of all contracts awarded by competitive procurement or tender by the CCG during 2014/15. A contract is considered to have been "awarded" at the point when the contract was signed. For each contract, please state which CCGs it covers and which CCG led the procurement.

2. For each contract listed in response to question 1, please state which bidder was awarded the contract, the contract start and end dates, and the full-term value of the contract (an estimate will suffice).

3. For each contract listed in response to question 1, please list all bidders for the contract and provide the full tender evaluation and bid scoring for each bidder - this should include the score provided for each bidder for each question in each category in each tender.

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01/06/2015 79/15

1. Confirmation that treatment is routinely available for all patients in your CCG area, that meet the criteria set out in TA260, and have had the treatment recommended by a suitably qualified health professional.

2. A copy of the CCG’s policy on the use of Botox® for the prophylactic treatment of chronic migraine.

3. Details of providers within the Clinical Commissioning Group catchment area that are currently delivering this service.

4. Details of current waiting list for chronic migraine sufferers to receive the treatment in your area.

5. If the treatment is not currently delivered in your CCG please provide details of how patients within the area access the treatment e.g. funding, referral routes etc.

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05/06/2015 80/15

1. In each of the financial years 2013-14 and 2014-15 how much did your clinical commissioning group spend on:
a. Adult mental health services
b. Children’s mental health services
c. Learning disability care
Please breakdown the figures by each year. 

2. Based on your budget plan for 2015-16, how much is your clinical commissioning group planning to spend on:
a. Adult mental health services
b. Children’s mental health services
c. Learning disability care 

3. Which NHS mental health trusts do you commission to provide services? 

4. How much was the value of the block contracts for mental health care you agreed with each trust listed in question 4 in 2013-14 and 2014-15?  (for trusts that also provide community health care such as sexual health services, please exclude this and only include mental health). Please breakdown the figures by each year

5. What % uplift/change to each of the above block contracts have you agreed for 2015-16? For any contracts not agreed, please list your proposed uplift.

6. Please attach any correspondence your CCG received from former care minister Norman Lamb or former deputy prime minister Nick Clegg regarding mental health or mental health funding in 2014-15.

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08/06/2015 81/15

1. Help / service desk support:

The single point of contact between a service provider and users within an organisation. A typical service desk manages incidents and service requests, and also handles communication with the users.

2. Desktop support:

The technical services offered by a support organisation to a user(s) experiencing problems with their computers. Support may be on either hardware or software running on the affected computing device. Support may include but is not limited to installations, moves, adds, changes and disposition, and local remote services.

3. Network support:

The technical services offered by a support organisation to a user(s) experiencing problems with their network. Support may be on either hardware or software running on the affected computing device. Support may include but is not limited to installations, moves, adds, changes and disposition, and local remote services.

For each of the contract type above can you please provide me with the following information set out below:

1. Contract Type: Please choose from above the type of contract this is related to.

2. What is the Support for Hardware, Software or other please state?

3. Who is this supplier: If there is more than one supplier please input their contract information in another contract profile.

4. What is the annual average spend this can be over 3 or 5 years?

5. What is the duration of the contract please also include any extension periods?

6. When does the contract expire?

7. When will this contract be reviewed by the organisation?

8. Please can you provide me with specific contact details of the person responsible for reviewing/owner of each contract. I’d like their full name, job title, contact number and direct email address.

If there is more than one contract within the response please can you separate the information into a separate contract profile.

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10/06/2015 82/15

As part of the FOI act please could you provide the organisational chart for each hospital within the Trust detailing the names of Directors, Associate Directors, Heads of, and Managers for the departments below:

- Operations
- HR
- Finance
- Estates and Facilities
- Commercial
- Risk & Governance
- Strategy & Commercial
- Executive

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11/06/2015 83/15

1. Do you have a work programme for cardiovascular disease?

2. Do you have a work programme for Familial Hypercholesterolaemia?

3. Within your organisation do you approve the use of Ezetimibe to treat Familial Hypercholesterolaemia?

If Yes:

i. Within your organisation when was the prescribing of Ezetimibe to treat Familial Hypercholesterolaemia approved?
ii. Do you have any shared care protocols in place for Ezetimibe?

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11/06/2015 84/15

In NHS Southern Derbyshire CCG: 

1. What structured education programmes for adult patients diagnosed with diabetes are currently commissioned and who are they provided by? Please state:

  • The name of each programme (e.g. DAFNE, X-PERT, DESMOND)
  • Whether the programme is targeted at people with Type 1 or Type 2 diabetes (or both)
  • Whether the programme is targeted at people with newly diagnosed or established diabetes (or both)
  • If applicable, whether the programme is targeted at specific groups of people (for example BME groups)
  • The name of the provider that delivers the programme.

2. Which of these programmes meet nationally agreed criteria for diabetes structured education set out by NICE[1] and/or are certified by QISMET (Quality Institute for Self-Management Education and Training)[2]?

3. For each structured diabetes education programme on offer, please state the length of the contract commissioned.

4. For each structured diabetes education programme on offer, please state the cost per patient of attending the whole programme, as agreed between the CCG and the provider.

  • If possible, this figure should include all costs associated with the provision of the training course; please state if any associated costs are excluded from the per patient cost, and list these additional costs separately.
  • Please state if the CCG has agreed with the provider any price discounts based on the volume of business.
  • Please state if there are any clauses in the contract around payment if a patient does not attend the full course (for example, if a patient only attends the first session and never returns, is the provider still paid in full or is a discount applied?)
  • If a per patient cost is not available, for example if structured education is commissioned as part of a block contract, please state the cost of the block contract and give an overview of the services that this contract includes.
  • Please supply all costs exclusive of VAT.

5. For each structured diabetes education programme on offer, how many places were commissioned for: (i) 2016/17; (ii) 2015/16; (iii) 2014/15; and, (iv) 2013/14?

6. For each structured diabetes education programme on offer, how many people attended the programme in: (i) 2014/15; and (ii) 2013/14?

7. For each structured diabetes education programme on offer, how many people completed the programme in: (i) 2014/15; and (ii) 2013/14?

8. Do any of the structured diabetes education programmes on offer currently have a waiting list? If so, approximately how long is the waiting list for each programme?

9. How are structured diabetes education programmes promoted to local people with diabetes? For example, through posters and/or leaflets in GP practices/pharmacies, patient champions, online.    

10. What processes are in place to ensure that healthcare professionals understand and promote the benefits of structured diabetes education programmes to their patients, in order to improve the quality of the referral process to programmes available locally? For example, encouraging GPs and practice nurses to attend diabetes structured education ‘taster’ sessions, providing skills training in motivational interviewing.

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12/06/2015 85/15

I would like the following information on hospital activity for Parkinson's disease patients for the time period between January 2014 and December 2014:

1. Number of hospital admissions for patients with a primary diagnosis of Parkinson's disease

2. Number of hospital admissions for patients with a secondary diagnosis of Parkinson's disease

3. Number of elective admissions for Parkinson's disease

4. Number of non-elective admissions for Parkinson's disease

5. Average length of stay for elective Parkinson's patients

6. Average length of stay for non-elective Parkinson's patients

7. Number of Parkinson's patients re-admitted within 28 days  

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16/06/2015 86/15

1. How many special severance payments have been granted to your former employees in the 2013-14 and 2014-15 financial years?

2. Please provide a breakdown of each individual payment detailing:
a. The value of the payment
b. The length of service of the former employee.
c. The salary of the former employee. 

3. Please state which organisation you are responding on behalf of.

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15/06/2015 87/15

Please would you let me know in writing if you hold information of the following description: data regarding the total number of under-18s in England who have received help for alcohol addiction-related problems in the past ten years.

In other words, please provide me with the number of persons up to the age of 18 who have been treated for alcohol addiction from 2005-2015.

Where possible, please supply a breakdown of age and sex of person treated for alcohol-related problems. E.g. "In 2012, 45 14-year-olds were treated for alcohol-related problems."

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16/07/2015 88/15

1. Does your CCG commission mental health crisis accommodation/ Recovery house facilities?

2. How many such facilities does your CCG currently commission?

3. Which organizations are the CCG commissioning to deliver these services?

4. How many beds does your CCG commission in each crisis/ Recovery house?

5. Does your CCG commission the full service or is funding shared with other commissioners

(CCGs or Local Authorities)?

6. If the service(s) are commissioned with others, who are your co-commissioners?

7. What is your current annual spend on mental health crisis house facilities (2014/2015)?

8. A brief description of the service you are commissioning

9. A copy of the current service specification for the mental health crisis house(s) you commission.

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17/06/2015 89/15

Please could you release the CCG's hospitality register?

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19/06/2015 90/15

Does your clinical commissioning group use a formulary for the provision of urology products supplied under Part IX of the Drug Tariff?

If yes:

  • Please provide the minutes of the meeting where the decision to include a formulary was approved.
  • Please can you confirm when this formulary was introduced?
  • Was the introduction of the formulary part of the clinical commissioning group’s cost savings measures? If so, can you confirm what the savings target was and whether this has been achieved?
  • What process of engagement or consultation took place with patients or suppliers prior to the introduction of a formulary?
  • What was the cost of the introduction of the formulary? Please provide any documents assessing the cost, in particular relevant impact assessments.
  • Were suppliers asked to offer rebates or other incentives in return for inclusion on the formulary? Please provide any correspondence discussing rebates or other incentives.
  • What is the cost of maintaining the formulary on an ongoing basis? Please provide any financial costings relating to this.

If no:

Have plans for the development of a formulary been considered? If so please provide all relevant documents relating to the development of a formulary.

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22/06/2015 91/15

1. According to your current IVF treatment policy:

a. How many cycles of IVF do you offer to eligible patients?

b. Do you fund a full cycle of IVF, as defined by NICE, which includes replacement of all frozen embryos? If not how many frozen embryo transfers do you fund?

c. What is your upper and lower age limit that female patients must meet in order to qualify for treatment?

d. Do you fund one full cycle of IVF for women aged 40-42 in line with the NICE guidance?

e. Do you have an age criteria that male patients must meet in order to qualify for treatment? If so, please state what the criteria is.

f. What must the smoking status of patients be?

g. What weight requirement exists (i.e. BMI)?

h. How long do couples need to be trying to conceive before becoming eligible for treatment?

i. Is there a minimum period that the couple need to have been in a relationship before becoming eligible for treatment?

j. What eligibility criteria do you apply in relation to existing children that either one or both partners may have?

k. What policy is in place (if any) for the use of Single Embryo Transfer?

l. Do you fund fertility treatment for same sex couples, and if so what eligibility criteria do they have to fulfil?

m. Do you fund fertility preservation for cancer patients and if so what budget is the funding taken from?

2. What is the average cost of a cycle of an IVF cycle funded by the CCG and what does that include?

3. What providers does the CCG contract with to provide IVF services?

4. When was the current assisted conception policy developed? And who was consulted?

5. When will the CCG review its assisted conception policy?

6. Is the assisted conception policy available on the CCG’s website? If so please provide a link to the policy.

7. Please could you provide me with a copy of your assisted conception policy?

8. Which MPs cover the boundaries of the CCG?

9. Has the CCG conducted any financial modelling on the cost implications of funding three full cycles of IVF?

10. If the CCG does not follow the NICE guideline, have they published the reasons why they do not follow the guideline? If so, what are the reasons for not complying with the NICE guideline?

11. In the last 12 months, or at the time of the last consultation on the IVF policy, has the CCG considered collaborating with other CCGs on the fertility policy? 

12. In the last 12 months, how many patients have applied for fertility funding (both successfully and unsuccessfully) through an Individual Funding Request?

13. In the last 12 months, how many women aged between 40-42 has the CCG funded IVF treatment for? What does the CCG estimate this to have cost?

14. I would also like to request permission to re-publish the data provided in a publically accessible document/web-format.

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22/06/2015 92/15

Please could we request the number of initial consultations by provider for elective surgery in the following areas:

Spinal Surgery
General Surgery
Gynaecology 

Orthopaedics split into:

Hand & Wrist
Shoulder & Elbow
HipKnee
Foot & Ankle 

Please could we also request the number of procedures by provider for elective surgery in the above areas?

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24/06/2015 92b/15 Can I please have the full list of each manager or director whom has budgetary responsibility for their area/business unit/service.

Also I require the full list of all Commissioning Managers who run the commissioning cycle for all services procured by the CCG.
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29/06/2015 93/15

Under the Freedom of Information Act 2000, please could you kindly provide me with the following information for your CCG (or if you represent a CSU, for all the CCGs you are responsible for).

Please find attached an Excel spreadsheet with 2 tables for your completion.

Please complete Table 1 to show the total spend by your CCG in each of the categories listed for the financial years. In sheet 2 I would like you to provide the breakdown of your CCG’s mental health spending in each of financial years listed.

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29/06/2015 94/15

1. How many Palliative Care Specialists do you provide?

If possible, please specify numbers of Palliative Care Specialists broken down by:a. Consultants in Palliative Medicine
b. Specialists Nurses employed as a clinical nurse specialist or a consultant nurse in palliative care
c. Allied health Professionals, please specify? 

2. What is your annual budget dedicated to Specialist Palliative Care Services commissioned for the current financial year, 2015-2016? We understand there may be differences in terms and if it is impossible for you to give a precise figure for whatever reason, please give your best estimate.

3. What is your annual budget for other Palliative Care or End of Life Care Services commissioned for the current financial year, 2015-2016?

Please specify each unit by name?

4. How many beds are there specifically dedicated to Specialist Palliative Care Services
If possible please break down by:
a. Hospices: Number of beds in each hospice inpatient unit, please specify each unit by name.
b. Other Providers: Number of beds in each provider inpatient unit, please specify each unit by name.
c. Hospital: Number of beds in each hospital inpatient unit, please specify each unit by name. 

5. Do you provide for seven day admissions to Specialist Palliative Care Beds? Yes/No
If yes, please provide further information on whether these admissions are available in:
a. All hospice beds you commission
b. Some hospice beds, and if so how many?
c. NHS funded Specialist Palliative Care beds in hospitals, and if so how many?
d. NHS funded Specialist Palliative Care beds in another facility, and if so how many?
e. Any other facility, please specify. 

6. Do you commission seven day Specialist Palliative Care Services? Yes/No
If yes, please give their hours of operations and the specific services available. 

7. Do you commission seven day Specialist Palliative Care Services for patients in their own homes? Yes/No
If yes, please specify. 

8. Do you provide 24 hour/seven day Specialist Palliative Care advice? Yes/No
If yes:
a. Is this advice from a consultant to all other out of hour’s healthcare professionals in your area? Yes/No
b. Is this direct advice to patients and their carers? Yes/No
c. If by another means, please specify what type of advice is available and how this advice is given. 

9. In hospitals, do you provide Hospital Specialist Palliative Care Support Teams? Yes/No
Please give details of which hospitals. 

10. Do you commission seven-day hospital acute pain control team services?

11. As part of a Specialist Palliative Care Service, do you require them to educate other healthcare professionals? Yes/No
If yes, please specify.

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30/06/2015 95/15

a) A list of all treatments on your CCG's 'Not Normally Undertaken' list

b) A list of all treatments which were ADDED to the 'Not Normally Undertaken' list in
i) Financial year 2014/15, and;
ii) Financial year 2015/16.

This should include the exact date the treatment was added to the list 

I would also like:

c) Any current specific guidance given by your CCG on the circumstances on which homeopathic treatments might (or might not) be paid for out of your budget

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30/06/2015 96/15

1. The amount of each contract tendered for as far back as April 2013 by the CCG

2. The firm awarded each contract for as far back as April 2013 by the CCG

3. The type of procedure used to tender the contract (open procedure, restricted, awarded without prior publication of contract notice, etc.) as far back as April 2013 by the CCG

4. The number of bids or offers made by firms for each contract as far back as April 2013 by the CCG

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