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Requests - May 2016

Date Reference Question(s)       Response 
03/05/2016 288/16

Please provide information on the financial position, for 2014/15 and 2015/16 for:

i) Trust/CCG
ii) All NHS hospitals within the trust
iii) The mental health trusts


Please set out the gross assets and liabilities in each case and whether the Trust was in surplus or deficit and the level thereof.
                           

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04/05/2016 289/16

1. Total numbers for each of the last 3 years for:

  • CHC Checklists received by the CCG
  • Checklists received that were positive requiring a full DST assessment
  • DST assessments carried out
  • DST assessments which resulted in Continuing Healthcare being granted.
  • Unsuccessful DST assessments that were appealed.
  • Appeals that were successful in overturning the decision

2. The number of Multidisciplinary Assessments, as defined in the NHS National Framework for CHC, carried out prior to DST meetings in order to inform completion of the Decision Support Tool.

3. Please state the policy of the CCG in respect of 2).

4. The number of patients, or their attorneys or representatives, who requested, prior to the DST meeting, copies of assessments or other information to be used in DST meetings, and the number of cases where this was not provided.

5. Please state the policy of the CCG in respect of 4).                                           

6. Please advise what training is undertaken by members of CHC Multidisciplinary Teams, including timing and regularity.

7. Please advise what training is undertaken by individuals undertaking the role of CHC Lead Assessor, including timing and regularity.

8. Please provide a copy of the training materials used in 6) and 7) above.

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05/05/2016 290/16

1. Do you currently commission either intermediate or community dermatology services for your population?

2. If so, please provide a copy of the service specification for this service.

3. Please advise the name of the organisation that has been commissioned to provide this service.

4. Please advise the date on which the contract is due to end.        
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05/05/2016 291/16

1. Please could you supply the name, email address and telephone number of the commissioner with responsibility for placements in locked rehabilitation.

For questions 2 through 7, please supply the following information as a snapshot at the end of the year for the financial years 2013/14 to 2015/16, and where possible, the most up to date snapshot available for 2016/17.

2. Please provide the total number of adults funded by the CCG in locked rehabilitation.

3. Of the total number of adults funded by the CCG in locked rehabilitation (q.2) please provide the number that are male and the number that are female.

4. Of the total number of adults funded by the CCG in locked rehabilitation (q.2) please provide the number that were detained under the Mental Health Act and the number that were admitted on an informal basis.

5. Of the total number of adults funded by the CCG in locked rehabilitation (q.2) please provide the number that were placed ‘in area’ and the number that were placed ‘out of area’.

6. Of the total number of adults funded by the CCG in locked rehabilitation (q.2) please provide the number that were placed in NHS provision and the number that were placed in independent provision. 

7. Of the total number of adults funded by the CCG in locked rehabilitation (q.2) please provide the number presenting with a learning disability, a mental illness, an acquired brain injury, a neurological condition, or a personality disorder.

8. Please provide the CCG's total expenditure on locked rehabilitation placements for each of the financial years 2013/14 to 2015/16, and where possible, budgeted expenditure for 2016/17. If expenditure for 2015/16 is not yet available, please provide projected expenditure.           

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06/05/2016 292/16

1. In the last five years, how much money has been spent each year by NHS Southern Derbyshire CCG on providing support for fathers who suffer from mental health problems following the birth of a child?

2. In the last five years, how much money has been spent each year by NHS Southern Derbyshire CCG on providing support for mothers who suffer from mental health problems following the birth of a child?

3. In the last five years, how many fathers have been treated each year for mental health issues relating to the birth of a child in the area covered by NHS Southern Derbyshire CCG?

4. In the last five years, how many mothers have been treated each year for mental health issues relating to the birth of a child in the area covered by NHS Southern Derbyshire CCG?

5. In the last five years, how many diagnoses of postnatal depression in men have been made in each year in the area covered by NHS Southern Derbyshire CCG?

6. In the last five years, how many diagnoses of postnatal depression in women have been made in each year in the area covered by NHS Southern Derbyshire CCG?

7. How many individuals are resident in the area covered by NHS Southern Derbyshire CCG, and how many births have been registered each year in the last five years?

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09/05/2016 293/16

1. Please could you supply the name, email address and telephone number of the commissioner with responsibility for packages of homecare for adults aged 18-65.

Please supply the following information for the financial years 2012/13 to 2015/16, and where possible, budgeted data for 2016/17. If 2015/16 data is not yet available, please provide projected data.

2. Please provide the number of adults in receipt of CHC funded care packages (number of care packages commenced in the year).                                

3. Of those adults in receipt of CHC funded care packages (q.2), please provide the number that were homecare packages for adults (number of home care packages commenced in the year).

4. Of those adults in receipts of CHC funded homecare packages (q.3), please provide the number that were processed through the fast track system (this is often related to end of life care packages).

5. Of those adults in receipt of CHC funded care packages (q.2), please provide the number that are in receipt of personal health budgets.

6. If the CCG has visibility of how personal budgets are spent, please provide the number of adults whose personal budgets are used, in whole or in part, to fund homecare.

7. Please provide the CCG’s total gross expenditure on continuing healthcare funded packages.

8. Please provide the CCG’s total gross expenditure on continuing healthcare funded homecare packages.

9. Please provide the CCG's total gross expenditure related to personal health budgets.

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11/05/2016 294/16

1. How much of your baseline funding for 2016-17 has been identified by NHS England as additional funding for:

a. Children and young people’s mental health services
b. Eating disorder services

2. How much of this additional funding do you plan to spend on:

a. Children and young people’s mental health services
b. Eating disorder services in 2016-17

3. How much of this additional funding for:

a. Children and young people’s mental health services
b. Eating disorder services have been released to mental health providers since the start of the financial year 2016-17?

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12/05/2016 295/16

1. Does the CCG or any constituent practices currently utilise any of the following prescribing support software? Please indicate which.

  • Eclipse Live
  • Scriptswitch
  • FDB Optimise RX
  • DXS
  • Other

2. Does the CCG utilise any of the following as processes or policy to support adherence to the local formulary or specific medicines usage? Please indicate which.

  • GP quality management contract or payment (or similar)
  • Enhanced service payment (or similar)
  • Prescribing incentive scheme (or similar)

3. What is the current year 16/17 CCG QIPP/efficiency savings plan target?

4. What is the value of the prescribing element for the current year 16/17 CCG QIPP/efficiency savings plan target?

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12/05/2016 296/16

1. What is the NHS official definition of ‘full menopause’?

2. What is the NHS official definition of ‘pre-menopause’?

3. What is the NHS official definition of ‘perimenopause’?

4. What is the NHS official definition of ‘premature ovarian failure’? 

5. What is the NHS official definition of ‘early ovarian failure’? 

6. What is the NHS official definition of ‘premature ovarian insufficiency’?

7. What is the diagnostic criteria of ‘premature ovarian failure/early ovarian failure/premature ovarian insufficiency’?

8. What is the diagnostic criteria of 'menopause'?

9. What is the NHS official guidelines with regard to FSH, LH, AM (animullerian) levels in the bloods of women who are having periods, perimenopause, pre-menopause, post-menopause, women who have premature ovarian failure, women who have early ovarian failure, women who have premature ovarian insufficiency?

Premature ovarian failure               
1. What is the number of women with premature ovarian failure who have been approved for NHS funded donor IVF in the East Midlands from 2000 to present day?                                 

2. What is the number of women with premature ovarian failure who have been declined for NHS funded donor IVF in the East Midlands from 2000 to present day?

3. In the case of all women who were approved NHS funded donor IVF, what were the reasons for approval?

4. In the case of all women who were declined NHS funded donor IVF, what were the reasons for the decline?

5. In all cases of all women who were approved NHS funded donor IVF, what were their FSH, LH and MA levels?

6. In all cases of all women who were declined NHS funded donor IVF, what were their FSH, LH and MS levels?

Early ovarian failure               
1. What is the number of women with ‘early ovarian failure’ who have been approved for NHS funded donor IVF in the East Midlands from 2000 to present day?                                

2. What is the number of women with ‘early ovarian failure’ who have been declined for NHS funded donor IVF in the East Midlands from 2000 to present day?

3. In the cases of women who were approved NHS funded donor IVF, what were the reasons for approval?

4. In the cases of women who were declined NHS funded donor IVF, what were the reasons for the decline?

5. In all cases of women who were approved NHS funded donor IVF, what were their FSH, LH and MA levels?

6. In all cases of women who were declined NHS funded donor IVF, what were their FSH, LH and MA levels?

Premature ovarian insufficiency               
1. What is the number of women with premature ovarian insufficiency who have been approved for NHS funded donor IVF in the East Midlands from 2000 to present day?                                

2. What is the number of women premature ovarian insufficiency who have been declined for NHS funded donor IVF in the East Midlands from 2000 to present day?

3. In the cases of women who were approved NHS funded donor IVF, what were the reasons for approval?

4. In the cases of women who were declined NHS funded donor IVF, what were the reasons for the decline?

5. In all cases of women who were approved NHS funded donor IVF, what were their FSH, LH and MA levels?

6. In all cases of women who were declined NHS funded donor IVF, what were their FSH, LH and MA levels?

Age 
1. What is the age of all women who have been approved for NHS funded donor IVF in the East Midlands from 2000 to present day?                                

2. What is the age of all women who have been declined for NHS funded donor IVF in the East Midlands from 2000 to present day?

3. In the cases of women under the age of 40 who were approved for donor assisted IVF, what were the reasons for approval?

4. In the cases of women under the age of 40 who were declined for donor assisted IVF, what were the reasons for the decline?

5. In the cases of women under the age of 40 who were approved for donor assisted IVF, what were their FSH, LH and MA levels?

6. In the cases of women under the age of 40 who were declined for donor assisted IVF, what were their FSH, LH and MA levels?

Perimenopause/Pre-menopause               
1. What is the number of women who have been approved for NHS funded donor IVF due to menopause symptoms, even though they are still having periods, AKA Perimenopause/pre-menopause, in the East Midlands from 2000 to present day?                                 

2. What is the number of women who have been declined for NHS funded donor IVF due to menopause symptoms, even though they are still having periods, AKA Perimenopause/pre-menopause, in the East Midlands from 2000 to present day?

3. In the cases of women who have been approved for NHS donor IVF who are showing signs of menopause but still having periods, what was the reason for approval?

4. In the cases of women who have been declined for NHS donor IVF who are showing signs of menopause but still having periods, what was the reason for the decline?

5. In the cases of women who have been approved for NHS donor IVF who are showing signs of menopause but still having periods, what were their FSH, LH and MA levels?

6. In the cases of women who have been declined for NHS donor IVF who are showing signs of menopause but still having periods, what were their FSH, LH and MA levels?

1. We would like a copy of the full East Midlands NHS Trust IVF Funding Guidelines              

2. We would like the full disclosure of all public documents pertaining to the funding guidelines and eligibility in force at the time of our appeal

3. We would like all dates and public information on all legal challenges on funding decisions brought against East Midlands NHS Trusts with respect to IVF covering the period 2000 to present date.  

4. The doctors request notes for each  blood test after referral.

5. I request to view a clinical risk assessment a procedure.

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12/05/2016 297/16

1. We understand that the CCG refers patients with suspected prostate cancer to the following NHS trusts.  Please confirm:

Burton Hospitals NHS Foundation Trust
Derby Teaching Hospitals NHS Foundation Trust
Leeds Teaching Hospitals NHS Trust
Northampton General Hospital NHS Trust
Nottingham University Hospitals NHS Trust
Sherwood Forest Hospitals NHS Foundation Trust
University College London Hospitals NHS Foundation Trust
University Hospitals Birmingham NHS Foundation Trust
University Hospitals of Leicester NHS Trust

2. Please advise whether the CCG refers patients with suspected prostate cancer to any other NHS trusts?

3. We understand that the CCG does not reference any Referral Pathways/Care Pathways in relation to the treatment of Prostate Cancer?  Please can you confirm?

4. If the CCG does reference any Referral Pathways/Care Pathways in relation to the treatment of Prostate Cancer, please provide a copy or website link.

5. If yes, when is/are the document(s) expected to be reviewed? 

6. Please can you confirm whether we are permitted to reuse the above information under the Open Government License?          

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13/05/2016 298/16

Name and contact details of the "Head of Continuing Healthcare Services" at the CCG and the "Head of Procurement" (person responsible for the procurement of products and service that relate to the CCG's needs and requirements).

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13/05/2016 299/16

1. What is the current waiting time for treatment for talking therapies in your area in primary healthcare? Please break down the wait for each type (or ‘choice of modality’) which is available in your area.

2. What is the current longest wait for talking therapies in your area in primary healthcare? That is, what length of time has the person who’s been waiting the longest been waiting? Please give the wait for each type of therapy (or ‘choice of modality’) which is available in your area.

3. What is the current waiting time for treatment for talking therapies, appointments with psychologists or psychiatrists in your area in secondary healthcare? (Please break down the wait for each type (or ‘choice of modality’) which is available in your area.

4. What is the current longest wait for talking therapies, appointments with psychologists or psychiatrists in your area in secondary healthcare? That is, what length of time has the person who’s been waiting the longest been waiting? Please give the wait for each type of therapy (or ‘choice of modality’) which is available in your area.

For the above questions please provide the figure for referral to first treatment waiting time, not referral to 'assessment' or 'intervention' time.

5. How many referrals have there been into adult mental health services in your area at a) primary care level and b) secondary care level in the calendar years 2013, 2014, 2015 and 2016 to date.

6. What is the maximum number of talking therapy sessions an adult, eligible for therapy, can receive in your area at primary and secondary care level.           

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13/05/2016 300/16

1. In Child and Adolescent Mental Health Services (CAMHS), what is the current waiting time for a young person to receive talking therapies? Please give the wait for each type of therapy (or ‘choice of modality’) which is available in your area.

2. In CAMHS, what is the current longest wait to receive talking therapies? Please give the wait for each type of therapy (or ‘choice of modality’) which is available in your area.

3. What is the maximum number of talking therapy sessions a young person, eligible for therapy, can receive in your area at primary and secondary care level.

4. How many referrals have there been into child and adolescent mental health services in your area at a) primary care level and b) secondary care level in the calendar years 2013, 2014, 2015 and 2016 to date.          

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16/05/2016 301/16

1.For each of the years:
a.April 2013 to March 2014
b. April 2014 to March 2015 
c. April 2015 to March 2016
                                            

Please supply the total number of applications made to your CCG for NHS Continuing Healthcare funding that proceeded past the initial checklist stage to a full assessment of needs.                                             

2.    For each of the years
a.   
April 2013 to March 2014
b.   
April 2014 to March 2015
c.   
April 2015 to March 2016

Please tell us the total number of applications for NHS Continuing Healthcare your CCG refused following a full assessment of needs.              

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17/05/2016 302/16

1. How many people were prescribed with diamorphine in the following years?

2011/12
2012/13
2013/14
2014/15
2015/16
               

2. Please tell me, if known, how many of those people prescribed diamorphine subsequently overcame their heroin addiction.

3. If known, tell me how long each diamorphine prescription lasted for.

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23/05/2016 304/16

1. Most current Annual Report

2. Most current organisation Business Plan

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20/05/2016 305/16

1. The contact details of the Procurement Officer or Medicines Management Pharmacist responsible for the evaluation of blood glucose testing strips.

2. The contact details of the GP Diabetic Lead for the evaluation of blood glucose testing strips.

3. The contact details of the Lead Diabetic Nurse for the evaluation of blood glucose testing.

4. Please confirm if the CCG follows any guidance for the standardisation and guidance for Blood glucose strips from an independent body e.g. LPP, GMMMG….

5. Please confirm which strips are currently recommended on the CCG formulary

6. Please provide the current standardisation guidelines for blood glucose meters and testing strips.

7. Please can you confirm or deny whether the CCG currently has rebates for ANY blood glucose strips and if so, which ones are these?          

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24/05/2016 306/16

1. How many people have been approved for CHC funding in 2015/16?

2. How many have been offered PHB’s?

3. How many of those have taken PHB’s? 

4. How many packages have been commissioned to providers outside of PHBs?          

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24/05/2016

307/16

1. Catchment population of CCG by age

2. Volumes of cataract surgery performed for each financial year between 2006 and 2016 by name and type of provider (e.g. NHS Hospital, vs. Independent Provider of NHS services). Prior to CCGs, please provide data from the PCTs

3. Source of referrals (GP, optician, hospital, other) for cataract surgery for each financial year between 2006 and 2016

a. Has e-Referrals (i.e. choose and book) been implemented?
b. What is the nature of your referral management system (if any)?
c. How many referrals by GPs, Opticians, Hospital Doctors or Others are received by the referral management system for cataract surgery, and how many of these are declined?

4. Mean and median waiting times from referral to cataract surgery for each financial year between 2006 and 2016

5. Total volume of injections for macular degeneration performed per financial year - between 2006 and 2016

6. If recorded, please also provide number of unique patients receiving injections per financial year

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25/05/2016 308/16

Please provide the following information (or estimates if appropriate) on the volume and costs of continuing healthcare funded by the CCG and provided by non-NHS providers.               

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25/05/2016 309/16

1. Please provide split between:               
a. Capital Expenditure
b. Revenue Expenditure
               

2. How much of your capital expenditure is spent on outsourced IT services? Provide split between:
a. Capital Expenditure
b. Revenue Expenditure

3. What is your anticipated capital refresh budget for data centre investment?

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28/05/2016 310/16

1. How many compromise agreements has the trust entered into with staff or former staff?

2. How many of these compromise agreements require staff members not to discuss the existence of the compromise agreement itself?

3. How many of these compromise agreements contain non-disparagement clauses that require staff members not to criticise the employees of the trust?          

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