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Previous Requests Log - May 2017

Date Reference

Question(s)

Response 
02/05/2017  584/17

1. What steps, if any, your organisation has taken to implement a:

  • Footprint
  • Sustainability and Transformation Plan
  • Sustainability and Transformation Partnership
  • Accountable Care System
  • Accountable Care Organisation

2. What plans you have to implement any or all of the above and the proposed timescale for doing so and decision-making processes to be followed in doing so.

3. Any documentation or instruction that you have received from NHS England describing the action your organisation is required to take, or may take, to establish the above organisations and/or otherwise to implement the new care models described in the Next steps on the NHS five year forward view and the Five year forward view.

4. An explanation of the legal and organisational nature of the governance arrangements for the “footprint”, as described in the Next steps on the NHS five year forward view and the Five year forward view, of which your organisation is part.                                              

5. Your organisation’s understanding of the consequences if it does not implement a Sustainability and Transformation Plan, a Sustainability and Transformation Partnership, an Accountable Care System, an Accountable Care Organisation and/or any of the other new care models described in the Next steps on the NHS five year forward view and the Five year forward view, and the documents on which that understanding is based.

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02/05/2017 585/17

1. The number of service users your organisation placed out of area in Acute Learning Disability inpatient units in the latest financial year for which you hold information.

2. The number of service users your organisation placed out of area in Locked Rehabilitation Learning Disability inpatient units in the latest financial year for which you hold information.

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02/05/2017 586/17

1. What assessment, if any, has your CCG made on the number of people with Parkinson’s accessing mental health services in your CCG area?

2. In your CCG area please state whether people with Parkinson’s can access mental health services through each of the following pathways:

a. By referring themselves directly
b. By visiting their GP
c. Their Parkinson’s specialist (for example a consultant neurologist, consultant in the care of the elderly or Parkinson’s Nurse) referring directly into mental health services
d. Mental health professional forming part of a multidisciplinary team for Parkinson’s  
e. Other – please specify  

3. Do you currently commission any psychological support or other mental health services specifically for people with neurological conditions? If yes, please state which neurological conditions and the type of mental health support that is commissioned.

4. Does your Parkinson’s service have access to any of the following mental health professionals? If yes please outline the pathway for accessing the mental health professional. 

a. Clinical psychologist
b. Psychiatrist
c. Neuropsychologist
d. Neuropsychiatrist
e. Other mental health specialist, such as community psychiatric nurse. Please specify which professional.  

5. Does your CCG currently integrate evidence-based psychological therapies for adults with anxiety and depression with a focus on people living with long-term physical conditions or are there future plans to? If yes, please outline which long-term physical conditions can benefit from the therapies.

6. Has your CCG ever taken any action to promote integration across physical and mental health services for people with Parkinson’s or do you have future plans to do so? If yes, please provide details of what action has/or will be taken.

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02/05/2017 587/17

1. How much money was spent on employing management consultants to advise healthcare leaders while drawing up the region’s sustainability and transformation plan in 15/16 and 16/17?

2. Which management consultant companies were used and how much was each company paid?

3. How much money do the organisations in your STP plan to spend on management consultants in 17/18, if any?             

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04/05/2017 588/17

1. Is there a time/number of procedure limit for reconstructive breast procedures following breast cancer (including revision procedures) in your CCG?

2. Is there availability/funding for breast surgery on the contralateral breast (the breast without breast cancer) for means of providing symmetry to any planned reconstructive procedure of the breast with breast cancer? If so, is there a time/number of procedure limit for this type of surgery?

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04/05/2017 589/17

1. The number of MDS trays per week paid for by your CCG.

2. What is the monthly (or annual) cost to your CCG of dispensing medicines in MDS trays?

3. Do you have a process for supporting medication compliance in people with cognitive impairment e.g. providing telephone reminders? If so (a) what is the number of patients supported, (b) how many members of staff work in the team, and (c) what is the monthly (or annual) cost?

4. Does your CCG have a medicines management programme? If so please direct me to the web page that describes the program, or send a document that describes the programme.

5. Does your CCG have a policy on the use of MDS trays? If so please direct me to the web page that describes the policy, or send a document that describes the policy.

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05/05/2017 590/17

A list of Any Qualified Provider (AQP) organisations commissioned by the Southern Derbyshire CCG that provide patient facing services.

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08/05/2017 591/17

1. Has your CCG undertaken a risk assessment of the demographic profile of General Practitioners i.e. how many will reach retirement age in each year for the next 5 years? If so please could you provide a copy of this risk assessment?

2. Please could you confirm the number of whole time equivalent GPs (WTE) working for your CCG?

3. Please could you confirm the current vacancy rate for GPs at your CCG?

4. Does your CCG anticipate a net reduction in the number of GPs available in the next 3-5 years? If so have any estimates been made of how large this reduction is expected to be?

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09/05/2017 592/17

Names and email addresses of the following job titles:

  • Chief Executive Officer
  • Director of IT
  • IT Manager
  • Caldicott Guardian
  • Senior Information Risk Officer
  • Director of Finance
  • Director of Nursing
  • Assistant Director of Nursing
  • Medical Director / Chairperson
  • Chief Operating Officer
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09/05/2017 593/17

1. The number of aftercare packages under Section 117 of the Mental Health Act 1983 for 2016-17 at NHS Southern Derbyshire CCG.

2. The total amount spent on aftercare packages under Section 117 of the Mental Health Act 1983 for 2016-17.

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09/05/2017 594/17

1. A database of all Continuing Healthcare cases currently managed by your CCG, including:

a. The start date of the case
b. The yearly cost of each case by year for as many years as that information is available
c. In the case of patients in a home care setting:
i. The third-party provider contracted by CHC to provide care
ii. Where possible a list of companies who quoted for that contract whenever it was initially tendered or subsequently renewed. 

I would be interested in any information held by your department regarding my request, including any datasets from which this information is drawn. I understand that I do not have to specify particular files or documents and that it is the department’s responsibility to provide the information I require.

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10/05/2017 595a/17

1. This CCG has patients with an ABI who were discharged with a Rehabilitation Prescription. Yes/No

2. This CCG has [number to be inserted] patients with an ABI who were discharged with a Rehabilitation Prescription in the last financial year.

3. Of the patients who are issued with a Rehabilitation Prescription the following receive a copy:

a. GP?
b. Patient/family?
c. Other.

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12/05/2017 595/17

The Provision of Non-Emergency Patient Transfers Services in relation to Derbyshire Community Health Services NHS Foundation Trust.

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19/05/2017 596/17

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 criterion that male patients must meet in order to qualify for treatment? If so, please state what the criteria is.
f. How long do couples need to be trying to conceive before becoming eligible for treatment?
g. What eligibility criteria do you apply in relation to existing children that either one or both partners may have?
h. What policy is in place (if any) for the use of Single Embryo Transfer?
i. Do you fund fertility treatment for same sex couples, and if so what eligibility criteria do they have to fulfil? 

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

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

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19/05/2017 597/17 Please could I have a copy of your Wheelchair Services eligibility criteria?

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Wheelchair Eligibility Criteria

22/05/2017 598/17

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

  • Eclipse Live
  • Scriptswitch
  • FDB Optimise RX
  • DXS
  • Other (please provide name of system)

a. If yes for any of the above software, is this used exclusively by the CCG, by the GP practices within the footprint of the CCG or is it used by both the CCG and its GP practices?
b. If the software is used by GP practices, is it used by all practices within the CCG? Y/N
c. If No – Please list the practices not using this software by ODS code. 

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 17/18 CCG QIPP/efficiency savings plan target?

4. What is the value of the prescribing element for the current year 17/18 CCG QIPP/efficiency savings plan target?

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24/05/2017 599/17

1. I refer to the (Dept of Health) DH's, "National Quality Requirements in the Delivery of Out-of-Hours Services" 2006 document, in clause 3.5.1 on page 10 of "2014/15 APMS Contract – 18.06.14 v1.0."

1.1 "Providers must report regularly to PCTs on their compliance with the Quality Requirements."

Please tell when these Out-of-Hours (OOH) reports were sent between 2014 and March 2015 from Out-of-Hours (OOH) provider to you?

1.2 "Providers must regularly audit a random sample of patients’ experiences of the service (for example 1% per quarter) and appropriate action must be taken on the results of those audits. Regular reports of these audits must be made available to the contracting PCT. Providers must cooperate fully with PCTs in ensuring that these audits include the experiences of patients whose episode of care involved more than one provider organisation."

Please tell when these Out-of-Hours (OOH) reports were sent between 2014 and March 2015 from Out-of-Hours (OOH) provider to you?

2. In 2013 NHS Commissioning Board (CB) introduced a service called Risk Profiling and Case Management Scheme. It was an "enhanced service".

2.1 How many agreements of GP practice belonging to you did you have in place by 30 June 2013 for the risk profiling and care management enhanced service?

2.2 Which GP practices belonging to you did you notify NHS CB that were participating by 31 August 2013 in the Risk Profiling and Case Management enhanced service?

2.3 What risk profiling evaluation tool was procured by you for the GP practices belonging to you?

2.4 Please supply a template of your audit form or quote data entry fields if it’s a database that GP practices belonging to you were meant to complete or be guided by quarterly.

2.5 What criteria did you specify to GP practices belonging to you for case management?

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Risk Profiling Feedback

Feedback Register

24/05/2017 600/17

I refer to Health and Social Care Act 2012 sections placed underneath, please send me with some promotional evidence from up to 2014 that the below 6 duties were done by you - (1) that you promoted NHS Constitution, (2) that you promoted patient choice, (3) that you promoted innovation, (4) that you promoted research, (5) that you promoted education / training and (6) that you promoted integration.

1. 4P Duty to promote NHS Constitution
(1) Each clinical commissioning group must, in the exercise of its functions—
(b) Promote awareness of the NHS Constitution among patients, staff and members of the public. 

2. 14V Duty as to patient choice
Each clinical commissioning group must, in the exercise of its functions, act with a view to enabling patients to make choices with respect to aspects of health services provided to them.

3. 14X Duty to promote innovation
Each clinical commissioning group must, in the exercise of its functions, promote innovation in the provision of health services (including innovation in the arrangements made for their provision). 

4. 14Y Duty in respect of research
Each clinical commissioning group must, in the exercise of its functions, promote—
(a) Research on matters relevant to the health service and
(b) The use in the health service of evidence obtained from research. 

5. 14Z Duty as to promoting education and training
Each clinical commissioning group must, in exercising its functions, have regard to the need to promote education and training for the persons mentioned in section 1F(1) so as to assist the Secretary of State in the discharge of the duty under that section.

6. 14Z1Duty as to promoting integration
(1) Each clinical commissioning group must exercise its functions with a view to securing that health services are provided in an integrated way where it considers that this would—
(a) Improve the quality of those services (including the outcomes that are achieved from their provision),
(b)Reduce inequalities between persons with respect to their ability to access those services, or
(c) Reduce inequalities between persons with respect to the outcomes achieved for them by the provision of those services" 

"Promote" is in the majority of the sections I quoted from Health and Social Care Act 2012, for example –

My paras -

1. "4P Duty to promote"
1(b) "promote awareness"
3. "14X Duty to promote innovation" and again "promote innovation"
4. "exercise of its functions, promote—"
5. "14Z Duty as to promoting education and training" and again "need to promote education and training"
6. "14Z1 Duty as to promoting integration"

Only my para 2 does not directly mention "promote" but the meaning is the same.

So what I am looking for is evidence of your "promoting" and different persons might interpret this differently and therefore I leave it your interpretation and resources.

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24/05/2017 601/17

1. Details of all current contracts you have, including the name, address and contract details of the service provider

2. The renewal date of the contracts

3. Start date of the contracts

4. Value of contracts

5. Spend on telehealth/digital health for financial year 2016/17

6. Spend on community equipment for financial year 2016/17

7. Spend on wheelchair services for financial year 2016/17

8. Number of citizens receiving a telecare service funded by the CCG

9. Commissioning officer name and contact details

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25/05/2017 602/17

1. Who does the CCG use for Translations and Interpreters?

2. What named individual is responsible for deciding this?

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26/05/2017 603/17

1. Does your CCG commission assistive technology and telecare services? If so, does the CCG have in-house provision for such services and if not what percentage of the total amount spent on such services is spent with external providers?

2. How much did your CCG spend on assistive technology and tele care services in 2015/16 and 2016/17 on either a ‘spot’ or ‘block’ contract basis, and how much is it planning to spend in 2017/18?

3. How many patients in your CCG received assistive technology and telecare services on 1st April 2015, 1st April 2016 and 1st April 2017? 

4. Full names, job titles and contact details (including telephone numbers and email addresses) of the responsible Managers and Officers and what section/department these staff are part of?

5. Details of any forthcoming tenders and contract renewals for such services? I would also be very interested in reading any other comments about commissioning and implementation of assistive technology and tele care services including any other requirements in your area you might have.  

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30/05/2017 604/17

1. How many adults in your CCG currently receive NHS Continuing Healthcare?

2. How many adults in your CCG currently receive each of the following:
a. Fully funded NHS Continuing Healthcare packages of care?
b. Joint funded Local Authority / NHS Continuing Healthcare packages of care?
c. NHS funded nursing care?
d. “Care at Home” NHS Continuing Healthcare packages care? 

3. What was the total NHS Continuing Healthcare budget for adults in your CCG in 2015-16?

4. What was the actual amount spent on NHS Continuing Healthcare for adults by your CCG in 2015-16?

5. For each of the following categories, what was the actual amount spent by your CCG in 2015-16 for those adults in receipt of:
a. Fully funded NHS Continuing Healthcare packages of care?
b. Joint funded Local Authority / NHS Continuing Healthcare packages of care?
c. NHS funded nursing care?
d. “Care at Home” NHS Continuing Healthcare packages of care? 

6. What was the total NHS Continuing Healthcare budget for adults in your CCG in 2016-17?

7. What was the actual amount spent on NHS Continuing Healthcare for adults by your CCG in 2016-17?

8. For each of the following categories, what was the actual amount spent by your CCG in 2016-17 for those adults in receipt of:
a. Fully funded NHS Continuing Healthcare packages of care?
b. Joint funded Local Authority / NHS Continuing Healthcare packages of care?
c. NHS funded nursing care?
d. “Care at Home” NHS Continuing Healthcare packages of care?  

9. What is your CCG’s total NHS Continuing Healthcare budget for adults for each of the years 2017-18, 2018-19 and 2019-20?

10. If your response to Question 9 shows you propose to maintain your NHS Continuing Healthcare budget at current levels or reduce your NHS Continuing Healthcare budget for adults in your CCG, please provide a full explanation of how you will achieve this without making unlawful decisions about eligibility or reducing the size of packages of care.

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30/05/2017 605/17

1. Whether any block or assured/risk share contract payment arrangements for planned elective care were in place for NHS Southern Derbyshire CCG for  the following years: 2013/2014, 2014/2015, 2015/2016. And if any have been agreed for 2017/2018 and 2018/19.

If so, please provide the value for each and the care providers the contracts were placed with broken down by the financial year in question.

2. Where block contracts were in place for elective care, please provide the following:

a. The number of anticipated patient spells anticipated when the block contract was commissioned. If a specific number is not given, please give the estimated patient spells used during negotiations with the provider.
b. How many patients spells were delivered during the contract period?

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Last modified: 26/06/2017