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November 2016

Date Reference

Question(s)

Response 
02/11/2016 425/16

FOI request 378/16 gave a breakdown of the £102,560 shown in the 2015/16 published accounts for "Purchase of Healthcare from non-NHS bodies". This request is for more detail, against each line:

1. Could you add 2 additional columns on to the table which indicate where each line of expenditure was budgeted/accounted for:

a. CCG Contract heading ( e.g. Acute commissioning, Community contracts etc.)
b. Detailed Contract heading (ie. within the above, e.g. it might be "Voluntary Sector" within Community contracts)

2. Additional column - 'Service provided' (Those used under "category of spend" are too general)

3. Where the original response shows "Various small providers"/ "Other providers" please break down so ~ 80% of the total is itemised into specific providers.

4. The budget against each item in the table for 2016/17

5. Any other new major contracts for 2016/17 >£100k not previously shown that fall into this category "Purchase of Healthcare from non-NHS bodies"

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Attachment

02/11/2016 426/16

1. Do you fund the procedures listed below?

2.  If the procedures listed are funded, what inclusion and exclusion criteria exist for each procedure?

3. If a procedure is not listed does this mean it is funded?

4. If criteria exist how were these developed and what evidence base was used in the development of these criteria?

5. Was a plastic surgeon included in the process of developing the criteria?

6. If a procedure is not funded what if any means of challenge is available to the patient or their advocate?

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Cosmetics Policy

IFR Policy

PLCV Policy

02/11/2016 427/16

1. Please disclose details of any referral management system or scheme that your CCG currently has in place for managing referrals from GPs to secondary care (please include details of when the current system was introduced, the name of the service provider and which clinical specialities the system applies to).

2. Please state in percentage terms and in numerical terms how the referral management system has impacted upon first outpatient attendances since implementation (for example, it has led to an X% reduction, and X fewer referrals).

3. Please state the total cost of operating the referral management system since its introduction and how much each individual referral costs to be processed.

4. Please state the total savings the referral management system has delivered since its introduction.

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04/11/2016 428/16

1. For 2015/16 can you advise the expenditure with Arden & GEM CSU split by distinct service types, showing the service delivered?

2. For 2016/17 how much is budgeted to be spent with Arden & GEM CSU split by distinct service types, showing the service to be delivered?

3. For 2015/16 - can you detail any other expenditure, in the same way, for other CSUs?

4. For 2016/17 - can you detail budgeted expenditure, in the same way, for other CSUs?

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Attachment

04/11/2016  429/16

1. Did your CCG receive the amount specified in Table 1 in 2016-17?  If not, how much was received?

2. How much of this funding did your CCG spend on children and young people’s mental health services in the first half of 2016-17 (i.e. 1st April 2016 to 30th September 2016)?

3. How much of this funding does your CCG expect to spend on children and young people’s mental health services in total in 2016-17?

In the Autumn Statement 2014, an extra £150 million funding for children and young people’s eating disorder services was announced.  Out of this, £30 million has been allocated to CCGs in 2016-17. The attachment ‘Table 2_Eating Disorder Services’ contains a breakdown of the £30 million by CCG.

4. Did your CCG receive the amount specified in Table 2 in 2016-17?  If not, how much was received?

5. How much of this funding did your CCG spend on children and young people’s eating disorder services in the first half of 2016-17 (i.e. 1st April 2016 to 30th September 2016)?

6. How much of this funding does your CCG expect to spend on children and young people’s eating disorder services in total in 2016-17?

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Table 1
Table 2

06/11/2016 430/16

In the financial year 2017 – 18:

1. To how many patients do you expect to provide a Personal Health Budget?

2. What is the expected total value of these Personal Health Budgets?

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07/11/2016 431/16

1. How much has your organisation spent on management consultants per year for the last ten years? Specifically what was this money spent on?

2. Does your organisation have any ‘risk and reward’ contracts where a firm of management consultant takes a percentage cut of any savings made? If so, what percentage of the saving or cut does the management consultancy take?

3. Have representatives from any management consultancies been present in any of your organisation’s management meetings? If so, which meetings have they been present?

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Attachment

07/11/2016 432/16

I am currently setting up (1) domiciliary visiting medicines review (focussing on both medicines optimisation and medicines adherence) and (2) palliative care services (to ensure the timely and appropriate availability of end of life medicines) within Norfolk using the community pharmacy network and GP practice based pharmacy network, working in conjunction with our NHS community services teams. I am therefore writing to ask if you could send me any reports (service specifications, audit reports, service evaluations etc.) which you may have relating to any services of a similar nature delivered in your area.

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10/11/2016 433/16

1. Can you please provide me with details of the number of referrals for treating the following skin lesions in the last 12 months?

a. Verruca Vulgaris 
b. Verruca Plantaris 
c. Molluscum Contagiosum
d. Skin Tags
e. Lentigo
f. Actinic Keratosis
g. Verruca Plana 
h. Seborrheic Keratosis

If you do not have the information for each specific lesion could you please advise the total number of referrals in the last 12 months for treatment of non-malignant skin lesions.

2. Please provide a best estimate of the total annual spend by the CCG for the current financial year?

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11/11/2016 434/16

All Community based ophthalmology/eye care services

1. The name of existing providers who provide community based ophthalmology/eye care services (please include delivery model i.e. lead provider/lead provider with sub-contractors)

2. The start and end date of each existing ophthalmology/eye care contract

3. The annual contract value of each existing community ophthalmology/eye care contract

a. Cost of 1st Outpatient appointment
b. Cost of Follow Up appointment 

4. Total annual activity for each existing community based ophthalmology/eye care contract

5. Do you currently have a referral management service to triage/redirect ophthalmology services?

Secondary Care Eye Care Services

1. Total number of 1st outpatient appointments for Ophthalmology Department (2013/14, 2014/15, 2015/16)

2. Total number of cataract first eye procedures (2013/14, 2014/15, 2015/16)

3. Local tariffs for:

a. Cataract single eye procedure
b. YAG procedures
c. Oculoplastics procedures
d. 1st outpatient tariff

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13/11/2016  435/16

1. Initial cost to set up and implement the Friends and Family Test (FFT)

2. Ongoing or recurrent costs of operating the FFT

3. Bands of staff and Whole Time Equivalents directly responsible for the management of Friends and Family Test

4. If you have used an external / 3rd party agency to implement the Friends and Family Test

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14/11/2016 436/16

1. Does the CCG have a Continence Product Formulary?

2. If yes to Q1, please provide a copy

3. How often is the Continence Product Formulary reviewed?

4. What date was the Continence Product Formulary last reviewed?

5. What date will Continence Product Formulary be next reviewed?

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15/11/2016 437/16

1. The total budget of the CCG (for 2016/17, this may be projected rather than actual):

2. The total spent on each of the following areas (ditto):

a. Accident and Emergency Ambulance Service
b. NHS 111
c. Out of hours primary care
d. Elective hospital care
e. Rehabilitation services
f. Maternity and new-born services (including, if available, a breakdown into physical and mental health)
g. Children’s health (including, if available, a breakdown into physical and mental health)
h. Services for learning disabilities
i. Mental health services (including a separate figure for psychological therapies)
j. Infertility treatment
k. NHS continuing healthcare (including, if available, a breakdown into at home care and care homes)
l. Community healthcare (including any appropriate sub-sections)
m. Dental services
n. Eye care services
o. Prisoner/detainee/young offender treatment
p. Other (the remainder of the total once the above items have been subtracted)

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15/12/2016 438/16

Under the Health and Social Care Act 2012 the NHS Commissioning Board, known as NHS England, and clinical commissioning groups (CCGs) have a statutory duty to promote the NHS Constitution.

Under section 14P of the NHS Act 2006, each CCG has the duty, when exercising its functions, to:

(a) Act with a view to securing that health services are provided in a way which promotes the NHS Constitution.

(b) Promote awareness of the NHS constitution among patients, staff and members of the public.

Section 2 of the Health Act 2009 also states that CCGs must, in performing their NHS functions, have regard to the NHS Constitution.

We are looking to find out what practices CCGs have in place to fulfil these duties.

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17/11/2016 439/16

1. What is the average (i.e. mean) time taken by your CCG to conduct NHS continuing healthcare assessments? The time period should be calculated from receiving the initial checklist to notifying the applicant of the eligibility result.

2. What is the longest time period your CCG has taken to make a decision on an application for NHS continuing healthcare? The time period should be calculated from receiving the NHS Continuing Healthcare checklist to informing the family of the decision that has been made in writing.

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17/11/2016 440/16

1. Who, within your organisation is the decision maker responsible for the community-wide Shared Record/Clinical Portal/Interoperability solution?

2. Will you please provide an email address for this contact?

3. Does your organisation currently have a solution in place whereby you are able to share patient information across the local health economy?

4. If ‘yes' to the above, please name the solution supplier?

5. If you answered ‘no’ to question 3. is your organisation actively looking for a solution?

a. If the CCG is actively looking for a solution as described in Q1, what are the probable timescales?
b. What is the route to procurement/purchase?

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18/11/2016 442/16

1. How much did the CCG spend per dementia patient in the financial years:

a. 2015-16
b. 2014-15
c. 2013-14 

2. What was the average waiting time for GP referrals to memory clinics in the financial years:

a. 2015-16
b. 2014-15
c. 2013-14

Please give this figure in terms of the weeks, from referral to assessment at a memory clinic. 

3. What was the longest waiting time for a GP referral to a memory clinic in the financial years:

a. 2015-16
b. 2014-15
c. 2013-14 

4. How many patients were referred to memory clinics in the financial years:

a. 2015-16
b. 2014-15
c. 2013-14

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21/11/2016 443/16

1. Your annual spend on Oral Nutritional Supplements in relation to the national spend per 1000 patients.

2. Your annual spend on Oral Nutritional Supplements as a proportion of your total annual drugs spend.

3. The sum of your Oral Nutritional Supplement rebates broken down by month for the past 12 months for all dispensing practices in your area.

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22/11/2016 444/16

Could you please provide me with full details of the expenses claimed by the accountable officer or most senior clinical leader of your NHS Clinical Commissioning Group?

More specifically, I would like to request: 

1. A copy of all expense claims forms from 1 April 2014 to 1 November 2016. "Expenses" include, but are not restricted to, costs associated with:

a. Private car use, eg. mileage, care hire costs
b. Public travel, eg. train, bus
c. Subsistence, eg. meals whilst away from normal place of work 

2. A copy of all receipts associated with each expenses claim as detailed in part 1a. to c. of this request from 1 April 2014 to 1 November 2016.

3. A copy of credit card statements used by the accountable officer or most senior clinical leader of your NHS Clinical Commissioning Group, from 1 April 2014, to 1 November 2016.

4. A copy of associated invoices/receipts against each credit card statement as provided in part 3. of this request.

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23/11/2016 445/16

Please say how much money your CCG spent on a staff Christmas party or Christmas parties in 2015.

If different, please also say how much money your CCG spent on any staff party, parties or social events for staff during November and December 2015.

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24/11/2016 446/16

Please send me the most recent versions of the following documents, which underpin the already published Full STP document on 18th November 2016. These additional documents are referenced in the published document. Without them it is impossible to fully understand the arguments and other detail put forward, thus undermining transparency and the whole purpose of publication:

  • Derbyshire STP Financial Planning Template - submitted to NHSE
  • Derbyshire STP Outline Business Case - submitted to NHSE
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25/11/2016 447/16

In the Better Care Fund allocation tables 2016/17 (https://www.england.nhs.uk/ourwork/part-rel/transformation-fund/bcf-plan/), it shows 2 payments by the CCG - £16295 to Derby City Council, and £17462 to Derbyshire County Council, totalling £33,757.

In the budget for 2016/17 the line item on page 99 of the latest Governing Body notes shows only £21,665.

Can you please explain the difference, and give reconciling amounts, and descriptions?

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25/11/2016 448/16 1. How many cycles of IVF provision does your Clinical Commissioning Group provide?

2. Has this changed in the last four financial years, if so, from what to what?

3. Does your CCG also restrict IVF for other reasons? (Eg. To couples where one of the people in the relationship already has a child.)

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IVF Policy

28/11/2016 449/16

1. What services do you currently commission specifically for women affected by:

  • Substance use problems
  • Mental health problems
  • Homelessness
  • Involvement in offending

2. For each type of service commissioned:

  • What organisation delivers the service and what are their contact details?
  • How many women can they support at any one time?
  • When does the current contract end?
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Last modified: 28/12/2016