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Previous Requests - October 2016

Date Reference

Question(s)

Response 
04/10/2016 404/16

Your organisations, as leads in the STP process, were required to submit full “Finance & Efficiency template” returns to NHS England/the national Five Year Forward View office by 5pm on 16 September. Please provide the full template return as submitted.

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04/10/2016 405/16

For the financial year ending April 2016, can you please tell me what per cent of cases the Out Of Hours (OOH) provider achieved a face-to-face contact within 2 or 6 hours (Dx05, 85, 97 and Dx06 and 80 are, I understand, the main dispositions from NHS Pathways respectively) and what percent of 'speak to' dispositions are contacted by the service within 1 or 2 hours (Dx11, 117 and Dx12).

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05/10/2016 406/16

Can you confirm if you have received funding requests from Ambulance Trusts and/or Acute Hospitals to deploy ambulance handover clinicians in Emergency Departments to improve turnaround times?

If you have received requests please identify the requester and, if possible, share the submitted business case?

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05/10/2016 407/16

1. Does the CCG reference or work to any guidelines in relation to sip feeds for adults and children?  If so, please provide a copy or website link.

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

3. What is the current referral time for patients to see a dietician?

4. Is nutrition included in any incentive scheme or other programmes that are being implemented? If so, what are they?

5. Does the CCG routinely ‘MUST’ screen / nutritionally screen patients?

6. Please can you confirm whether we are permitted to reuse any information provided under the Open Government Licence? 

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07/10/2016 408/16

I am writing to request copies of the following, for the period since 1st January 2016:

1. Any Governing Body minutes and papers concerning prescription of, and funding for, any stop smoking medications including any minutes and papers distinguishing between practices for different products and different groups of smokers.

2. Any CCG communications with GP practices in the CCG area concerning decisions on the funding prescription of, and funding for any stop smoking medications.

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11/10/2016 409/16 

Please provide information on the manufacturer used, licence expiry and licence cost including duration for each of the following IT security areas within the organisation:

1. Desktop anti-virus

2. Protection of Microsoft Exchange environment (please state if this is not applicable due to the use of NHSmail/NHSmail2)

3. Email gateway (please state if this is not applicable due to the use of NHSmail/NHSmail2)

4. Web gateway

5. Mobile device management/enterprise mobility management

6. Hard disk encryption

7. Removable media encryption

8. Firewall

9. VPN

10. Two factor authentication provider

11. Wireless network provider

12. Virtual server software provider and number of virtual servers (e.g. VMWare, Hyper-V etc.)

13. VDI software provider and number of VDI instances

14. Network access control solution provider

15. Security information and event management (SIEM) solution provider

Please also provide:

1. The total number of computers within the organisation.

2. The total number of smartphones within the organisation.

3. The total number of tablet devices within the organisation.

4. Details of whether IT security is provided by an in-house team or by a third party – if by a third party please state who provides the service and when the contract expires.

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11/10/2016 410/16

1. Does the CCG operate or commission, a referral management centre that assesses referrals by local GPs? If yes, when was this introduced?

2. Which organisation(s) operates the referral management centre for the CCG?

3. Please list the relevant branches of medicine that fall under the referral management centre’s remit e.g. cardiology, gastroenterology, palliative care etc.

4. How much did the CCG spend on referral management centres for GP referrals in the past three financial years (2013-14, 2014-15, 2015-16)? Please break down by month.

5. Does the CCG track or estimate savings made from using a referral management scheme? If yes, please give actual (or estimated) savings for past three financial years (2013-14, 2014-15, 2015-16).

6. How many GP referrals did the CCG process over the past three financial years (2013-14, 2014-15, 2015-16)? Please break down by month.

7. Over the past three financial years (2013-14, 2014-15, 2015-16) how many referrals from GPs were rejected? (approx. if necessary) Please break down by month.

8. For this time period please state how many referrals were returned for the following reasons:

i. Information missing in the referral
ii. Not meeting criteria for commissioning policies and clinical referral guidelines
iii. A specialist has reviewed the referral and advised the GP on how to treat the patient or has requested other investigations should be carried out ahead of a referral
iv. Any other reason. Please state any other reasons for rejecting a referral and say how many rejections there were of each type

9. For the past three financial years (2013-14, 2014-15, 2015-16) how many complaints has the CCG received about its referral process?

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13/10/2016 411/16

1. Does the CCG have a budget to fund new treatments/drugs approved by the National Institute for Health and Care Excellence (NICE) each year?

2. If so, please state what this budget was for the past three financial years (2013/14 – 2015/16). Please breakdown by year.

3. Please list the NICE approved treatments/drugs which the CCG does not allow clinicians to prescribe.

4. To illustrate any trend, please provide this list for the past three financial years (2013/14 – 2015/16). Please breakdown by year.

5. Please give a brief and general explanation why the CCG does not allow clinicians to prescribe these treatments/drugs.

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17/10/2016 412/16

1. Have you purchased any IT / ICT technical training courses or any other training Since April 2016 from;

QA training or QA limited (or any related businesses)
Rath House
55-65 Uxbridge Road
Slough
SL1 5SG 

Or any other of QA's offices?

2. If so, please state what specific training services have been purchased and the exact monetary amount spent and what dates were these purchases made since April 2016?

3. Who are the decision makers or buyers (provide name, job title, email address and direct phone number) who have purchased this IT/ICT technical training course or any other training Since April 2016?

4. How much money has been spent with QA limited, QA training, QA Group, QA apprenticeships (or associated/related businesses) since April 2016 by entity?

5. Have you purchased any pre-paid training credits before the financial year is coming to an end and then used the training courses in a next financial year?

6. Please provide exact details of all the courses or training purchased under the pre-paid credits?

7. What specific procurement processes were followed to award QA the training contracts? 

8. Provide copies of all the contracts awarded to QA in the last 3 years?

9. Which other training providers were shortlisted before these individual contracts were awarded? List by contract.

10. What is the current process for procuring training services?

11. What is the complaints procedure for raising breaches in procurement processes?  Example: creating one dominate supplier, awarding contracts without a fairness and transparency and not seeking to obtain best value for money.

12. What training is yet to be purchased up to 1st April 2017?

13 Please give specific details of courses, locations number and number of delegates who require to attend the training courses until 1st of April 2017?
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19/10/2016 413/16

Hip Arthroplasty

1. Must patients have to go through a structured physio pathway before referral?

2. Is there a criteria-based referral system before referral?

a. If so, is there a minimum amount of time they must attend the pathway?
b. If yes, how much time?

3. Is there a BMI limit under which patients must lie before you refer to a specialist?

a. If so, what is the BMI limit?

4. Must a weight loss programme be completed before funding can be commissioned for those who fall outside of the BMI limit?                                      ……………

5. Does completion of the weight loss programme allow the patient to be commissioned for funding, irrespective of successful weight los?

6. Is there a mechanism to bypass the BMI limit/physio pathway referral for the referring GP/accepting Orthopaedic surgeon to gain funding if it is necessary to operate on a patient who may lose independence?

7. Is evidence smoking a restriction to funding of an arthroplasty?

8. Does the patient have to have a subjective pain hip score (or alternative, eg. Oxford) below a threshold before referral can be made?

a. What is the scoring mechanism?
b. What is the minimum score?

Knee Arthroplasty

1. Must patients have to go through a structured physio pathway before referral?

2. Is there a criteria-based referral system before referral?

a. If so, is there a minimum amount of time they must attend the pathway?
b. If yes, how much time?

3. Is there a BMI limit under which patients must lie before you refer to a specialist?

a. If so, what is the BMI limit?

4. Must a weight loss programme be completed before funding can be commissioned for those who fall outside of the BMI limit?              

5. Does completion of the weight loss programme allow the patient to be commissioned for funding, irrespective of successful weight loss?

6. Is there a mechanism to bypass the BMI limit/physio pathway referral for the referring GP/accepting Orthopaedic surgeon to gain funding if it is necessary to operate on a patient who may lose independence?

7. Is evidence smoking a restriction to funding of an arthroplasty?

8. Does the patient have to have a subjective pain hip score (or alternative, eg. Oxford) below a threshold before referral can be made?

a. What is the scoring mechanism?
b. What is the minimum score?

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21/10/2016 414/16

I am doing some research on self-care campaigns and signposting the public to the appropriate use of NHS services. I can see that your CCG have sent out press releases as most CCG’s have over the last few years, but I am particularly interested to know:

1. What form the campaign took apart from a website press release?

2. Has there been an evaluation on its success?

3. What evidence is there for the campaigns success/efficiency?

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21/10/2016 415/16

A copy of your policy on the commissioning of Tier 3 weight management clinics and Tier 4 Bariatric Surgery.

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25/10/2016 416/16

Does your clinical commissioning group fund homeopathic treatment? If so, what kinds of treatment(s) are offered and how much have you spent on those treatments in each of the last four financial years?

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26/10/2016 417/16

How much of the CCG’s budget has been allocated to the main provider of adult mental health services in the CCG area (probably a mental health trust), and how much has been allocated to the main provider of child and adolescent mental health services (CAMHS) in the CCG area, over the last five years.

Please give the break down per financial year; 2011/12, 2012/13, 2013/14, 2014/15, 2015/16

I would like a figure, and the figure as a percentage of the CCG’s overall budget, for each year.

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27/10/2016 418/16

What is your CCG’s total spend on homeopathy per year for each of the last 5 years?

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27/10/2016 419/16

1. Do you purchase mental health rehabilitation services on a block contract or as a spot purchase?

2. If services are bought on a block contract, please provide the number of bed days commissioned and £ spent on mental health rehabilitation services for following years financial years (FY), defined as April- March.

3a. If services are spot purchased on a sport contract, please provide the day rates, in £, of the latest 20 service users you have placed in a mental health rehabilitation service; further please state if the provider in which the service was place an independent (private or charity) or NHS provider.

b. If any of the service users from 3.a have received any further payments (in the forms of top-ups/ additional observations/ specialing) please indicate the latest available weekly cost; please use the service user number from 3.a as a reference/index. Indicate if when a service user did not get further payments with “n/a”.

4. Do you purchase Learning Disability rehabilitation services on a block contract or as a spot purchase?

5. If services are bought on a block contract, please provide the number of bed days commissioned and £ spent on Learning Disability rehabilitation services for following years financial years (FY), defined as April- March.

6a. If services are spot purchased on a sport contract, please provide the day rates, in £, of the latest 20 service users you have placed in a Learning Disability rehabilitation service; further please state if the provider in which the service was place an independent (private or charity) or NHS provider.

b. If any of the service users from 3.a have received any further payments (in the forms of top-ups/ additional observations/ specialing) please indicate the latest available weekly cost; please use the service user number from 3.a as a reference/index. Indicate if when a service user did not get further payments with “n/a”.

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Attachment

27/10/2016 420/16

1. Please supply the name, job title, email address and telephone number of the Commissioner with responsibility for commissioning Complex Care packages, for adults (aged 18-64) with complex physical or neurological disabilities.

2. Please provide the total number of adults receiving Continuing Healthcare (CHC) funded packages of care;

a. At year-end 2014/15 and 2015/16
b. New placements during the year 2014/15 and 2015/16

3. Please provide the total number of adults with the following conditions receiving CHC funded packages of care in 2015/16 – at year-end and new placements during the year. If data not available for 2015/16, please provide 2014/15 data;

a. Acquired brain injury (ABI)
b. Stroke
c. Huntington’s Disease
d. Multiple sclerosis
e. Spinal injury
f. Other neurological conditions e.g. Pick’s disease, Korsakoff’s syndrome, muscular dystrophy, Parkinson’s disease, motor neurone disease (MND) – please state which conditions are included in your response. 

4. How many of those adults (in question 3) are cared for in Care Home and Hospital settings?

a. Acquired brain injury (ABI)
b. Stroke
c. Huntington’s Disease
d. Multiple sclerosis
e. Spinal injury
f. Other neurological conditions e.g. Pick’s disease, Korsakoff’s syndrome, muscular dystrophy, Parkinson’s disease, motor neurone disease (MND) – please state which conditions are included in your response 

5. Please provide the total expenditure on CHC funded packages of care for financial years 2014/15 and 2015/16, and the CHC expenditure on Care Home and Hospital placements over the same period. If expenditure for 2015/16 is not yet available, please provide projected expenditure.

6. Please provide the list of providers that received this funding.

7. What is the highest rate paid per week for a Complex Care (CHC funded) placement?

8. What is the lowest rate paid per week for a Complex Care (CHC funded) placement?

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28/10/2016 421/16

Please could you send us 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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28/10/2016 422/16

1. The total direct spend by the CCG on treating Type 1 Diabetes in each of the last five years.

2. The number of Continuous Glucose Monitors funded by the CCG for:

i) Adults
ii) Children with Type 1 Diabetes in each of the last five years. 

3. The number of Flash Glucose Meters funded by the CCG for:

i) Adults
ii) Children with Type 1 Diabetes in each of the last five years.

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28/10/2016 423/13

Please can you send me the organisation’s Local Area Network (LAN) contract, which may include the following:

  • Support and Maintenance- e.g. switches, router, software etc.
  • Managed
  • Installation
  • Cabling

1. Existing Supplier: Who is the current supplier for each contract?

2. Annual Average Spend for Supplier: What is the annual average spending on the supplier above? If there is more than one supplier please split the annual averages spend for each supplier.

3. Number of Users: Please can you provide me with the number of users each contract covers. Approximate number of users will also be acceptable.

4. Number of Sites: The number of sites where equipment is supported by these contracts.

5. Contract Type: For each contract is the contract Managed, Maintenance, Installation, and Software

6. Hardware Brand: What is the hardware brand of the LAN equipment?

7. Contract Description: Please provide me with a brief description of the overall contract.

8. Contract Duration: What is the duration of the contract is and can you please also include any extensions this may include for each contract.

9. Contract Expiry Date: When does the contract expire for each contract?

10. Contract Review Date: When will the organisation is planning to review the contract?

11. Responsible Officer: Who within the organisation is responsible for each of these contract(s) please provide me with contact details including name, job title, contact number and email address?

If the LAN maintenance is included in-house or managed please include the following information:

1. Hardware Brand: What is the hardware brand of the LAN equipment?

2. Number of Users: Please can you provide me with the number of users this contract covers. Approximate number of users will also be acceptable.

3. Number of Sites: Estimated/Actual number of sites the LAN covers.

4. Responsible Officer: Who within the organisation is responsible for LAN please provide me with contact details including name, job title, contact number and email address?

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31/10/2016 424/16

Has your CCG introduced or planned limits to access or eligibility for services during 2016/17 for financial, efficiency or value reasons?

If yes, please provide details about which services/treatments will be affected where possible.

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Previous Requests - October 2016