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Requests - September 2016

Date Reference

Question(s)

Response 
02/09/2016 380/16

Structures of departments within Hospital/Trust:

  • Finance
  • Procurement
  • IT
  • Corporate Services
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06/09/2016 381/16

1. In October 2013, the National Institute for Health and Care Excellence (NICE) recommended that FCP testing could be used to support clinicians in differentiating IBD from IBS*. Does your CCG currently offer FCP testing as part of their routine clinical practice within primary care?

2. How many FCP tests (either point of care (POC) or laboratory based FCP testing) were requested by GPs per practice population within your CCG between 1st April 2015 and 30th March 2016?

3. How many of these tests were recorded as positive/high risk?

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06/09/2016 382/16

1. Who is the named person/commissioner responsible for commissioning Tier 3 obesity services within your organisation?

2. In the most recent year where figures are available, how many patients were referred to Tier 3?

3. Who currently provides your Tier 3 services?

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08/09/2016 383/16

1. What was the latest price paid per ream (500 sheets) of standard white copier paper (80 gsm or equivalent)?

2. If the answer to question 1. is not representative of a usual price paid, what is the average price paid per ream of copier paper during financial year 2015/16?

3. How many reams of copy paper were purchased during the 2015/16 financial year?

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08/09/2016 384/16

1. How much have you spent on employing occupational therapists in the following years:

a) 2013; b) 2014; c) 2015; d) 2016 i) YTD ii) budgeted?

2. How many occupational therapists working within general practices were/are funded by your CCG in each of the following years:

a) 2013; b) 2014; c) 2015; d) 2016 i) YTD ii) budgeted?

3. What was/is the total amount spent on occupational therapy services in each of the following years:

a) 2013; b) 2014; c) 2015; d) 2016 i) YTD ii) budgeted?

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13/09/2016 386/16

1. Are you responsible for commissioning out of hours GP services in your area? (if not please disregard the rest of the FOI)

2. What organisation has the CCG contracted to provide out of hours GP services?

3. What is the size of the patient population covered by the contracted out of hours provider?

4. How many occasions has there been no GP cover in the OOH service provided because of a lack of available GPs, in:

a. 2014/15
b
. 2015/16
c. April 2016 to date 

Please provide a link to the OOH provider’s National Quality Requirement (NQR)  achievement reports (or however their contractual Key Performance Indicators are reported), or, if time permits provide these reports for the past 12 months.

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14/09/2016 387/16

Please advise whether you currently pay for GP direct access pathology:

- on a block contract basis; or,
- an average price per test overall; or,
- an average price per test by specialty (eg £x for chemistry, £y for microbiology); or,
- a specific price per test.   

If the latter, please advise the price currently paid for each of the following testsFull blood count

  • U&E profile*
  • Liver function test profile*
  • Parathyroid hormone
  • Ferritin, or TSAT
  • Hepatitis B Surface Antigen
  • Hepatitis C
  • HIV
  • Aluminium
  • Cholesterol
  • HBa1c
  • Folate deficiency
  • Vitamin B12
  • Vitamin D
  • Blood culture
  • IV antibiotic tests

 If parameters priced separately:

  • Urea
  • Electrolytes
  • Creatinine
  • Bicarbonate
  • Calcium
  • Phosphate
  • Alkaline Phosphatase
  • Albumin
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19/09/2016 388/16

Information on the volume and gross weekly costs of continuing healthcare funded by the NHS Southern Derbyshire CCG and provided by non-NHS providers.

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20/09/2016 389/16

In regards to the types of contracts I have displayed above can you please send the Council’s primary contracts? Or please send me the contracts that are above £1000.

Also, so that I understand the information you have provided to me please state information if the Council doesn’t have any contract I have stated within this request.

1. Contract Type:
A. Lift Service and Maintenance
B. Air Conditioning and Ventilation Servicing and Maintenance
C. Cleaning and Janitorial
D. Mechanical And Electrical Maintenance
E. Property Maintenance And Day To Day Repairs 

2. Existing Supplier – Please state the supplier for each contract

3. Annual Spend- Please can you provide me with the spend for each individual supplier

4. Contract Duration- please note if there are any extensions period available and if so what?

5. Contract Start

6. Contract Expiry

7. Contract Review

8. Contract Description- a small description of the type of services included within each contract.

9. Number of sites covered for each contract e.g. the Council may have a maintenance agreement with a supplier that covers several sites/buildings.

10. Can you also send me the contact details of the person within the Council that is responsible for each one of these contract you have submitted.
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20/09/2016 390/16

1. The total number of patient referrals made by NHS Southern Derbyshire CCG to specialist urology services during the financial years 2013-14, 2014-15 and 2015-16

2. The total number of male patient referrals made by the CCG to specialist urology services during the financial years 2013-14, 2014-15 and 2015-16

3. The total number of female patient referrals made by the CCG to specialist urology services during the financial years 2013-14, 2014-15 and 2015-16

4. The total number of first-time referrals made by the CCG to specialist urology services during the financial years 2013-14, 2014-15, and 2015-16

5. The average waiting time between patient referrals to specialist urology services and appointments with aforementioned services during the financial years 2013-14, 2014-15 and 2015-16

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21/09/2016 391/16

1. What number and value of contracts were let by competitive tender for NHS clinical services over each of the last three years (2013/14, 2014/15 and 2015/16)? Where a contract is let for multiple years please provide the appropriate value for that year.

2. Of the services awarded by competitive tender, what number and percentage were awarded to an incumbent provider?

3. Of the services awarded by competitive tender, what was their percentage financial value in relation to total CCG spend on NHS clinical services in each of these three years?

4. For these contracts, how was the requirement under the National Health Service Act 2006 – to record information about how the award of all contracts let by the CCG complies with statutory duties under that Act – met?

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21/09/2016 392/16

1. Please supply me with your most up to date wound care formulary (please indicate if you do not work from a formulary).

2. Please can you outline how compliance with your formulary is enforced?

3. Please indicate where possible what your average monthly usage of each product is.

4. Can you list the number of wound care products used that are not currently on the formulary?

5. Can you provide usage levels for non-formulary wound care products in each of the last twelve months?

6. How often do you review your wound care formulary and when was this last undertaken?

7. Can you provide an overview of the information you assess when reviewing your formulary?

8. Can you supply the number of tissue viability nurses employed in

i. 2016
ii. 2015
iii. 2014
iv. 2013
v. 2012 

9. Can you supply the number of leg ulcer nurses employed in

i. 2016
ii. 2015
iii. 2014
iv. 2013
v. 2012 

10. What percentage of your practice nurses received specialist training in wound management in:

i. 2016
ii. 2015
iii. 2014
iv. 2013
v. 2012

11.   Can you supply us with the figures for your total spend on wound care products in

i. 2016
ii. 2015
iii. 2014
iv. 2013
v. 2012 

12.   Can you supply us with the figures for your total spend on compression bandages in

i. 2016
ii. 2015
iii. 2014
iv. 2013
v. 2012 

13.   Can you supply us with the figures for your total spend on Anti-Microbial wound care products in

i. 2016
ii. 2015
iii. 2014
iv. 2013
v. 2012 

14.   Can you supply us with the figures for your total spend hosiery products in

i. 2016
ii. 2015
iii. 2014
iv. 2013
v. 2012 

15. Do you have a strategy in place to implement NICE Guideline 179- Pressure ulcers: prevention and management of pressure ulcers?

16. Can you provide details on how the NICE Guidelines is implemented and how you monitor compliance?

17. Can you supply the total number of patients in each of the last five calendar years that had:

i. Level 1 pressure ulcers
ii. Level 2 pressure ulcers
iii. Level 3 pressure ulcers
iv. Level 4 pressure ulcers

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21/09/2016 393/16

1. The number of current and active Personal Health Budgets and Integrated Personal Commissioning Budgets issued by the CCG.

2. The combined value of the Personal Health Budgets and Integrated Personal Commissioning Budgets identified in point 1.

3. The percentage of budgets identified in point 1 managed as;
3
.1 Direct payment
3.2 Managed account
3.3 Notional budget

4. Detail of how budget support is provided (eg. Through the local authority, main contract brokerage and support agency, framework of brokerage and support agencies, etc.)

5. The name of the 3 brokerage and support providers which support the most Personal Health Budget and Integrated Personal Commissioning Budget holders in the CCG area. If there is no main provider please state this.

6. How many/what value of Personal Health Budgets and Integrated Personal Commissioning Budgets is the CCG budgeting to be released in each of the next 5 years?

7. The name and contact details of the CCG’s personalisation/Personal Health Budgets and Integrated Personal Commissioning Budget lead.

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22/09/2016 394/16

1. Please provide the name and contact details (email & phone number) of the Mental Health Commissioner or lead for your CCG (the person responsible for commissioning adult ADHD services).

2. Which NHS England region are you a part of?

3. What NHS Clinical Commissioning Group (CCG) are you a part of?

4. In your CCG are there NHS provided mental health services for people with ADHD aged 18 years and above?

5. Please provide as many details of the service/s as possible (for as many services as you have)

a. Postcode
b. Town
c. Website 

6. Details of the service/s:

a. Is the service provided by staff:
i. WITH dedicated time and/or resources to work with this group?
ii. WITHOUT dedicated time and/or resources to work with this group?
iii. Don't know

b. Is this service a part of:
i. Adult Mental Health Services
ii. Child and Adolescent Mental Health Services
iii. A Specialist Mental Health Service
iv. Don't know

7. Do these services offer:

a. Treatment (Medication)?
b. Treatment (Other Intervention)?
c. Assessment?
d. Diagnosis?

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22/09/2016 395/16

I would like to know if you have delayed care or refused any form of treatment, procedure or surgery, for patients on the grounds that they smoke or because they are obese.

Please let me know if this has happened during this current financial year and also if this has happened in the 2015/2016 financial year.

If you cover more than one CCG, please give me the response for all the CCGs that you cover.

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23/09/2016 396/16

Which Web Filtering Solution do you currently have implemented at the CCG?

Who was this purchased through?

How many users does your web filter support?

How much is the current contract value and how many years does this cover?

When is the Web Filtering contract due to expire?

Which individual is currently in charge of evaluating and renewing web filtering solutions?

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23/09/2016  397/16

I would like to request the list of pharmaceutical products/medicines/drugs that your CCG currently holds rebate agreements for. If possible, can you also provide the corresponding rebate start dates please?

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27/09/2016 398/16

1. Provide a description of your current PBX? Please select from the below:

  • Rolling Annual
  • Fixed contract exceeding 1 year
  • Fixed contract less than 1 year

2. Who is the incumbent supplier for your PBX?

3. When did your PBX contract start? (Provide month and year)

4. When does your PBX contract end? (Provide month and year)

5. What is the value of your PBX contract?

6. How many extensions does your PBX have?

7. Do you have a Siemens ISDX?

8. Do you have NHS Mail?

9. Do you have NHS Mail 2?

10. What kind of Microsoft Licensing Agreement do you have? Please select from the below:

  • Enterprise Agreement (EA)
  • Enterprise Agreement Subscription (EAS)
  • Microsoft Purchasing Agreement (MPSA)
  • Select
  • Other (provide details)

11. What is your Microsoft Licensing renewal date? (Provide month and year)

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27/09/2016 399/16

1. Considering all patients supported by the continuing healthcare budget in your Clinical Commissioning Group.

i. How many current patients fall into a group with a prolonged disorder of consciousness? Please include patients which have the following labels:

a. Vegetative state
b. Minimally Conscious State or Minimal Awareness State or similar
c. Prolonged disorder of consciousness
d. Is obviously in one of those states as recorded in the assessment tool

ii. How many current patients fall into a group with a prolonged disorder of consciousness where the state has been present for at least six months (not necessarily funded for all that time)?

Please include patients in categories listed in 1 i) a-d.

2. For patients in the categories set out in 1 i) a-d, please break the total number of patients down by where the patient is cared for using the following categories:

i. An NHS hospital or other NHS facility
ii. A nursing home or residential home
iii. Own home
iv. Other

3. For each patient currently being treated by your group in the categories listed in 1 i) a-d, how long has the patient been in this state of prolonged consciousness disorder?

If total length of state is unavailable, please provide the length of time that you have been funding care.

4. Considering all the patients you in the categories listed in 1 i) a-d:

i. What was the total cost of supporting these patients in the 2015/16 financial year?
ii. Please express this as a proportion of your total annual budget for the 2015/16 financial year.

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28/09/2016 400/16

1. A copy of, or link to, the CCG’s social value policy, strategy, framework or similar document if there is one.                   

2. How has the CCG applied the Public Services (Social Value) Act 2012 in its commissioning, tendering and grant making?

3. Has the CCG applied the concept of social value below the OJEU threshold for services, or for contracts other than for services?

4. The percentage and number of tenders over the past 12 months where the Public Services (Social Value) Act 2012 has been applied and social value considered (that is to say, how much use does the CCG make of the Act).

5. Where social value has been considered and is weighted in assessing tenders, what is the typical weighting for social value in the CCG’s scoring across those contracts?

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28/09/2016 401/16

1a. What activities has your CCG undertaken to increase cervical screening attendance over the last 2 years (August 2014 - August 2016)?

b. What were the outcomes of those activities?

2a. Are women able to attend cervical screening tests outside of usual working hours (i.e. before 9am or after 5pm) at every GP surgery in your area?

b. If not, please could you tell us:

i. The number of GP services where women are able to attend cervical screening tests outside of usual working hours (i.e. before 9am and after 5pm)

ii. The total number of GP services in your area.

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28/09/2016 402/16

1. How many individual GP practices are there in your CCG? 

2. How many of them have an active (meets regularly; feeds back to the practice regularly) patient participation group (PPG) with a named chair?

3. Who is responsible for checking how well run these PPGs are/how members are appointed/whether membership reflects the diversity of the patient list, etc.? 

4. Given that practices were allocated dedicated funds for PPGs up to April 2015, what did those practices that had not set one up by then do with this money?

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29/09/2016 403/16

1. Whether you consider financial difficulties in your local health needs assessment?

2. Whether your mental health service users (for both primary and secondary care) are routinely asked about their financial circumstances or difficulties?

3. Whether you commission, either solely or in partnership with any other agency (such as local government), any specialist services such as those listed above, for people who have both financial difficulties and mental health problems?

4. Whether you have a formal and/or informal working arrangement with any external organisations (e.g. Citizens’ Advice Bureaux) providing financial, welfare or debt advice, and if so which one(s)?

5. How many people using your primary and secondary mental health services are referred to or provided with a specialist service that addresses financial needs?

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