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Previous Requests September 2018

4 September  2018 941  • Does the CCG operate a Grant Scheme?
 
• If yes, what is the total value of grants awarded and to how many organisations?
 
• What is the grant application process -  can I have a copy of the form used?
 
• What duration are Grants awarded for? if various lengths then typical length lease please
 
• Do you award services to charities and voluntary organisations through formal competitive & compliant processes
 
• If yes, how many NHS Standard contracts do you currently have with CVO’s and what is their total value?
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 4 September 2018  942

 1. What is the name and contact details of your  Head of Commissioning for the CCG?

2. What is the name and contact details of the individual who manages both your Older and Younger Persons Team?

3. What is the name and contact details of the individual who manages your Physical Disabilities Team?

4. How many packages of 24 hour Homecare has the CCG commissioned from 04/08/2018?

5. How many packages of 24 hour Live-in Care has the CCG commissioned from 04/08/2018?

6. What is the average cost currently being commissioned per Live-in Care package?

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5 September 2018  943

 1. (i) What is the precise number of (a) children and young people (normally aged 18 and under) and (b) adults (normally over 18) you commissioned ADHD services for in the year 2017-18? 
(ii) Was there a maximum cap on the number of (a) children and young people and (b) adults that you commissioned services for in the year 2017-18?

2. What’s your CCGs total amount of budget spent annually on commissioned ADHD services for (a) those under 18, and (b) those over 18

3. When specifying and commissioning ADHD services, what assumption do you make about the expected number of new patients (a) under 18, and (b) over 18, that will receive a diagnosis in a given year?

4. When specifying and commissioning ADHD services, what expectations do you set for the number of patients who will be reviewed per annum within the services, for both (a) those under 18, and (b) those over 18

5. How many patients (i) under 18 and (ii) over 18 in your area have a formal diagnosis of ADHD?

6. What is the average waiting time, in months, for those over 18 presenting with symptoms of ADHD (a) from referral to assessment, and (b) from referral to diagnosis?

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 7 September 2018  944

 1. How many cycles of IVF treatment do you offer eligible women?

2. Do you offer women aged between 40 and 42 one full cycles of IVF? Please respond yes or no.

3. (a) What is the maximum age a woman can be to be eligible for IVF treatment?

(b) What is the minimum age a woman can be to be eligible for IVF treatment?

4. What was the minimum and maximum age a woman was eligible for IVF treatment in 2013?

5. (a) Do you have any age restrictions for men for a couple to be eligible for IVF treatment with you? Please respond yes or no.

(b) if so, what is the oldest a man can be in order for a couple to be eligible for treatment?

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 11 September 2018 945

1. IT system(s) in use for Continuing Healthcare (CHC)

2. Start date of contract/licence (of all if more than one in use)

3. End date of contract/licence (of all if more than one in use)

4. Start of use (may be different to start of contract if the system has been in use for several years)

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 11 September 2018 946

 Q1. Please state whether your CCG currently offers Freestyle Libre on NHS prescription to patients with type 1 diabetes. (please state "yes" or "no")

Q2. If the answer to Q1 was "yes", please state:
a) When your CCG begun offering Freestyle Libre on NHS prescription
b) Any specific criteria that patients have to meet in order to be eligible to receive Freestyle Libre
 
Q3. Please state the total number of NHS patients who have obtained Freestyle Libre on prescription in your CCG since Freestyle Libre was listed in the NHS drug tariff on 1st of November 2017. (please state "zero" if applicable)

Q4. Please state your CCG's total spend on prescribing Freestyle Libre to date. (please state "zero" if applicable)

Q5. Please state when your CCG next intends to review it's commissioning policy on Freestyle Libre.

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 12 September 2018  947

Various questions about CCG spending:        

Shared Record
Internal
External
Medicine Management Systems
E-prescribing
Pharmacy
Additional spend - please specify
Services
System Integration
Outsourcing
Project Management
Interim Management
Managed Services
Additional spend - please specify
"Mobile Working
(all IT used to enable workforce remotely  - devices,
MDM, security - encryption)"
Patient Digital Services
Telehealth
Patient Online
Additional spend - please specify
Digital imaging systems
PACS
RIS
VNA
Additional spend - please specify
Analytics (including PHM)
        

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 14 September 2018  948  A list of all manufacturers and medicines (brand name and generic name) which have a rebate, discount, patient access, risk-sharing or other pricing agreement in place with the CCG Click here for response
 17 September 2018  949 Will you kindly inform me of the policies/guidelines that cover GP visits to patients at home, both generally and seperately for patients suffering from dementia. Information not held. Requester advised to contact individual GP practices 
18 September 2018 950

Total IT spend

Total organisational spend on software (clinical and business related software, office and admin software including licences but excluding implementation and support)

Total organisational spend on IT services and support

Total organisational spend on in-house IM&T staff (excluding spend on outsourcing services)

Total organisational spend on hardware

Total organisational spend on communication

Other ICT spend (this will include ICT spend which is not captured in above mentioned categories, like other ICT charges, costs related to running services for other NHS bodies, Medical devices, POC testing, etc.)

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19 September 2018 951

 For attn of the SEND Designated Clinical Officer or Designated Medical Officer

I request the following information under the Freedom of Information Act:

1. Is the DCO/DMO a single full time post within your local authority area?
YES/NO

If no please specify how much time is provided for (e.g. 0.5 fte)

2. The number of Children and Young People aged 0 -18 within your local authority area (i.e. covering all CCGs in the local authority).

3. The number of Children and Young People agreed 0-18 within your local authority area who have an Education Health and Care Plan.

4. The number of these plans which have resourcing from the NHS written into them as provision in section G of the EHCP.

Qs 5 and 6: I request that for the following two questions you provide data for one of the following 12 month periods, whoever is the easiest to provide:

- Calendar year 2017
- Financial Year 2017/18
- Academic Year 2017/18

The same 12 month period should be used in both responses.

Both questions relate to numbers of children within your local authority area.

5. The number of Children and Young People in a 12 month period assessed for Continuing Care under the Children’s Eligibility framework (i.e. this should exclude any young people assessed under adult arrangements during transition)

6. The number of Children and Young People in a 12 month period who were deemed eligible and began to receive Continuing Care under the children’s Eligibility framework.

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19 September 2018  952

 
1) Does the CCG have a preferred list or guidelines for cost effective blood glucose meters/test strips for use by patients with diabetes?

2) Could I please have a copy of such a list?

3) When are these guidelines for type diabetes meters/ test strips due/likely to be up for review? for type 2 and for type 1 ... Month / year ?

4)The contact details of the panel of (key) people involved responsible for its review
• Diabetes specialist nurse - names and email addresses
• Consultants names and email addresses
• Medicines management team (key) names and email addresses
• Primary Care (key) members of Team that will be involved - names and email addresses

5) how does a company become involved in such a review?

6) are there any rebate schemes in place with any of the blood glucose monitoring companies?

7) would the reviewing organisation be open to a rebate scheme if there was one on offer?

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 19 September 2018 953

 

1. Are any of the adult hearing services provided though Any Qualified Provider (AQP) in your CCG area?


If ‘yes’ please state how many providers ………….


2. Do you have a policy on the implementation of the NICE guideline ‘Hearing loss in adults: assessment and management’ when providing adult audiology services? (Please highlight the relevant response)
- Yes
- No

Any comments:


3. Do you have any policy against providing hearing aids to people with mild hearing loss (20-34dBHL)?
- Yes
- No

Any comments:


4. When adults have an aidable hearing loss in both ears, what is your CCG policy? (Please highlight the relevant response)
- Two hearing aids are always offered
- One hearing aid is offered in the first instance unless someone specifically requests two hearing aids
- Only one hearing aid is offered
- We have a restriction in place for fitting hearing aids (please comment):


5 a) Is any of the following data collected in relation to outcomes from adults using hearing loss services in your area? (Please highlight the relevant response/s)
-          Continuation with use of hearing intervention provided;
-          Reported benefits from hearing intervention;
-          Service user satisfaction with their choice of intervention;
-          Reduced communication difficulties; and
-          Improved quality of life

b) Do you publish any of this data?
-          Yes
-          No

If ‘yes’ please specify:


6.       Are adult hearing loss services in your CCG area commissioned on the basis of activity (e.g. number of procedures performed) or on the basis of outcome (e.g. patient outcome data)?
-          Activity
-          Outcome
-          Other (please specify):


7.       Please let us know:
- Your spend on adult audiology in 2017/18……………………….
- Your planned spend in 2018/19…………………………….
- Your planned spend in 2019/20 (if known)………………………

8. a)  Please let us know the number of adults prescribed with hearing aids:
- in 2015/16 …………
- in 2016/17 …………
- in 2017/18 ………….

   b) Please let us know the number of hearing aids prescribed:
- in 2015/16 ………….
- in 2016/17 ……………
- in 2017/18 ……………

9. Please let us know:
- The number of full time equivalent adult audiologists across your CCG excluding any locums …………
- The number of full time equivalent adult locums (if applicable) ……………………
- The cost of the following for non-complex adults (please complete table):

Description Cost
Audiology hearing aid assessment only 
Pathway for hearing aid assessment, fitting of one hearing aid device, cost of one device and first follow up 
Pathway for hearing aid assessment, fitting of two hearing aid devices, cost of two devices and first follow up 
Hearing aid aftercare (repairs) 


10. Has there been any of the following changes to any of your services from the most recent financial year that figures are available to the previous financial year? (Please highlight the relevant response/s and delete as appropriate)
- Increase/decrease/ no change in the number of full time equivalent adult audiologists excluding any locums
- Increase/decrease/ no change in the number of full time equivalent adult locums (if applicable)
- Increase/decrease/ no change in cost in any aspect of the pathway for non-complex adults
- Any comments:

11. Is it your policy to offer follow up appointments routinely within 12 weeks of a hearing aid fitting appointment in your CCG area?
- Yes
- No
- Other (please comment):

12.   Do you provide audiology clinics out of hours i.e. after 6pm/ weekends?
            - Yes
            - No
           
13. Is it your policy to charge for any the following in your CCG area? (Please highlight all the relevant responses)
-          Battery provision
-          Lost hearing aid
-          Ear moulds
-          Swim plugs
-          Tubing
-          Earwax removal
-          Other (please comment):

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 19 September 2018  954

 Please provide the information asked for in the following questions:

1.            Have you implemented NHS England’s guidance on minor, self-limiting or other otherwise short-term conditions for which over-the-counter items should not routinely be prescribed?

2.            The guidance recommends that vulnerable patients are exempt from the restrictions. Under the list of general exception scenarios, the guidelines include “individual patients where the clinician considers that their ability to self-manage is compromised as a consequence of medical, mental health or significant social vulnerability to the extent that their health and/or wellbeing could be adversely affected, if reliant on self-care. To note that being exempt from paying a prescription charge does not automatically warrant an exception to the guidance. Consideration should also be given to safeguarding issues.”

If the guidance has been implemented, have you taken steps to ensure vulnerable patients are exempt from the restrictions?

3.            Do you currently commission a community pharmacy minor ailments scheme? If so, what is the annual funding level for the scheme?

4.            Have you commissioned a community pharmacy minor ailments scheme in any of the last three years?

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 20 September 2018  955

Please provide actual and projected budget levels (split between revenue and capital expenditure) for each financial year of 2016-17, 2017-18 and 2018-19 for below mentioned table:         

- Total organisational income
- Total organisational spend
- Deficit/ surplus of organisation (A - B)


Number of IM&T staff (includes total IM&T staff FTE equivalent, interim IM&T staff and IM&T contractors) employed by organisation during 2017-18
Number of hardware units purchased by organisation during 2017-18
Number of communications-related units purchased by organisation during 2017-18

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Last modified: 20/09/2018