Freedom of Information Act Published on Trust Website ... - January 2014.pdf · Freedom of...

Freedom of Information Act Published on Trust Website – December 2013 FOI Number Questions and Responses

FOI13 363 Please provide the following information:

1/ I understand that, Solent Services supplies and/ or arrange to supply all Goods and Services for St Marys Hospital, please correct me if I am wrong? Response – Solent Supplies Team manage all goods and services procurement for Isle of Wight NHS Trust 2/Can you please arrange to provide details of all types of contracts and agreements for the supply of goods and services Response – Due to the volume of contracts available, Solent Supplies Team are unable to provide this level of information but opportunities are made available for suppliers either via the eTendering portal (Bravo) or the Official Journal of the European Union 3/ Do Solent Supplies provide all the goods and services for Isle of Wight clinical practices etc on the Isle of Wight, please confirm and explain their role and responsibilities. For example, I understand Solent Supplies are NHS employees and provide shared services, please confirm and explain? Response – Solent Supplies Team also provides the procurement services for IOW CCG and NHS England (who manages the GP’s and Pharmacies on the Island). Permanent staff within Solent Supplies Team are employed through a hosted arrangement via Portsmouth Hospitals NHS Trust. Solent Supplies Team provide the procurement (tendering and order processing) and supply chain functions, the payroll and invoicing payment arrangements are managed via an external contract with the Shared Business Service. 4/ I request copies of all guidance and manuals used by NHS Isle of white for the supply of goods of services, that includes the following: a) Appropriate Central Government, Agency and organistions guidance manuals and rules codes of practice, codes of conduct used for the procurement of goods and services; b)All local or decentralised other public or private organisations or bodies guidance manuals , rules , codes of practice , codes of conduct , delegation letters, desk instructiona and delegation letters (note: the latter used to standard requirement recommended by the Audit Commission and National Audit Office for public organisations. Delegation letters are usually manadatory in

HMG for they, inter alia, assist in the management of resources as they identify the roles and responsibilities of the appropriate stakeholders);c)Copies of all EU/EC procurement manuals and guidance used in the procurement of goods and services, now. For example Official Journal of European Commission Response – Information on the procurement guidance from Solent Supplies Team is available at www.solentsuppliesteam.nhs.uk Resource cost Information required coving the last 3 Financial years, by finanacial year 2010/2011, 2011/2012 and 2012/2013 5/ Detailed breakdown of direct staff costs, including numbers by grade/status by financial year Response – This information is not held by the Isle of Wight NHS Trust. 6/Details of Training and qualification requirements for those staff involved in the procurement of goods and services. Note: The Office of Government Commerce used to take the lead in this area, advising and conducting reviews of procurement practices of all Central government departments. Response – Role Profiles for positions above a Band 4 require staff to be working towards or completion of their Chartered Institute of Purchasing. 7/Breakdown and numbers of staff by grade with professional and other recognised qualifications involved in the procurement of goods and services for St Mary’s Hospital. Note: This includes those with associate member or full member of Chartered Institute of Purchasing and Supply, Certificate Competance or similar. Response – Over 70% of the staff involved in the Strategic Procurement activities at IOW NHS Trust are partially or fully qualified members of CIPS. The Supply Chain team are currently working towards CIPS level 3 8/Detailed breakdown of indirect staff by grade (or equivalent e.g. status) over the last 3 financial years. Note: This includes outside consultants employed in the the procurement process employed on ensuring procurement practices are followed, manuals and guidance to appropriate staff are updated , reviewed and maintained . Response – Solent Supplies Team have not employed any external consultancy support over the past three years specifically in relation to their SLA with the Isle of Wight NHS Trust

http://www.solentsuppliesteam.nhs.uk/

9/A detailed breakdown of all the estimated, allocated and eventual costs associated with the procurement of good and services for St Mary’s Hospital for each of the last 3 financial years. Response – This information is exempt under s.43 of the Freedom of Information Act 2000. Resource cost information required for the financial year 2013/2014 10/All the information requested above, but for this financial year, 2013/2014. Response – See response to question 9/A 11/ A copy of NHS Isle of Wights business plan or similar, Note: Tghe above should include budgets. We should be able to see how we are doing against our targets. If the ‘Francis report’ has placed extra burdens on St Mary’s Hospital we need to identify, assess, recommend and decide the best way ahead in the light of our findings. Close down certain practices and or operations at the Hospital in favour of even more decentralising or, indeed centralising, of services at Southampton. Response – Please see attached. 12/St Mary’s Hospital is aiming to achieve Foundation Trust status in the financial year 2014/2015, has it drawn up and implemented new governance rules and regulations, in accordance with Department of Health requirements? Response –I can confirm that the governance required for an FT will be implemented at the point we achieve Foundation Trust status 13/ Has NHS Isle of Wight draw up new protocols and propriety procedures for the procurement of goods and services, or at the very least reviewed the pre-April 2013 guidance, again correct me if I am wrong or wright and explain if this is not the case? Response – Please see attached. Please note that this response does not constitute as consent for direct marketing. A copy of this response will be published on the Trust website.


I write to request the following recorded information pursuant to the FOIA relating to the period between 2008 – 2013 (both dates inclusive) (Relevant Period) 1a) What procedures or policies were in place during the Relevant Period to ensure that locum doctors took rest and meal breaks (and what was the process to convey and agree this with each locum doctor? 1b) What procedures or polices were in place to track, record and verify each such rest and meal breaks? 2a) How did the Trust determine (i) whether it required a locum doctor “on-call” or not “on-call” and (ii) whether such “on-call” locum doctor would be required to be “residential on-call” or “non- residential on- call? 2b) What procedures or policies were in place to track, record and verify when each locum on-call doctors was “called” into work? 3a) Please send me your policies and process(es) for the recruitment of locum doctors, including details of the process for approving (i) the use of certain locum doctor suppliers and (ii) the cost for the provision of such locum doctor. 3b) Please send me your policies and process(es) for approving and signing (i) booking confirmations for locum doctors and (ii) timescales for each locum doctor. 4a) Please send me details of the policies and process(es) that the Trust had in place during the Relevant Period to ensure the Trust’s compliance with the Framework Agreement. 4b) Please confirm the department or individual with responsibility (during the Relevant Period) to ensure compliance with the Framework Agreement. To the extent that you are not able by law to disclose the name of the responsible individual, please confirm that relevant department or job title of such individual. 5a) Please send me your policy and process(es) for (i) approving for payment invoices from your suppliers of locum doctors and (ii) verifying or reconciling such invoices against corresponding timesheets.

5b) Please provide a breakdown (by locum doctor supplier) of amount spent during the Relevant Period. 6a) Please send me your policy and process(es) for auditing invoices for your locum doctor suppliers during the Relevant Period. 6b) Please send me (i) documents pertaining to the approval for the appointment of any external financial or legal advisers who advised on invoices for the Relevant Period from your locum doctor suppliers (please include the relevant board minutes of the Trust) and (ii) any engagement letters/ terms and conditions with such advisers. Response – Having conducted a Public Interest Test the Trust has concluded that this information is exempt under s.31 (Law Enforcement) of the Freedom of Information Act 2000. Please note that this response does not constitute as consent for direct marketing. A copy of this response will be published on the Trust website.

FOI13 401 Please provide the following information: Please note the Isle of Wight NHS Trust came into existence on the 1.4.12 therefore we do not hold information prior to this date. If you require information prior to this date please contact the Department of Health.

1. Does your organisation currently use agency nurses and midwives in your organisation? Response – No, not at the present time

2. Have you any plans in the next 12 months to: A) Stop the use of agency nurses in the future or

Response – Our aim is to avoid using agency

B) Reduce the use of agency nurses. If the answer to A or B is yes, please state reasons why. Reason – Not currently using agencies

3. Are nursing staff permanently employed in your organisation permitted to undertake agency work that could

involve agency shifts within your organisation? Response – No this would not be permitted Please provide the following information for the years 2010-11, 2011-12 and 2012-13 on an excel spreadsheet. Year (ie 2010-11) Please note for the years 2010-11 and 2011-12 you will need to contact the Department of Health at: [email protected]

4. Total amount spent on nursing and midwifery staff, including agency and bank nurses and midwives Response – 2012/13 - £37,840k

5. Total amount spent on agency nurses and midwives only Response – 2012/13 - £255k Agency used during this period was to support the Winter Pressures

6. Total number of nursing and midwifery shifts filled by agency nurses for the given year Response – 2012/13 – Not able to provide this level of detail

7. The highest hourly rate paid by your organisation for an agency nurse for one shift Response – £31.50ph Please note that this response does not constitute as consent for direct marketing. A copy of this response will be published on the Trust website.


mailto:[email protected]

Can you please provide the following information regarding Agency Medical Locum Spend within the Trust for Locum Doctors 1. The amount spent by the trust on Agency medical locums for the period of April 2013 – Current April 2012 – April 2013 (financial year) April 2011 – April 2012 (financial year) Response – April 2013 – Current - £1,460,994 April 2012 – April 2013 (financial year) - £2,983,178 2. A breakdown of this spend by each supplier (agency) Response – Please see attached 2 files. 3. Please can you Specify which framework your Trust signed up to for the provision of medical locums (GPS/HTE/LPP or other (please name) ) for the above timeframe - years 2011- 2012, 2012 - 2013, 2013 – Current Response – The Trust utilises the GPS framework for Medical Locums for the majority of its requirements. 4. Please can you break down the agency as : · GPS/Buying Solutions Framework supplier and Off Framework supplier · or if you currently use any other framework, please can you list these eg HTE or LPP and Off Framework supplier, please specify the date the Trust moved over to the named framework Response – n/a The Trust uses the GPS framework for all significant usage. 5. Please can you identify any Sister agencies if the supplier was an Off Framework agency and Name the Framework arm the sister agency was affiliated with? Definition of a sister company - A company which is owned by the same parent company or has the same director/s (ownership) as another company. Response – Information not held

6. Please can you explain the reason why Off Framework or Sister Agencies were used? Response – If there was any non GPS Framework agencies used it would only have been where the Trust was unable to find suitable candidate for particular role. 7. Please can the Trust detail how the introduction of the Sister agency was made, if your Trust predominantly uses/d the GPS/BS/HTE/LPP Framework? Response – Information not held 8. Please can you detail any corporate entertainment/hospitality or gifts provided by the Medical Locum Agency to medical staffing or departmental decision maker/s or management team (procurement/finance) who are responsible for the selection of agencies/locums. Does the Trust monitor the volume of work going through a particular agency to ensure that the locum booking decision maker/procurement team/finance dept hasn’t been influenced by such activities? Response – Every employee of the Trust has to provide annual Corporate Declarations both of any interest they have in the suppliers (or potential providers) and any hospitality must be declared. The Procurement Department also have to follow strict Codes of Ethics (as governed by the Chartered Institute of Purchasing) to ensure that all procurement decisions made are fair and transparent. The Procurement Department reviews regularly all significfant non-pay spend to ensure that the suppliers being used are under formal contracts and market testing is conducted proactively and fairly. 9. Please can you list the agencies providing such corporate entertainment /hospitality or gifts, assuming there is a log/register? Response – The Procurement Department is not aware of any hospitality being received by the Trust 10. Does the Trust monitor the agencies on their PSL are providing a VfM service and not taking the placements to their Off Framework arm or Sister Companies? If so how is this reviewed and monitored? Response – Procurement regularly benchmarks prices against the market to ensure that value for money is obtained. We have internal processes to ensure that the Trust approaches only those agencies which we have a formal relationship with and VfM is also ensured by monitoring the quality of service which is delivered to the Trust via quarterly key performance indicators.

11. Please can you detail how you select your Agency Suppliers? a) Is this influenced by previous relationship with the supplier (including the addition of agencies who might be newly formed/off framework), or is there a fair selection process in place? Response – Procurement does not give consideration to previous relationships unless there has been clear evidence that a supplier has fundamentally failed at delivering the expected level of service. As we do not have day to day contact with the agencies as HR departments often do, we work from an unbiased perspective. Decisions which influence our selection are based on the most economically advantageous solution available to us. b) Does the trust have a guideline for procurement and selection of suppliers? Response – Procurement has regular contact with the Trust’s HR professionals. This gives us an opportunity to monitor and discuss expectations. When selecting a long term procurement strategy the specification and evaluation criteria will govern how agencies are selected thus providing a solid instrument which will not be deviated from. c) If a supplier is on the GPS/HTE/LPP framework, how can they make a case for them to be added to the suppliers list to start servicing your Trust? Response – Suppliers may approach the Trust with an aim to be included. Our supplier base is reviewed at regular intervals to ensure that we are not operating in an out dated market and at these intervals; opportunities will arise for the inclusion of new suppliers so long as they can clearly demonstrate cost effectiveness and currently the Trust prefer to use national framework providers due to the increased contractual support and regular auditing. d) What is the Trusts complaint or appeals procedure should a Supplier feel that they are not being given a fair chance to represent their agency to supply locums ? Response – If a supplier feels that they have missed an opportunity then the framework under which they are supplying may have an applicable appeals process. e) How does your Trust exclude bias and favouritism towards a certain supplier, given that naturally the locum booker/decision makers tend to prefer working with people they 'like' and 'get on with' or a particular organisation and reluctant to try new suppliers, who might be more cost effective or efficient, have a more robust compliance level than the current supplier/s?

Response – All Framework agencies are approached and a decision is made based upon the quality of the candidates CVs and not the agency. f) Does your Trust review the quality of locum/s that are 'booked' against the candidates who were submitted by other suppliers but were rejected to ensure that the best candidate was offered the post, rather than selected because the candidate was from a particular agency or person? Response – Each Department shortlist candidates based upon their CV and not the agency. g) Does your Trust monitor or have a policy to ensure all CVs within a certain timeframe of a locum requirement being sent out to agencies are passed on to the decision maker and a fair selection process is in place rather than a policy of forwarding the 'favourite' agencies CVs once the candidate specification is met and screened for? Response – All candidates are put forward for short-listing. What Quality Assurance Measures does your Trust have in place to review the above two scenarios f & g? Response – The Locum co-ordinators ensure that a robust process is followed. h) Does your Trust review candidate files that were selected against the Trusts minimums standards for employing a doctor? How often does your Trust conduct internal audits on these candidate files to ensure compliance is as per contract (GPS/LPP or HTE)? Response – Candidates are reviewed by a Consultant to ensure minimum standards of the role are met. i) If an agency has a history of submitting files with poor compliance checks and deviating from best practice or the standards set out by the various frameworks what action/s does the Trust take against the agency? Is this consistent and are all suppliers treated the same irrespective of market dominance or size? Response – If agencies were not complying with the Framework they would not be used. This is the same for any agency who is not complying. f) If the Trust has an internal audit/QA process in place for compliance checks of candidates placed at the Trust, Please list your internal audit data for suppliers of medical locums since April 2012- Current Response – N/A 12. How often does your Trust review it's PSL to ensure other Agencies (On the Trusts chosen Medical Locum Framework) have an opportunity to become a supplier?

Response – At present we generally aim to review our PSL annually. 13. Please can you supply the name of :- · The Procurement lead at your Trust · The person responsible for booking medical locums at your Trust, if this is done at departmental level, please can you supply the name/s per department/speciality and their email address Response – Names of staff constitute personal data as defined within the Data Protection Act 1998 and this information is therefore exempt under s.40 (2) of the Freedom of Information Act 2000. Please note that this response does not constitute as consent for direct marketing. A copy of this response will be published on the Trust website.

FOI13 440 Please provide the following information: 1. What is the annual (2012/2013 or most recent) total spend within your NHS Trust on Oral Nutrition? Response – £345 spent on enteral feeding products by the acute trust of which £238 were taken orally. This spend only relates to the Secondary Care Trust, where as the guidance given below including NIC would only be applicable to primary care. By Oral Nutrition we refer to Chapter 9, Section 4 and Section 9 of the British National Formulary and take this to include Food for Special Diets, Enteral Nutrition as well as Food Preparations such as nutritional shakes. By spend we mean the Net Ingredient Cost (NIC) of all Oral Nutrition given to patients. 2. What is the annual (2012/2013 or most recent) total spend within your NHS Trust on Vitamin supplements? Response – see attached report. Most of these are within intravenous preparations for treating emergencies. Please confirm if they were directing this request to primary care. By Vitamin Supplements we refer to Chapter 9, Section 6 of the British National Formulary. 3. What is the annual (2012/2013 or most recent) total spend within your NHS Trust on Mineral supplements? Response: see attached report, most of these issues will be for intravenous use in parenteral nutrition and in emergency use.

It would seem that the request may have been more applicable to Primary Care – not sure if this was intended for us as a Secondary Care Trust By Mineral Supplements we refer to Chapter 9, Section 5 of the British National Formulary. Please note that this response does not constitute as consent for direct marketing. A copy of this response will be published on the Trust website.


1. What statistics have been made of the survival rate of patients who have been returned to the ward again? Verbal clarity provided by applicant– for the last 5 years and from ITU. Response – The number of patients who returned to a ward from ITU, split by Admissions Financial Year and Final Discharge Method

Patient Died Other2012/13 19 181 200 10%2013/14 (Apr ‐ Oct) 14 83 97 14%Grand Total 33 264 297 11%

Admission Financial YearDischarge Method Grand

Total % of Deaths

Please note that this response does not constitute as consent for direct marketing.

A copy of this response will be published on the Trust website.

FOI13 456 Y – PAIN CONTROL AND PATIENT CHOICE

ched.

bal.

t this means. We do not have a description/instruction of how it should be t

to ask her GP to prescribe gynae-specific painkillers to be taken BEFORE the

dose of painkillers does your Trust advise patients to take before the procedure? spirin) and

he procedure is attempted:

a –No

Please provide the following information: OUTPATIENT HYSTEROSCOPY/BIOPS

. The current patient information leaflet 1Response – Please find our leaflet atta

. The current consent form 2Response – Consent is ver

. The current surgical protocol 3Response – I am not sure whadone since all operators are fully trained and post CCT. There is a description of the process in the patienleaflet. Sterile instruments are used.

. Does the leaflet advise the patient4procedure - Y/N? Response – No.

. What type and 5Response – We advise in the leaflet for the patient to take an “Aspirin like drug (Ibuprofen/AParacetamol 2 hours before you come to clinic” provided they are not allergic.

. Are ALL your hysteroscopy/biopsy patients given the following choices BEFORE t6a) General Anaesthesia – Y/N? No b) spinal anaesthesia – Y/N? No c) conscious sedation – Y/N? No Response – a) General Anaesthesib) spinal anaesthesia –No c) conscious sedation –No

7. For each of the last 3 financial years, how many of your hysteroscopy/biopsy patients had

t recorded, routine is to not use local anaesthetic so very few.

Procedure Type 2010/1 2011/1 2012/1

a) GA with overnight stay? b) GA day-case ?

ia? c) spinal anaesthesd) conscious sedation? e) local anaesthetic? Nof) no anaesthetic? Almost all outpatient hysteroscopies are done without local anaesthetic. Response –

1 2 3 Inpatient - GA Daycase 43 37 29 Inpatient - GA Overnight Stay 9 12 11 Outpatient Procedure 424 417 354Total 476 466 394

. What width hysteroscopes do you use? Rigid or flexible? angle expanding up to 5.5 depending on the

financial years what % patients DNA outpatient hysteroscopy/biopsy? y attend but once

of the last 3 financial years what % OP hysteroscopy/biopsy patients had a failed procedure that had to

of adverse events, e.g. infection, perforation during the last 3 financial years cant number. We have

8Response – Versascope therefore rigid 3.5 mm with andinstruments inserted

. For each of the last 3 9Response – Unable to answer since patients are not coded as hysteroscopies before thethey attend.

0. For each 1be repeated with epidural, GA or conscious sedation? Response – 4%

1. All audits1Response – We have not audited complications because there has not been a signifinot had any uterine perforations in the outpatient setting. I am aware of 2 infections in the last 3 years.

2. All surveys of patients’ experiences during the last 3 financial years 1

Response – We have not done one but will now. Please note that this response does not constitute as consent for direct marketing. A copy of this response will be published on the Trust website.

FOI13 463 lease provide the following information: Please provide information for the financial year 2012/2013 and the

at management and executive level (including, but not limited to: executives,

. How many of the trust's staff work in front-line healthcare (including, but not limited to: doctors, midwives, nurses

employ in total?

Pcurrent financial year.

. How many of the trust's staff work 1managers and administrators)? Response – 2012 – 51 Headcount 2013 – 55 Headcount 2and healthcare assistants)? Response – 2012 – 2132 Headcount 2013 – 2064 Headcount

. How many people does the trust 3Response – 2012 – 3179 Headcount 2013 – 3104 Headcount

. What percentage of the trust's staff: 4a) work at management level? b) work in front-line healthcare? Response – 2012 – a)1.60%

b)67.06%

2013 – a)1.77% b)66.49%

. What is the total wage bill for the tr5 ust's staff working at management level?

012/13 monitoring returns.

management and executive staff should be defined as anyone working in a corporate or administrative

-line healthcare staff should be defined as anyone working in a clinical or medical role.

Response – tached summary of pay bill from year-end 2012/13 monitoring returns. Please see at

. What is the total wage bill for the trust's staff working in healthcare? 6

Response – Please see attached summary of pay bill from year-end 2

. What is the trust's total wage bill? 7Response – £116,936k

o be clear,Trole. Front Please note that this response does not constitute as consent for direct marketing. A copy of this response will be published on the Trust website.

FOI13 464

er treatment services per patient for the financial

Please provide the following information:

1) The total amount of money spent by the Trust on all cancer treatment services for the financial year 2011-2012 and 2012-2013 (if the time limit allows for this then please break the results down by different cancer types).

Response – The Trust does not hold this information.

2) The average amount of money spent by the Trust on canc

year 2011-2012 and 2012-2013. Response – The Trust does not hold this information. 3) The number of patients admitted to the Trust for c ancer treatment services for the period of the financial year

ment of

e – 2147 admissions with primary cancer diagnoses (malignant & benign neoplasms) during 2012/13. See

Primary Diagnosis 3 Char Desc To

2011-2012 and 2012-2013. Please note the Isle of Wight NHS Trust came into existence on the 1.4.12 therefore we do not hold information prior to this date. If you require information prior to this date please contact the DepartHealth. Responstable below.

Primary Diagnosis 3 Char Code tal C00 MALIGNANT NEOPLASM OF LIP 1

C02 MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF TONGUE 2

C04 MALIGNANT NEOPLASM OF FLOOR OF MOUTH 2

C06 MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED PARTS OF MOUTH 2

C07 MALIGNANT NEOPLASM OF PAROTID GLAND 3 C09 MALIGNANT NEOPLASM OF TONSIL 2 C10 MALIGNANT NEOPLASM OF OROPHARYNX 4 C11 MALIGNANT NEOPLASM OF NASOPHARYNX 1 C12 MALIGNANT NEOPLASM OF PIRIFORM SINUS 1 C15 MALIGNANT NEOPLASM OF OESOPHAGUS 17 C16 MALIGNANT NEOPLASM OF STOMACH 18 C17 MALIGNANT NEOPLASM OF SMALL INTESTINE 5

C18 MALIGNANT NEOPLASM OF COLON 82 C19 MALIGNANT NEOPLASM OF RECTOSIGMOID JUNCTION 8 C20 MALIGNANT NEOPLASM OF RECTUM 38 C21 MALIGNANT NEOPLASM OF ANUS AND ANAL CANAL 1 C22 MALIGNANT NEOPLASM OF LIVER AND INTRAHEPATIC BILE DUCTS 10 C25 MALIGNANT NEOPLASM OF PANCREAS 19 C31 MALIGNANT NEOPLASM OF ACCESSORY SINUSES 0 C32 MALIGNANT NEOPLASM OF LARYNX 9 C34 MALIGNANT NEOPLASM OF BRONCHUS AND LUNG 51 C38 MALIGNANT NEOPLASM OF HEART, MEDIASTINUM AND PLEURA 1 C43 MALIGNANT MELANOMA OF SKIN 54

C44 OTHER MALIGNANT NEOPLASMS OF SKIN 452

C45 MESOTHELIOMA 8 C49 MALIGNANT NEOPLASM OF OTHER CONNECTIVE AND SOFT TISSUE 5

C50 MALIGNANT NEOPLASM OF BREAST 200

C51 MALIGNANT NEOPLASM OF VULVA 3 C53 MALIGNANT NEOPLASM OF CERVIX UTERI 5 C54 MALIGNANT NEOPLASM OF CORPUS UTERI 9 C55 MALIGNANT NEOPLASM OF UTERUS, PART UNSPECIFIED 4 C56 MALIGNANT NEOPLASM OF OVARY 21 C60 MALIGNANT NEOPLASM OF PENIS 3 C61 MALIGNANT NEOPLASM OF PROSTATE 40 C62 MALIGNANT NEOPLASM OF TESTIS 8

C63 MALIGNANT NEOPLASM OF OTHER AND UNSPEC MALE GENITAL ORGANS 2

C64 MALIGNANT NEOPLASM OF KIDNEY, EXCEPT RENAL PELVIS 14 C65 MALIGNANT NEOPLASM OF RENAL PELVIS 1 C66 MALIGNANT NEOPLASM OF URETER 2 C67 MALIGNANT NEOPLASM OF BLADDER 17

8

C68 MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED URINARY ORGANS 2

C69 MALIGNANT NEOPLASM OF EYE AND ADNEXA 2 C71 MALIGNANT NEOPLASM OF BRAIN 10 C73 MALIGNANT NEOPLASM OF THYROID GLAND 10 C76 MALIGNANT NEOPLASM OF OTHER AND ILL-DEFINED SITES 3

C77 SECONDARY AND UNSPECIFIED MALIGNANT NEOPLASM OF LYMPH

NODES 14

C78 SEC MALIGNANT NEOPLASM OF RESPIRATORY AND DIGESTIVE ORGANS 61

C79 SECONDARY MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES 25

SECONDARY MALIGNANT NEOPLASM OF OTHER SITES 21 C80 MALIGNANT NEOPLASM WITHOUT SPECIFICATION OF SITE 10 C81 HODGKIN LYMPHOMA 2 HODGKIN'S DISEASE 1 C82 FOLLICULAR [NODULAR] NON-HODGKIN'S LYMPHOMA 1 FOLLICULAR LYMPHOMA 4 C83 DIFFUSE NON-HODGKIN'S LYMPHOMA 3 NON-FOLLICULAR LYMPHOMA 8 C84 MATURE T/NK-CELL LYMPHOMAS 1 PERIPHERAL AND CUTANEOUS T-CELL LYMPHOMAS 1 C85 OTHER AND UNSPECIFIED TYPES OF NON-HODGKIN LYMPHOMA 5 OTHER AND UNSPECIFIED TYPES OF NON-HODGKIN'S LYMPHOMA 3 C86 OTHER SPECIFIED TYPES OF T/NK-CELL LYMPHOMA 2 C88 MALIGNANT IMMUNOPROLIFERATIVE DISEASES 0 C90 MULTIPLE MYELOMA AND MALIGNANT PLASMA CELL NEOPLASMS 12C91 LYMPHOID LEUKAEMIA 7 C92 MYELOID LEUKAEMIA 6 C97 MALIGNANT NEOPLASMS OF INDEPENDENT (PRIMARY) MULTIPLE 4

SITES

D00 CARCINOMA IN SITU OF ORAL CAVITY, OESOPHAGUS AND STOMACH 0

D01 CARCINOMA IN SITU OF OTHER AND UNSPECIFIED DIGESTIVE ORGANS 3

D02 CARCINOMA IN SITU OF MIDDLE EAR AND RESPIRATORY SYSTEM 1 D03 MELANOMA IN SITU 3 D04 CARCINOMA IN SITU OF SKIN 20 D05 CARCINOMA IN SITU OF BREAST 22 D06 CARCINOMA IN SITU OF CERVIX UTERI 2

D07 CARCINOMA IN SITU OF OTHER AND UNSPECIFIED GENITAL ORGANS 6

D09 CARCINOMA IN SITU OF OTHER AND UNSPECIFIED SITES 8 D10 BENIGN NEOPLASM OF MOUTH AND PHARYNX 1 D11 BENIGN NEOPLASM OF MAJOR SALIVARY GLANDS 8 D12 BENIGN NEOPLASM OF COLON, RECTUM, ANUS AND ANAL CANAL 30

D13 BENIGN NEOPLASM OF OTHER AND ILL-DEF PARTS OF DIGESTIVE SYS 1

D14 BENIGN NEOPLASM OF MIDDLE EAR AND RESPIRATORY SYSTEM 5 D16 BENIGN NEOPLASM OF BONE AND ARTICULAR CARTILAGE 6 D17 BENIGN LIPOMATOUS NEOPLASM 59 D18 HAEMANGIOMA AND LYMPHANGIOMA, ANY SITE 8

D21 OTHER BENIGN NEOPLASMS OF CONNECTIVE AND OTHER SOFT

TISSUE 10D22 MELANOCYTIC NAEVI 59 D23 OTHER BENIGN NEOPLASMS OF SKIN 35 D24 BENIGN NEOPLASM OF BREAST 33 D25 LEIOMYOMA OF UTERUS 44 D26 OTHER BENIGN NEOPLASMS OF UTERUS 1 D27 BENIGN NEOPLASM OF OVARY 19 D29 BENIGN NEOPLASM OF MALE GENITAL ORGANS 3

D31 BENIGN NEOPLASM OF EYE AND ADNEXA 3 D32 BENIGN NEOPLASM OF MENINGES 8

D33 BENIGN NEOPLASM BRAIN AND OTH PARTS OF CENTRAL NERVOUS SYS 2

D34 BENIGN NEOPLASM OF THYROID GLAND 6

D35 BENIGN NEOPLASM OF OTHER AND UNSPECIFIED ENDOCRINE

GLANDS 12D36 BENIGN NEOPLASM OF OTHER AND UNSPECIFIED SITES 11

D37 NEOPLASM UNCERT OR UNKN BEHAVIOUR ORAL CAV AND DIGES ORGANS 5

D38 NEO UNCERT OR UNKN BEHAV MIDDLE EAR/RESP/INTRATHOR ORGAN 2

D39 NEOPLASM UNCERT OR UNKN BEHAVIOUR OF FEMALE GENITAL ORGANS 4

D41 NEOPLASM OF UNCERTAIN OR UNKNOWN BEHAVIOUR OF URINARY ORGANS 5

D43 NEOPLASM OF UNCERTAIN OR UNKNOWN BEHAVIOUR OF BRAIN AND CNS 6

D44 NEOPLASM OF UNCERTAIN/UNKNOWN BEHAVIOUR OF ENDOCRINE GLANDS 1

D46 MYELODYSPLASTIC SYNDROMES 9

D48 NEOPLASM UNCERT OR UNKNOWN BEHAVIOUR OTHER AND UNSPEC SITES 9

D50 IRON DEFICIENCY ANAEMIA 35 D52 FOLATE DEFICIENCY ANAEMIA 3 D53 OTHER NUTRITIONAL ANAEMIAS 1 D57 SICKLE-CELL DISORDERS 1 D59 ACQUIRED HAEMOLYTIC ANAEMIA 3 D60 ACQUIRED PURE RED CELL APLASIA [ERYTHROBLASTOPENIA] 1 D61 OTHER APLASTIC ANAEMIAS 5 D63 ANAEMIA IN CHRONIC DISEASES CLASSIFIED ELSEWHERE 6

D64 OTHER ANAEMIAS 84 D68 OTHER COAGULATION DEFECTS 1 D69 PURPURA AND OTHER HAEMORRHAGIC CONDITIONS 17 D70 AGRANULOCYTOSIS 8

D71 FUNCTIONAL DISORDERS OF POLYMORPHONUCLEAR NEUTROPHILS 2

D73 DISEASES OF SPLEEN 2

D76 OTHER SPECIFIED DISEASES PARTIC LYMPHORET RETICUHISTI TISSUE 1

D82 IMMUNODEFICIENCY ASSOCIATED WITH OTHER MAJOR DEFECTS 1 D84 OTHER IMMUNODEFICIENCIES 2 D86 SARCOIDOSIS 0

Grand Total 2147

lease note that this response does not constitute as consent for direct marketing. P A copy of this response will be published on the Trust website.

FOI13 467

e

e

esponse does not constitute as consent for direct marketing.


1. Total amount the Trust spent on agency locum doctors 2012/2013 (April – March) sponse –

tached. RPlease see at

2. For this information to be broken down by speciality and grade. sponse –

tached. RPlease see at Please note that this r


FOI13 473

Re

irths per 1000 births, for the last two years broken down by years.

pply the uncorrected raw figures in the same fashion.

2013 1295

onse does not constitute as consent for direct marketing.


1. Perinatal mortality rate = stillbirths and neonatal deaths per 1000 births, for the last two full years where figures are available, broken down by years.

sponse – 6 2012 6 2013

. Stillbirth rate = stillb2

Response –

012 5 2013 32

. Please su3Response – Total births

012 – 13312 Please note that this resp

FOI13 474

Trust came into existence on the 1.4.12 therefore we do not hold ment of

2. the number of readmissions within six months following open surgery on an inguinal hernia in 2011/12

Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth.

1. a figure for the total number of inguinal hernia procedures performed by your Trust using open surgery in 2011/12

t for direct marketing.

3. a figure for the total number of inguinal hernia procedures performed by your Trust using laparosco ic sp urgery in 2011/12

4. the number of readmissions within six months following laparoscopic surgery on an inguinal hernia in 2011/12

5. a figure for the total number of laparoscopic inguinal hernia procedures performed by your Trust using

mechanical fixation in 2011/12

the number of readmissions within six months fo6. llowing laparoscopic surgery on an inguinal hernia using mechanical fixation in 2011/12

Response – This information is not held. Please see above. Please note that this response does not constitute as consen A copy of this response will be published on the Trust website.

FOI13 479

not? , In the process of setting up the service, new to the IOW

ate are you expecting to incorporate ocriplasmin into your formulary?


1) Is ocriplasmin routinely available for prescription to eligible patients following the publication of the guidance on 23rd October 2013?

not, why IfResponse – No

2) Has ocriplasmin been incorporated into your local formulary?

hya) If not, w not?

) If not, by which db

Response - Yes, ready for use

3) Following Sir David Nicholson’s letter to NHS Chief Executives in August 2012 confirming the 1st April 2013 deadline for the introduction of the NHS Compliance Regime for Technology Appraisals, are you planning to publish information on whether the technology guidance for ocriplasmin has been adopted onto the local formulary?

hen

so, w are you planning to publish it? website

If not, why not?

lease note that this response does not constitute as consent for direct marketing.

IfResponse – YES – available on the Trust

4) Has your organisation informed ophthalmologists, and other relevant clinicians, in your area, about the new NICE guidance on ocriplasmin?

b)Response – Yes P A copy of this response will be published on the Trust website.

FOI13 481 Please provide the following information: 1. In your Trust please supply the number of patients currently (or within the last six months) being treated with

the following treatments for certain diseases: ossible, please supply the data using the following table; If p

Somatotropin Epoetin Alpha Epoetin Zefa

Response – CONDITION Growth failure in children

0 0 0

Growth hormone 0 0 0 deficiencies in adults Chronic renal failure

0 0 0

Anaemia 0 0 0

you are unable to split by patient type, please supply total patients, again using the table below for convenience:

Treatment Total Patients

IfResponse –

Somatotropin 2 (off license) Epoetin Alpha Epoetin Zefa

e

eting.

2. n your I trust, please supply the number of patients currently receiving autoimmune rejection therapy sponse –

specialist Trust and do not treat autoimmume rejection patients RWe are not a Please note that this response does not constitute as consent for direct mark A copy of this response will be published on the Trust website.

FOI13 482

e

y cases has discharge to a nursing home been conditional on having a PEG feeding tube

Please provide the following information: 1. In the last 12 months, how many l

Resate stage dementia patients have had PEG feeding tubes inserted?

ponse – 0

2. In how many cases has this subsequently allowed a discharge to a nursing home? sponse – 0 R

3. In how man

inserted? sponse – 0 Re

at this response does not constitute as consent for direct marketing. Please note th A copy of this response will be published on the Trust website.

FOI13 486 came into existence on the 1.4.12 therefore we do not hold

ment of

INAL TARIFFS

Please provide the following information: Please note the Isle of Wight NHS Trustinformation prior to this date. If you require information prior to this date please contact the DepartHealth.

) MARGa

the marginal tariff rate in 2010/11, please can you provide the following information. Please

Re

2 208,6

98,701

351

Since the introduction of break the information down into each of the following financial years: - 2010/11, 2011/12, 2012/13 and 2013/14-to date

1. What is the volume of emergency admissions (number of patients) the marginal tariff applied to? NB. If you cannot provide an entirely accurate figure, please provide the nearest estimation.

sponse – See table below 14 @ Questio

2012/13 2013/

n 1

M7 0 325

23,£

13

£22,6

0 3 £202,

,503 4 £674 0

2. What is the baseline value for income from emergency admissions for the Trust?

sponse – See table above Re

e

e

3. What is the actual amount paid to the Trust for treating emergency admissions above this baseline value?

sponse – See table above R

4. What is the alue of thosv e emergency admissions if they had been paid at the full tariff? sponse – See table above R

) BLOCK CONTRACTSb

1. If the Trust has block contracts for A&E care with Clinical Commissioning Groups or the previous PCTs, what

are the annual payments for each block contract for each of the following financial years 2010/11, 2011/12, 2012/13 and 2013/14 – to date? nse – N/A Respo

Respo

Re

his response does not constitute as consent for direct marketing.


are the annual costs of treating A&E patients from those areas for each of the following financial years 2010/11, 2011/12, 2012/13 and 2013/14 – to date? nse – N/A


is the value of the lost income directly related to each block contract? sponse – N/A

Please note that t A copy of this response will be published on the Trust website.


1. Does Isle of Wight NHS Trust make use of any non-relational / NoSQL database technologies such as MongoDB, Cassandra, RIAK, Hadoop or any proprietary non-relational technologies if so which ones?

sponse – No Re

e

Re


2. or what F purpose are Isle of Wight NHS Trust using these technologies?

sponse – N/A R

3. Is the use of these as part of an agreed IT Strategy to use NoSQL technologies in place of traditional relational database solutions?

sponse – N/A Please note that t A copy of this response will be published on the Trust website.

FOI13 489

f no, this FOI does not apply to your organisation. If yes, please read

departments does your organisation have?

rmatology department in your jurisdiction please could you answer the following questions.

e


o you have a dermatology department? IDbelow. Response – YES How many dermatology Response – 1

or each deF

egarding post-operative instructions for patients undergoing skin surgery in your dermatology department: R1. Do you have any postoperative patient information leaflets? If yes, how many?

Response – 1 – Post operative letter only.

2. If you answered yes to the above, please would you send all the current postoperative leaflets by e-mail? sponse – Yes R

Please note that this response does not constitute as consent for direct marketing. A copy of this response will be published on the Trust website.

FOI13 495

er

bulance services by the Isle of Wight Ambulance

ate Ambulance services on the Isle of Wightfor the year 2014/15. If we

s response does not constitute as consent for direct marketing.


1. The budget assigned or pent by ths e Isle of Wight Ambulance vice towards the use of private ambulance services for the S

years 2011/12 & 2013/14 and budget allocation for 2014/2015 Response – There has been no expenditure on private Amservice in the years 2011/12 & 2013/14

here is no budget assigned to use PrivTwere to use them on a rare occasion of repatriation this would be financed by a cost pressure within the budgetary system. Please note that thi A copy of this response will be published on the Trust website.

FOI13 498


ate how many doctors employed by your trust are subject to Fitness to Practise

nswers to the following questions by filling in the grid

Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth. Please strulings.

viding aPlease give details of these cases by probelow:

Name of hospital Name of Discipline

Restriction type: please state whether Date of GMC decision?

Response – None

trust? doctor? ?

the restriction is classed as a. undertakings, b. conditions, c. a suspension?

note that this se do not cons ent for direct marketing. Please respon es titute as cons


FOI13 500


12/13 etal remains (where foetal tissue was present) resulting from terminations under 12 weeks of

ps (please provide breakdown to give size of each group, and location of burial)

mation)

guishes foetuses into groups below 24 weeks so the information


. For 201a. How many fogestation were i) incinerated

ouii) buried in griii) buried individually

s (please provide breakdown to give size of each group, and location of creiv) cremated in groupv) cremated individually

e own arrangements vi) given to family to makResponse

n is not kept in a form that distinInformatiois for below 24 weeks and 24 weeks and above. Below 24 weeks

i) None

ii) None iii) 13

spliv) 225 it into 2 groups in Newport Crematorium v) None vi) 8

. ny foetal remains (where foetal tissue was present) resulting from terminations between 12 and 24 weeks

(please provide breakdown to give size of each group, and location of burial)

mation)

e was present) resulting from miscarriages under 12 weeks of

ps (please provide breakdown to give size of each group, and location of burial)

mation)

foetal remains (where foetal tissue was present) resulting from miscarriages between 12 and 24 weeks

(please provide breakdown to give size of each group, and location of burial)

mation)

b How maof gestation were i) incinerated

oupsii) buried in griii) buried individually


e own arrangements vi) given to family to makResponse – as above

ains (where foetal tissuc. How many foetal remgestation were i) incinerated

ouii) buried in griii) buried individually


e own arrangements vi) given to family to makResponse – as above

. How manydof gestation were i) incinerated

oupsii) buried in griii) buried individually


vi) given to family to make own arrangements

ains (where foetal tissue was present) resulting from stillbirths (over 24 weeks of gestation)

ups (please provide breakdown to give size of each group, and location of burial)

mation)

. The same for 2011/12 o not hold this information.

s consent for direct marketing.

Response – as above

. How many foetal remewere i) incinerated ii) buried in groiii) buried individually


e own arrangements vi) given to family to makResponse

eks Over 24 wei) None ii) None iii) None iv) None v) None vi) 7

2Response – The Trust d Please note that this response does not constitute a A copy of this response will be published on the Trust website.

FOI13 502


Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the Depart

Health.

1) How many doctors were on shift (and in the hospital) on the following days at 3pm? ase break down by title and department where possible (Consultant, FY2 etc) Ple

e spreadsheet attached

ednesday” etc is vague (as there’ll be different amounts

ent’s figures are not essential.

are stly to include in compiling please omit all of the above. It’s been my experience from the test FOI

llowing days at 3pm? , FY2 etc)

e spreadsheet attached

tute as consent for direct marketing.

-Wednesday 4th December 2013 -Saturday 7th December 2013 -Sunday 8th December 2013 Response – please se Please note: 3pm is effectively an arbitrary time, because “Wof doctors at different times of the day) if it’s easier for you to provide data for a different time of day at noon or 5pm etc please do so).

lease note: PSome departm-A&E

nity -Mater-Intensive CIf they are too cosampling that these departments have their own rotas and staffing in some hospitals. I am most concerned with thestandard wards and departments, urology, geriatrics etc.

) How many doctors were “on call” on the fo2Please break down by title and department where possible (Consultant-Wednesday 4th December 2013 -Saturday 7th December 2013 -Sunday 8th December 2013 Response – please se Please note that this response does not consti


FOI13 503


es not constitute as consent for direct marketing.


1) On how many days in 2013 did your staffing (Doctors only) fall below standard or recommended levels, for any period. If possible, please state the date, department(s), duration and a summary reason for each day with a staff shortage.

Response – Information not held Please note that this response do A copy of this response will be published on the Trust website.

FOI13 504


2/13...

cremations of fetal remains, where there is fetal tissue present, from terminations, miscarriages or e

d but all remains


. In 2011

. How manyastillbirths were arranged by the Trust? (Please provide a breakdown showing how many of these cremations werindividual cremations, and how many were group cremations, including the size of each group.) Response-

were handled by the Trust. Not all remains have fetal tissue positively identifie246 remainsare treated the same to avoid inappropriate incineration.

225 as group cremations of various size occurring twice a year

cal funeral directors at no cost to the Trust.

arrangements

in

many were scattered by/for/at the behest of the Trust? ch site

s not returned to families, how many were disposed of as waste by/for/at the behest of the ng

ovide the same information for the questions above for the year 2011/12.

ent, from terminations, miscarriages or e

13 burials to families to make arrangements 8 returned

. What was the total cost of the cremations? b

Response- vided by loService pro

. How many sets of ashes arising from these cremations were returned to families?c

Response- turned, remains have been returned for families to make their own No ashes re

. For those sets of ashes not returned to families, how many sets of ashes were buried by/for/at the behest of the d

Trust? (Please describe where the ashes were buried, including location of plots/sites, the numbers of ashes buriedeach plot during the year, and the total number of ashes currently known to be buried in each plot.) Response- Buried at Newport Crematorium grounds

. For those sets of ashes not returned to families, howe(Please describe where they were scattered, including location of sites, the numbers of remains scattered at eaduring the year, and the total number of remains currently known to be scattered at each site.) Response- None . For those sets of ashef

Trust? (Please describe where/how they were disposed, the numbers of sets of ashes disposed of at each site durithe year, and the total number of sets of ashes currently known to be disposed at each site.) Response- None

. Please pr2

. How many cremations of fetal remains, where there is fetal tissue presastillbirths were arranged by the Trust? (Please provide a breakdown showing how many of these cremations werindividual cremations, and how many were group cremations, including the size of each group.)

Response- were handled by the Trust. Not all remains have fetal tissue positively identifie305 remains d but all remains

year

cal funeral directors at no cost to the Trust.

arrangements

in

many were scattered by/for/at the behest of the Trust? ch site

s not returned to families, how many were disposed of as waste by/for/at the behest of the ng

are treated the same to avoid inappropriate incineration.

86 as group cremations of various size occurring twice a 2110 burials

o families to make arrangements 9 returned t

. What was the total cost of the cremations? bResponse-

vided by loService pro . How many sets of ashes arising from these cremations were returned to families?c

Response- turned, remains have been returned for families to make their own No ashes re

. For those sets of ashes not returned to families, how many sets of ashes were buried by/for/at the behest of the d

Trust? (Please describe where the ashes were buried, including location of plots/sites, the numbers of ashes buriedeach plot during the year, and the total number of ashes currently known to be buried in each plot.) Response- Buried at Newport Crematorium grounds

. For those sets of ashes not returned to families, howe(Please describe where they were scattered, including location of sites, the numbers of remains scattered at eaduring the year, and the total number of remains currently known to be scattered at each site.) Response- None . For those sets of ashef

Trust? (Please describe where/how they were disposed, the numbers of sets of ashes disposed of at each site durithe year, and the total number of sets of ashes currently known to be disposed at each site.) Response- None


FOI13 505


Re

e

e

d

is response does not constitute as consent for direct marketing.


1) The number of patients in the last 12 months diagnosed with malaria (which strain if available) who were treatment in Accident and Emergency

sponse – One (strain not available)

2) The average waiting time for blood film tests for malaria to be processed and the results given to clinical staff sponse – Within 1 hour of receipt in the laboratory R

3) Whether rapid diagnostic tests for malaria are available in your hospitals and if so in which departments

sponse – Yes, we use Binax NOW Malaria Antigen test. Test performed in Haematology. R

) The number of patients who have died in your hospital within the last 12 months of confirmed or suspecte4malaria Response – None Please note that th A copy of this response will be published on the Trust website.

FOI13 506


Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the Depart

Health. P RIVATE AMBULANCES

firms has the trust used in the last 6 months (between July and December 2013)

any in same period in 2010 and in 2008?

e ambulances do in that time period?

many in same period in 2010 and in 2008?

art using private ambulance firms and why? and journies but proved non cost effective

private ambulance providers this year?

spent in 2010 and in 2008?

any occasions did a private ambulance get lost in the last 6 months (and same for same period in 2010

for trust-owned ambulances.

- How many private ambulance Response – none ….And how m-

Response – not within data range How many journeys did privat-

Response – n/a ….And how -

Response – n/a When did the trust st-

Response – used them back in 2002 for 3 months to cover mainl Which private ambulance firms has the trust used/ intends to use? -

Response – none within date range How much money is the trust spending on -

Response – none …..how much was-

Response – n/a On how m-

and 2008)? Response – n/a …and same-

Response – Could you please - list all of the ways the ambulance control room can communicate with the private ambulances

bulances communicate with base? (What onboard comms systems do they have?)

t ever had any complaints about journeys involving private ambulances?

any, what were the nature of the complaints, how many were acted on, what were the outcomes?

paramedics do you need to recruit over the next 12 months (from Dec 2013)?

, 2010 and 2008?

onders attended an emergency call in 2013? And in 2010 and 2008?

008?

11 calls you received per month this year (since 111 was introduced)

the trust uses Response – n/a How do trust am-

Response – n/a

as the trus- HResponse – none ….If so, how m-

Response – n/a RECRUITMENT - How many NHSResponse – between 1-4 wte How many did you recruit in 2013-

Response – 4 wte 2013 other data n/a How many Community First Resp-

Response – year 2013 to date 453 calls attended by co & first responders other data n/a How many paramedics were off work with a stress-related condition in 2013, and in 2010 and 2-

Response – none 2013 other data n/a

YPE OF CALLS T- The number of 1Response –

3 April 12 = 419

May 12 = 4005 June 12 = 4200 July 12 = 3904

Aug 12 = 3865Sept 12 = 3470 Oct 12 = 3498 Nov 12 = 3520 Dec 12 = 5025 Jan 13 = 4005 Feb 13 = 3859 Mar 13 = 5200 April 13 = 4527 May 13 = 4817 June 13 = 4399 July 13 = 4642

Aug 13 = 5141Sept 13= 4094 Oct 13 = 4483 Nov 13 = 4475 Dec 13 = 5272 The numbe- r of those calls each month that resulted in an ambulance being deployed

Response – al 492 conveyed 260,not conveyed 232 April 12 = tot

May 12 = total 499 conveyed 283, not conveyed 216 June 12 = total 459 conveyed 263, not conveyed 196 July 12 = total 597 conveyed 284, not conveyed 313 August 12 = total 566 conveyed 396, not conveyed 170 Sept 12 = total 549 conveyed 282, not conveyed 267 October 12 = total 499 conveyed 298, not conveyed 211

November 12 = total 497 conveyed 285 , not conveyed 212December 12 = total 669 conveyed 365 not conveyed 204

an 13 = total 498 conveyed 212, not conveyed 286 J

Feb 13 = total 493 conveyed 292 , not conveyed 201

eployed and then stood down (with patient not taken to

sponse does not constitute as consent for direct marketing.

March 13 = total 569 conveyed 425 not conveyed 144 April 13 = total 472 conveyed 230,not conveyed 242 May 13 = total 439 conveyed 203, not conveyed 236 June 13 = total 489 conveyed 227, not conveyed 262 July 13 = total 497 conveyed 214, not conveyed 283 August 13 = total 466 conveyed 220, not conveyed 246 Sept 13 = total 449 conveyed 212, not conveyed 237 October 13 = total 468 conveyed 232, not conveyed 236

November 13 = total 486 conveyed 252 , not conveyed 234December 13 = total 569 conveyed 305 not conveyed 264 The number of calls that resulted in an ambulance being d-

hospital but redirected for treatment at home/ GP etc) Response – As above Please note that this re A copy of this response will be published on the Trust website.

FOI13 507


know how much compensation your trust has paid to patients who were treated with incorrect drugs or doses

Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth. wish to I

in mistakes by hospital staff over the last three years. By this, I mean the calendar years of 2011, 2012, and 2013. Response – From April 2012 no compensation has been paid to patients treated with incorrect drugs or doses in mistakes by hospital staff.

Please state how many times the wrong drugs/doses were administered even if compensation was not paid. Please

patients monitored for safety.


include examples where possible. Eg: wrong cancer drug given to a female patient Response – From April 2012 to date: 21 recorded occurrences (includes community, mental health and acute)predominantly formulation/ strength of right drug, no cancer drugs. Please also state the effect on the patient: eg needed stomach pumped. Response –

ffects recorded, no rescue therapy required,No adverse e P A copy of this response will be published on the Trust website.

FOI14 001


e

) The number of units/departments in the Trust that as of December 2013 currently


1) The total number of units/departments in hospitals covered by the Trust. sponse – 106 R

2 use glutaraldehyde for

mber of units/departments in the Trust where glutaraldehyde has been used for sterilisation purposes in

sterilisation purposes. Response – Nil

) The nu3the last five years. Response – Nil

) The to4 tal number of NHS staff working within the Trust for the last five years (please provide each year

) T e to more days sick leave due to respiratory or pulmonary

separately). Response – As at March 2013: 3179 Headcount, 2717 FTE As at Dec 2013: 3111 Headcount, 2627 FTE

h tal number of NHS staff who have taken one or 5problems per year for the last five years (please provide each year separately). Response – April 12 – December 12: 25 Headcount April 13 – December 13: 62 Headcount

e port run on Heart Cardiac and Circulatory(Sickn ss Re Problems, & Chest and Respiratory Problems)


P A copy of this response will be published on the Trust website.

FOI14 002


freedom of information act, please can you tell me your annual expenditure (most recent complete financial

tached. Values included VAT.

Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth. Under theyear) on products under the following categories. I would just like to see total expenditure for each of these categories rather than a detailed breakdown by product. Please also include whether the expenditure includes / excludes VAT. Response – Please see at

Urine Meters Aprons

nce Contine Pants & Pads

c concentric luer lock

mplants

l vascular catheters

n catheter

le

Anti Embolism Stockings Foam Dressings

s Nasogastric tubeSyringe hypodermiSyringe hypodermic concentric luer slip Syringe hypodermic eccentric luer slip Syringe for enteral feeding - Purple Pacemakers

ardiac Defibrillators Implantable CArterial Grafts

s Vascular GraftBreast Implants Spinal & Cranial ICoronary stents

erventionaDiagnostic or intIntroducers - vascular catheter Guidewires Cardiology

heter Angioplasty balloon catDrug-Eluting Stents Bare-Metal Stents Peripheral stent Vascular coil

Vascular filterCardiac ablatioBiliary stent

ging snare Vascular imaSutures

xamination Latex - Sterile Gloves eGloves examination Latex non-steri

Gloves examination Synthetic non-sterile


Gloves examination Synthetic sterile Gloves examination vinyl non-sterile Gloves examination vinyl sterile Gloves surgeons latex

etic Gloves surgeons synth P A copy of this response will be published on the Trust website.

FOI14 003


Respo

012 – March 2013 there were 5 complaints relating to Maternity.

ief one-sentence summary of

; see below:

communication not returned as promised


1. f I you have a maternity unit within your trust please state (a) how many births were carried out there in the 2012/13 financial year and (b) how many complaints were lodged relating to maternity over the same time period? This should include all complaints about ante-natal, obstetric, midwifery and maternity care. nse –

hs (1a) 1298 birt(1b) from April 2

. Please provide me with a summary of the nature of all of these complaints with a br2what was key issue of the complaint was. Response – 2b) summary(

lack of communication/1

2 Privacy of patient when attending department 3 lack of communication in relation to process 4 attitude of staff member

g when patient prese5 alleged lack of monitorin nted


P A copy of this response will be published on the Trust website.

FOI14 004


endar year 2013 how much was money was paid out by the trust in the form of ‘losses and special ch were

.41

Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth. n the calI

payments’? (I am aware that the loss may have occurred many years earlier but I am interested in items whipaid in 2013, irrespective of when the loss took place.) Please detail the three largest single amounts paid in 2013, giving a cost for each loss, a brief description of the claim, and the reason for the loss. In each of the three cases, please specify whether the person to whom the money was paid was a staff member, a patient, or someone visiting a patient. In cases involving a patient or someone visiting a patient, please specify the nationality of the patient and whether they were a UK resident. Response –

ed: £10,704Total Expend

Largest Amounts3 £2,500.00 Settlement of Ombudsman complaint – patient, UK resident

t, UK resident £1,400.00 Replacement dentures, lost on ward, patient, UK resident

en£ 970.00 Replacement dentures, damaged in fall on admission, pati


FOI14 006


e to know if St Mary's Hospital has changed to using non luer connections which I understand prevents

with recommendations to cease use of the other connections.

s validating supplier trials for non luer connections and necessary ancillaries as there is SA

h

Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth. would likI

serious mistakes in providing medication, anaesthetics etc.

lease let me know if the hospital has compliedP Response – The hospital icurrently no national supplier able to provide all the required equipment to meet Royal College and NPrequirements. It is anticipated that further suitable products will be available for trialling by the end of Marc2014. Actions are in place to mitigate this as per the Trust’s corporate risk register item 502. Please note that this response does not constitute as consent for direct marketing. A copy of this response will be published on the Trust website.

FOI14 007



would bI e most grateful if you would provide me, under the Freedom of Information Act, details in respect of any

Re o

le e se does not constitute as consent for direct marketing.

current framework agreement(s)/contract(s) that relate to washroom hygiene services or mat rental services withinthe Trust:

• uS ppliers who applied for inclusion on each framework/contract and were successful & not successful at the PQQ & ITT stages.*

• Contract values of each framework/contract (& any sub lots), year to date • Start date & duration of framework

ramework(s)/contract(s) and, if so, the• Is there an extension clause in the f duration of the extension? • Has a decision been made yet on whether the framework(s)/contract(s) are being either extended or

renewed? sp nse –

ntra• No co ct in place • No contract in place. • No contract in place. • No contract in place. • No contract in place.

P as note that this respon A copy of this response will be published on the Trust website.

FOI14 009



1. How many times did your trust arrange admission for your patients (under 18s) to inpatient tier 4 Child and Adolescent Mental Health Services (CAMHS) in 2011/12, 2012/13 and 2013/14 (so far)?

Response: 3 – 2

espo

3 – 2 to out of area services.

espo

nd Street Hospital.

ouse

espo

Under 18 – 1.

at this response does not constitute as consent for direct marketing.

In 2012/201In 2013/2014 - 5

2. f these CO AMHS tier 4 inpatient admissions, how many were made at local services run by your trust and how many did you arrange to have treated at out-of-area services? Please breakdown the answer by financial years 2011/12, 2012/13 and 2013/14 (so far).

nse: RIn 2012/201In 2013/2014 – 5 to out of area services.

3. Please list the names of the out-of-area tier 4 inpatient CAMHS units you arranged admissions for your patients to for each of the above years.

nse: RGreat OrmoThe Cygnet Hospital

at Leigh HNHS Adolescent Unit 4. How many people under-18 were admitted to adult psychiatric wards at your trust in 2011/12, 2012/13 and

2013/14 (so far?). Of these, how many were under-16?

nse: RIn 2012/13 – Under 16 - 0 In 2013/14 – 0 Please note th A copy of this response will be published on the Trust website.


Please note the Isle of Wight NHS Trust came into existence on the 1.4.12 therefore we do not hold

ment of

u be able to tell me how many children were born on the Island last calendar year? And how many were

l setting


information prior to this date. If you require information prior to this date please contact the DepartHealth. Would yoborn at home or in hospital? Response- 1298 births

259 Hospita139 Home setting P A copy of this response will be published on the Trust website.

FOI14 012


e rpool Care Pathway, that is, where it is well

e


1.) Have you abolished the Liverpool Care Pathway at your trust? sponse - We have followed the guidance for the use of the LiveR

used, to continue. Therefore, as an organisation there was not a decision not to use the pathway, however, none of our clinical areas have continued to use it.

2.) If no, are you planning to continue to use it? R sponse - No

3.) If yes, when did you abolish it? sponse - N/A Re

e


4.) f yes, whaI t have you introduced to replace the Liverpool Care Pathway (please attach the guidance that staff

work to) Response - An alternative end of life care pathway has not implemented.

5.) Have all nurses received training in how to use you new guidance? R sponse – N/A Please note that t A copy of this response will be published on the Trust website.

FOI14 013


Freedom of Information Act please can you provide details of compensation claims made by NHS staff in

1.4.12 as follows:-

were successful?

Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth. Under the2013. (Information below is for the period 1.4.12 – 31.12.13)

ow many compensation claims were made? HResponse

rs Liability Claims have been received since 3 EmployeOne received 5.11.12 One received 4.3.13

3One received 14.11.1 How many claimsResponse

2 claims are still in litigation

the claimant (is nurse, doctor), the amount paid out in compensation and details

paid out

012 and 2011.

not constitute as consent for direct marketing.

1 claim has been withdrawn Please give details of the position ofof the injury and the incident. Response

sation has been No compen Please can you repeat the above questions for 2Response – Please see above note. Please note that this response does A copy of this response will be published on the Trust website.

FOI14 014


Re

Re


1. For the most recent three financial years (10/11), (11/12) and (12/13) please state what the cost of providing food to patients was at your trust per patient per day?

sponse – 12/13 £2.80

2. If you have a figure please state what percentage of food in the most recent financial year (12/13) was returned untouched by patients?

sponse - N/A

3. If you have an outside caterer that is responsible for supplying food to the Trust, please state the name of the company and how much it was paid by the Trust in (12/13)? Also state what level of involvement these outside caterers have? For example do they just provide the hospital with ready meals that are then

distributed by Trust staff or are the caterers responsible for providing and serving the food? e - N/A Respons

4. In the 012 3 calendar year please state how many complaints you logged from patients, or their relatives or

friends, or hospital staff where either the primary concern, or a secondary concern related to the provision and/or quality of the patient food?

e – Respons No complaints were received in 2013 Calendar year

5. In relation to Q.4, which month saw you have the most complaints about food and how many complaints were logged?

sponse - Re N/A

6. or the moF nth identified by Q.5 (if more than one month has the same number of complaints then take the most recent month) please provide me with redacted copies of the complaints so to not breach S.40 of the Freedom of Information Act, but include the name of the hospital involved. If the original correspondence has been destroyed then please provide me with a detailed (two sentence) summary explaining the specific nature of the complaint, including the name of the hospital. e – N/A Respons

cial year (12/13) has the Trust paid compensation to a patient or their family following a y


. In the last finan7

complaint about the provision/quality of hospital food? If so how much was paid and why was it paid? Have ancomplaints about hospital food been referred to the NHSLA. Response – No compensation paid during financial year (12/13); none referred to NHSLA P A copy of this response will be published on the Trust website.

FOI14 016

Trust came into existence on the 1.4.12 therefore we do not hold

Please provide the following information: Please note the Isle of Wight NHS

information prior to this date. If you require information prior to this date please contact the DepartHealth.

1. l

ment of

Respo

meeting these criteria.

Respo

meeting these criteria.

Re

se note that this response does not constitute as consent for direct marketing.

P ease provide, for the financial years 2003/4 to 2012/13 the number of finished admission episodes for females admitted for assault by sharp object (Cause Code: X99). Please break this down for age (if possible into the following age brackets: U18, 18-24, & 24 and over) nse-

No patients

2. Please provide, for the financial years 2003/4 to 2012/13 the number of finished admission episodes for females admitted for females admitted for assault by firearm discharge (Cause Codes: X93, X94 and X95). Please break this down for age (if possible into the following age brackets: U18, 18-24, & 24 and over) nse-

No patients

3. Is training available for taff s on how to spot the signs that a person is associated with / involved in a gang? If so, how many members of staff have taken the training, in absolute and percentage terms?

sponse- No. Plea A copy of this response will be published on the Trust website.

FOI14 018



1. The income retained by the commissioner (the CCG and their predecessors) as a result of funds withheld or

‘defunded’ from your Trust under the application of the 30% marginal emergency tariff in each financial year since it was introduced: so for financial years 2010-11, 2011-12 and 2012-13. nse-

47k Respo

f money paid to (or retained by) the commissioner(s) under the marginal emergency tariff has been

tute as consent for direct marketing.

2012/13 - £3

. How the pool o2used, or plans for how it will be used (as discussed in the PbR Guidance 2013-14, paragraphs 104-109). I would like the information for each financial year: 2010-11, 2011-12 and 2012-13, and details of plans for 2013-14. Response-

s this relates to Commissioners. Not known a Please note that this response does not consti A copy of this response will be published on the Trust website.

FOI14 019


Respo

in the single rooms agreed with ward staff and privacy and dignity reflected

s to stay overnight


1. How many maternity wards under your management have facilities for partners to stay overnight with the mother at the hospital during and/or after the birth of their child?

nse- e one ward on the IOW We only hav

We do allow some overnight stayfor all. We can use spare bed to accommodate double facility in 2 of the rooms on maternity

2. What proportion of maternity wards under your management have facilities for partner

with the mother at the hospital during and/or after the birth of their child? nse-

ready stated Respo

Respo

Respo

Responsertners; only the women that attended

Response

onse does not constitute as consent for direct marketing.

As above al

3. How many atem rnity services under your management have flexible visiting times for partners to visit the mother after birth?

nse- tners no restrictions 24 /7 for par

4. What proportion of maternity services under your management have flexible visiting times for partners to

visit the mother after birth? nse-

0% As above 10

5. How many expectant fathers attended NHS-run or NHS-commissioned antenatal classes at hospitals, healthcare centres or through health visitors under your management in 2013 (or for the last year for which records are available)? -

ollect numbers of paWe do not c

6. What proportion of expectant fathers attended NHS-run or NHS-commissioned antenatal classes at hospitals, healthcare centres or through health visitors under your management in 2013 (or for the last for which year records are available)? -

ne recorded As above no Please note that this resp A copy of this response will be published on the Trust website.


Please note the Isle of Wight NHS Trust came into existence on the 1.4.12 therefore we do not hold ment of

cerning vandalism to religious/spiritual rooms and buildings in the hospital (e.g hospital chapels and prayer

M TO RELIGIOUS/SPIRITUAL ROOMS AND BUILDINGS

information prior to this date. If you require information prior to this date please contact the DepartHealth. Data conrooms) from January 2009 to as recently as possible. NO INCIDENTS REPORTED OF DAMAGE/VANDALISIN THE ISLE OF WIGHT NHS TRUST (E.G. HOSPITAL CHAPELS AND PRAVER ROOMS) FROM 1.4.12 – 20.1.14. Please include a breakdown of the damage caused and the cost incurred, as well as the time period during which

g

ponse does not constitute as consent for direct marketing.

incidents occurred. Please also include any reports submitted by hospital staff and, where possible, data concerninassaults, intimidation or threatening behaviour towards hospital chaplains and other hospital staff employed in a spiritual or religious role. Please note that this res A copy of this response will be published on the Trust website.

FOI14 022


urposes of an academic research project, I kindly request the following pieces of information about your

Reports for the year(s): 2002/03, 2003/04, 2011/12.


or the pFTrust: AnnualResponse- This information is not held.


FOI14 025


ancial accounts for the financial year 2012/2013 did you have a section for “losses and special payments” ?

much money was accounted for in the 2012/2013 financial year as being “losses and special payments”?

l the three largest single amounts within this total and giving a cost for each loss and a brief description

n off due to contract dispute

. What was the total paid on claims for property lost by patients and how much related to (i) Dentures, (ii)

00

Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth. n your finI

Response – Yes

so how 1. If (Please note I am aware that the loss may have occurred many years earlier but I am interested in items which were accounted for in the last financial year, irrespective or when the loss took place.) Response- £46,265.23 Please detaiof the claim and the reason for the loss. Response –

Debt writte£25,865.88 £4,050.00 Damaged stock

to contract dispute £3,000.00 Debt written off due 2Spectacles, (iii) Jewellery and (iv)Hearing Aids? Response –

20 Total £6,719.Dentures – £3,8

Spectacles - £1,010.50

response does not constitute as consent for direct marketing.

Jewellery - £350 52 Hearing Aids - £5

Please note that this A copy of this response will be published on the Trust website.

FOI14 030


Re

2012/13 2013/14 to date 2013/


1. lP ease provide details of expenditure (or a reasonable estimate) on assessing and bidding for NHS tenders in 2011/12, 2012/13 and 2013/14 to date and an estimate of total expenditure for 2013/14.

sponse – The Trust has not made a bid for NHS tenders. Expenditure on assessing and 2011/12 bidding for NHS tenders Staff costs External advice (including legal advice)

Expenses 2. Please also state how many staff (FTE) currently work on NHS service tenders.

sponse – Correspondingly this is none, however the Head of Commercial Development w

e ould assess any

e does not constitute as consent for direct marketing.

Rnew opportunities in future. Please note that this respons A copy of this response will be published on the Trust website.

FOI14 034

lease provide the following information:


a. 2

– 566 inpatient only. year period.

Care Beds in the community.

esent the data as a figure for each of the

onstitute as consent for direct marketing.

P Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth.

1. lP ease provide information on how many patient falls were recorded at Isle of Wight NHS Trust during the following financial years?

008/09 b. 2009/10 c. 2010/11 d. 2011/12 e. 2012/13 f. Total number of falls for this fiveResponse – 566

his also includes IntermediatePLEASE NOTE: T

. Please specify how many of these falls resulted in a fracture. Please pr2financial years specified above and the total number for the five year period. Response – 17 for the year 1.4.12:31.3.13 Please note that this response does not c A copy of this response will be published on the Trust website.

FOI14 036



Under the Freedom of Information Act I'd like to know how many tattoo removal procedures were carried out by the

iow.nhs.uk/about-us/Freedom-of-information/

trust on the NHS, and how much these cost in total. Response – This information is readily available on the Trust website and is therefore exempt under s.21 of the Freedom of Information Act 2000. Please click on the link below and search October FOI and look for FOI13 317.

ttp://www.h

sent for direct marketing. Please note that this response does not constitute as con A copy of this response will be published on the Trust website.

FOI14 039


u have a specifically designated bereavement midwife/midwives?

do you have and how much time (for example, but not limited to, number of days, or number of

t midwife?

es did you have in January 2013?


a) Do yo1 Response – Yes 2.

b) If so, how many1hours per week) is allocated to this function for these members of staff? Response – On a need basis as we have low numbers requiring support.

c) If so, what is the current waiting time for a parent to see a bereavemen1Response – Would be arranged within 5 days.

a) How many bereavement midwiv2Response – 2 allocated.

b) If you did have midw2

number of days, or number of hours per week) is allocated to this function for these members of staff? Response – As much time as needed depending on the circumstances. a) How many bereavement midwives did you have in January 2009?

ives who undertook this role at that time, how much time (for example, but not limited to,

ndertook this role at that time, how much time (for example, but not limited to,

te as consent for direct marketing.

3Response – Same 2 named midwives.

b) If you did have midwives who u3number of days, or number of hours per week) is allocated to this function for these members of staff? Response – Same as required on a need basis. Please note that this response does not constitu A copy of this response will be published on the Trust website.

FOI14 040


know how much your trust has spent on specialist bariatric equipment for obese patients from January 2012

what equipment was purchased eg specially strengthened toilet seats and how much the equipment

s consent for direct marketing.

Please provide the following information: Please note the Isle of Wight NHS information prior to this date. If you require information prior to this date please contact the DepartHealth. wish to I

to the present day. Please statecost. Response – The Trust do not hold this information. Please note that this response does not constitute a A copy of this response will be published on the Trust website.

FOI14 043


Respoof

Re

this response does not constitute as consent for direct marketing.


1) On how many occasions in the past three years have either police or the Crown Prosecution Service requested from hospitals within this Trust patient information about a minor; and on how many of these occasions was the requested information disclosed? nse- This would require a manual examination of patient health records which constitutes personal

data as defined within the Data Protection Act 1998 and is therefore exempt under s.40 (2) of the Freedom Information Act 2000.

2) If it is known, how many of those requests for information referred to in Question One related to investigations into suspected cases of female genital mutilation; and how many of these requests were granted?

sponse- N/A. Please note that A copy of this response will be published on the Trust website.

Financial Code Monthly Summary Report 7-Jan-2014 Page 1 of 1

December 2013

St. Mary's Hospital Values (inclusive of VAT) of INCREASE transactions

Third Sub-group

Selection of BNF Codes Totals

All Issue Types

Deliveries from Suppliers Requisitions

INCREASE Transaction Types:

HINCHLEYD HINCHLE784237by 8:43at7-Jan-2014compiled on

BNF

Code Title

Purchases

This Month

Purchases

Last YTD

Purchases

This YTD

Deviation

Value

Deviation

%

Total

Last Year

Projected

Total

Deviation

Value

Deviation

%

Number of Transactions

This YTD Last YTD PProjected

09.05.01.01 Calcium supplements 80.52 1,357.83 1,103.50 -254.33 -18.73 1,800.70 1,471.33 -329.37 -18.29 97 73 103

09.05.01.02 Hypercalcaemia and hypercalciuria 150.90 0.00 3,494.70 3,494.70 * 0.00 4,659.60 4,659.60 * 23 17 0

09.05.01.03 Magnesium 538.25 1,500.29 3,632.47 2,132.18 142.12 2,171.09 4,843.29 2,672.20 123.08 101 76 74

09.05.02.01 Phosphate supplements 232.77 1,018.59 1,448.98 430.39 42.25 1,349.61 1,931.97 582.36 43.15 41 31 38

09.05.02.02 Phosphate-binding agents 0.00 403.49 878.83 475.34 117.81 403.49 1,171.77 768.28 190.41 7 5 5

09.05.04.00 0.00 17.70 29.85 12.15 68.64 17.70 39.80 22.10 124.86 3 2 3

SUB-TOTAL for 09.05.01.01 to 09.05.04.00 1,002.44 4,297.90 6,290.43 146.36 5,742.59 14,117.76 8,375.17 145.84 204 223 272 10,588.33

GRAND TOTAL for SELECTED codes 1,002.44 4,297.90 10,588.33 6,290.43 146.36 5,742.59 14,117.76 8,375.17 145.84 204 223 272

Financial Code Monthly Summary Report 8-Jan-2014 Page 1 of 1

December 2013

St. Mary's Hospital Values (inclusive of VAT) of INCREASE transactions

Third Sub-group

Selection of BNF Codes Totals

All Issue Types

Deliveries from Suppliers Requisitions

INCREASE Transaction Types:

HINCHLEYD HINCHLE8111945by11:21at8-Jan-2014compiled on

BNF

Code Title

Purchases

This Month

Purchases

Last YTD

Purchases

This YTD

Deviation

Value

Deviation

%

Total

Last Year

Projected

Total

Deviation

Value

Deviation

%

Number of Transactions

This YTD Last YTD PProjected

09.06.01.00 2.86 2.60 22.94 20.34 782.31 2.60 30.59 27.99 1076.54 11 8 2

09.06.02.00 677.58 6,564.58 5,889.88 -674.70 -10.28 8,661.47 7,853.17 -808.30 -9.33 160 120 158

09.06.03.00 7.13 74.12 47.71 -26.41 -35.63 76.52 63.61 -12.91 -16.87 31 23 24

09.06.04.00 1,505.22 6,517.87 7,879.93 1,362.06 20.90 8,958.47 10,506.57 1,548.10 17.28 235 176 227

09.06.05.00 0.00 143.97 109.25 -34.72 -24.12 383.92 145.67 -238.25 -62.06 3 2 6

09.06.06.00 230.19 2,023.00 2,136.85 113.85 5.63 2,736.91 2,849.13 112.22 4.10 57 43 62

09.06.07.00 31.81 705.74 529.12 -176.62 -25.03 863.74 705.49 -158.25 -18.32 73 55 72

SUB-TOTAL for 09.06.01.00 to 09.06.07.00 2,454.79 16,031.88 583.80 3.64 21,683.63 22,154.23 470.60 2.17 427 551 570 16,615.68

GRAND TOTAL for SELECTED codes 2,454.79 16,031.88 16,615.68 583.80 3.64 21,683.63 22,154.23 470.60 2.17 427 551 570

1

Patient Information Leaflet

Outpatient Hysteroscopy

Produced by: The Department of Obstetrics & Gynaecology

November 2012 Review due November 2015

2

What is Outpatient Hysteroscopy? Hysteroscopy is an examination to inspect the lining of the uterus (womb) using a fine telescope. This investigation can be carried out in outpatients eliminating, in most cases, the need for patients to be admitted to the ward for an anaesthetic. The procedure does not require you to stay in hospital and can be stopped at any time, if you tell us to, as you are wide-awake. Why is it being performed? You may have been experiencing abnormal uterine bleeding or discharge and the hysteroscopy will help the doctor to find out why this has been happening. You may have had an ultrasound which suggests there is a polyp or fibroid in the uterine cavity which could be removed in an outpatient setting. You may have a coil which is difficult to remove and this can be done using the hysteroscope. What does the procedure involve? We use a special chair which has been designed for the comfort of the patient. We suggest you wear a skirt or clothing that is easy to remove. We use a very small diameter telescope (hysteroscope) to see the entire inside of the womb. It is usually possible to pass the hysteroscope without the need to dilate (stretch) the entrance to the womb (the cervix). This is possible because we use saline fluid to gently distend the cervix and the space inside the womb so that a clear view is obtained. A biopsy can be taken for analysis at the same time using a sampling device. If small polyps or fibroids are seen it may be possible to remove them in an outpatient setting. The procedure usually only lasts 5 – 10 minutes. We may rarely need to dilate the cervix to pass the scope. You may, if you wish, look at the television screen to see what we see. You may experience cramping and discomfort during and after the procedure, therefore please take an Aspirin like drug (Ibuprofen/Aspirin) and Paracetamol 2 hours before you come to clinic (provided you are not allergic to these) to reduce the discomfort. You will be kept fully informed as to the findings at the time of this investigation. Whether or not you will require anything further to be done will be discussed with you at the end of the procedure. Your doctor will write to you and your GP with the results of this procedure. What are the possible risks of this procedure? Outpatient hysteroscopy is possible in at least 90% of people and is not possible in 5% because of technical reasons and 5% because of discomfort or anxiety. If we can not complete the procedure you will need to have it done under general anaesthetic. This is a very safe operation, which is frequently performed but you should be aware of a few small risks.

3

o There is a small risk of infection for which you may be required to take antibiotics. o There is a less than 1 in 500 chance of perforation of the womb (making a hole in the

womb). This is not serious but if a perforation is suspected you may require antibiotics. The hysteroscopy is done under direct vision so it would be exceptionally rare to have caused damage to any organs outside the uterus.

Following surgery You may experience some vaginal bleeding, you may also notice a brown discharge. This may last for up to a week. To reduce any risk of infection, it is best to avoid sexual intercourse and the use of tampons until this discharge stops. If you have had a procedure to remove a polyp or fibroid it may not be possible to remove the whole specimen even if it is detached from the womb. If this is the case a biopsy will be taken and the rest will pass naturally and may be seen as a lump of tissue.

If your bleeding becomes heavy or smells offensive, please contact your GP.

PLEASE NOTE THIS IS A SPECIALISED CLINIC WITH LIMITED APPOINTMENTS. IF YOU ARE UNABLE TO ATTEND PLEASE CONTACT THE HOSPITAL ON TELEPHONE NO. 534876 AS SOON AS POSSIBLE TO ENABLE THE SPACE TO BE FILLED.

We hope that attending the clinic implies you consent to hysteroscopy being performed, providing we are able to answer any questions you may have. You can get further information on all sorts of health issues through NHS interactive available through Sky TV or online at: http://www.nhsdirect.nhs.uk/ For Health advice and out of hours GP service please call the NHS 111 service on: 111 We Value Your Views On Our Service If you wish to comment on the care which you, your relative or friend has received, we will be pleased to hear from you. Please speak to the person in charge of the ward, clinic or service in the first instance or ask them to contact the Quality Team. If you wish to contact them directly, telephone on 534850. Alternatively you may prefer to write to: Chief Executive Isle Of Wight NHS Trust St Mary’s Hospital Newport Isle of Wight PO30 5TG You can also share any concerns you have about our services with the Care Quality Commission (CQC) on 03000 61 61 61 or at [email protected] All NHS sites are no smoking areas. If you would like help and advice to stop smoking please call: Freephone 0800 169 0 169 to talk to the NHS Smoking Helpline. Ref: OG/OH/4

Quality care for everyone, every time

2013/2018Isle of Wight NHS Trust

Our plans for the future


3

WelcomeWe are applying to become an NHS Foundation Trust (FT) in order to keep our NHS local and to be able to truly take the wishes of our Island community into account. As part of our application we must outline our plans for the next fi ve years, which we call our Integrated Business Plan (IBP). The IBP will describe our vision for the Trust and the health services we will provide to our Island population, our goals and how we will achieve these goals.

We are asking our staff, commissioners (the people who buy our services on behalf of the Island), people who use our services, members of the public, partners and other interested groups to comment on our work so far and to help us shape our plans for the future.

About usThe Isle of Wight NHS Trust was formed in April 2012, from the split of the previous Isle of Wight Primary Care Trust into the Isle of Wight Clinical Commissioning Group and the Isle of Wight NHS Trust. It is England’s only integrated acute, community, mental health and ambulance provider, meaning that our patients can receive care from all of our services in a seamless way.

4

VisionWe will provide quality care for everyone, every time.

For us this means that:

• Our patients and their families will say that we care and would recommend us to others.

• We will provide the right service for every individual, every time, delivered locally wherever clinically appropriate and cost effective.

• We will be an excellent, trusted provider of care, central to the health and wellbeing of Island residents and visitors.

• Our services will provide the best integrated care in the country - services integrated with each other and with those of our partners and deliver an Isle of Wight system-wide strategy for integrated care.


5

Our clinical modelIsle of Wight healthcare provision will be nationally recognised as a centre of excellence for integrated health care services.

The services we will provide

6

ACUTECARE

St Mary’s Hospital in Newport, with 312 beds and 23,000 admissions each year, is our main base for acute services for the Island’s population. Services include A&E, the Beacon Centre (providing walk-in access to GP services), emergency medicine and surgery, planned surgery, intensive care and comprehensive maternity, neonatal intensive care and paediatric services.

St Mary’s Hospital in Newport, with 312 beds and 23,000 admissions each year, is our main base for acute services for the Island’s population. Services include A&E, the Beacon Centre (providing walk-in access to GP services), emergency medicine and surgery, planned surgery, intensive care and comprehensive maternity, neonatal intensive care and paediatric services.

AMBULANCESERVICES

Our ambulance service delivers all emergency and non-emergency ambulance transport for the Island’s population, and from a central base responds to over 24,000 incidents each year. The service is also responsible for transporting patients to mainland hospitals as required.

Our ambulance service delivers all emergency and non-emergency ambulance transport for the Island’s population, and from a central base responds to over 24,000 incidents each year. The service is also responsible for transporting patients to mainland hospitals as required.

COMMUNITYSERVICES

We provide district nursing, health visiting, community nursing teams, a primary dental care service and orthotics, as well as inpatient rehabilitation and community post-acute stroke wards. Services are delivered in patients homes, in community settings and from St Mary’s Hospital.

MENTALHEALTH

SERVICES

Our mental health services provide inpatient and community based mental health care. We have 57 beds and community mental health teams supporting a case load of around 1,300 patients. Our portfolio includes learning disabilities, specialist child and adolescent mental health services, Tier 3 drug and alcohol service, early intervention in psychosis, memory service and intensive outreach service for residential and nursing homes.

Our mental health services provide inpatient and community based mental health care. We have 57 beds and community mental health teams supporting a case load of around 1,300 patients. Our portfolio includes learning disabilities, specialist child and adolescent mental health services, Tier 3 drug and alcohol service, early intervention in psychosis, memory service and intensive outreach service for residential and nursing homes.

I SLE OF WIGHTNHS TRUST

S E R V I N GO U R P A T I E N T S

A N D T H E I R F A M I L E S

Our servicesThe diagram above summarises the portfolio of services we deliver.


7

QualityTo achieve the highest possible quality standards for our patients in terms of outcomes, safety and experience.

Clinical Strategy

To deliver the Trusts clinical strategy, integrating service delivery within our organisation and with our partners, and providing services locally wherever clinically appropriate and cost effective.

Resilience

To build the resilience of our services and the organisation, through partnerships within the NHS, with social care and with the private sector.

ProductivityTo improve the productivity and effi ciency of the Trust, building greater fi nancial stability.

WorkforceTo develop our people, culture and workforce competencies to implement our vision and clinical strategy.

Our plans for the next five yearsOur goals

Our strategic objectives say what we plan to do over the next fi ve years to help us achieve our vision.

8

Quality Care for Everyone, Every Time

Clinical Quality:

To achieve the highest possible clinical standards for our patients in terms of

outcomes, safety and experience

Workforce:

To develop our people, culture and workforce competencies to implement

our vision and clinical strategy

To build the resilience of our services and organisation, through partnerships within the NHS, with social care and the private sector

Operational Performance:

To improve the productivity and efficiency of the Trust, building greater

financial sustainability

Finance & Efficiency:

Isle of Wight outcomesOur success will be measured on outcomes that matter to our population, service users and commissioners.

Balanced score card for our fi ve year strategic objectives

Our service developmentsTo deliver our strategy we will deliver four key service developments.

Three of our service developments will redesign ways in which a patient receives care to ensure we remain clinically and fi nancially viable by delivering services which are more joined up and through which patients fl ow quicker. The fourth development focuses on new business. Our service developments are:

• Further development of the hub – our central patient communications centre.

• Patient pathway redesign.

• Integrated locality teams.

• New and innovative business ideas.

The fi rst three developments effectively mirror a patient’s journey through our services from initial contact (the hub), inpatient treatment (patient pathway redesign) and discharge to community services (integrated locality teams). These developments are therefore complementary with each other and all contribute towards a goal of reducing use of acute inpatient treatment by reducing length of stay, admissions and readmission rates treating patients closer to home. The fourth development refl ects our ambition to grow.

The development of the hub as the single point of contact for Island health services is essential to delivering our clinical strategy of integration and achieving our vision of providing excellent integrated care for the Island.

Patient pathway redesign initiative will contribute to delivering high quality care by redesigning hospital based services to ensure we achieve consistently higher levels of patient and GP satisfaction across all of our services by ‘getting it right’ every time.

Quality is our guiding principle: quality, perceptions and outcomes will improve if we can provide seamless services based on the working integration of community health services, primary care and adult social care. Greater integration will support productivity through a reduction in multiple visits to the same patients which would promote continuity of care, the sharing of estate and administrative support.

Become a member...Have your say about local health matters by becoming a member of our Trust.

Who can join as a member?

Membership, which is free, provides even more opportunities for the local community, the people who use our services, staff and partners to get involved in our work, share experiences and have a much bigger say in the way local health services are run.

You can decide how involved you would like to be. You might choose to receive updates, you might like to comment on our plans and take part in events. Alternatively, if you are 18 and over you may consider standing for election as a Governor. The choice is yours!

The larger and more involved our membership is, and the more closely it refl ects the different communities we treat as patients, the better. We aim to make improvements to our services based on what you say. We need as many interested people as possible to join us – and we’d encourage you to be one of them.

You must be at least 11 years old to become a member.

The Trust reserves the right to refuse or withdraw membership where an individual has been verbally or physically abusive towards our staff.

How do I become a member?

All you need to do is complete a form. If you would like a form please contact us on 01983 822099 ext 5703 or email [email protected]. Alternatively, visit www.iow.nhs.uk/membership and fi ll in an application online.

Need more information?

Please visit our website at www.iow.nhs.uk or phone the Membership Offi ce on 01983 822099 ext 5703.

How can you become involved?We would like you to tell us what you think of our future plans. You can comment on these in a number of ways.

by emailing: [email protected]

by calling: 01983 822099 ext. 6175

by writing to: Communications Department, Trust HQ,St Marys Hospital, Newport, Isle of Wight PO30 5TG

by visiting: www.iow.nhs.uk/ibp and fi lling in the form online

Freedom of Information Act Published on Trust Website ... - January 2014.pdf · Freedom of...

Documents

Transcript of Freedom of Information Act Published on Trust Website ... - January 2014.pdf · Freedom of...