walsallccg.nhs.uk · Web viewFOI Requests Details FOI Request 255 Formulary Emollient Review FOI...

Q3 Freedom of Information 2019-20

FOI Requests DetailsFOI Request 255 Formulary Emollient Review

FOI Request 256 Core GP I.T. Services

FOI Request 257 Private Companies and Community Interest Companies that have been commissioned to provide services performed by healthcare professionals.

FOI Request 258 Social Enterprises currently contracted to provide Healthcare Services on behalf of Walsall Clinical Commissioning Group.

FOI Request 259 Information relating to fractured or broken limbs.

FOI Request 260 Wheelchair Service

FOI Request 261 Nurses who are trained and available to care for Clozapine patients.

FOI Request 262 Wrist fracture (in adults over 50 years old).

FOI Request 263 Learning Disabilities

FOI Request 264 Primary Care Networks (PCNs)

FOI Request 265 Mental Health Services

FOI Request 266 Patient Transport Services

FOI Request 267 Telephone System Maintenance Contract

FOI Request 268 Weight Management Services

FOI Request 269 Non-urgent patient transport/DNA’s/Missed appointments

FOI Request 270 Social Prescribers

FOI Request 271 Primary Care Networks (PCNs) and GP Member Practices

FOI Request 272 Best Practice Tariffs (BPT) by hospitals performing prosthetic replacement of the hip or knee operations.

FOI Request 273 Rebate agreements for pharmaceutical products/drugs.

FOI Request 274 Care Home enhanced services commissioned by Walsall Clinical Commissioning Group.

FOI Request 275 Prescribing algorithm for advanced therapeutics/biologics for patients with rheumatoid arthritis.

FOI Request 276 Learning Disability Mortality Review (LeDeR)

FOI Request 277 I.T. Service Management and Desktops ITAM trends

FOI Request 278 Optical services and schemes commissioned by Walsall Clinical Commissioning Group.

FOI Request 279 Continuing Healthcare Assessments

FOI Request 280 Manned response and monitoring centre

FOI Request 281 E-mail addresses for Practice Managers and GP Surgeries

FOI Request 282 Helicobacter pylori testing using Diabact, INFAI or pylobactell test kits.

FOI Request 283 Suicide Risk Assessments

FOI Request 284 Continuing Healthcare Assessments


FOI Request 286 Community Based Services

FOI Request 287 Enhanced/Intensive Community Support Service.

FOI Request 288 Specialist Residential Placements for adults and children.

FOI Request 289 Use of personal devices to access email at work.

FOI Request 290 Joint Formulary Guidelines

FOI Request 291 Primary Care Network Development Contact Details

FOI Request 292 Medication Prompts

FOI Request 293 Sessions of cognitive behavioural therapy.

FOI Request 294 Use of third-party printer cartridges in GP practices

FOI Request 295 Pilot Schemes

FOI Request 296 Calls to the 111 service

FOI Request 297 Urology Product Formularies

FOI Request 298 Commissioning of a Data Protection Officer for General Practice

FOI Request 299 Non-emergency eye surgery

FOI Request 300 Structured Diabetes Education (SDE) programme(s)

FOI Request 301 Psychosis/Personality Disorder placements/

FOI Request 302 Individual funding requests regarding unlicensed Cannabis-Based Products for Medicinal Use (CBPMs)

FOI Request 303 Musculoskeletal Services (MSK)

FOI Request 304 Governing Body – Register of interests 2018/19

FOI Request 305 Repetitive Transcranial Magnetic Stimulation (rTMS).

FOI Request 306 Procedures of Limited Clinical Effectiveness - (previously known as low priority treatments) POLCE/

FOI Request 307 Musculoskeletal Service (MSK)

FOI Request 308 Waiting times for NHS funded Medical abortion.

FOI Request 309 Medicine prescription, dispensing and administration in care home.



FOI Request 312 Information Technology and Estates Infrastructure

FOI Request 313 NHS Continuing Healthcare – Primary Health Needs Test

FOI Request 314 ESR/Data Quality

FOI Request 315 Community Paediatric Feeding and Swallowing (dysphagia) Services

FOI Request 316 CHC Choice and Resource Allocation Policy

FOI Request 317 CHC – DST Assessment

FOI Request 255

To whom it may concern

I send this email with an understanding that there is a draft emollient formulary that has been created and pending a finalisation meeting in October.

I request with this email the freedom of information and minutes from the meetings that have taken place to discussions to the emollient review and rational.

Walsall Clinical Commissioning Group Response:

The CCG would advise that Section 22 information intended for future publication of the Freedom of Information Act 2000 is being applied to this response. The minutes of the meeting will be made available via the formulary webpage www.walsallformulary.nhs.uk towards the end of October.

FOI Request 256

Please could you tell me what your CCG spend on Core GP IT services, and secondly what your CCG spend on IT services provided to the CCG (for example help desk support, 1,2,3 rd line support, networking, business as usual services if this is different to the above).

I would like this information for the financial years 2018/19 and 2019/20 and in £


The CCG’s IT services are contracted from Walsall Healthcare Trust, it would be more appropriate for your request to be responded to by their IT services; please forward your request to [email protected]

FOI Request 257

Please may I request the names of the following Companies/Organisations;

Private Companies & Community Interest Companies that have been commissioned to provide services performed by healthcare professionals

o To only include all contract awards that are current i.e. services are currently being provided

o To include only contracts/awards with an estimated annual value of a minimum of £1,000,000

o To exclude awards made by local authorities for domiciliary care services

mailto:[email protected]

http://www.walsallformulary.nhs.uk/

o To include, but not limited to; complex nursing care, healthcare services in the Prison service, NHS treatment centres, community nursing services, hospital services, out of hours’ services, NHS 111 services, urgent care services

o To include a description of the service being provided


- Spire Healthcare Limited Routine elective services.

- Malling HealthOut of hours’ service and urgent care.

FOI Request 258

I am writing to request information under the Freedom of Information Act 2000 and would be very grateful for your help.

Please provide the following information about any Social Enterprises which are currently contracted (either as the main contractor or as a sub-contractor) to provide Healthcare services on behalf of your Clinical Commissioning Group:

Name of Organisation Main contact (if known)

To assist you, social enterprises are organisations that have a core social mission. They can be identified by certain legal structures such as:

- Community Interest Company- Company limited by Guarantee- Community Benefit Society- Industrial and Provident Society- Cooperatives- Any charitable structures

I would prefer please to receive the information by email and I would be grateful if you could confirm that you have received this request.


Name of organisation Main contact/details *

Acorns HospiceMarie Stopes International - BirminghamCompton HospiceMarie Curie Cancer CareSt. Giles HospiceWalsall Cardiac Rehabilitation Trust

(Heartcare)Accord Housing Association Limited &Age UK (PAD's)Accord Housing Association LimitedWPH Counselling and Education ServiceJohn Taylor Hospice

* The CCG is not able to provide personal contact/details; the CCG would apply Section 40 (Personal Information) of the Freedom of Information Act to this aspect of the response as it would constitute personal data.

FOI Request 259

I am carrying out research into fracture rates, fracture plastering and associated costs around the UK and would be grateful if you could provide us with the following information for your CCG:


The CCG would advise that we do not hold the data to the questions listed below. The CCG would advise that it would be more appropriate for you to contact Walsall Healthcare Trust using; you can forward your request to [email protected]

Information Requested:

I would like to know

1. The number/quantity of casts applied to fractured or broken limbs in your CCG area a. Ideally this data would be split out by limb type and age (adult/child)

2. The annual cost to your CCG of Plastering fractured/broken limbs to include materials and labour

3. The annual cost to your CCG of Re-plastering fractured/broken limbs to include materials and labour – where the original cast had to be replaced/failed for various reasons

a. If there is no specific cost identified for re-plastering, I would like to know the percentage of casts that have to be replaced if this is recorded instead

I would like the data for as many years in the last decade 2008 to 2018 as you can provide it please.

I am happy to have this data in summary level, spreadsheet or table.

FOI Request 260

Dear NHS Walsall Clinical Commissioning Group, I would be most grateful if you would kindly furnish the following information under the Freedom of Information Act:


1) Is your Wheelchair service procured as a separate service, or is it combined with other services such as Community Equipment, Prosthetics etc. If so, which services is it combined with?

The service is procured as a separate Service

2) Is your wheelchair service procured as an integrated wheelchair service (i.e. Assessments and approved repair in one contract) or separately as different contracts?

Commissioned as an integrated service. There is a sub-contract for approved repair.

3) Is your provider / providers an NHS organisation or a contracted out non NHS organisation?

NHS organisation

4) What is the name of your current Wheelchair Services provider – or if Approved Repair and Assessments are provided separately, what are the names of the providers for each service?

Walsall Healthcare Trust. Approved repair is provided by Ross Care.

5) Is your wheelchair service exclusive to your CCG?

Yes

6) If your service is combined with another CCG please provide a list of the CCGs that share this wheelchair service and confirm who is the lead CCG?

N/A

7) When was each part of your wheelchair service (Assessment, Approved Repair, or integrated) last tendered?

This service transferred to Walsall Healthcare Trust as part of the Walsall Primary Care Trust Community Services in 2012. Approved Repairer awarded contract on the 1st April 2018 on a 3 year +1 year +1 year basis

8) When does the current contract expire. Please provide details of any potential contract extensions?

Service is commissioned as part of block contract with Walsall Healthcare Trust each year

9) Please provide the date this Wheelchair service will be next tendered?

N/A as above

10) What is the size of the population covered by your wheelchair service?

Population circa 280,000

11) How many registered users are served by the Wheelchair Service?

This data is not available to the CCG.

12) What is the contract spend in the last financial year for the integrated Wheelchair service?

The costs of this service form part of the overall block contract with Walsall Healthcare Trust, with an estimated cost of £971K assigned to it.

FOI Request 261

As an independent researcher I am in the process of gathering and analysing healthcare data, and am currently looking to ascertain the number and percentage of nurses within each CCG in the UK who are trained and available to care for Clozapine patients.

This data doesn’t appear to be accessible in any single, compiled forum, so I would therefore be very grateful if you could furnish me with that information in relation to your CCG area.


The CCG does not employ nursing staff and would not hold this data.

FOI Request 262

We are working on a programme of research aiming to optimise outcomes after wrist fracture in the over 50s.

We are issuing this freedom of information request to CCGs in order to try and understand clinical practice and current provision of rehabilitation after wrist fracture (in adults over 50years old) nationally.

We would be most grateful if you could respond to the FOI query outlined below:

1. Does your CCG commission rehabilitation services e.g. physiotherapy or occupational therapy, for patients over the age of 50 after wrist fracture? Yes / No (please delete inappropriate option) 2. Within your CCG, are there any local criteria or policies that are being used to guide clinical decision-making regarding referrals to rehabilitation after wrist fracture? Yes / No (please delete inappropriate option) 3. If yes to Question 2, please can you send us a copy of the said criteria or local policies (e.g. PDF, Word Doc)? Please attach in your email response or send via post to the address below. N/A 4. Are there any restrictions on clinicians’ referrals to rehab services (physiotherapy / OT / other) for patients with wrist fracture? No

FOI Request 263

Please see attachment FOI 263.

FOI Request 264

Under the provision of the Freedom of Information Act 2000 please can you answer the following questions:

1. Name of every Primary Care Network (PCN) registered with your CCGWalsall Clinical Commissioning Group Response:

This information is available on our CCG website https://walsallccg.nhs.uk/about-us/primary-care-networks/

2. Name of each PCN Clinical DirectorThis information is available on our CCG website https://walsallccg.nhs.uk/about-us/primary-care-networks/

3. Address of each PCN lead practiceWalsall CCG PCN Leads

Contact via [email protected]

PCN PCN GP Lead PCN Total List Size @ Jan

2019

No. GP Practices in

PCNNorth Dr Nasir Asghar 51235 10

South 1 Dr Riaz Ahmed 43006 9

South 2 Dr Ryan Hobson 40158 6

East 1 Dr Sandeep Kaul 32951 8

East 2 Dr Francois Bolliger 42447 5

West 1 Dr Ravinder Sandhu 32178 6

West 2 Dr Shadia Abdalla 46157 8

7 PCNs 288132 Total 52 GP Practices


https://walsallccg.nhs.uk/about-us/primary-care-networks/




4. Contact number for each PCN lead practiceWe cannot disclose personal information, practice details are available on our website https://walsallccg.nhs.uk/about-us/primary-care-networks/

FOI Request 265

Please see attachment for FOI 265

FOI Request 266

I am currently looking into how better management of data can play a key in improving patient transport services and experience when combined with the use of technologies, but to achieve this, I need to understand the following things.

What is the average call duration for arranging transport? How many patients fail to cancel their transport when they choose not to attend their

appointment? If a patient decides to cancel an appointment, reschedule or discharged themselves while

they have arranged transportation.

o How is this information transferred back to the transportation company?

o If the patient fails to contact the transport provider, what is the financial consequence for every patient?

o On the average, how many patients fail to cancel their journeys when they choose not to attend appointments every month or yearly?

Does the transport provider have a rough estimate of the number of patients that requires transportation?

In some trust, a patient need for transport is captured within their EPR system, is that the case within your Trusts? If this is not the case, does your EPR system have they capability to do so?

When do the patients who require transportation become known to the provider? Is after their appointment is booked or beforehand?

How many hospital appointments have been missed due to patient transport lateness (other than due to severe weather conditions affecting the patient transport service) in each year since 2015?


it would be more appropriate for your request to be responded to by Walsall Healthcare Trust, you can forward your request to: [email protected]



FOI Request 267

I would like to request the following information for research purposes please. This will enable our company to potentially approach you with a maintenance contract for your telephony support when the time is right, rather than randomly!

Information with regards to the organisation's telephone system maintenance contract (VOIP or PBX, other) for hardware and software maintenance and support.

Which manufacturer (PBX or VOIP) are you using as your core telephone system? E.g. Avaya, BT, Cisco, Mitel, Skype for Business?

Approximately how many extensions does the system support across your organisation? Who is the incumbent/support partner for the maintenance of your VOIP/PBX? How many of those extensions are contact centre/customer service agents? When does your PBX/VOIP support contract expire?

Most of the organisations that I’ve been in touch with so far have been able to answer these questions, but if there are any issues or you would like clarification on anything, please let me know.


Walsall CCG’s telephone contract management and maintenance support is sub contracted to Walsall Healthcare Trust, it would therefore be more appropriate for your request to be responded to by Walsall Healthcare Trust, you can forward your request to: [email protected]

FOI Request 268

Under the Freedom of Information Act, would you please be able to provide answers to the following?

How many patients have received either a) a multidisciplinary Tier 3 or b) a Tier 4 weight management service in each of the past 5 calendar years in your CCG area?

Please list all the a) multidisciplinary Tier 3 and b) Tier 4 obesity services that you have commissioned in the past calendar 5 years.

Do you have a list of procedures of limited clinical value?

- If yes, does this currently include either a) a multidisciplinary Tier 3 or b) a Tier 4 weight management service?


- When were each of these added to the list of procedures of limited clinical value? How many a) multidisciplinary Tier 3 and b) Tier 4 weight management services have you decommissioned in each of the past 5 calendar years?- Please provide details of these.


The CCG does not hold the data to provide a response to your questions, it would be more appropriate for your request to be responded to by Walsall Council. You can forward your request to [email protected]

FOI Request 269

As a part of my research which involves non-urgent patient transport, missed appointments and DNA’d appointment. I need to understand the following:

1. In the last two years, what is the total number of aborted journeys? What were the common reasons for this? E.g. patient is an inpatient.

2. How much does each cancelled journey cost?

Question around patient appointment

1. In the last two years, what is the total number of cancelled appointments either by patient and clinic? And what are the common reasons behind does cancellations?

2. In the last two years, what is the total number of DNA’d appointment? What are the common reasons behind does DNA’s?

3. What is the cost of each missed appointment?


It would be more appropriate for your request to be responded to by Walsall Healthcare Trust, you can forward your request to: [email protected]

FOI Request 270

Under the Freedom of Information Act 2000, could you please provide me with information on the following:

1.The number of ‘wellbeing prescribers’ or ‘social prescribers’ employed in your CCG area in this financial year (2019/20) and in the previous two years.


Two staff members for 2019/20 for social prescribing.

No social prescribers employed in the previous two years.



2. The amount of money spent on employing either of the above in this financial year (2019/20) and the previous two years

£58,000 spent in 2019/20No money spent on social prescribers in the previous 2 years.

FOI Request 271

I am writing to you under the Freedom of Information Act 2000 to request a list of all Primary Care Networks (PCNs) and their member GP Practices.


This information is available on our CCG website https://walsallccg.nhs.uk/about-us/primary-care-networks/

FOI Request 272

Dear NHS Walsall CCG Freedom of Information Team,I am conducting a nationwide investigation in to the adherence to Best Practice Tariffs (BPT) by hospitals performing prosthetic replacement of the hip or knee operations; namely procedures: OPCS Code: ProcedureW371 W371 Primary total prosthetic replacement of hip joint using cementW381 W381 Primary total prosthetic replacement of hip joint not using cementW391 W391 Primary total prosthetic replacement of hip joint NECW931 W931 Primary hybrid prosthetic replacement of hip joint using cemented acetabular componentW941 W941 Primary hybrid prosthetic replacement of hip joint using cemented femoral componentW951 W951 Primary hybrid prosthetic replacement of hip joint using cement NECW401 W401 Primary total prosthetic replacement of knee joint using cementW411 W411 Primary total prosthetic replacement of knee joint not using cementW421 W421 Primary total prosthetic replacement of knee joint NEC I would therefore request the following information in a CSV or Excel file format for all ELECTIVE spells discharged from Jul 2018 to Jun 2019 (inclusive totalling 12 months) Column Heading EXAMPLE DATA (made up numbers)Provider Org code = RRKProvider Org name = UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUSTProcedure Code = W371ADMISSION METHOD = ELECTIVE ONLYTOTAL Number of Spells discharged Jul18-Jun19 = 1,234SUM TOTAL Number of Bed Days for spells discharged Jul18-Jun19 = 124,560Number of spells submitted for BPT = 1,100SUM TOTAL Number of Bed Days for spells submitted for BPT = 120,459

Number of spells paid on a BPT basis = 537SUM TOTAL Number of Bed Days for spells paid on a BPT basis = 51,456 If spells were to have multiple procedure codes, example W381 and W411, then these are to be presented via concatenation of the procedures of interest identified in the spell. For the example above this would be W381, W411.

Walsall Clinical Commissioning Group Response:Please note the explanatory notes included in the workbook.

FOI Request 273

I would like to request the below information:

A list of pharmaceutical products/drugs that your CCG currently holds rebate agreements for

I would like to request the product names (brand and generic when applicable) with start finish dates and fully understand that the financial details of the rebates would be considered commercially confidential.


Drug(s) covered Start Date Finish Date

AirFluSal Forspiro August 2018 July 2020

Aquacel selected dressings

February 2019 January 2021

Biquelle September 2019 August 2022

Clenil Modulite August 2019 July 2021

E45 cream and E45 Itch Relief cream

January 2019 December 2019

Glucophage SR April 2018 March 2020

Lixiana October 2017 December 2022

Lantus October 2019 September 2020

Seretide January 2018 March 2020

Sevodyne patches October 2018 September 2020

Sirdupla January 2019 December 2019

Xaggitin XL September 2019 August 2021

Zoladex January 2019 December 2019

FOI Request 274

I am writing to make a request for all the information to which I am entitled under the Freedom of Information Act 2000.

Please send me details of any care home enhanced services commissioned by the CCG, setting out the total amount spent in 2018/19 and total budgeted spend in 2019/20 and the amount per patient on all such services and including a copy of it.

I would like the above information to be provided to me as an electronic copy.

If this request is too wide or unclear, I would be grateful if you could contact me as I understand that under the Act, you are required to advise and assist requesters. If any of this information is already in the public domain, please can you direct me to it, with page references and URLs if necessary.

I understand that you are required to respond to my request within the 20 working days after you receive this letter. I would be grateful if you could confirm in writing that you have received this request.


The total amount spent on care home enhanced services commissioned by the CCG in 2018-19 was £223,829. The budget for 2019-20 is £250,000.There are two unit prices in respect of this enhanced service:-cost of a bed is £8.50 per bed per week -Enhanced D2A bed is £195 per six week period per bed.

FOI Request 275

Please provide a current prescribing algorithm for advanced therapeutics/biologics for patients with rheumatoid arthritis treated within your clinical commissioning group.


CCG follow NICE and adhere to the NICE TAGs – the provider; Walsall Healthcare Trust will decide the clinical administration

FOI Request 276

1) How many NHS consultants work privately? Walsall Clinical Commissioning Group Response:Walsall CCG does not hold this information.

2) Which hospitals have employed a learning disability nurse? Which haven't (if applicable)?Redirect to Black Country Partnership Foundation Trust.bcpft. foi @nhs.net

3) Do you take part in the Learning Disability Mortality Review (LeDeR) Programme?Yes

If so I would like to request;

3a) All internal and external communications discussing plans to implement the Learning Disability Mortality Review LeDeR from 2016-present

There is no internal or external communications discussing plans for implementation.

All of the standard letters used to communicate and engage with providers can be found on the LeDer website here: http://www.bristol.ac.uk/sps/leder/

3b) How many reviewers do you currently have? As of 7th November 2019: 6 reviewers

3c) All correspondences between yourself and NHS England when they chase you for completion of mortality reviews to the recognised standard.Not applicable, all reviews are completed to the recognised standard.

FOI Request 277

I am currently doing some research into IT Service Management and Desktops ITAM trends in the UK public sector. Could you kindly provide me with the below information about your organisation:

What software product(s) are you using to manage your IT Service Management (e.g. ServiceNow, Cherwell, Hornbill etc.)?

Who is your current vendor?

When does the contract with your current service desk provider end?

How much does your current ITSM service desk tool cost annually?

When will you be looking to review your current service desk tool?

What software product(s) are you using to manage your desktops ITAM e.g. SCCM, Manage engine etc.)?

Who is your current vendor?

When does the contract with your current desktop provider end?

How much does your current ITAM desktop tool cost annually?

When will you be looking to review your current desktop tool?

Who is your primary IT company contact?

Many thanks in advance for your time.


Walsall CCG’s IT Service management and maintenance support is sub contracted to Walsall Healthcare Trust, it would therefore be more appropriate for your request to be responded to by Walsall Healthcare Trust, you can forward your request to: [email protected]

FOI Request 278/ please also see attachments for this response .

I'm following up on an FOI I submitted in April, below. Reference FOI 151.

A list of all the optional services and schemes commissioned by the CCG that your member GP practices could choose to participate in, in 2019/20 - such as Local Enhanced Services, Local Improvement Schemes (LISs) and Prescribing Incentive/Improvement schemes.

The specification for each of these services/schemes The value of each, i.e., the total amount that can be earned for participation in the

service/scheme per patient.

Can you please provide the 2019/2020 specifications requested, the ones given are either out of date or not dated. My deadline is 12 November.

One specification came to an end in September


Please find below a list of all services we commission. A copy of their specifications is attached separately.

Primary care offerECGGP Supporting Extended AccessGP LIS DiabetesLBTINear Patient testingPhlebotomyPrescribing incentive schemeSMI Health checks serving patients on severe mental illness on registersSpirometryTreatment roomCancer ChampionsBowel Cancer screeningD2A BedsEnhanced primary care medical cover for nursing homes


Also included are 3 AQP LCSs:Diabetes Levels 2 and 3 Anti-coagulation monitoring

Extended minor surgery (have only included the spec as there are about 10+ appendices).

FOI Request 279

Please provide the details of the test applied by Walsall CCG to NHS Continuing Healthcare assessments, the reference being Grogan v Bexley Care Trust.“107, in that consideration in my view, the care trust should 1) Identify the test it applies.


‘Since the Grogan and other legal judgments, the Secretary of State has produced a National Framework for NHS Continuing Healthcare. This Framework introduced the concept of a "Primary Health Needs Test" which must be applied by every CCG across the country so that the decision on eligibility can be determined by applying the same criteria.Details of this test are set out in paragraphs 54 - 66 of the National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care October 2018 (Revised)’

FOI Request 280

Dear Freedom of Information OfficerI am writing to make an open government request for all the information to which I am entitled under the Freedom of Information Act 2000.

Could I possibly suggest that you direct these questions towards one or some of the following Trust employees: - the Matron in charge of the locality, Community Liaison team, Multidisciplinary health and Social care staff, Director of operations, Telecare and response manager if applicable, integrated services manager &/or Director of Nursing.

INTRODUCTION - With future emphasis being towards INTEGRATED CARE, this FOI is investigating how advanced all types of healthcare organisations are, in being able to access information about patients in their own home /other non-hospital settings and supporting the local population with long term conditions.

This part of the FOI survey is directed at CCG Trusts,(although other types of healthcare providers will also be polled) and relates to the use, endorsement or sub-contracting of a manned response and monitoring centre, to provide 24x7 monitoring and communication which may;

address patients’ concerns and questions act upon safety-related alarms and alerts Include out of hours provision for NHS patients and private customers alike.

Some CCG’s have already implemented monitoring centres and even promoted these to other NHS organisations as an income generating opportunity. We understand that the greater impetus has been to promote dignity, independence and safety in a patient’s own home and as a way of expediting hospital discharge plus pro-actively reducing hospital re-admissions and A&E attendances as well as taking the pressure from over stretched GP services. Not to be confused with 111,

(although a monitoring centre shares some similarities) a monitoring centre can pro-actively contact the patients, relatives and carers, as well as take data feeds from a number of devices and alarms, around the home and also attached to the patient at home.

In order to assist with this survey, could you please answer the following:-

(NB- if this FOI represents a multiple of CCG’s please assume we would like responses to reflect all CCG’s covered by the same FOI address)

1. Does your organization presently provide a Telecare operations centre to monitor your local population or monitor specific conditions? – NO / YES

IF the answer is YES please reply to the questions below – 1 to 8 ONLYIF the answer is NO please skip to questions 9 to 10 ONLY

YES – we do have/use a monitoring centrea. Is this service staffed by clinical or non-clinical staff?b. Is this an internal support system using your own staff to monitor the calls?c. Is this an external support system run by a GP consortium, other CCG or acute

Trust/ NHS provider and does this team have a name/department title/ contact?d. Is this an external commercially available centre or Local Authority centre and if

so, could you disclose the name of the 3rd party provider? e. Do you know your cost per patient commitment for using the monitoring service?f. Do you know what Software is used to hold patient contact data and log calls – if

any CRM system used at all? Also if known, do you know the annual cost for use of the software?

g. How could the service/ software- be improved?

2. If CRM/ Call logging system is NOT used, would such a software system prove useful for audit, reporting, management information, communication – or any other reason?

3. Do you know if calls logged are written into your PAS or the patients’ GP system?

4. Do you collect any data from the likes of? -

a. Glucometers/ Spirometers/ weighing scales/ECGb. Future advances such as Body worn devices / smart watches that collect

data such as Spo2, BP, Pulse, Temp, Movementc. Manually taken vital signs at home sent into the cloud and then onto some

other electronic recordd. Wellbeing questionnaires completed by the patiente. Domiciliary visits notesf. GP or Community Nurse or Social care notesg. Smart Home devices such as alerts re Carbon Monoxide levels, Intruder

alarms, Non-Movement etc.h. Fall detection systemsi. Activities of Daily Living monitoring

Other devices – not named above (please comment)

5. If you do not collect data from remote devices, would you see any advantages to incorporating data collected from any of the items listed above, by way of ongoing monitoring, establishing baseline health measurements or general patient & social safety/wellbeing? (please comment)

6. Do you use a Video link to get visual contact with your patients? YES/NOa. If YES – why do you see this as importantb. If NO – why is this not seen as important

c. If NO - is this an aspiration?

7. Have you done any ROI analytics/ produced any research, to rationalize why telecare monitoring does have a place in an ACUTE setting? If YES – are you able to share these?

8. Who are the main person(s)/ decision maker (s) / team – who are responsible for the Telecare monitoring centre?

Any other comments ………………………………………………………………………………………………………………….

9. If the answer is NO – you do NOT have a monitoring system

a. Within the next 2 years, would a Telecare Monitoring Service be something that the Trust would consider as a way of either reducing hospital admissions, supporting an earlier hospital discharge, promoting population health and wellbeing and/or recognizing and acting upon patient deterioration sooner or maybe managing employee workload … (or any other possible advantage not listed)?

YES or NO or UNSUREb. Could you explain your reasoning for any of the 3 possible answers given above

please?

10. Who is the main person(s)/ decision maker (s) / team – who would be responsible for the decision to use a Telecare monitoring centre?

If this request is too wide or unclear, I would be grateful if you could contact me as I understand that under the Act, you are required to advise and assist requesters. If any of this information is already in the public domain, please can you direct me to it, with page references and URLs if necessary. If the release of any of this information is prohibited on the grounds of breach of confidence, I ask that you supply me with copies of the confidentiality agreement and remind you that information should not be treated as confidential if such an agreement has not been signed.


1. No9a. No 9b. Walsall CCG is currently exploring mobile apps as an alternative approach.11. Paul Tulley Director of Commissioning [email protected]

FOI Request 281

Under the Freedom of Information Act, could you kindly please provide us with a current list of the email addresses within your CCG via email for all the following:


- Practice Managers the relevant GP surgeries they manage. https://walsallccg.nhs.uk/about-us/member-practices/

- Practice Managers the relevant Dental surgeries they manage. Please contact: [email protected]

- Practice Managers the relevant Opticians they manage. Please contact: [email protected]

- NHS Trust Senior Members of Staff, their position and trustPlease contact: [email protected]

- NHS Care Home Senior Members of Staff, their position and home. https://www.carehome.co.uk/care_search_results.cfm/searchunitary/Walsall?gclid=EAIaIQobChMI_LutjYuK5gIVQuDtCh0algDaEAAYAiAAEgKvHvD_BwE

- NHS Hospital Senior Members of Staff, their position and hospital. Please contact: [email protected]

- NHS Mental Health Facilities Senior Members of Staff, their position and facility. Please contact: [email protected]

- NHS Pharmacies Senior Members of Staff, their position and pharmacy. Please contact: Mrs Donna Macarthur, Director of Primary Care [email protected]

For Walsall Healthcare NHS Trust pharmacy [email protected] and for local community pharmacies https://psnc.org.uk/walsall-lpc/

FOI Request 282

I would like to make a Freedom of Information request please. The request I would like to make is for how much money the CCG (or similar) spent in the last 2 available years of data on Helicobacter pylori testing using Diabact, INFAI or pylobactell test kits.

Walsall Clinical Commissioning Group Response:The CCG does not hold this data.

FOI Request 283

I am currently a PhD student at Staffordshire University conducting research into experiences of suicide risk assessments.

I would like to request the following via the Freedom of Information Act 2000.

1. Which suicide risk assessments do you use?2. What training do staff undertake in using those suicide risk assessments? 3. What training do staff have in assessing risk of suicide in general? 4. What is the procedure staff follow when they identify a person at risk of suicide? 5. How many people have been assessed for risk of suicide between 2012 and 2020, if possible

by month and general practice6. How many people were identified as at risk of suicide between 2012 and 2020, if possible by

risk category, month and general practice

I would grateful if you could provide the information in the form a responding email.

If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, I would be grateful if you could provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request.

If you can identify any ways that my request could be refined, I would be grateful for any further advice and assistance.


Thank you for your email about Suicide Risk Assessments. I can confirm that it would be more appropriate for your request to be responded to by Dudley and Walsall Mental Health Partnership NHS Trust. You can forward your request to:

[email protected]

FOI Request 284

When carrying out an assessment of eligibility for NHS Continuing Healthcare, a relevant body must ensure that a multi-disciplinary team undertakes an assessment of needs, or has undertaken an assessment of needs, that is an accurate reflection of that person’s needs at the date of the assessment of eligibility for NHS Continuing Healthcare. Please provide a copy of the FORM/S, used for the assessment of needs as described above, or point to where it can be found.


CHC forms are available on the Walsall CCG website – under Publications – Continuing Healthcare (CHC)https://walsallccg.nhs.uk/publications/continuing-healthcare-chc-publications/


FOI Request 285

Under the freedom of information act please could you provide me with the following information for Walsall CCG:


1. Please provide the name of each Primary Care Network (PCN) that operates within your CCG's region's geographical boundariesThis information is available on our CCG website https://walsallccg.nhs.uk/about-us/primary-care-networks/

2. Please provide the name of the appointed Clinical Director for each of these Primary Care Networks (PCNs) within your region.This information is available on our CCG website https://walsallccg.nhs.uk/about-us/primary-care-networks/

3. Please confirm which healthcare provider organisation, this Clinical Director works from, e.g. CCG name/Acute trust name/Mental Health trust name etc.Walsall CCG – The clinical Directors are GP’s whose Practices are within the boundary of Walsall CCG.

4. Please provide the name of the appointed Digital/IT Lead for each of these Primary Care Networks (PCNs) within your regionA specific PCN IT Digital Lead has not been appointed.

5. Please confirm which healthcare provider organisation, this Digital/IT Lead works from, e.g. CCG name/Acute trust name/Mental Health trust name etc.A specific PCN IT Digital Lead has not been appointed.

FOI Request 286

F.O.I. Request 2019/20

I would be grateful if you could provide the following information for community based services commissioned by the CCG or on your behalf by another CCG or CSU.

Could you please complete the following table for as many providers of Out-of-hours (OOH) services as you have operating within the CCG area?

If you have recently awarded a contract and it is due to start within the next three months, could you please answer for the new contract(s)?

Name of CCG NHS Walsall CCG (05Y)

If you are lead commissioner:

Names of other CCGs on whose behalf you commission these services

N/A

If you are an associate commissioner:Name of the lead commissioning CCG

N/A

If OOH services are not contracted for directly by the CCG but are part of a wider integrated urgent care contract, then name of the lead IUC contractor:

N/A

If you are running a combined IUC contract, please answer questions 1, 2 and 3, for OOH provision as well as NHS 111 and other community services as part of the IUC.

If you do not have an IUC contract, please answer question 1 and 2 on OOH and NHS 111 provision.

1. Name of OOH provider in your CCG area

Population served by OOH provider

Current Annual Contract Value for OOH contract

When is contract due for re-tender?(month and year)

When you re-tender, will OOH be part of a separate contract, or part of a wider IUC?

Provider 1

Malling 270,000 £1.672m June 2021 Integrated

Provider 2

2. Name of NHS 111 provider in your CCG area

Population served by 111 provider

Current Annual Contract Value for 111 contract

When is contract due for re-tender?(month and year)

When you re-tender, will 111 be part of a separate contract, or part of a wider IUC?

Provider 1

WMAS 270,000 £649k June 2021 Integrated

Provider 2

3. Name of Community Services (CS) provider in

Population served by CS provider

Current Annual Contract Value for Other IUC services

When is contract due for re-tender?(month and

your CCG area year)Provider 1

N/A

Provider 2

FOI Request 287

I am making a request for information under the FOI act. The information I require relates to the national building the right support service models, published for transforming care service. For each of the below, please answer the question in relation to children/adults from NHS Walsall CCG’s area accessing services within the Transforming Care Partnership area.

1. What proportion of children with a learning disability in your CCG area has access to an enhanced/intensive community support service within the TCP area (subject to meeting the access criteria for the service)? If no service exists please state

Walsall Clinical Commissioning Group Response:Walsall Clinical Commissioning group (CCG) currently does not have a service provision in place that provides dedicated enhanced/intensive community support. However, the Black Country and West Birmingham STP are working on a drafting a model of care for CYP with learning disability and or Autism. The first priority is to strengthen specialist community teams and intensive support approach.

2. What proportion of children with a diagnosis of autism in your CCG area has access to an enhanced/intensive community support service within the TCP area (subject to meeting the access criteria for the service)? If no service exists please state

Walsall Clinical Commissioning group (CCG) currently does not have a service provision in place that provides dedicated enhanced/intensive community support. However, the Black Country and West Birmingham STP are working on a drafting a model of care for CYP with learning disability and or Autism. The first priority is to strengthen specialist community teams and intensive support approach

3. If yes to the above questions, please share the relevant service specifications (including access criteria)

Not Applicable

4. For all children in your CCG area please state whether there is alternative short-term accommodation within the TCP area for children with a learning disability and or autism who are in crisis or potential crisis? (if the accommodation is not commissioned for either LD or autism please make that clear)

Please refer to the Q1 response above.

There is no short term accommodation, but overnight Residential Short Break (RSB) accommodation is available for Walsall for part of the week for children with a learning disability and/or autism.

5. If there is no alternative short-term accommodation within the TCP area, is the service commissioned by you or others outside of the TCP area?

Not Applicable

6. If yes to the above on alternative short term accommodation, please share the relevant service specifications (including access criteria, and how many beds the accommodation is commissioned to have)

Not Applicable

7. If yes to the above, on how many occasions have children who met the criteria for short term accommodation not been able to access it in the financial year 2018-19.

Not Applicable

If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under your Section 16 obligations, as to how I can refine my request appropriately.

FOI Request 288

Under the Freedom of Information Act, please could you answer the following questions with regard to your services for Specialist Residential placements for Adults and Children with the following

Acquired Brain Injury, Autism, Neurological Conditions, Challenging Behaviour, Physical Disability and Mental Health


1. How do you currently make referrals for Specialist Residential Placements as denoted above?

Adult MH (with or without ASD) response – care coordinator requests placement and options are considered at funding panel.

2. Do you currently source Specialist Residential Placements out of county?

Adult MH (with or without ASD) response - Seek to place in area. Where this is not possible we aim to locate as close to Walsall as possible.

3. Please provide the Name, Telephone and Email address of the person who would make referrals for the services above

Mr. Paul Tulley, Director of Commissioning, [email protected], 01922 619957 for Mental Health

4. Do providers need to be on a Framework, AQP, APL, DPS to obtain referrals?

Adult MH (with or without ASD) response – we ask providers to sign up to our service spec for rehab hospitals.

5. If the answer to Q4 is yes then please provide details of how to be included on the necessary Framework, AQP, APL, DPS etc.

Adult MH (with or without ASD) response – N/A

6. Do you have a fixed charge rates for Specialist Residential Placements and if Yes please advise what your charge rate is.

Adult MH (with or without ASD) response – No

Continuing Health Care do not place in Specialist Residential Placements for Acquired Brain Injury, Autism, Neurological Conditions, Challenging Behaviour, As Physical Disability and Mental Health.

FOI Request 289

1. Does NHS Walsall CCG allow staff to use their own devices to access work email? Please answer Yes or No.

No

2. Does NHS Walsall CCG allow staff to use their own devices for any other work-related activities? Please answer Yes or No.

No

3. If you answered yes to question 2 please provide a list of the types of systems that staff can access from personally owned devices?

4. Does NHS Walsall CCG have a policy that covers BYOD or the use of personal devices at work? Please answer Yes or No.

No

5. If you answered yes to question 4 please could you provide a copy of your policy that covers BYOD or personal device usage at work?

FOI Request 290 The staff names have been redacted to fulfil data protection requirements for the staff. This is for the publishing of our FOI log only

1. Please provide details of the Walsall CCG procedure that is required to be followed when Joint Formulary Guidelines are being developed for Diabetes, Dermatology or Asthma disease states.

Walsall Clinical Commissioning Group response:Follow the TOR for both the Formulary Management Group and the Joint Medicines Management Committee.

The general procedure for developing guidelines is done in a similar manner. There is usually one representative from the CCG as well as Trust specialist (consultant/s) and ideally Trust pharmacist that will usually be involved in the decision making process. This will vary from guideline to guideline.

Where there are multiple drugs within a guideline that are currently non-formulary, separate applications will not be required, by virtue of accepting the guideline, the non-formulary drugs will be given formulary status. Separate decision will be made when formulary medication is no longer part of the guideline and how this changes the formulary status.

If this is an STP approach, there may be a collaborative approach in agreeing a uniform guideline where there will be involvement with one representative minimum from each CCG. The guideline will be reviewed by a specialist (Consultant) in local teams and there will be a collaborative approach.

All products will be reviewed on an individual basis where various factors will be reviewed:

Efficacy of product

Price comparisons

Comparisons with similar products

Product availability from different suppliers

Country of manufacture for each product, and if UK based (ahead of Brexit)

User feedback/ audits

Keeping consistent with primary and secondary care usage

Using the best product, in the right place, at the right time

2. Please provide copies of all the emollient recommendations made by Walsall NHS Trust and the CCG in the recent Walsall Joint Emollient Formulary (October) 2019 which is attached. This should include but is not limited to:

a. Any communication from XXXXXXXXX or xxxxxxxxxxx or anyone from the NHS Walsall Trust Pharmacy Department. It is the specific products recommended by the Trust that they would like added to the Formulary which I would like details of and have copies of the written communication requesting these to the CCG. Specifically details of the communication between the Trust and the CCG recommending the Thornton and Ross range of products.

Please refer to attached folders MMT 1 Q2, MMT 2 Q2, MMT 3 Q2, MMT 4 Q2

b. Copies of all forms completed where such recommendations to the CCG were made.

Formulary applications – Please refer to Appendix 1Formulary guideline 2019 – Please refer to Appendix 2

c. All email communications internally within the Medicines management team discussing the range of emollients to be added to the above formulary with details of the products and reasons for addition to the formulary.


d. Unredacted minutes for all meeting within the Medicines management team over the last 24 months where emollients were discussed.

There are no minutes for the medicines management team meetings.

e. Any request made by any GP in Walsall to request the AproDerm range, Zero range, Cetraben range, Aveeno and Diprobase onto the Walsall formulary or approved list of products.


f. The CCG policy in working with and supporting local businesses based in Walsall and the West Midlands.

Please see Appendix 6

g. The guidelines or concerns the medicines management team have with regards to Brexit and the continuous supply of medicines for its patients. Have there been any guidelines developed for the Medicines management team to follow and ask suppliers when choosing suppliers?

Medicines supply protocol – please refer to Appendix 3

Guide to managing medicines supply and shortage – please refer to Appendix 4

3. Please also supply any conflicts of interest declared by the following CCG employees since 2009 to datei. XXXXXXXX ii. XXXXXXXX

https://walsallccg.nhs.uk/wp-content/uploads/Managers-2019-20-Q3-update-approved-for-internet.docx4. Please supply details of all formulary guidelines that were led by XXXXXXXXXXX as part of the Medicines management team since 2014.

The named individual works on clinical areas as a member of a sub group to the Formulary Management Group, and is not the lead.

https://walsallccg.nhs.uk/wp-content/uploads/Managers-2019-20-Q3-update-approved-for-internet.docx

https://walsallccg.nhs.uk/wp-content/uploads/Managers-2019-20-Q3-update-approved-for-internet.docx

5. Please provide a list of all rebate agreements Walsall CCG currently has for pharmaceutical products and medical devices detailing the following:

Drug(s) covered Start Date Finish Date

AirFluSal Forspiro August 2018 July 2020

Aquacel selected dressings

February 2019 January 2021

Biquelle September 2019 August 2022

Clenil Modulite August 2019 July 2021

E45 cream and E45 Itch Relief cream

January 2019 December 2019

Glucophage SR April 2018 March 2020

Lixiana October 2017 December 2022

Lantus October 2019 September 2020

Seretide January 2018 March 2020

Sevodyne patches October 2018 September 2020

Sirdupla January 2019 December 2019

Xaggitin XL September 2019 August 2021

Zoladex January 2019 December 2019

6. Please provide a list of all products that are currently or were part of a prescribing incentive scheme with GP Practices including the amount paid to all GPs in the CCG as a total for each scheme for the last 3 financial years. Please detail:

a. Product name b. Amount available to practices c. Total amount paid to all practices for the 3 financial year d. Start date of incentive e. End date of incentive

Please refer to Appendix 5

FOI Request 291

1. The name of the Head of Primary Care Network Development for your CCG.

Donna Macarthur

2. The name of the Head of Primary Care Network Development for the Sustainability and Transformation Partnership or Integrated Care system your CCG is part of.

Sarah Southall

FOI Request 292

Medication prompts are defined as: The definition of 'prompting' is: 'the action of saying something to persuade, encourage or remind someone to do or say something'. Prompting of medication is reminding a person of the time and asking if they have or are going to take their medicines. (Google.com)


1. Do you fund Medication Prompts? No2. If yes, under which funding budget line/service is it allocated? (I.e. Pharmacy, IPP, CHC, DTOC etc)NA3. Do you joint fund Medication Prompts with your local Adult Social Service Department? No4. How many clients do you currently fund? NA5. What is your predicted annual spending for Medication Prompts? NA6. How long / since when have you funded Medication Prompting Service? NA

Please provide the information in electronic format at this email address. However, I am happy to receive them by post if that is more convenient.

If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request.

If this request is too wide or unclear, I would be grateful if you could contact me as I understand that under the Act, you are required to advise and assist requesters. If any of this information is already in the public domain, please can you direct me to it, with page references and URLs if necessary?

If you have any queries please don’t hesitate to contact me via email and I will be very happy to clarify what I am asking for and discuss the request, my details are outlined below.If you are not the appropriate authority for this request, or for part of it, please let me know as soon as is convenient.

If the information requested contains sections of confidential information, please blank out or remove these sections, and mark clearly that they have been removed.

FOI Request 293

1) Please state how much you have spent in (i) 2017-18 and (ii) 2018-19 on sessions of cognitive behavioural therapy for your patients.


We do not hold information on the number of sessions of CBT provided across the mental health workforce and we pay for our services on a block contract, and CBT would form part of this overall arrangement but not separated

CCG commissions IAPT services, of which cognitive behaviour therapy is part, from Dudley Walsall Mental Health Partnership Trust, under a block contract arrangement, and the CCG does not receive any detailed information regarding costs for this specific type of treatment. In 2017-18, the CCG funded approx. £745K for IAPT services, increasing to £1.068 million in 2018-19

2) In 2018-19 please state what different types of psychological problems were addressed by sessions of cognitive behavioural therapy.

The CCG does not hold this information. Please liaise with: [email protected]

3) In 2018-19 how many patients suffering from anxiety were treated for anxiety with sessions of cognitive behavioural therapy that were funded by your CCG?

The CCG does not hold this information. Please liaise with: [email protected]

FOI Request 294

Having spoken to many GP practices regarding the cartridges they use in their printers, I'm concerned there is misinformation relating to the use of third party (non-OEM) consumables.

As a result of this, I would like to request the following information:

1) As far as CCG are concerned, is there any prohibition currently in place on a GP practice with regard to using any third-party printer cartridges in a printer?

2) Is it a directive of CCG that only new OEM cartridges may be used in GP practices?

3) What is the view of CCG relating to the use of sustainable remanufactured original toners?

Please can you send the information as Word attachments or PDF files to the following email address:


Walsall CCG’s does not hold this information, however this service is sub contracted to Walsall Healthcare Trust, it would therefore be more appropriate for your request to be responded to by Walsall Healthcare Trust, you can forward your request to: [email protected]

FOI Request 295 Commissioning Response:

I would like details of all pilot schemes (also includes pilot study, pilot project, pilot test, or pilot experiment) where the ending date fell in the last two financial years, 2018-19 and 2019-20 so far.

Please provide the following information for each pilot scheme:


1. The start and end dates 30 October 2017 to 1 November 2019

2. The cost

£38,323 per annum

3. A brief description of what the scheme entailed

To provide support to High Intensity Service Users (Frequent Flyers) of A&E to reduce ambulance conveyance, attendance at A&E and emergency admissions.

4. The outcome – whether it has been abandoned or whether there are plans for it to continue/expand.

The scheme has saved over 1,000 attendances per annum at a saving of circa £500k per month to the CCG. The Project Worker has become permanently employed within Walsall Healthcare Trust and the project has become permanent.

FOI Request 295(a) Primary Care Response:

I would like details of all pilot schemes (also includes pilot study, pilot project, pilot test, or pilot experiment) where the ending date fell in the last two financial years, 2018-19 and 2019-20 so far.

Please provide the following information for each pilot scheme: 1. The start and end dates

Service planning/set up from August 2018 to January 2019. Start date February 2019 to the end of 28th February 2020.

2. The cost

CCG contributions Year 1 £58,000 Year 2 £28,800

3. A brief description of what the scheme entailed

To integrate the Voluntary and Community Sector (VCS) within the new model of care in Walsall, Walsall Together, and test the impact on patient health and wellbeing.

2 Objectives:2.1 To integrate VCS Link Workers within the Place Based Teams and

Integrated Intermediate Care Service.2.2 Expand the cohort of patients eligible for social prescribing in Walsall.2.3 Work closely with Public Health’s ‘Making Connections Walsall’ programme.

Take a pro-active approach to identifying patients who will benefit from non-clinical support.

Track outcomes across the health and care economy and evaluate the impact on patient wellbeing.

4. The outcome – whether it has been abandoned or whether there are plans for it to continue/expand.

Plan is to take learning into the development of social prescribing within primary care networks,

FOI Request 296

I am writing to you under the Freedom of Information Act to request the following information. Please provide it for the CCG or CCGs you have responsibility for.

1. In the 2018/19 financial year, what percentage of calls to the 111 service went unanswered? What was it in 2014/15? What was it in this financial year to date? Please also provide the actual figures.

2. In the 2018/19 financial year, what percentage of calls was answered within 60 seconds? What was it in 2014/15? What was it in this financial year to date? Please also provide the actual figures.

3. In 2018/19, what percentage of callers were called back within ten minutes? What was it in 2014/15? What was it in this financial year to date? Please also provide the actual figures.

4. In the 2018/19 financial year, what was the longest amount of time someone had to wait for a call back from a clinician? What was it in 2014/15? What was it in this financial year to date?

5. In the 2018/19 financial year, what was the average wait time for a call back from a doctor? What was it in 2014/15? What was it in this financial year to date?

6. In the 2018/19 financial year, what percentage of calls ended up having an ambulance sent out to them, what percentage got a visit in their home from an out of hours doctor, what percentage were referred to an urgent treatment centre, what percentage were referred to their GP the next day, what percentage had their problem solved by a GP over the phone, what percentage had their problem solved by a call handler? What were call outcomes, according to these categories, in 2014/15? What were call outcomes according to these categories, in this financial year to date? Please also provide the actual figures.

7. In the 2018/19 financial year what was the ratio of call handlers to clinicians? What was it in 2014/15? What was it in this financial year to date?

8. In the 2018/19 financial year, what percentage of calls made about children, resulted in an ambulance being sent to them? What was it in 2014/15? What was it in this financial year to date? Please also provide the actual figures.

9. Is there always a suitably qualified paediatric specialist clinician available to refer to on every shift?

10. Have ALL call handlers had mandatory annual training on recognising and interpreting signs and symptoms?

Walsall Clinical Commissioning Group Response:The CCG would advise that this service is commissioned across the West Midlands via Sandwell & West Bromwich CCG (S&WB CCG) as the lead commissioner.

We advise that it would be more appropriate for you to re-direct your questions to Sandwell & West Birmingham CCG: [email protected]

FOI Request 297

We are aware that a number of NHS bodies have introduced urology product formularies or intend to do so in the future. These formularies, by their nature, do not include all the products on Part IX. We accept that such formularies may, in some circumstances, be a helpful guide for clinicians. However, to use them in such a way as to restrict the access of clinicians and their patients to the full range of products on Part IX would be unlawful and poor clinical practice. Please see the Nursing and Midwifery Council Code of Practice (here), which states the need for clinicians to respect the rights and preferences of patients.

Against that background, and under the provisions of the Freedom of Information Act (FOIA), we would be most grateful if you would answer the following questions:

1. Does your organisation have a formulary for urology products, and, if so, please can you provide a link to it?

Walsall Clinical Commissioning Group Response:No formulary currently

2. Does your formulary contain a statement making it clear that notwithstanding the contents of that formulary it is a clinician’s right, and indeed their duty, to prescribe whichever product on Part IX of the Drug Tariff they consider best meets the needs of their patient?

N/A

3. Does your formulary contain a clear and functioning link to Part IX of the Drug Tariff?

N/A

4. If your formulary does not contain a statement as in 2 above, or a link as in 3 above, do you intend to update it to include that information?

N/A

5. Please supply the name, position and email address of whomever in your organisation is responsible for any formulary that has been developed or which may be developed in future.

This will be in the future developed by a team approach which will include the local hospital Trust

6. Is it your intention that if a new formulary is to be developed or an existing one is to be reviewed you will:

a. Include a clear reference to the Drug Tariff as in point 2. above;

This is not routinely done for any guideline.

and

b. Notify the Urology Trade Association at [email protected] that such a project is being taken forward so that our members can be informed.

Groups for clinical areas are not routinely notified.

7. What steps do you take to ensure that clinicians and nurses are familiar with and trained in the assessment and appropriate use of urology products on Part IX on the Drug Tariff?

This would be undertaken by the Trust team.

FOI Request 298

Details of for the GP Contract which it is responsible for commissioning a Data Protection Officer for General Practice within the area the CCG covers

1. The name of the existing provider and start and end date of the service Walsall Clinical Commissioning Group Response:kNg+ March 2020

2. The cost of the service provided for each Practice and total of how many practices this covers52 practices£9,000

3. Any information/papers related to the primary care commissioning committee that looked at any quotes/procurement for this (a heavily redacted version protecting providers identity and values would suffice) Not applicable

4. The contact person within the CCG responsible for commissioning the service Matt Hartland, Chief Finance Officer

FOI Request 299

Contract for Non-Emergency Eye Surgery by NHS Walsall CCG (‘the Group’)

1. For the period 1st of April 2018 to 31st of March 2019, please provide the names of any independent sector providers that have provided cataract and/or YAG capsulotomy procedures to the Group.

Walsall Clinical Commissioning Group Response:I can confirm that Walsall CCG does not hold a contract with any independent sector providers for cataract and/or YAG capsulotomy procedures.

2. For each independent sector provider, please list the price charged for the following surgical procedures for the period 1st of April 2018 to 31st of March 2019:

Cataract with implantation of a spherical (non toric) intraocular lens; Cataract with implantation of toric intraocular lens; and YAG capsulotomy.

See above

3. For each independent sector provider, please list the price charged for pre-operative and post-operative professional consultation fees associated with the following surgical procedures for the period 1st of April 2018 to 31st of March 2019 (including stating the services provided):


See above

4. Please provide the number of procedures (per eye) completed by each additional independent sector provider for the following surgical procedures for the period 1st of April 2018 to 31st of March 2019:


See above

5. Please provide the renewal date for the Group’s Contract for Non-Emergency Eye Surgery, and if applicable, please state any extension period which can apply.

See above

I would like the above information to be provided to me as electronic copy.

If this request is too wide or unclear, I would be grateful if you could contact me as I understand that under the Act, you are required to advise and assist requesters. If any of this information is already in the public domain, please can you direct me to it, with page references and URLs if necessary.

If the release of any of this information is prohibited on the grounds of breach of confidence, I ask that you supply me with copies of the confidentiality agreement and remind you that information should not be treated as confidential if such an agreement has not been signed.

FOI Request 300

Providing Structured Diabetes Education (SDE) for people who have been newly diagnosed with Type 2 diabetes is a NICE requirement.

For your CCG area, please can you provide the following information:

Which organisation(s) currently provides your Structured Diabetes Education (SDE) programme(s)?


Walsall Healthcare NHS Trust

Could you provide contact details for the main person responsible for commissioning Structured Diabetes Education (SDE)

Paul Tulley [email protected]

Do they provide a QISMET accredited course, and if so, what is the course name?

No

What is the current annual contract value? If this is part of a block contract, please estimate the value of the contract.

£88,000

We directly contract for this value, please liaise with Walsall Healthcare NHS Trust to establish how they use the block contract.

How many participants are expected to attend each year?

Approximately 1,000

How many courses were provided last year?

138

What is the number of people of your waiting list?

0 (allocated on receipt)

When is the current contract up for review?

April 2020

When does the current contract end?

March 2020

FOI Request 301/ please see attachment FOI 301 too

The information I am interested in is as follows:

1. For the period 1st January 2017 to 31st October 2019, how many Out of Area Mental Health placements did you make? Walsall Clinical Commissioning Group Response:39

2. For each of these placements, please state anonymized detail as to:2.1. How long was the placement initially contracted for? Placements are not contracted for a specified period initially

2.2. How many days the placement actually lasted (or length of stay until 31st October 2019 if on-going)

Please refer to the attached excel documentation.

2.3. How much the placement cost (costs to 31st October 2019 if on-going)

ProviderCost per week

Range£ £

Cambian 2,500 3,000Care UK 2,000 3,000Partnerships in Care 2,000 3,000Ludlow Street 3,000 3,500Priory Group 2,500 3,000Elysium Healthcare 2,500 3,000Options for Care 2,500 3,000Cygnet Alders 2,500 3,500St Andrews 2,500 3,000

2.4. What was the primary diagnosis of the service user who was placed?Please refer to the attached excel documentation.

2.5. What were the other diagnoses of the service user who was placed? Please refer to the attached excel documentation.

2.6. Which organisation provided the placementFor primary diagnosis of personality disorders the patients were placed in the following

organisationsPriory, Ludlow Healthcare, Cygnet, St Matthews, ElysiumFor primary diagnosis of psychosis the patients were placed in the following organisationsPriory, Cygnet, John Munroe, Options for Care, St Andrews,

Exemption Section 40 – personal information has been applied and the information has been listed as the release of this information for individuals would constitute as personal and is likely to cause damage or distress.

2.7. Was the status of the service user informal or detained under the Mental Health Act? Please refer to the attached excel documentation.

2.8. On discharge from placement, which local service was the service user referred to (if any). Please refer to the attached excel documentation.

FOI Request 302

1. Since 1 November 2018, how many Individual Funding Requests have you received regarding unlicensed Cannabis-Based Products for Medicinal Use (CBPMs)? 0

a. If possible, please provide the therapeutic indication for the IFRs received e.g. chronic pain N/A

2. Of the total number of Individual Funding Requests, how many Individual Funding Requests for unlicensed CBPMs has the CCG declined? Please provide any details as to the reason/s behind declining the requests. N/A

3. Of the total number of Individual Funding Requests, how many Individual Funding Requests for unlicensed CBPMs has the CCG accepted? Please provide any details of the Individual Funding Requests accepted where possible, including the cost of reimbursement. N/A

a. If possible, please provide the therapeutic indication for the IFRs received e.g. chronic pain N/A

4. From which budget is the CCG funding the Individual Funding Requests that have been approved, and for how long has the funding been agreed? N/A

FOI Request 303

1) Details of Musculoskeletal Services (MSK)

a) Do you operate an integrated (iMSK) MSK offering? If yes – can you specify what services (for example: orthopaedics, physiotherapy, rheumatology, pain management etc.) form part of your iMSK offering?

Yesorthopaedics, physiotherapy, rheumatology, pain management (MSK related)

b) If you do not provide an integrated MSK service, do you plan on implementing an iMSK offering in the future?

N/A

c) Do you operate a single point of access (SPOA) for MSK patients? Do patients need a GP referral to access this service?

SPOA – YesCan be GP or self-referral

d) Could you provide a copy of your current service specification for the MSK service and patient pathway(s)?

2) Spend on MSK services:

e) What was the total spend on MSK services in the last financial year in your CCG?

Acute

f) Could you provide a breakdown of the MSK spend on community services, vs acute?

See above.

3) Procurement of MSK services:Please complete the tables below with the details of all current providers of MSK services

SpecialtySpecialty 2018/19 Spend

Pain Management £ 725,309

Elective Admissions £ 367,731

Outpatient £ 357,579

Rheumatology £ 1,560,121


Emergency Admissions £ 2,308


Trauma and Orthopaedics £ 19,268,506

Elective Admissions £ 10,801,432

Emergency Admissions £ 5,390,459

Outpatient £ 3,076,615

Grand Total £ 21,553,936

Community – Walsall Healthcare NHS Trust

£56,815

Total Spend 2018/19 - £21,610,751

Current Provider

Contract Start Date

Contract Length (exc.

potential extensions)

Any potential contract

extensions?

Contract Type (e.g.

Block, Cost & Volume,

PBR etc)

Estimated Annual

Value (£)

Services included (e.g.

physio, mCATs,

Rheumatology etc.)


1st April 2019

12 month rolling contract Rolling

contract

Paid by PBR where applicable or part of the Community Healthcare Block Contract for ALL Community service provision

Paid by PBR where applicable or part of the Community Healthcare Block Contract for ALL Community service provision

Orthopaedics, physiotherapy, rheumatology, pain management (MSK related)

Please note, the contract above relates to contracts where Walsall CCG is the lead commissioner only. In line with the NHS Choice Framework, patients are also able to choose from a range of MSK providers listed on the e-Referral Service (e-RS).

FOI Request 304 Please also see attachments to FOI 304 FOI 304 response

Walsall CCG has declaration of interest for GPs who sit on our Governing Body and are able to provide their responses for all years’ requested

For 2019: 1. A list of doctors who have declared an interest with a pharmaceutical

company, with a breakdown of; a. The name of the Doctorb. The practice/ hospitalc. The pharmaceutical company namedd. The interest listed

The declarations for 2019 can be found on the following link https://walsallccg.nhs.uk/about-us/our-governing-body/declaration-of-interests/

For 2018: 2. A list of doctors who have declared an interest with a pharmaceutical company, with a breakdown of; a. The name of the Doctorb. The practice/ hospitalc. The pharmaceutical company named

https://walsallccg.nhs.uk/about-us/our-governing-body/declaration-of-interests/

https://walsallccg.nhs.uk/about-us/our-governing-body/declaration-of-interests/

d. The interest listed

Please see attachment 1 enclosed with this FOI

For 2017: 3. A list of doctors who have declared an interest with a pharmaceutical company, with a breakdown of; a. The name of the Doctorb. The practice/ hospitalc. The pharmaceutical company namedd. The interest listed


For 2016: 4. A list of doctors who have declared an interest with a pharmaceutical company, with a breakdown of; a. The name of the Doctorb. The practice/ hospitalc. The pharmaceutical company namedd. The interest listed


FOI Request 305

1. Do you currently commission repetitive Transcranial magnetic stimulation (rTMS), through: (1) Individual Funding Requests or (2) core commissioned contracts (3) prior approval?


Cases are prior approved on a one off basis

2. If you are not currently commissioning repetitive Transcranial magnetic stimulation (rTMS), are you considering commissioning it through either Individual Funding Requests, Prior Approval or core commissioned contracts in the next two, five or ten years?

No

3. Are commissioners considering any new treatments, other than drug or psychological therapies, for depression, treatment-resistant depression, anxiety, obsessive compulsive disorder (OCD), addiction, post-traumatic stress disorder (PTSD) in the next two, five or ten years?

No

FOI Request 306

For your information, POLCE refers to Procedures of Limited Clinical Effectiveness, but is previously known as ‘low priority treatments’. Please treat POLCE in this request as referring to ‘Procedures of Limited Clinical Effectiveness’ and what was previously called ‘low priority treatments’.

Please could you provide answers to each following question covering the following time periods: (please provide data covering exclusively in calendar years)

The first covering the time period 1st January 2015 – 31st December 2015; The second covering the time period 1st January 2016 – 31st December 2016; The third covering the time period 1st January 2017 – 31st December 2017;and the fourth covering the time period 1st January 2018 – 31st December 2018;and the fifth covering the time period 1st January 2019 – 1st August 2019.

1. For each time period, how many applications for the following procedures were approved?

a. Cataracts;

b. Knee replacement;

c. Hip replacement;

d. Vasectomy;

e. Infertility.

2. For each time period, how many applications for the following procedures were declined?

a. Cataracts;

b. Knee replacement;

c. Hip replacement;

d. Vasectomy;

e. Infertility.

Walsall Clinical Commissioning Group Response:Please refer to the attached documentPlease see attachment FOI 306

FOI Request 307

1. Do you currently commission a community based MSK service? YES If yes, please provide details below: Provider Contract

start dateContract end date

Does the contract include an extension option?

Estimated contract value?

Contract Type(Block, PBR, AQP etc)


1st April 2019

31st March 2020

12 month rolling contract

£56,815 (MSK Community Value only)

Part of the Community Healthcare Block Contract for ALL Community

service provision

2. What was the CCG total spend on MSK services in the last financial year?(Please provide a breakdown by acute, community and primary care spend)

Acute

Specialty Specialty 2018/19 Spend

Pain Management £ 725,309



Rheumatology £ 1,560,121


Emergency Admissions £ 2,308


Trauma and Orthopaedics £ 19,268,506

Elective Admissions £ 10,801,432

Emergency Admissions £ 5,390,459

Outpatient £ 3,076,615

Grand Total £ 21,553,936

Community – Walsall Healthcare NHS Trust

£56,815

Total Spend 2018/19 - £21,610,751

3. Do you currently commission an IAPT service? Yes. This service is currently included within the main mental health service contract provided by Dudley and Walsall Mental Health NHS Trust.

If yes, please provide details below

Provider Contract start date

Contract end date

Does the contract include an extension option?

Estimated Annual Contract Value?

Contract Type(Block, PBR, AQP etc)

Dudley and Walsall Mental Health NHS Trust

1st April 2019

31st March 2020

12 month rolling contract

£1,312,000 for the IAPT service element of the contract.

Block for the IAPT service element of the contract.

4. Does MSK/physiotherapy service redesign feature in your commissioning intentions? NO

If yes, do you plan to procure a redesigned service within any of the following timescales?

(Please indicate below)?

N/A 6 months 12 months 24 months >24 months

If no, are you planning to remain with your existing model of service delivery - YES

but procure a new provider to deliver it? NO

FOI Request 308

* The average waiting time (in calendar days) for women who had an NHS-funded medical abortion in 2009, 2010, 2011, 2012, 2013, 2014 and 2015 - from the date of their first referral appointment to (and including) the date of the procedure.

Walsall Clinical Commissioning Group Response:Sandwell and West Birmingham CCG are the lead commissioner and do not hold this information.

* The average waiting time (in calendar days) for women who had an NHS-funded surgical abortion in 2009, 2010, 2011, 2012, 2013, 2014 and 2015 - from the date of their first referral appointment to (and including) the date of the procedure.

Sandwell and West Birmingham CCG are the lead commissioner and do not hold this information.

FOI Request 309

We are exploring the potential for improving the use of medicines in care homes through applying analytic techniques to data collected by XXXXXXXXXXX ATLAS electronic medication administration record (eMAR). The system, installed in community pharmacies and care homes, captures data about prescribing, dispensing and administration of medicines within care homes. We believe that this data could be used to support care homes and health care professionals in ensuring that

medicines use by residents is safe and effective. We also believe that the analytics may be beneficial to CCGs. In order to help identify the potential benefits of data analytics using eMAR data at CCG level, please could you provide me with the following information:

1. What data does the CCG have access to on medicine prescription, dispensing and administration in care homes and how is this collected?Walsall Clinical Commissioning Group Response:EPACT data for prescribed medication but doesn’t differentiate care home prescribing.

No administration data.

2. What policies do you currently have within the CCG for monitoring, reviewing and optimising medicine use in care homes?The CCG does not monitor medicines use in care homes. It is the responsibility of each home to have a policy in place to manage medication safely and effectively.

The CCG provides advice and assistance in creating these policies.

3. How is medicine prescribing, dispensing and administration within care homes in the CCG monitored?Not monitored as such but care homes service audits various aspects of meds management throughout the year.

Medicines optimisation in care homes - MOCH pharmacist reviews medication and technician reviews policies and procedures.

4. Are there any specialist teams within the CCG responsible for reviewing medicines within care homes, such as medicine optimisation pharmacists, and if so, what is the standard process for this? For example:

a. Who is involved in these reviews? MOCH pharmacist.b. How often are these reviews conducted? Annually until MOCH service ends.c. How are individuals identified for review? MOCH service to look at all adults in

residential and nursing homes. d. What is the standard process for conducting these reviews? As per MOCH service

procedures.e. How long do these reviews take? Varies according to resident and number of meds.f. What tools or frameworks are used to guide the review and/or decisions around

deprescribing? National guidance and tools such as STOP/ START.g. How are outcomes of the review assessed? Outcomes of each review reported back

to the appropriate clinician at the GP practice who will assess and determine any action.

FOI Request 310

We are asking all CCGs in England about the development of the primary care network workforce since going live in July.

Please can you provide the following data for each primary care network in the CCG:

How many networks have appointed a pharmacist under the primary care network DES? Walsall Clinical Commissioning Group Response:Each of the 7 PCNs has appointed a clinical pharmacist via an agency

How many networks have appointed a social prescriber under the primary care network DES?None at the moment

How many primary care network clinical directors have resigned since 1 July? None

If there are clinical directors who have resigned, please can you provide their names?Not applicable

FOI Request 311

1. The name of each PCN in your areaWalsall Clinical Commissioning Group Response:This information is available on our CCG website https://walsallccg.nhs.uk/about-us/primary-care-networks/

2. The name of the nominated payee of each of the PCNs in your areaThe CDs practice as detailed on https://walsallccg.nhs.uk/about-us/primary-care-networks/

3. The name of the clinical director(s) for each of the PCNs in your areaThis information is available on our CCG website https://walsallccg.nhs.uk/about-us/primary-care-networks/

4. The sum the CCG is distributing to each PCN out of the organisational development and support funding made available to PCNs from NHS England through your ICS or STP£164,000

FOI Request 312

Please could I kindly request the following information

1) Can you provide me with the name and contact details of the senior manager responsible for the overall estates infrastructure across all your facility sites. (i.e. the manager for the overseeing of all the physical building works)

2) Can you provide me with the name and contact details of the senior manager responsible for the overall Information Technology (IT) across all your facility sites.

3) Do you have approved subcontractors that you use for undertaking any necessary building work/i.t. infrastructure (cabling, telecoms) to the various sites?

4) Do you have a framework for undertaking cabling, telecoms, network cabling works etc or get quotes in project by project?


I can confirm that it would be more appropriate for your request to be responded to by Walsall NHS Healthcare Trust. You can forward your request to:

[email protected]

FOI Request 313

The reference is NHS Continuing Healthcare. In determining eligibility for NHS Continuing Healthcare, a CCG must apply the Primary Health Needs Test, (Coughlan Case Law). How does Walsall CCG determine whether a person's needs are, (within/outside local authority legal limits); i) Merely incidental or ancillary to the provision of the accommodation which a local authority is under a duty to provide and (ii) Of a nature which it can be expected that an authority whose primary responsibility is to provide social services can be expected to provide.

If this information is already in the public domain, please direct me to it, giving page references and URLs, if necessary.

Walsall Clinical Commissioning Group Response:Since the Grogan and other legal judgments, the Secretary of State has produced a National Framework for NHS Continuing Healthcare. This Framework introduced the concept of a “Primary Health Needs Test” which must be applied by every CCG across the country so that the decision on eligibility can be determined by applying the same criteria.

Details of this test are set out in paragraphs 54-66 of the National Framework for NHS Continuing Healthcare and NHS Funded Nursing Care October 2018 (Revised).

Link:https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/746063/20181001_National_Framework_for_CHC_and_FNC_-_October_2018_Revised.pdf

Response to FeedbackThere is no exact answer to this question. Each case must be decided on its own merits taking into account a wide range of factors and using the skill of the multi-disciplinary team. Please find


attached a range of questions which it is suggested should be considered in looking at each of the 4 key indicators for a primary health need.

FOI Request 314

How many joiners, movers, and leavers do you process per year?

Walsall Clinical Commissioning Group Response:27 Hires, 4 Movers and 19 Leavers for 2018-9

How many staff/whole time equivalents manage this process?

0.2

Do you have an automated system to manage ESR?

No

Do you use a single sign on solution across the organisation to manage the accounts?If so, which solution do you have?

No

How many people are in your organisation's data quality team?

The CCG doesn’t have a data quality team. Each dept. is responsible for their own data.

FOI Request 315

I am contacting you to make a request for information under the Freedom of Information Act 2000 in relation to Community Paediatric Feeding and Swallowing (dysphagia) services.

I would be grateful if you could send me the following information:

Do you commission a Community Paediatric Feeding and Swallowing (dysphagia) service? (yes/no)

If yes, who is commissioned to provide/deliver the service?

How many WTE equivalents deliver the service?

What is the composition of the team? i.e. bandings, job titles, full-time, part-time

What is your 0-18 Children and Young People population?

I would like the above information to be provided in the attached excel spreadsheet and then sent to me electronically


Please refer to attached worksheet

FOI Request 316

Please can you provide the following for NHS Walsall CCG

CHC Choice and Resource Allocation Policy (possibly known as Choice and Equity Policy or Commissioning Policy)


Walsall CCG does not have a specific Choice and Resource Allocation Policy for CHC which attempts to set limits on the cost of care packages. Each case is decided on its own merits based on the development of a care and support plan with the individual/or their family members.

CCG’s are responsible for ensuring that care plans meet the identified health and wellbeing needs of an individual and are an appropriate use of NHS resources. The CCG must agree that the health needs of the person can be met through the purchase of the services specified in the care plan.

The CCG’s general policy is in line with the guidance set out in the National Framework for Continuing Healthcare as well as the Direct Payment for Healthcare guidance.

FOI Request 317

1 . Does your CCG use DST for the full CHC assessment which also includes assessment for FNCC?


A DST must be used for a full DST assessment where there has been a positive CHC Checklist (screening tool). If the DST is negative a separate FNC assessment is carried out

Worksheet FOI 315.xlsx

1 . For all new permanent admissions from hospital to private nursing homes, are full CHC Assessments completed prior to admission by:

The NHS nurses? Yes

The NHS or Social Workers? Yes (both)

Other NHS health and social care professionals? If so, please indicate which other professionals? Sometimes physiotherapists, OTs and SALT

the private sector nursing home nurses No

The National Framework 2018 makes clear that DST should not be completed in a hospital setting unless there are exceptional reasons for this. NHS England has set an upper limit of 15% for DSTs to be completed in hospital.

2. For all new permanent admissions from the Community to private nursing homes, are full CHC Assessments completed prior to admission by: -

The NHS nurses?

The NHS/SS social workers?

Other NHS health and social care professionals? If so, please indicate which other professionals?

Private sector nursing home nurses?

As per 1 above

3. For all new permanent admissions from hospital to private nursing homes, are FNCC Checklists completed prior to admission by:

The NHS nurses? Yes

The NHS or Social Workers? No

Other NHS health and social care professionals? If so, please indicate which other professionals? No

The private sector nursing home nurses No

FNCC Checklists do not exist. There is a CHC Checklist (initial screening tool) and an FNC assessment. CHC Checklists are

completed by NHS Nurses. FNC assessments are completed by NHS nurses

4. For all new permanent admissions from the Community to private nursing homes, are full FNCC Checklists completed prior to admission by:

The NHS nurses? Yes Checklists and FNC assessments

The NHS/SS social workers? Other NHS health and social care professionals? If so,

please indicate which other professionals? No

Private sector nursing home nurses. No

5. For all new permanent admissions from hospital to private nursing homes, are FNCC Checklists completed after admission to nursing homes by:

The NHS nurses? Yes Checklists and FNC assessment

The NHS or Social Workers? NHS Nurses


The private sector nursing home nurses? No

6. For all new permanent admissions from Community to private nursing homes, are FNCC Checklists completed prior to admission to nursing homes by:

The NHS nurses? Yes Checklists and FNC assessments

The NHS or Social Workers? NHS


The private sector nursing home nurses? No

7. For all short term admissions from hospital to private nursing homes, are FNCC Checklists completed prior to admission by:

The NHS nurses?

The NHS or Social Workers?


the private sector nursing home nurses

Not required. See paragraphs 28 - 31 of the NHS Funded Nursing Care Practice Guidance (attached)

8. For all short term admissions from the Community to private nursing homes, are FNCC Checklists completed prior to admission by:

The NHS nurses?




9. For all short term admissions from hospital to private nursing homes, are FNCC Checklists completed after admission by:

The NHS nurses?




Not required. See paragraph 28 - 31 of the NHS Funded Nursing Care Practice Guidance (attached)

10. If a positive FNCC assessment is completed after an individual is admitted to a private nursing home, does the FNCC payment commence from the date of:

Admission?

Completion of the FNCC Checklist?

Receipt of completed FNCC Checklist?

Assessment?

From date of admission to the nursing home if the subsequent FNC assessment indicates nursing needs from that date

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