Freedom of Information (FOI)

The Freedom of Information Act 2000 (FOI) came fully into force in January 2005. All bodies must have in place a Publication Scheme (a list of classes of information available to the public).

The act also gave individuals and corporate bodies the right of access to all types of recorded information held by public sector bodies, with the exception of certain specified exemptions (for instance, personal information and commercially sensitive information). For more information about the act please visit the Information Commissioner’s website: www.ico.org.uk/for-the-public/official-information

Before making a formal request to the Trust, please check our website to make sure that the information isn’t already available. Our Publication Scheme has most of the information frequently asked for by members of the public. Alternatively, you can search this site below for information disclosed by the Trust following requests made under the Freedom of Information Act 2000 since 1 April 2015.

If the information you require is not held on our website, you can contact us either by completing and submitting the form below, emailing us at: mtw-tr.foiadmin@nhs.net or writing to us at Freedom of Information Officer, Trust Headquarters, Maidstone and Tunbridge Wells NHS Trust, Hermitage Lane, Maidstone ME16 9QQ.

Once we have received your request, we will send you an acknowledgement letter. We are required to give you a response within 20 working days of our acknowledgement letter. We will try to respond as quickly as possible. Sometimes, some or all of the information cannot be provided. If this is the case, we will explain the reasons why.

We are able to charge fees for requests, outlined in the Freedom of Information Guide. We will generally only charge you for hard copies or copying onto media eg CD. The charges will vary according to how information is made available. Legally, if the cost of obtaining and sending you the information is more than £450, we do not have to provide you with the information you requested. This amount is based on the DCA’s (Department of Constitutional Affairs) regulations of a national cost of 18 hours work at £25 per hour.

In the first instance you should appeal to us directly, in line with our FOI appeal process. Download a copy of the appeals process document, or email us at mtw-tr.foiadmin@nhs.net for a copy to be sent to you. If you are still dissatisfied after the appeals process, you have the right, under section 50 of the Act, to apply to the Information Commissioner to seek resolution to the matter.

 

Choose a category:

Agency staff

Agency Staff

1) Total spend on agency staff split by each of the following staffing groups:
2) Total spend on internal bank staff (split by the following categories)
3) Total number of staff employed on the bank, and of which, the number that also hold substantive contracts with the trust.
4) Does the trust outsource bank staff to NHSP? If so, how much was spent on outsourced bank staff?
5) Does the trust use rostering software, if so which provider (Allocate, SMART, DRS, SMI etc.)?
6) Does the trust directly engage locum staff? If so, how much of the trust’s medical locum spend was put through direct engagement in the last financial year?

Download response Agency Staff 170815

Agency nursing costs – January and February and July to December 2015?

Please could you tell me what the cost was in wages to the trust for agency nursing during the months of January and February and July to December 2015? (Could the cost per month be separated, please?)

Please include the wage bill for the two sites, and, if at all possible, please can you break them down into departments and sites?

However, if this is not possible, please still provide me with the overall cost.

Please could you tell me what the cost was in wages to the trust for all agency staff during the months of January to December 2015? (Could the cost per month be separated, please?)

Please include the wage bill for the two sites, and, if at all possible, please can you break them down into departments and sites?

However, if this is not possible, please still provide me with the overall cost.

Download response Agency nursing costs – January and February and July to December 2015 080116

Agency Shift Cost

1. What was the highest amount you paid (including any agency commission/charges) for a single shift filled by each of the following a. a doctor b. a GP (if employed) c. a registered nurse and d. a non-registered support worker/healthcare assistant in the period March 28th to April 19th 2015? Please include date and length of shift and grade of doctor/nurse involved, the department they were needed for (e.g. A&E) and the agency which supplied the doctor/nurse in each case.
2. What percentage of shifts covered by agency staff during this time period were paid in accordance with either an NHS wide or a local framework, and what proportion were off framework?
3. What was your total spend on temporary (locum, agency and bank) clinical staff for 2014-15? Please include doctors, nurses and healthcare assistants/support workers in your answer. What were the comparable figures for 2013-14 and 2012-13?

Download response Agency Shift Cost 050515

Agency Staff Cost

Under the freedom of information act 2000, I am writing to formally request the following information:
1. Staff Numbers
2. Staff Cost
3. Agency Hours
4. Agency Spend
I would greatly appreciate it if you could supply this information for the year 2013/14 (April ’13 to March ‘14).

Download response Agency Staff Cost 040815

 

Cancer and Haematology

Head and Neck Cancer

Within your health trust how many patients are currently [within the past 6 months] being treated for head and neck cancer (Squamous cell carcinoma)?
April to September 2015 – 26 patients
Of these how many are treated with the following therapies;
Carboplatin
Cetuximab
Cisplatin
Docetaxel
5-Fluorouracil (5FU)
Radiotherapy Only
Please see the table below:
If your health trust has a protocol or pathway for the treatment of head and neck cancer patients [including referral pathway to other trusts], please could you provide details?
Please see the attached document.
Within your health trust how many patients are currently [within the past 6 months] being treated for Colorectal Cancer?
April to September 2015 – 136 patients
Of these how many are treated with the following therapies;
Bevacizumab
Cetuximab
Panitumumab
Aflibercept
Oxaliplatin
Irinotecan
5-Fluorouracil
Irinotecan with 5-fluorouracil (5FU) and folinic acid [FOLFIRI]
Oxaliplatin with 5-fluorouracil (5FU) and folinic acid [FOLFOX]
Capecitabine and oxalipatin (CAPOX / XELOX)
Capecitabine and irinitecan (CAPIRI)

Download response letter Head and Neck Cancer 201115

Multiple Myeloma

Section 1 – Treatment and Management
1. How many patients has your Trust diagnosed with multiple myeloma in the calendar year 2014?
2. How many multiple myeloma patients in your Trust received systemic anti-cancer treatment in the calendar year 2014?
3. How many patients aged 75 years and over has your Trust diagnosed with multiple myeloma in the calendar year 2014?
4. How many multiple myeloma patients aged 75 years and over in your Trust received systemic anti-cancer treatment in the calendar year 2014?
5. Does your Trust produce local guidelines to support the management of elderly cancer patients?
6. Does your Trust produce local guidelines to support the management of elderly multiple myeloma patients?
(Note: Multiple Myeloma is defined by the ICD-10 code as C90.0 – C90.3)
Section 2 – Specialist Geriatric Input
7. Does your Trust’s multiple myeloma multidisciplinary team (MM MDT) include input from a geriatrician?
a. If so, does a geriatrician routinely attend all MM MDT meetings?
b. How often does the MM MDT meet?
8. Do multiple myeloma patients aged 75 and over at diagnosis routinely receive a consultation with a geriatrician?
a. If so, does this happen prior to making a decision as to whether a patient is suitable for systemic anticancer therapy?
b. If, so does information from this consultation feed into clinical decision making?
9. How frequently do all multiple myeloma patients aged 75 years and over receive a consultation with a geriatrician?
a. How is this information used in these consultations fed into clinical management and decision making?
Section 3 – Specific Tools and Metrics
10. Does your Trust use Comprehensive Geriatric Assessment to assess if a patient with cancer is suitable for treatment?
a. If so, what proportion of multiple myeloma patients aged 75 and over received the assessment in 2014?
b. Who routinely carries out this assessment (i.e. a nurse or a consultant – and what type of consultant (haematologist or geriatric))?
11. Does your Trust routinely assess patients over the age of 75 according to a Comorbidity Score (either a standardised score such as the Charlson index or a local ‘in house’ score, please specify)?
a. If so, what proportion of multiple myeloma patients aged 75 and over received the assessment in 2014?
b. Who routinely carries out this assessment (i.e. a nurse or a consultant – and what type of consultant (haematologist or geriatric))?
12. Does your Trust routinely assess patients over the age of 75 according to a Clinical Frailty Scale (either a standardised scale or a local ‘in house’ scale, please specify)?
a. If so, what proportion of multiple myeloma patients aged 75 and over received the assessment in 2014?
b. Who routinely carries out this assessment (i.e. a nurse or a consultant – and what type of consultant (haematologist or geriatric))?

Download response Multiple Myeloma 201115

 

Car parking

Car Parking Charges

How much money did the trust raise from car parking charges in each of the last four years (state the amount and the years for which figures are available)?
Do you charge for disabled parking? If so, how much of the total amount raised by the trust from car parking charges came from disabled parking?
Do you employ a private firm to run the car park for you? If so, how much of the money generated by parking fees is taken by the private firm?
Please provide a breakdown of your car park charges – per hour/per day/per week.
Do you provide concessions for long-term visitors? What are these?

Download response Car Parking Charges 181115

Hospital Parking Charges

How much money was generated by your hospital trust through parking charges in the hospital car parks during 2013-14 and 2014-15?
How many parking fines were issued for parking infringements in your car parks during 2013-14 and 2014-15?
How many parking fines were written off during 2013-14 and 2014-15?

Download response Hospital Parking Charges 200515

Abandoned motor vehicles

1) How many instances of abandoned motor vehicles were recorded between 2004-15? If the data doesn’t stretch back to 2004, please use the earliest you have.

2) If a 3rd party was called to recover, what was the average cost involved?

Download response Abandoned motor vehicles 181215

Car parking contractor

Could you please advise me if you manage the Car Parking facilities on your own or do you employ a contractor to manage the facilities for you? I.e. ANPR, POF’s and PCN’s etc.  If you use a contractor can you please advise me who they are and when their existing contract with yourselves expire?

Download response Car parking contractor 080515

Management of car parking facilities

Q: Could you please advise me if you manage the car parking facilties on your own, or do you employ a contractor to manage the facilities for you ie ANPR, POFs and PCNs etc? If you use a contractor can you please advise me who they are and when their existing contract with yourselves expires? Download response car parking contractor 080515

Ownership of the land the Trust Hospitals stand on and the contractual terms of First Parking LLP’s contract

Details of who owns the land on which both Maidstone and Pembury hospitals are located.
Full details of the contractual terms that allow First Parking LLP to initiate legal action on behalf of the Trust.

Download response Ownership of the land the Trust Hospitals stand on and the contractual terms of First Parking LLP’s contract 021215

Parking and Security

  1. Who is/are the contractor(s) managing parking at both/either site(s)
  2. How long have they had the contract and when does it/they expire?
  3. What revenue arrangements are in place?I.e where does the money from parking go?
  4. What arrangements are in place for the sharing of parking charge notice revenue?
  5. What input did the trust have in setting the parking charge notice levels and the hourly charges for parking?
  6. Does the parking contract allow for the contractor to initiate and take forward legal action on behalf of the trust in cases where parking charge notices remain unpaid?
  7. I should like to see a full unredacted version of the contract between the trust and any contractor for parking management.
  8. What is the trusts policy regarding intervention at the request of service users after parking charge notices have been issued?
  9. How many times have the trust intervened at the request of a customer and what was the outcome on each occasion?

Download response Parking and Security 111115

Parking charge notices

How much money was generated by your hospital Trust through parking charges in the hospital car parks during 2013/14 and 2014/15? How many parking fines were issued for parking infringements in your car parks during 2013/14 and 2014/15? How many parking fines were written off during 2013/14 and 2014/15? Download response Parking charge notices 200515

 

Clinical Services

Acute Myocardial Infarction (AMI).

Which test(s) does the Trust use to diagnose patients who present with suspected acute myocardial infarction (AMI)? Please give details of tests used – including the brand and name of the test(s).

What, if any, guidelines or protocols does the Trust follow to support the diagnosis of suspected AMI? Please give details.

Does your Trust use early rule-out protocols to diagnose AMI? If so, please give details.

What is the average waiting time for a diagnosis following a suspected AMI at the Trust?

What is the target turn-around-time for tests used in the diagnosis of AMI in the Trust? What percentage of tests are performed within this target turn-around-time?

How long has the Trust and/or hospitals within the Trust been using their current troponin test(s)?

Download response Acute Myocardial Infarction (AMI) 211215 (AMI)

Alcohol related illness in the under 14 year olds.

1. How many people under the age of 14 have been treated for alcohol related illness at your hospitals in 2014 and (as a separate figure) so far this year?

2. What was the youngest person treated for alcohol related illness in those periods (separate figures)?

3. How many people under the age of 14 have been treated for drug related illness at your hospitals in 2014 and (as a separate figure) so far this year?

4. What was the youngest person treated in those periods (separate figures)?

Download response Alcohol related illness in the under 14 years olds 311215

Multiple Sclerosis

I have a Freedom of Information request regarding Multiple Sclerosis – in your organisation, how many patients with Multiple Sclerosis have been treated with MS disease modifying drugs in the past 12 months?

1. Please provide the number of patients by treatment for the following drugs:
Aubagio (teriflunomide)
Avonex (interferon beta-1a)
Betaferon (interferon beta-1b)
Copaxone (glatiramer acetate)
Extavia (beta interferon-1b)
Gilenya (fingolimod)
Lemtrada (alemtuzumab)
Rebif (beta interferon-1a)
Tecfidera (dimethyl fumarate)
Tysabri (natalizumab)
Ampyra (Fampyra)
Peginterferon beta-1a
Others

Download response Multiple Sclerosis 240915

 

Endoscopy

Endoscopy Procedures

1. Current waiting list time(s) for the below Endoscopy procedures in line with Joint Advisory Group (JAG) guidelines?
· OGD – Gastroscopy
· Flexible Sigmoidoscopy
· Colonoscopy
· EUS
· ERCP
2. Do you currently require assistance with a locum Consultant to help clear your current backlog / waiting list?
3. Number of Endoscopy sessions run weekly, and how many theatres available?
4. Do you operate over 5 days (Mon-Fri) or do you offer a full 7 day service?
5. The rate per session (or per hour) for Endoscopy waiting list initiative work that the Trust has paid to Consultant?
6. Please could you also tell me the sessional rate (or per hour) for Endoscopy waiting list initiative work paid to Locum Consultants between the same time period?
7. Please could you also tell me whether the hospital has ever used agencies to supply Endoscopy Consultants?
If so, which agencies have been used?

Download response Endoscopy Procedures 111115

 

Friends and Family Test

Friends and Family Test

Please provide details of the Trust’s current Friends and Family Test supplier/system:
1. When the service was implemented and the specialties included?
2. Monthly values for the numbers of patients surveyed?
3. Specific details of any aims/targets set for the Friends and Family Test and whether or not these have been achieved?
4. Details of any patient complaints or technical difficulties encountered whilst the service is in operation?
6. Does the Trust survey patients by SMS?
7. Where are the SMS carriers servers located?
If the service uses automated IVR/IVM (Interactive Voice Response/Interactive voice Messaging) calls;
8. Where are the servers that undertake these calls located?
9. Do the IVR servers process patient identifiable data?
If the service uses agent calls;
10. What percentage of the overall service outcomes are completed by an agent?
11. What information do agents have access to?
12. Are all agents making the calls based in a call centre?
13. Where are the call centres situated?
14. If not what percentage of calls are made by home workers?
15. Geographically, where are the home based workers?
16. What security measures are in place to prevent home-based workers from replicating data locally?
17. Are all home based staff CRB checked?
18. Have you received any complaints at all regarding the agent call service (including but not limited to: manner, tone, ability to understand accents or dialects)?
19. Please provide details of the member(s) of staff responsible for the implementation and continued running of the service and their role within the Board?
21. How do you keep personal information secure when transferring to a third party supplier?
Supplier Details
Please provide details of:
25. Suppliers(s) of the above services:
26. Expected contract length:
27. Contract review date:
28. Cost of contract:
29. Details of the implementation costs and on-going support costs:
30. Details of the processes followed to procure The Friends and Family Test?
31. Details of the channels used to publish the notification of procurement, for the Friends and Family Test service?
Paper Surveys
32. Does the Trust use paper cards to survey patients and if so what departments?
33. Who keys in the data from paper surveys?
34. If this is outsourced, what company input this information?
Local surveys
35. Does the Trust carry out local surveys?
36. If so, what methods are used to survey patients?
37. If outsourced, what supplier is used?

Download response Friends and Family Test 021215

 

Gainshare agreements

Gainshare Agreements

1. Are there any Gainshare agreements in place between you the provider and a CCG?
If “No” – end.
If “Yes”, then please provide the following details:
Disease Area
CCG included in the Gainshare agreement
Names of any specific drugs involved
How will savings be apportioned between you and the CCG?
2. Who (what position) within the Trust is responsible for the agreement?
3. How and in what form are the savings from any Gainshare given to the CCG?
By Gainshare agreement I mean one where the benefits associated with more efficient us of medicines not reimbursed through national prices is shared between the provider and the clinical commissioning group party to the agreement.

Download response Gainshare Agreements 111115

 

Health Informatics

ICT contracts

For each of the types of server ICT contracts above can you please send me the following data types:

1. Contract Title:
Servers
VMWare
SAN

2. Contract Type: Please input one the type of contract from above e.g. Hardware Maintenance, Virtualisation Licensing, Virtualisation Maintenance/Support, Storage Area Network Maintenance
3. Existing/Current Supplier:
4. Hardware Brand: Please state the hardware or software brand related to the contract with supplier e.g. Hardware Maintenance could be Dell, IBM etc
5. Operating System / Software(Platform): (Windows, Linux, Unix, VMWare etc.) the brand name relating to the contract.
6. Annual Average Spend: (For the whole duration of the contract, if the total value sent is per annum please state this in the response)
7. Contract Duration: (Please can you also include notes if the contract includes any contract extension periods.)
8. Contract Expiry Date:
9. Contract Review Date: (An approximate date of when the organisation is planning to review this particular contract.)
10. Brief Contract Description: I require a brief description of the service provided under this contract.
11. Internal Contact: (The person from within the organisation that is responsible for reviewing and renewing this particular contract. Please include there full name, job title, direct contact number and direct email address.)

Download response ICT contracts 041215

 

ICT Systems

1. Local Area Network
a. What Manufacturer is your LAN Network?
b. What date does your support contract come up for renewal on the LAN Network?
c. What is the current cost of the LAN Network Support?
d. Which company is the support contract with?
e. What procurement route do they use for this, is there a preferred framework
2. Phone System
a. What Manufacturer is your phone system?
b. When date does your support contract come up for renewal on the Phone System?
c. What is the current cost of the phone system Support?
d. Which Company is the support Contract with?
e. What procurement route do they use for this, is there a preferred framework
3. Storage (SAN)
a. What Manufacturer of SAN are you using?
b. When was the SAN purchased?
c. How Many Virtual Servers are you running?
d. What procurement route do they use for this, is there a preferred framework
4. Data Centre
a. Do you use offsite/Third Party Data Centres?
b. What Services and how big are the offsite facilities?
c. When are the contracts due for renewal?
5. Cloud Services
a. Do you use third Party Cloud services?
b. What services are used and what size are these?
c. When are the contracts due for renewal?
d. What procurement route do they use for this, is there a preferred framework
6. Contacts
a. Who is responsible for ICT in the organisation and what are their contact details?
b. Who is responsible for ICT Infrastructure in the organisation and what are their contact details?

Download response ICT systems 161215

 

Major Incident

Internal Major Incident

Question:
1. Within 2015 has the Trust changed its policy on how an ‘internal major incident’ is declared or triggered? (To be clear: NOT the operational structure of roles in response but the triggers that enable it to be called)
– If YES:
A) What were the changes? In addition – Is it possible to have a copy of the old and new policy (electronic copy is best)?
B) Were additional categories introduced within the escalation process towards when an internal major incident is called?
– If NO:
Is the Trust reviewing the current plans or does the Trust intend to change the plans within the next year?

Download response Internal Major Incident 111115

 

Orthopaedics

Fractured Neck of Femur

Please complete the proforma below by deleting as appropriate.
– Name of Trust Maidstone and Tunbridge Wells NHS Trust
– Contact email address
– Contact phone number
1) Do you have a specific standardised proforma for neck of femur fracture patients? Yes/No
2) If yes to (1), does the proforma include a section on fascia iliaca compartment blocks (FICB)? Yes/No
3) Do you have a hospital related guideline for FICBs in neck of femur fracture patients? Yes/No
4) Are FICBs routinely given in neck of femur fracture patients? Yes/No
5) Do you audit the use of analgesia in neck of femur fracture patients? Yes/No
6) If yes to (5), what percentage of neck of femur fracture patients receive a regional nerve block? %
7) If yes to (4), who administers the FICB? Emergency medicine
Anaesthetics
Orthopaedics
Other (please specify)
8) If FICBs are not routinely given to patients with fractured neck of femur patients, please indicate why.

Download response Fractured Neck of Femur 181115

 

Overseas visitors and foreign nationals

Overseas Patient Income

1) Does the Trust know how much income it obtained from overseas patients residing in countries that do have a reciprocal health agreement with the UK, in the financial year 2013/14?
2) If the answer to (1) is ‘yes’, please state the figure.
3) If the answer to (1) is ‘yes’, please state whether or not the Trust has published that figure in a public document. If so, please provide that document or a link to it.
4) If the Trust has not published the figure in a public document, please state why it has not done so.

Download response Overseas Patient Income 150715

Overseas visitors – unpaid kidney treatment

Please state how many chargeable overseas visitors have received kidney dialysis at the Trust – who have not paid for their treatment – for each of the last two years a) 2014/15 b) 2013/14. Please state the longest duration of time a chargeable overseas visitor has received kidney dialysis without paying for treatment – please provide an estimation of the total cost in unpaid fees. Download response Overseas visitors_unpaid kidney treatment 150715

 

Pathology

Molecular Pathology BRAF Testing

I would like to access information with regard to the molecular pathology BRAF testing that you offer in your institution. I have the following questions, the answers to which I believe should be easily accessible by the laboratory and therefore shouldn’t take up too much staff time or resources.
1. Do you currently offer a clinical testing service for BRAF mutation in solid tissue, specifically melanoma? (Yes, No, currently in development)
2. Which methodology(ies) do you use for BRAF testing in melanoma? e.g. Real time PCR (QPCR), High resolution melting curve analysis (HRMCA), Sanger sequencing, Next Generation Sequencing (NGS), Pyrosequencing, Immunohistochemistry (IHC), Fluorescence In Situ Hybridisation (FISH), Other (please specify). If you use a specific kit I would be grateful if you could provide the name of the kit you use.
3. Which BRAF mutations does your methodology(ies) cover? E.g. V600E, V600K, V600D, V600R etc.
4. What is your current laboratory turnaround time for BRAF testing in melanoma?
5. What is the level of sensitivity of your BRAF methodology(ies)?
6. I understand that molecular testing in FFPE tissue can be difficult due to tissue quality and/or quantity. What would you estimate is your current failure rate for BRAF testing for melanoma?
7. Approximately how many BRAF tests for melanoma would you conduct per month or year (whichever time period is most convenient for you to estimate)?
8. Of the BRAF tests performed for melanoma, please estimate how many (or what percentage) are found to be positive for a mutation?
9. Of the positive tests, please estimate how many (or what percentage of the positives) are V600E? How many (or what percentage of the positives) are V600K? How many (or what percentage of the positives) are V600 all other mutations?

Download response Molecular Pathology BRAF Testing 111115

 

Private patients

Investment in Private Patient Facilities

Under the terms of the Freedom of Information Act, I would be grateful if you would provide details of any investment your Trust has made in facilities to treat private patients since April 2010.

Download response Investment in Private Patient Facilities 111115

 

Support Services

Delivery Model for Clinical and Non-Clinical Support Services

What is the delivery model for clinical and non-clinical support services and what is the trust’s approximate annual expenditure on these services? Please provide this information broken out by services (see table below). This should be given for the most recent reporting period and if some data is not available, please still provide data for those areas that are available.

Download response Delivery Model for Clinical and Non-Clinical Support Services 150715

 

Trust management structure

Board vacancies

Please tell me if you have:
1) Recruited or advertised for a board member in the past 6 months? This includes permanent, interim or acting.

2) If so, what position did you recruit for?
3) If so, what salary did you either agree with this person or put on the advert? Please provide the figure
4) Have any candidates turned down a board level position in the last 6 months because the salary offered was too low?

Download response Board vacancies 111215