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.

Search our FOI database

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 costs 2014/2015

1. Staff Numbers (Average over the whole year or the count on Tuesday, March 31st 2015)
2. Staff Cost
3. Agency Hours
4. Agency Spend
I would greatly appreciate it if you could supply this information for the year 2014/15 (April ’14 to March ‘15).

Download response Agency costs 2014/2015 040216

Agency midwives and pay 2015.

1. What was the total cost for your trust, including fees and any other on-costs, for midwives supplied by an agency, broken down by the months in the table below?

2. What was the cost for your trust for the fees and any other on-costs, for midwives supplied by an agency, broken down by the months in the table below?

3. What was the total number of hours worked by midwives supplied by an agency, broken down by the months in the table below?

4. What was the total cost for your trust for midwives working overtime, broken down by the months in the table below?

5. What was the total number of hours worked by midwives working overtime, broken down by the months in the table below?

6. What was the total cost for your trust, for midwives supplied by the bank, broken down by the months in the table below?

7. What was the total number of hours worked by midwives supplied by the bank, broken down by the months in the table below?

8. Does your trust pay bank rates at the individual’s actual pay point or higher or lower than their pay point?

Download response Agency midwives and pay 2015 140316

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 nursing spending rules from October 01 2015

Questions on the trust’s ceiling for agency nurse spend, as per the rules introduced from October 1, 2015:

1) How many applications has your trust made to increase its ceiling for agency nurse spend?
2) How many of these applications were successful?
Questions on the agency pay caps – specifically regarding nurses – as per the rules introduced on November 23, 2015:
3) On how many shifts has your trust overridden the rules for hourly rate agency caps – specifically for nurses – since the rules were introduced?
4) Across how many weeks have these breaches (in question 3 above) occurred? .
5) How many band five nurses has your trust overridden the rules for?
6) How many band six nurses has your trust overridden the rules for?
7) How many band seven nurses has your trust overridden the rules for?
8) How many band eight nurses has your trust overridden the rules for?

Download response Agency nursing spending rules from October 01 2015 150216

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

AHP agency staff spend 2015-2016

Question 1
Please can you confirm what your total spend on Allied Health Professional (AHP) agency staff was during the financial year April 2015-January 2016?
Can you please break this financial information down by AHP specialism:
• Arts Therapists,
• Chiropodist/Podiatrist,
• Dietician,
• Occupational Therapist,
• Physiotherapist,
• Prosthetist / Orthotist,
• Imaging Professionals,
• Speech / Language Professionals.
Question 2
Please can you confirm the names of the organisation/s you procure temporary Allied Health Professionals (AHP) from and the total spend for each organisation/s. To provide additional clarity on my request, ‘temporary Allied Health Professionals’ is to mean all persons who are AHPs and are not on permanent contracts of employment with the Board, but are supplied via employment agencies.

Download response AHP agency staff spend 2015-2016 150316

Amount spent on employing agency/temporary/locum doctors in A&E departments 2014 and 2015

Under the Freedom of Information Act, please can you provide me with the amount spent on employing agency/temporary/locum doctors in A&E departments, and the number of FTE roles covered by agency doctors, if possible for each month in 2014 and 2015, or for 2014 and for 2015 as whole years.

Please can you provide me with the number of FTE doctors working in the A&E department, if possible for each month in 2014 and 2015, or for 2014 and for 2015 as whole years?

If possible, please provide a breakdown between junior doctors and consultants.

Download response Amount spent on employing agency/temporary/locum doctors in A&E departments 2014 and 2015 140316

Bank Staff (Medical Locums) Maidstone Hospital

Please complete the attached table with the relevant information regarding Bank Staff (Medical Locums) at your Trust.

Grade Core Hours Pay rate Unsocial Pay Rates
FY1
+FY2
Sp1-2
Sp3+
Dental Core Training
Specialty Doctor/staff grade
Associate Specialist
Consultant

Download response Bank Staff (Medical Locums) Maidstone Hospital 010216

Bank Staff (Medical Locums) Tunbridge Wells Hospital

Please complete the attached table with the relevant information regarding Bank Staff (Medical Locums) at your Trust.

Grade Core Hours Pay rate Unsocial Pay Rates
FY1
FY2
Sp1-2
Sp3+
Dental Core Training
Specialty Doctor/staff grade
Associate Specialist
Consultant

Download response Bank Staff (Medical Locums) Tunbridge Wells Hospital 010216

Framework and non-framework locum agencies

What framework and non-framework locum agencies you use for:
Doctors
Nursing staff
Doctors and nursing staff

I also want to know do you have a staff bank. Do you with any particular agencies as a rule and others when simply in need?

Download response Framework and non-framework locum agencies 260116

locum agency ahp and hss staff.

Please provide the spend on locum agency ahp and hss staff broken down by the below disciplines and, if applicable whether the spend is in an acute or community setting for the period 1st October 2014 – 30th September 2015.

Occupational Therapists

Physiotherapists

Speech & Language Therapists

Dietitians

Pharmacists

Radiography to include Diagnostic, CT, MRI, Nuc Med

Radiotherapists

Sonographers

Download response locum agency ahp and hss staff 161215

Locum doctor costs 2015

1. How many permanent positions for doctors did the trust undertake recruitment to fill in 2015?
2. What was the trust’s total spend on recruiting doctors in 2015?
3. What was the average length of time taken to fill vacant doctor posts in 2015?
4. What was the trust’s total spend on employing locum doctors in 2015?
5. What was the trust’s total spend on employing locum doctors to cover unfilled permanent posts in 2015?
6. What was the trust’s total spend on locum agency fees, for the recruitment of doctors, in 2015?

In your response, please confirm the official name of the trust or trusts that the information relates to.

Download response Locum doctor costs 2015 110316

Locum staff and job vacancies 2010/2011 & 2014/2015

1. (a) In the Financial Year 2014/15, how many hours in total were worked by locum staff for the Trust?

(b) In the Financial Year 2014/15, how many days in total were permanent job positions left vacant for? (I.e. the number of days that positions were left unfilled by permanent staff)

2. (a) In the Financial Year 2010/11, how many hours in total were worked by locum staff for the Trust?

(b) In the Financial Year 2010/11, how many days in total were permanent job positions left vacant for? (I.e. the number of days that positions were left unfilled by permanent staff)

NB: I would prefer the figures to be for financial years, as stated. However, if it is only possible to supply the figures in terms of calendar years, please supply them for 2014 (in Q1), and 2010 (in Q2).

Download response Locum staff and job vacancies 2010/2011 & 2014/2015 260116

Temporary Nursing staff – Internal Bank and External Agency suppliers

1) Do you use temporary nurses? If yes, can we have a breakdown of how many have been used in the last three years?

2) What is the cost if using these nurses? Can we have a breakdown of how much one nurse costs and the total of cost in the last three years?

Download response Temporary Nursing staff – Internal Bank and External Agency suppliers 010216

Temporary staffing processes

1) Do you have a master vendor (MV) arrangement in place for the supply of medical locums? If so please state the name of the provider used (Medacs, Holt, A&E Agency etc.)
2) Please state the utilisation rate that has been achieved through the master vendor in the last 12 months. This is the total value of locum spend supplied by the master vendor itself in the last 12 months as a percentage of total locum spend in the same period.
3) Does the trust use a direct engagement model to engage locum staff? If so please state the name of the company used (Liaison PwC, 247 Time, Brookson, HB Retinue, Medacs etc.)?
4) Do you run a weekly payroll for medical bank?
5) Does the trust use rostering software (Allocate, Smart etc.)? If so please state the name of the company used, and the total amount that the trust has spent on rostering in 2014/15.
Please provide all subsequent information split by the following staffing categories. Please include all spend outside of the specified categories as “other”.
– Nursing & HCA’s
– Medical & Dental
– AHP’s
– Other
6) Please state the trusts expenditure on agency staff in 2014/15 split by the above staff categories.
7) Please state the total spent on internal bank staff in 2014/15, split by the above staff categories. This is the total paid to workers completing shifts via the trust bank, excluding any costs to 3rd parties. Please do not include any spend on outsourced bank staff
8) Please state the total number of staff signed up to the trust’s internal bank, split by the above categories.
9)Of the above figure, please state the total number of staff signed up to the bank who also work as substantive staff at the trust. I.e. Staff that hold substantive contracts but have also completed shifts via the internal bank.
10) Does the trust outsource the supply of any bank staff to third parties such as NHS Professionals, Bank Partners, etc.? If so please specify the name of the company used and the staffing categories supplied by the 3rd party. 11)Does the trust use any third party tech solutions to manage internal bank staff (de Poel, HB Retinue, Liaison, Holt, 247 Time etc.)? If so please specify the name of the company used and the staffing categories managed through the tech solution.
12)Do you use any suppliers or systems to manage the release of vacancies to agencies and bank workers? If so please state the name of the company used and the staffing categories managed. If you use different suppliers/systems for different staffing categories, please specify.

Download response Temporary staffing processes 150416

Trust’s expenditure on Interim Managers 2014/2015

By interim managers we mean any manager who is referred to as “interim” or “temporary” in the trust Annual Reports for the five previous financial years up to 2014/2015.

For each individual interim manager, please provide:
1. The name, position within the trust, and the recruitment firm associated with the interim manager.
2. The total amount paid for the services of the interim manager, and for how many months’ work.
3. Out of the money paid for the individual’s services, how much of that money went to the recruitment firm (i.e. was not part of the interim manager’s salary).
4. Please could you provide the information from the five previous financial years up to 2014/2015 in Excel Format?
5. In a separate data set, please could you provide how much has been spent this year up to the present date (4/2/16) in Excel format?

Download response Trust’s expenditure on Interim Managers 2014/2015 290316

 

Cancelled operations

Cancelled elective operations for December 2015 and January 2016.

I would like to ask for each day over the past two months how many elective operations have had to be cancelled and what reasons were given?

And for each of those days, how many elective operations had been originally planned?

Download response Cancelled elective operations for December 2015 and January 2016 190416

 

Cancer and Haematology

Chronic Myeloid Leukaemia (CML) 2015.

1. In your organisation, how many patients diagnosed with Chronic Myeloid Leukaemia (CML) have been treated in calendar year 2015?

2. Of these patients, how many are currently being treated with each of the following tyrosine kinase inhibitors (TKIs)?
· Dasatinib (Sprycel)
· Imatinib (Glivec)
· Nilotinib (Tasigna)
· Ponatinib (Iclusig)
· Bosutinib (Bosulif)

3. If possible, of these patients on a TKI, how many have had treatment with a previous TKI?

4. In your organisation, how many patients diagnosed with Philadelphia positive (Ph+) Acute Lymphoblastic Leukaemia (ALL) have been treated in calendar year 2015?

5. Of these patients how many are currently being treated with each of the following TKIs?
· Dasatinib (Sprycel)
· Imatinib (Glivec)
· Nilotinib (Tasigna)
· Ponatinib (Iclusig)
· Bosutinib (Bosulif)
· Other (i.e. not on a TKI)

Download response Chronic Myeloid Leukaemia (CML) 2015 190416

Gonadorelin (GnRH) Analogues.

1 Within your organisation, which healthcare professional (role) clinically recommends the LHRH that is prescribed?
2 Which healthcare professional (role) within your organisation usually administers the first injection?
3 Where is the first injection usually given (hospital or primary care)?
4 Which healthcare professional (role) within your organisation usually administers subsequent injections?
5 Where are subsequent injections usually given (hospital or primary care)?
6 For subsequent injections, does the patient still remain under the care of the hospital (e.g. attends hospital clinics although injections are given in primary care), and if so, for how long?
7 If injections are administered in primary care, what recommendation/advice comes from the hospital?

Download response Gonadorelin (GnRH) Analogues 300316

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

Renal cell carcinoma specialist nurses

Please provide the number of a.) Renal cell carcinoma clinical nurse specialist b.) Uro-oncology clinical nurse specialists and c.) Urology clinical nurse specialists currently employed by your Trust

Download response Renal cell carcinoma specialist nurses 040116

TARGeted Intraoperative Radiotherapy

For Maidstone and Tunbridge Wells NHS Trust (and any previous iterations of it) the number of early breast cancer cases treated at the Trust with TARGeted Intraoperative Radiotherapy (also known as Intrabeam or TARGIT IORT) for each year from January 2000 to the date of this request. Please identify the number of cases in each year which were delivered as part of a clinical trial and the number which were delivered as treatment which was not part of a clinical trial.

For the Trust, the date at which the Trust or Clinical Commissioning Group purchased equipment able to deliver TARGeted Intraoperative Radiotherapy, the price paid for that equipment and the name of the organisation from whom it was purchased.

Download response TARGeted Intraoperative Radiotherapy 220216

Venous thromboembolism (VTE) in cancer patients 2012,2013 & 2014

Question 1: How many patients has your Trust treated for cancer (of all types) in each of the past three years?

Question 2: Of the patients treated for cancer, how many also had a diagnosis of venous thromboembolism (VTE) {VTE is defined by the following ICD 10 codes: I80.0-I80.3, I80.8-I80.9, I82.9, O22.2 – O22.3, O87.0 – O87.1, I26.0, and I26.9} in each of the past three years?

Question 3: Of the patients treated for cancer who also had a diagnosis of VTE in each of the past three years, how many:
2014 2013 2012
Were receiving chemotherapy?
Had metastatic disease?
Had localised disease?
Were treated for brain cancer?
Were treated for lung cancer?
Were treated for uterine cancer?
Were treated for bladder cancer?
Were treated for pancreatic cancer?
Were treated for stomach cancer?
Were treated for kidney cancer?

Part 2: Mortality
Question 4: In how many patient deaths within your Trust was cancer (of any type) listed as the primary cause of death in each of the past three years:
a) 2014
b) 2013
c) 2012

Question 5: Of the patients who died within your Trust, in how many was VTE as well as cancer listed as a cause of death in each of the past three years:

Question 6: Of the patients who died in your Trust who had both VTE and cancer listed as a cause of death, how many:
2014 2013 2012
Were receiving chemotherapy?
Were treated for brain cancer?
Were treated for lung cancer?
Were treated for uterine cancer?
Were treated for bladder cancer?
Were treated for pancreatic cancer?
Were treated for stomach cancer?
Were treated for kidney cancer?

Part 3: Advice given to patients
Question 7: Are patients who receive chemotherapy provided with written and verbal information about the risk of developing VTE during chemotherapy?

Question 8: Are patients who receive chemotherapy provided with written and verbal information which outlines the symptoms suggestive of VTE?

Question 9: Are patients who receive chemotherapy provided with written and verbal information regarding what action they should take if they suspect a Deep Vein Thrombosis (DVT) or Pulmonary Embolism (PE)?

Question 10: Does your Trust have a policy or pathway for the management of suspected VTE in patients receiving chemotherapy?

Download response Venous thromboembolism (VTE) in cancer patients 2012,2013 & 2014 311215

 

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

Staff car parking spaces and cost 2011-2015.

1) How many staff work at the trust?
2) How many car parking spaces are there?
3) How many staff members use car parking facilities each day?
4) Do staff pay to park?
5) If so, how much to they currently pay if they pay by
a) salary sacrifice
b) daily
(please state if staff on different bands or pay grades pay different amounts to park. Please state what these amounts are)
6) Please state what the charges were for both salary sacrifice and daily parking in 2014/5
7) Please state what the charges were for both salary sacrifice and daily parking in 2013/4
8) Please state what the charges were for both salary sacrifice and daily parking in 2012/3
9) Please state what the charges were for both salary sacrifice and daily parking in 2011/2
10) What is the total amount paid by staff for parking at the trust in 2014/5
11) What is the total amount paid by staff for parking at the trust in 2013/4
12) What is the total amount paid by staff for parking at the trust in 2012/3
13) What is the total amount paid by staff for parking at the trust in 2011/2

Download response Staff car parking spaces and cost 2011-2015 180416

 

Children's Services

Babies born in 2015 whose birth-weight was 12lbs or 5443g or more.

In the 2015 calendar year were there any babies born at your hospitals where the weight of the baby was 12lbs (5443g) or more? If so please state how many and what their birth-weights were.

Download response Babies born in 2015 whose birth-weight was 12lbs or 5443g or more 280416

Bereavement of babies

(a) Does your trust have a bereavement suite available for use by parents in the event of limited life expectancy of an anticipated birth of a child?

(b) If the answer to (a) is no, what alternative arrangements are available?

(c) If the answer to (a) is yes, would parents of a baby who turn up at hospital with a sudden infant death be allowed to use the bereavement suite?

(d) If the answer is yes to (a) where in relation to the Labour ward is the suite located?

(e) Do you have bereavement trained midwives? If yes, how many?

(f) Do you have a trained bereavement councillor at the hospital? If yes, what is the average waiting time to be able access support from that councillor?

(g) Do you provide any written information to parents following the loss of a baby? If yes, please name the third sector organisation information is provided from.

(h) Can you list the guidelines around infant death which are implemented by the hospital?

(i) Does the hospital provide support around funeral arrangements for infants or babies who have died at the hospital?

Download response Bereavement of babies 030216

Neonatal abstinence syndrome 2011-2016.

Can you provide answers for 2011-2012, 2012-2013, 2013-2014, 2014-2015 and 2015-2016 please?

How many babies were born with neonatal abstinence syndrome (showing signs of drug addiction because of their mother taking drugs during pregnancy) at hospitals run by your trust during each financial year?
If you run more than one hospital please breakdown the figures for each hospital.

Download response Neonatal abstinence syndrome 2011-2016 290416

Neonatal withdrawal 2010-2015

Could you let me know how many babies were born to mothers who had abused/ taken drugs during pregnancy each year for the past 5 years including 2014-2015?

How many babies were born showing neo-natal withdrawal symptoms each year for the past five years?

Could you also let me know from the mothers who had taken drugs what was the breakdown for each type of drugs e.g. heroin, cocaine

Download response Neonatal withdrawal 2010-2015 140415

Reported extravasation injury within the Neonatal Unit (NNU).

I would like to be provided with the following information.

1. The latest total annual figures for reported extravasation injury within your NNU/NICU/SCBU

2. Model of the large volume infusion pump used on the unit

3. Model of the syringe pump used on the unit

Download response Reported extravasation injury within the Neonatal Unit (NNU) 060416

Under 16’s and sexually transmitted diseases (STD).

Q1.) How many children (aged 15 and under) have attended services at your trust to get tested for sexually transmitted diseases?

Please provide the total number for each year – and in addition, break down by age (age band is adequate if the numbers are small).

Q2.) Please provide the total number of STD tests that came back positive in children under 16 over the last five years – and again, please break down by year, age, – as well as the type of STDs that were diagnosed.

Q3.) If this has not been made clear in the above response – what is the specific age of the youngest child to be diagnosed with an STD over the last five years – and what was the STD?

Q4.) Please separately provide the total number of children under 16 who were diagnosed with HIV over the last five years – with a breakdown of ages for each year. This includes children who were found to have HIV when attending hospital for another matter.

Q5.) Within these figures, please also include the numbers of children who were found to have an STD when using hospital services for other services.

Download response Under 16’s and sexually transmitted diseases (STD) 060416

 

Complaints, PALS and Legal Services

External legal spend

1. What does your organisation spend on legal fees e.g. external legal advice and what is the breakdown of fees and expenses.
2. What is the breakdown of spend e.g. what percentage of work is completed on an hourly rate basis, capped fee, fixed fee etc. We do not break it down in these terms.
3. Who in your organisation is responsible for managing external legal spend-
4. What controls do you have in place to manage external legal counsel spend?
5. Do you use any of the eBilling (also known as Enterprise Legal Management or Legal Spend Management) tools (e.g. Serengetti, Mitratech, CT Tymetrix, Datacert etc.) available in the market to manage your legal spend – if yes what are you currently paying for this system and does the vendor charge your firms to use the same
6. Do you use a matter management system and if yes how much do you pay for the system.
7. How do you decide if work is completed internally or by external counsel?
8. What performance management do you complete with your external legal counsel to ensure you are receiving value for money?
9. What is the breakdown of spend e.g. % of time billed by partner, by senior associate, junior associate, trainee and paralegals etc.
10. What is the breakdown of your legal spend by location e.g. how much work is performed in London, Manchester, Birmingham, Edinburgh, Glasgow, Cardiff, Belfast etc.
11. How do you measure what value added services law firms provide to you (e.g. free advice, free training, free secondees etc.)
12. Do you use external consultants to advice on how to manage your legal spend more effectively. If yes, who and what have you spent with them in the last 12 months

Download response External legal spend 180216

Litigation cases bought against the Trust since 2010.

1. How many litigation cases have been brought against the trust since 2010? (Please provide a breakdown per year)
2. For each litigation case brought against the trust, please provide a brief outline of the nature of the case
3. For each litigation case brought against the trust, how many did the trust admit liability for?
4. For each litigation case brought against the trust, how much money did the trust pay out to the other party?
5. For each litigation case brought against the trust, how much money was spent on legal fees?

Download response Litigation cases bought against the Trust since 2010 070416

Losses and special payments 2014-2015

In your financial accounts for the financial year 2014/15 did you have a section for “losses and special payments?
1. If so how much money was accounted for in the 2014/2015 financial year as being “losses and special payments”? (Please note l am aware that the loss may have occurred many years earlier but I am interested in items which were accounted for in the last financial year, irrespective or when the loss took place.)
Please detail the three largest single amounts within this total, giving a cost for each loss and a detailed description of the claim and the reason for the loss.
2. What was the total paid on claims for property lost by patients and how much related to (i) Dentures, (ii) Spectacles, (iii) jewellery and (iv) hearing aids?

Download response Losses and special payments 2014-2015 080216

Medication errors 2014 and 2015.

I would be grateful if you could let me have the following information, for two separate years: 2014 and 2015.
1) The number of medication errors recorded by the Trust for each of these two years.
2) The number of these incidents for each of these two years that were recorded as causing:
– no harm
– low harm
– moderate harm
– severe harm
– death
3) The number of errors for each of these two years attributed to:
– prescribing error
– dispensing error or
– any other cause
4) The number of errors for each of these two years attributed to:
– the prescribing or dispensing of the wrong dose, or
– the prescribing or dispensing of the wrong medicine.

5) The number of incidents for each of these two years in which the Trust has paid financial compensation to patients or relatives of patients in respect of medication errors, and the total paid in compensation for each of these two years in respect of medication errors.
6) Finally, does the Trust have a named medication safety officer, and when was this post established and filled?

Download response Medication errors 2014 and 2015 030516

Number and costs of court cases launched to prevent patients being identified in media reports.

1) How much money has your Trust spent in total during the three financial years between April 2012 and April 2015 to prevent patients being identified in media reports? Please enter the answer into the supplied MS Excel template file in the cells under the column labelled “Q1”.

2) How much money has your Trust spent in each financial year between April 2012 and April 2015 to prevent patients being identified in media reports? Please enter the answer into the supplied MS Excel template file in the cells under the columns labelled: “Q2 – 12/13”; “Q2 – 13/14”; “Q2 – 14/15”.

3) How many separate court cases has your Trust launched in each financial year between April 2012 and April 2015 to prevent patients being identified in media reports? Please enter the answer into the supplied MS Excel template file in the cells under the columns labelled: “Q3 – 12/13”; “Q3 – 13/14”; “Q3 – 14/15”.

4) How many Reporting Restriction Orders has your Trust obtained in each financial year between April 2012 and April 2015 to prevent patients being identified in media reports? Please enter the answer into the supplied MS Excel template file in the cells under the columns labelled: “Q4 – 12/13”; “Q3 – 13/14”; “Q3 – 14/15”.

5) How many other privacy injunctions has your Trust obtained in each financial year between April 2012 and April 2015 to prevent patients being identified in media reports? Please enter the answer into the supplied MS Excel template file in the cells under the columns labelled: “Q5 – 12/13”; “Q3 – 13/14”; “Q3 – 14/15”.

6) How many separate court cases has your trust launched in each financial year between April 2012 and April 2015 to prevent patients being identified in media reports where the mental capacity of the patient was an issue? Please enter the answer into the supplied MS Excel template file in the cells under the columns labelled: “Q6 – 12/13”; “Q4 – 13/14”; “Q4 – 14/15”.

7) How many separate cases has your trust launched in each financial year between April 2012 and April 2015 to prevent patients being identified in media reports where the Trust acted with the family of the patient? Please enter the answer into the supplied MS Excel template file in the cells under the columns labelled: “Q7 – 12/13”; “Q4 – 13/14”; “Q4 – 14/15”.

8) How many separate cases has your Trust launched in each financial year between April 2012 and April 2015 to prevent patients being identified in media reports where the Trust acted without the family of the patient? Please enter the answer into the supplied MS Excel template file in the cells under the columns labelled: “Q8 – 12/13”; “Q4 – 13/14”; “Q4 – 14/15”.

9) Please enter any additional notes, caveats or general points into the supplied MS Excel template file in the cell under the column labelled “Additional notes”.

Download response Number and costs of court cases launched to prevent patients being identified in media reports 250216

Penalties and fines 2014-2015.

1) Name of a) your trust b) the hospitals in your trust
2) Does the hospital trust have a Major A&E Unit?
3) We would like to request the income retained by the commissioner (the CCG) as a result of funds withheld or ‘defunded’ from your Trust under the application of the 30% marginal emergency tariff in the following financial year of 2014/15?
4) How much money has the Trust been fined or had withdrawn/withheld for not meeting the percentage target for referral to treatment time of 18 weeks for patients in the following financial year of 2014/15?
5) How much money has the Trust been fined or had withdrawn/withheld for not meeting the percentage target for A&E waiting time (4 hours) in the following financial year of 2014/15?
6) How much money has the Trust been fined or had withdrawn/withheld for emergency readmissions of patients within 30 days of discharge in the following financial year of 2014/15?

Download response Penalties and fines 2014-2015 181115

 

Critical Care

Escalation procedures for ITU/ICU/HDU.

This is FOI request, please tell me what happens if you get patients for ITU / ICU / HDU but they are full with other patients, what do you do?

Download response Escalation procedures for ITU/ICU/HDU 190416

Follow-up of Critical Care patients.

Please could you send me any policies relating to intensive care/ critical care follow up of patients?

Download response Follow-up of Critical Care patients 130116

 

Delayed transfer of care

Section 5 under the Community Care (Delayed Discharges) Act in the year to March 31 2015

Please could you provide the number of patients whose discharge has
delayed by 28 days or more after the serving of a Section 5 under
the Community Care (Delayed Discharges) Act in the year to March 31
2015, with any available monthly breakdowns?

Please including the longest number of days for which an individual
patient had to wait for a discharge after a Section 5 was served, and any available breakdown by length of wait for a discharge after a Section 5 was served.

Would you please state on November 15 2015, how many beds were occupied in your trust by patients who had been served a Section 5 at least 24
hours previously?

Download response Section 5 under the Community Care (Delayed Discharges) Act in the year to March 31 2015 010216

 

Diagnostics, Therapies & Pharmacy

Biologics and Biosimilar

1. Does your trust run a dedicated Gastroenterology infusion clinic for the treatment of patients with Infliximab [or Vedolizumab] If Yes, how frequently are they run?
2. Could you please provide me with the following numbers of patients treated in the last six months with the following drugs for the conditions listed below?

Rheumatology [Rheumatoid Arthritis, Ankylosing Spondylitis and Psoriatic Arthritis] Dermatology [Psoriasis] Hidradenitis suppurativa (sometimes known as acne inversa) L73.2 Gastroenterology
[Crohns / Ulcerative Colitis]
Abatacept (Orencia)
Adalimumab (Humira)
Apremilast (Otezla)
Certolizumab Pegol (Cimzia)
Etanercept (Enbrel)
Golimumab (Simponi)
Infliximab (Remicade)
Infliximab biosimilar (Inflectra)
Infliximab biosimilar (Remsima)
Rituximab (MabThera)
Secukinumab (Cosentyx)
Tocilizumab (RoActemra)
Tofacitinib [Xeljanz]
Ustekinumab (Stelara)
Vedolizumab (Entyvio)

Download response Biologics and Biosimilar 120116

Carboxyhaemoglobin levels

Under the Freedom of Information Act 2000 I request that the NHS Trust provides me with the following information:

• What methods of measuring carboxyhaemoglobin levels do each hospital covered by the Trust use
• Whether or not each hospital covered by the Trust has a Masimo Rad-57 Oximeter in its accident and emergency department.

Download response Carboxyhaemoglobin levels 181215

Diagnosis of heart failure in 2015.

1. What was the size of the patient population covered by your Trust in 2015?
2. How many patients were diagnosed with heart failure by your Trust in 2015?
3. Does your Trust follow NICE guidelines to support the diagnosis of suspected heart failure? If not, what guidance does your Trust follow? Please provide a copy
4. Please provide the details – including the manufacturer and brand name – of those tests used to support the diagnosis of heart failure
5. Does your Trust follow NICE guidelines to support the management of chronic heart failure? If not, what guidance does your Trust follow? Please provide a copy
6. Please provide the details – including the manufacturer and brand name – of those tests used to support the management of chronic heart failure
7. Does your Trust use NTproBNP or BNP testing to support the diagnosis of heart failure in patients presenting through A&E?
8. How many NTproBNP tests were performed by your Trust in 2015? Please provide the manufacturer and brand name of the test used
9. Are there any restrictions for using NTproBNP or BNP tests? If yes, please explain
10. How many echocardiographs were performed at your Trust in 2015?
11. What was the average waiting time for an echocardiogram at your Trust in 2015?

Download response Diagnosis of heart failure in 2015 290416

Formaldehyde and Formalin

1. How many reported incidents involving formaldehyde and/or Formalin have occurred in the last 3 years at your trust? Please provide numbers of staff and patients involved in such incidents
2. How many reported illnesses or injury due to formaldehyde and/or formalin has your trust had?
3. Has your trust ever been subject to legal proceedings due to exposure to formaldehyde and and/or formalin? Please supply numbers of incidents
4. Does your trust have a policy or procedure in place to reduce exposure to formaldehyde and/or formalin in the treatment room setting whilst harvesting biopsy samples? If so please supply
5. Does your trust have a policy to purchase the safest practicable solution to reduce harmful exposure to Formaldehyde and/or formalin? If so please supply details

Download response Formaldehyde and Formalin 260216

Histopathology Speciality Registrars July 2015

Under the Freedom of Information Act I am requesting the following

Monitoring results for the full time Histopathology Specialty Registrars who undertook a monitoring exercise July 2015
Monitoring results for the Less Than Full Time Histopathology Speciality Registrars who undertook monitoring July 2015

Download response Histopathology Speciality Registrars July 2015 211215

Instrument sterilisation service February 2016

1, Is the core instrument sterilisation service
A) Run in house
B) Onsite
C) Out sourced to a separate trust
D) Outsourced to a private company

2, How many instruments have been processed by the sterile services facility mentioned in question one.
A) In 2014 (or that financial year)
B) In 2015 (or that financial year)
C) How many surgical instruments are anticipated to require sterilising in 2016?

3, How much has the trust spent annually on sterilising surgical instruments for the following years?
A) Financial year 2013/14
B) Financial year 2014/15
C) How much has been budgeted or anticipated to be spent for the Financial year 2015/2016

4, How many staff are employed by the sterile service facility mention in question on, for the purposes of instrument sterilisation only, (i.e. exclude porters)
A) Management/admin
B) Team Leaders, supervisors, technicians

5, Does the trust provide decontamination and sterilisation services for re-usable surgical instruments to other customers who are not part of the trust? If so who?

6, In relation to surgical cancellations due to sterilisation failures.
A) How many operations were cancelled in 2014 due to issues with sterilisation of the equipment?
B) How many operations have been cancelled in 2015 due to issues with sterilisation of the equipment?

7, What where the costs associated with these cancellations
A) 2014
B) 2015

8, Of the instruments sterilised, approximately how many would be from dental/oral departments?
A) In 2014 (or that financial year)
B) In 2015 (or that financial year)

9, What Would the costs be for these instruments to dental/oral departments (Please state if approximate costs or not)
A) In 2014 (or that financial year)
B) In 2015 (or that financial year)

10, Does the trust use single use instruments?

Download response Instrument sterilisation service February 2016 250216

Molecular pathology BRAF testing

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 250216

Pathology Services

We are carrying out a short survey to understand the impact of Lord Carter’s reviews and the HSCA 2012 on pathology services across England and the potential role of private providers.
For pathology services, we are considering the following laboratory diagnostic specialties: Chemical pathology/Clinical biochemistry, Haematology, Medical Microbiology and Virology, Histopathology.
Under the Freedom of Information Act 2000 we seek the following information within your NHS Trust/NHS Foundation Trust:

Download response Pathology Services 040216

Pharmacy staffing structure

I would like to make a freedom of information request for the following information:-

– A detailed breakdown of current locum staff at each hospital by job title in the pharmacy department (for example At —— Hospital we have – Locum pharmacists, — Locum technicians and — Locum ATOs.)

– Management structure and contact names within the pharmacy department

Download response Pharmacy staffing structure 271115

Policies and Procedures – Prescribed Drugs

I am writing to you to request the provision of several documents from the Trust approved document management database which relate to the main policies and procedures in place.

If at all possible, please could you provide the following documents (unique ID in brackets):

1. Critical Medicines where Timeliness of Administration is Crucial (RWF-OWP-APP299);
2. Critical Medicines Loading Doses (RWF-OWP-APP300);
3. Standard Operating Procedure for Prescribing, Preparing and Administering Injectable Medicines in Clinical Areas (RWF-OPPM-CSS2);
4. Standard Operating Procedures for the Management of Controlled Drugs in Operating Theatres (RWF-OPG-CSS4);
5. Standard Operating Procedures for the Management of Controlled Drugs in Wards and Departments (RWF-OPG-CSS5); AND
6. All of the above policies as in place on February and March 2014, if different from the above.

Download response Policies and Procedures – Prescribed Drugs 311215

Speech therapy for patients with Parkinson’s Disease.

– How much of your budget in monetary and percentage terms is allocated to support for Parkinson’s?
– Do you provide speech therapy within your Parkinson’s services?
– If so, how much of your budget in monetary and percentage terms was allocated to speech therapy services in 2010, 2011, 2012, 2013, 2014, and 2015?
– How regularly do Parkinson’s patients have access to NHS funded speech therapy?
– How many Parkinson’s patients have you treated on average over the past five years?
– How many speech therapists do you provide funding for? Has this number increased or decreased in the past five years?

Download response Speech therapy for patients with Parkinson’s Disease 280416

Staff details and structure chart for Pharmacy department March 2016

Please provide me with:
1. The name of your Head/Director of Pharmacy (or Chief Pharmacist)
2. Structure chart of your pharmacy department
3. Total number of pharmacists, pharmacy technicians, pharmacy assistants and administrative staff in the dept.

Download response Staff details and structure chart for Pharmacy department March 2016 300316

Sterilisation unit for sterilisation of surgical instruments and implants November 2015

1. Is the current sterilisation unit for sterilisation of surgical instruments and implants used by the trust an in-house facility or do you currently pay a privately owned sterilisation unit to sterilise the trusts surgical equipment?

2. What is the cost to the trust for sterilisation per surgical tray?

3. Is this cost dependent on number of instruments per tray and what is the costing per banding for each quantity of instruments per tray?

Download response Sterilisation unit for sterilisation of surgical instruments and implants November 2015 201115

TARGeted Intraoperative Radiotherapy

For Maidstone and Tunbridge Wells NHS Trust (and any previous iterations of it) the number of early breast cancer cases treated at the Trust with TARGeted Intraoperative Radiotherapy (also known as Intrabeam or TARGIT IORT) for each year from January 2000 to the date of this request. Please identify the number of cases in each year which were delivered as part of a clinical trial and the number which were delivered as treatment which was not part of a clinical trial.

For the Trust, the date at which the Trust or Clinical Commissioning Group purchased equipment able to deliver TARGeted Intraoperative Radiotherapy, the price paid for that equipment and the name of the organisation from whom it was purchased.

Download response TARGeted Intraoperative Radiotherapy 220216

The use of immunotherapy products

Please can you supply the total number of items purchased by product for immunotherapy in an allergy indication. E.g. GRAZAX 75,000 SQ-T oral lyophilisate. Please supply a full list of products used and the number of items for the last 12 months within your trust.

Download response The use of immunotherapy products 021215

Total spend on sterilisation in 2014

What was the trusts total spend on sterilisation in 2014?

What was the trusts spend on sterilisation of Orthopaedic equipment in 2014?

How many instruments sets in 2014 had to be fast tracked, i.e. sterilized at a higher cost to be returned to theatres in a shorter time frame than usual?

How long is the current sterilization service contracted until?

How many trays in 2014 were returned to the account non-compliant? What were the reasons for the sterilised trays being classed as non-compliant?

Download response Total spend on sterilisation in 2014 130116

Urine cultures January to December 2015

• How many urine samples were tested for Culture and Sensitivity in the last full year that the Trust has records for
• How many of these samples showed signs of mixed growth

Download response Urine cultures January to December 2015 220216

Vials/Implants for Wet Age Related Macular Degeneration (wAMD)

Within your organisation how many intra-vitreal vials/implants have been used in the latest 4 months, if possible between September and December 2015?

Please state the number of vials dispensed from your pharmacy in this period, if the number for wet AMD is not known, then regardless of reason for use.

Avastin (bevacizumab) Injections Eylea (aflibercept) Injections Illuvien (Fluocinolone) Implants Lucentis (ranibizumab) Injections Ozurdex (Dexamethasone) Implants
Total Vials/Implants
Vials/Implants for Wet Age Related Macular Degeneration (wAMD)

Download response Vials/Implants for Wet Age Related Macular Degeneration (wAMD) 030216

 

Emergency and Medical 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)

Admissions and Discharge policies and Venous Thromboembolism (VTE) policy.

Under the Freedom of Information Act, please may you send me a copy of your Admissions Policy and Discharge Policy?

If held, please may you send me your policy on preventing and treating venous thromboembolism (VTE’s).

Download response Admissions and Discharge policies and Venous Thromboembolism (VTE) policy 010216

A&E attendances for assault in 2015.

The data we require are as follows (for period 1st January 2015 and 31st December 2015)

ED attendance date
Age or date of birth
Gender
Reason for ED attendance

We also require the total ED attendances for 2015.

Download response A&E attendances for assault in 2015 080216  

A&E waiting times 2013,2014 and 2015

1. How many patients have waited more than 12 hours in your A and E department in the last 3 years. Please break this down per month.
To be clear, this is since the patient arrived in A and E, not since decision to admit.

2. How many 12 hour decisions to admit patient did you report to NHS England in the last 3 years, please break this down per month.

This time frame is where you had to report a 12 hour breech to NHS England (it is typically taken after the patient has been in A and E more than 12 hours after decision to admit)

3. How many people came to A and E in the last 3 years, please break this down per month.
3a.Of these total number of patients, how many people were admitted to hospital for an inpatient stay – again please can you give me three years data, broken down per month.

4. Of those people that were admitted, in question 3 how many people breeched the 4 hour A and E target, per month for the last 3 years.

5. What was your percentage recorded rate of getting patients seen and out of the department in 4 hours, each month for the last 3 years? i.e. percentage of people who meet the 4 hour target.

Download response A&E waiting times 2013,2014 and 2015 160216

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

Cardiac equipment age and revenue 2014/2015.

Question 1
Hospital 1 (name)
No. operated No. leased / owned (If Applicable) number provided through a managed equipment provider) Year of manufacture (or installation, if yr of manufacture n/a)
Lab 1 Lab2 Lab3 Lab4 Lab5
Labs primarily serving PCI activity and coronary diagnostics
Labs primarily serving primary pacing & electrophysiology implantations, ablations and diagnostics
Labs primarily serving peripheral vascular angioplasty and diagnostics
All other
– of the above, labs within hybrid catheterisation lab / operating theatre

Question 2
Please provide the Trust’s revenue for the fiscal year 2014/15 from the HRGs below, broken down by source (NHS England or your local CCG) and by category: Coronary interventional cardiology, Pacing/Electrophysiology, Non-coronary catheter procedures, as follows:

Category Includes HRGs Trust’s Revenue 2014/15
From CCG From NHS England
Coronary interventional cardiology EA31Z Percutaneous Coronary Intervention (0-2 Stents)
EA36A Catheter 19 years and over
EA36B Catheter 18 years and under
EA49Z Percutaneous Coronary Interventions with 3 or more Stents, Rotablation, IVUS or Pressure Wire
Pacing/ Electrophysiology EA03Z Pace 1 – Single Chamber or Implantable Diagnostic Device
EA05Z Pace 2 – Dual Chamber
EA07Z Pace 3 – Biventricular and All Congenital Pacemaker Procedures – Resynchronisation Therapy
EA12Z Implantation of Cardioverter – Defibrillator only
EA27Z Percutaneous Standard EP or Ablation
EA29Z Percutaneous Complex Ablation (includes Atrial Fibrillation or Ventricular Tachycardia)
Non-coronary catheter procedures EA09Z Percutaneous Interventions: Percutaneous Transluminal ASD/VSD/PFO Closure and Valve Insertion
EA10Z Percutaneous Interventions: Balloon Valve Intermediate Interventions and Arterial Duct Closure
EA11Z Percutaneous Interventions: Other including Septostomy, Embolisations, Non-Coronary Stents and Energy Moderated Perforation
EA53Z Transcatheter Aortic Valve Implantation (TAVI)
EA35Z Other Percutaneous Interventions

Download response Cardiac equipment age and revenue 2014/2015 190416

Dementia 2014-2015

1. The number of patients aged 65 and over who have fallen in hospital in 2014-15 or the last year for which statistics are available?
2. Number of patients aged 65 and over with a coding of dementia who have fallen in hospital in financial year 2014-15 or the last year for which statistics are available?
3. The number of patients aged 65 and over discharged between the hours of 2300 and 0600 in financial year 2014-15 or the last financial year for which statistics are available?
4. The number of patients aged 65 and over with a coding of dementia discharged between the hours of 2300 and 0600 in financial year 2014-15 or the last financial year for which statistics are available?
5. The number of delayed discharges and delayed transfers of care for patients aged 65 and over in financial year 2014-15 or the last financial year for which statistics are available?
6. The number of delayed discharges and delayed transfers of care for patients aged 65 and over with a coding of dementia in financial year 2014-15 or the last financial year for which statistics are available?
7. The number of delayed discharges and delayed transfers of care for patients aged 65 and over in financial year 2014-15 or the last financial year for which statistics are available by reason e.g. awaiting completion of assessment?
8. The number of delayed discharges and delayed transfers of care for patients aged 65 and over with a coding of dementia in financial year 2014-15 or the last financial year for which statistics are available by reason e.g. awaiting completion of assessment?
9. The number of patients aged 65 and over with a coding of dementia admitted from home in financial year 2014-15 or the last financial year for which statistics are available?
10. The number of patients aged 65 and over with a coding of dementia admitted from home and discharged to a care home in financial year 2014-15 or the last financial year for which statistics are available?
11. The average length of stay for patients aged 65 and over for the three financial years 2012-13, 2013-14 and 2014-15 or the last three financial years that figures are available?
12. The average length of stay for patients aged 65 and over with a coding of dementia for the three financial years 2012-13, 2013-14 and 2014-15 or the last three financial years that figures are available?
13. The number of hospital readmissions within 30 days for patients aged 65 and over in financial year 2014-15 or the last financial year for which statistics are available?
14. The number of hospital readmissions within 30 days for patients aged 65 and over with a coding of dementia in financial year 2014-15 or the last financial year for which statistics are available?
15. The number of current a) board-level staff b) clinical staff c) non-clinical staff?

Download response Dementia 2014-2015 010216

Dermatology Department

Does your dermatology department have nurses trained to draw bloods from outpatients in outpatient clinics?

Does your dermatology department have dermatologists trained to draw bloods from outpatients in outpatient clinics?

Does your dermatology department have access to tubes, syringes/needles in the department to draw bloods from outpatients in outpatient clinics and someone who collects or sends tubes to your bloods lab department etc?

Does your dermatology department draw either whole bloods, serum, plasma or draw only whole bloods but they put on the label that a whole blood-based test or serum-based test or plasma-based test is required to your bloods lab department etc? (by the way there are tubes with clot activator for serum after they are spun. There are tubes with clot inhibitor for plasma after they are spun)

Download response Dermatology Department 150416

Dinitrophenol (DNP)

1. For each of the past five financial years (2010/11 to 14/15) please list the number of patients who have attended accident and emergency after suffering ill effects from taking Dinitrophenol (DNP).

2. For each of the past five financial years please list the number of patients admitted to a ward after taking DNP.

3. For each of the past five years please list the number of patients who have died in hospital after taking DNP.

Download response Dinitrophenol (DNP) 150416

Emergency transfers from private hospitals.

I am writing to you under the Freedom of Information Act 2000 to request the following information from your hospital trusts.
How many patients arrived in A&E as an emergency transfer from Kent’s private hospitals, for the following financial years 2010-11, 2011-12, 2012-13, 2013-14, and 2014-15?

Would it be possible to list which private hospitals the patients were transferred from for each of the financial years above?

Would it be possible to list some of the conditions that the patients were admitted with?
I have identified the following list of private hospitals in Kent:
1. KIMS Maidstone
2. Nuffield Health Tunbridge Wells
3. Spire Tunbridge Wells
4. Spire Alexandra Walderslade
5. BMI Somerfield Maidstone
6. BMI Chaucer Canterbury
7. BMI Fawkham Manor
8. BMI Sloane Beckenham
9. BMI Chelsfield Park Orpington
10. Spencer Ashford
11. Spencer Margate
12. Benenden

Download response Emergency transfers from private hospitals 080116

Escalation procedures for ITU/ICU/HDU.

This is FOI request, please tell me what happens if you get patients for ITU / ICU / HDU but they are full with other patients, what do you do?

Download response Escalation procedures for ITU/ICU/HDU 190416

Inpatient Haemorrhoid surgeries 01 January 2014- 31 December 2014.

1. Number of inpatient episodes of haemorrhoid surgeries done within the trust (broken down by hospital if there is more than one site) in the time period 1st January 2014 – 31st December 2014. If possible I would like the data broken down by types of procedure as set out below:
· Number of Haemorrhoidectomies (OPCS Code H51.1)
· Number of Stapled Haemorrhoidectomies (OPCS Code H51.3)
· Number of Rubber Band Ligation of Haemorrhoid (OPCS H52.4)
· Number of Haemorrhoidal Artery Ligations (OPCS Code L70.3) these may be identified by having the L70.3 code plus additional coding of Y53.2 and H53.8

2. Number of Outpatient Episodes for Rubber Band Ligation of Haemorrhoid (OPCS H524)

Download response Inpatient Haemorrhoid surgeries 01 January 2014- 31 December 2014 200416

Inpatient Laparoscopic Hernia Surgery Episodes during the period 1st January 2015 – 31st December 2015.

I would like to request data on the number of inpatient Laparoscopic Hernia Surgery Episodes done within your trust during the period 1st January 2015 – 31st December 2015. In particular I would like the results broken down by numbers of surgeries done for the following:

1. T20.2 Primary repair of inguinal hernia using prosthetic material (There is usually an additional code of Y75.1 OR Y75.2 assigned to indicate the surgery was done laparoscopically)
2. T21.2 Repair of recurrent inguinal hernia using prosthetic material (There is usually an additional code of Y75.1 OR Y75.2 assigned to indicate the surgery was done laparoscopically)
3. T24.2 Repair of umbilical hernia using prosthetic material (There is usually an additional code of Y75.1 OR Y75.2 assigned to indicate the surgery was done laparoscopically)
4. T25.2 Primary repair of incisional hernia using insert of prosthetic material (There is usually an additional code of Y75.1 OR Y75.2 assigned to indicate the surgery was done laparoscopically)
5. T26.2 Repair of recurrent incisional hernia using insert of prosthetic material (There is usually an additional code of Y75.1 OR Y75.2 assigned to indicate the surgery was done laparoscopically)
6. T27.2 Repair of ventral hernia using insert of prosthetic material (There is usually an additional code of Y75.1 OR Y75.2 assigned to indicate the surgery was done laparoscopically)

Download response Inpatient Laparoscopic Hernia Surgery Episodes during the period 1st January 2015 – 31st December 2015 040316

Medical acronyms

Please tell me what these shorthand acronyms used by consultants in hospital mean:
1. R/V
2. PMOK SpR
3. VBG (could be UBG)
4. CVS – HS1 + 11 + 0, HR 84 bpm
5. O/e
6. SHx
7. <-BG
8. P/l – DIB
9. HPC
10. PMHx
11. LRTI
12. NKOA

Download response Medical acronyms 040116

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

Number of injuries caused by e-cigarettes 2013 – 2016

I’m looking to receive details on how many patients have been admitted to hospital with injuries caused by e-cigarettes since 2013.

Can this please be broken down into separate figures for 2013, 2014, 2015 and 2016 so far?

If possible, could I also be provided with a brief description of the injuries suffered in each case?

Download response Number of injuries caused by e-cigarettes 2013 – 2016 180416

Patients aged 18 and under who have undergone bariatric surgery in the last three years

1) How many patients aged 18 and under have undergone bariatric surgery in the last 3 years? Please break down how many per year.
2) How young was the youngest patient?
3) How many of those patients have also undergone surgery to remove excess skin as a result of that bariatric surgery? Please break down by year.

Download response Patients aged 18 and under who have undergone bariatric surgery in the last three years 170216

Patients were admitted to the A&E Department on the 7th and 8th of January 2016

Please may you tell me how many patients were admitted to the A&E Department on the 7th and 8th of January 2016.

Of these patients, how many were admitted within 4 hours, between 4-12 hours and 12 hours or more.

Download response Patients were admitted to the A&E Department on the 7th and 8th of January 2016 010216

Patients who attended A&E due to mental health in each year covering the period financial year 2010-11 to 2014-15

1. How many patients attended A&E due to mental health in each year covering the period financial year 2010-11 to 2014-15? Please break down the statistics into the number per financial year.
2. What percentage of total A&E attendances did patients attending for mental health account for in each year? Again please cover the period financial year 2010-11 to 2014-15 and break down the statistics into the number per financial year
3. What was the average wait for patients attending A&E due to mental health to have an initial assessment in each year 2010-11 to 2014-15?
4. What was the average wait for patients attending A&E due to mental health to be assessed by a specialist in each year 2010-11 to 2014-15?
5. How many patients attending A&E due to mental health received inpatient treatment as a result of their visit to A&E? Please list stats for each year 2010-11 to 2014-15.
6. How many patients attending A&E for mental health were discharged without further treatment? Please list stats for each year 2010-11 to 2014-15.
7. Does your A&E have a psychiatric liaison service? If yes, when was this service established?
8. What proportion of total delayed transfers of care were related to mental health for each year between 2010-11 to 2014-15?
9. Please provide copies of any correspondence sent from your trust chief executive to NHS mental health trusts, CCGs, NHS England or the Department of Health regarding pressures on your services linked to mental health in 2013-14 or 2014-15.

Download response Patients who attended A&E due to mental health in each year covering the period financial year 2010-11 to 2014-15 050116

Primary Percutaneous Coronary Interventions.

1. On what date (month and year) did The Tunbridge Wells Hospital start to provide primary Percutaneous Coronary Interventions (PCI)?
2. If applicable, over what period did The Tunbridge Wells Hospital provide a primary Percutaneous Coronary Intervention weekday service (less than 24 hours a day, 7 days a week)? Please provide a date range (month, year to month, year)
Over this period, what hours did the weekday service operate?
3. If applicable, over what period did The Tunbridge Wells Hospital provide a primary Percutaneous Coronary Intervention service that operates 24 hours a day 7 days a week? Please provide a date range (month, year to month, year).
4. Does The Tunbridge Wells Hospital collaborate with another Trust to provide 24/7 primary Percutaneous Coronary Intervention coverage? If so, which Trusts are involved in this collaboration.

Download response Primary Percutaneous Coronary Interventions 290416

Treatment of haemorrhoids

Treatment of haemorrhoids
Surgical Procedures
Hospital Procedure Code
Milligan Morgan H51.1
Rubber Band Ligation H52.4
Stapled PPH (Procedure for Prolapsed Haemorrhoids H51.3
THD (Trans Haemorrhoidal Dearterialization) L70.8
HALO (Haemorrhoid Artery Ligation Operation) L70.3
Y53.2
Z37.8
Other (Please List):
Other (Please List):
Other (Please List):
Other (Please List):

Download response Treatment of haemorrhoids 311215

 

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

 

Estates & Facilities

Air pollution cases

“I would be interested in seeing a report regarding any statics about how many people have suffered of any complications/ died due to air pollution or water pollution in the area in the last 2-3 years.”

Download response Air pollution cases 311215

Dangerous and/or illegal items confiscated by staff during 2013, 2014 and 2015

1. How many dangerous and/or illegal items have been confiscated by staff at hospitals across your trust over the last three years?

2. For each year, please provide a full breakdown of items.

Please send the information in calendar years (i.e. January-December, for 2013, 2014, and 2015).

This may include illegal drugs, and weapons/ potential weapons.

Download response Dangerous and/or illegal items confiscated by staff during 2013, 2014 and 2015 020316

Emergency vehicle breakdowns.

1) How many instances of emergency vehicles (E.G police cars, fire engines, ambulances) needing roadside assistance were recorded between 2004-15? If the data doesn’t stretch back to 2004, please use the earliest you have.

2) In such cases, was the cost of recovery paid to a 3rd party? If so, what is the current call out charge?

Download response  Emergency vehicle breakdowns 180416

Existing contracts relating to facilities management

Please can you provide me with the organisation’s existing contracts relating to facilities management for each of the categories below:
A. Property and Building Services Maintenance
B. Cleaning and Janitorial Services
C. Security Services- From building and car park security to prisoner escorting services
D. Catering Services
For each of the contract above can you please provide me with the organisation’s primary/main contracts that are above £1,000.00. If there isn’t
1. What is the type of contract please pick from one of the categories above? If the organisation has a fully managed contract please state “Managed”.
2. Who is the supplier for this contract? Please can you provide me with the contract information for each individual supplier?
3. What is the annual average spend? Please can you provide me with the contract information for each individual supplier?
4. What is the contract duration? Please also provide me with any extensions that maybe offered to the supplier.
5. What is the contract expiry date? Please at least provide me with the month and year.
6. When will this contract be reviewed? Please at least provide me with the month and year.
7. Can you please provide me with the total number of sites the contract covers? An estimate will also be acceptable.
8. What services are provided under this contract? A brief description will be acceptable
9. Who is the main contact from within the organisation responsible for reviewing this contract? Can you please provide me with their full name, actual job title, contact number and direct email address?
10. Notes: If the contract information provided is going to be expiring within the next 3 months it would be helpful to know if you’re going to renew or are planning to go to tender for a new contract for this particular service.

Download response Existing contracts relating to facilities management 280815

Items logged as missing or stolen 2013-2015.

1. How many items/money has your trust logged as stolen or missing from your premises over the last three years?

Please provide the figures broken down by the following calendar years (Jan-Dec): i)2013 ii)2014 iii)2015

2. Please provide each incident in a list form including: year, item stolen, and estimated value of the item/money (if held), and whether the missing/stolen item had belonged to member of staff, a patient/visitor, or was hospital money/property.

Download response Items logged as missing or stolen 2013-2015 060416

Manned security guarding

Please can you email me with the following information?
1. Do you have contract in place for manned security guarding?
2. If so, when was it awarded and renewal date?
3. Does it or any other contract have a specific provision for 1:1 care, bed watch (specialling) services?
4. How much did the trust spend on 1:1 care (bed watch or specialling) within the last 12 months?
5. Can you please provide the name and contact details for the procurement officer in charge of any such contract.

Download response Manned security guarding 010216

NHS Spend on all Bariatric Equipment Rental/Lease in the past 3 years?

1) Could you please tell me your trusts NHS Spend on all Bariatric Equipment Rental/Lease in the past 3 years?

2) Could you please tell me your trusts NHS Spend on capital purchasing of Bariatric Equipment in the past 3 years?

3) What is your current contractual status if any, if so, who is this with, what is the term of the contract including renewal date? If not under contract, how is this service provided, for example, is this simply on an Ad Hoc basis?

Download response NHS Spend on all Bariatric Equipment Rental/Lease in the past 3 years 050216

Patients who have been physically restrained.

Context
I am seeking information about people who have been physically restrained while patients in your trust.
Request
I would like to request the following information for your trust for each of the last five years:
1. How many patients have been physically restrained by hospital security staff
a. Please list a breakdown of the reasons why
2. How many patients with a learning disability have been physically restrained by hospital security staff
a. Please list a breakdown of the reasons why
3. How many times have the police been called because of the behaviour of a patient
a. Please list a breakdown of the reasons why
b. Please outline what action was taken by the police
4. How many times have the police been called because of the behaviour of a patient with a learning disability
a. Please list a breakdown of the reasons why
b. Please outline what action was taken by the police

Download response Patients who have been physically restrained 210316

Physical attacks on staff 2015-2016.

1. I would like to gain accurate figures on reported physical assaults against staff in and around the hospital and the type of assault committed please for 2015 / 16

2. Further I would like to gain contact details for:

LSMS
Security Manager
Health & Safety Manager

Download response Physical attacks on staff 2015-2016 060416

The amount of out of date medicines and equipment discarded by the Trust

Please detail the following for each of the hospitals in your trust, stating which hospital the details relate to:
1) In the calendar year 2015,
a. please state how much medicine was discarded by the hospital due to being passed its expiry date? (please say what the medicine was and how much was thrown away (defined by weight))
b. Please state the cost of this discarded medicine.
c. Please state how much equipment was discarded by the hospital due to being passed its expiry date (please say what the equipment was, including but not limited to items such as bandages or needles, and how many of each item were thrown away)
d. Please state the cost of this discarded equipment.
2.
a – d) Same for 2014.
3.
a – d) Same for 2013

Download response The amount of out of date medicines and equipment discarded by the Trust 150416

The number of times security guards were called to deal with patients with dementia in 2015

1. In 2015, how many times were security guards called to deal with patients with dementia?

2. If possible, please state the reason in each case.

3. If possible, please state what extra equipment was used such as handcuffs or restraints.

Download response The number of times security guards were called to deal with patients with dementia in 2015 130416

 

Finance

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

Losses and special payments 2014-2015

In your financial accounts for the financial year 2014/15 did you have a section for “losses and special payments?
1. If so how much money was accounted for in the 2014/2015 financial year as being “losses and special payments”? (Please note l am aware that the loss may have occurred many years earlier but I am interested in items which were accounted for in the last financial year, irrespective or when the loss took place.)
Please detail the three largest single amounts within this total, giving a cost for each loss and a detailed description of the claim and the reason for the loss.
2. What was the total paid on claims for property lost by patients and how much related to (i) Dentures, (ii) Spectacles, (iii) jewellery and (iv) hearing aids?

Download response Losses and special payments 2014-2015 080216

Orthopaedic suppliers – July, August, September 2015

This would relate to the purchase of Orthopaedic products for the latest year (and previous years if possible).

Specifically, I’m interested in products related to primary Hips and Knees procedures. This would include:

Hip Replacement:
– Primary cemented/cementless Femoral implants
– Metal/Ceramic/Bipolar/Unipolar Modular Heads
– Standard/Crosslinked polyethylene Acetabular cups
– Standard/Crosslinked/Ceramic/Metal modular Acetabular inserts

Knee Replacement:
– CR/PS Cemented/Cementlenss Femur Primary Bicondylar
– FB/MB Primary CR/CS/PS Articular Surfaces
– FB/MB Primary Cemented/Cementless Tibial Components
– Cemented/Cementless Tibial Components

I’ve attached an example of the data format I would find useful, which lists :
– The Supplier
– Order Quantity
– Unit Price or Order Value (both are listed)
– Item Description
– Order Date

Download response Orthopaedic suppliers – July, August, September 2015 160216

Patient communication by letter

Please provide details of the system or process which is currently used by the Trust to communicate with patients by letter, and the organisation or individuals responsible for implementing and maintaining this service.
o Does the Trust use the services of an external provider for patient and non-patient letters?
o Please provide details of the Trust’s current Letter printing service supplier/system
o Please confirm if you use Hybrid mail and what type?
Hybrid? Yes No
Bulk and Desktop? Yes No
Bulk only? Yes No
o What are the Trust’s annual costs for the printing and postage of patient letters?
o Please provide monthly volumes and values for the number of patient letters sent?
Does the Trust use an external printing service for either patient or non-patient letters?
If it does:
 When was this service implemented and the specialties included?
 Please provide specific details of any aims or targets which were established at the outset and whether these have been achieved?
 Please give an indication of the costs associated with the service, including initial implementation costs and support costs?
 How many NHS staff are responsible for the implementing and supporting of this service and what is their role within the Trust?
 Please provide details of your current letter supplier:
o Supplier name
o Date contract began and contract end date
o Contract review date
o Cost of contract to date and annual spend
o Cost of set up
o Cost of support
o Fulfilment
o Postage – First class? Second class?
• Please provide details of the process which was followed to procure an external print service?
• Please provide details of the channels used to publish the notification of procurement, for an external print service?
If no external letter supplier/service is used:
• What are the Trust’s costs for the service and support of printing?
• Have you previously considered using outsourced letter printing services, and if so, please provide details of why you chose not to.

Does the Trust use the services of an external provider for patient and non-patient letters?

Please provide details of the Trust’s current Letter printing service supplier/system

Please confirm if you use Hybrid mail and what type?

What are the Trust’s annual costs for the printing and postage of patient letters?

Please provide monthly volumes and values for the number of patient letters sent?
Does the Trust use an external printing service for either patient or non-patient letters?
If it does:
When was this service implemented and the specialties included?

Please provide specific details of any aims or targets which were established at the outset and whether these have been achieved?

Please give an indication of the costs associated with the service, including initial implementation costs and support costs?
How many NHS staff are responsible for the implementing and supporting of this service and what is their role within the Trust?

Please provide details of your current letter supplier:

Please provide details of the process which was followed to procure an external print service?

Please provide details of the channels used to publish the notification of procurement, for an external print service?

Download response Patient communication by letter 020316

Penalties and fines 2014-2015.

1) Name of a) your trust b) the hospitals in your trust
2) Does the hospital trust have a Major A&E Unit?
3) We would like to request the income retained by the commissioner (the CCG) as a result of funds withheld or ‘defunded’ from your Trust under the application of the 30% marginal emergency tariff in the following financial year of 2014/15?
4) How much money has the Trust been fined or had withdrawn/withheld for not meeting the percentage target for referral to treatment time of 18 weeks for patients in the following financial year of 2014/15?
5) How much money has the Trust been fined or had withdrawn/withheld for not meeting the percentage target for A&E waiting time (4 hours) in the following financial year of 2014/15?
6) How much money has the Trust been fined or had withdrawn/withheld for emergency readmissions of patients within 30 days of discharge in the following financial year of 2014/15?

Download response Penalties and fines 2014-2015 181115

System Resilience Schemes 2015/2016

Under the terms of the Freedom of Information Act, please can you tell me the total income you expect to receive in 2015/16 for ‘system resilience schemes’ broken down by CCG providing the funds and with a brief description of each scheme?

Download response System Resilience Schemes 2015/2016 180116

Tenders Daily 2013/S 139-241132.

I would be most grateful if you would provide me, under the Freedom of Information Act, details in respect of the following framework agreement(s)/contract(s):
• Suppliers who applied for inclusion on each framework/contract below and were successful & not successful at the PQQ & ITT stages.*
• Contract values of each framework/contract (& any sub lots), year to date
• Start date & duration of framework
• Is there an extension clause in the framework(s)/contract(s) and, if so, the duration of the extension?
• Has a decision been made yet on whether the framework(s)/contract(s) are being either extended or renewed?
*For clarity, the details of the successful and unsuccessful suppliers are kept in the strictest confidence by 7House. These details are used only to contact and support suppliers regarding their bidding activity for the contracts listed below.

Framework Agreement Contract
United Kingdom-Maidstone: Fruit, vegetables and related products
Date of Contract
Date Published: 19th July 2013

19/07/2013 S139 – – Supplies – Contract notice – Restricted procedure

Download response Tenders Daily 2013/S 139-241132 140316

 

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

 

General Surgery, Head & Neck and Gynae Oncology

Adult hearing services 2015

INFORMATION REQUESTED

NOTES:

• Adult refers to patients aged 18 and over that are managed by audiology (e.g. noise and age-related hearing loss and people discharged from ENT). NB. we appreciate that in most cases this will simply cover Direct Access Audiology patients
• Prices and activity refer to the NHS financial year 2014/15 – i.e. historical data

Download response Adult hearing services 2015 060416

Cataract surgery

I am aware that you are restricting cataract surgery and that you are offering cataract surgery to those able to pay.

Would you kindly forward to me the number of people who on your list currently awaiting cataract surgery by your trust? If possible I would like the number of people in the whole of the Kent area who await this surgery.

Download response Cataract surgery 260116

Cholesteatoma procedures 01 April 2014-31 March 2015

Question 1: Please complete the following table for your patients, showing the number of procedures in the first, second or third position (please sum all instances) for a diagnosis of cholesteatoma in any position, per consultant, split into 18 and over and under 18s and then into whether the spell involved an overnight stay or was a daycase, from 1st April 2014 – 31st March 2015.
For your ease the following have been provided:
· Template to complete – attached
· Procedure codes – as a tab on the spreadsheet
· ICD codes for cholesteatoma – H71, H604, H950
· An example SQL code has been provided to answer this query – as a tab on the spreadsheet

Please note patients may have more than one relevant procedure code in the first three procedure codes, please sum all instances where these codes appear even if patients are double counted. This is because we are looking at the number of procedures and not the number of patients.

The example table attached has been completed as if you had 2 consultants at one hospital. The numbers in this template are not a true account of any consultant, there are only there to make the table easier to read.

Question 2: Please include a separate count of the number of individual inpatients with a recorded diagnosis of cholesteatoma in any position for the same time period, split by 18 and over, and under 18. Please put the data in the question 2 template.
If you have less than 5 patients, would you consider giving the exact number of patients as we want to work out the national prevalence of cholesteatoma?

Question 3: Please could you put the total number of patients having a procedure in the last year (ie the number of patients used for question 1) into the question 2 template in the relevant column, broken down by 18 and over and under 18?

Question 4: This data will be summarised to provide national trends, lists and statistics, and put on a website whose aim is to support patients with cholesteatoma. Do you consent to the data being used in this way? Please put your answer in column in the question 2 template.

Download response Cholesteatoma procedures 01 April 2014-31 March 2015 150416

Cholesteatoma surgery – laser

1. Do you have a KTP laser for use in Cholesteatoma surgeries?
2. If you are planning on getting one soon, what date are you planning on getting one?
3. If you already have the KTP laser for cholesteatoma surgeries:
a), is it routinely available for cholesteatoma surgeries?
b) is it maintained and staff trained to use it?
4. Are there any issues that are preventing you from routinely using the KTP laser?
5 Are you doing your tympanoplasty surgery for cholesteatoma as a day case or overnight stay? For adults. For Children.
6. If as a day case, why is it not an overnight stay?
7 Are you doing your mastoidectomy surgery for cholesteatoma as a day case or overnight stay? For adults. For Children.
8. If as a day case, why is it not an overnight stay?
9. What is your standard follow up period of time for a ‘second look’ following tympanoplasty?
10. Are you routinely using CT or MRI to gauge the extent of cholesteatoma growth?
11. Do you have a cholesteatoma leaflet? Yes/No If so, please attach.

We are in the process of setting up a not for profit group to support patients with Cholesteatoma.

12. Would you like to be involved in the clinical advisory group? – If yes – put name.
13. Would you find a leaflet for patients explaining cholesteatoma helpful if we could provide one? Yes/No
14. If we provided a poster about the support group would you be happy to display this in ENT/Audiology? Yes/No
15. Do your ENT surgeons feel that cholesteatoma surgery could be more effective if delivered as a regional service to enable the surgeons to have access to the laser and have more experience in c-toma opearations?Yes/No

16. We wish to put some of this information on our website, do we have permission to publish the data in raw format?

17. We wish to summarise the national trends, lists and statistics from the data returned from all hospitals and put this on our website, do we have permission to summarise the data?

Download response Cholesteatoma surgery – laser 190416

Cholesteatoma Surgery – Regional centres.

The previous Freedom of Information request showed that a number of regional centres for cholesteatoma surgery already exist. I want to make sure that I have captured all of these regional centres.

If you have a number of hospitals please only complete for your acute hospitals. Please list each acute hospital separately.

Name of hospital. Please complete Post code of hospital. Please complete Do you have an ENT department at your acute hospital? Do you perform inpatient or daycase ENT procedures at your hospital? Do you perform cholesteatoma surgery at your hospital?

If you do not perform cholesteatoma surgery at your hospital, which hospital do you refer patients to? Full name please

If you refer patient to another hospital for cholesteatoma surgery, do they have their follow ups at your hospital or at the other hospital?

If you refer patient to another hospital for cholesteatoma surgery, do they have their audiology appointments at your hospital or at the other hospital?

If you refer your cholesteatoma patients to another hospital, please state the reasons.

If you receive referrals for cholesteatoma surgery from other hospitals, please list the full names of the hospitals that refer to you.

Download response Cholesteatoma Surgery – Regional centres 150416

Diabetes related amputations 2011,2012,2013,2014 & 2015

How many diabetes-related amputations have there been over the last five years?

Please break down by calendar year, for:
2011
2012
2013
2014
2015

2. Of the diabetes related amputations above, how many of the patients were aged 25 or under? Please break down by years stated above.

3. How many diabetes related amputations were recorded in patients under the age of 18?
Again, please break down by the years stated above.

If possible, I would like this information (just for under 18’s) broken down individually by age for the last five years.

However, if this is not possible – please include the age of the youngest patient to have a diabetes related amputation at your trust.

Download response Diabetes related amputation 2011,2012,2013,2014 & 2015 170216

Diseases of the eye and treatment options and volumes March 2015-February 2016

The total patients treated with the following conditions:
· Wet age-related macular degeneration (AMD)
· Diabetic macular oedema (DMO)
· Macular oedema secondary to retinal vein occlusion, branch (branch RVO)
· Macular oedema secondary to retinal vein occlusion, central (central RVO)
· Myopic choroidal neovascularization (mCNV)
The volume of use of the following treatment options:
· Ranibizumab
· Bevacizamab
· Aflibercept
· Dexamethasone intravitreal implant
· Fluocinolone acetonide intravitreal implant
· Laser Therapy
I would like this information for the period March 2015 to February 2016, broken down by month

Download response Diseases of the eye and treatment options and volumes March 2015-February 2016 060416

Missed appointments for each of the last three financial years

For each of the last three financial years, broken down by each financial year, please state:

1. How many patients failed to attend their appointments at Tunbridge Wells Hospital? (Classed as Did Not Attends (DNAs) i.e. the patient did not arrive for their appointment and did not notify you).
2. What was the total cost to the hospital for these missed appointments for each financial year?
3. The breakdown of the age groups responsible for each missed appointment (such as 0-9, 10-19, 20-29 etc. until ‘60 and over’).
4. For each one, please state the reason (if known) for the missed appointment.
5. For each one, please state what the appointment was for.

Download response Missed appointments for each of the last three financial years 010216

Ophthalmology overseas resident patients 2014-2016.

1. How many ophthalmology procedures were carried out on overseas residents in a) 2014-15 and b) 2015-16?

2. Of these how many were emergency and therefore given priority for treatment in a) 2014-15 and b) 2015-16?

3. What was a) the total cost of these procedures b) the highest individual cost of such a procedure in a) 2014-15 and b) 2015-16?

4. What were the associated translation costs in a) 2014-15 and b) 2015-16?

5. a) How many of these patients were identified as having been chargeable patients, i.e. not entitled to receive free NHS care in a) 2014-15 and b) 2015-16?

b) What was the total cost of treating those chargeable patients in a) 2014-15 and b) 2015-16?

6. Of that cost, how much was actually paid by the chargeable patients in a) 2014-15 and b) 2015-16?

Download response Ophthalmology overseas resident patients 2014-2016 180416

Waiting times for 9 procedures 2015

We are carrying out an investigation into the waiting times for 9 procedures across NHS trusts in England. These procedures are:
• Hip
• Knee
• Hernia
• Adenoid
• Gallstone
• Tonsillectomy
• Cataract
• Bariatric
• Gender reassignment

Download response Waiting times for 9 procedures 2015 280416

 

Health Informatics

Contact centre, call centre and inbound network services contracts

I wish to submit to the organisation a freedom of information request relating to the organisations :
1. contact centre/call centre contracts
2. inbound network services contracts

Please send me the following information for each provider:

1. Incumbent Supplier: For each of the contract(s) please can you provide me with the supplier of the contract.
2. Annual Average Spend: the annual average (over 3 years) spend for each supplier
3. Contract Expiry: the date of when the contract expires.
4. Contract Review: the date of when the contract will be reviewed.
5. Contract Description: a brief description of the services provided of the overall contract.
6. Contact Details: The person from within the organisation responsible for the contract. Please provide me with their full name, actual job title, contact number and direct email address.
7. Number of Agents; please provide me with the total number of contact centre agents;
8. Number of Sites; please can you provide me with the number of sites the contact centre covers.
9. Manufacturer of the contact centre: Who is the manufacturer of the contact centre system that you operate?
10. Busy Periods: Please state the month(s) which the contact centre is at its highest/busiest during the year. This can be based upon the number of calls. Your provider may be able to tell you quicker. E.g. JAN-MAR, APR, JUNE.
11. Do you use Microsoft Exchange 2003 as your email server? If not, then which product do you use?
12. Number of email users: Approximate number of email users across the organisations.

Download response Contact centre, call centre and inbound network services contracts 271015

Contact centre, call centre and inbound network services contracts April 2016

I wish to submit to the organisation a freedom of information request relating to the organisations:
1. Contact centre/call centre contracts
2. Inbound network services contracts

Please send me the following information for each provider:

1. Incumbent Supplier: For each of the contract(s) please can you provide me with the supplier of the contract.
2. Annual Average Spend: the annual average (over 3 years) spend for each supplier
3. Contract Expiry: the date of when the contract expires.
4. Contract Review: the date of when the contract will be reviewed.
5. Contract Description: a brief description of the services provided of the overall contract.
6. Contact Details: The person from within the organisation responsible for the contract. Please provide me with their full name, actual job title, contact number and direct email address.
7. Number of Agents; please provide me with the total number of contact centre agents;
8. Number of Sites; please can you provide me with the number of sites the contact centre covers.
9. Manufacturer of the contact centre: Who is the manufacturer of the contact centre system that you operate?
10. Busy Periods: Please state the month(s) which the contact centre is at its highest/busiest during the year. This can be based upon the number of calls. Your provider may be able to tell you quicker. E.g. JAN-MAR, APR, JUNE.
11. Do you use Microsoft Exchange 2003 as your email server? If not, then which product do you use?
12. Number of email users: Approximate number of email users across the organisations.

Download response Contact centre, call centre and inbound network services contracts April 2016 180416

Corporate software/applications

1. Enterprise Resource Planning Software Solutions (ERP)

2. Customer Relationship Management (CRM) Solutions

3. Human Resources (HR) and Payroll Software Solutions

4. Finance Software Solutions (FSS)

Along with the actual contract information for the above can you also provide me with the maintenance and support contract associated with each of the categories above if it not already within the existing contract.

For each of the categories above can you please provide me with the relevant contract information listed below:

1. Software Category: ERP, CRM, HR, Payroll, Finance

2. Software Supplier: Can you please provide me with the software provider for each contract?

3. Software Brand: Can you please provide me with the actual name of the software. Please do not provide me with the supplier name again please provide me with the actual software name.

4. Contract Description: Please do not just state two to three words can you please provide me detail information about this contract and please state if upgrade, maintenance and support is included.
Please also include the modules included within the contract.

5. Number of Users/Licenses: What is the total number of user/licenses for this contract?

6. Annual Spend: What is the annual average spend for each contract?

7. Contract Duration: What is the duration of the contract please include any available extensions within the contract.

8. Contract Start Date: What is the start date of this contract?
Please include month and year of the contract. DD-MM-YY or MM-YY.

9. Contract Expiry: What is the expiry date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY.

10. Contract Review Date: What is the review date of this contract?
Please include month and year of the contract. If this cannot be provided please provide me estimates of when the contract is likely to be reviewed. DD-MM-YY or MM-YY.

11. Contact Details: I require the full contact details of the person within the organisation responsible for this particular software contract.

Download response Corporate software/applications 080216

Desktop Network Helpdesk Support.

I wish to submit a freedom of information request relating to the following contractual information the organisation may hold with regards to the organisation’s primary contracts relating to support services around help/service desk, desktop support and network support:
1. Help / service desk support:
The single point of contact between a service provider and users within an organisation. A typical service desk manages incidents and service requests, and also handles communication with the users.
2. Desktop support:
The technical services offered by a support organisation to a user(s) experiencing problems with their computers. Support may be on either hardware or software running on the affected computing device. Support may include but is not limited to installations, moves, adds, changes and disposition, and local remote services.
3. Network support:
The technical services offered by a support organisation to a user(s) experiencing problems with their network. Support may be on either hardware or software running on the affected computing device. Support may include but is not limited to installations, moves, adds, changes and disposition, and local remote services.
For each of the contract type above can you please provide me with the following information set out below:
1. Contract Type: Please choose from above the type of contract this is related to.
2. What is the Support for Hardware, Software or other please state?
3. Who is this supplier: If there is more than one supplier please input their contract information in another contract profile.
4. What is the annual average spend this can be over 3 or 5 years?
5. What is the duration of the contract please also include any extension periods?
6. When does the contract expire?
7. When will this contract be reviewed by the organisation?
8. Please can you provide me with specific contact details of the person responsible for reviewing/owner of each contract. I’d like their full name, job title, contact number and direct email address.

Download response Desktop Network Helpdesk Support 080216

Digital health records

With regards to the government’s plans to digitise the NHS by 2018 – namely, Health Secretary Jeremy Hunt’s appeal for the NHS to go paperless by 2018, relying instead on digital records…

1) Do your patients currently have online access to their own digital health records?
2) Can clinician’s access the full patient records – including scan’s, letters, notes and results – digitally?
3) Can you create and send/share digital discharge packs with GP’s?
4) How much of your back office is digitised, i.e. where tasks dedicated to running the Trust itself take place, e.g. IT, HR and accounts?
5) How far into your digitalisation journey is your Trust?

Download response Digital health records 010216

Electronic Document Management Strategy

Under the Freedom of Information Act 2000 I seek the following information about the Trust’s EDM strategy:

1) Which of the following best describes your current situation?
2) If applicable, which option best describes your scanning strategy
3) Roughly how many physical case notes do you have?
4) If known, what is the average sheet count per case note?
5) How many scanned patient records do you have?
6) Who is your EDM Supplier?
7) Who is your PAS/EPR Supplier?
8) What is the name of your CCIO?

Download response Electronic Document Management Strategy 290116 

Electronic medical record (EMR) 06.04.16.

1. With regards to the way medical records are currently used in your Trust, which EMRAM* stage are you?

2. If you are unable to tell us the above, can you tell us if your Trust is running, or has signed a contract to run an electronic medical records system that meets the following criteria:
Electronic clinical documentation interacts with clinical decision support systems (based on both discrete data elements)
AND
Electronic closed loop medication administration system.

3. If not, is your trust planning to commission an EMR (which meets criteria set out in Question 2)

4. If you are currently utilizing an EMR, or have commissioned an EMR which is awaiting implementation, did you consider franchising an already implemented EMR from another NHS institution in the UK?

5. If you are currently utilizing an EMR, or have commissioned an EMR which is awaiting implementation: does your EMR allow functional interoperability i.e. transfer of information from at least one other EMR used regionally in primary, secondary or tertiary care?

6. If your trust is planning to commission an EMR or currently has an open tender for an EMR, are you inviting applications for franchised systems from other NHS trusts?

7. If your trust currently utilizes an EMR, does the contract with the software provider allow for franchising your system to other trusts?

8. Regarding direction from Clinical Commissioning Group(s) that commission services in your local area, have you had formal or informal direction regarding EMR provision?

9. Regarding coordination with other acute hospital trusts, have you had any formal or informal discussions regarding coordination of EMR purchasing?

Download response Electronic medical record (EMR) 06.04.16.

ERP Systems Information

Could you please respond to the following questions?
1. Who is you current provider of Financial Systems support and implementation services?
2. When does the contract expire?
3. Who should I contact if I wish to supply training on your financials systems?
4. Who is you current provider of Procurement Systems support and implementation services?
5. When does the contract expire?
6. Who should I contact if I wish to supply training on your procurement systems?
7. Who is you current provider of Human Resources Systems support and implementation services?
8. When does the contract expire?
9. Who should I contact if I wish to supply training on your Human Resources systems?

Download response ERP Systems Information 200416

Fixed Telecommunications and Internet Services

Contract 1

1. Current Fixed Line (Voice Circuits) Provider- Supplier’s name

2. Fixed Line- Contract Renewal Date- please provide day, month and year (month and year is also acceptable). If this is a rolling contract please provide me with the rolling date of the contract. If there is more than one supplier please split the renewal dates up into however many suppliers

3. Fixed Line- Contract Duration- the number of years the contract is for each supplier.

4. Type of Lines- PSN, Analogue, SIP

5. Number of Lines- Please can you split the number of lines per each supplier? SIP trunks, PSN Lines, Analogue Lines

Contract 2

6. Minutes/Landline Provider- Supplier’s name (Fixed Voice not Mobiles)

7. Minutes/Landline Contract Renewal Date- please provide day, month and year (month and year is also acceptable). If this is a rolling contract please provide me with the rolling date of the contract.

8. Minutes Landline Monthly Spend- Monthly average spend. An estimate or average is acceptable

9. Minute’s Landlines Contract Duration: the number of years the contract is with the supplier.

10. Number of Extensions- Please state the number of telephone extensions the organisation currently has. An estimate or average is acceptable.

Contract 3

11. Fixed Broadband Provider- Supplier’s name

12. Fixed Broadband Renewal Date- please provide day, month and year (month and year is also acceptable). If this is a rolling contract please provide me with the rolling date of the contract. If there is more than one supplier please split the renewal dates up into however many suppliers

13. Fixed Broadband Annual Average Spend- Annual average spend. An estimate or average is acceptable.

14. VOIP/PBX Installation Date of the organisation’s primary telephone system: – please provide day, month and year (month and year is also acceptable).

Contract 4

15. WAN Provider- please provide me with the main supplier(s)

16. WAN Contract Renewal Date- please provide day, month and year (month and year is also acceptable). If this is a rolling contract please provide me with the rolling date of the contract. If there is more than one supplier please split the renewal dates up into however many suppliers

17. WAN Annual Average Spend- Annual average spend. An estimate or average is acceptable.

18. Internal Contact: please can you send me there full contact details including contact number and email and job title.

Download response Fixed Telecommunications and Internet Services 190416

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

IT Integration

Who within your organisation is responsible for IT integration, please could this include their name and job title.

Download response IT Integration 150216

Mobile applications by our patients and service users

1. Do you provide or promote the use of any mobile applications by your patients/service users? If so please answer the following questions for each application, if known.
a. Name of application
b. Software supplier
c. Number of users associated with the trust.
2. Do you use any patient self-check-in or information kiosks, if yes please answer the following questions for each application, If known?
a. The Area in the hospital the system is used?
b. The primary function of the system?
c. The System supplier?
d. Number of Users per year?
e. Cost of each system 2014/15 and year to date 2015/16. .
3. Please supply the name and email address of the persons in post for each of the following roles:
a. Head/Director of IM&T
b. Head/Director of Transformation or person responsible for delivery of Cost Improvement Scheme
c. Senior Manager responsible for Cancer Services and/or Outpatients

Download response Mobile applications by our patients and service users 040316

NHS Five Year Forward View – electronic health records.

In 2014 the NHS published the Five Year Forward View stating that all trusts must have fully interoperable electronic health records so that patients’ records are largely paperless.

I would appreciate if you could complete this short survey in the hopes that we can gain a better understanding as to what your trust needs.

Download response NHS Five Year Forward View – electronic health records 200416

RIDDOR reports from 01 April 2014 to 16 March 2016

1. The number of RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrences Regulations) reports made, if any, by each hospital operated by Maidstone and Tunbridge Wells NHS Trust from 1/1/2014 to 31/12/2014, 1/1/2015 to 31/1/2015 and 1/1/2016 to 16/03/2016.

2. A summary of each report.

Download response RIDDOR reports from 01 April 2014 to 16 March 2016 060416

Software development and testing

1. Who is part of your software development and testing framework?

2. What is your spend annually for development and testing of software?

3. Can you confirm if any further regional frameworks exist for such services in addition to the framework referred to in question 1?

4. When are the framework(s) referred to in question 1 and/or question 3 subject to re-procurement?

5. Who is your point of contact for IT procurement?

Download response Software development and testing 021215

Trust’s software contracts

1. Contract Category: Please see select from the categories provided; Enterprise Content Management; Asset Management; Data Management and Reporting Systems; Mobile Application Solutions.
2. Existing Supplier Name for each contract
3. Software Brand: Can you please provide me with the actual name of the software. Please do not provide me with the supplier name again please provide me with the actual software name.
4. Contract Description: Please do not just state two to three words can you please provide me detail information about this contract and please state if upgrade, maintenance and support is included. Please also include the modules included within the contract.
5. Number of Users/Licenses: What is the total number of user/licenses for this contract?
6. Annual Average Spend for each contract
7. Contract Duration: What is the duration of the contract please include any available extensions within the contract.
8. Contract Start Date: What is the start date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY.
9. Contract Expiry: What is the expiry date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY.
10. Contract Review Date: What is the review date of this contract? Please include month and year of the contract. If this cannot be provide please provide me estimates of when the contract is likely to be reviewed. DD-MM-YY or MM-YY
11. Contact Details: I require the full contact details of the person within the organisation responsible for this particular software contract.
12. Notes: Please provide me with any further information with regards to this contract this could include any contract extension available as well as information on renewals or plans for future tenders.

· Enterprise Content Management- covers the provision of Enterprise Content Management (ECM) software and associated services including Document and Records Management (EDRM) solutions e.g. document scanning, image processing, web content and workflow management and systematic control e.g. document life cycle solutions.

· Asset Management Software- is a business practice that involves managing and optimizing the purchase, deployment, maintenance, utilization, and disposal of software applications within an organization.

· Data Management and Reporting Systems (DMRS) Software – covers the provision of Data Management and Reporting Systems (DMRS) software and associated services for the purposes of business intelligence, data and performance management including data warehouse provision, data manipulation, quality and integration tools, data analytics and big data solutions.

· Mobile Application Solutions- covers the provision of Mobile Application Solutions for the purposes of delivering mobile application requirements for a variety of mobile devices, platforms and interfaces.

Download response Trust’s software contracts 220216

Waiting list times and targets in the NHS 2014/2015

Please can you confirm which services within your Hospital/Trust have missed the waiting times in line with the NHS Constitution for both Urgent and Non urgent patients?

In addition

How many weeks in total over the last 12 months have targets have been missed by each service?

What financial sanctions have been put on the Trust/Hospital for missed targets and how much has it cost the trust in the last 12 Months as a total and by department.

Why targets are being missed – Staffing, Demand, Capacity, Budget?

Download response Waiting list times and targets in the NHS 2014/2015 080116

 

Major Incident

Correspondence in relation to the Frances Cappuccini case

* Please provide copies of all emails sent and received by Glenn Douglas between (and including) January 25, 2016, and (including) today which relate in any way to the Frances Cappuccini case;
* Please provide copies of all emails sent and received by Paul Sigston between (and including) January 25, 2016, and (including) today which relate in any way to the Frances Cappuccini case;
Please include copies of all attachments sent with emails.

Download response Correspondence in relation to the Frances Cappuccini case 020316

Falls prevention/monitors 2013-2015

1. Which hospitals in the trust have the following wards:
Elderly Care
Stroke
Dementia
Names:
2. What are your published figures for reported in-patient falls for the period January 2013 – December 2015?
Year 2013:
Year 2014:
Year 2015:
3. Do any of the hospitals within the trust use any of the following (please state which product for which hospital):
Turun TABS Falls Monitor
Alert-It
Sensorcare Bed Systems
Other (please name)
4. Has there been a significant number of false alarms with any of the falls prevention devices?
Turun TABS Falls Monitor yes/no
Alert-It yes/no
Sensorcare Bed Systems yes/no
Other yes/no

If significant, is the hospital/s still using the equipment?
Yes No
5. Have there been any reported issues of pressure sores/bed sores due to using any of the falls prevention devices?
Turun TABS Falls Monitor Severe Average Minor
Alert-It Severe Average Minor
Sensorcare Bed Systems Severe Average Minor
Other Severe Average Minor
6. What is the name of the Ward Manager/s of the ward/s that use the falls prevention device? ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬
7. What named types of beds are used in the ward/s that the falls monitor is used on?

Download response Falls prevention/monitors 2013-2015 260216

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

Medication errors 2014 and 2015.

I would be grateful if you could let me have the following information, for two separate years: 2014 and 2015.
1) The number of medication errors recorded by the Trust for each of these two years.
2) The number of these incidents for each of these two years that were recorded as causing:
– no harm
– low harm
– moderate harm
– severe harm
– death
3) The number of errors for each of these two years attributed to:
– prescribing error
– dispensing error or
– any other cause
4) The number of errors for each of these two years attributed to:
– the prescribing or dispensing of the wrong dose, or
– the prescribing or dispensing of the wrong medicine.

5) The number of incidents for each of these two years in which the Trust has paid financial compensation to patients or relatives of patients in respect of medication errors, and the total paid in compensation for each of these two years in respect of medication errors.
6) Finally, does the Trust have a named medication safety officer, and when was this post established and filled?

Download response Medication errors 2014 and 2015 030516

RIDDOR reports from 01 April 2014 to 16 March 2016

1. The number of RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrences Regulations) reports made, if any, by each hospital operated by Maidstone and Tunbridge Wells NHS Trust from 1/1/2014 to 31/12/2014, 1/1/2015 to 31/1/2015 and 1/1/2016 to 16/03/2016.

2. A summary of each report.

Download response RIDDOR reports from 01 April 2014 to 16 March 2016 060416

Serious untoward incidents (SUI’s) recorded by the Trust 2011-2015.

a) The number of serious untoward incidents (SUIs) recorded by the Trust for the reporting period 2011-2012. The data should be provided so that it is clear how many of these incidents were recorded at each of the establishments (hospitals or other medical establishments) operated by the Trust.
b) The number of serious untoward incidents (SUIs) recorded by the Trust for the reporting period 2012-2013. The data should be provided so that it is clear how many of these incidents were recorded at each of the establishments (hospitals or other medical establishments) operated by the Trust.
c) The number of serious untoward incidents (SUIs) recorded by the Trust for the reporting period 2013-2014. The data should be provided so that it is clear how many of these incidents were recorded at each of the establishments (hospitals or other medical establishments) operated by the Trust.
d) The number of serious untoward incidents (SUIs) recorded by the Trust for the reporting period 2014-2015. The data should be provided so that it is clear how many of these incidents were recorded at each of the establishments (hospitals or other medical establishments) operated by the Trust.

Download response Serious untoward incidents (SUI’s) recorded by the Trust 2011-2015 200416

Recording of incidents related to discharge.

We are keen to assess how incidents related to discharge are recorded on your Trust incident reporting system.

Could you tell me what categories and sub-categories you have on your system?

Download response Recording of incidents related to discharge 140316

 

Obesity

Patients aged 18 and under who have undergone bariatric surgery in the last three years

1) How many patients aged 18 and under have undergone bariatric surgery in the last 3 years? Please break down how many per year.
2) How young was the youngest patient?
3) How many of those patients have also undergone surgery to remove excess skin as a result of that bariatric surgery? Please break down by year.

Download response Patients aged 18 and under who have undergone bariatric surgery in the last three years 170216

 

Overseas visitors and foreign nationals

Charges made in accordance with the Immigration Act 2014.

I would like to know about charges made in accordance with the
Immigration Act 2014 within your trust during the period from the
1st of January 2015 until the 1st of January 2016.
1. The amount invoiced for overseas visitors’ care during that
period. Of this, I would like to know, if possible, the amount
invoiced to a UK address.
2. The amount of money that was recouped by the overseas visitor
management team during the same period.

Download response Charges made in accordance with the Immigration Act 2014 080216

Exempt overseas visitor patients treated since 1 April 2005 to 1 March 2016

1. Do you keep exemption data, covering overseas visitors?
2. How many exempt overseas visitor patients did you treat since 1 April 2015 to 1 March 2016?
3. How many European (EEA) “ordinarily resident” (OR) patients did you treat since 1 April 2015 to 1 March 2016?
4. Of those in question 3, how many received maternity care?
5. Of those in question 3, how many received treatment at a department other than maternity? Please break the total down by department. Include up to 5 most popular departments.
6. Of those in Q3, please state the 5 most popular treatments received by European (EEA) “ordinarily resident” (OR) patients since 1 April 2015 – 1 Mar 2016, and give numbers for each treatment if known.
7. Do you have an Overseas Visitors Department? Y/N
8. If so, how many Overseas Visitors Officers (OVOs)/ Overseas Visitor Managers (OVMs) do you employ? (full-time equivalent)
9. Are your OVOs/OVMs dedicated to working solely at your Overseas Visitors Department, or do they also work in other departments? If so please state which other departments they work in.
10. Do you share any of your OVOs/OVMs with other trusts? If so how many and with which trusts?
11. Are your OVOs/OVMs all resident in your trust, or do they work off-site?

Download response Exempt overseas visitor patients treated since 1 April 2005 to 1 March 2016 190416

Ophthalmology overseas resident patients 2014-2016.

1. How many ophthalmology procedures were carried out on overseas residents in a) 2014-15 and b) 2015-16?

2. Of these how many were emergency and therefore given priority for treatment in a) 2014-15 and b) 2015-16?

3. What was a) the total cost of these procedures b) the highest individual cost of such a procedure in a) 2014-15 and b) 2015-16?

4. What were the associated translation costs in a) 2014-15 and b) 2015-16?

5. a) How many of these patients were identified as having been chargeable patients, i.e. not entitled to receive free NHS care in a) 2014-15 and b) 2015-16?

b) What was the total cost of treating those chargeable patients in a) 2014-15 and b) 2015-16?

6. Of that cost, how much was actually paid by the chargeable patients in a) 2014-15 and b) 2015-16?

Download response Ophthalmology overseas resident patients 2014-2016 180416

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 patients not entitled to NHS treatment 2007 to 2015.

For each calendar year between 2007 and 2015 inclusive, broken down by month for 2014 and 2015, please state:

1. The number of overseas patients who were not entitled to NHS treatment (under the overseas patient regulations existing at the time), who were treated by the Trust
2. The total combined cost (of that treatment) that the Trust was entitled to recoup from those patients
3. Of the patients data provided in response to question 1, the number of patients who still owe money to the Trust
4. Of the cost figures provided in response to question 2, the amount of money that has to date been recouped from those patients by the Trust
5. Of the cost figures provided in response to question 2, the amount of money that has to date been recouped not from the patients, but from other NHS organisations (including NHS England and the Department of Health)
6. The total income of the Trust each year (does not need to be broken down by month)
7. The name of any debt collection agency currently hired by the Trust to recoup money from overseas patients who were not entitled to NHS treatment, when they were hired for this role, how much they have been paid for this role, and how much money they have recouped from overseas patients since they were hired?

Download response Overseas patients not entitled to NHS treatment 2007 to 2015 290316

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

Patients not “ordinarily resident” April 2015 – March 2016.

1) The name of your trust

2) Since 1st April 2015 until 1st March 2016 how many patients using your services have been identified as not ‘ordinarily resident’ in the UK under the Department of Health guidelines on
‘Guidance on implementing the overseas visitor hospital charging regulations 2015’? See link below
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/496951/Overseas_visitor_hospital_charging_accs.pdf

3) Since 1st April 2015 until 1st March 2016 how much money has the Trust spent on the care of patients identified as not ‘ordinarily resident’ in the UK?

4) Since 1st April 2015 until 1st March 2016 out of those patients identified as not ‘ordinarily resident’ in the UK, how much money has the Trust claimed back for their care?

5) Since 1st April 2015 until 1st March 2016 out of those patients identified as not ‘ordinarily resident’ in the UK, how many have been asked to repay the costs for their care?

6) Since 1st April 2015 until 1st March 2016 out of those patients identified as not ‘ordinarily resident’ in the UK, how many of those who have been asked to repay the costs for their care have not yet paid?

Download response Patients not “ordinarily resident” April 2015 – March 2016 290316

 

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

 

Patients and visitors

Delays in transfer of care (DTOC) in 2013/14, 2014/15, 2015/16

1. What is the longest time (in days) one patient has remained in a bed at your NHS Trust due to delays in transfer of care (DTOC) in 2013/14, 2014/15, 2015/16;

2. In each case, please provide the age of the patient and reason for delay.

Download response Delays in transfer of care (DTOC) in 2013/14, 2014/15, 2015/16 190416

Diagnosis of heart failure in 2015.

1. What was the size of the patient population covered by your Trust in 2015?
2. How many patients were diagnosed with heart failure by your Trust in 2015?
3. Does your Trust follow NICE guidelines to support the diagnosis of suspected heart failure? If not, what guidance does your Trust follow? Please provide a copy
4. Please provide the details – including the manufacturer and brand name – of those tests used to support the diagnosis of heart failure
5. Does your Trust follow NICE guidelines to support the management of chronic heart failure? If not, what guidance does your Trust follow? Please provide a copy
6. Please provide the details – including the manufacturer and brand name – of those tests used to support the management of chronic heart failure
7. Does your Trust use NTproBNP or BNP testing to support the diagnosis of heart failure in patients presenting through A&E?
8. How many NTproBNP tests were performed by your Trust in 2015? Please provide the manufacturer and brand name of the test used
9. Are there any restrictions for using NTproBNP or BNP tests? If yes, please explain
10. How many echocardiographs were performed at your Trust in 2015?
11. What was the average waiting time for an echocardiogram at your Trust in 2015?

Download response Diagnosis of heart failure in 2015 290416

Discharge policies in place that require patients to leave hospital after a specified period of time

1. What number (and proportion) of hospitals run by the Trust have discharge policies in place that require patients to leave hospital after a specified period of time, if they are medically fit but remain in hospital because they (or their family) are:

a. Choosing a residential or nursing home?
b. Arranging a care package at home?
c. Looking for alternative housing (e.g. sheltered/retirement housing, extra care)?
Please provide supporting documentation in the form of the relevant policy documents.
2. How many patients aged 65 and over have been affected by this policy in the past 12 months? Please provide an overall number, and if possible also provide numbers of patients who have been affected for each of the reasons listed in question 1 above.
If it is not possible to provide figures for different age groups, please give the total number of people affected.
3. What number of hospitals run by the Trust have plans to develop such a policy within the next 12 months?

Download response Discharge policies in place that require patients to leave hospital after a specified period of time 140316

Expected 18 weeks RTT in the gynaecology department

1. Please could you supply me with contact details of the Trusts Complaints Manager!

2. Please could you supply details of how many patients have waited longer than the expected 18 weeks RTT in the Gynaecology department for surgery since 1st January 2015?

Download response Expected 18 weeks RTT in the gynaecology department 190416

Falls prevention/monitors 2013-2015

1. Which hospitals in the trust have the following wards:
Elderly Care
Stroke
Dementia
Names:
2. What are your published figures for reported in-patient falls for the period January 2013 – December 2015?
Year 2013:
Year 2014:
Year 2015:
3. Do any of the hospitals within the trust use any of the following (please state which product for which hospital):
Turun TABS Falls Monitor
Alert-It
Sensorcare Bed Systems
Other (please name)
4. Has there been a significant number of false alarms with any of the falls prevention devices?
Turun TABS Falls Monitor yes/no
Alert-It yes/no
Sensorcare Bed Systems yes/no
Other yes/no

If significant, is the hospital/s still using the equipment?
Yes No
5. Have there been any reported issues of pressure sores/bed sores due to using any of the falls prevention devices?
Turun TABS Falls Monitor Severe Average Minor
Alert-It Severe Average Minor
Sensorcare Bed Systems Severe Average Minor
Other Severe Average Minor
6. What is the name of the Ward Manager/s of the ward/s that use the falls prevention device? ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬
7. What named types of beds are used in the ward/s that the falls monitor is used on?

Download response Falls prevention/monitors 2013-2015 260216

Genealogy companies

1) Does the Trust have any dealings with genealogical company, probate specialist or genealogy firms?
2) What are the names of those companies?
3) For what purpose are those companies used?
4) Which department is in contact with that genealogical companies, probate specialists or genealogy firms?
5) Who and/or which department makes the executive decision to contact the genealogical companies, probate specialists or genealogy firms?
6) Provide the name of the council staff, job title, department, email and telephone number of the person who contacts the genealogical companies, probate specialists or genealogy firms.
7) Does the Trust use a particular company? If yes, what are the reasons behind them?
8) Does the Trust get paid from those companies?
9) If yes, in what format does the council receive that payment? And how much does the Trust get paid?
10) Does the Trust use the companies, probate specialists or firms when there is a public health funeral?

Download response Genealogy companies 050216

Inpatient Haemorrhoid surgeries 01 January 2014- 31 December 2014.

1. Number of inpatient episodes of haemorrhoid surgeries done within the trust (broken down by hospital if there is more than one site) in the time period 1st January 2014 – 31st December 2014. If possible I would like the data broken down by types of procedure as set out below:
· Number of Haemorrhoidectomies (OPCS Code H51.1)
· Number of Stapled Haemorrhoidectomies (OPCS Code H51.3)
· Number of Rubber Band Ligation of Haemorrhoid (OPCS H52.4)
· Number of Haemorrhoidal Artery Ligations (OPCS Code L70.3) these may be identified by having the L70.3 code plus additional coding of Y53.2 and H53.8

2. Number of Outpatient Episodes for Rubber Band Ligation of Haemorrhoid (OPCS H524)

Download response Inpatient Haemorrhoid surgeries 01 January 2014- 31 December 2014 200416

Internal and external patient transfer forms and procedures.

1. Does your hospital internally use ‘ward-to-ward’ and/or ’emergency / critical departments-to-ward’ transfer ready-made forms? If so please send me a blank copy of the ready-made form or quote the data on the ready-made forms.

2. Does your hospital externally use ‘ward/emergency / critical departments-to-other Trusts/nursing home/residential home’ transfer ready-made forms? If so please send me a blank copy of the ready-made form or quote the data on the ready-made forms.

3. Please tell me who completes, authorises and signs the empty fields on the ready-made forms in questions 1. and 2. above?

4. If hospital consultant authorises but does not have to sign the ready-made forms in questions 1. and 2. above, where is their authorisation record kept?

5. What happens if there is no hospital consultant there in ward/departments to sign the ready-made forms in questions 1. and 2.
above?

6. What about ‘ward/department-to-isolated room’ in the ward/department transfers – is there a ready-made form form? If so please send me a blank copy of the ready-made form or quote the data on the ready-made forms. Please tell me who completes, authorises and signs the empty fields on this ready-made form? If hospital consultant authorises but does not have to sign the ready-made form, where is their authorisation record kept? What happens if there is no hospital consultant there to sign the ready-made form?

Download response Internal and external patient transfer forms and procedures 180416

Interpreting services

Are you required under the Equality Act 2010 to provide interpreting services?
Who actually qualifies i.e. patient, carer and what about when children are involved?
What do you provide? I.e. face to face, phone….
Is it possible to make comparisons between your figures and other similar NHS Trusts?

Download response Interpreting services 181215

Items logged as missing or stolen 2013-2015.

1. How many items/money has your trust logged as stolen or missing from your premises over the last three years?

Please provide the figures broken down by the following calendar years (Jan-Dec): i)2013 ii)2014 iii)2015

2. Please provide each incident in a list form including: year, item stolen, and estimated value of the item/money (if held), and whether the missing/stolen item had belonged to member of staff, a patient/visitor, or was hospital money/property.

Download response Items logged as missing or stolen 2013-2015 060416

Medical acronyms

Please tell me what these shorthand acronyms used by consultants in hospital mean:
1. R/V
2. PMOK SpR
3. VBG (could be UBG)
4. CVS – HS1 + 11 + 0, HR 84 bpm
5. O/e
6. SHx
7. <-BG
8. P/l – DIB
9. HPC
10. PMHx
11. LRTI
12. NKOA

Download response Medical acronyms 040116

Missed appointment repeat offenders 2014-15 and 2015-16

For the 2014-15 and 2015-16 to date financial years:

– How many patients missed an outpatient appointment once?
– How many patients missed an outpatient appointment twice?
– How many patients missed an outpatient appointment three times?
– How many patients missed an outpatient appointment four times?
– How many patients missed an outpatient appointment five times or more?

Download response Missed appointment repeat offenders 2014-15 and 2015-16 170216

Missed appointments for each of the last three financial years

For each of the last three financial years, broken down by each financial year, please state:

1. How many patients failed to attend their appointments at Tunbridge Wells Hospital? (Classed as Did Not Attends (DNAs) i.e. the patient did not arrive for their appointment and did not notify you).
2. What was the total cost to the hospital for these missed appointments for each financial year?
3. The breakdown of the age groups responsible for each missed appointment (such as 0-9, 10-19, 20-29 etc. until ‘60 and over’).
4. For each one, please state the reason (if known) for the missed appointment.
5. For each one, please state what the appointment was for.

Download response Missed appointments for each of the last three financial years 010216

Number of patients who were treated in a private provider between 2011 and 2016

1. How many elective procedures (or admissions) that were due to be carried out by your NHS trust were instead carried out by a private provider in 2011-12, 2012-13, 2013-14, 2014-15 and 2015-16 to date?

2. For the financial years stated above, what percentage of all elective procedures at your trust had to instead be carried out by a private provider?

3. For the financial years stated above, what were the most common reasons given for a procedure to be carried out by a private provider – even though it was initially scheduled to be carried out in your hospital trust?

4. For question 1 – and whether this is possible to reveal within the cost limits – which procedures were carried out by private providers?

Download response Number of patients who were treated in a private provider between 2011 and 2016 140316

Patient appointments

1) On average, how many patient appointments does each member of specialist medical staff have per day and how long does an average appointment last? (not including appointment with inpatients)
2) How many prisoners are registered to receive reoccurring or frequent treatment at the hospital and on average, how many times do they visit the hospital each year?
3) On average, how many home visits to elderly patients and visits to care homes are made each year?

Download response Patient appointments 311215

Patient communication by letter

Please provide details of the system or process which is currently used by the Trust to communicate with patients by letter, and the organisation or individuals responsible for implementing and maintaining this service.
o Does the Trust use the services of an external provider for patient and non-patient letters?
o Please provide details of the Trust’s current Letter printing service supplier/system
o Please confirm if you use Hybrid mail and what type?
Hybrid? Yes No
Bulk and Desktop? Yes No
Bulk only? Yes No
o What are the Trust’s annual costs for the printing and postage of patient letters?
o Please provide monthly volumes and values for the number of patient letters sent?
Does the Trust use an external printing service for either patient or non-patient letters?
If it does:
 When was this service implemented and the specialties included?
 Please provide specific details of any aims or targets which were established at the outset and whether these have been achieved?
 Please give an indication of the costs associated with the service, including initial implementation costs and support costs?
 How many NHS staff are responsible for the implementing and supporting of this service and what is their role within the Trust?
 Please provide details of your current letter supplier:
o Supplier name
o Date contract began and contract end date
o Contract review date
o Cost of contract to date and annual spend
o Cost of set up
o Cost of support
o Fulfilment
o Postage – First class? Second class?
• Please provide details of the process which was followed to procure an external print service?
• Please provide details of the channels used to publish the notification of procurement, for an external print service?
If no external letter supplier/service is used:
• What are the Trust’s costs for the service and support of printing?
• Have you previously considered using outsourced letter printing services, and if so, please provide details of why you chose not to.

Does the Trust use the services of an external provider for patient and non-patient letters?

Please provide details of the Trust’s current Letter printing service supplier/system

Please confirm if you use Hybrid mail and what type?

What are the Trust’s annual costs for the printing and postage of patient letters?

Please provide monthly volumes and values for the number of patient letters sent?
Does the Trust use an external printing service for either patient or non-patient letters?
If it does:
When was this service implemented and the specialties included?

Please provide specific details of any aims or targets which were established at the outset and whether these have been achieved?

Please give an indication of the costs associated with the service, including initial implementation costs and support costs?
How many NHS staff are responsible for the implementing and supporting of this service and what is their role within the Trust?

Please provide details of your current letter supplier:

Please provide details of the process which was followed to procure an external print service?

Please provide details of the channels used to publish the notification of procurement, for an external print service?

Download response Patient communication by letter 020316

Patient meals and Executive expenses.

1. In the (a)2013/2014 and (b) 2014/15 financial year what was the budget on ingredients for patients’ meals provided in the hospital trust. Please provide this figure as a financial amount on ingredients only (no labour or preparation costs) per patient per day.
2. In the (a) 2013/14 and (b) 2014/15 financial year what was the most expensive restaurant bill claimed on expenses by any of the Trust’s executives/ directors? Please state the name and address of the restaurant, how many people were dining, the date of the dinner and the job title of the director/executive who claimed the meal on expenses.

Download response Patient meals and Executive expenses 020316

Patient Reminder service

1. When the service was implemented and the specialties included.
2. Monthly values for the numbers of patients contacted/reminded.
3. Specific details of any aims/targets set of the reminder service and whether or not these have been achieved.
4. Details of any patient complaints or technical difficulties encountered whilst the service is in operation.
5. Where are the servers used to process the appointment reminders located?
If the service uses SMS
6. Do you use NHSMail or another?
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; Not applicable
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 Trust?
20. Do you have or have you considered any other uses for your reminder service? If so what are they?
21. How do you keep personal information secure when transferring to a third party supplier?
Please provide details of:
22. Supplier
23. Expected contract length
24. Contract review date
25. Cost/Value of contract
26. Details of the implementation costs and on-going support costs.
26. Details of the processes followed to procure an appointment reminder service.
27. Details of the channels used to publish the notification of procurement, for an appointment reminder service.

Download response Patient Reminder service 010216

Patients who have been physically restrained.

Context
I am seeking information about people who have been physically restrained while patients in your trust.
Request
I would like to request the following information for your trust for each of the last five years:
1. How many patients have been physically restrained by hospital security staff
a. Please list a breakdown of the reasons why
2. How many patients with a learning disability have been physically restrained by hospital security staff
a. Please list a breakdown of the reasons why
3. How many times have the police been called because of the behaviour of a patient
a. Please list a breakdown of the reasons why
b. Please outline what action was taken by the police
4. How many times have the police been called because of the behaviour of a patient with a learning disability
a. Please list a breakdown of the reasons why
b. Please outline what action was taken by the police

Download response Patients who have been physically restrained 210316

Primary Percutaneous Coronary Interventions.

1. On what date (month and year) did The Tunbridge Wells Hospital start to provide primary Percutaneous Coronary Interventions (PCI)?
2. If applicable, over what period did The Tunbridge Wells Hospital provide a primary Percutaneous Coronary Intervention weekday service (less than 24 hours a day, 7 days a week)? Please provide a date range (month, year to month, year)
Over this period, what hours did the weekday service operate?
3. If applicable, over what period did The Tunbridge Wells Hospital provide a primary Percutaneous Coronary Intervention service that operates 24 hours a day 7 days a week? Please provide a date range (month, year to month, year).
4. Does The Tunbridge Wells Hospital collaborate with another Trust to provide 24/7 primary Percutaneous Coronary Intervention coverage? If so, which Trusts are involved in this collaboration.

Download response Primary Percutaneous Coronary Interventions 290416

Referrals to the CHANNEL Panel.

(1) The number of patients and staff referred to the CHANNEL Panel, broken down by age, ethnicity, gender and faith*, where this information is known.
(2) The number of CHANNEL Panel information requests, broken down by age, ethnicity, gender and faith*, where this is known.
(3) Any information that the Trust holds sent to NHS England on Prevent or CHANNEL referrals.
(4) Any Trust guidance or policy on the implementation of the Prevent duty and related aforementioned duties.

For the avoidance of doubt, requests for ages, ethnicity, gender and faith* include a request for two recordings of age, ethnicity, gender and faith if possible.
Firstly, the recordings for each as self-selected by the person questioned/reported/referred (i.e. the ‘self-defined’ recording).
Secondly, the selection of the staff member questioning/reporting/referring (‘staff-perceived’).

Download response Referrals to the CHANNEL Panel 280416

Speech therapy for patients with Parkinson’s Disease.

– How much of your budget in monetary and percentage terms is allocated to support for Parkinson’s?
– Do you provide speech therapy within your Parkinson’s services?
– If so, how much of your budget in monetary and percentage terms was allocated to speech therapy services in 2010, 2011, 2012, 2013, 2014, and 2015?
– How regularly do Parkinson’s patients have access to NHS funded speech therapy?
– How many Parkinson’s patients have you treated on average over the past five years?
– How many speech therapists do you provide funding for? Has this number increased or decreased in the past five years?

Download response Speech therapy for patients with Parkinson’s Disease 280416

The Counter Terrorism and Security Act 2015

NHS Trusts and Foundation Trusts are now obliged to ‘have due regard to the need to prevent people from being drawn into terrorism’, in accordance with the ‘Prevent duty’ outlined in Section 26 of the Act.

The information requested below relates to the Maidstone and Tunbridge Wells NHS Trust’s response to this legislation and the ‘Prevent duty’.

1. The number of patients and hospital staff that have been reported to the police under the ‘Prevent duty’ since July 2015, broken down by the hospital they were being treated in or worked in, and by hospital department, where this information is available.
2. A breakdown by age, ethnicity, gender and faith of those questioned and reported under the ‘Prevent duty’, where this information is available.
3. The number of patients and staff referred to the Channel programme, broken down by age, ethnicity, gender and faith, where this information is available.

Download response The Counter Terrorism and Security Act 2015 150416

The number of times security guards were called to deal with patients with dementia in 2015

1. In 2015, how many times were security guards called to deal with patients with dementia?

2. If possible, please state the reason in each case.

3. If possible, please state what extra equipment was used such as handcuffs or restraints.

Download response The number of times security guards were called to deal with patients with dementia in 2015 130416

Training about Human Trafficking for non-clinical facing staff.

1. Is there training provided to non-clinical, front-facing staff about human trafficking and modern slavery in your Trust?
2. If training is delivered in your Trust, which staff receive or are eligible to receive this training? Is the training compulsory and how is attendance / completion measured? What format does this training take (e.g. e-learning, face-to-face, etc.)? How long does the training take to complete?
3. If there is no training in your Trust, is human trafficking incorporated into a safeguarding training programme or policy? If it is part of a safeguarding programme, does that programme also include a section on the Prevent policy?
4. For either stand-alone training or training which is incorporated
into a safeguarding programme or policy (please specify which): Are staff trained in potential clinical indicators for human trafficking victims? Are staff trained in who to refer a potential
human trafficking case to? Are staff trained on the questions to
ask to ascertain whether a patient is a victim of human trafficking? How often is the training completed?

Download response Training about Human Trafficking for non-clinical facing staff 130416

Treatment times for musculoskeletal outpatient physiotherapy 2012-2015

1. The number of musculoskeletal outpatient Physiotherapists employed/on the payroll within the Trust in financial years :

2. The number of musculoskeletal physiotherapy new patients treated by the Trust in the financial years:

3. The average RTT for musculoskeletal outpatient Physiotherapy in the financial years:

4. The longest recorded RTT for musculoskeletal outpatient Physiotherapy in the financial years:

5. The shortest recorded RTT for musculoskeletal outpatient Physiotherapy in the financial years:

Download response Treatment times for musculoskeletal outpatient physiotherapy 2012-2015 041215

Venous thromboembolism (VTE) risk status recorded on discharge.

1. Of the patients who were admitted to your Trust for VTE which occurred outside of a secondary care setting between 1 April 2014 and 31 March 2015, how many had a previous inpatient stay in your Trust up to 90 days prior to their admission? Of those patients, how many had their VTE risk status recorded in their discharge summary?

2. Please describe how your Trust displays a patient’s VTE risk status in its discharge summaries.

*Venous thromboembolism (VTE) is a collective term referring to deep vein thrombosis (DVT) and pulmonary embolism (PE).

Download response Venous thromboembolism (VTE) risk status recorded on discharge 110416

Waiting times for 9 procedures 2015

We are carrying out an investigation into the waiting times for 9 procedures across NHS trusts in England. These procedures are:
• Hip
• Knee
• Hernia
• Adenoid
• Gallstone
• Tonsillectomy
• Cataract
• Bariatric
• Gender reassignment

Download response Waiting times for 9 procedures 2015 280416

Walking sticks, crutches and walking frames 2015.

Could you tell me the number of walking sticks, crutches and walking frames the trust has handed out to patients in the last twelve months and how many have been returned. Also the cost of each walking stick, crutch or walking frame.

Download response Walking sticks, crutches and walking frames 2015 140316

Recording of incidents related to discharge.

We are keen to assess how incidents related to discharge are recorded on your Trust incident reporting system.

Could you tell me what categories and sub-categories you have on your system?

Download response Recording of incidents related to discharge 140316

 

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

Private patient transfers

1. How many private patients have had to be transferred from the Wells Suite to NHS beds to deal with complications since the centre opened?
2. In the last 2 years how many patients have been admitted to the Maidstone Hospital and the Tunbridge Wells Hospital direct from private hospitals?

Download response Private patient transfers 080116

Self-funding cataract surgery.

1a)
Does your Trust offer patients the option of paying for cataract surgery procedures (often referred to as ‘self-funding’ or ‘self-pay’), by which we mean cases NOT paid for by insurance companies but rather directly by individuals themselves)?
1b) If yes to 1a, how many procedures were carried out and how many patients were treated in the last 12 months (for which data is available)?
2a) If yes to 1a, what is the cost charged to patients for self-funded cataract surgery?
2b) If yes to 1a, please provide your price list if available.
2c) If yes to 1a, please provide details of the payment methods accepted by your trust for self-funded cataract surgery (i.e. credit card, cash, bank transfer).

Download response Self-funding cataract surgery 110316

 

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

Policies and Procedures – Prescribed Drugs

I am writing to you to request the provision of several documents from the Trust approved document management database which relate to the main policies and procedures in place.

If at all possible, please could you provide the following documents (unique ID in brackets):

1. Critical Medicines where Timeliness of Administration is Crucial (RWF-OWP-APP299);
2. Critical Medicines Loading Doses (RWF-OWP-APP300);
3. Standard Operating Procedure for Prescribing, Preparing and Administering Injectable Medicines in Clinical Areas (RWF-OPPM-CSS2);
4. Standard Operating Procedures for the Management of Controlled Drugs in Operating Theatres (RWF-OPG-CSS4);
5. Standard Operating Procedures for the Management of Controlled Drugs in Wards and Departments (RWF-OPG-CSS5); AND
6. All of the above policies as in place on February and March 2014, if different from the above.

Download response Policies and Procedures – Prescribed Drugs 311215

 

Trauma & Orthopaedics

Enhanced Recovery Protocol (ERP) for Knee Replacement Surgery

In the Trauma & Orthopaedic surgery department in your trust, I would like to know if you have a printed ERP (Enhanced Recovery Protocol) for Knee Replacement Surgery. This can be for Total Knee Replacement, Unicompartmental Knee Replacement or Patellofemoral Replacement.

If you do have a printed ERP Protocol, can you please send me a copy of it to this address?

Please find attached the Trust’s leaflet regarding ERP.

Download response Enhanced Recovery Protocol (ERP) for Knee Replacement Surgery 080216

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

Hip revisions in 2013, 2014 and 2015.

Please provide the number of hip implant revisions the Trust has carried out in the last three calendar years. For your information, a hip implant revision is the surgery carried out on someone who has previously had a hip replacement. The revision involves either resurfacing the device that was initially implanted or replacing it.

And, provided it does not exceed the cost limit, please provide information on the initial implant which had to be revised in the revision surgery – namely the type of implant (i.e. metal-on-metal, ceramic-on-metal etc etc) and the manufacturer.

Download response Hip revisions in 2013, 2014 and 2015 190416

Orthopaedic suppliers – July, August, September 2015

This would relate to the purchase of Orthopaedic products for the latest year (and previous years if possible).

Specifically, I’m interested in products related to primary Hips and Knees procedures. This would include:

Hip Replacement:
– Primary cemented/cementless Femoral implants
– Metal/Ceramic/Bipolar/Unipolar Modular Heads
– Standard/Crosslinked polyethylene Acetabular cups
– Standard/Crosslinked/Ceramic/Metal modular Acetabular inserts

Knee Replacement:
– CR/PS Cemented/Cementlenss Femur Primary Bicondylar
– FB/MB Primary CR/CS/PS Articular Surfaces
– FB/MB Primary Cemented/Cementless Tibial Components
– Cemented/Cementless Tibial Components

I’ve attached an example of the data format I would find useful, which lists :
– The Supplier
– Order Quantity
– Unit Price or Order Value (both are listed)
– Item Description
– Order Date

Download response Orthopaedic suppliers – July, August, September 2015 160216

Prosthetists and Orthotists

We are looking to locate the number of Prosthetists and Orthotists directly employed by Maidstone and Tunbridge Wells from 2005 – 2015. We would prefer if these numbers could be broken down into the number of Prosthetists and the number of Orthotists and region of employment if at all possible.

Download response Prosthetists and Orthotists 040116

 

Trust Management

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

CCIO and CIO in NHS Trusts

I’d be very grateful if you could give the name and contact details of the following positions (as much as possible) so that our database can be updated.

Position
CCO/CEO
CCIO
Clinical IT Lead
CIO/IT Director
Deputy IT Director
Caldicott Guardian

Download response CCIO and CIO in NHS Trusts 220416

Designation/job title, voting rights and gender of the Trust Board members for 2010 to 2016

1. Designation/ job title of Board members and the Executive directors with their voting or non-voting status as at year end (31 March) for each of the following years

· 2010/11
· 2011/12
· 2012/13
· 2013/14
· 2014/15
· 2015/16 (current/in post – not at year end)

For the Executive directors, please use their job titles. For Non- executive directors, other than the Chair, please use Non-executive 1, 2 etc.

2. Gender of Board members and the Executive directors for the above requested years

Download response Designation/job title, voting rights and gender of the Trust Board members for 2010 to 2016 150316

Executive Members to at least Band 7 level.

I’m looking to get organisation charts including names of member of staff under the following Executive Members to at least Band 7 level.
• Chief Operating Officer
• Chief Finance Officer
• Director of Nursing
• Medical Director
• Director of Transformation
• People/HR/Workforce Directors

Specifically these Organisational charts should include teams from the following functions if they exist:
• Operations Management
• IM&T
• PMO/Projects
• Procurement
• Governance/Quality/Risk/PALS/Nursing
• Procurement
• Strategy/Commercial
• Finance
• HR

Download response Executive Members to at least Band 7 level 030815

Patient meals and Executive expenses.

1. In the (a)2013/2014 and (b) 2014/15 financial year what was the budget on ingredients for patients’ meals provided in the hospital trust. Please provide this figure as a financial amount on ingredients only (no labour or preparation costs) per patient per day.
2. In the (a) 2013/14 and (b) 2014/15 financial year what was the most expensive restaurant bill claimed on expenses by any of the Trust’s executives/ directors? Please state the name and address of the restaurant, how many people were dining, the date of the dinner and the job title of the director/executive who claimed the meal on expenses.

Download response Patient meals and Executive expenses 020316

Red and black alerts for 2013-2016

For the following financial years 2013-14, 2014-15 and 2015-16 to date

How many black alerts have been issued by your trust?

How many red alerts have been issued by your trust?

Download response Red and black alerts for 2013-2016 190416

Red and black alerts for March 2016

How many times in March 2016 were your trust hospitals under a red or black alert?

Please state which hospitals were affected and how long each hospital was affected.

Please could you provide the same information for March 2011?

Download response Red and black alerts for March 2016 190416

Staff structure chart for Directors and Heads of Departments March 2016.

Please provide me with a staff structure Chart (organogram) including the names, job titles and contact details (email or direct line) of specific managers in the following areas:
• Director of Nursing
• Medical Director
• Company Secretary
• Director of Clinical Governance
• Director of Corporate Governance
• Director of Quality
• Director of Risk
• Head of Quality
• Head of Risk
• Head of Patient Safety
• Head of Complaints
• Head of Infection Prevention & Control
• Head of Safeguarding
• Head of Information Governance
• Datix Managers

Download response Staff structure chart for Directors and Heads of Departments March 2016 290316

The total sum paid in expenses to the trust’s board of directors in each of the previous five financial years

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

1. Please tell me the total sum paid in expenses to the trust’s board of directors in each of the previous five financial years a) 2010/11 b) 2011/12 c) 2012/13 d) 2013/14 e) 2014/15 and also f) 2015/16 year to date.

Download response The total sum paid in expenses to the trust’s board of directors in each of the previous five financial years 040116

Trust’s Board membership showing gender, and ethnic background and age range.

A breakdown of your Board membership showing gender, and ethnic background and age range broken into separate categories for:
· Chairman
· Non- executive directors
· Executive directors

Age range should be specified for each category as follows.

Age of Board Members
Identifier Years of age
A1 18-39
A2 40-49
A3 50-59
A4 60-69
A5 70 and over
Ethnic Background should be specified according to the following classifications set out by the Office for National Statistics.
Ethnicity
Identifier Standard Office of National Statistics (ONS) Ethnicity Classifications
1 Arab
2 Asian/ Asian British: Indian
3 Asian/ Asian British: Pakistani
4 Asian/ Asian British: Bangladeshi
5 Asian/ Asian British: Chinese
6 Black/ African/ Caribbean/ Black British: African
7 Black/ African/ Caribbean/ Black British: Caribbean
8 Black/ African/ Caribbean/ Black British: Any other Black/African/Caribbean background
9 Mixed/Multiple ethnic group: White and Black Caribbean
10 Mixed/Multiple ethnic group: White and Black African
11 Mixed/Multiple ethnic group: White and Asian
12 Mixed/Multiple ethnic group: Any other Mixed/Multiple ethnic background
13 White: English/Welsh/Scottish/Northern Irish/Cornish/British
14 White: Irish
15 White: Gypsy or Irish Traveller
16 White: Any other White background
17 Any other ethnic group
18 Not Known

Download response Trust’s Board membership showing gender, and ethnic background and age range 070316

 

Women's and Sexual Health

Adverse events that occurred in the maternity department in the financial years a) 2014/15 b) 2013/14

1. Please tell me how many adverse events occurred in the maternity department in the financial years a) 2014/15 b) 2013/14

2. For each incident in question 1a) and b), please specify the type of incident eg maternal death, unexpected neonatal death, stillbirth, medicines adverse incident, diagnosis etc.

3. Please tell me on how many occasions a woman gave birth in a location other than a hospital bed in the financial years a) 2014/15 b)2013/14

4. Please specify the locations for 3a) and b)

5. Please tell me how much the trust paid out in compensation to patients and families for maternity errors in the financial years a) 2014/15 and b) 2013/14

Download response Adverse events that occurred in the maternity department in the financial years a) 2014/15 b) 2013/14 080116

Babies born in 2015 whose birth-weight was 12lbs or 5443g or more.

In the 2015 calendar year were there any babies born at your hospitals where the weight of the baby was 12lbs (5443g) or more? If so please state how many and what their birth-weights were.

Download response Babies born in 2015 whose birth-weight was 12lbs or 5443g or more 280416

Expected 18 weeks RTT in the gynaecology department

1. Please could you supply me with contact details of the Trusts Complaints Manager!

2. Please could you supply details of how many patients have waited longer than the expected 18 weeks RTT in the Gynaecology department for surgery since 1st January 2015?

Download response Expected 18 weeks RTT in the gynaecology department 190416

How many occasions has the unit been closed to new admissions in 2013, 2014 and 2015 to date

Under the Freedom of Information Act 2000, please can I request the following information for each maternity unit within your Trust:
1. How many occasions has the unit been closed to new admissions in 2013, 2014 and 2015 to date. Please supply figures for each calendar year.
2. For each such closure, please state the duration of and the reason for the closure.

Download response How many occasions has the unit been closed to new admissions in 2013, 2014 and 2015 to date 241215

Neonatal abstinence syndrome 2011-2016.

Can you provide answers for 2011-2012, 2012-2013, 2013-2014, 2014-2015 and 2015-2016 please?

How many babies were born with neonatal abstinence syndrome (showing signs of drug addiction because of their mother taking drugs during pregnancy) at hospitals run by your trust during each financial year?
If you run more than one hospital please breakdown the figures for each hospital.

Download response Neonatal abstinence syndrome 2011-2016 290416

Neonatal withdrawal 2010-2015

Could you let me know how many babies were born to mothers who had abused/ taken drugs during pregnancy each year for the past 5 years including 2014-2015?

How many babies were born showing neo-natal withdrawal symptoms each year for the past five years?

Could you also let me know from the mothers who had taken drugs what was the breakdown for each type of drugs e.g. heroin, cocaine

Download response Neonatal withdrawal 2010-2015 140415

VBAC (Vaginal Birth after Caesarean Section) October 2015

Please could you provide information about the number of VBAC (Vaginal Birth after Caesarean Section) births that have been allowed at Maidstone Birth Centre in the last 5 years?

1. How many VBAC’s were allowed at Maidstone Birth Centre?
2. How many of these had to transfer to Tunbridge Wells Hospital?

Download response VBAC (Vaginal Birth after Caesarean Section) October 2015 151015

 

Workforce

Complaints against nurses and agency nurses

Could you please furnish me with the policies and procedures that determine how complaints against nurses and agency nurses are investigated and finalised. Specifically complaints that are raised by staff against other staff members. For example, a doctor raises a complaint against a nurse or agency nurse with respect to alleged inappropriate behaviour. All necessary policies and procedures in full would be greatly appreciated.

Download response Complaints against nurses and agency nurses 010216

Criminal records held by Trust staff

How many staff currently employed at your trust (across all areas) hold a criminal record?

Please break down these numbers by profession/sector: e.g. nurses, doctors, midwives, etc.

If a breakdown by profession is not possible, then instead, please simply supply the figures broken down by:
i) Medical staff (e.g. doctors, nurses, etc.)
ii) Non-medical staff (e.g. porters, admin, security, cleaners, etc.)

Please provide a full list of the convictions these criminal records relate to, again breaking down by profession (or medical and non-medical staff if that is how you have provided the information in (1.).)

Providing you hold this information: please supply figures for ‘spent’ convictions. I would be grateful if this information could be provided separately.

Download response Criminal records held by Trust staff 210316

Foundation Doctor numbers at Tunbridge Wells Hospital at Pembury 2015/2016

I was hoping that you would be kind enough to inform me of the number of FY1 and FY2 doctors that you have for this current academic year at Tunbridge Wells Hospital.

Download response Foundation Doctor numbers at Tunbridge Wells Hospital at Pembury 2015/2016 110416

Healthcare professionals currently working within Maidstone and Tunbridge Wells NHS Trust.

I would like to request the following data under the freedom of information act (preferably in a CSV format) for all of the healthcare professionals currently working within Maidstone and Tunbridge Wells NHS Trust:

– GMC number – if the healthcare professional is a doctor registered with the GMC
– HCPC number – if the healthcare professional is registered with the HCPC
– GDC number – if the healthcare professional is a dentist registered with the GDC
– GOC number – if the healthcare professional is an osteopath registered with the GOC
– GCC number – if the healthcare professional is a chiropractor registered with the GCC
– Healthcare Professional’s Title – e.g. Dr
– Healthcare Professional’s First Name
– Healthcare Professional’s Last Name
– Does Healthcare Professional currently provide services to NHS patients within your organisation? (Yes or No)
– Does the Healthcare Professional currently services to private patients within your organisation? (Yes or No)
– Clinic/department name where the Healthcare Professional practices
– Clinic/department phone number where the Healthcare Professional practices
– Clinic/department fax number where the Healthcare Professional practices
– Clinic/department email address where the Healthcare Professional practices
– Clinic/department full address including postcode where the Healthcare Professional practices

If a Healthcare Professional works in multiple Clinic/departments in your organisation, please return a record for each one, i.e. if a Cardiologist works in 2 different locations, please return 2 records.

Download response Healthcare professionals currently working within Maidstone and Tunbridge Wells NHS Trust 220216

Hospital overtime bill, for the following financial years 2010-11, 2011-12, 2012-13, 2013-14, and 2014-15

How much was your hospital overtime bill, for the following financial years 2010-11, 2011-12, 2012-13, 2013-14, and 2014-15?

How much of the overtime bill was spent on nursing staff?

How much of the overtime bill was spent on doctors?

How much of the overtime bill was spent on non-medical staff?

Download response Hospital overtime bill, for the following financial years 2010-11, 2011-12, 2012-13, 2013-14, and 2014-15 030216

Junior doctor’s sickness due to psychiatric illness in 2011, 2012, 2013, 2014 and 2015

1. How many junior doctors employed in hospitals covered by your Trust were signed off work because of anxiety/stress/depression or other psychiatric illnesses in each of the following years: a) 2011, b) 2012, c) 2013, d) 2014 and e) 2015 (If the same employee was off over a period where it changes years, please count them once in both years)

2. Please give the total number of working days lost through junior doctor absence because of anxiety/stress/depression or other psychiatric illnesses in each of the following years: a) 2011, b) 2012, c) 2013, d) 2014 and e) 2015
To clarify, the term ‘junior doctor’ refers to all doctors working for your Trust, who are NOT consultants. This includes:

Foundation Year 1
Foundation Year 2
Specialist Trainee Year 1-8
Junior Clinical Fellow
Senior Clinical Fellow
Educational Fellow
Research Fellow

Download response Junior doctor’s sickness due to psychiatric illness in 2011, 2012, 2013, 2014 and 2015 150316

Medicine student timetables (A100) 2014/2015

I would be grateful if you could supply undergraduate timetables issued to students in years 3 – 5 of the Medicine A100 course for the academic year 2014/2015 for students placed at Tunbridge Wells Hospital and Maidstone Hospital from King’s medical school. (Medicine A100 refers to the standard medicine course and does not include graduate entry medical students).
If the trust feels that it is unable to provide detailed timetables for each individual student, then I would like to request a representative timetable for a typical student in years 3 – 5 of the course for the 2014/2015 academic year. I am specifically requesting timetables as they are given to the students. I would imagine it would not take a student more than 18 hours to obtain their timetable for years 3 – 5 of the course. Therefore a representative timetable for a single student will suffice.

Download response Medicine student timetables (A100) 2014/2015 220216

The total number of staff in each of the following categories as at 1st January 2016

The total number of staff in each of the following categories as at 1st January 2016
Nurse grades (preferably split by grade)
Doctor grades (preferably split by grade)
Consultant
Associate Specialist
FY1
FY2
Speciality Registrar
Specialty Doctor
Other Clinical Staff
Non-clinical grades (split not necessary)
Senior Managers and Executives
Total number of staff employed

Since January 1st 2016, has the Trust reduced the salary or wages, by way of a reduction in contracted hours or direct salary deduction, of any of the staff listed in the above categories due to financial pressures, a reduction in budget or no funds being available within the budgets?

Please also confirm whether this is a permanent or temporary reduction. Wages and salaries that have been reduced through other than the Trust’s financial constraints (for example new job share arrangements, semi-retirement, demotion etc.) are not required.

If yes to the above question, please provide the number of affected staff split into the categories as above. A list of specific departments/wards etc. would be useful.

Download response The total number of staff in each of the following categories as at 1st January 2016 150216

New junior doctor contract from August 2016.

1) If your trust has been provided with, or carried out any estimates on, the overall one-off cost to the trust for the implementation of the new contract. This would include one-off costs such as introduction of new payroll systems, training of staff etc. If so, please can you provide this information and the overall costing for the new junior doctor contract introduction?
2) If the trust has been provided with, or carried out any estimates on, the ongoing cost or benefit to the Trust of the new junior doctor contract. This would be from ongoing changes in salaries, reduction in locum costs or work patterns etc. If so, please provide this information. Please state where any ongoing costs or benefits over the current junior contract are anticipated.
3) Finally, please state if the trust plans to make any changes to any of the junior doctor rotas following the introduction of the new junior doctor contract. If the trust does plan to make changes, please estimate:
a. The percentage of current junior doctor rotas that are aiming to be changed
b. A very brief (one-line) summary of what these changes are (eg more working in the evenings)

Download response New junior doctor contract from August 2016 280416

NHS apprentices December 2015

In this FOI request the information we require relates to staff you have hired as an apprentices rather than existing staff that have gone through an apprenticeship programme.
Please fill in the information using the pro forma below.
1) Name of your organisation

2) Numbers of apprentices recruited
In the following financial years how many apprentices started work in your organisation? Please break this figure down per apprentices directly employed by your organisation and those working in your organisation but employed by an external organisation such as an Apprentice Training Agency.

3) Job titles of apprentices
For the apprentices who started in each financial year (employed either directly or indirectly in your organisation) please provide a breakdown of the total number employed by the relevant job titles listed below.

4) Pay rates for apprentices
For the apprentices who started in each financial year (employed either directly or indirectly in your organisation) please provide information per relevant job title on the starting rates of pay, any linked Agenda for Change (AfC) pay band, and hours of work.

5) Outcomes for apprentices

a) For apprentices (directly or indirectly employed) whose apprenticeships came to an end in each of the following financial years because they did NOT complete their apprenticeship, please provide the following information:

b) For apprentices (directly or indirectly employed) whose apprenticeships came to an end in each of the following financial years because they COMPLETED their apprenticeship please provide the following information:

Download response NHS apprentices December 2015 241215

NHS Staff injury February 2016

1, The number of NHS staff who have been injured as a result of caring for patient that is classed as large / obese / with a high BMI / barbaric patient over the following dates:
a. 1 Jan 2011 to 31 Dec 2011
b. 1 Jan 2012 to 31 Dec 2012
c 1 Jan 2013 to 31 Dec 2013
d Jan 2014 to 31 Dec 2014
e Jan 2015 to 31 Dec 2015

For each staff member, I wish to know the following:

2, The nature of injury the staff member sustained (For example – broken back, sprained ankle,

3, How the injury was sustained (For example – patient fell on staff member while lifting etc)

4, How long (if any) the staff member needed off work

5, The weight of the patient if known

6, If a compensation claim was lodged

7, How much compensation was paid out to the staff member

Download response letter NHS Staff injury February 2016 080216

Number of vacancies in the Trust 2013, 2014 & 2015.

We are doing an FOI on the number of vacancies in hospitals – due to a number of reasons, including specific areas that are hard to recruit in.

If you are unable to provide a breakdown for the specific types of nurses/doctors listed, please just provide the data on all nurses and all doctors.

Download response Number of vacancies in the Trust 2013, 2014 & 2015 290316

Nurses and healthcare assistants on Tier 2 visas.

1. The number of nurses (qualified and unqualified) and healthcare assistants currently directly employed by the Trust (including zero hours and casual staff) who are on Tier 2 visas under the Points Based Immigration system.
2. Of the staff referred to in response to question 1, how many started working in the UK after April 2011?
3. Of the staff referred to in response to question 2, how many are paid below £35,000 per year (including zero hours and casual staff)? “Pay” here means full-year gross pay including enhancements (e.g. shift pay, overtime pay) for the year 2014/15 (or if hired since the start of 2014/15, please use forecast full-year gross pay including enhancements for 2015/16 based on payments during the year to date). Please note that I am seeking actual pay – if a staff member is paid £19,000 per year for working 0.5 FTE (assuming no enhancements), please consider their pay to be £19,000, not the £38,000 they would be paid were they working 1.0 FTE. Please separate the question 3 data between nurses and healthcare assistants (unless this would breach the Data Protection Act, in which case please provide a combined total).
If the information for question 2 is not held (or would be impossible to locate within the section 12 cost limit), please ignore questions 2 and 3 and answer questions 4 and 5 instead:
4. Of the staff referred to in response to question 1, how many started working for the Trust (preferably including any predecessor Trusts, if the Trust is the product of a merger) after April 2011?
5. Of the staff referred to in response to question 4, how many are paid below £35,000 per year (including zero hours and casual staff)? “Pay” here means full-year gross pay including enhancements (e.g. shift pay, overtime pay) for the year 2014/15 (or if hired since the start of 2014/15, please use forecast full-year gross pay including enhancements for 2015/16 based on payments during the year to date). Please note that I am seeking actual pay – if a staff member is paid £19,000 per year for working 0.5 FTE, please consider their pay to be £19,000, not the £38,000 they would be paid were they working 1.0 FTE. Please separate the question 5 data between nurses and healthcare assistants (unless this would breach the Data Protection Act, in which case please provide a combined total).
If the information for question 1 is not held (or would be impossible to locate within the section 12 cost limit), please ignore questions 1-5 and answer questions 6-8 instead:
6. The number of nurses (qualified and unqualified) and healthcare assistants currently directly employed by the Trust (including zero hours and casual staff) who are not nationals of member states of the European Economic Area
7. Of the staff referred to in response to question 6, how many started working for the Trust (preferably including any predecessor Trusts, if the Trust is the product of a merger) after April 2011?
8. Of the staff referred to in response to question 7, how many are paid below £35,000 per year (including zero hours and casual staff)? “Pay” here means full-year gross pay including enhancements (e.g. shift pay, overtime pay) for the year 2014/15 (or if hired since the start of 2014/15, please use forecast full-year gross pay including enhancements for 2015/16 based on payments during the year to date). Please note that I am seeking actual pay – if a staff member is paid £19,000 per year for working 0.5 FTE, please consider their pay to be £19,000, not the £38,000 they would be paid were they working 1.0 FTE. Please separate the question 8 data between nurses and healthcare assistants (unless this would breach the Data Protection Act, in which case please provide a combined total).
All Trusts please respond to question 9:
9. Any assessment, report etc that the Trust has carried out or commissioned into the effect that the increase to the earnings threshold for Tier 2 visa immigrants to qualify for permanent residence in the UK (announced in 2011, implemented from April 2016) will have on the Trust’s staff. (see http://www.workpermit.com/news/2015-07-07/uk-tier-2-visa-immigrants-must-earn-35000-to-settle-from-april-2016

Download response Nurses and healthcare assistants on Tier 2 visas 040216

Nursing staff for each band 5 to 8d, at i) 1 July 2014 and ii) 1 July 2015

1. What was your whole time equivalent nursing establishment, for each band 5 to 8d, at i) 1 July 2014 and ii) 1 July 2015

2. How many whole time equivalent nursing vacancies did you have, for each band 5 to 8d, at i) 1 July 2014 and ii) 1 July 2015.

3. At 1 July 2015, how many registered nursing staff did the Trust employ from outside the European Economic Area (EEA) on a Tier 2 visa? (WTE and headcount).

4. At 1 July 2015, how many registered nursing staff did the Trust employ from within the European Economic Area (EEA) (not including UK) (WTE and headcount)

5. At any point since June 2015, have any recruited nursing staff been delayed or prevented from starting work at your Trust because of the cap restrictions on a Tier 2 visa, and if so how many.

Download response Nursing staff for each band 5 to 8d, at i) 1 July 2014 and ii) 1 July 2015 040216

Organisational charts February 2016

1. Who is responsible for Corporate Governance and who operationally manages it?
2. Who is responsible for Clinical Governance and who operationally manages it?
3. Who is responsible for the CIP (Cost Improvement Plans) and who operationally manages it?
4. Who is responsible for the PMO (Project Management Office or Portfolio Management Office or Programme Management Office) and who operationally manages it?
5. Who is responsible for your contracts with the CCGs and who operationally manages it?
6. What Clinical Divisions do you have?

I’m also looking for organisational charts of the teams below the Medical Director and the Director of Nursing (or variations of those job titles), to also include teams relating to Corporate/Clinical Governance, Patient Safety, PALS, Complaints, Risk, Assurance and Information Governance.

Download response Organisational charts February 2016 220216

Personal identification products using staff details

Would it be possible for me to obtain a list of email address contacts from yourselves?

Download response Personal identification products using staff details 040516

Physical attacks on staff 2015-2016.

1. I would like to gain accurate figures on reported physical assaults against staff in and around the hospital and the type of assault committed please for 2015 / 16

2. Further I would like to gain contact details for:

LSMS
Security Manager
Health & Safety Manager

Download response Physical attacks on staff 2015-2016 060416

Private medical/health insurance for staff

Does your trust pay for private medical/health insurance for any members of staff?
If so, please tell me the total spent on it in the past financial year, and the number of staff benefiting.

Download response Private medical/health insurance for staff 201116

Prosthetists and Orthotists

We are looking to locate the number of Prosthetists and Orthotists directly employed by Maidstone and Tunbridge Wells from 2005 – 2015. We would prefer if these numbers could be broken down into the number of Prosthetists and the number of Orthotists and region of employment if at all possible.

Download response Prosthetists and Orthotists 040116

Provision and investment into hospital accommodation.

1. Do you currently provide hospital accommodation (not including on-call rooms) for staff?
2. If yes to question 1, what is the current rate of rent, and what amenities/services are included for this?
3. Please illustrate in tabulated or graphical form, a breakdown of how money generated from hospital accommodation is utilised by the organisation. Please clearly indicate any money which is not reinvested in hospital accommodation.

download response Provision and investment into hospital accommodation 140316

Reckonable and continuous service

Please could you provide the information requested in the attached survey.
Please could this survey be completed in electronic format and returned to me via email.

Freedom of Information Request
NHS Acute Trust Custom and Practice Application of NHS Agenda for Change Terms and Conditions for Reckonable and Continuous Service
Name of NHS Trust?
Section 1. Trust workforce composition
1.1. How many employees does this Trust currently employ?
1.2. How many of these employees have joined this Trust in the last 3 years?
1.3. How many of these recent employees joined this Trust directly from another NHS employer?
Section 2. NHS Electronic Staff Records “ESR” adoption
2.1. Does this Trust currently use the NHS Electronic Staff Record system (“ESR”)?
1 Yes No
2.2. If yes, which year was ESR implemented in this NHS Trust?
Section 3. Continuous service start date confirmation from previous NHS employer
3.1. Please confirm which method this Trust uses to obtain the Portable Data Set (PDS) for new employees joins this Trust directly from another NHS employer?
3.2. Please confirm the name of the form field/ data field/ question routinely used in the transfer request to determine the employee’s continuous service start date?
(e.g. “NHS Entry Date”, “CSD 3 Months” etc.) Note: If a process other than IAT is used, please specify the exact question wording/data field definition used.
3.3. Is the continuous service start date (“CSD”) provided by the previous NHS employer routinely reassessed by this Trust? (i.e. employment record review to confirm start of continuous service date)
Section 4. Assessment of prior reckonable service
Note: NHS Agenda for Change terms and conditions of service section 12.2 includes the provision that NHS Employers have discretion to take into account any period or periods of employment with employers outside the NHS, where these are judged to be relevant to NHS employment.
4.1. Does this Trust ever exercise its discretion to recognize as reckonable service, periods of non-NHS employment which are relevant to the position held with the Trust? (for example, University service)
4.2. Please state the number of employees, joining this Trust over the past 3 years who have…..
a. Had relevant previous non-NHS employment counted as reckonable service?
b. Did not have relevant previous non-NHS employment?
c. Had a request to recognize relevant previous non-NHS employment Denied?4
4.3. Do you routinely recognize relevant previous non-NHS employment when calculating each of the following Agenda for Change reckonable service benefits…
a. Maternity rights/benefits
a. Redundancy rights/benefits
b. Annual leave entitlement
a. Sickness benefits
4.4. If you have selected No to any of the above (4.3), please specify why?
Section 5. Reckonable service recognition of relevant non-NHS service in redundancy calculations
Note: NHSEmployers.org Redundancy FAQ’s suggest that where employment is outside of the NHS but is relevant to NHS employment, it would be reasonable to include this in the NHS redundancy calculation.
5.1. How many Trust employees have been made redundant in the past 3 years?
5.2. Of those employees made redundant in the past 3 years, how many had relevant previous non-NHS employment?
5.3. Of those employees made redundant in the past three years, have any had non-NHS reckonable service included in their redundancy calculation?
5.4. If yes (to 4.6), how many employees have had this discretion applied during this period?
5.5. If no (to 4.5), please specify the reason?
Please add any further comments which may aid the interpretation of data provided in this questionnaire?

Download response Reckonable and continuous service 010216

Recruitment of nurses

1. How many nurses in the last two years has you trust recruited from inside the EU and how many from outside the European Union?
2. Where are these nurses from?
3. Of these how many have secured work permits and have arrived in the UK?
4. How many overseas nurses have you made job offers to outside of the EU, who have not yet secured work permits?
5. What is the turn-over rate for nurses in your organisation?
6. How many nurse vacancies do you currently have in your organisation?
7. How many more nurses do you feel you will have to recruit from overseas over the next two years to provide safe dignified care to patients in your organisation?

Download response Recruitment of nurses 010216

Referrals to the CHANNEL Panel.

(1) The number of patients and staff referred to the CHANNEL Panel, broken down by age, ethnicity, gender and faith*, where this information is known.
(2) The number of CHANNEL Panel information requests, broken down by age, ethnicity, gender and faith*, where this is known.
(3) Any information that the Trust holds sent to NHS England on Prevent or CHANNEL referrals.
(4) Any Trust guidance or policy on the implementation of the Prevent duty and related aforementioned duties.

For the avoidance of doubt, requests for ages, ethnicity, gender and faith* include a request for two recordings of age, ethnicity, gender and faith if possible.
Firstly, the recordings for each as self-selected by the person questioned/reported/referred (i.e. the ‘self-defined’ recording).
Secondly, the selection of the staff member questioning/reporting/referring (‘staff-perceived’).

Download response Referrals to the CHANNEL Panel 280416

Referrals to the GMC June 2012 to January 2016

How many surgical cases and case notes from your Trust have been referred to the GMC from June 2012 to January 2016?

Since April 2012, how many consultants employed by your Trust have had any cases sent to the GMC for review?

Download response Referrals to the GMC June 2012 to January 2016 300316

Renal cell carcinoma specialist nurses

Please provide the number of a.) Renal cell carcinoma clinical nurse specialist b.) Uro-oncology clinical nurse specialists and c.) Urology clinical nurse specialists currently employed by your Trust

Download response Renal cell carcinoma specialist nurses 040116

Staff details and structure chart for Pharmacy department March 2016

Please provide me with:
1. The name of your Head/Director of Pharmacy (or Chief Pharmacist)
2. Structure chart of your pharmacy department
3. Total number of pharmacists, pharmacy technicians, pharmacy assistants and administrative staff in the dept.

Download response Staff details and structure chart for Pharmacy department March 2016 300316

Staff structure chart for Directors and Heads of Departments March 2016.

Please provide me with a staff structure Chart (organogram) including the names, job titles and contact details (email or direct line) of specific managers in the following areas:
• Director of Nursing
• Medical Director
• Company Secretary
• Director of Clinical Governance
• Director of Corporate Governance
• Director of Quality
• Director of Risk
• Head of Quality
• Head of Risk
• Head of Patient Safety
• Head of Complaints
• Head of Infection Prevention & Control
• Head of Safeguarding
• Head of Information Governance
• Datix Managers

Download response Staff structure chart for Directors and Heads of Departments March 2016 290316

Staffing and expenditure on administration and non-clinical support services

What is the number of whole time equivalent (WTE) staff, working for the trust in administration and non-clinical support services and what is the people-related expenditure on these services? People related expenditure is defined as the sum of salaries, bonuses, benefits, NI contributions, pension contributions and any other direct staffing costs. Please provide this 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 Staffing and expenditure on administration and non-clinical support services 021215

Staffing numbers and ranks of staff.

Can the following answers cover staff on duty across the trust for the past two financial years, please?

1. Rules for staffing numbers and ranks during the week (e.g. one doctor, three nurses, one consultant…)

2. Rules for staffing numbers and ranks at the weekends as above

3. What is the minimum number of non-bank or agency staff required to be on duty during the week

4. What is the minimum number of non-bank or agency staff required to be on duty at weekends

5. Can you answer for each ward (if the recommended mix on maternity is different to A&E…?)

6. Are the above national standards or trust standards?

7. The number of occasions in the past two financial years when the staffing mix has breached the recommended level (for each example can you please provide the actual staffing mix, the date of the breach, the ward it occurred on and a reason for it)

Download response Staffing numbers and ranks of staff 140316

Temporary Nursing staff – Internal Bank and External Agency suppliers

1) Do you use temporary nurses? If yes, can we have a breakdown of how many have been used in the last three years?

2) What is the cost if using these nurses? Can we have a breakdown of how much one nurse costs and the total of cost in the last three years?

Download response Temporary Nursing staff – Internal Bank and External Agency suppliers 010216

The number of nurses at the Trust

1) Please state how many full-time (FT) equivalent nurses your trust employs at the following banding levels:

2) (i) If known, please state how many FT equivalent clinical nurse specialists your trust employs both now and in 2011:

(ii) Areas of clinical practice covered:

3) Finally, please state how many FT equivalent nurses your trust currently employs:

Download response The number of nurses at the Trust 040216

Tier 2 general employees

1. Number of trust employees that have worked under tier 2 (general) of the points based visa system every year since January 2010.
2. Number of nurses and midwives that have worked under tier 2 (general) of the points based visa system every year since January 2010.

Download response Tier 2 general employees 220216

Tier 2 Nurses

1. The number of nurses (all grades) currently directly employed by the Trust whose actual pay (i.e. not pro rata) is below £35,000 per year.
2. Of the staff referred to in response to question 1, how many are on Tier 2 visas?
3. Of the staff referred to in response to question 2, how many started working in the UK after April 2011?
If the information for question 3 is not held (or would be impossible to locate within the section 12 cost limit), please ignore it and answer question 4 instead:
4. Of the staff referred to in response to question 2, how many started working for the Trust (preferably including any predecessor Trusts, if the Trust is the product of a merger) after April 2011?
If the information for question 2 is not held (or would be impossible to locate within the section 12 cost limit), please ignore questions 2-4 and answer questions 5 and 6 instead:
5. Of the staff referred to in response to question 1, how many are not nationals of member states of the European Economic Area?
6. Of the staff referred to in response to question 5, how many started working for the Trust (preferably including any predecessor Trusts, if the Trust is the product of a merger) after April 2011?
All Trusts please respond to question 7:
7. Any assessment, report etc. that the Trust has carried out or commissioned into the effect that the increase to the earnings threshold for Tier 2 visa immigrants to qualify for permanent residence in the UK (announced in 2011, implemented from April 2016) will have on the Trust’s staff. (see http://www.workpermit.com/news/2015-07-07/uk-tier-2-visa-immigrants-must-earn-35000-to-settle-from-april-2016)
All figures for questions 1 to 6 should be provided as FTE and headcount if possible.

Download response Tier 2 Nurses 030216

Training about Human Trafficking for non-clinical facing staff.

1. Is there training provided to non-clinical, front-facing staff about human trafficking and modern slavery in your Trust?
2. If training is delivered in your Trust, which staff receive or are eligible to receive this training? Is the training compulsory and how is attendance / completion measured? What format does this training take (e.g. e-learning, face-to-face, etc.)? How long does the training take to complete?
3. If there is no training in your Trust, is human trafficking incorporated into a safeguarding training programme or policy? If it is part of a safeguarding programme, does that programme also include a section on the Prevent policy?
4. For either stand-alone training or training which is incorporated
into a safeguarding programme or policy (please specify which): Are staff trained in potential clinical indicators for human trafficking victims? Are staff trained in who to refer a potential
human trafficking case to? Are staff trained on the questions to
ask to ascertain whether a patient is a victim of human trafficking? How often is the training completed?

Download response Training about Human Trafficking for non-clinical facing staff 130416

Trust Policy/ Policies on Human Trafficking OR Victims of Human Trafficking

I am writing to you under the Freedom of Information Act 2000 to request the following information from your NHS Trust:

[Trust Policy/ Policies on Human Trafficking OR Victims of Human Trafficking]

NB – For a definition of “Human Trafficking”; see Council of Europe Convention on Action against Trafficking in Human Beings and its Explanatory Report (Warsaw, 16.V.2005): “Trafficking in human beings” shall mean the recruitment, transportation, transfer, harbouring or receipt of persons, by means of the threat or use of force or other forms of coercion, of abduction, of fraud, of deception, of the abuse of power or of a position of vulnerability or of the giving or receiving of payments or benefits to achieve the consent of a person having control over another person, for the purpose of exploitation. Exploitation shall include, at a minimum, the exploitation of the prostitution of others or other forms of sexual exploitation, forced labour or services, slavery or practices similar to slavery, servitude or the removal of organs;

Please provide the information in an appropriate electronic readable format, for example .pdf, .doc, .docx etc. If your Trust does not have a policy, please notify me as such.

Download response Trust Policy/ Policies on Human Trafficking OR Victims of Human Trafficking 180216

Trust staffing numbers 01 August 2015

I would like to know the following from Maidstone and Tunbridge Wells NHS Trust:
1. Number of FTE nurses currently employed as of 1st August 2015
2. Number of FTE doctors currently employed as of 1st August 2015
3. Number of FTE nurse positions that are vacant as of 1st August 2015
4. Number of FTE doctor positions that are vacant as of 1st August 2015
5. Percentage of nurse positions that were vacant as of 1st August 2015
6. Percentage of doctor positions that were vacant as of 1st August 2015

Download response Trust staffing numbers 01 August 2015 010216

Trust’s expenditure on Interim Managers 2014/2015

By interim managers we mean any manager who is referred to as “interim” or “temporary” in the trust Annual Reports for the five previous financial years up to 2014/2015.

For each individual interim manager, please provide:
1. The name, position within the trust, and the recruitment firm associated with the interim manager.
2. The total amount paid for the services of the interim manager, and for how many months’ work.
3. Out of the money paid for the individual’s services, how much of that money went to the recruitment firm (i.e. was not part of the interim manager’s salary).
4. Please could you provide the information from the five previous financial years up to 2014/2015 in Excel Format?
5. In a separate data set, please could you provide how much has been spent this year up to the present date (4/2/16) in Excel format?

Download response Trust’s expenditure on Interim Managers 2014/2015 290316

Vacancy Rates

1) Please state the name of your trust
Please provide your most recent available figures for:
2) The trust’s vacancy rates as a percentage for directly employed
a) Registered Nurses
b) Registered nurses to work in A&E
3) The trust’s vacancy rates as a percentage for directly employed
a) Doctors
b) A&E doctors
c) A&E Consultants
4) The trust’s expenditure on agency nursing staff as a PERCENTAGE of overall nursing staff expenditure for October 2015.
5) The “ceiling percentage” for agency nursing spend allocated to your trust by Monitor/NHSTDA for Quarters 3/4 of 2015/16.

Download response Vacancy Rates 141215

West Kent Prescribing Interface Group

Can staff members of the Maidstone Tunbridge Wells NHS Trust who are also members of the West Kent Prescribing Interface Group be filled in in the format of the tile attached and forwarded back in a response?

Prefix Forename Surname Job Title Related GP Practice / Organisation

Download response West Kent Prescribing Interface Group 020316