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 Locum Doctor spend for 2015-2016.

• The total amount you spend on Agency Locum Doctors for the financial year 15/16 (April – March)
• For the above information to be broken down by grade and specialty (example provided below)

Download response Agency Locum Doctor spend for 2015-2016 270616

Agency locum doctors and consultants spend for 2015-2016.

Please can you let us know what the Trust as a whole (including hospitals that are run by you) spent on employing agency locum Doctors and Consultants last year.

Download response Agency locum doctors and consultants spend for 2015-2016 010716

Agency locum spend 2015-2016.

Please could you send me the agency locum spend for the trust for the last financial year. I would like the spend for doctors only.

Please include the agency spend in each specialty breaking it down into the different grades (SHO, Middle Grade, Consultant).

Please could you also provide the spend on introductory fees for doctors for each specialty based on Doctors taken onto NHS contracts.

Download response Agency locum spend 2015-2016 050816

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 nurse expenditure for 2015-2016.

• The total amount you spend on Agency Nurses for the financial year 15/16 (April – March)
• For the above information to be broken down by banding and specialty (example provided below)

Download response Agency nurse expenditure for 2015-2016 010716

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 spend for Radiology locum doctors December 2015 to May 2016.

Can you please assist me with retrieving the total Agency spend for Locum Doctors only within Radiology over the following months, within your Trust or Health Board?

Download response Agency spend for Radiology locum doctors December 2015 to May 2016 060916

Agency spend within Gastroenterology.

Can you please assist me with retrieving the total Agency spend within Gastroenterology over the following months, within your Trust or Health Board?

Download response Agency spend within Gastroenterology

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

Full contact details for the HR staff member responsible for locum appointments

Please can you give me the contact details for the HR person that deals with Locum appointments?

Please can I have their full name, job title, email address and direct dial telephone number.

Download response Full contact details for the HR staff member responsible for locum appointments 180516

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 agency spend within Dermatology.

Can you please assist me with retrieving the total Locum Agency spend for Locum Doctors only within Dermatology over the following months, within your Trust or Health Board?

Download response Locum agency spend within Dermatology 060916

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 doctors within Haematology.

Can you please assist me with retrieving the total Agency spend on Locum Doctors within Haematology over the following months, within your Trust or Health Board?

December 2015
January 2016
February 2016
March 2016
April 2016
May 2016

Download response Locum doctors within Haematology 060916

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

Staff and agency information

1. Staff Numbers – Average headcount of permanent and non-permanent staff over the entire 2015/16 financial year or just the headcount as at Thursday, March 31st 2016. Can you please split this into the major speciality/grades used by the trust?
2. Staff Cost – Total staff cost during the 2015/16 financial year split into permanent and non-permanent staff.
3. Agency Hours – Hours worked by agency staff in the 2015/16 financial year split by speciality/grade depending on how you report this within your trust.
4. Agency Spend – Total amount spent on agency staff in the 2015/16 financial year split into the categories or speciality/grade used by the trust.
5. Do you use a direct engagement model within your trust? Direct engagement model means the Trust pays agency staff directly and then pays the agency commission separately. The alternative to this is to pay the agency a lump sum for any work done by agency staff and the Agency in turn pays their own staff.

Download response Staff and agency information 060916

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

Cancelled operations 2013 to 2016.

1. In relation to (i) 2013/14, (ii) 2014/15 and (iii) 2015/16 financial year please provide me with the number of operations cancelled at your Trust on the day of operation or admission where the reason is recorded as there being no post-operative bed available for the patient.
2. For each year please state if possible how many of these cancellations were due to the fact that there was no critical care bed or intensive care bed available rather than the unavailability of a general ward bed?

Download response Cancelled operations 2013 to 2016 250716

Cancelled operations for non-clinical reasons 2013 to March 2016.

How many operations have been cancelled for non-clinical reasons IN THE 3 DAY BEFORE a patient was due to be admitted?
Out of those cancellations, how many were rescheduled within 1 month?
How many operations have been cancelled for non-clinical reasons ON THE DAY a patient was due to be admitted?
Out of those cancellations, how many were rescheduled within the statutory time limit – e.g. 28 days?
Please provide this data by month for 2013, 2014, 2015 and 2016 – up to and including March 2016.
The following should be included in the figures for ‘operations’:
• All planned or elective operations and day surgery
For ‘non-clinical reasons’ please include a break-down of the following:
Bed-ward not available
Staff unavailable
Emergency operations taking priority
Maintenance needed on equipment
Patient unavailable
Admin error

Download response Cancelled operations for non-clinical reasons 2013 to March 2016. 180516

 

Cancer and Haematology

Carcinoma and melanoma

1. The number of patients with NON SMALL CELL LUNG CARCINOMA (Stage IIIB/Stage IV) treated in the last 6 months with the following:
Afatinib (Giotrif)
Ceritinib (Zykadia)
Crizotinib (Xalkori)
Erlotinib (Tarceva)
Gefitinib (Iressa)
Pemetrexed (Alimta)
Nivolumab (Opdivo)
Nintedanib (Vargatef)

2. The number of patients with METASTATIC MELANOMA Stage IV (advanced or metastatic), treated in the last 6 months with the following:
Ipilimumab (Yervoy)
Nivolumab (Opdivo)
Ipilimumab AND Nivolumab
Pembrolizumab (Keytruda)
Vemurafenib (Zelboraf)
Vemurafenib AND Cobimetinib
Dabrafenib (Taflinar)
Trametinib (Mekinist)
Dabrafenib AND trametinib
Dacarbazine (DTIC)
For the period 1/1/2016-30/06/2016

Download response Carcinoma and melanoma 230916

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

Head and Neck Cancer (Squamous cell carcinoma).

1. Within your health trust how many patients are currently [within the past 6 months] being treated for head and neck cancer (Squamous cell carcinoma)?
2. Of these patients how many are locally advanced and how many are recurrent and/or metastatic head and neck cancer patients?
A. Locally advanced
B. Recurrent and/or metastatic
Of the these patients please split by their current drug treatment;
Carboplatin (Only or in combination with 5-FU)
Cetuximab (Erbitux) and chemotherapy or radiotherapy
Cetuximab (Erbitux) Only
Cisplatin (Only or in combination with 5-FU)
Docetaxel (Taxotere), (Only or in combination with 5-FU)
Fluorouracil (5FU)
Radiotherapy Only
Other – Specify
3. Does your health trust participate in any ongoing clinical trials for the treatment of head and neck cancer patients, if so please could you provide details?
4. Within your health trust how many patients are currently [within the past 6 months] being treated for metastatic Colorectal Cancer?
Of those patients please split by their current drug treatment;

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)
Other – Specify

Download response Head and Neck Cancer (Squamous cell carcinoma) 270616

Molecular testing for mismatch repair (MMR) deficiency.

1. Do all patients, who are diagnosed with bowel cancer under the age of 50 years in your trust, have a molecular screening test for Lynch Syndrome, such as immunohistochemistry or microsatellite instability testing, carried out on tumour tissue?
2. If yes, at what stage does this testing take place? Does it take place:
3. Is this test carried out as a reflex test i.e. automatically or upon referral?
4. Which of the following molecular tests does your trust use to identify people who could have Lynch syndrome:
5. Are the results of this reflex test communicated to the patient?
6. If no such reflex test is in place, do you have information on whether there are any plans to introduce molecular testing for Lynch syndrome?

Download response Molecular testing for mismatch repair (MMR) deficiency 100616

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

Renal Multidisciplinary team (MDT)

1. Does your Trust employ one or more renal Multidisciplinary team (MDT)?
2. If yes, does this team include an Interventional Radiologist (IR)?
3. Does your Trust employ a Specialist to look into access problems with AV fistulas?

Download response Renal Multidisciplinary team (MDT) 270516

Secondary breast cancer

1. Is Maidstone and Tunbridge Wells NHS Trust (MTW) routinely collecting data on secondary breast cancer?

2. If so, how many people were diagnosed with the disease within the Trust in the last twelve months (or for the latest period available)? These should include (a) those who were diagnosed with secondary breast cancer at their first presentation; and (b) those for whom their primary breast cancer has progressed and spread to other parts of the body. Please also include the time period this data refers to.

Download response Secondary breast cancer 100516

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

Testing services for cancer indications and therapies.

Do you currently offer a companion diagnostic (stratified medicine) testing services for the following cancer indications and therapies? If so I would be grateful if you could please indicate which tests are offered, the charge per patient test (ideally a comment on what the overhead/kit breakdown of the test cost) and the number performed per year January-December (or month if easier – please specify in comments). The brand name of the test used or any information regarding commercial partnerships would also be appreciated to be included in the comments.

Test Types: IHC = Immunohistochemistry, FISH = Fluorescent In-Situ Hybridization, PCR = Polymerase Chain Reaction, Pyro= Pyrosequencing, NGS = Next Generation Sequencing. If the lab performs another test type or the test is linked to another oncological therapy not listed please check “Other” and include it in the comments section.

Download response Testing services for cancer indications and therapies 270616

Urgent cancer referrals

How many urgent cancer referrals did the Trust receive from GPs each year in 2011, 2012, 2013, 2014 and 2015?
How many of these referrals each year were deemed, by the consultant or referral management panel, to not meet the criteria for an urgent cancer referral?

Download response Urgent cancer referrals 090916

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

1. Please state what the income was to the Trust from parking income in patient car parks in (i) the (14/15) financial year and (ii) the (15/16) financial year?
2. What is the highest hourly rate for parking charged to patients in any of your car parks?

Download response Car parking 090916

Car parking charges 2015/2016 to date.

1. How much money has the trust raised from car parking charges so far this year?
2. How many parking fines were issued for parking infringements in your car parks so far this year?
3. How many parking fines were written off so far this year?

Download response Car parking charges 2015/2016 to date 100516

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

Cost and revenue of car parking 2010 – 2016

1. The total amount of revenue generated by in each of the last 5 years by car parking.
2. What was the cost for an hour of car parking in 2010 and 2016?

Download response Cost and revenue of car parking 2010 – 2016 060916

Electric Vehicle charging points.

1) Does your organisation already offer charging facilities (Electric Vehicle Charging Points EVCP) for electric vehicles and if so, how many charge points?
2) If there is currently no charging provision, what plans do you have to install EVCP and when?
3) Will the charge points be for fleet usage or public charging?
4) Within your organisation, which department is responsible for the selection and installation of EVCP?

Download response Electric Vehicle charging points 060916

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

Parking charges at Trust controlled or owned car parks 2013 to 2016.

1. What is the hourly parking rate at Trust-controlled or owned car parks?
2. How many spaces are available in Trust-controlled or owned car parks?
3. Who operates the car parks?
4. Please provide details of any discounts/exemptions offered to patients.
5. How much money was raised in each of the last three financial years from parking revenue? Please provide a breakdown for 2013/14, 2014/15, 2015/16.
6. How many parking fines were issued in each of the last three financial years? Please provide a breakdown for 2013/14, 2014/15, 2015/16.
7. How much money was raised from parking fines in each of the last three financial years? Please provide a breakdown for 2013/14, 2014/15, 2015/16.
8. What percentage (if any) of the parking revenue is diverted to the car park operator?
9. What is the remaining money raised from parking and received by the Trust used for?

Download response Parking charges at Trust controlled or owned car parks 2013 to 2016 180516

Parking permits issued between 30 August 2015 to 30 March 2016.

Can you tell me how many NHS staff have applied for a parking permit and issued with a permit between 30th of August last year and 30th of March 2016 and how many Interserve security staff have applied for a parking permit and issued with a permit between 30th of August last year and 30th of March 2016?

Download response Parking permits issued between 30 August 2015 to 30 March 2016 230516

Parking services July 2016

1. How many car parks out of the total number designated for hospital patients/visitors offer free parking, as of your most up-to-date statistics? (Please state how many and out of the total)
2. If you charge fees for hospital patients/visitor designated parking, do you have the same pricing structure at all your parking sites? (Yes/No)
3. What is your most commonly charged minimum rate for patient/visitor parking (excluding any free parking), and for how long does this allow somebody to park?
4. What is your most commonly charged maximum rate for patient/visitor parking (excluding any free parking), and for how long does this allow somebody to park?
5. What percentage of car parks designated for hospital patients/visitors allow payment by debit or credit card? Please approximate if necessary, and state if you do so.
6. What percentage of car parks designated for hospital patients/visitors allow payment on exit? Please approximate if necessary, and state if you do so

Download response Parking services July 2016 010816

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

Anorexia and bulimia in under 14 year olds.

The number of children under the age of 14 your trust has treated for anorexia and bulimia from 1 January 2010 up until the date this request was received.
Please provide the information in yearly breakdowns;
Please break the numbers down by age and, if possible, by gender;
Please keep the data for anorexia and bulimia separate;

Download response Anorexia and bulimia in under 14 year olds 060916

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

Baby weights 2015-2016

I would like to know the following regarding live births:
1. The weights of the five heaviest babies that were born in the Trust last year – financial (2015-16) or calendar (2015) year, whichever is easiest.
2. The weights of the five lightest babies that were born in the Trust last year for pregnancies that reached around full term (i.e. that weren’t born prematurely).

Download response Baby weights 2015-2016 090916

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

Child and Adolescent Mental Health Services (CAMHS).

For the purposes of this request we define children and young adults as being between the ages of 0 and 25 years.
1. The information request:
Please can you provide us with the following information?
• The (a) budget and (b) expenditure for all mental health services.
• The (a) budget and (b) expenditure for Child and Adolescent Mental Health (CAMHS) services (total spend) – if you attribute to a CAMHs Tier 1-4 please specify.
• The (a) budget and (b) expenditure for mental health urgent and emergency care (including mental health crisis care) for children and young people – if only total spend is available please approximate proportion that is spent on children and young adults.
• Any additional, discretionary monies (a) budgeted for and (b) spent on child, adolescent or young adult mental health – please specify source.
We are requesting information for the financial years: 2010/11, 2011/12, 2012/13, 2014/15, 2015/16, 2016/17.
And if available – we are also requesting the projected budget (or settlement) for the financial years covering the remainder of Future in Mind and the Five Year Forward View for Mental Health, which includes: 2017/18, 2018/19, 2019/2020, 2020/21.
2. Clarifications:
If the requested information does not relate to your activity, please answer ‘not applicable’ (N/A).
If you share a budget with another organisation, please specify:
a. The name of the other organisation(s) (for example a Clinical Commissioning Group, Local Authority or NHS Trust).
b. Whether the expenditure / budget reported is the total amount of the shared budget, or your organisation’s contribution to the shared budget.

Download response Child and Adolescent Mental Health Services (CAMHS) 270616

Electronic Patient Records systems in Mental Health, Community Health or Child Health.

1. What are the main Electronic Patient Records systems you operate in Mental Health, Community Health or Child Health?
2. Can you provide a name for these systems?
3. How much are you currently spending on these systems annually for licensing and support fees?
4. What is the date of contract expiry for the systems?
5. How many users? (An estimation if unsure)
6. How are the systems hosted?
7. Who is responsible for your local implementation of the objectives set out by the NHS in the Five Year Forward View?

Download response Electronic Patient Records systems in Mental Health, Community Health or Child Health 270616

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

Paediatric Cerebral Palsy

1. The total number of children and young people diagnosed with cerebral palsy by Maidstone and Tunbridge Wells NHS Trust within each of the last five years.

2. The total working-time equivalent (WTE) number of specialist staff employed by Maidstone and Tunbridge Wells NHS Trust from the following disciplines, trained to work with children and young people with cerebral palsy:

a. Paediatric speech and language therapists
b. Paediatric physiotherapists
c. Paediatric occupational therapists

3. The total working-time equivalent (WTE) number of:

a. Health visitors
b. Specialist health visitors for children with special needs employed by Maidstone and Tunbridge Wells NHS Trust.

4. A copy of your care pathway for children and young people with cerebral palsy.

5. A copy of your service framework for children and young people with cerebral palsy.

6. Whether there is a specific timescale set out in your care pathway for referral for diagnosis of cerebral palsy, from the point of the formal identification of symptoms.

7. An overview of training and advice provided by Maidstone and Tunbridge Wells NHS Trust for health professionals on identifying and referring children with cerebral palsy.

Download response Paediatric Cerebral Palsy 250516

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

Self-harming in under 18 year olds.

1. How many children aged under 18 were admitted to each of your accident & emergency departments in the below years due to self-harming?
• 2015-16
• 2014-15
• 2013-14

2. Can you provide an age breakdown of admittances for each of these years?

3. Can you provide an injury breakdown for each of these years?

Download response Self-harming in under 18 year olds 060916

Self-harm and suicidality in 14-25 year olds.

How many people aged 14-25 have presented to your services with self-harm and suicidality (ICD-10 term/code: ‘Intentional Self-Harm’ (X60-X84))? I would like the figures for the past 5 years (either calendar of financial).

Download response Self-harm and suicidality in 14-25 year olds 060916

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

Breaches of the Data Protection Act.

1a.Approximately how many members of staff do you have?
1b.Approximately how many contractors have routine access to your information?

2a.Do you have an information security incident/event reporting policy/guidance/management document(s) that includes categorisation/classification of such incidents?
2b.Can you provide me with the information or document(s) referred to in 2a? (This can be an email attachment of the document(s), a link to the document(s) on your publicly facing web site or a ‘cut and paste’ of the relevant section of these document(s))

3a.Do you know how many data protection incidents your organisation has had since April 2011? (Incidents reported to the Information Commissioners Office (ICO) as a Data Protection Act (DPA) breach)
Answer: Yes, No, Only since (date):
3b.How many breaches occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

4a.Do you know how many other information security incidents your organisation has had since April 2011? (A breach resulting in the loss of organisational information other than an incident reported to the ICO, eg compromise of sensitive contracts or encryption by malware. )
Answer: Yes, No, Only since (date):
4b.How many incidents occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

5a.Do you know how many information security events/anomaly your organisation has had since April 2011? (Events where information loss did not occur but resources were assigned to investigate or recover, eg nuisance malware or locating misfiled documents.)
Answer: Yes, No, Only since (date):
5b.How many events occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

6a.Do you know how many information security near misses your organisation has had since April 2011? (Problems reported to the information security teams that indicate a possible technical, administrative or procedural issue.)
Answer: Yes, No, Only since (date):
6b.How many near-misses occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

Download response Breaches of the Data Protection Act 230516

Complaints about noise for 2013 – 2016.

How many noise-related complaints the organisation has received in the past three years? For each year, I would like to know:
The department/ward the noise-related complaint refers to
Who made the complaint (patient/relative/staff member etc.)
The nature of the complaint – i.e. if it is noise from staff, noise from another patient, equipment, building work etc.
I would also to know if your organisation has a noise policy or any noise-reduction measures in place – for example soft-closing doors, not transferring patients at night, ‘sleep kits’ for patients and so on.

Download response Complaints about noise for 2013 – 2016 270616

Complaints or concerns raised by staff members

1) Name of:
a) Your trust
b) The hospitals in your trust
2) Between April and October 2015, how many complaints/concerns were raised by Trust staff members regarding?
a) Staffing levels/staffing shortages
b) Shifts being filled by under-qualified staff/staff “acting up”/agency staff/locums
c) Staff overwork/unpaid overtime
d) Staff not being able to take breaks
3) 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) from September 2014 to September 2015?
4) What was the age of the patient (from question 3) and the reason for delay?
5) 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) from September 2013 to September 2015?
6) What was the age of the patient (from question 5) and the reason for delay?

Download response Complaints or concerns raised by staff members 270516

Employees who have left the Trust as a result of judicial mediation 2011 – 2016

1. For each of the past five financial years, what was the total number of employees that left your trust through judicial mediation?
2. For each of the last five financial years how much was paid to departing employees through judicial mediation? Again, I am looking for annual breakdowns of the data.
The annual breakdown should include the following three elements;
A – The statutory amount the employee received (i.e. the sum to which they were legally entitled for redundancy).
B – The amount paid in special severance payments.
C – The overall total of statutory and special severance payments.
3. For each of the past five financial years, how many of the employees who left through judicial mediation signed a settlement agreement (formerly known as a compromise agreement)?
4. For each of the past five financial years, how many employees who left through judicial mediation agreed a confidentiality clause?
5. Taking the definition of confidentiality clauses used in Question 4, for each of the past five financial years, how many fell under the definition 1? 2? 3? Other?
6. For each of the past five financial years, how many staff who left via judicial mediation received an agreed reference?
7. For each of the past five financial years, how many of the judicial mediation cases were referred to the Department for Health/Treasury for sign off?

Download response Employees who have left the Trust as a result of judicial mediation 2011 – 2016

External legal advice

1. How many members of staff are directly employed at the Trust at present as of 24 August 2015?
2. What was your external legal advice expenditure from 01/04/2014 to 31/03/2015?
3. What is your budget for external legal advice for the current financial year?
4. Please provide the list of the solicitors instructed for external legal advice from 01/04/2014 to 31/03/2015.
5. Please provide the full structure of your legal services team (titles of the positions- no names are required).
6. Please provide your Trust’s policy which relates to the process of provision of internal legal advice to the members of staff within your Trust.
7. Please provide the name of the software or system which you use for the claims management.
8. Please provide the annual cost of your claims management system.
9. Please provide the name of the software or system which you use for the complaints management.
10. Please provide the annual cost of your claims management system.
11. How many active Coroner’s Inquest cases are you managing at your Trust as of 24 August 2015?
12. How many active clinical negligence claims against your Trust as of 24 August 2015 (claims reported to the NHSLA)?
13. How many active clinical negligence claims against your Trust as of 24 August 2015 (claims not reported to the NHSLA)?
14. How many active Employer’s Liability claims against your Trust as of 24 August 2015 (claims reported to the NHSLA)?
15. How many active Employer’s Liability claims against your Trust as of 24 August 2015 (claims not reported to the NHSLA)?
16. How many active Public Liability claims against your Trust as of 24 August 2015 (claims reported to the NHSLA)?
17. How many active Public Liability claims against your Trust as of 24 August 2015 (claims not reported to the NHSLA)?
18. Please attach a relevant policy and a flowchart which describe the process of how your legal services team communicates the lessons learned from the claims and coroner’s inquests to the relevant teams across the Trust, to ensure the effective risk management and prevention of similar incidents and to improve care provided.
19. Please provide two, most recent, monthly claims management/ legal services reports. If you do not have monthly reports please provide two most recent quarterly reports.

Download response External legal advice 280716

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

Grievance complaints in the last five years.

1. The number of all the Grievance complaint cases dealt with by MTW Trust in the last five years?
2. The outcome of these cases:
a. Numbers and percentage of Grievance cases accepted
b. Numbers and percentage of Grievance cases upheld
c. Number of staff members suspended, demoted or sacked within a year of making a grievance complaint.
3. Numbers and percentage of cases made by BME members of staff.
4. Outcome of BME grievance complaints in numbers and percentage as successful or upheld
5. Number of BME staff members suspended, demoted or sacked within a year of making a grievance complaint.

Download response Grievance complaints in the last five years 270616

Legal proceedings issued to patients refusing to leave the Trust hospitals.

1. The number of letters issued by your Trust threatening legal proceedings if a patient does not leave. Please include specific details of any laws referred to in each.

2. How many letters has your Trust issued threatening legal proceedings if a patient does not vacate a hospital bed/ward on 2013/14, 2014/15, 2015/16. Please include specific details of any laws referred to in each if different from Question 1.

3. Number of cases an eviction notice or court order for possession of a bed been served by your trust in 2013/14, 2014/15, 2015/16. Please include specific details of any laws referred to in each if different from Questions 1 and 2.

Download response Legal proceedings issued to patients refusing to leave the Trust hospitals 060916

Legal spend in Government

1. How much did your organisation spend on legal fees in the financial year 2015?
2. Do you have a panel of preferred legal providers? If yes, what year was this panel appointed?

Download response Legal spend in Government 270616

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

Complaints regarding end of life care.

1. How many complaints in the following years has the Trust received relating to the end of life care/palliative care of a patient? Please answer each year by breaking down month by month e.g. January: 9, February 10…
a) In 2015
b) So far in 2016 (up to 16/5/2016)
2. Of the number of complaints above what numbers were related to:
a) Communication that the patient is actually dying
b) The patient or relatives was unaware that lifesaving drugs had been withdrawn
c) Care, including dignity, respect and privacy
d) Lack of pain relief
e) Access to specialised support and information
f) Lack of access to care through the night, at weekends and over holiday’s periods

Download response Complaints regarding end of life care 060616

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

Operating theatres and intensive care units.

1. How many operating theatres do you have per hospital?
2. How many intensive care units (ICU) do you have per hospital for each of the following?
a. Neonatal
b. Pediatrics
c. Adults

Download response Operating theatres and intensive care units 060916

 

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

Adult formulary

We would like to request the following information regarding the prescribing of growth hormones within Maidstone and Tunbridge Wells NHS Trust

1. We have the following formularies listed as used by your organisation. Please confirm if they are correct and if not, please provide a link/copy of relevant formularies.

West Kent Interface Adult Formulary

2. Please provide a copy or link to any supporting guidelines containing growth hormone product prescribing recommendations that are in addition to the published formulary. If none are available, please confirm if they are currently being developed/drafted.

3. Where guidelines are held in addition to the published formulary, please confirm which has dominance when prescribing growth hormones.

Download response Adult formulary 170815

Alternative medicine

1. Do you offer complementary therapies within the trust?
2. If yes, do you offer Reiki therapy?
3. Which types of services or departments offer Reiki therapy?
4. Have you conducted a formal evaluation of the Reiki service? If so, please provide brief details.

Download response Alternative medicine 060916

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

Biologics and biosimilar prescribing 01.06.2015 – 31.05.2016

Could you please provide me with the following numbers of patients treated in the last 12 months [latest 12 months possible] with the following drugs for the conditions listed below?

• Psoriasis
• Hidradenitis Suppurativa
• Crohn’s disease
• Ulcerative Colitis

Download response Biologics and biosimilar prescribing 01.06.2015 – 31.05.2016 250716

Blood pressure monitors

1. Total number of all types of blood pressure monitors in your institution (e.g. 1000 blood pressure monitors overall)
2. Can you please list all the types of blood pressure monitors and its quantities (e.g. NIBP – x20, SpO2 – x20), its brands (e.g. Omron – x20, Criticare – x20, Datascope – x20), and models (e.g. Criticare 506DXN – x10, Criticare 507DXN – x10, Datascope Accutorr + x20). We would like to ask you kindly if you can state this information in a separate spreadsheet document.
3. In which departments do you use blood pressure monitors? (e.g. 20 Omron in wards, 20 Criticare in ITU, 20 Datascope in outpatient surgery).
4. Types of devices acquired in period of 2014 – 2016 (e.g. 100 Omron monitors in 2014, 150 Criticare monitors in 2015.) if none please state when was the last purchase.
5. Minimum and maximum price of blood pressure monitors. If you can not provide this information, please give us an average price of a single blood pressure monitor
6. Please provide a full contract with supplier of blood pressure equipment
7. Which quality tests or quality standards a blood pressure device must pass in order for you to consider it as a good quality blood pressure monitor (e.g. CE Marked)
8. Can you please provide regulations and guidelines that your institution follow (we would like to know about national, local and your own guidelines + regulations (if it also possible can you please attach medical device management action card + medical equipment pre-registration form))
9. What creates extra costs for the usage of monitors on a yearly basis? Please break it down and relate the expenditure associated to it (e.g. cuffs = £2.000, hoses = £3.000, maintenance = £5.500)
10. Do you provide maintenance in-house or out?
11. How do you provide training to medical staff when a new blood pressure monitor is introduced in your hospital? (e.g. manual handbook, training sessions from suppliers)
12. How the supply chain is established in your organisation when you order new blood pressure monitors? (e.g. supplier delivers the products, currier or take out?)
13. Do you provide feedback to your suppliers? If “yes” how? (e.g. emailing, calling, submitting a form)
14. What is the average useful life of a single blood pressure monitor?

Download response Blood pressure monitors 090916

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

Chronic Myeloid Leukaemia (CML) 2015 (follow up)

Following your reply, please could you provide the information requested in sections 2, 3 and 5 regardless of indication.

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 (follow up) 230516

CT scanner information – June 2016

• How many CT scanners are in your hospitals?

• Who is the manufacturer of them and what is their model?

• Who has the service maintenance contract for the scanners – is it the supplier or an external service company?

Download response CT scanner information – June 2016 060616

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

Diagnostic Imaging (DI) for 2014/2015.

Please provide the information set out below in respect of Diagnostic Imaging (DI) at your Trust for the FY 2014/15:

For each of the key Points of Delivery categories (just EL, SSEL, NEL, SSNEL, DC and OP), the numbers and types (e.g. CT/MR/PET-CT/endoscopy) of DIs performed per Primary Diagnosis (ICD) and the number of patients so investigated in that ICD category.

We would only need the first three characters of the Primary Diagnosis code (e.g. C00 to D49 for Neoplasms).

Download response Diagnostic Imaging (DI) for 2014/2015 270516

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

Intra-vitreal vials/implants January 2016 – April 2016.

Within your trust how many intra-vitreal vials/implants have been used in the latest 4 months, if possible between January to April 2016
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.

Download response Intra-vitreal vials/implants January 2016 – April 2016 270616

Lord Carters Pathology Report

Following on from Lord Carters Pathology Report and in turn Efficiency report, please can you provide information on the following questions?
1. Does your pathology service currently meet the 1.6% cost of service to Trust operating expenditure target as set out by the 2016 report?
2. Do you currently have a managed service arrangement within Pathology (entire disciplines or pan pathology, not individual analysers)?
3. If yes, please can you provide the Suppliers name, expiry date, and average annual cost?
4. Are you planning on collaborating with another NHS entity to provide pathology services?

Download response Lord Carters Pathology Report 100616

Medicines Formulary

Does the Trust have its own formulary? If so could you please provide me with a copy or a link to the most recent version?

Download response Medicines Formulary 280716

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

Mortuary storage

1. How many fridge spaces does the trust/council have for deceased on each site?
2. How many freezer spaces does the trust/council have for deceased on each site?
3. How many deceased are sent out to external overflow storage per year for normal refrigeration (2016, 2015 + 2014)?
4. How many deceased are sent out to external overflow storage per year for deep freeze refrigeration (2016, 2015 + 2014)?
5. How much does the trust/council pay for transfer of deceased to external overflow storage?
6. How much does the trust/council pay per day for external overflow storage of deceased per day?
7. How many deceased per year do the trust/council transfer between sites (non-coroner cases e.g. hospital post-mortems?
8. How much does the trust/council pay to transfer deceased between sites (non-coroner cases) e.g. hospital post-mortems?
9. If the hospital does not have any mortuary storage what is the procedure for dealing with deceased?

Download response Mortuary storage 060916

Multiparametric MRI usage data.

1. Do you conduct multi-parametric MRI (mpMRI) scans (using T2-weighted, diffusion-weighted and dynamically enhanced sequences) before prostate biopsies?
If no, it would be helpful to know what the main reasons are:
If yes, it would be helpful if you can you provide an estimate of the percentage of men who receive an mpMRI scan before prostate biopsy:
2. How many scanners do you have available to use for mpMRI scans before prostate biopsy?
3. For each individual scanner used for mpMRI scans before prostate biopsy, please provide the following:
• Make
• Model
• Magnetic field strength
• Age
• When the scanner is due to be replaced
4. How many mpMRI scans before prostate biopsy do you estimate you carry out per year?
• 0
• Up to 50
• 50 -100
• 100 – 250
• 250 – 500
• 500 – 750
• 750 – 1000
• More than 1000
5. i. Do you intend to increase the number of mpMRI scans before prostate biopsy following the first results from the large clinical trial PROMIS?
The ASCO 2016 abstract has shown mpMRI as a triage test can identify one quarter of men (27%) who might safely avoid unnecessary biopsy, without impairing the detection of clinically significant cancer (http://abstract.asco.org/176/AbstView_17…).
5. ii If yes, do you currently have sufficient resources and capacity to cope with this increase?

Download response Multiparametric MRI usage data 270616

Multiple Sclerosis and MRI

Number of patients with an annual review in the last 12 months and number of patients with an MRI in the last 12 months being treated with the following products:
· Tysabri
· Gilenya
· Interferon beta 1a
· Interferon beta 1b
· Copaxone
· Lemtrada
· Tecfidera
· Aubagio
· Plegridy
I would also like to request the following information on patient numbers:
· Number of new MS diagnoses
· Number of patients who have had a relapse in the above month
· Number of relapse events in the above month
I would like this information for the period March 2015 to February 2016, broken down by month

Download response Multiple Sclerosis and MRI 270516

NHS Imaging Infrastructure

For each scanner operated anywhere by your Trust
Q1. Equipment type (CT or MRI)?
Q2. Manufacturer?
Q3. Model?
Q4. Located in which hospital within Trust?
Q5. Acquisition year?
Q6. How was it financed (owned by Trust, leased or held under Managed Equipment Service (‘MES’) arrangements)?
Q7. If MES, which provider do you use?
Q8. What year will the equipment be replaced?
Q9. Is maintenance done by the Trust, by the Manufacturer or by 3rd party provider?
Q10. If 3rd party provider which provider do you use?
Q11. What is the annual maintenance cost for the relevant scanner?
Q12. What are the operational hours of the equipment?

Download response NHS Imaging Infrastructure 230516

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

Pathology Services – Follow up request

6. What is your current total budget for pathology services (in GBP) including laboratory staff?
________________________________________
7. In the year 2010, what was your total budget for pathology services (in GBP) including laboratory staff?

Download response Pathology Services – Follow up request 270516

PD-L1 testing

I would like to access information with regard to PD-L1 testing offered by your institution as detailed in the document attached; this testing will likely be performed in pathology/histopathology laboratories. If your institution does not currently offer PD-L1 testing in-house then I would please ask that the request is still sent to the relevant laboratory as there are questions included regarding whether they send samples for this testing to be conducted in other laboratories and also whether they have any plans to introduce this testing in-house in the future. If your institution does not in fact have any testing laboratories then do please let me know.

Download response PD-L1 testing 290616

PET CT services – Alliance Medical.

For the purposes of the questions below, ‘Provider’ = Alliance Medical.
In respect of each of your Trust locations, please advise as follows. For ease of completion I have provided a table to populate with your answers:-
1. Has a services agreement between the Provider and your NHS Trust been executed covering all of the services to be provided by the Trust to the Provider and/or otherwise governing the terms of the Provider’s occupation or use of the site?
2. Has a final agreement been reached and executed between the Provider and the Trust for the provision of new PET CT scanning facilities, whether by way of construction on the acute Trust site or refurbishment of existing facilities?
3. Where the Provider plans to occupy facilities constructed or refurbished since contract commencement on 1 April 2015, what is the actual or proposed term of the lease/licence permitting that occupation?
4. Does the lease contain any break clause and if so, at what periods is it exercisable?
5. Is there any residual value payment associated with the expiry or earlier termination of such lease or licence?
6. On what date are services expected to commence from purpose built new facilities at each site (as envisaged by the press release for this contract)
7. Is implementation of the PET CT service at your Trust in line with your expectations (in terms of timing, responsibilities or otherwise) of the overarching contract entered into for PET CT Services by NHS England?

Download response PET CT services – Alliance Medical 180516

Pet Therapy

1) Has the Trust ever used any form of pet therapy or animal assisted therapy in your hospitals?

2) If your Trust has used such services how have they been provided to the Trust i.e. Voluntary or funded by the Trust and has this remained the same or changed between voluntary and funded?

3) What do you estimate the cost to be to the Trust of using animal assisted therapy by year for the last 5 years (if applicable?)

4) Who is responsible within the Trust for organising Pet Therapy Services?

5) What policies and procedures have been put in place as safeguards for using animals in hospitals?

6) What qualifications / certifications does the Trust expect therapy animals to hold to guarantee patient safety?

Download response Pet Therapy 060916

PET/CT scanner and ancillary facilities.

I write to request an up to date list of contractors, subcontractors, suppliers and consultants & their telephone numbers involved with the Single storey hospital building to house PET/CT scanner and ancillary facilities.

Maidstone Hospital, Hermitage Lane, Maidstone, Kent, ME16 9QQ

Download response PET/CT scanner and ancillary facilities 010816

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 equipment

1. Please enter the name of your Hospital or Trust
2. Does your Trust sterilize your own surgical instruments and packs?
3. How many floor & pit mounted steam sterilizers are installed in your Trust?
4. How many tabletop steam sterilizers are installed in your Trust?
5. How many ethylene oxide sterilizers are installed in your Trust?
6. How many hydrogen peroxide plasma sterilizers are installed in your Trust?
7. Do you have any other types of sterilizers? If you do, could you please indicate the type and installation number?

Download response Sterilisation equipment 270616

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

Testing services for cancer indications and therapies.

Do you currently offer a companion diagnostic (stratified medicine) testing services for the following cancer indications and therapies? If so I would be grateful if you could please indicate which tests are offered, the charge per patient test (ideally a comment on what the overhead/kit breakdown of the test cost) and the number performed per year January-December (or month if easier – please specify in comments). The brand name of the test used or any information regarding commercial partnerships would also be appreciated to be included in the comments.

Test Types: IHC = Immunohistochemistry, FISH = Fluorescent In-Situ Hybridization, PCR = Polymerase Chain Reaction, Pyro= Pyrosequencing, NGS = Next Generation Sequencing. If the lab performs another test type or the test is linked to another oncological therapy not listed please check “Other” and include it in the comments section.

Download response Testing services for cancer indications and therapies 270616

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

Trust imaging infrastructure.

Equipment type (CT or MRI):
Manufacturer:
Model:
Located in which hospital within Trust:
Acquisition year:
How it was financed (owned by Trust or leased via MES):
If MES which provider do you use:
What year will the equipment be replaced?
Is maintenance done in-house or by 3rd party provider?
If 3rd party provider which provider do you use?
What is the annual maintenance cost?
What are the operational hours of the equipment?

Download response Trust imaging infrastructure 180516

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

Uveitis with a biologic treatment, including those on a Patient Access Scheme.

In your Trust please supply the number of patients currently treated for Uveitis with a biologic treatment, including those on a Patient Access Scheme.

Please state the number of Uveitis patients treated, and where possible by each biologic drug:
· Adalimumab
· Etanercept
· Infliximab
· Rituximab
· Other biologics

How many Psoriasis patients have been treated in the last 6 months with Fumaric acid esters (Fumaderm), If your trust can’t supply patients, please supply the number of packs of tabs

Download response Uveitis with a biologic treatment, including those on a Patient Access Scheme 270516

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

Accident and Emergency Quality Indicators.

The indicators published by HSCIC’s report include:
Left department before being seen for treatment (Data quality)
– Total number of attendances in A&E HES (excluding planned follow-up attendances and attendances where the attendance category was unknown)
– Attendances with an unknown attendance disposal category
– % of attendances with unknown attendance disposal categories
– % of attendances with an attendance disposal category of “Other”
Left department before being seen for treatment (Performance)
– Total number of attendances in A&E HES (excluding planned follow-up attendances, attendances where the attendance category was unknown, and attendances where the attendance disposal category was unknown)
– Number of attendances with an attendance disposal of “Left Department before being seen for treatment”
– Left department before being seen for treatment
Re-attendance (Data quality)
– Total number of applicable attendances for this indicator (1st A&E attendance, unplanned follow up attendance and unknown attendance)
– Attendances with unknown attendance category
– % of attendances with an unknown attendance category
Re-attendance (Performance)
– Total number of attendances in A&E HES (excluding planned follow-up attendances and attendances where the attendance category was unknown)
– Number of re-attendances within 7 days of a previous attendance at A&E
– Re-attendance rate
Time to initial assessment [emergency ambulance cases only] (Data quality)
– Total number of attendances in A&E HES that were brought in by ambulance (excluding planned follow-up attendances and attendances where the attendance category was unknown)
– Attendances with an unknown duration to initial assessment
– % of attendances with unknown duration to assessment times
Time to initial assessment [emergency ambulance cases only] (Performance; minutes)
– Median
– 95th Percentile
– Longest wait
Time to Treatment (Data quality)
– Total number of attendances in A&E HES (excluding planned follow-up attendances, attendances where the attendance category was unknown, and attendances where the attendance disposal category was: Left Before Treatment, Left Refusing Treatment, or Unknown)”
– Attendances with unknown duration to treatment
– % of attendances with unknown duration to treatment times
Time to Treatment (Performance; minutes)
– Median
– 95th Percentile
– Longest wait
Total Time in A&E (minutes) [Admitted patients only]
– Median
– 95th Percentile
– Longest wait
Total Time in A&E (minutes) [Non-admitted patients only]
– Median
– 95th Percentile
– Longest wait
Total Time in A&E (Data quality) [All patients]
– Total number of attendances in A&E HES (excluding planned follow-up attendances and attendances where the attendance category was unknown)
– Attendances with unknown duration to departure
– % of attendances with unknown duration to departure times
Total Time in A&E (Performance; minutes) [All patients]
– Median
– 95th Percentile
– Longest wait

Download response Accident and Emergency Quality Indicators 290616

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 statistics

1. How many minors/see & treat patients are seen in the A&E per day? If no statistics available please provide an approximate amount estimated by the Clinical Lead of the department.
2. How many haematology blood test requests are sent from the A&E?
3. How many patients arrive to the A&E by ambulance?
4. How many ENPs/ANPs does the A&E employ?
5. Is the A&E paid by the CCG per patient according to the national tariff for type 1 A&Es? Are there any modifications to the tariff?
6. How big is the activity with regards to particular HRG codes in minors area? For example how many patients with VB08Z code are seen annually? Please provide figures for all A&E HRG codes.

Download response A&E statistics 010816

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

Blocked catheters and emergency admissions for 2012-2013, 2013-2014 and 2014-2015

1. The total number of emergency admissions in the Trust
2. The number of emergency admissions caused by a blocked catheter in the Trust
3. The number of emergency admissions caused by a urinary tract infections in the Trust
4. The estimated cost of (per day) of an emergency admission to hospital

Download response Blocked catheters and emergency admissions for 2012-2013, 2013-2014 and 2014-2015 270516

Blood pressure monitors

1. Total number of all types of blood pressure monitors in your institution (e.g. 1000 blood pressure monitors overall)
2. Can you please list all the types of blood pressure monitors and its quantities (e.g. NIBP – x20, SpO2 – x20), its brands (e.g. Omron – x20, Criticare – x20, Datascope – x20), and models (e.g. Criticare 506DXN – x10, Criticare 507DXN – x10, Datascope Accutorr + x20). We would like to ask you kindly if you can state this information in a separate spreadsheet document.
3. In which departments do you use blood pressure monitors? (e.g. 20 Omron in wards, 20 Criticare in ITU, 20 Datascope in outpatient surgery).
4. Types of devices acquired in period of 2014 – 2016 (e.g. 100 Omron monitors in 2014, 150 Criticare monitors in 2015.) if none please state when was the last purchase.
5. Minimum and maximum price of blood pressure monitors. If you can not provide this information, please give us an average price of a single blood pressure monitor
6. Please provide a full contract with supplier of blood pressure equipment
7. Which quality tests or quality standards a blood pressure device must pass in order for you to consider it as a good quality blood pressure monitor (e.g. CE Marked)
8. Can you please provide regulations and guidelines that your institution follow (we would like to know about national, local and your own guidelines + regulations (if it also possible can you please attach medical device management action card + medical equipment pre-registration form))
9. What creates extra costs for the usage of monitors on a yearly basis? Please break it down and relate the expenditure associated to it (e.g. cuffs = £2.000, hoses = £3.000, maintenance = £5.500)
10. Do you provide maintenance in-house or out?
11. How do you provide training to medical staff when a new blood pressure monitor is introduced in your hospital? (e.g. manual handbook, training sessions from suppliers)
12. How the supply chain is established in your organisation when you order new blood pressure monitors? (e.g. supplier delivers the products, currier or take out?)
13. Do you provide feedback to your suppliers? If “yes” how? (e.g. emailing, calling, submitting a form)
14. What is the average useful life of a single blood pressure monitor?

Download response Blood pressure monitors 090916

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

Chemsex related admissions

1. The number of chemsex related admissions to hospital in each of the following periods:
– 2010/2011
– 2011/2012
– 2012/2013
– 2013/2014
– 2014/2015
2. The number of fatalities due to consumption of chemsex drugs (mephedrone, GHB, GBL, methamphetamine), in each of the following periods:
– 2010/2011
– 2011/2012
– 2012/2013
– 2013/2014
– 2014/2015
3. Number of emergency calls regarding a chemsex-related casualty /ies in each of the following periods:
– 2010/2011
– 2011/2012
– 2012/2013
– 2013/2014
– 2014/2015

Download response Chemsex related admissions 250716

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

Dermatology outpatient department.

Please tell me what are the clinics (ailment / ailment category clinics) for outpatients your dermatology department runs and what specific weekday they are run on.

Download response Dermatology outpatient department 270616

Dermatology Services

1. What is the composition of the multi-disciplinary team for dermatology in the Trust?
2. How many dermatology consultants work within the Trust?
3. How many speciality dermatology nurses work within the Trust (including dermatology clinical nurse specialists and dermatology nurse practitioners)?
4. Does the Trust have standards to support healthcare professionals to deliver psychodermatological care?
5. How many adult patients with Atopic Dermatitis (ICD-10-CM Diagnosis Code L20.9) have been referred for psychological support by the specialised dermatology multi-disciplinary team?
6. Does your Trust produce local guidelines to support the management of adult Atopic Dermatitis (L20.9)? (yes / no)
7. What is the ‘Friends and Family Test’ score for the Trust’s dermatology services?
8. What is the average time to treatment from referral for adults with Atopic Dermatitis (L20.9) in the Trust?
9. How many dermatology outpatient appointments occurred between 1st January and 31st December 2015 in your Trust for adult patients with diagnosed or suspected Atopic Dermatitis (L20.9) in each of the following categories:

a. first attendance – single professional
b. first attendance – multi-professional
c. follow up attendance – single professional
d. follow up attendance – multi-professional
10. If data on the number of dermatology outpatient appointments in your Trust for adult patients with diagnosed or suspected Atopic Dermatitis is not available for the period 1st January to 31st December 2016, please provide the most recent summary data available for each of the following categories:
a. first attendance – single professional
b. first attendance – multi-professional
c. follow up attendance – single professional
d. follow up attendance – multi-professional.
11. Please outline which of the following treatments are available to adult patients with Atopic Dermatitis (L20.9) in the Trust, according to the local formulary.
12. How many adult patients with Atopic Dermatitis (L20.9) in your Trust received prescriptions for the following treatments between 1st January and 31st December 2015?

Download response Dermatology Services 270616

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

Eye damage caused by lasers

The number of patients admitted for eye damage caused by lasers over the last three financial years. To clarify, this is from hand-held lasers, not complications from laser eye surgery.

2013-14

2014-15

2015-16

Download response Eye damage caused by lasers 060916

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

Laparoscopic procedures

Which of the following operations are performed at your trust?
1. Laparoscopic cholecystectomy
2. Inguinal hernia repair (open and/or laparoscopic)
3. Diagnostic laparoscopy

If so, can you please inform me as to whether your trust uses standardised/pre-printed consent forms for each procedure?

Download response Laparoscopic procedures 270616

Late night discharges 2010 – 2014

1. How many patients were discharged from Tunbridge Wells Hospital between the hours of 11pm and 6am each year for the last five years?
2. If possible, can you tell me how many of these discharged themselves, were discharged by the hospital and how many were technically discharged because they had died?
3. How many patients were discharged from Maidstone Hospital between the hours of 11pm and 6am each year for the last five years?
4. If possible, can you tell me how many of these discharged themselves, were discharged by the hospital and how many were technically discharged because they had died?

Download response Late night discharges 2010 – 2014 220515

Maxillofacial surgery 2012 to 2015.

I am looking for information relating to any operations carried out that were concerned with Maxillofacial with particular emphasis on double jaw surgery, mandibular correction surgery.
I am looking for the info that relates to the years of January 2012 to December 2015 inclusive and that shows how many operations were conducted, how many were successful and how many were involved with complications such as stroke etc.

Download response Maxillofacial surgery 2012 to 2015 180516

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 outpatient appointments in 2014/2015 and 2015/2016.

1. one outpatient appointment (either first or subsequent attendance)
2. two outpatient appointments (either first or subsequent attendance)
3. three outpatient appointments (either first or subsequent attendance)
4. four outpatient appointments (either first or subsequent attendance)
5. five or more outpatient appointments (either first or subsequent attendance)
For each of the past two years, 2014/15 and 2015/16.

Download response Missed outpatient appointments in 2014/2015 and 2015/2016 180615

MRSA screening

Can you please let me know under FOI, whether your trust:

1. Has changed its MRSA screening after the 2014 PHE guidance called ‘implementation of modified admission MRSA screening guidance for NHS (2014).
2. If so, what was your screening regime?
3. If you restricted screening, have MRSA acquisitions (positive screen after 48 hours in hospital or after a negative screen) increased?
4. If so, but how much
5. Please tell me the number of MRSA bacteraemias for the years 2013/14, 2014/15 and 2015/16
6. If you restricted screening and if either MRSA acquisitions or MRSA bacteraemias increased, did you go back to universal screening?
7. If you moved to restricted screening and returned to universal screening, how long did you practice restricted screening.

Download response MRSA screening 060916

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

Multiple Sclerosis and MRI

Number of patients with an annual review in the last 12 months and number of patients with an MRI in the last 12 months being treated with the following products:
· Tysabri
· Gilenya
· Interferon beta 1a
· Interferon beta 1b
· Copaxone
· Lemtrada
· Tecfidera
· Aubagio
· Plegridy
I would also like to request the following information on patient numbers:
· Number of new MS diagnoses
· Number of patients who have had a relapse in the above month
· Number of relapse events in the above month
I would like this information for the period March 2015 to February 2016, broken down by month

Download response Multiple Sclerosis and MRI 270516

Multiple Sclerosis December 2015 – May 2016.

In your trust how many patients with Multiple Sclerosis have been treated with MS disease modifying drugs in the past 6 months, latest 6 months that you can provide?

Download response Multiple Sclerosis December 2015 – May 2016. 270616Download response Multiple Sclerosis December 2015 – May 2016. 270616strong>

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

Number of patients hospitalised for self-harming in 2013-2016.

For the following financial years 2013-14, 2014-15 and 2015-16 up to March 2016
How many patients have been hospitalised for self-harm?
Can you please provide an age breakdown of the patients hospitalised for self-harming?
Can you please reveal the number of patients who were male and how many were female?

Download response Number of patients hospitalised for self-harming in 2013-2016 060616

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

Poisoning incidents May 2015 to May 2016

Please can you give me a monthly break-down of the “finished admission episodes” involving poisoning with the following substances? I would like the data for each month from May last year to May this year.
T404 – Poisoning: Other synthetic narcotics
T406 – Poisoning: Other and unspecified narcotics
T409 – Poisoning: Other and unspecified psychodysleptics [hallucinogens]
T436 – Poisoning: Psychostimulants with abuse potential
T438 – Poisoning: Other psychotropic drugs, not elsewhere classified

Download response Poisoning incidents May 2015 to May 2016 280716

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

Red and black alerts for March 2015.

How many times in March 2015 were your trust hospitals under a red or black alert?

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

Download response Red and black alerts for March 2015. 180516

Red and black alerts guidance and procedures.

1. Please provide the number of days each month, with the specific dates, that each A&E managed by your trust has been on green, amber, red or black alert for the last three years, up to the most recent possible date.

For clarification, if the most recent date is 02/05/16, please provide the data for the last 36 months.

Please present this in an excel file.

2. Please also provide the official definition, guidance, and procedures communicated to staff when a ‘black alert’ is announced, particularly guidance given to the flow coordinator or similar role.

Download response Red and black alerts guidance and procedures 180516

Renal Multidisciplinary team (MDT)

1. Does your Trust employ one or more renal Multidisciplinary team (MDT)?
2. If yes, does this team include an Interventional Radiologist (IR)?
3. Does your Trust employ a Specialist to look into access problems with AV fistulas?

Download response Renal Multidisciplinary team (MDT) 270516

Self-harming in under 18 year olds.

1. How many children aged under 18 were admitted to each of your accident & emergency departments in the below years due to self-harming?
• 2015-16
• 2014-15
• 2013-14

2. Can you provide an age breakdown of admittances for each of these years?

3. Can you provide an injury breakdown for each of these years?

Download response Self-harming in under 18 year olds 060916

Serious Incidents recorded in the A&E departments 2014 to July 2016.

How many Serious Incidents (SI) were recorded in your A&E department in:
a. 2014
b. 2015
c. From 1/1/16- 25/7/16

Download response Serious Incidents recorded in the A&E departments 2014 to July 2016 050816

Self-harm and suicidality in 14-25 year olds.

How many people aged 14-25 have presented to your services with self-harm and suicidality (ICD-10 term/code: ‘Intentional Self-Harm’ (X60-X84))? I would like the figures for the past 5 years (either calendar of financial).

Download response Self-harm and suicidality in 14-25 year olds 060916

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

Uveitis with a biologic treatment, including those on a Patient Access Scheme.

In your Trust please supply the number of patients currently treated for Uveitis with a biologic treatment, including those on a Patient Access Scheme.

Please state the number of Uveitis patients treated, and where possible by each biologic drug:
· Adalimumab
· Etanercept
· Infliximab
· Rituximab
· Other biologics

How many Psoriasis patients have been treated in the last 6 months with Fumaric acid esters (Fumaderm), If your trust can’t supply patients, please supply the number of packs of tabs

Download response Uveitis with a biologic treatment, including those on a Patient Access Scheme 270516

 

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

Electric Vehicle charging points.

1) Does your organisation already offer charging facilities (Electric Vehicle Charging Points EVCP) for electric vehicles and if so, how many charge points?
2) If there is currently no charging provision, what plans do you have to install EVCP and when?
3) Will the charge points be for fleet usage or public charging?
4) Within your organisation, which department is responsible for the selection and installation of EVCP?

Download response Electric Vehicle charging points 060916

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

Energy use

1. Could you please provide a contact name, telephone number and email address for the person who deals with Energy Management in your Trust.
2. Could you please provide a full list of all sites that your Trust operates, along with number of beds?

Download response Energy use 060916

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

Gluten-free products

1. How many coeliacs in your trust currently receive free gluten-free products on prescription?

2. Could you indicate which of the following products your trust prescribes, and if applicable the total cost per product to your trust (including admin, procurement, VAT and delivery costs)

3. How much does your trust spend annually on prescribing gluten-free food products for coeliac sufferers, including procurement, admin costs and delivery?

Download response Gluten-free products 060916

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

Legionella contract 2016

Who is responsible for this contract? Can you please provide me with their name, job title, contact number and email address?
Is this contract completed by a contractor, or is the work undertaken in-house
What is the name of the incumbent supplier (if applicable?)
When did the current contract commence
What services do they provide (i.e. temp monitoring, sampling, RA, IAQ etc.?)
When does the existing contract expire, and where will this be advertised
What is the approx. number of sites the contract covers?
What is the annual average spend (excluding VAT)

Download response Legionella contract 2016 280716

Management of Medical Devices.

Please could you provide me with the name, job title and email address of the current director or board member with overall responsibility for the management of medical devices as required by the MHRA policy, Managing Medical Devices April 2014.

Download response Management of Medical Devices 090916

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

Outsourcing of cleaning services 2010-2015

We have identified through Patient Environment di Action Teams (PEAT) and Patient-led assessments of the care environment (PLACE) surveys that the hospital MAIDSTONE GENERAL HOSPITAL was assessed on the following dates: 20-Jan-11, 09-Feb-12, 26-Apr-13, 23-Apr-14, and 29-Apr-15. We would like to ask, under the Freedom of Information Act 2000:

1. Are the dates recorded correctly, if not could you please provide us the correct ones.
2. Whether the cleaning service, during that period, was contracted-out to an outside contractor or was delivered in house.
3. The annual amount of money spent for the cleaning service.
4. The name(s) of the company(s) which provided theses services, if contracted-out.
5. The number of staff employed, annually, for the cleaning service.
6. The complete text of all communications between all cleaning-service provider(s)), both if they were outside contractors or internal ones, and the hospital trust management within six weeks of the above listed assessment dates.

Download response Outsourcing of cleaning services 2010-2015 270516

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

Pest infestations 2011-2016

1. How many incidents of pest infestations have occurred on Trust property in each of the years 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16? (If no figures are available for 2015/16 please provide data for five years from 2010/11).
1. a. Please give details of the type of pest e.g. rats, cockroaches, flies for those infestations.
1. b. Please give details of the types of wards where pest infestations have been found.
c. Please give details of how they were dealt with if possible.
2. How many wards or buildings have been closed as a result of pest infestations in each of the years 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16 ? (If no figures are available for 2015/16 please provide data for five years from 2010/11).
3. Does the Trust have an in-house pest control unit?
4. How often does the Trust carry out pest control risk assessments or inspections?
5. How much money has the Trust spent on pest control in each of the years 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16? (If no figures are available for 2015/16 please provide data for five years from 2010/11).

Download response Pest infestations 2011-2016 270616

PFI contract for Maidstone and Tunbridge Wells NHS Trust.

a) the total actual and projected nominal cash costs of this PFI contract, including all projected adjustments for inflation (reflecting the basis on which the unitary charge is indexed to inflation, as agreed in the contract), along with start date and completion date;
b) for each year of the contract, the total actual and projected nominal cash costs of this PFI contract, including all projected adjustments for inflation (reflecting the basis on which the unitary charge is indexed to inflation, as agreed in each contract);
c) for each year of the contract, the non-service element of the total actual and projected nominal cash cost of each PFI contract, estimated as above;
d) the pre-tax nominal Project Internal Rate of Return and the pre-tax nominal Equity Internal Rate of Return, as calculated at the start of the contract, and as projected by the relevant SPV as of today.

Download response PFI contract for Maidstone and Tunbridge Wells NHS Trust 180516

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

Police attendances in 2015

1. In 2015, how many times were police called to hospital premises within the Trust? This question should be referred to Kent Police.

2. If possible, could you break this down into how many visits by police were related to acts by a) patients b) visitors c) staff d) other (please specify if possible)

3. If possible, for incidents involving acts by patients, please state how many related to patients with dementia.

Download response Police attendances in 2015 230516

Risk Assessment Policy and Procedure

1. Your organisation’s current Risk Assessment Policy (or nearest equivalent,
e.g. Risk Management Policy and Guidance).

2. Your organisation’s current Risk Assessment Procedures (or nearest equivalent,
e.g. Risk Management Procedures).

Download response Risk Assessment Policy and Procedure 280716

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

Vehicle leasing and maintenance contracts – June 2016

Can you split the supplier contracts for annual spend, dates, contract description (number of vehicles, make and model of vehicles)

Download response Vehicle leasing and maintenance contracts – June 2016 060616

 

Finance

Agency Locum Doctor spend for 2015-2016.

• The total amount you spend on Agency Locum Doctors for the financial year 15/16 (April – March)
• For the above information to be broken down by grade and specialty (example provided below)

Download response Agency Locum Doctor spend for 2015-2016 270616

Agency locum doctors and consultants spend for 2015-2016.

Please can you let us know what the Trust as a whole (including hospitals that are run by you) spent on employing agency locum Doctors and Consultants last year.

Download response Agency locum doctors and consultants spend for 2015-2016 010716

Agency locum spend 2015-2016.

Please could you send me the agency locum spend for the trust for the last financial year. I would like the spend for doctors only.

Please include the agency spend in each specialty breaking it down into the different grades (SHO, Middle Grade, Consultant).

Please could you also provide the spend on introductory fees for doctors for each specialty based on Doctors taken onto NHS contracts.

Download response Agency locum spend 2015-2016 050816

Agency nurse expenditure for 2015-2016.

• The total amount you spend on Agency Nurses for the financial year 15/16 (April – March)
• For the above information to be broken down by banding and specialty (example provided below)

Download response Agency nurse expenditure for 2015-2016 010716

Annual Report and Business Plan 16/17.

Please provide the following information:
1. Most current Annual Report
2. Most current organisation Business Plan

Download response Annual Report and Business Plan 16/17 060916

Compromise agreements January 2011 and December 2015

Please advise in relation to the 5 years between January 2011 and December 2015 inclusive:
1) How many compromise agreements has the Trust entered into with staff or former staff? Please include all COT3 agreements in this figure.
2) How many of these compromise agreements require staff members not to disclose the existence of the compromise agreement itself?
3) How many of these compromise agreements contain non-disparagement clauses that require staff members not to criticise the employees of the Trust?
4) How many of these compromise agreements were entered into by the Trust with staff who had previously made public interest disclosures, (whether or not these were raised by formally invoking the Trust’s whistleblowing policy)?
5) If staff who have entered into a compromise agreement with the Trust were to voice concerns about reprisal by the Trust for whistleblowing, would the Trust consider this to be an actionable breach of non-disparagement clauses, or would it consider the raising of such concerns to be qualifying disclosures under PIDA?

Download response Compromise agreements January 2011 and December 2015 270616

Financial Accounts 2015-2016

I am requesting an electronic copy of your 2015/16 financial accounts.

Download response Financial Accounts 2015-2016 280716

Financial position 2014 to 2017

1. The trust’s reported financial position (its surplus or deficit)
For the year to March 31, 2014
For the year to March 31, 2015
For the year to March 31, 2016
For the current 2016/17 year to July 31
2. The trust’s planned surplus or deficit
For the year to March 31, 2014
For the year to March 31, 2015
For the year to March 31, 2016
For the current 2016/17 year

Download response 060916

Financial position of the Trust 2014-2016.

Please provide information on the financial position, for 2014/15 and 2015/16 for i) the trust/CCG ii) all NHS hospitals within the trust and iii) the mental health trusts. Please set out the gross assets and liabilities in each case and whether the Trust was in surplus or deficit and the level thereof.

Download response Financial position of the Trust 2014-2016 180516

Financial services

Could you please send me contract information relating to Banking Services, Audit Services and Card Processing Services? If you do not understand what each of these mean please see below:
· Banking Services- contract information relating to the organisation banking services.
· Audit Services (Financial) – contract relating to internal and external audit services.
· Accountancy – Contracts relating to TAX advisory services.
· Card Processing Services / Merchant services- a wide range of payment processing options. Most automatically associate merchant services with debit and credit card processing.
Can you please provide me with the following contract information for each of the contract category specified above?
1. Contract Category: Please see select from the categories provided; Banking Services; Financial Audit Services; Card Processing Services
2. Existing Supplier Name for each contract
3. 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.
4. Annual Average Spend for each contract
5. Contract Duration: What is the duration of the contract please include any available extensions within the contract.
6. 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.
7. Contract Expiry: What is the expiry date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY.
8. 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
9. Contact Details: I require the full contact details of the person within the organisation responsible for this particular contract.
10. 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.

Download response Financial services 060916

Financial services – June 2016

1) What is the accounting software that the Trust uses?
2) Who is the Trust’s service provider (in-house or 3rd party provider)?
a. If outsourced to a 3rd party provider, what is the name of the service provider you use?
b. If outsourced to a 3rd party provider, how long did the transition to the service provider take?
c. If outsourced to a 3rd party provider, was the transition fee paid prior to the service start date and what was the transition price paid?
d. If outsourced to a 3rd party provider, what is the value of the service contract per annum?
e. If outsourced to a 3rd party provider, when did the contract start and when is the contract due to expire?
f. If outsourced to a 3rd party provider, is the Trust’s intention to re-procure these services through a Trust run OJEU procurement exercise when the current contract expires?
i. If not, what is the route through which you will contract these services?
g. If the Trust provide these services in-house, does the Trust intend to investigate outsourcing these services in the next 12 months
3) What is the volume of Accounts Payable invoices processed per annum by the Trust?
4) What is the volume of Accounts Receivable invoices processed per annum by the Trust?

Download response Financial services – June 2016 060616

Gain share agreements

Are there any “gain share” agreements in place between you the provider and a CCG?
Please state “Yes” or “No”
If “Yes”, then please provide the following details:
1. Disease areas CCG included in the “gain share” agreement
2. Names of any specific drugs involved
3. How will savings be apportioned between you the provider and the CCG

Download response Gain share agreements 280716

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

Legal spend in Government

1. How much did your organisation spend on legal fees in the financial year 2015?
2. Do you have a panel of preferred legal providers? If yes, what year was this panel appointed?

Download response Legal spend in Government 270616

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

NHS settlement agreements

1. For each of the last five financial years (11/12 – 15/16) what was the total number of employees who signed settlement agreements when they left your Trust? Please note I would like an annual breakdown for each year as opposed to one figure covering the five-year period.
2. For each of the last five financial years how much was paid to departing employees as part of the settlement agreements? Again, I am looking for annual breakdowns of the data.
The annual breakdown should include the following three elements;
A – The statutory amount the employee received (ie the sum to which they were legally entitled for redundancy).
B – The amount paid in special severance payments.
C The overall total of statutory and special severance payments for each of the last five financial years.
3 (A). For each of the past five financial years, how many of the settlement agreements signed with departing employees contained confidentiality clauses?
(B) Of the total number of confidentiality clauses issued during each financial year, how many came from Category 1 as defined above? Category 2? Category 3? Other?

4. For each of the last five financial years, how many departing NHS staff who signed a settlement agreement received an agreed reference as part of the agreement?
5. For each of the past five financial years, how many of the settlement agreements signed with departing employees were referred to the Treasury/Department for Health to be signed off?

Download response NHS settlement agreements 280716

Non-medical contracts register

Can you please provide me the full version of your contracts register (Excel) that lists all the contracts the organisation has around non-medical equipment?

Please do not send me a simple contract’s register that only list contract dates and supplier names as I require department, categories and contract owner.

We are currently conducting this research within your region and have also contacted similar organisations to obtain the same information.
Please if possible, can you include?

1. Existing Supplier
2. Annual Spend
3. Contract Brief
4. Contract Dates
5. Department
6. Product Categories – The more the better.
7. Contract Owner including job title and email address
8. If possible can you also provide me with the contact details of the person responsible for uploading and publishing the contract’s register?

Download response Non-medical contracts register 090916

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

PFI contract for Maidstone and Tunbridge Wells NHS Trust.

a) the total actual and projected nominal cash costs of this PFI contract, including all projected adjustments for inflation (reflecting the basis on which the unitary charge is indexed to inflation, as agreed in the contract), along with start date and completion date;
b) for each year of the contract, the total actual and projected nominal cash costs of this PFI contract, including all projected adjustments for inflation (reflecting the basis on which the unitary charge is indexed to inflation, as agreed in each contract);
c) for each year of the contract, the non-service element of the total actual and projected nominal cash cost of each PFI contract, estimated as above;
d) the pre-tax nominal Project Internal Rate of Return and the pre-tax nominal Equity Internal Rate of Return, as calculated at the start of the contract, and as projected by the relevant SPV as of today.

Download response PFI contract for Maidstone and Tunbridge Wells NHS Trust 180516

Public sector financial efficiency.

1) Does the organisation use an external provider for VAT advisory services? If so please state the name of the organisation used? (E.g. Ernst Young, Berthold Bauer, Liaison, CRS, KPMG etc.)?
2) Please state the contract start and end date.
3) Please confirm the total value of VAT recovered by the provider in 2015/16
a. Please state the total value of under-claims recovered
b. Please state the total value of over-claims recovered
4) Please state the total amount spent by the organisation for these services in 2015/16
5) Did the organisation use an external provider to re-review VAT recovered in the last financial year (15/16)?
a. If so please state the name of the company used
6) Please state the total amount of additional VAT recovered by the provider in 2015/16
7) Please state the total amount spent by the organisation for these services
8) Please state the total number of Accounts Payable invoices processed by the organisation in the last financial year (15/16)
9) Please state the total value of Accounts Payable invoices in the last financial year (15/16)
10) In the last five years, please state the name(s) of all external organisation(s) used to review AP and identify and recover erroneous payments, and the period(s) reviewed by each.
11) Please state the total value of moneys recovered by each provider in the period(s) reviewed.
12) Please state the total amount paid to any external parties for this review work.

Download response Public sector financial efficiency 060916

Substantive posts within the Financial Management Team.

1. The number of substantive posts within the Financial Management team, both filled and vacant.

2. The total cost of mobile phones for the trust for the financial year 2015/16.

Download response Substantive posts within the Financial Management Team 060916

Sustainability and Transformation Plan (STP).

Please provide the following information:

· A copy of the Sustainability and Transformation plan draft submitted to meet the 30th June deadline.
· A copy of the most recent draft of the Sustainability and Transformation plan.
· A copy of all agendas and minutes of the Sustainability and Transformation plan leadership team meetings.

Download response Sustainability and Transformation Plan (STP) 310816

Sustainability and Transformation Plan (STP).

1) Whether the organisation possesses a copy of the local NHS “footprint’s” Sustainability and Transformation Plan (STP), as currently formulated. The organisation should possess a copy, as it is the lead organisation for the local footprint.

2) Please provide a copy of the local STP, as currently formulated.

Download response Sustainability and Transformation Plan (STP) 310816

Sustainability and Transformation Plan (STP)

The letter requested that every NHS trust should work with their STP leads to produce two page notes for the consolidation and re-provision of back office services, pathology services and unsustainable services. It requested that these notes be sent to NHS Improvement by the end of July 2016.

I am contacting your organisation with this request because a senior officer from your organisation (CEO/accountable officer for example) has been named as the STP leader in your area, so your organisation will hold the information. This webpage provides a list of the STP leaders in each area: https://www.england.nhs.uk/2016/03/leaders-confirmed/

Please can you provide copies of each of the three submissions that have been sent to NHS Improvement for your STP?

Download response Sustainability and Transformation Plan (STP) 090916

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

Trust finances 2015-2016

Firstly. How much, if any, of your capital budget was converted into revenue budget in the financial year of 2015/16?
Secondly, how much income was budgeted from the sale of assets in the financial year of 2015/16, and how much income was actually received from these sales?

Download response Trust finances 2015-2016 100616

 

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

Agency locum spend within Ophthalmology.

Under the Freedom of Information act, can you please provide me with the total Agency Locum spend within Ophthalmology over the last 6 months within your Trust/Health board.

Download response Agency locum spend within Ophthalmology 250716

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

Arthroplasty (joint replacement services) 2011 – 2014.

1. Does the NHS Trust provide arthroplasty (joint replacement services)?
2. a) How many patients has the Trust treated for hip replacement in 2011, 2012, 2013, 2014, 2014? Please provide 5 answers, in calendar years.
b) How many patients has the Trust treated for hip replacement revision in 2011, 2012, 2013, 2014, and 2014? Please provide 5 answers, in calendar years.
c) How many patients has the Trust treated for knee replacement in 2011, 2012, 2013, 2014, and 2014? Please provide 5 answers, in calendar years.
d) How many patients has the trust treated for knee replacement revision in 2011, 2012, 2013, 2014, and 2014? Please provide 5 answers, in calendar years.
3. a) What is the average length of time patients wait for a hip replacement from referral?
b) What is the average length of time patients wait for a hip replacement revision from referral?
c) What is the average length of time patients wait for a knee replacement from referral?
d) What is the average length of time patients wait for a knee replacement revision from referral?
4. a) What is the maximum length of time patients wait for a hip replacement from referral?
b) What is the maximum length of time patients wait for a hip replacement revision from referral?
c) What is the maximum length of time patients wait for a knee replacement from referral?
d) What is the maximum length of time patients wait for a knee replacement revision from referral?
5. a) Has the Trust been asked to reduce the number of arthroplasty procedures it carries out at any point over the last five years, by commissioners?
b) If Yes, by how many?
6. a) Has the Trust been asked to change the criteria by which patients are selected for arthroplasty procedures?
b) If Yes, in what way?

Download response Arthroplasty (joint replacement services) 2011 – 2014 090916

Cataract services – June 2016

1)
In the 12 months to January 2016 (or to the most recent month available), what was the average waiting time in days (referral to treatment time) for patients awaiting cataract surgery through Maidstone and Tunbridge Wells NHS Trust?
2a)
In the last 3 years, how many patients underwent cataract removal surgery at Maidstone and Tunbridge Wells NHS Trust?
2b)
In each of the last 3 years, how many individual cataract removal procedures were performed at Maidstone and Tunbridge Wells NHS Trust?
2c)
Does Maidstone and Tunbridge Wells NHS Trust operate a criteria for determining the priority/eligibility of patients for cataract surgery? If so, please specify.
2d)
Under what circumstances are NHS cataract patients ineligible for ‘second eye surgery’ – i.e. cataract removal from both eyes?
3a)
Are toric intraocular lenses available for patients with astigmatism undergoing cataract surgery at Maidstone and Tunbridge Wells NHS Trust?
3b)
If yes to 3a, please list the conditions and criteria under which toric intraocular lenses are available to patients.
3c)
If yes to 3a, are toric intraocular lenses available for NHS patients with astigmatism undergoing NHS-provided cataract surgery at Maidstone and Tunbridge Wells NHS Trust?

3d)
If yes to 3c, please list the conditions and criteria under which toric intraocular lenses are available to NHS patients.
3e)
If yes to 3a and/or 3c, how many patients have been fitted with toric intraocular lenses in the last 12 months, for which data is available?

Download response Cataract services – June 2016 060616

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

Cataract surgery 2006-2016

1. Catchment population of your trust by age (in brackets of 10 years) – e.g. total of 250,000 people of which 20,000 are within 10-20 years old
2. Number of patients in each age bracket of 10 years (e.g. 50-60, 60-70) undergoing cataract surgery.

3. Source of referrals (GP, optician, hospital, other) for cataract surgery for each financial year between 2006 and 2016
o Has e-Referrals (i.e. choose and book) been implemented?
o What is the nature of your referral management system (if any)?
o How many referrals by GPs, Opticians, Hospital Doctors or Others are received by the referral management system for cataract surgery, and how many of these are declined?

4. Mean and median waiting times from referral to cataract surgery for each financial year between 2006 and 2016

5. Total volume of injections for macular degeneration performed per financial year – between 2006 and 2016
o If recorded, please also provide number of unique patients receiving injections per financial year

Download response Cataract surgery 2006-2016 250716

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

Diastasis Recti operations

I am writing to request under the freedom of information act some details regarding surgery carried out across NHS Trusts in the last five years
1. Please advise how many Diastasis Recti operations have been carried out in your health trust the last five years, with a breakdown of how many per year?
2. How many abdominoplasty Surgeries have been carried out in your health trust in the last five years, with a breakdown of how many per year?
3. Please advise how many Diastasis Recti operations with a hernia have been carried out in your health trust in the last five years, with a breakdown of how many per year?

Download response Diastasis Recti operations 280716

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

Endomyocardial Biopsy (EMB).

1. Does your Hospital perform Endomyocardial (EMB) Biopsy procedures?
2. If yes, How many Endomyocardial (EMB) Biopsy procedures were performed in:
a. 2014
b. 2015
3. What was your Trust’s spend on Endomyocardial Biopsy in:
a. 2014
b. 2015
4. Does your Hospital perform Biopsy to diagnose Amoeloid Cardiomyopathy?
5. If yes, How many Amoeloid Biopsy procedures were performed in:
a. 2014
b. 2015

Download response Endomyocardial Biopsy (EMB) 250516

Eye damage caused by lasers

The number of patients admitted for eye damage caused by lasers over the last three financial years. To clarify, this is from hand-held lasers, not complications from laser eye surgery.

2013-14

2014-15

2015-16

Download response Eye damage caused by lasers 060916

Head and Neck Cancer (Squamous cell carcinoma).

1. Within your health trust how many patients are currently [within the past 6 months] being treated for head and neck cancer (Squamous cell carcinoma)?
2. Of these patients how many are locally advanced and how many are recurrent and/or metastatic head and neck cancer patients?
A. Locally advanced
B. Recurrent and/or metastatic
Of the these patients please split by their current drug treatment;
Carboplatin (Only or in combination with 5-FU)
Cetuximab (Erbitux) and chemotherapy or radiotherapy
Cetuximab (Erbitux) Only
Cisplatin (Only or in combination with 5-FU)
Docetaxel (Taxotere), (Only or in combination with 5-FU)
Fluorouracil (5FU)
Radiotherapy Only
Other – Specify
3. Does your health trust participate in any ongoing clinical trials for the treatment of head and neck cancer patients, if so please could you provide details?
4. Within your health trust how many patients are currently [within the past 6 months] being treated for metastatic Colorectal Cancer?
Of those patients please split by their current drug treatment;

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)
Other – Specify

Download response Head and Neck Cancer (Squamous cell carcinoma) 270616

Laparoscopic procedures

Which of the following operations are performed at your trust?
1. Laparoscopic cholecystectomy
2. Inguinal hernia repair (open and/or laparoscopic)
3. Diagnostic laparoscopy

If so, can you please inform me as to whether your trust uses standardised/pre-printed consent forms for each procedure?

Download response Laparoscopic procedures 270616

Management of Medical Devices.

Please could you provide me with the name, job title and email address of the current director or board member with overall responsibility for the management of medical devices as required by the MHRA policy, Managing Medical Devices April 2014.

Download response Management of Medical Devices 090916

Maxillofacial surgery 2012 to 2015.

I am looking for information relating to any operations carried out that were concerned with Maxillofacial with particular emphasis on double jaw surgery, mandibular correction surgery.
I am looking for the info that relates to the years of January 2012 to December 2015 inclusive and that shows how many operations were conducted, how many were successful and how many were involved with complications such as stroke etc.

Download response Maxillofacial surgery 2012 to 2015 180516

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 theatres within the Trust and the type of operating table used.

1. What type of operating table is used in the theatres within the Trust (i.e. OSI/Jackson Table, Allen Table etc.…)?
2. How many theatres are there at each of the hospitals within the trust?

Download response Number of theatres within the Trust and the type of operating table used 180516

Ophthalmology Department formal complaints 2015.

I would like to request the total number of formal complaints received between 1 January 2015 and 31 December 2015 for your Ophthalmology Department and the primary subject area of each complaint.

Download response Ophthalmology Department formal complaints 2015 270616

Ophthalmology fellowship doctors details.

Please supply details of all the current doctors partaking in training fellowships (or other similar training programmes for post CCT doctors) within your Ophthalmology departments.

Please provide full names of the doctors, their GMC numbers, start dates of current post, end date for current post and the sub-specialist interest they are being trained in.

Download response Ophthalmology fellowship doctors details 280716

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

Patient Co2 monitoring

How do you monitor patient Co2 within all your Trust: For example Resuscitation, Theatres (including cath. labs, endoscopy suites etc.), Emergency Departments and Adult, Paediatric and Neonatal care areas.
Wherever possible, I would like disclosure of;
The Brand of the monitor (or other technology) the quantity and their age.

Download response Patient Co2 monitoring 060916

Primary Hip and Knees contract data.

I would like answered for each of Hip and Knees:

Question
Current contract(s) start and end date for primary knees?
Is there an option to extend?
If so, what is the extension length?
Contract route (tender/framework/direct)
The name of main supplier?

Download response Primary Hip and Knees contract data 180516

Scoliosis correction surgery in 2006.

1. Details of any hospitals within your Trust which were carrying out scoliosis correction surgery in 2006.

2. Whether spinal cord monitoring was available at the hospitals listed in your response to Q1

3. The type of spinal cord monitoring available at the hospitals listed in your response to Q1

Download response Scoliosis correction surgery in 2006 060916

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

Annual IT budget 2016/2017

Please provide the following information:
1. Annual IT Budget
Please provide split between:
a. Capital Expenditure
b. Revenue Expenditure
2. How much of your capital expenditure is spent on outsourced IT services?
Provide split between:
a. Capital Expenditure
b. Revenue Expenditure
3. What is your anticipated capital refresh budget for data centre investment?

Download response Annual IT budget 2016/2017 270516

Chief Clinical Information Officer and the Director of Health Informatics.

1. Can you please provide the name and email of your Chief Clinical Information Officer or the person who holds the equivalent role in your trust?
Name:
Contact Details:

2. Can you please provide the name and email of the Trust Director of Informatics or the person who holds the equivalent role in your trust?
Name:
Contact Details:

Download response Chief Clinical Information Officer and the Director of Health Informatics  230916

Commercial IT software products.

1. Have you deployed commercial IT software products to automate your policies around patient observation and the capturing of vital signs for early-warning of deterioration?
2. If your answer to Question 1 is YES, please confirm the commercial names of these software products and confirm the date when their current support contracts will expire.

Download response Commercial IT software products 280716

Communication Systems

Please can you provide the following information with regards to the Trust’s communication systems?

1 Which types of telephony system does the Trust utilise? (E.g. PBX, VOIP, Unified Communication (UC) – please specify all that apply).
2 Brand of the PBX, VOIP and UC
3 Are these systems on premise or hosted?
4 How are the systems maintained (Maintenance Contract, Outsourced Managed Service, Shared Service or internal Trust resource)
5 Existing Supplier/s of above referenced service contracts (if there is more than one supplier please name each)
6 Contract Description: please provide a brief description of the overall service provided under this contract
7 Contract Durations (please include any extension periods)
8 Contract Expiry Dates (please provide the day/month/year)
9 Contract Review Date (please provide the day/month/year)
10 Annual Average Spend (the annual average spend for each contract)
11 Number of users on each system or PBX
12 Application(s) running on PBX/VOIP systems
13 Who maintains the Local Area Network (Trust or external party – if so please specify names of associated parties) and what is the brand of the associated network hardware?
14 Which company provides and maintains the Wi-Fi network (Trust or external party – if so please specify names of associated parties) and what is the brand of the associated network hardware?
15 Which company provides the Wide-Area-Network?
16 Contact Detail of the person from with the organisation responsible for each contract including full Contact details

Download response Communication Systems 060916

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

Data sharing agreements with private organisations.

1 – How many data sharing agreements or information sharing agreements does the trust currently have with private organisations to share patient files or records?

2 – For each, please state i) the organisation concerned, ii) the number of patients involved and iii) the purpose of the agreement.

3 – Please also specify whether patients were asked beforehand if their information could be shared or whether the agreement was made on the basis of implied consent.

Download response Data sharing agreements with private organisations 180516

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

e-Rostering software

Who your current contract is with for e-Rostering software?
When this is due to expire?

Download response e-Rostering software 270616

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 document management system for medical records.

1. Do you have/use an Electronic Document Management System for your Medical Records? If so, what is the name of it? How many users currently use the Electronic Document Management System?
2. Are your Medical Records currently being scanned? If so, is this being done within your organisation or by an external company? If scanning is being done by an external company can you provide their name?
3. Do you have/use an Electronic Patient Record (EPR) system? If so, what is the name of it?
4. Do you have/use a Clinical Portal or/and a Patient Portal? If so, what are the name(s) of it?

Download response Electronic document management system for medical records 280716

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.

EPR, PAS, Pharmacy Stock and E-Prescribing systems.

1. Who is the supplier of your EPR or PAS system across the Trust for plus which version:
A) A&E
B) Inpatient
C) Outpatient

2. Who is the supplier of your Pharmacy Stock or E-Prescribing system?

3. Can you supply a organisation chart for all your Execs plus Divisional Directors plus e-mail address.

Download response EPR, PAS, Pharmacy Stock and E-Prescribing systems 270616

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

Fax machines and printers

1. Do you have an Electronic Fax Management System (A Fax Server)?
2. How many manual fax machines do you have?
3. Who is the Manufacturer of your MultiFunction Printers, and who maintains them?
4. Who is the manufacturer of your Telephony system and who maintains it?
5. What is the job title of the person responsible for your Fax policy/strategy?

Download response Fax machines and printers 290616

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 contracts

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?

2. Wireless Network
a) Do you have Wireless for staff or the public?
b) What manufacturer is your Wireless Network
c) When was the wireless installed?
d) What is the current cost of the Wireless Support?
e) Which company is the support contract with?

3. 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?

4. Storage (SAN)
a) What Manufacturer of SAN are you using?
b) When was the SAN purchased?
c) How Many Virtual Servers are you running?

5. 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?

6. 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?

7. 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?
c) Who is responsible for ICT Purchasing in the organisation and what are their contact details?

Download response ICT contracts 230516

ICT service desk

1) Is your IT Service Management function and associated software application based In house or Outsourced to a 3rd Party?
2) If this In House, is this an On Premise or a SaaS solution?
3) Please provide the full name and version of the ITSM software application in use?
4) What is the lifetime value of the contract and over how many years? Please provide high level % in terms of software, maintenance and services.
5) As part of the existing contract how many support operatives (agents) are licenced/subscribed to use the solution? (These are individuals who work on the desk in resolver groups, not customers using a Self Service function)
6) When is the contract due for renewal?
7) How was the current solution procured – directly with the Vendor, through a Framework or via G Cloud?
8) What are your published procurement thresholds for tendering purposes?
9) What is the Authorities strategy with regards to Cloud solutions as opposed to In House installations?
10) Has the organisation ever procured through the G Cloud Framework?

Download response ICT service desk 280716

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

Integrated Digital Care Technology Fund.

1. Does your organisation have an Open Source Strategy?
2. What Software and Technologies did you choose for your Integrated Digital Care Technology Fund funded projects?
3. Is the software and technology you have used for your project an Open Source Product?
4. Does the software / technology interface with another system? If so is the interface based on Open Standards / Open APIs?

Download response Integrated Digital Care Technology Fund 010716

IT budget for 2016/2017

1. What is your overall IT Budget for 2016/17?
2. Do you run a shared IT service with any other government/NHS entities?
3. Do you have a BRM Programme in place in your IT Department (IT Business Relationship Management, IT Business Partner, Business Liaison)?
4. If you do have a programme, how many BRM’s/IT Business Partners/etc. are currently employed by the Trust?

Download response IT budget for 2016/2017 270516 

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

IT spend and Information Security.

1. Name of your Organisation
2. Name of your IT Provider
3. Total number of staff within your IT Department
4. Total number of beds you have across your sites
5. Do you have a A&E Department
6. Total spend on IT by your organisation
7. Total spend on Hardware by your organisation
8. Total Spend on Software by your organisation
9. Planned spend on IT by your organisation for 16/17
10. Number of sites supported
11. Number of users supported
12. The total number of computers within the organisation
13. The total number of smartphones within the organisation
14. The total number of tablet devices within the organisation
15. Any of the functions of your IT Department are provided by a third party
16. And if yes to the above how much does this service cost and when is it due for renewal?
17. Details of whether IT security and/or Information Governance is provided by an in-house team or by a third party (number of staff in each team please) – if by a third party please state who provides the service and when the contract expires
Please provide the additional below information based on the manufacturer used, license expiry, and license cost including duration for each of the following IT security areas within the organisation:
18. Desktop anti-virus
· Manufacturer:
· Licence Expiry:
· Licence Cost:
19. Protection of Microsoft Exchange environment (please state if this is not applicable due to the use of NHSmail/NHSmail2)
· Manufacturer:
· Licence Expiry:
· Licence Cost:
20. Email gateway (please state if this is not applicable due to the use of NHSmail/NHSmail2)
· Manufacturer:
· Licence Expiry:
· Licence Cost:
21. Mobile device management/enterprise mobility management · Manufacturer:
· Licence Expiry:
· Licence Cost:
22. Removable media encryption
· Manufacturer:
· Licence Expiry:
· Licence Cost:
23. Firewall
· Manufacturer:
· Licence Expiry
· Licence Cost
24. Virtual server software provider and number of virtual servers (e.g. VMWare, Hyper-V etc.)
· Manufacturer:
· Licence Expiry:
· License Cost:
· Number of VM’s:
25. Network access control solution provider
· Manufacturer:
· Licence Expiry
· Licence Cost

Download response IT spend and Information Security 280716

Minutes monthly spend for telephony and the number of sites covered by the WAN contract and the renewal date.

1. What is the minutes monthly spend for each contract?

2. What is the renewal date of the WAN contract? Also i require the number of sites for each WAN contract?

Download response Minutes monthly spend for telephony and the number of sites covered by the WAN contract and the renewal date. 180516

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

Mobile phone devices in clinical practice.

How many mobile devices are currently deployed and being used in a clinical setting within your hospital?
How are these distributed by platform?

Download response Mobile phone devices in clinical practice 010716

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

Patient entertainment systems

1. Considering patient entertainment systems in your hospital trust, can you confirm the number of beds which are serviced by:
o Communal TV unit
2. How many individual beds are serviced by:
o TV
o Video-On-Demand service
o Telephone
o Games
o Wi-Fi
3. Can you confirm who are the third-party vendors who provide the media systems in question (1) and (2) above?
4. Do you have Wi-Fi available for patients, and how much does it cost per hour/per use?
5. Which, if any, of the following services does the trust use?
o Patient flow / bed management software:
o Patient medical records software (EPR/PAS software such as Lorenzo or equivalent):
o Bedside software for clinical use by medical staff – electronic access to charts medication etc.
o Hospital management software at bedside, such as electronic Meal Ordering for patients:
6. Which vendors do you use for each of those items in (5) above?

Download response Patient entertainment systems 060916

PBX

1. Provide a description of your current PBX? Please select from the below:
2. Who is the incumbent supplier for your PBX?
3. When did your PBX contract start? (Provide month and year)
4. When does your PBX contract end? (Provide month and year)
5. What is the value of your PBX contract?
6. How many extensions does your PBX have?
7. Do you have a Siemens ISDX?
8. Do you have NHS Mail?
9. Do you have NHS Mail 2?
10. What kind of Microsoft Licensing Agreement do you have?
11. What is your Microsoft Licensing renewal date? (Provide month and year)

Download response PBX 060916

Phone and TV charges

1. What was the total revenue incoming from patient phone charges in the last financial year? This should include all income from phone calls made and received by patients using hospital phones, i.e. whether it is the patient paying, or an outside caller who is paying.
2. What was the total profit (i.e. surplus income) made from patient phone charges in the last financial year? As above, this should include all income from phone calls made and received by patients using hospital phones, i.e. whether it is the patient paying, or an outside caller who is paying.
3. What was the total revenue incoming from patient TV charges in the last financial year (if any)?
4. What was the total profit (i.e. surplus income) made from patient TV charges in the last financial year (if any)?

Download response Phone and TV charges 280716

Ransomware attacks

Do you have any end point or anti-virus software installed on your network devices?
Has your organisation ever been the victim of a ransomware attack which meant that an external hacker encrypted a PC or device or network within your organisation and demanded payment in order to decrypt the device? Y/N
If Yes
How often have you experienced an attack in the last 12 months?
How much did the attacker demand as a ransom for each attack?
How did you respond:
a) We paid the ransom
b) Threw away the device
c) Used decrypter or other technology to regain the use of the encrypted device
c) Other (Please describe)
Did you notify the police? Y/N
If yes
What was their advice?

Download response Ransomware attacks 280716

Ransomware attacks

1. Has Maidstone and Tunbridge Wells Trust been a target of ransomware in the last 12 months?
2. If Maidstone and Tunbridge Wells Trust has been a victim of a ransomware attack on was it successful and did you pay the ransom? If so, which hospitals have these successful attacks happened at?
3. Have any NHS hospitals in Maidstone and Tunbridge Wells Trust paid a ransom to retrieve any stolen data? If so which ones and how much was paid in each instance?
4. In the case that any hospitals in Maidstone and Tunbridge Wells Trust were victims of ransomware, was all data recovered following the payment of a ransom, or by other means?
5. If any NHS hospitals in Maidstone and Tunbridge Wells Trust were victims of ransomware attacks, have any presiding police forces advised those hospitals to pay the ransom? If so, which police forces and which hospitals?

Download response Ransomware attacks 060916

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

Substantive posts within the Financial Management Team.

1. The number of substantive posts within the Financial Management team, both filled and vacant.

2. The total cost of mobile phones for the trust for the financial year 2015/16.

Download response Substantive posts within the Financial Management Team 060916

Telephone system

• What manufacturer telephone system are you using?
• How many extensions are there on your telephone system?
• Who maintains your telephone system?
• When does your telephone system maintenance contract expire?
• Are you using Lync or Skype for Business?

Download response Telephone system 290616

Telephone system

• What manufacturer telephone system are you using?
• How many extensions are there on your telephone system?
• Who maintains your telephone system?
• When does your telephone system maintenance contract expire?
• Are you using Lync or Skype for Business?

Download response Telephone system 010716

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

Breaches of the Data Protection Act.

1a.Approximately how many members of staff do you have?
1b.Approximately how many contractors have routine access to your information?

2a.Do you have an information security incident/event reporting policy/guidance/management document(s) that includes categorisation/classification of such incidents?
2b.Can you provide me with the information or document(s) referred to in 2a? (This can be an email attachment of the document(s), a link to the document(s) on your publicly facing web site or a ‘cut and paste’ of the relevant section of these document(s))

3a.Do you know how many data protection incidents your organisation has had since April 2011? (Incidents reported to the Information Commissioners Office (ICO) as a Data Protection Act (DPA) breach)
Answer: Yes, No, Only since (date):
3b.How many breaches occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

4a.Do you know how many other information security incidents your organisation has had since April 2011? (A breach resulting in the loss of organisational information other than an incident reported to the ICO, eg compromise of sensitive contracts or encryption by malware. )
Answer: Yes, No, Only since (date):
4b.How many incidents occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

5a.Do you know how many information security events/anomaly your organisation has had since April 2011? (Events where information loss did not occur but resources were assigned to investigate or recover, eg nuisance malware or locating misfiled documents.)
Answer: Yes, No, Only since (date):
5b.How many events occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

6a.Do you know how many information security near misses your organisation has had since April 2011? (Problems reported to the information security teams that indicate a possible technical, administrative or procedural issue.)
Answer: Yes, No, Only since (date):
6b.How many near-misses occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

Download response Breaches of the Data Protection Act 230516

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

Incidents reported 2013 to 2016 to date.

1. How many incidents involving a failure to act upon test results were recorded in your trust in a) 2013/14, b) 2014/15 and c) 2015/16; how many of these were reported as serious incidents (SIs); and please provide a breakdown by therapeutic areas in which these failures occurred.

2. How many incidents involving sub-optimal care of a deteriorating patient were recorded in your trust in a) 2013/14, b) 2014/15 and c) 2015/16; how many of these were reported as serious incidents; and please provide a breakdown by therapeutic areas in which these incidents occurred.

3. How many delayed diagnoses were recorded in your trust in a) 2013/14, b) 2014/15 and c) 2015/16; how many of these were reported as serious incidents; and please provide a breakdown by therapeutic areas in which these delayed diagnoses occurred?

4. How many surgical errors were recorded in your trust in a) 2013/14, b) 2014/15 and c) 2015/16; and how many of these were reported as serious incidents?

5. How many incidents involving child abuse within your trust were recorded in a) 2013/14, b) 2014/15 and c) 2015/16; and how many of these were reported as serious incidents?

6. How many incidents involving serious injury to a child within your trust were recorded in a) 2013/14, b) 2014/15 and c) 2015/16; and how many of these were reported as serious incidents?

Download response Incidents reported 2013 to 2016 to date 230516

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 Incidents in the reporting period 2015-2016.

The number of serious untoward incidents (SUIs) recorded by the Trust for the reporting period 2015-2016. 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.

If you are unable to establish how many SUIs were recorded at each of the establishments (hospitals or other medical establishments) under the control of the Trust for one of multiple of the above periods, please provide the total figure for the Trust as a whole.

If you have a total figure for SUIs recorded by the Trust and are able to establish the totals recorded by some (but not all) of the establishments (hospitals or other medical establishments) operated by the Trust, please provide what information you have in this regard.

Download response Serious Incidents in the reporting period 2015-2016 180516 

Serious Incidents recorded in the A&E departments 2014 to July 2016.

How many Serious Incidents (SI) were recorded in your A&E department in:
a. 2014
b. 2015
c. From 1/1/16- 25/7/16

Download response Serious Incidents recorded in the A&E departments 2014 to July 2016 050816

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

Money owed by foreign patients for 2011-2016.

1. Please tell me the total outstanding money owed to your trust by foreign patients not entitled to free healthcare in each of the following financial years: a) 2011/12 b) 2012/13 c) 2013/14 d) 2014/15 e) 2015/16
2. Please also tell me the total amount of debt written off in each of the following financial years for money owed by foreign patients not entitled to free healthcare:
a) 2011/12 b) 2012/13 c) 2013/14 d) 2014/15 e) 2015/16
3. For 2015/16 please provide a breakdown of money owed. For each case, please give details of the nationality of the patient, the treatment/care received and the total cost.

Download response Money owed by foreign patients for 2011-2016 280716

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

Private and overseas patients 2015/2016.

1. Please indicate the total income from private and overseas patients (£);
2. Please indicate what proportion of income from private and overseas patients was not from UK patients (first as a %, then in £);
3. Please indicate what proportion of income from private and overseas patients was from patients from other EEA countries (first as a %, then in £).
4. Please indicate the number of private and overseas patients treated;
5. Please indicate the proportion of private and overseas patients treated that were not from the UK (first as a %, then as a number);
6. Please indicate what proportion of private and overseas patients treated were from other EEA countries (first as a %, then as a number).
By “other EEA countries” I am referring to member states of the European Economic Area aside from the UK.

Download response Private and overseas patients 2015/2016 280716

 

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

Alternative medicine

1. Do you offer complementary therapies within the trust?
2. If yes, do you offer Reiki therapy?
3. Which types of services or departments offer Reiki therapy?
4. Have you conducted a formal evaluation of the Reiki service? If so, please provide brief details.

Download response Alternative medicine 060916

Bedside telephone services for patients

1. Does the Trust use an external company to provide bedside telephone services for patients in the Trust’s hospitals? If so, please provide the name of the company used.

2. Does this same company provide any other services to the Trust, in addition to bedside telephone services? If so, what else does it provide?

3. In total, how much does the Trust pay, per year, to this company? (NB: Preferably this should be the total amount paid to the company in the last financial year. However, if it is not possible to provide this figure for whatever reason – e.g. the Trust has only recently employed the services of the company – please could you provide the estimated or agreed payment to the company for the current financial year or calendar year).

Download response Bedside telephone services for patients 010816

Births, Adult and paediatric A&E admissions 2015.

1. How many births did you have per hospital over 2015?
2. How many adult accident and emergency admissions did you have per hospital over 2015?
3. How many pediatric accident and emergency admissions did you have per hospital over 2015?

Download response Births, Adult and paediatric A&E admissions 2015 090916

Complaints regarding end of life care.

1. How many complaints in the following years has the Trust received relating to the end of life care/palliative care of a patient? Please answer each year by breaking down month by month e.g. January: 9, February 10…
a) In 2015
b) So far in 2016 (up to 16/5/2016)
2. Of the number of complaints above what numbers were related to:
a) Communication that the patient is actually dying
b) The patient or relatives was unaware that lifesaving drugs had been withdrawn
c) Care, including dignity, respect and privacy
d) Lack of pain relief
e) Access to specialised support and information
f) Lack of access to care through the night, at weekends and over holiday’s periods

Download response Complaints regarding end of life care 060616

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

Dermatology outpatient department.

Please tell me what are the clinics (ailment / ailment category clinics) for outpatients your dermatology department runs and what specific weekday they are run on.

Download response Dermatology outpatient department 270616

Dermatology Services

1. What is the composition of the multi-disciplinary team for dermatology in the Trust?
2. How many dermatology consultants work within the Trust?
3. How many speciality dermatology nurses work within the Trust (including dermatology clinical nurse specialists and dermatology nurse practitioners)?
4. Does the Trust have standards to support healthcare professionals to deliver psychodermatological care?
5. How many adult patients with Atopic Dermatitis (ICD-10-CM Diagnosis Code L20.9) have been referred for psychological support by the specialised dermatology multi-disciplinary team?
6. Does your Trust produce local guidelines to support the management of adult Atopic Dermatitis (L20.9)? (yes / no)
7. What is the ‘Friends and Family Test’ score for the Trust’s dermatology services?
8. What is the average time to treatment from referral for adults with Atopic Dermatitis (L20.9) in the Trust?
9. How many dermatology outpatient appointments occurred between 1st January and 31st December 2015 in your Trust for adult patients with diagnosed or suspected Atopic Dermatitis (L20.9) in each of the following categories:

a. first attendance – single professional
b. first attendance – multi-professional
c. follow up attendance – single professional
d. follow up attendance – multi-professional
10. If data on the number of dermatology outpatient appointments in your Trust for adult patients with diagnosed or suspected Atopic Dermatitis is not available for the period 1st January to 31st December 2016, please provide the most recent summary data available for each of the following categories:
a. first attendance – single professional
b. first attendance – multi-professional
c. follow up attendance – single professional
d. follow up attendance – multi-professional.
11. Please outline which of the following treatments are available to adult patients with Atopic Dermatitis (L20.9) in the Trust, according to the local formulary.
12. How many adult patients with Atopic Dermatitis (L20.9) in your Trust received prescriptions for the following treatments between 1st January and 31st December 2015?

Download response Dermatology Services 270616

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

Electronic document management system for medical records.

1. Do you have/use an Electronic Document Management System for your Medical Records? If so, what is the name of it? How many users currently use the Electronic Document Management System?
2. Are your Medical Records currently being scanned? If so, is this being done within your organisation or by an external company? If scanning is being done by an external company can you provide their name?
3. Do you have/use an Electronic Patient Record (EPR) system? If so, what is the name of it?
4. Do you have/use a Clinical Portal or/and a Patient Portal? If so, what are the name(s) of it?

Download response Electronic document management system for medical records 280716

Electronic Patient Records systems in Mental Health, Community Health or Child Health.

1. What are the main Electronic Patient Records systems you operate in Mental Health, Community Health or Child Health?
2. Can you provide a name for these systems?
3. How much are you currently spending on these systems annually for licensing and support fees?
4. What is the date of contract expiry for the systems?
5. How many users? (An estimation if unsure)
6. How are the systems hosted?
7. Who is responsible for your local implementation of the objectives set out by the NHS in the Five Year Forward View?

Download response Electronic Patient Records systems in Mental Health, Community Health or Child Health 270616

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

Funerals 01.04.2015-31.03.2016.

I seek the following information about the number of funerals your organisation has paid for in the last financial year (1st April 2015-31st March 2016).
1. How many of these funerals did you arrange in the last financial year?
2. How were the funerals providers found – on a case-by-case basis or part of a larger contract?
3. Whose role was it to find the funeral director? With contact details if possible.
4. Would you list each funeral with the following details for each: the date, whether the body was buried or cremated, whether a funeral service was held, the total cost, and the funeral provider used, whether a local council or another NHS trust contributed any money for this funeral, and if so which.

Download response Funerals 01.04.2015-31.03.2016 280716

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

Gluten-free products

1. How many coeliacs in your trust currently receive free gluten-free products on prescription?

2. Could you indicate which of the following products your trust prescribes, and if applicable the total cost per product to your trust (including admin, procurement, VAT and delivery costs)

3. How much does your trust spend annually on prescribing gluten-free food products for coeliac sufferers, including procurement, admin costs and delivery?

Download response Gluten-free products 060916

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

Late night discharges

1. How many patients were discharged from Tunbridge Wells Hospital between the hours of 11pm and 6am each year for the last five years?
2. If possible, can you tell me how many of these discharged themselves, were discharged by the hospital and how many were technically discharged because they had died?
3. How many patients were discharged from Maidstone Hospital between the hours of 11pm and 6am each year for the last five years?
4. If possible, can you tell me how many of these discharged themselves, were discharged by the hospital and how many were technically discharged because they had died?

Download response Late night discharges 270616

Late night discharges 2010 – 2014

1. How many patients were discharged from Tunbridge Wells Hospital between the hours of 11pm and 6am each year for the last five years?
2. If possible, can you tell me how many of these discharged themselves, were discharged by the hospital and how many were technically discharged because they had died?
3. How many patients were discharged from Maidstone Hospital between the hours of 11pm and 6am each year for the last five years?
4. If possible, can you tell me how many of these discharged themselves, were discharged by the hospital and how many were technically discharged because they had died?

Download response Late night discharges 2010 – 2014 220515

Learning Disabilities Service

Please provide me with an up to date Organisational Structure chart for The Learning Disabilities Services including all manager NAMES, contact details and job titles.

Download response Learning Disabilities Service 060916

Legal proceedings issued to patients refusing to leave the Trust hospitals.

1. The number of letters issued by your Trust threatening legal proceedings if a patient does not leave. Please include specific details of any laws referred to in each.

2. How many letters has your Trust issued threatening legal proceedings if a patient does not vacate a hospital bed/ward on 2013/14, 2014/15, 2015/16. Please include specific details of any laws referred to in each if different from Question 1.

3. Number of cases an eviction notice or court order for possession of a bed been served by your trust in 2013/14, 2014/15, 2015/16. Please include specific details of any laws referred to in each if different from Questions 1 and 2.

Download response Legal proceedings issued to patients refusing to leave the Trust hospitals 060916

Locum agency spend within Dermatology.

Can you please assist me with retrieving the total Locum Agency spend for Locum Doctors only within Dermatology over the following months, within your Trust or Health Board?

Download response Locum agency spend within Dermatology 060916

Lost spectacles and hearing aids in 2015.

1) How many instances of loss of patient property occurred for hospital visits between January 1 2015 and December 31 2015 across trusts in NHS England (if getting this level of data is not feasible within the fees remit then data from a sample of trusts in the North and South would also be usable.)

2) Of these instances, how many were specifically
a) Prescription spectacles (or just spectacles if that information is unavailable)
b) Hearing aids

If possible, I would also like to know:

3) Of the instances of 2a and 2b, how many of these resulted in costs to the trust for replacement of the lost item, and if possible, how much this was.

Download response Lost spectacles and hearing aids in 2015 280716

Maternity units

Could you please tell me the names of your maternity units and sites and the distances they are apart?

Could you please tell me the number of births at each individual named maternity unit and site, for the last year?

For every named maternity unit and site run by your trust, could you please tell me?

1. The number of full-time consultant obstetricians working at each unit/ site

2. The number of part-time consultant obstetricians working at each unit/ site

3. The number of whole time equivalent consultant obstetricians working at each unit/ site

4. The number of hours each named unit or site has a consultant obstetrician working in the hospital Monday to Friday

5. The number of hours each named unit or site has a consultant obstetrician working in the hospital on Saturdays

6. The number of hours each named unit or site has a consultant obstetrician working in the hospital on Sundays

7. The number of hours each named unit or site has a consultant obstetrician working in the hospital on Bank holidays

In addition, could you please give the following information specifically for the Easter Bank Holiday weekend Friday March 25 to Monday March 28 2016?

8. The number of hours each named maternity unit or site had a consultant obstetrician working in the hospital on Friday March 25 2016

9. The number of hours each named maternity unit or site had a consultant obstetrician working in the hospital on Saturday March 26 2016

10. The number of hours each named maternity unit or site had a consultant obstetrician working in the hospital on Sunday March 27 2016

11. The number of hours each named maternity unit or site had a consultant obstetrician working in the hospital on Monday March 28 2016

Download response Maternity units 060916

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

Missed outpatient appointments in 2014/2015 and 2015/2016.

1. one outpatient appointment (either first or subsequent attendance)
2. two outpatient appointments (either first or subsequent attendance)
3. three outpatient appointments (either first or subsequent attendance)
4. four outpatient appointments (either first or subsequent attendance)
5. five or more outpatient appointments (either first or subsequent attendance)
For each of the past two years, 2014/15 and 2015/16.

Download response Missed outpatient appointments in 2014/2015 and 2015/2016 180615

Mortuary storage

1. How many fridge spaces does the trust/council have for deceased on each site?
2. How many freezer spaces does the trust/council have for deceased on each site?
3. How many deceased are sent out to external overflow storage per year for normal refrigeration (2016, 2015 + 2014)?
4. How many deceased are sent out to external overflow storage per year for deep freeze refrigeration (2016, 2015 + 2014)?
5. How much does the trust/council pay for transfer of deceased to external overflow storage?
6. How much does the trust/council pay per day for external overflow storage of deceased per day?
7. How many deceased per year do the trust/council transfer between sites (non-coroner cases e.g. hospital post-mortems?
8. How much does the trust/council pay to transfer deceased between sites (non-coroner cases) e.g. hospital post-mortems?
9. If the hospital does not have any mortuary storage what is the procedure for dealing with deceased?

Download response Mortuary storage 060916

MRSA screening

Can you please let me know under FOI, whether your trust:

1. Has changed its MRSA screening after the 2014 PHE guidance called ‘implementation of modified admission MRSA screening guidance for NHS (2014).
2. If so, what was your screening regime?
3. If you restricted screening, have MRSA acquisitions (positive screen after 48 hours in hospital or after a negative screen) increased?
4. If so, but how much
5. Please tell me the number of MRSA bacteraemias for the years 2013/14, 2014/15 and 2015/16
6. If you restricted screening and if either MRSA acquisitions or MRSA bacteraemias increased, did you go back to universal screening?
7. If you moved to restricted screening and returned to universal screening, how long did you practice restricted screening.

Download response MRSA screening 060916

Multiple Sclerosis December 2015 – May 2016.

In your trust how many patients with Multiple Sclerosis have been treated with MS disease modifying drugs in the past 6 months, latest 6 months that you can provide?

Download response Multiple Sclerosis December 2015 – May 2016. 270616Download response Multiple Sclerosis December 2015 – May 2016. 270616strong>

Number of patients hospitalised for self-harming in 2013-2016.

For the following financial years 2013-14, 2014-15 and 2015-16 up to March 2016
How many patients have been hospitalised for self-harm?
Can you please provide an age breakdown of the patients hospitalised for self-harming?
Can you please reveal the number of patients who were male and how many were female?

Download response Number of patients hospitalised for self-harming in 2013-2016 060616

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

Operating theatres and intensive care units.

1. How many operating theatres do you have per hospital?
2. How many intensive care units (ICU) do you have per hospital for each of the following?
a. Neonatal
b. Pediatrics
c. Adults

Download response Operating theatres and intensive care units 060916

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 Co2 monitoring

How do you monitor patient Co2 within all your Trust: For example Resuscitation, Theatres (including cath. labs, endoscopy suites etc.), Emergency Departments and Adult, Paediatric and Neonatal care areas.
Wherever possible, I would like disclosure of;
The Brand of the monitor (or other technology) the quantity and their age.

Download response Patient Co2 monitoring 060916

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 entertainment systems

1. Considering patient entertainment systems in your hospital trust, can you confirm the number of beds which are serviced by:
o Communal TV unit
2. How many individual beds are serviced by:
o TV
o Video-On-Demand service
o Telephone
o Games
o Wi-Fi
3. Can you confirm who are the third-party vendors who provide the media systems in question (1) and (2) above?
4. Do you have Wi-Fi available for patients, and how much does it cost per hour/per use?
5. Which, if any, of the following services does the trust use?
o Patient flow / bed management software:
o Patient medical records software (EPR/PAS software such as Lorenzo or equivalent):
o Bedside software for clinical use by medical staff – electronic access to charts medication etc.
o Hospital management software at bedside, such as electronic Meal Ordering for patients:
6. Which vendors do you use for each of those items in (5) above?

Download response Patient entertainment systems 060916

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

Patient transfers to another NHS provider or independent sector facility April 2015 – March 2016.

a) Between April 2015 and March 2016, how many patients (on both admitted and non-admitted pathways) who had breached the 18-week Referral to Treatment target were transferred to another NHS provider or to an independent sector facility at NHS expense as a result?

b) Between April 2015 and March 2016, how many patients (on both admitted and non-admitted pathways) who would otherwise have breached the 18-week Referral to Treatment target were transferred to another NHS provider or to an independent sector facility at NHS expense as a result?

Download response Patient transfers to another NHS provider or independent sector facility April 2015 – March 2016 060916

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

Pet Therapy

1) Has the Trust ever used any form of pet therapy or animal assisted therapy in your hospitals?

2) If your Trust has used such services how have they been provided to the Trust i.e. Voluntary or funded by the Trust and has this remained the same or changed between voluntary and funded?

3) What do you estimate the cost to be to the Trust of using animal assisted therapy by year for the last 5 years (if applicable?)

4) Who is responsible within the Trust for organising Pet Therapy Services?

5) What policies and procedures have been put in place as safeguards for using animals in hospitals?

6) What qualifications / certifications does the Trust expect therapy animals to hold to guarantee patient safety?

Download response Pet Therapy 060916

Pressure area care mattresses

1. Is the Trust currently under contract with regards to pressure area care mattresses? If so with who?
2. When is this contract due to end?
3. How many mattresses are in the contract?
4. Is this a rental or a purchase contract?
5. Does the contract cover the servicing of these?
6. Does this contract cover bariatric as well?
7. Does the contract include beds?
8. If not who is this contract held with?
9. How many static (foam) mattresses on average does the Trust purchase in a year?
10. Which manufacturer’s mattresses do you use and is this under contract? Who is the main Tissue Viability Nurse for the Foundation Trust?
11. Who is the main Procurement Manager for the Trust?
12. Who would manage the procurement of mattresses within the trust?
13. Does the Trust receive any decontamination service for beds and mattresses?
14. If so with who?
15. How many inpatient beds are there at each site?

Download response Pressure area care mattresses 270616

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

Public health funerals

1. Does the trust refer deceased’s estates to the Government Legal Department (GLD), QLTR, NUHU, Duchy of Cornwall or Duchy of Lancaster (Farrer & Co), and what does this information entail?
2. Who refers this information? (Please provide a name, contact address & telephone number / email address)
3. Within the last 6 months, of the cases where details have been referred to the Government Legal Department (GLD), QLTR, NUHU, Duchy of Cornwall or Duchy of Lancaster (Farrer & Co), please provide the following details:
– Name of the deceased
– Maiden name (if applicable)
– Date of birth
– Place of birth
– Date of death
– Place of death
– Last known address
– Marital status of the deceased
– If a widow or widower, the name and date of death of spouse
4. Does the trust attempt to search for family members of the deceased?
5. How long does the trust spend searching for this information?

Download response Public health funerals 060916

Public health funerals 2010 – 2015.

1) How many public health funerals has this NHS Trust arranged each year from 2010 to 2015?
2) How much money has this NHS Trust spent on public health funerals each year from 2010 to 2015?
3) What was the most expensive, and the cheapest, public health funeral this NHS Trust arranged during 2010-2015? How much did each cost?
4) What was the age and gender of the youngest person and oldest person to be given a public health funeral from 2010-2015?
5) How many burials were there during 2010-2015? How many cremations were there during 2010-2015?
6) Where does this NHS Trust bury/cremate a person for a public health funeral?
7) How many times is an unmarked grave used?

Download response Public health funerals 2010 – 2015 280716

Referrals to specific departments within the Trust.

1. Number of referrals to hospitals or secondary care provider in your trust
2. Number of referrals to cardiac departments or cardiologists within hospitals in your trust
3. Number of referrals to neurology departments or neurologists within hospitals in your trust
4. Number of referrals to paediatric departments or paediatricians within hospitals in your trust
5. Number of referrals for Tilt Table Tests or autonomic testing at hospitals within your trust
6. Number of referrals to CFS or CFS/ME services within your trust
7. Number of referrals to psychiatrists, psychologists or mental health services, including CAMHS, at hospitals or secondary care providers within your trust
8. Accident and Emergency visits at hospitals within your trust
Please provide the information as follows:
– by year from 2000 to present
– for girls aged 12-19 at time of referral
– for boys aged 12-19 at time of referral
Please include in the data, all referrals to hospitals and services within your trust, from patients in area and out of area
Please include referrals from primary care e.g. from GPs and also from within secondary care e.g. from paediatrician to cardiologist etc.

Download response Referrals to specific departments within the Trust 280716

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

Staffing levels and bedstock numbers at Tunbridge Wells Hospital (TWH) at Pembury

1 could you please advise the staffing levels in the ward’s split between day and night and also weekends with again split of day and night.
Could you break this down by consultants, doctors, sisters, charge nurses, other ward staff split between trained and untrained.

2 could you also advise how it is possible for a member of the family to speak to a consultant, Doctor, Sister about their loved one and their treatment and condition. Particularly if they cannot speak for themselves in their best interests either through illness or age.

3 I notice that the Pembury hospital not surprisingly is now going to add another ward which I think will have a capacity of 38 beds. When will this open. Where is the money coming from.

4 when the old Pembury and the old Tunbridge Wells hospitals closed down there was a loss of beds. I have been told by staff in the past that the numbers lost were 200. Is this true. If not what was the figure.

5 the old Pembury had a history of a large number of mental health beds involving three wards. Probably close on 60 beds. These all closed. They were not transferred to Maidstone as commissioners would like is to think. Maidstone already had two wards for mental-health purposes and this did not change. All that happened was that they gave one of the wards the name of Brocklehurst for expedient confusion. However to get to the point we know that over the last three years due to inadequacy of mental health beds the additional cost of placing out of area for mental health trust has come to the region of £18 million. It doesn’t look as though the third ward of Maidstone is having any material effect to contain bed usage for mental health to the local area.
At the point of closed down of the mental health beds the consequence of consultation was that 10 mental health beds would be preserved at Pembury. Without further consultation this was countermanded and scrapped. Given the opening of this new ward and the space that obviously exists in the hospital are any of the mental health beds going to be reinstated in Pembury.

Download response letter Staffing levels and bedstock numbers at Tunbridge Wells Hospital (TWH) at Pembury 050516

Subject Access Requests (SAR) at Maidstone Hospital.

Please provide the contact details and addresses where Subject Access Requests (SAR) for the following record types can be sent:
Hospital
A&E
Radiology including MRI, CT scans and X-Rays
Physiotherapy
Urgent Care Centre Notes
Minor Injuries Unit Notes
CBT notes.

Download response Subject Access Requests (SAR) at Maidstone Hospital 100616

Subject Access Requests (SAR) at Tunbridge Wells Hospital at Pembury.

Please provide the contact details and addresses where Subject Access Requests (SAR) for the following record types can be sent:
Hospital
A&E
Radiology including MRI, CT scans and X-Rays
Physiotherapy
Urgent Care Centre Notes
Minor Injuries Unit Notes
CBT notes.

Download response Subject Access Requests (SAR) at Tunbridge Wells Hospital at Pembury 100616

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

Workforce caring for NHS patient attendances between 01 January 2013 to 31 December 2015

1) Number of Consultants in Trust split by;
– – day of the week they were in the Trust
– – specialty of the consultants
– – area of work for the Consultant i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether this was in core hours or outside of core hours*

2) Number of Junior Doctors in Trust split by;
– – day of the week they were in the Trust
– – specialty of the doctor
– – level of junior doctor i.e. SHO, SpR etc
– – area of work for the junior doctor i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether this was in core hours or outside of core hours*

3) Number of Nurses in Trust split by;
– – day of the week they were in the Trust
– – banding of the nursing staff
– – area of work for the nursing staff i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether this was in core hours or outside of core hours*

4) Number of AHPs in Trust split by;
– – day of the week they were in the Trust
– – banding of the AHP
– – area of work for the AHP i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether this was in core hours or outside of core hours*

5) Number of Consultants On-Call split by;
– – day of the week they were On-Call
– – specialty of the consultants
– – area of work for the Consultant i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether the Consultant is on-site or off-site for period of on-call
o if Consultant is on site, whether or not they are providing care in another area of the Trust during on-call period, i.e. outpatient clinic etc
– – whether this was in core hours or outside of core hours*

6) Whilst a Consultant in on-call, what is the maximum distance permitted for the Consultant to reside if they are not on site during their on-call period? How quickly is a Consultant expected to return to the Trust once they are called to attend?

7) How many ward rounds take place split by;
– – day of the week the ward round takes place
– – area of work for the ward round i.e. general ward, ITU, CCU, AMU etc
*please state what you believe your core hours to be

For each of the above I would like to know where there is an expectation for consultation / treatment plan to be documented electronically.

Download response Workforce caring for NHS patient attendances between 01 January 2013 to 31 December 2015 270616

 

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

MDT meetings for private patients.

I would be grateful if you would supply the following information under the Freedom of Information Act 2000. This information relates to multi-disciplinary meetings (E.g. for cancer patients), and in particular for private patients discussed at the NHS MDT meeting.

1) Can the Trust confirm whether it has received payment from private medical insurance companies for discussion of privately insured patients in the Trust multi-disciplinary team MDT meetings?
2) Can the Trust confirm which private medical insurance companies have remunerated any such charge for MDT discussion in the last 3 years?
3) Can the Trust confirm if individual private patients are invoiced for MDT discussion, if he/she does not have private medical insurance?
4) The amount of the current charge levied against private patients/insurance companies for each MDT discussion episode.

Download response MDT meetings for private patients 270616

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

Arthroplasty (joint replacement services) 2011 – 2014.

1. Does the NHS Trust provide arthroplasty (joint replacement services)?
2. a) How many patients has the Trust treated for hip replacement in 2011, 2012, 2013, 2014, 2014? Please provide 5 answers, in calendar years.
b) How many patients has the Trust treated for hip replacement revision in 2011, 2012, 2013, 2014, and 2014? Please provide 5 answers, in calendar years.
c) How many patients has the Trust treated for knee replacement in 2011, 2012, 2013, 2014, and 2014? Please provide 5 answers, in calendar years.
d) How many patients has the trust treated for knee replacement revision in 2011, 2012, 2013, 2014, and 2014? Please provide 5 answers, in calendar years.
3. a) What is the average length of time patients wait for a hip replacement from referral?
b) What is the average length of time patients wait for a hip replacement revision from referral?
c) What is the average length of time patients wait for a knee replacement from referral?
d) What is the average length of time patients wait for a knee replacement revision from referral?
4. a) What is the maximum length of time patients wait for a hip replacement from referral?
b) What is the maximum length of time patients wait for a hip replacement revision from referral?
c) What is the maximum length of time patients wait for a knee replacement from referral?
d) What is the maximum length of time patients wait for a knee replacement revision from referral?
5. a) Has the Trust been asked to reduce the number of arthroplasty procedures it carries out at any point over the last five years, by commissioners?
b) If Yes, by how many?
6. a) Has the Trust been asked to change the criteria by which patients are selected for arthroplasty procedures?
b) If Yes, in what way?

Download response Arthroplasty (joint replacement services) 2011 – 2014 090916

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

Black alerts in the last five years

1) How many times has the hospital (or a hospital run by the trust) been on ‘Black Alert’ in the past 5 years?

a) Can I please have a total for each year?

Download response Black alerts in the last five years 270516

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

Breaches of the Data Protection Act.

1a.Approximately how many members of staff do you have?
1b.Approximately how many contractors have routine access to your information?

2a.Do you have an information security incident/event reporting policy/guidance/management document(s) that includes categorisation/classification of such incidents?
2b.Can you provide me with the information or document(s) referred to in 2a? (This can be an email attachment of the document(s), a link to the document(s) on your publicly facing web site or a ‘cut and paste’ of the relevant section of these document(s))

3a.Do you know how many data protection incidents your organisation has had since April 2011? (Incidents reported to the Information Commissioners Office (ICO) as a Data Protection Act (DPA) breach)
Answer: Yes, No, Only since (date):
3b.How many breaches occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

4a.Do you know how many other information security incidents your organisation has had since April 2011? (A breach resulting in the loss of organisational information other than an incident reported to the ICO, eg compromise of sensitive contracts or encryption by malware. )
Answer: Yes, No, Only since (date):
4b.How many incidents occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

5a.Do you know how many information security events/anomaly your organisation has had since April 2011? (Events where information loss did not occur but resources were assigned to investigate or recover, eg nuisance malware or locating misfiled documents.)
Answer: Yes, No, Only since (date):
5b.How many events occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

6a.Do you know how many information security near misses your organisation has had since April 2011? (Problems reported to the information security teams that indicate a possible technical, administrative or procedural issue.)
Answer: Yes, No, Only since (date):
6b.How many near-misses occurred for each Financial Year the figures are available for?
Answer FY11-12: FY12-13: FY13-14: FY14-15:

Download response Breaches of the Data Protection Act 230516

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

Chief Clinical Information Officer and the Director of Health Informatics.

1. Can you please provide the name and email of your Chief Clinical Information Officer or the person who holds the equivalent role in your trust?
Name:
Contact Details:

2. Can you please provide the name and email of the Trust Director of Informatics or the person who holds the equivalent role in your trust?
Name:
Contact Details:

Download response Chief Clinical Information Officer and the Director of Health Informatics  230916

Conflict of Interest Register and the Gifts and Hospitality Register 2015/2016.

I am requesting a copy of the Trust’s Conflict of Interest Register (or Declaration of Interests Register) and Gifts and Hospitality Register for the financial year 2015/16.
I am also requesting the number of staff members who have been the subject of internal investigations or disciplinary proceedings in relation to purported conflicts of interest, or the failure to declare them, and the outcomes of these investigations or proceedings, also for the financial year 2015/16.

Download response Conflict of Interest Register and the Gifts and Hospitality Register 2015/2016 060916

Contact details of Trust Management personnel – June 2016

I am writing to make an open government request for all the information to which I am entitled under the Freedom of Information Act 2000.
Please provide contact details as listed below for Chief Finance Officer (CFO), Chief Information Officer (CIO)/Head of IT, Chief Executive (CEO), Director of Resources, Medical Director, Caldicott Guardian
Where you don’t have exact job title as above, please provide equivalent or if your Trust does not hold such a position please advise.
· Full Name
· Job Title
· Email
· Telephone
· Postal Address

Download response Contact details of Trust Management personnel – June 2016 060616

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

Director/Senior Manager organisational information.

I would like to ask for the following information under the FOI Act please;
· Name
· Job Title
· Email Address
· Phone Number
· Role: (see below)
For the Director / Senior Manager who are responsible for the following roles within your organisation;
· Corporate Governance
· Information Governance
· Information Security
· Data Protection

Download response Director/Senior Manager organisational information 280716

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

Financial Accounts 2015-2016

I am requesting an electronic copy of your 2015/16 financial accounts.

Download response Financial Accounts 2015-2016 280716

Financial position of the Trust 2014-2016.

Please provide information on the financial position, for 2014/15 and 2015/16 for i) the trust/CCG ii) all NHS hospitals within the trust and iii) the mental health trusts. Please set out the gross assets and liabilities in each case and whether the Trust was in surplus or deficit and the level thereof.

Download response Financial position of the Trust 2014-2016 180516

Improvement Director

1. The cost of your improvement director supplied through KPMG
2. How long this person (whom I understand was Jane Hurst) fulfilled that role and whether she did it full or part-time (and, if part-time, how many days a week she was working).

Download response Improvement Director 060916

Organisational chart

Please can you reply with an organisational chart including the names, job titles and contact details (email or direct line) of all the divisional clinical managers/directors, deputies and general managers within the organisation.

Download response Organisational chart 060916

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

Public sector financial efficiency.

1) Does the organisation use an external provider for VAT advisory services? If so please state the name of the organisation used? (E.g. Ernst Young, Berthold Bauer, Liaison, CRS, KPMG etc.)?
2) Please state the contract start and end date.
3) Please confirm the total value of VAT recovered by the provider in 2015/16
a. Please state the total value of under-claims recovered
b. Please state the total value of over-claims recovered
4) Please state the total amount spent by the organisation for these services in 2015/16
5) Did the organisation use an external provider to re-review VAT recovered in the last financial year (15/16)?
a. If so please state the name of the company used
6) Please state the total amount of additional VAT recovered by the provider in 2015/16
7) Please state the total amount spent by the organisation for these services
8) Please state the total number of Accounts Payable invoices processed by the organisation in the last financial year (15/16)
9) Please state the total value of Accounts Payable invoices in the last financial year (15/16)
10) In the last five years, please state the name(s) of all external organisation(s) used to review AP and identify and recover erroneous payments, and the period(s) reviewed by each.
11) Please state the total value of moneys recovered by each provider in the period(s) reviewed.
12) Please state the total amount paid to any external parties for this review work.

Download response Public sector financial efficiency 060916

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 2015.

How many times in March 2015 were your trust hospitals under a red or black alert?

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

Download response Red and black alerts for March 2015. 180516

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

Red and black alerts guidance and procedures.

1. Please provide the number of days each month, with the specific dates, that each A&E managed by your trust has been on green, amber, red or black alert for the last three years, up to the most recent possible date.

For clarification, if the most recent date is 02/05/16, please provide the data for the last 36 months.

Please present this in an excel file.

2. Please also provide the official definition, guidance, and procedures communicated to staff when a ‘black alert’ is announced, particularly guidance given to the flow coordinator or similar role.

Download response Red and black alerts guidance and procedures 180516

Risk Assessment Policy and Procedure

1. Your organisation’s current Risk Assessment Policy (or nearest equivalent,
e.g. Risk Management Policy and Guidance).

2. Your organisation’s current Risk Assessment Procedures (or nearest equivalent,
e.g. Risk Management Procedures).

Download response Risk Assessment Policy and Procedure 280716

Salary and benefits of the Trust senior management team.

Please provide me with the following information for each member of the Trust’s senior management team.

• Their band of salary broken down by the following years: 2012, 2013, 2014, 2015 and 2016
• The band of pension related benefits that they received in the following years: 2012, 2013, 2014, 2015 and 2016
• The performance-related pay and bonuses they received in 2012, 2013, 2014, 2015

Please provide the name and title of each senior manager.

Download response Salary and benefits of the Trust senior management team 180516Download response Salary and benefits of the Trust senior management team 180516

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

Sustainability and Transformation Plan (STP).

Please provide the following information:

· A copy of the Sustainability and Transformation plan draft submitted to meet the 30th June deadline.
· A copy of the most recent draft of the Sustainability and Transformation plan.
· A copy of all agendas and minutes of the Sustainability and Transformation plan leadership team meetings.

Download response Sustainability and Transformation Plan (STP) 310816

Sustainability and Transformation Plan (STP).

1) Whether the organisation possesses a copy of the local NHS “footprint’s” Sustainability and Transformation Plan (STP), as currently formulated. The organisation should possess a copy, as it is the lead organisation for the local footprint.

2) Please provide a copy of the local STP, as currently formulated.

Download response Sustainability and Transformation Plan (STP) 310816

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

Baby weights 2015-2016

I would like to know the following regarding live births:
1. The weights of the five heaviest babies that were born in the Trust last year – financial (2015-16) or calendar (2015) year, whichever is easiest.
2. The weights of the five lightest babies that were born in the Trust last year for pregnancies that reached around full term (i.e. that weren’t born prematurely).

Download response Baby weights 2015-2016 090916

Bank midwifery staff spend since April 2010.

Please provide the monthly spending in bank midwifery staff since April 2010?

Download response Bank midwifery staff spend since April 2010 250716

Births without a midwife and outside a maternity ward 2014 to 2016 to date.

All information should be broken down in years – 2014, 2015 and for 2016 up until the date this request was received.

1. How many women gave birth alone without the assistance of a midwife?

2. How many women gave birth outside of a maternity ward? Where did those women give birth (i.e. ambulances, A&E departments, corridors)?

3. How many women gave birth using stirrups?

Download response Births without a midwife and outside a maternity ward 2014 to 2016 to date 230516

Closure of maternity services 2013 – May 2016.

For the past three years – from January 2013 up until the date this request was received – please can you tell me?

a) The number of times labour wards were closed (and if possible, the reason or closure);

b) On those occasions, which maternity units were expectant mothers transferred to?

Closure of maternity services 2013 – May 2016Closure of maternity services 2013 – May 2016

Closure of the maternity units to new patients between 2011 and 2016.

How many times have you had to temporarily close your maternity units to new patients during the following financial years – 2011-12, 2012-13, 2013-14, 2014-15 and 2015-16 to date?

For trusts which operate on multiple sites, can you please make it clear how many temporary closures there were on each maternity facility – and to break the figures down for each?

For the closures referred to above, can you please reveal how long the wards were closed to new patients for?

Where possible can you explain the reasons for the temporary closures of maternity wards at your trust during the years stated above?

Download response Closure of the maternity units to new patients between 2011 and 2016 180516

Consultant Obstetricians

1. Please tell me how many consultant obstetricians are employed by the trust?
2. If possible, please tell me how many were employed by the trust at the end of the following financial years: a) 2009-10 b) 2005-6?
3. Please tell me how many consultant obstetricians were onsite (not including on call) on Wednesday March 23rd 2016 at 3pm?
4. Please tell me how many consultant obstetricians were onsite (not including on call) on Sunday March 20th 2016 at 3pm?
5. Please tell me how many consultant obstetricians were onsite (not including on call) on Wednesday 23rd March 2016 at midnight?
6. Please also tell me how many overseas visitors you treated in the maternity unit in the calendar year 2015 who were not eligible for free NHS care?
7. With reference to the above question, please state the highest bill accrued by an overseas visitor in the maternity unit which has not yet been repaid?
8. Please provide as many details as possible about the patient, the babies and the care without compromising confidentiality

Download response Consultant Obstetricians 060916

Ectopic pregnancy treatment

TREATMENT OF ECTOPIC PREGNANCY IN YOUR UNIT.
In relation to the last 12 months:
Do you offer systemic methotrexate as a first-line treatment to women who are able to return for follow-up and who have all of the following:
• no significant pain, and an unruptured ectopic pregnancy with an adnexal mass smaller than 35 mm with no visible heartbeat
• a serum hCG level less than 1500 IU/litre?
Do you offer the choice of either methotrexate or surgical management to women with an ectopic pregnancy who have a serum hCG level of at least 1500 IU/litre and less than 5000 IU/litre, who are able to return for follow-up and who meet all of the following criteria:
• no significant pain and an unruptured ectopic pregnancy with an adnexal mass smaller than 35 mm with no visible heartbeat?
What percentage of women have surgical treatment of their ectopic pregnancy performed by laparotomy?
What percentage of women have surgical treatment of their ectopic pregnancy completed laparoscopically?
What percentage of women have surgical treatment of their ectopic pregnancy initiated laparoscopically and converted to laparotomy?
Do you always have the correct equipment available to allow the laparoscopic treatment of ectopic pregnancy?
Do you perform salpingectomy for women with an ectopic pregnancy and no clear risk factors for infertility?
Do you perform salpingotomy for women with risk factors for infertility?
Please estimate the % of surgeons operating on ectopic pregnancies who you think can competently and confidently perform a salpingotomy?
What equipment / organizational / training issues could improve the laparoscopic treatment of your patients with an ectopic pregnancy?

Download response Ectopic pregnancy treatment 280716

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

Junior Doctor’s contract

Please provide all emails sent/received or cc:d in by your Director (or
Head) of Human Resources concerning the new Junior Doctor’s contract, in the last 2 months up to 4/8/16. Please make sure to include anything on the contract’s imposition, including any consequences for not implementing it. Please provide attachments.

Download response Junior Doctor’s contract 090916

Labours and subsequent births 2013, 2014 and 2015.

1. How many labours were recorded for each of the previous three calendar years for each of these birth options:
a) home birth
b) birth in midwife-led unit
c) hospital birth (obstetrician-led unit)
2. Please list for each category how many labours resulted in caesarean delivery.
3. Of the caesarean deliveries listed above, please state the number which were elective and out of those, which were booked on request of the patient.
4. If you hold information on the average cost for each birth option (home birth, midwife-led birth, hospital birth and additionally for caesarean), please can you provide this.

Download response Labours and subsequent births 2013, 2014 and 2015 270616

Maternity services

1, What is your current funded establishment (staffing) in the maternity service – please give a breakdown of type of job and numbers of posts and pay bands (i.e. Head of Midwifery, consultant midwives, midwives, medical registrar, ancillary staff etc.). Please provide whole-time equivalents, wte.
2, On November 11th 2015, please give a breakdown of the vacancies (on the basis of job grade outlined in question 1 by wte). Please tell me how many of those vacancies (based on job grade) have been vacant for:
Less than 1 month
1 to 3 months
3 + months
3, On November 11th 2015 from 00.01 to 24.00, in total how many women in the maternity services department were in established labour? Of those women, how many received 1 to 1 care from a midwife for the entire duration of established labour?
4, On November 11th 2015, how many midwives were rota’ed on duty – and how many were on duty?

Download response Maternity services 280716

Maternity services 2011-2016

1. If your trust has (a) midwife-led birth ward/unit(s), on what date did the ward/unit(s) open (Year and month is fine)?

2. In the event that a patient admitted to commence delivery on a midwife-led birth unit/ward has to be transferred to a consultant-led unit, please list the facilities you have the option to transfer them to and provide the distance between the midwife-led unit and consultant-led unit in miles. If they are located on the same site as each other please say so.

3. How many mothers were admitted to commence delivery in each midwife-led unit in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16?

4. How many mothers who started delivery in each midwife-led unit completed their delivery there in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16?

5. How many mothers who started delivery in each midwife-led unit were transferred to hospital/consultant-led unit during delivery in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16? I am seeking information on those who had to be moved to one of the facilities you listed in answer to question 2, above.

6. For each of the years in question 5, above, please provide the list of reasons for transfer and give the percentage of transfers for each reason.

7. How many mothers commenced delivery at home (a planned home birth) in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16?

8. How many mothers who started delivery in a planned home birth completed their delivery there in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16?

9. How many mothers who started delivery in a planned home birth were transferred to hospital/consultant-led unit during delivery in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16?

10. For each of years in question 9 above, please provide the list of reasons for transfer and give the percentage of transfers for each reason.

11. How many mothers were admitted to commence delivery in a consultant-led unit in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16 (excluding those who had started on a midwife-led unit and were transferred)?

12. How many mothers were admitted to commence delivery in any other facility associated with your trust in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16?

13. How many mothers who started delivery in any other facility associated with your trust were transferred to hospital/consultant-led unit during delivery in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16?

14. For each of the years in question 13 above, please provide the list of reasons for transfer and give the percentage of transfers for each reason.

15. How many mothers who started delivery in any other facility associated with your trust completed their delivery there in each of the following years (if applicable): 2011-12, 2013-13, 2013-14, 2014-15 and 2015-16?

Download response Maternity services 2011-2016 270616

Maternity Unit discharges 2011-2015.

1. For each of the past five calendar years (2011 to 2015) what is the total
number of women who have been discharged from maternity units/birthing
centres between the hours of 00.00 hours and 06.00 hours after having live
births?
Please note I would like an individual figure for each year rather than an
overall total.
2. I would also like details on the times of day mothers are discharged
from your maternity units/birthing centres after giving birth, during 2015.
For 2015 I would like the number of mothers who have given live births
discharged for each hour of the day;
-Between 00.00 hours and 00.59 hours
-Between 1.00 hours and 01.59 hours
-Between 02.00 hours and 02.59 hours and so on to complete the 24 hour
period.

Download response Maternity Unit discharges 2011-2015 270616

Maternity units

Could you please tell me the names of your maternity units and sites and the distances they are apart?

Could you please tell me the number of births at each individual named maternity unit and site, for the last year?

For every named maternity unit and site run by your trust, could you please tell me?

1. The number of full-time consultant obstetricians working at each unit/ site

2. The number of part-time consultant obstetricians working at each unit/ site

3. The number of whole time equivalent consultant obstetricians working at each unit/ site

4. The number of hours each named unit or site has a consultant obstetrician working in the hospital Monday to Friday

5. The number of hours each named unit or site has a consultant obstetrician working in the hospital on Saturdays

6. The number of hours each named unit or site has a consultant obstetrician working in the hospital on Sundays

7. The number of hours each named unit or site has a consultant obstetrician working in the hospital on Bank holidays

In addition, could you please give the following information specifically for the Easter Bank Holiday weekend Friday March 25 to Monday March 28 2016?

8. The number of hours each named maternity unit or site had a consultant obstetrician working in the hospital on Friday March 25 2016

9. The number of hours each named maternity unit or site had a consultant obstetrician working in the hospital on Saturday March 26 2016

10. The number of hours each named maternity unit or site had a consultant obstetrician working in the hospital on Sunday March 27 2016

11. The number of hours each named maternity unit or site had a consultant obstetrician working in the hospital on Monday March 28 2016

Download response Maternity units 060916

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

Temporary closure of Maidstone Birth Centre.

Please could you send the following information, which I understand was collected from the Midwives Local Supervisory Authority:
The dates (day, month, year) that Maidstone Birth Centre from Maidstone Hospital temporarily closed their doors to new maternity patients from 1st April 2004 onwards (or the earliest date available, if this is later).
Bank/agency spend on midwifery staff for each month from April 2010 onwards (or the earliest date available, if this is later).

Download response Temporary closure of Maidstone Birth Centre 180516

Temporary closure of Maidstone Birth Centre.

May I just ask for two clarifications:
1. Was the closure in 2015 the only temporary closure to new maternity patients between 2004 and 2016 or is there lack of data for the other years?
2. Regarding the spending on midwifery staff, you have reported the Trust does not use agency midwifery staff. Is that also true for bank midwifery staff?

Download response Temporary closure of Maidstone Birth Centre 280716

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

Women aged over 50 who gave birth.

1 – How many women aged 50 and over gave birth in any of your maternity units in a) 2016 to date, b) 2015 and c) 2014?

2 – If possible, for each year please tell me how many of these women had IVF abroad.

Download response Women aged over 50 who gave birth 180516

 

Workforce

Additional payments to consultants 2012-2015

a) Can you please tell me how many consultants in your trust have been paid more than £50,000 by your trust, in addition to their NHS salary, in each of the last three years, to carry out additional work for the Trust?

b) In each case, can you please tell me the sum paid and a description of the additional work it was paid for?

c) Can you please tell me how much your trust has spent, in each of the last three years, on having NHS patients treated privately, either at your own trust or at a private hospital?

d) For each of the last three years, could you please give a breakdown of what the treatment carried out under a private arrangement was and the reason why the treatment had to be carried out privately?

Download response Additional payments to consultants 2012-2015 270516

Bank midwifery staff spend since April 2010.

Please provide the monthly spending in bank midwifery staff since April 2010?

Download response Bank midwifery staff spend since April 2010 250716

Chief Clinical Information Officer and the Director of Health Informatics.

1. Can you please provide the name and email of your Chief Clinical Information Officer or the person who holds the equivalent role in your trust?
Name:
Contact Details:

2. Can you please provide the name and email of the Trust Director of Informatics or the person who holds the equivalent role in your trust?
Name:
Contact Details:

Download response Chief Clinical Information Officer and the Director of Health Informatics  230916

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

Complaints or concerns raised by staff members

1) Name of:
a) Your trust
b) The hospitals in your trust
2) Between April and October 2015, how many complaints/concerns were raised by Trust staff members regarding?
a) Staffing levels/staffing shortages
b) Shifts being filled by under-qualified staff/staff “acting up”/agency staff/locums
c) Staff overwork/unpaid overtime
d) Staff not being able to take breaks
3) 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) from September 2014 to September 2015?
4) What was the age of the patient (from question 3) and the reason for delay?
5) 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) from September 2013 to September 2015?
6) What was the age of the patient (from question 5) and the reason for delay?

Download response Complaints or concerns raised by staff members 270516

Compromise agreements January 2011 and December 2015

Please advise in relation to the 5 years between January 2011 and December 2015 inclusive:
1) How many compromise agreements has the Trust entered into with staff or former staff? Please include all COT3 agreements in this figure.
2) How many of these compromise agreements require staff members not to disclose the existence of the compromise agreement itself?
3) How many of these compromise agreements contain non-disparagement clauses that require staff members not to criticise the employees of the Trust?
4) How many of these compromise agreements were entered into by the Trust with staff who had previously made public interest disclosures, (whether or not these were raised by formally invoking the Trust’s whistleblowing policy)?
5) If staff who have entered into a compromise agreement with the Trust were to voice concerns about reprisal by the Trust for whistleblowing, would the Trust consider this to be an actionable breach of non-disparagement clauses, or would it consider the raising of such concerns to be qualifying disclosures under PIDA?

Download response Compromise agreements January 2011 and December 2015 270616

Conflict of Interest Register and the Gifts and Hospitality Register 2015/2016.

I am requesting a copy of the Trust’s Conflict of Interest Register (or Declaration of Interests Register) and Gifts and Hospitality Register for the financial year 2015/16.
I am also requesting the number of staff members who have been the subject of internal investigations or disciplinary proceedings in relation to purported conflicts of interest, or the failure to declare them, and the outcomes of these investigations or proceedings, also for the financial year 2015/16.

Download response Conflict of Interest Register and the Gifts and Hospitality Register 2015/2016 060916

CQC inspection staff (or general NHS inspectors):

1. The total amount of sessions held where a person has been paid to teach staff how to behave and talk if they are approached by a CQC Inspector (or any other type of NHS inspector).

2. The total amount of money spent hiring the person to teach staff how to behave and talk in front of a CQC Inspector (or any other type of NHS inspector) at these sessions.

I would like this information broken down annually from January 2013 until December 2015.

Download response CQC inspection staff (or general NHS inspectors) 060916

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

Director/Senior Manager organisational information.

I would like to ask for the following information under the FOI Act please;
· Name
· Job Title
· Email Address
· Phone Number
· Role: (see below)
For the Director / Senior Manager who are responsible for the following roles within your organisation;
· Corporate Governance
· Information Governance
· Information Security
· Data Protection

Download response Director/Senior Manager organisational information 280716

Employees who have left the Trust as a result of judicial mediation 2011 – 2016

1. For each of the past five financial years, what was the total number of employees that left your trust through judicial mediation?
2. For each of the last five financial years how much was paid to departing employees through judicial mediation? Again, I am looking for annual breakdowns of the data.
The annual breakdown should include the following three elements;
A – The statutory amount the employee received (i.e. the sum to which they were legally entitled for redundancy).
B – The amount paid in special severance payments.
C – The overall total of statutory and special severance payments.
3. For each of the past five financial years, how many of the employees who left through judicial mediation signed a settlement agreement (formerly known as a compromise agreement)?
4. For each of the past five financial years, how many employees who left through judicial mediation agreed a confidentiality clause?
5. Taking the definition of confidentiality clauses used in Question 4, for each of the past five financial years, how many fell under the definition 1? 2? 3? Other?
6. For each of the past five financial years, how many staff who left via judicial mediation received an agreed reference?
7. For each of the past five financial years, how many of the judicial mediation cases were referred to the Department for Health/Treasury for sign off?

Download response Employees who have left the Trust as a result of judicial mediation 2011 – 2016

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

Full contact details for the HR staff member responsible for locum appointments

Please can you give me the contact details for the HR person that deals with Locum appointments?

Please can I have their full name, job title, email address and direct dial telephone number.

Download response Full contact details for the HR staff member responsible for locum appointments 180516

Gifts and Interests 2012-2016.

I would like a breakdown in the last five years, items which have been logged on your organisation’s gifts and hospitality register by staff, detailing:
Date item was declared
Description of item
Reason for the gift/hospitality
Value
Whether the item was accepted or declined
Additionally, does your organisation have a monetary limit on gifts (i.e. gifts worth under £50 are allowed) and can cash gifts ever permitted?

Download response Gifts and Interests 2012-2016 270616

Golden handshakes for new recruits.

I note that you are offering an additional ‘golden handshake’ payment to new recruits. Please can you answer the following?

1. Since the introduction of this, how many staff (wte) have been appointed?
2. How does this compare to a comparable period (before the introduction of the handshake)?
3. What has the fall out rate been?
4. Has this improved retention, if so how?
5. How have staffing levels on the hard to recruit areas changed?
6. Compared to temporary staffing spend (since the golden handshake introduction) what savings have been noted (reduction in bank and agency ‘v’ golden handshake spend)
7. Has your bank cover increased?
8. What has the feedback/response of staff already in post been?

Download response Golden handshakes for new recruits 280716

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

Human trafficking training for clinical staff.

(1) Do you provide training to clinical staff on the subject of human trafficking, either exclusively or within safeguarding training for adults and/or children?
If YES:
(2)(a) Do you provide this training to all clinical staff, OR Foundation Year 1, Foundation Year 2, Trust-Grade doctors, Registrars, or Consultants specifically?
(2)(b) Does your training include explicit mention of:
[i] the National Referral Mechanism for suspected victims of Human Trafficking?
[ii] the clinical indicators of human trafficking?
(2)(c) What the training involves (i.e. is it lecture based, practically based, self-directed learning, or the Human Trafficking Programme via the Electronic Staff Record) for Foundation Year 1, Foundation Year 2 doctors, Trust-Grade doctors, Registrars, and Consultants?

If NO:
(3)(a) Is the development of training planned or being developed (either within safeguarding or beyond)?
(3)(b) Are you planning on requiring staff to complete the Human Trafficking Programme for NHS healthcare staff via the Electronic Staff Record (ESR)?

Download response Human trafficking training for clinical staff. 180516

Impact of the Junior doctors strikes 2016.

Junior doctors in England took industrial action on eight days between January and April 2016. In this Freedom of Information request we are seeking information on the impact the action had on the trusts.
1. In total how many
a) Operations and procedures
b) Outpatient appointments
did the Trust postpone as a result of the action?
2. How many of the
a) Operations and procedures
b) Outpatient appointments
did the Trust rearrange and carry out within one month of the postponement?
3. How much did your Trust spend on extra agency/locum staff to cover absent junior doctors?
a) On the eight strike days
b)At a later date to run ‘catch-up’ clinics related to the strike?
(NB: this is about strike cover, so please don’t include agency/locum staff filling long-term vacancies)
4. How much did your Trust spend on overtime payments to nursing or medical staff to cover absent junior doctors?
a) On the eight strike days
b) At a later date to run ‘catch-up’ clinics related to the strike?
(NB: this is about strike cover, so please don’t include agency/locum staff filling long-term vacancies)
5. How many ‘days of in lieu’ were accrued by staff working extra shifts?
a) On the eight strike days
b) At a later date to run ‘catch-up’ clinics related to the strike?
6. What was the total of other costs (e.g. admin relating to the strike) not included in 3 and 4 above?

Download response Impact of the Junior doctors strikes 2016 060916

Implementation of the new Junior Doctor’s Contract August 2016.

1) Is the trust on course to implement the new contract in August 2016?
2) What steps the trust has taken to discuss with junior doctors working within it or under lead employer arrangements about the implementation of the contract and the perspective of trainees?
3) Has the trust advertised / is planning to advertise for the new guardian role(s)? If so please supply further information about the job specification, essential requirements and person specification.
In addition I would be grateful if you could provide any materials pertaining to the implementation of the new contract within your trust. This should include but not be limited to
4) New rota designs (with comparisons from before)
5) Any modelling relating to the effects for the trust (including cost impact, levels of staffing across the week, impact upon training)
6) Details of any plans to change services offered in order to implement 7 day services as a result of this contract change.
7) Any correspondence from or to NHS employers, Health Education England or the local deanery regarding contract implementation.

Download response Implementation of the new Junior Doctor’s Contract August 2016 090916

Improvement Director

1. The cost of your improvement director supplied through KPMG
2. How long this person (whom I understand was Jane Hurst) fulfilled that role and whether she did it full or part-time (and, if part-time, how many days a week she was working).

Download response Improvement Director 060916

Information Governance Manager.

1. A current job description for your information governance manager (or equivalent position)

2. The banding for the role in Q1

3. A copy of the job evaluation profile match

Download response Information Governance Manager 090916

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

Learning Disabilities Service

Please provide me with an up to date Organisational Structure chart for The Learning Disabilities Services including all manager NAMES, contact details and job titles.

Download response Learning Disabilities Service 060916

Locum doctors within Haematology.

Can you please assist me with retrieving the total Agency spend on Locum Doctors within Haematology over the following months, within your Trust or Health Board?

December 2015
January 2016
February 2016
March 2016
April 2016
May 2016

Download response Locum doctors within Haematology 060916

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

Please release all strategic planning documents relating to junior
doctor numbers, coverage and rostering for the period June-Sept 2016

Overall in your hospital, considering junior doctors to be anything from FY1 to ST8, please tell me:
1. How many junior doctors do you have within your trust and can you please provide a breakdown of grade and specialty
2. How many doctors do you currently have rostered to work each weekend
3. How many doctors you will have working each weekend in August, when the new junior doctor contract is imposed
4. What is the anticipated change in salary for a junior doctor in rotas where pay protection will not exist e.g. the difference between average FY1 pay August 2015-Jul 2016 vs August 2016-July 2017
Specifically for FY1 doctors please tell me:
1. How many FY1 doctors do you currently have rostered to work each weekend
2. How many FY1 doctors you will have working each weekend in August, when the new junior doctor contract is imposed
For each individual grade of junior doctor, i.e. FY1, SHO (being FY2 to CT3 and trust grade SHO’s) and SpR/StR in each of these specialties:
Anaesthetics
Acute Medicine
Emergency Medicine
General Surgery
Intensive Care
Obstetrics and Gynaecology
Paediatrics,
Please tell me:
1. How many doctors do you currently have rostered to work each weekend
2. How many doctors you will have working each weekend in August, when the new junior doctor contract is imposed

For each individual grade of doctor (SHO (FY2-CT3 and trust grade SHO’s), SpR/StR) how many more doctors will you need to employ to ensure full rotas in Emergency Medicine, Anaesthetics, Intensive Care and Paediatrics?

Download response New Junior Doctor contract 090916

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 settlement agreements

1. For each of the last five financial years (11/12 – 15/16) what was the total number of employees who signed settlement agreements when they left your Trust? Please note I would like an annual breakdown for each year as opposed to one figure covering the five-year period.
2. For each of the last five financial years how much was paid to departing employees as part of the settlement agreements? Again, I am looking for annual breakdowns of the data.
The annual breakdown should include the following three elements;
A – The statutory amount the employee received (ie the sum to which they were legally entitled for redundancy).
B – The amount paid in special severance payments.
C The overall total of statutory and special severance payments for each of the last five financial years.
3 (A). For each of the past five financial years, how many of the settlement agreements signed with departing employees contained confidentiality clauses?
(B) Of the total number of confidentiality clauses issued during each financial year, how many came from Category 1 as defined above? Category 2? Category 3? Other?

4. For each of the last five financial years, how many departing NHS staff who signed a settlement agreement received an agreed reference as part of the agreement?
5. For each of the past five financial years, how many of the settlement agreements signed with departing employees were referred to the Treasury/Department for Health to be signed off?

Download response NHS settlement agreements 280716

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 chart

Please can you reply with an organisational chart including the names, job titles and contact details (email or direct line) of all the divisional clinical managers/directors, deputies and general managers within the organisation.

Download response Organisational chart 060916

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

Organisational structure chart for CAMHS.

Please provide me with an up to date Organisational Structure chart for CAMHS including all manager NAMES, contact details and job titles.

Download response Organisational structure chart for CAMHS 060916

Organisational Structure Chart for DOLS.

Please provide me with an up to date Organisational Structure chart for the DOLS including all manager NAMES, contact details and job titles.

Download response Organisational Structure Chart for DOLS 060916

Overseas recruitment

For the 2014-15 financial year and 2015-16 to date – how many medical staff have you recruited from overseas?
Can you please break down how many staff were doctors and how many were nursing staff?

Download response Overseas recruitment 271015

Parking permits issued between 30 August 2015 to 30 March 2016.

Can you tell me how many NHS staff have applied for a parking permit and issued with a permit between 30th of August last year and 30th of March 2016 and how many Interserve security staff have applied for a parking permit and issued with a permit between 30th of August last year and 30th of March 2016?

Download response Parking permits issued between 30 August 2015 to 30 March 2016 230516

Pay banding appeals by junior doctors in 2015.

1. In the year 2015, in your trust how many pay banding appeals for junior doctors were there? How many were successful? And how many (total) junior doctors were involved?

2. Following each of these appeals, how many resulted in a change in working pattern or extra staff/doctors being hired?

3. Very roughly, how many junior doctor have you employed in 2015?

Download response Pay banding appeals by junior doctors in 2015 180516

Payroll and recruitment services.

a) Who is the Trust’s service provider (in-house or 3rd party provider)?
b) If outsourced to a 3rd party provider, what is the name of the service provider you use?
c) If outsourced to a 3rd party provider, what is the value of the contract per annum (excluding transition fee)?
d) If outsourced to a 3rd party provider, what was the transition fee paid?
e) If outsourced to a 3rd party provider, when did the contract start and when is the contract due to expire?
f) If outsourced to a 3rd party provider, is the Trust’s intention to re-procure these services through a Trust run OJEU procurement exercise when the current contract expires?
i. If yes, who is the Trust’s contact for discussing these services and what are their contact details?
ii. If not, what is the route through which you will contract these services?
g) If the Trust provide these services in-house, does the Trust intend to investigate outsourcing these services in the next 12 months?
i. If yes, who is the Trust’s contact for discussing these services and what are their contact details?
h) What are the systems that the Trust (and/or 3rd party provider) utilises in conjunction with these services and what function do they perform?
Please indicate where any of the service areas apply electronic self service functionality and if so which system is the platform for data submission
i)What are the volumes of activity that are associated with each of the services areas per annum?
(an indication of the volumetrics sought is provided within the response are for each service)

Download response Payroll and recruitment services 060916

Payroll Services

1. Do you have your own Payroll service or have you outsourced – if so, to whom?
2. What price per payslip do you pay for your Payroll service?
3. How many years in total is the current contract length with your Payroll provider?
4. Do you use electronic expenses?
5. Do you use online-only payslips?
6. Do you use electronic time and attendance systems for recording additional hours and absences?
7. If outsourced, do you employ a lead role/s within your organisation whose main duties are to manage the relationship with the Payroll provider? If so, what NHS Agenda for Change salary band are they?
8. Who provides your Pensions advice service, is this included in the contract with your Payroll provider?
9. Are there additional Payroll services charged in additional to the price per payslip for your primary contract?
10. Does your Payroll provider charge you for late or erroneous documentation?
11. Does your payroll provider charge for processing advance payments or overpayments of salary?
12. Does your Payroll provider charge employees to process third party deductions, for example union subscriptions?
13. Does your Payroll provider charge employees for copies of documentation, for example, copy payslips or P60?
14. What Key Performance Indicators do you use as a measure of your Payroll provider’s quality of service?
15. Does your Payroll provider require transactions to be submitted using a chosen platform, for example Self-Service, electronic or paper form?

Download response Payroll Services 060916

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

Post-CCT doctors details in Gastroenterology

I would like to request information on any post-CCT Doctors currently undergoing training Fellowships or similar advanced training programmes in Gastroenterology within your Trust.

Please kindly include their full names, GMC number, start date, end date and training subspecialty.

Download response Post-CCT doctors details in Gastroenterology

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

Salary and benefits of the Trust senior management team.

Please provide me with the following information for each member of the Trust’s senior management team.

• Their band of salary broken down by the following years: 2012, 2013, 2014, 2015 and 2016
• The band of pension related benefits that they received in the following years: 2012, 2013, 2014, 2015 and 2016
• The performance-related pay and bonuses they received in 2012, 2013, 2014, 2015

Please provide the name and title of each senior manager.

Download response Salary and benefits of the Trust senior management team 180516Download response Salary and benefits of the Trust senior management team 180516

Staff and agency information

1. Staff Numbers – Average headcount of permanent and non-permanent staff over the entire 2015/16 financial year or just the headcount as at Thursday, March 31st 2016. Can you please split this into the major speciality/grades used by the trust?
2. Staff Cost – Total staff cost during the 2015/16 financial year split into permanent and non-permanent staff.
3. Agency Hours – Hours worked by agency staff in the 2015/16 financial year split by speciality/grade depending on how you report this within your trust.
4. Agency Spend – Total amount spent on agency staff in the 2015/16 financial year split into the categories or speciality/grade used by the trust.
5. Do you use a direct engagement model within your trust? Direct engagement model means the Trust pays agency staff directly and then pays the agency commission separately. The alternative to this is to pay the agency a lump sum for any work done by agency staff and the Agency in turn pays their own staff.

Download response Staff and agency information 060916

Staff contact details

Under the Freedom of Information act, please could you give the names and email address of the person responsible for the following roles:

Phlebotomy Service Manager
Patient Experience Lead
Transformation Lead
Outpatient Appt. Manager

Download response Staff contact details 270616

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 levels and bedstock numbers at Tunbridge Wells Hospital (TWH) at Pembury

1 could you please advise the staffing levels in the ward’s split between day and night and also weekends with again split of day and night.
Could you break this down by consultants, doctors, sisters, charge nurses, other ward staff split between trained and untrained.

2 could you also advise how it is possible for a member of the family to speak to a consultant, Doctor, Sister about their loved one and their treatment and condition. Particularly if they cannot speak for themselves in their best interests either through illness or age.

3 I notice that the Pembury hospital not surprisingly is now going to add another ward which I think will have a capacity of 38 beds. When will this open. Where is the money coming from.

4 when the old Pembury and the old Tunbridge Wells hospitals closed down there was a loss of beds. I have been told by staff in the past that the numbers lost were 200. Is this true. If not what was the figure.

5 the old Pembury had a history of a large number of mental health beds involving three wards. Probably close on 60 beds. These all closed. They were not transferred to Maidstone as commissioners would like is to think. Maidstone already had two wards for mental-health purposes and this did not change. All that happened was that they gave one of the wards the name of Brocklehurst for expedient confusion. However to get to the point we know that over the last three years due to inadequacy of mental health beds the additional cost of placing out of area for mental health trust has come to the region of £18 million. It doesn’t look as though the third ward of Maidstone is having any material effect to contain bed usage for mental health to the local area.
At the point of closed down of the mental health beds the consequence of consultation was that 10 mental health beds would be preserved at Pembury. Without further consultation this was countermanded and scrapped. Given the opening of this new ward and the space that obviously exists in the hospital are any of the mental health beds going to be reinstated in Pembury.

Download response letter Staffing levels and bedstock numbers at Tunbridge Wells Hospital (TWH) at Pembury 050516

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

Substantive posts within the Financial Management Team.

1. The number of substantive posts within the Financial Management team, both filled and vacant.

2. The total cost of mobile phones for the trust for the financial year 2015/16.

Download response Substantive posts within the Financial Management Team 060916

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

 

Whistleblowing policy and number of complaints 2011 – 2016.

For the last 5 financial years (2011/12-2015/16), broken down on a year by year basis how many times did employees use your whistleblowing policy to reveal concerns?
How many of those instances of whistleblowing complaints were investigated?
Following investigation, how many whistleblowing complaints resulted in further action being taken?
If possible within the cost limit, please also disclose the reasons why staff blew the whistle e.g. 11 instances of bullying, 12 instances of fraud, etc.

Download response Whistleblowing policy and number of complaints 2011 – 2016 230516

Whistleblowing September 2015

1) “collect data on the nature and number of concerns raised”
2) “Is there evidence of constructive and timely feedback?”
3) “Have there been any difficulties with confidentiality?”
4) “Have any events come to the board’s attention that might indicate that a staff member has not been fairly treated as a result of raising a concern?”
5) “Could the issues have been picked up or resolved earlier? If so, why weren’t they?”
6) “information from exit interviews”
7) “information from…PIDA or other legal claims”
8) Survey staff experience

Download response Whistleblowing September 2015 210915

Workforce caring for NHS patient attendances between 01 January 2013 to 31 December 2015

1) Number of Consultants in Trust split by;
– – day of the week they were in the Trust
– – specialty of the consultants
– – area of work for the Consultant i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether this was in core hours or outside of core hours*

2) Number of Junior Doctors in Trust split by;
– – day of the week they were in the Trust
– – specialty of the doctor
– – level of junior doctor i.e. SHO, SpR etc
– – area of work for the junior doctor i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether this was in core hours or outside of core hours*

3) Number of Nurses in Trust split by;
– – day of the week they were in the Trust
– – banding of the nursing staff
– – area of work for the nursing staff i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether this was in core hours or outside of core hours*

4) Number of AHPs in Trust split by;
– – day of the week they were in the Trust
– – banding of the AHP
– – area of work for the AHP i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether this was in core hours or outside of core hours*

5) Number of Consultants On-Call split by;
– – day of the week they were On-Call
– – specialty of the consultants
– – area of work for the Consultant i.e. outpatients, general ward, ITU, CCU, AMU etc
– – whether the Consultant is on-site or off-site for period of on-call
o if Consultant is on site, whether or not they are providing care in another area of the Trust during on-call period, i.e. outpatient clinic etc
– – whether this was in core hours or outside of core hours*

6) Whilst a Consultant in on-call, what is the maximum distance permitted for the Consultant to reside if they are not on site during their on-call period? How quickly is a Consultant expected to return to the Trust once they are called to attend?

7) How many ward rounds take place split by;
– – day of the week the ward round takes place
– – area of work for the ward round i.e. general ward, ITU, CCU, AMU etc
*please state what you believe your core hours to be

For each of the above I would like to know where there is an expectation for consultation / treatment plan to be documented electronically.

Download response Workforce caring for NHS patient attendances between 01 January 2013 to 31 December 2015 270616