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 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

A&E agency staff 2016. 290317

1. The amount spent on employing agency/temporary/locum doctors in A&E departments in each month in 2016.
2. The number of FTE roles covered by agency/temporary/locum doctors in each month in 2016
3. The total number of FTE doctors working in the A&E department in each month in 2016.

Download response A&E agency staff 2016. 290317

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 expenditure 2016-2017. 050717

1. The trust’s completed ‘Detailed agency collection” for month 12 of 2016-17, showing the year to date figures. (Example attached)
If for any reason the trust is minded not to provide this document, please list the five specialties for which the trust had the highest agency staff costs – as a % of total pay costs for the specialty – in 2016-17 in the table below. Please also fill in the cells detailing expenditure. If the trust’s accounts have not yet been audited, please use the unaudited figures.
2. Please state the total number of shifts for which the trust breached the national pay cap for medical agency staff in 2016-17 (55% above basic rates), and break this total down for each specialty where the breach occurred (its fine to only detail the top five specialties).
3. Please state the total number of shifts for the trust breached the national pay cap for agency nursing staff in 2016-17 (55% above basic rates), and break this total down for each specialty where the breach occurred. (It’s fine to only detail the top five specialties).
4. Please state the total number of shifts which required CEO sign off, and break these down for each specialty.
5. Please state the ten shifts for agency medical staff for which the highest hourly rate was paid. Please state the rate paid and the specialty.
6. For individual medical locums who have incurred the greatest total expenditure for the trust in 2016-17, please state the total amounts paid by the trust in the year in relation to these individuals’ work. Please also state their specialty. E.g. Medical locum 1, emergency medicine, total expenditure by the trust in 2016-17; £196,000

Download response Agency expenditure 2016-2017. 050717

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 locum spend in Cardiology. 040717

Could you please let me know the locum agency spend from May 2016 – Present? This refers directly to the cardiology department only; the staff will be Cardiographers, Cardiac Physiologists, Echo cardiographers, please note this is not referring to locum doctors or specialists.

These staff will fall under AHP/HSS or healthcare.

Download response Agency locum spend in Cardiology. 040717

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 Midwives and pay 2016. 300117

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 total number of hours worked by midwives supplied by an agency, broken down by the months in the table below?
3. What was the total cost for your trust for midwives working overtime, broken down by the months in the table below?
4. What was the total number of hours worked by midwives working overtime, broken down by the months in the table below?
5. What was the total cost for your trust, for midwives supplied by the bank, broken down by the months in the table below?
6. What was the total number of hours worked by midwives supplied by the bank, broken down by the months in the table below?

Download response Agency Midwives and pay 2016. 300117

Agency nurse cover November 2015 – April 2016. 061216

1. Are off frame work agencies used to cover nurse shifts?
2. On a month by month basis, what was your spend on agencies supplying off frame work nurses from 1st November 2015 to date? Please break down this information by RGN, ITU, CRITICAL, ODP’S, SCRUBS, PAEDS, HDU, A&E, AMU, ADVANCED NURSE PRACTITIONER, HCA’S ETC. If this is not possible then please break down by nurse bands.
3. Which agencies supply off frame work nurses?
4. On a month by month basis, how many times was the break glass clause used from 1st November 2015 to date?
5. Please pick 10 random shifts which were filled via off frame work agencies between 1st November 2015 to date and provide the following for each of the 10 shifts picked at random (it is not essential to name the specific agencies which relate to the chosen shifts):
• Amount that was paid to the agency to fill each shift or the hourly rate paid to the agency
• Number of hours in the shift
• Date shift filled
• The type of nurse used to fill the shift e.g. RGN, ITU, HDU, CRITICAL, A&E, PAEDS etc.
• The type of shift or shift start time e.g. Long Day or Long Night or alternatively shift start time e.g. 08:00 etc.

Download response Agency nurse cover November 2015 – April 2016. 061216

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 shifts. 250817

I am making a Freedom of Information Request to gain information on the volume of shifts that have been filled by agencies within nursing and medical locums (Doctors) at your organisation.

Further to this what is the percentage of shifts filled for Medical and for Nursing above the NHSi Cap.

Download response Agency shifts. 250817

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 in Radiology August 2016 – January 2017. 240317

Can you please assist me with retrieving the total Agency spend for Medical Locum Doctors within Radiology over the following months, within your Trust or Health Board?
August 2016
September 2016
October 2016
November 2016
December 2016
January 2017

Download response Agency spend in Radiology August 2016 – January 2017. 240317

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

Agency staff spend 2013-2016. 221116

Please can you confirm your monthly Hospital and/or Trust spend on agency staff during the last three financial years (FYE Mar-14, Mar-15, & Mar-16). Ideally, this should be broken down into spend by Hospitals/Trusts, the agency supplying the staff and by month.

Download response letter Agency staff spend 2013-2016. 221116

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

Annual spend on agency nursing staff. 070417

1) What is your annual spend on Agency Nurses?
2) How is this spend on agency Nurses broken down by individual supplier and what status are they? (i.e. PSL, Tier 1, Tier 2, Master Vendor, or Managed Service Provider?
3) What is the end / renewal date of the current contract you have in place for agency nursing?
4) Which framework do you currently use? (CCS, HTE, LPP, other)
5) Who is your senior procurement contact?
6) Who is your senior medical staffing/ nurse bank contact?

Download response Annual spend on agency nursing staff. 070417

Bank and Agency spend 2016. 070417

1. The number of hours filled by agency for all categories of Allied Health Professionals and Health Science Services for calendar year 2016 – broken down by month, Job Title and Job Band

2. The number of hours filled by bank for all categories of Allied Health Professionals and Health Science Services for calendar year 2016 – broken down by month, Job Title and Job Band

3. The Trusts total spend on agency staff for all categories of Allied Health professionals and Health Science Services for calendar year 2016 – broken down by month, Job Title and Job Band

4. The Trusts total spend on bank staff for all categories of Allied Health professionals and Health Science Services for calendar year 2016 – broken down by month, Job Title and Job Band

5. The number of hours filled by agency for all Nursing Staff for calendar year 2016 – broken down by month, Job Title and Job Band

6. The number of hours filled by bank for all Nursing Staff for calendar year 2016 – broken down by month, Job Title and Job Band

7. The Trusts total spend on agency staff for all Nursing Staff for calendar year 2016 – broken down by month, Job Title and Job Band
8. The Trusts total spend on bank staff for all Nursing Staff for calendar year 2016 – broken down by month, Job Title and Job Band

Download response Bank and Agency spend 2016. 070417

Bank and Agency Staff 221116

Staff Bank
1. Do you use a nurse bank?
2. Is it outsourced?
a. If yes, who is the provider?
b. Is your outsourced bank used via a framework, e.g., CCS, HTE, LPP?
c. Do you use the bank for other staff groups?
d. What was the spend on your staff bank in 2015/2016?
3. Do you use Agency Nurses?
a. What was your spend on agency nurses during 2015/2016?
b. Which framework do you use for agency nursing staff? E.g.: CCS, HTE, LPP, NOECPP
4. Are you meeting the NHS Improvement price caps on?
a. Band 5 general nurses
b. Band 5 specialist nurses
c. HCAs

Download response letter Bank and Agency Staff 221116

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

Dermatology locum doctors 060317

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

Download response Dermatology locum doctors 060317

Flexible staffing 071216

1. Does your Trust currently utilise a Direct Engagement (DE) model? – YES / NO
2. If Yes, who currently provides the service;
a. Brookson
b. Liaison/ PWC (StafFlow)
c. Liaison (TEMPre)
d. 24/7 Time
e. Other (please specify here)………………………..
3. What proportion (in percentage) of your agency workers for the following staff groups are directly engaged:
a. Medical Locums/Doctors (e.g. Acute, Emergency, General Surgery, Paediatrics, Gynaecology, Neurosurgery, Dermatology, Cardiology)
b. Allied Health Professionals/Health Science Staff (e.g. Biomedical Science, Clinical Physiology (Cardiology), Dietician, Occupational Therapy, Pharmacy, Physiotherapy, Radiography, Talking Therapy, Speech & Language Therapy, Psychology, Anatomical Pathology)
4. What percentage are you charged for the management of these services?
5. When was the DE contract awarded?
6. What is the contract duration?
7. What was the motivation with engaging with these services?

Download response Flexible staffing 071216

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 2013 – 2015 161116

Please could you provide me with the information mentioned below for 2013, 2014 and 2015?
1. Doctors: Annually how many posts are covered by locum staff in your Trust?
2. Nurses: Annually how many posts are covered by locum staff in your Trust?
3. How many posts as a percentage was covered by locum agency staff in your Trust (doctors and nurses separately for the years mentioned above)?

Download response locum staff 2013 – 2015 161116

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

Medical locum agencies. 070417

1. A list of all agencies the trust uses for temporary workers (Med Locums).

2. A breakdown of monetary spend per agency for the last 12 months.

Download response Medical locum agencies. 070417

Medical Locum doctors and Agency Nurses. 221116

Please clarify for the supply of both medical locum doctors and agency nurses:
1. What was your total spend for the last financial year (2015/16) for agency medical locums?
2. What was that spend broken by specialty, for example Accident and Emergency, Anaesthetics, Medicine, Mental Health, Obstetrics and Gynaecology, and Surgery?
3. What was that spend broken down by agency?
4. What was your total spend for the last financial year (2015/16) for agency nurses?
5. What was that spend broken by specialty, for example Accident and Emergency, Community, Critical, General, Mental Health, Midwifery, and Theatres?
6. What was that spend broken down by agency?

Download response Medical Locum doctors and Agency Nurses. 221116

Medical locum spend 2016. 130417

I would like to request the Trusts Medical Agency Locum Spend for the year 2016.

Can you please break these figures down accordingly?
1. Agency Locum spend for A&E Doctors in 2016
2. Agency Locum spend for General and Acute medicine Doctors in 2016
3. Agency Locum spend for Radiology Doctors in 2016
4. Agency Locum spend for Paediatric Doctors in 2016
5. Agency Locum spend for Obs and Gynae Doctors in 2016
6. Total Medical Agency Locum Spend in 2016

Please also break them down into the grade accordingly (SHO, Middle and Consultant).

Download response Medical locum spend 2016. 130417

NHS Improvement Agency Rules (20 November 2015). 040117

1. Since the introduction of NHS improvement Agency Rules (20 November 2015) how many times have you reported service closure of elective pathway?
2. Since the introduction of NHS Improvement Agency Rules (20 November 2015) how many times have you reported an effect on the patient experience?
3. Since the introduction of NHS Improvement Agency Rules (20 November 2015) how many times has there been occurrence of serious harm due to staffing levels?
4. How many times have you fallen below your safer staffing target since the introduction of the NHS Improvement Agency rules (20 November 2015)?
5. How many of the below have been reported due to insufficient staffing numbers since the introduction of NHSI Agency Rules in November 2015?
a). Patient falls
b). Pressure Ulcers

Download response NHS Improvement Agency Rules (20 November 2015). 040117

Nursing agency information. 210417

1. A list of all agencies the trust uses to fill Nursing requirements in tearing order (If the trust uses any tearing systems).
2. A breakdown of spend per agency the trust uses for nursing in the last 12 months.
3. A breakdown of hours filled per agency for nurses in the last 12 months.
4. The highest charge rate agreed to pay an agency nurse per hour for each speciality.
5. The highest margin an agency has declared per hour, for each speciality for nursing.
6. Any agency which has been blacklisted from supplying nurses to the trust.
7. If the trust uses any 3rd party payment systems and/or master venders in place who cascade shifts out to agencies, if so what are they called?

Download response Nursing agency information. 210417

Permanently employed and supplemental nurses. 241016

1. The number of nurses permanently employed and the number of supplemental nurses:
By each of those two categories, supplemental vs. permanently employed, we would like to know:
a. The average experience, measured in number of years as registered nurse.
b. The average age.
c. How many of them are i) British ii) EU-citizen (with exclusion of the UK) iii) Extra-EU citizen.
d. How many of them are certified.
e. How many of them are male.

Download response Permanently employed and supplemental nurses. 241016

Shifts covered by any doctor level for which the Trust has paid in excess of £150 per hour. 170517

1) In the past 6 months, have many shifts covered by any doctor level have you paid in excess of £150 per hour

2) In the past 3 months, have many shifts covered by any doctor level have you paid in excess of £150 per hour

3) In the past 1 months, have many shifts covered by any doctor level have you paid in excess of £150 per hour

Download response Shifts covered by any doctor level for which the Trust has paid in excess of £150 per hour. 170517

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

Staffing and locum data 2013 – 2016. 250417

Rota Data: (Please complete separate tables for each month for which data exists, for the last three years).
Consultant
Trainee (Specialist Registrar)
Trainee (Core Trainee)
Trainee (Foundation Year 2 Trainee)
Trainee (Foundation Year 1 Trainee)
Band 5 and 6 Registered Nursing Staff
Other Registered nurses
Nursing assistant
Phlebotomists
Occupational Therapists
Physiotherapists
Other allied Healthcare Professionals (please specify)
Ward Clerks
Other staff (please specify)

Locum Data: (Please provide separate tables for each year, for the last three years, that there is data available from).
Consultant
Non-training grades (excluding consultants)
Trainee (Specialist Registrar)
Trainee (Core Trainee)
Trainee (Foundation Year 2 Trainee)
Trainee (Foundation Year 1 Trainee)
Band 5 and 6 Registered Nursing Staff
Other Registered nurses
Nursing assistant
Phlebotomists
Occupational Therapists
Physiotherapists
Other allied Healthcare Professionals (please specify)
Ward Clerks
Other staff (please specify)

Download response Staffing and locum data 2013 – 2016. 250417

Temporary agency workers 211116

1. Please advise the total staff headcount that are employed directly by Maidstone and Tunbridge Wells NHS Trust, with each part-time employee counted as one employee. Please exclude all temporary agency workers from this figure.
2. Please identify each supplier that Maidstone and Tunbridge Wells NHS Trust has a contract with to supply temporary agency workers.
3. Please identify: a. the type of contract that Maidstone and Tunbridge Wells NHS Trust has with each of these suppliers (preferred supplier list/ framework/ etc. If framework, please indicate b. which – e.g. MSTAR/ YPO/ Panel London/ Pan London/ NPS All Wales/ Crown Commercial Services/ etc; and c. whether this is on a neutral/ master/ hybrid vender model, or the lot number.
4. Please advise for each contract identified within (2) above of: a. the current end date of the contract; b. the date(s) that any break clause(s) can be enabled; and c. the length of time of any extension that can be enabled.
5. Please advise of the full name of the main contact at Maidstone and Tunbridge Wells NHS Trust who is responsible for the main (or majority of the) contract(s) identified within (2) above, together with their:
a. job title;
b. group (either team, division or department, whichever is the smallest identifiable group);
c. telephone number;
d. email; and
e. full postal address, inc postcode.
6. Please identify all suppliers that Maidstone and Tunbridge Wells NHS Trust has sourced a temporary agency worker from – but does not have a contract with – from 1 April 2015 to 31 March 2016.
7. For each temporary agency supplier (either a. contracted as identified within (2) above; b. non-contracted as identified within (6) above; and c. all workers Maidstone and Tunbridge Wells NHS Trust has sourced directly), how much has been spent on each supplier (or directly), from 1 April 2015 to 31 March 2016?

Download response Temporary agency workers 211116

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 staff provisions 2015-2016 221116

Medical Locums
1. What was your agency spend on medical locums during 2015/2016?
2. Do you source your locums via:
o Mastervend
o Managed service
o Preferred supplier list
o Other (please state)
3. Which framework do you use to source your medical locums?
4. Are you working to the NHS Improvement rate caps?
5. Do you use direct engagement (VAT mitigation)?
AHP/HSS Staff Groups
6. What was your spend on agency AHP and HSS during 2015/2016?
7. Which framework do you use to source your agency workers in this area?
8. Are you working to the NHS Improvement rate caps?
Other staff groups
9. What was your agency spend on non clinical staff (not doctors, nurses, HSS or AHP staff) during 2015/2016?
10. Which framework do you use to source these staff?
11. Which staff groups do you use (eg, admin and clerical, ancillary, IT staff, senior manager interim staff, VSM interims)
12. Are you working to the NHS Improvement rate caps?

Download response Temporary staff provisions 2015-2016 221116

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 children’s operations – 01.07.16. 050517

1. How many children’s operations have been cancelled each month since 1st July 2016? Please give additional details as to what the main reasons for the cancellations were, how many were urgent operations or elective operations, and what type of illness did they involve, e.g. cancer, breathing problems, broken limbs etc.

2. How many children’s operations have been cancelled over the last four financial years to date?

Kindly note a child is anyone up to the age of 18.

Download response Cancelled children’s operations – 01.07.16. 050517

Cancelled elective operations 2010-2016. 200417

1. Since 1st April 2010 what has been the maximum cost to the Trust of an elective operation being cancelled last-minute for non-clinical reasons? Please give additional detail as to what the operation was and how many members of staff were supposed to be working on the operation.
2. Please provide the total number of elective operations cancelled last-minute for non-clinical reasons for each quarter going back to 2010.
3. Please provide the total quarterly cost of elective operations being cancelled last-minute for non-clinical reasons for each quarter going back to 2010.

Download response Cancelled elective operations 2010-2016. 200417

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 2011 – 2016. 141216

1. Over the past five financial years (2011-12, 2012-13, 2013-14, 2014-15, 2015-16) please state the number of last minute elective surgery cancellations there have been for non-clinical reasons for the following branches of surgery: trauma and orthopaedics, neurology, cancer, and ophthalmology. Please break down by year and surgery type.
2. Over the past five financial years (2011-12, 2012-13, 2013-14, 2014-15, 2015-16) please state how many patients were not treated within 28 days of last minute elective cancellation of an operation for the following branches of surgery: trauma and orthopaedics, neurology, cancer, and ophthalmology. Please break down by year and surgery type.

Download response Cancelled operations 2011 – 2016. 141216

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 2014 – April 2017. 050517

How many operations have been cancelled for non-clinical reasons IN THE 3 DAYS 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 2014, 2015, 2016 and 2017 – up to and including April 2017.
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 2014 – April 2017. 050517

Cancelled operations for non-clinical reasons 2013 to March 2016. 170516

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. 170516

Missing medical records 2013-2016.100217

• Over the last four years how many medical records went missing? Can I have that data broken down by year?
• How many incidents was this? Can I have that data broken down by year?
• As a result of these lost records how many procedures were a) delayed/postponed b) cancelled. Can I have that data broken down by year?
• What procedures were a) delayed/postponed b) cancelled. Can I have that data broken down by year?
I would like all this data by calendar years please.

Download response Missing medical records 2013-2016.100217

Theatre cancellation 2015-2017. 070317

1. Total number of theatre cancellations at your Trust on the day of surgery by month, site and surgical specialty from the 1st January 2015 to 31st January 2017 (inclusive).

2. Total number of theatre cancellations at your Trust within three (<3) days of surgery by month, site, surgical specialty and cancellation reason from the 1st January 2015 to 31st January 2017 (inclusive).

3. Total number of theatre cancellations at your Trust whether on or before the day of surgery due to no ward beds or no HDU / ITU beds being available by month, site and surgical specialty from the 1st January 2015 to 31st January 2017 (inclusive).

4. Total number of operations actually performed at your Trust by month, site, admission type (elective or non-elective) and surgical specialty from the 1st January 2015 to 31st January 2017 (inclusive).

Download response Theatre cancellation 2015-2017. 070317

 

Cancer and Haematology

Active surveillance for prostate cancer. 260717

Please outline details of the active surveillance protocol below (or attach the protocol document when replying to our request email):

Download response Active surveillance for prostate cancer. 260717

Advanced Prostate Cancer 070317

1. Within your trust how many unique patients with Advanced Prostate Cancer have been treated in the past 12 months?

2. How many patients with Advanced Prostate Cancer have received:
Abiraterone (Zytiga)
Cabazitaxel (Jevtana)
Docetaxel (Taxotere)
Enzalutamide (Xtandi)
Radium-223 (Xofigo)
Bicalutamide (Casodex)

Download response Advanced Prostate Cancer 070317

Advanced prostate cancer June 2016 to May 2017. 090617

Within your trust how many unique patients with Advanced Prostate Cancer have been treated in the past 12 months?

How many patients with Advanced Prostate Cancer have received;
Abiraterone (Zytiga)
Cabazitaxel (Jevtana)
Docetaxel (Taxotere)
Enzalutamide (Xtandi)
Radium-223 (Xofigo)
Bicalutamide (Casodex)
Advanced prostate cancer is cancer that has spread outside the prostate to other parts of the body such as the bones

Download response Advanced prostate cancer June 2016 to May 2017. 090617

Breast Biopsy. 280317

Under the Freedom of Information Act, please could you provide the following information for your Trust?
1. How many benign breast lesions has your Trust diagnosed per annum in the last three years?
2. How many benign breast lesions have been removed surgically per annum within your Trust in the last three years?
a. Of this total number, how many of these are classified as B2?
b. Of this total number, how many of these are classified as B3?
3. How many benign breast lesions have not been removed per annum in the last three years?
4. How many benign breast lesions have been removed by vacuum assisted excision (VEA) per annum in the last three years?
a. Of this total number, how many of these are classified as B2 (definition below)?
b. Of this total number, how many of these are classified as B3 (definition below)?
5. Is the Trust aware of NICE guidance promoting the use of VAE for removal of benign lesions?
6. Does the Trust have a referral pathway in place for vacuum assisted percutaneous excision of benign breast lesions?

With regards to this request, please note the following:

B3 Breast Lesion – Lesion of Uncertain Malignant Potential
Findings typical of this category include:
1. Clusters of tiny calcifications – round or oval
2. Non-calcified solid nodules (no size limitation but non palpable on physical examination), round, ovoid and well-defined.
3. Selected focal asymmetrical areas of fibroglandular densities (not palpable): This might include concave-outward defined margins, interspersed with fat and without central increased fibular density on two projections.
4. Miscellaneous focal findings, such as a dilated duct or post biopsy architectural distortion without central density
5. Generalized distribution in both breasts. For example, multiple similar lesions with tiny calcifications or nodules distributed randomly

B2 Breast Lesion – Benign Lesion
A definitive benign finding indicating something abnormal on a mammogram but not something that is breast cancer or malignant in any way. Findings often include:
1. Round opacities with macrocalcifications (typical calcified fibroadenoma or cyst)
2. Round opacities corresponding to a typical cyst at ultrasonography
3. Oval opacities with a radiolucent center
4. Fatty densities or partially fatty images (lipoma, galactocele, oil cyst, hamartoma )
5. Surgical scar
6. Scattered macrocalcifications (fibroadenoma, cyst, cytosteatonecrosis, secretory ductal ectasia);
7. Vascular calcifications
8. Breast implants, silicone granuloma

Download response Breast Biopsy. 280317

Breast Cancer Services. 070417

Can you please tell me how many women were diagnosed and received treatment between the years 2014 – 2015 and 2015 – 2016. How many women in each year were treated by breast conserving surgery (lumpectomy) and how many by mastectomy. Of the women who underwent mastectomy how many received an immediate reconstruction.

Download response Breast Cancer Services. 070417

Cancer care or treatment 2015-2016. 020317

1. In the years 2015 & 2016 of the patients that became resident for Cancer care/treatment with inside a hospital managed by your trust, please list the annual total for the patients as described?

2. Further to the above please also provide the annual total for those patients’ families who received a pass entitling free parking during the patients stay to reduce the financial burden on the family visiting?

Download response Cancer care or treatment 2015-2016. 020317

Cancer care or treatment 2015-2016. 020317

1. In the years 2015 & 2016 of the patients that became resident for Cancer care/treatment with inside a hospital managed by your trust, please list the annual total for the patients as described?

2. Further to the above please also provide the annual total for those patients’ families who received a pass entitling free parking during the patients stay to reduce the financial burden on the family visiting?

Download response Cancer care or treatment 2015-2016. 020317

Cancer operations – Annual cancellations. 310117

In the years 2015, 2016 & 2017 from January 1st until the current date could you please provide me with the total number per month of cancer operations cancelled by Hospitals under the umbrella of your Acute NHS Trust?

Download response Cancer operations – Annual cancellations. 310117

Cancer treatment. 040817

Please provide the following information:

-The number of patients who have received NHS-funded treatment for cancer (including surgery, radiotherapy and medicines) at your trust who have also received cancer treatment privately at your trust (including directly and through private patient units located on trust premises), providing an annual total for each of the last five financial years.

-Where cancer treatment was provided privately for patients at your trust in addition to NHS-funded cancer treatment, the total value of treatments received, providing an annual total for each of the last five financial years.

-Where cancer treatment was provided privately for patients at your trust in addition to NHS-funded cancer treatment, the five cancer treatments that were most commonly provided privately, providing an annual total for each of the last five financial years.

-Where cancer treatment was provided privately for patients at your trust in addition to NHS-funded cancer treatment, please include a breakdown of patient numbers and value of treatment by type of cancer.

-The number of patients who have received NHS-funded treatment for cancer (including surgery, radiotherapy and medicines) at your trust who have also received cancer treatment from any private provider, providing an annual total for each of the last five financial years.

Download response Cancer treatment. 040817

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

EMB Biopsy 060317

Do any hospitals in the trust perform Endomyocardial Biopsy?
– Yes
– No
a) If so how many were performed in 2014-15 financial year?
b) How many were performed for investigation of Myocarditis?
2) How many patients in 2014-15 were diagnosed with Myocarditis in the trust?
3) Does the Trust refer patients to other centres or trusts for Endomyocardial Biopsy?
4) If so which centres or trusts do you refer to?
5) Does your trust receive referrals from other centres or trusts for Endomyocardial biopsy?

Download response EMB Biopsy 060317

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

Head and Neck Cancer (Squamous Cell Carcinoma). 081116

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)?
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 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
2. 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). 081116

HER2 Breast Cancer. 080517

In your trust, how many patients with HER2 breast cancer are currently being treated (in the past 3 months available) with the following products;

Herceptin IV (trastuzumab IV) only
Herceptin SC (trastuzumab SC) only
Perjeta (pertuzumab) combined with Herceptin/Docatexel
Kadcyla (trastuzumab emtansine)
Tyverb (lapatinib)

Download response HER2 Breast Cancer. 080517

Intravenous cancer drug therapies 081116

On average how many patients receive intravenous cancer drug therapies (includes monoclonal antibodies (mAbs)) on a daily basis across all hospital chemotherapy day units in your organisation/Trust?

Download response Intravenous cancer drug therapies 081116

Melanoma patients and treatments. 240317

1. Within your health trust how many patients are currently [within the past 6 months] being treated for Melanoma?

2. Of these Melanoma patients how many are being treated for stage IV (advanced or metastatic) melanoma?

3. Of these how many are being treated for (advanced or metastatic) melanoma with the following;
Ipilimumab (Yervoy) single agent
Ipilimumab (Yervoy) in combination
Nivolumab (Opdivo)
Pembrolizumab (Keytruda)
vemurafenib (Zelboraf) single agent
vemurafenib (Zelboraf) in combination
dabrafenib (Taflinar)
trametinib (Mekinist)
dabrafenib AND trametinib
dacarbazine (DTIC)

4. How many patients are currently [within the past 6 months] being treated for Non Squamous Cell Lung Cancer with the following;
Afatinib (Giotrif)
Ceritinib (Zykadia)
Crizotinib (Xalkori)
Erlotinib (Tarceva)
Gefitinib (Iressa)
Pemetrexed (Alimta)
Nivolumab (Opdivo)
Pembrolizumab (Keytruda)

5. How many patients are currently [within the past 6 months] being treated for Renal Cell Carcinoma (RCC) with the following;
Interferon (Intron A)
Bevacizumab (Avastin)
Sunitinib (Sutent)
Pazopanib (Votrient)
Aldesleukin (IL-2, Proleukin or interleukin 2)
Sorafenib (Nexavar)
Everolimus (Afinitor)
Temsirolimus (Torisel)
Cabozantinib (Cometriq)

Download response Melanoma patients and treatments. 240317

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

Mouthwash product for oral mucositis treatment or prevention. 270317

1. Please advise the estimated number of beds at your hospital(s)
2. Please advise the estimated number of patients treated annually at your hospital(s)
3. Please advise the estimated number of patients receiving chemotherapy at your hospital(s) each year
4. What is the preferred mouthwash product prescribed to patients for oral mucositis treatment or prevention?
5. What is the estimated annual spend on mouthwash?
6. What is the estimated annual number units of mouthwash prescribed?

Download response Mouthwash product for oral mucositis treatment or prevention. 270317

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

Neuroendocrine Tumours. 070717

1. In your trust, please provide the number of patients treated in the last 12 months who have been diagnosed [any diagnosis position] with neuroendocrine tumours
2. Of these how many have carcinoid syndrome (E34.0)?
3. Of the patients with neuroendocrine tumours (NETs), how many received with the following treatments:
• Somatuline Autogel (lanreotide)
• Somatuline LA (lanreotide)
• Sandostatin LAR (octreotide LAR)
• Octreotide
• Afinitor (everolimus)
• Sutent (sunitinib)
4. Please provide the number of patients treated in the last 12 months who have been diagnosed [any diagnosis position] with acromegaly (ICD10 code E220 or ICD10 code D352), with the following treatments:
• Somatuline Autogel (lanreotide)
• Somatuline LA (lanreotide)
• Sandostatin LAR (octreotide LAR)
• Octreotide
• Somavert (pegvisomant)
• Signifor (pasireotide pamoate)

*To assist in sourcing the answer to my question specifically in respect of NETs, the below information may be of use.
In relation to patients with neuroendocrine tumours, these tumours are typically identified from pathology analysis, but may be coded using various ICD10 codes. The following may be commonly used:
• C787 – Secondary malignant neoplasm of liver
• C786 – Secondary malignant neoplasm of retroperitoneum and peritoneum
• C772 – Secondary and unspecified malignant neoplasm of Intra-abdominal lymph nodes
• C780 – Secondary malignant neoplasm of the lung
• Z850 – Personal history of malignant neoplasm of digestive organs
In any event, I am requesting information only in respect of those patients with neuroendocrine tumours who are being treated with the above treatments.

Download response Neuroendocrine Tumours. 070717

Non-Small Cell Lung Cancer. 300317

1. Within your health trust how many patients are currently [within the past 6 months] being treated with a chemotherapy agent [not including surgery/radiotherapy only];

a. All Non-Small Cell Lung Cancer patients
b. Patients with Non-Small Cell Lung Cancer (NSCLC) Stage IIIB**/IV** (Stage 3b/4)

c. Of the NSCLC patients, please state the number of patients currently [within the past 6 months] being treated with the following therapies;
Afatinib (Giotrif)
Ceritinib (Zykadia)
Crizotinib (Xalkori)
Erlotinib (Tarceva)
Gefitinib (Iressa)
Nitendaninb + docetaxel
Nivolumab (Opdivo)
Pemetrexed (Alimta) mono or in combination with carboplatin / cisplatin
Pembrolizumab (Keytruda)
Gemcitabine mono or in combination with carboplatin / cisplatin
Paclitaxel mono or in combination with carboplatin / cisplatin
Doxetaxel mono or in combination with carboplatin / cisplatin
Vinorelbine [or other Vinka alkaloid] mono or in combination with carboplatin / Cisplatin

Download response Non-Small Cell Lung Cancer. 300317

Non-small cell lung carcinoma (NSCLC) pathology testing 111016

1) What is the volume of NSCLC pathology samples tested in house?
2) Does your laboratory process EGFR samples in house? (Yes/No)
• If yes, what is the number of samples being tested per year/month?
3) Does your laboratory process ALK samples in house? (Yes/No)
• If yes, what is the number of samples being tested per year/month?

Download response Non-small cell lung carcinoma (NSCLC) pathology testing 111016

Oral mucositis and barrier mouthwashes. 190717

1) Please advise the estimated number of patients receiving chemotherapy and radiotherapy at your hospital(s) each year.
2) What is the preferred ‘barrier’ mouthwash product prescribed to patients for oral mucositis treatment and/or prevention?
3) Which of the following ‘barrier’ mouthwash brands, if any, have previously been prescribed in your hospital(s):
– Caphosol
– Gelclair
– Mucodis
4) What is the estimated annual spend on mouthwash?
5) What is the estimated annual number of units of mouthwash prescribed annually?
6) How much Saline and Difflam mouthwash are prescribed for OM?
7) What are your current prescribing pathways for oral mucositis care?
8) Do you currently prescribe anything for the prevention and/or treatment of the following conditions:
– Vaginal mucositis (Vulvovaginitis)
– Rectal mucositis
– Radiation dermatitis

Download response Oral mucositis and barrier mouthwashes. 190717

PDL1 testing. 070417

1. Do you currently offer a clinical testing service for PD-L1 in non-small cell lung carcinoma (NSCLC) as off the beginning of 2017?
2. How is PD-L1 testing in NSCLC normally requested by the clinician? (please select all that apply)
3. If requested as part of a NSCLC panel of tests, how is PD-L1 testing performed in the lab
4. What sample types are processed by the lab for NSCLC testing (EGFR/ALK/PD-L1)? (please select all that apply)
5. What is the number of NSCLC samples being tested (or sent-out) are tested for:?
6. What proportion of PD-L1 NSCLC samples tested are cytology/ cytological cell block samples? (per month or per year or as a percentage of PD-L1 samples tested, whichever is easier to determine)
7. What proportion of PD-L1 NSCLC samples are NOT tested because the samples are EBUS/cytology samples? (per month or per year or as a percentage of PD-L1 samples tested, whichever is easier to determine)
8. What methods are used for PD-L1 testing in NSCLC and their associated clinical cut-off? (please select all that apply)
9. What is the clinical cut offs are used in relation to the antibodies selected above?
10. What IHC staining platform(s) are used in the laboratory that performs the PD-L1 testing e.g. Ventana, Dako, Leica, Menarini, Shandon, Labvision, etc? (If possible, please supply the model of the platform)
11. What percentage of samples tested have ≥1% PD-L1 expression?
12. What percentage of samples tested have ≥50% PD-L1 expression?
13. What is the average turnaround time from sample receipt to report being issued?
14. Are there bottlenecks that prevent this turnaround time from being quicker?
15. Who pays for DLBCL testing?

Download response PDL1 testing. 070417

Prescribing data in Oncology 01.11.2015- 31.10.2016. 090617

I am writing to request hospital prescribing data for the attached list of chemical substances being used in Oncology.

The data is required for all generic and branded prescriptions of these and I would request to provide this in the attached format.

Download response Prescribing data in Oncology 01.11.2015- 31.10.2016. 090617

Prostate Cancer 160916

1. We understand the Trust has a Local Urology MDT and has representation on the Specialist Urological MDT for West Kent. Please can you confirm if these MDTs are still operational?
2. If yes, please confirm if the following individuals/roles are still members of the MDTs?
3. Please can you confirm whether the Trust still references the following document(s) in relation to the treatment of patients with Prostate Cancer:
Local Management of Urological Cancers 2015 – Review date June 2016 (Dartford and Gravesham NHS Trust, Medway NHS Foundation Trust, Maidstone and Tunbridge Wells NHS Trust)
4. Does the Trust reference any other Referral Pathways / Care Pathways in relation to the treatment of Prostate Cancer? If so, please provide a copy or website link.
5. If yes, when is/are the document(s) expected to be reviewed?
6. Please can you confirm whether we are permitted to reuse the above information under the Open Government Licence?
We (IMS Health) request permission to re-use as a part of an independent analysis into the treatment of patients with Prostate Cancer, which has been commissioned by one of our clients. The contents of the report will not be made available publically, but may be used by other IMS Health Group entities and service suppliers. The information in the report will be presented in a factual manner with all publication details staying true to the publisher.

We acknowledge that information provided may be protected by copyright and will include a copyright statement to this effect at the end of any information we publish if requested by you.

Download response Prostate Cancer 160916

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

Surface contamination wipe tests. 161216

• Does your Trust conduct regular environmental monitoring, risk assessment and/or staff surveillance within cancer day units to detect possible chemical contamination from hazardous drugs being administered? E.g. Surface contamination wipes tests.
• If so, what assessments/tests are conducted and how often are they carried out?

Download response Surface contamination wipe tests. 161216

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

Urgent suspected cancer (USC) MRI. 090617

1. What is the trust target time for an urgent suspected cancer (USC) referral for an MRI scan?
2. If question 1 does not apply, what is the trust target time for a USC referral to have a diagnostic test/report?
3. How many of the referrals from questions 1 and 2 have failed to meet these targets in the year 1/4/16 – 1/4/17? If the data is available please may I have the amount who have not met the MRI waiting time? If that data is unavailable may I have the amount that have failed to meet the target time for a USC referral to a diagnostic test/report?
4. Is there a financial penalty if either above target is not met? If so what is this penalty?

Download response Urgent suspected cancer (USC) MRI. 090617

Venous Thromboembolism in cancer patients. 241016

Please find attached a set of questions relating to venous thromboembolism in cancer patients.

Venous thromboembolism (VTE) in cancer patients

Part 1: Incidence
Question 1: How many patients has your Trust treated for cancer (of all types) in each of the past four 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 four years?
Question 3: Of the patients treated for cancer who also had a diagnosis of VTE in each of the past four years, how many:
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 four years:
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 four 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:
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? Is this information provided to chemotherapy inpatients only, chemotherapy outpatients only, or both in and outpatients?
Question 8: Are patients who receive chemotherapy provided with written and verbal information which outlines the symptoms suggestive of VTE? Is this information provided to chemotherapy inpatients only, chemotherapy outpatients only, or both in and outpatients?
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)? Is this information provided to chemotherapy inpatients only, chemotherapy outpatients only, or both in and outpatients?
Question 10: Does your Trust have a policy or pathway for the management of suspected VTE in patients receiving chemotherapy?

Download response Venous Thromboembolism in cancer patients. 241016

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

Cancer care or treatment 2015-2016. 020317

1. In the years 2015 & 2016 of the patients that became resident for Cancer care/treatment with inside a hospital managed by your trust, please list the annual total for the patients as described?

2. Further to the above please also provide the annual total for those patients’ families who received a pass entitling free parking during the patients stay to reduce the financial burden on the family visiting?

Download response Cancer care or treatment 2015-2016. 020317

Car park management 070317

1. Please could you confirm when your contract for Car Park Management will expire and also when the contract will be re-tendered?

2. Do you currently manage your own car parks or use a Car Park Management company?

3. Which Portal does the trust use when they tender the Car Park Management out?

Download response Car park management 070317

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 071116

1. How much revenue did the Trust receive from car parking fees between 1st October 2015 and 1st October 2016?
2. What are the Trusts rates per hour and per day (can you indicate if this varies between hospitals in the Trust)? Is there any way to get a reduction in this rate?
3. Has the Trust increased the parking charge in the last two years and if so by how much?
4. If the Trust car parks are run by an outside firm and can you please say who that is?

Download response letter Car parking 071116

Car parking 071116

1. How much revenue did the Trust receive from car parking fees between 1st October 2015 and 1st October 2016?
2. What are the Trusts rates per hour and per day (can you indicate if this varies between hospitals in the Trust)? Is there any way to get a reduction in this rate?
3. Has the Trust increased the parking charge in the last two years and if so by how much?
4. If the Trust car parks are run by an outside firm and can you please say who that is?

Download response Car parking 071116

Car parking. 190717

1. Hourly Car Parking Charges
2. Daily Car Parking Charges
3. Weekly Car Parking Charges
4. Car Parking Charges for Blue Badge Holders
5. Car Parking Charges for Staff

Download response Car parking. 190717

Car parking 2015-2016 221216

1. Are your carparks managed by a private contractor? If yes, please provide the name of the contractor.
2. How many parking enforcement tickets were issued in your carparks between 1st April 2015 and 31st March 2016?
3. What is the cost of a parking enforcement fine in your carparks?
4. How many parking enforcement ticket appeals did you receive between 1st April 2015 and 31st March 2016?
5. How many parking enforcement ticket appeals were successful between 1st April 2015 and 31st March 2016?

Download response Car parking 2015-2016 221216

Car parking at the Trust sites 261015

Under the Freedom of Information Act 2000, I am seeking the following pieces of information in relation to parking at the hospitals covered under your trust.
1. The parking ticket costs at the hospitals under your trust.
2. How much does your trust – or a third party contracted by the trust – charge in fines and/or penalty notices if people are deemed to have breached parking rules?
3. What is the revenue from visitors paying for parking tickets? I would like this broken down for each hospital. I would like this information annually for 2012-2013, 2013-2014, and 2014-2015.
4. What is the revenue received from the payment of fines and/or penalty notices? I would like this broken down for each hospital. I would like this information annually for 2012-2013, 2013-2014, and 2014-2015.

Car parking at the Trust sites 261015

Car parking charges 041116

How much money did the trust raise from car parking charges in each of the last four financial years (state the amount and the years for which figures are available)? Include a breakdown of staff and visitor/patient parking if possible.

How much money was raised from parking fines in each of the last four financial years (state the amount and the years for which figures are available)? Include a breakdown of staff and visitor/patient fines if possible.

Do you charge for 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?

Download response Car parking charges 041116

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 charges 2016. 140317

1. Name of your organisation
2. Does your Trust use a private contractor to oversee the car park?
Yes (if yes please provide name of contractor)
No
Parking Charges
3. Parking charges made to general public (patients, visitors, etc.)
4. Parking charges made to staff
5. Agreed exemptions from charges
6. How income from charges is used
Parking Fines (fines issued from 1 January 2016 to date)
7. Number of fines issued to the general public
8. Income from those fines
9. Number of fines issued to staff
Income from those fines
10. How income from fines is used
11. Does the policy for fining staff differ from the fines policy for the general public?
Yes (if yes, please advise how the policy differs) No
12. Please provide details of any policy or agreements covering car parking charges (e.g. collective agreement with NHS Trade Unions)

Download response Car parking charges 2016. 140317

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

Disclosure and Barring checks and staff parking. 221116

1) How many nurses and midwives (from Band 5 upwards) waiting to take up employment with your trust are awaiting completion of Disclosure and Barring Service (DBS) checks?
2) How long is the average wait for DBS approval for new starters at your organisation?
3) How many parking spaces at your hospitals are exclusively for staff use and how much do they pay to use them?
4) What is your FTE nursing and midwifery staff establishment (from Band 5 upwards)?

Download response Disclosure and Barring checks and staff parking. 221116

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

Hospital parking 2013-2017. 060617

1. How much money was generated by your hospital trust through parking charges in the hospital car parks during 2013-14, 2014-15, 2015-16 and 2016-17?
2. How many parking fines were issued for parking infringements in your car parks during the years stated above?
3. How many parking fines were written off during the years stated above?

Download response Hospital parking 2013-2017. 060617

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. 060717

1. How many car parking sites fall under the remit of the Maidstone and Tunbridge Wells NHS Trust?
2. Roughly how many spaces do they provide in total across all sites?
3. Does the organisation manage their Car Parks directly (go to Q5) or via a Third Party (go to Q4)?
4. If managed by a Third Party:
a. Who is the provider?
b. Dates of the contract duration (from/to)?
c. What is the basis of the contract (build/operate; land lease; management only etc.)?
d. Any pros/cons of this arrangement?
5. How is parking currently controlled, e.g. POF, P&D, Permit, parking officers, barrier control, in/out global counting, bay occupancy?
6. Are you currently able to readily identify any patterns of use of particular zones/bay types/long or short term stays etc. and collate this data to address specific problems areas on certain days/time periods?
7. What existing customer service focused measures are in place, e.g. information provided at entry points, visual guidance to zones/bays with available spaces, on-site support staff?
8. What are the key challenges that the Maidstone and Tunbridge Wells NHS Trust face in regards to the provision of parking for patients/carers/visitors?
9. What are the key challenges that the Maidstone and Tunbridge Wells NHS Trust face in regards to the provision of parking for staff?
10. Do you attend any conferences/events that focus on best practice in the management of parking/land use which you would recommend as good networking opportunities?
11. Who is the person responsible for Car Parks in your organisation (Name, Title, telephone and direct email?)

Download response Parking. 060717

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

Audiology services for children and young people.150317

1. Thinking about the 2015/16 financial year, did your service experience longer waiting times for?
2. Were there any changes in policy or practice in what your audiology service provided in 2015/16?
3. If you have ticked yes to any of the above, please tell us what has changed and the reasons for the
Change
4. At what age does your service transfer deaf young people to adult services?
5. Were there any changes to how your audiology service for deaf children is commissioned in 2015/16?
6. Were there any changes in the number and skill-mix of full time equivalent (FTE) staff in your team, including administrative staff, in 2015/16?
7. If you have ticked yes to any of the above, please describe in more detail what has changed (including the number of staff reductions, if any) and the reasons for the change.
8. Was there a training programme in place for audiologists in your service in 2015/16?
9. If yes, were there any changes to the availability of training in 2015/16?
10. Looking ahead to the 2016/17 financial year, are you aware of any planned changes to any of the below?
11. Did your service provide informal family support services such as parent coffee mornings, playgroups, use of voluntary sector, etc. in 2015/16?
12. If yes, were there any reductions in informal family support services in 2015/16?
13. Is anyone from the audiology team involved in the development of Education Health and Care plans?
14. Have you faced any barriers to being involved in developing Education Health and Care plans?
15. If yes, what were the barriers?
16. Did your service provide any assistive listening devices or take any action to ensure they work effectively with the child’s personal amplification in 2015/16?
17. If you have ticked any of the above, were there any reductions in the provision of assistive learning devices or services to ensure they work effectively with the child’s personal amplification in 2015/16
18. Has your service gained accreditation with (Improving Quality in Physiological Diagnostic Services) IQIPS?
19. Has your service registered for the IQIPS process?
20. Has your service started using the Self-Assessment and Improvement Tool (SAIT)?
21. Has your service applied to UKAS to begin the accreditation peer review process?
22. Has your service booked or completed its onsite assessment with UKAS?
23. If you have not registered with the SAIT for IQIPS, what are your reasons for not doing so?
24. What are the most successful aspects of your audiology service at the moment?
25. What are main challenges or problems facing your audiology service at the moment?
26. Is there anything else you would like to tell us about the audiology service and any future plans?
* 27. Your name:
* 28. Your role:
* 29. Name of audiology service (please don’t use abbreviations):
* 30. Name of Trust that provides the paediatric audiology service (please don’t use abbreviations):
* 31. Sites where paediatric audiology is delivered by your service (please don’t use abbreviations):

Download response Audiology services for children and young people.150317

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

Babies born with neonatal abstinence syndrome 2016-2017. 150517

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 in the past financial year, April 2016 to April 2017? Please break the figures down by hospital.

Download response letter Babies born with neonatal abstinence syndrome 2016-2017. 150517

Babies injured during assisted delivery. 280317

1) Please state the number of babies that were injured during delivery when tools to assist in delivery were used, for example a vacuum extractor or forceps.
Please provide information for each of the following calendar years:
i) 2014
ii) 2015
iii) 2016
iv) 2017 to date
2) Of these babies injured, please provide a breakdown of injuries that they suffered. Please provide a summary of each incident, including the cause of the injury.
Please provide information for each of the following calendar years:
i) 2014
ii) 2015
iii) 2016
iv) 2017 to date
3) Please state the number of babies injured during delivery due to hospital error.
Please provide information for each of the following calendar years:
i) 2014
ii) 2015
iii) 2016
iv) 2017 to date

Download response Babies injured during assisted delivery. 280317

Babies weighing 12lbs (5443g) or more at birth 2016. 250417

In the 2016 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 birthweights were.

Download response Babies weighing 12lbs (5443g) or more at birth 2016. 250417

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

Bed shortages and overcrowding. 310117

1. Do you have any strategy or informal policy that allows adults to be treated in beds/wards that are usually used for paediatric care to help with overcrowding?
2. What is that wording of that strategy?
3. When as it first drawn up?
4. How many times since January 2016 year has this been implemented? If applicable, how many times was it implemented between Jan 2015 and Jan 2016?
5. How many individual adult patients since January 2016 have been treated on child wards/bed -with dates if possible? And the same figure Jan 2015-16.
6. Were there any occasions when adults and children were treated on the same ward?
7. How many times has the hospital been on a) black alert and b) red alert for capacity since January 2016? How many times was it put on a and b from January 2015 – 2016?

Download response Bed shortages and overcrowding. 310117

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

Cancelled children’s operations – 01.07.16. 050517

1. How many children’s operations have been cancelled each month since 1st July 2016? Please give additional details as to what the main reasons for the cancellations were, how many were urgent operations or elective operations, and what type of illness did they involve, e.g. cancer, breathing problems, broken limbs etc.

2. How many children’s operations have been cancelled over the last four financial years to date?

Kindly note a child is anyone up to the age of 18.

Download response Cancelled children’s operations – 01.07.16. 050517

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

Child drug and alcohol related admissions. 241016

This request relates to drug and alcohol related admissions of children. Please include cases where the relevant diagnoses were recorded as both the primary and secondary condition.

I) Broken down by each of the following calendar years a) 2012, b) 2013, c) 2014, d) 2015 and e) 2016 so far, please state the total number of children aged under 13 admitted to hospitals in your trust due to:

1. The toxic effect of alcohol
2. Mental and behavioural disorders due to use of alcohol
3. Poisoning by drugs, medicaments and biological substances
4. Mental and behavioural disorders due to drug and psychoactive substance use
5. Poisoning by antidepressants (subset of question 3)
6. Poisoning by ecstasy (subset of question 3)

II) Broken down by each of the following calendar years a) 2012, b) 2013, c) 2014, d) 2015 and e) 2016 so far, please state the total number of children aged 13-16 admitted to hospitals in your trust due to:

1. The toxic effect of alcohol
2. Mental and behavioural disorders due to use of alcohol
3. Poisoning by drugs, medicaments and biological substances
4. Mental and behavioural disorders due to drug and psychoactive substance use
5. Poisoning by antidepressants (subset of question 3)
6. Poisoning by ecstasy (subset of question 3)

III) Broken down by each of the following calendar years a) 2012, b) 2013, c) 2014, d) 2015 and e) 2016 so far, please state the total number of children aged 16-17 admitted to hospitals in your trust due to:

1. The toxic effect of alcohol
2. Mental and behavioural disorders due to use of alcohol
3. Poisoning by drugs, medicaments and biological substances
4. Mental and behavioural disorders due to drug and psychoactive substance use
5. Poisoning by antidepressants (subset of question 3)
6. Poisoning by ecstasy (subset of question 3)

Download response Child drug and alcohol related admissions. 241016

Child and Mental Health Services. 170817

What was the average waiting time for patients referred to the Child and Mental Health Services at your trust between May 31st 2016 and May 30th 2017?
What was the average waiting time for patients referred to the Child and Mental Health Services at at your trust between May 31st 2015 and May 30th 2016?
What was the longest waiting time for a patient referred to the Child and Mental Health Services at your trust between May 31st 2016 and May 30th 2017?
What was the longest waiting time for a patient referred to the Child and Mental Health Services at your trust between May 31st 2015 and May 30th 2016?
How often did limited capacity mean your trust had to decline access to services for patients referred to the Child and Mental Health Services between May 31st 2016 and May 30th 2017?
How often did limited capacity mean your trust had to decline access to services for patients referred to the Child and Mental Health Services between May 31st 2015 and May 30th 2016?
What’s the furthest distance a patient has had to travel from your trust to find adequate, available care from the Child and Mental Health Services between May 31st 2016 and May 30th 2017, having been turned away due to a lack of resources?
What’s the furthest distance a patient has had to travel from your trust to find adequate, available care from the Child and Mental Health Services between May 31st 2015 and May 30th 2016, having been turned away due to a lack of resources?
What age was the youngest patient dealt with by the Child and Mental Health Services at your trust between May 31st 2016 and May 30th 2017?

Download response Child and Mental Health Services. 170817

Children’s Dental Hospital. 250417

1. As of March 31st, 2017, can you tell me how many children were on the waiting list to visit the Trust’s children’s dental hospital?
2. How long is the present waiting list, in terms of months/weeks to be seen?
3. How long is the wait for teeth extractions?
4. How many children are affected by the wait for teeth extractions?
5. Is there a wait for youngsters to be added to the waiting list? if, so how many children are waiting to be placed on to the waiting list?
6. How many dental nurses does the Trust employ at the children’s dental hospital?
7. How many vacancies does it have at present?
8. How many children were on the waiting list to visit the Trust’s children’s dental hospital on?
a) March 31st, 2016?
b) March 31st 2015?
c) March 31st 2014?
d) March 31st 2013?
9. How many children received treatment at the children’s dental hospital between January 1, 2016 and December 31, 2016?

Download response Children’s Dental Hospital. 250417

Cow’s milk protein Allergy (CMPA) 090916

1) Does your organisation use any guidelines when prescribing specialised infant formula for cow’s milk protein allergy (CMPA)?

2) If yes, please provide a link to, or a copy of the guidelines referenced by your organisation.

3) Please can you confirm whether we are permitted to reuse any information provided under the Open Government Licence?

Download response Cow’s milk protein Allergy (CMPA) 090916

Drug and alcoholism in children aged under 15 2013-2017. 280417

Can I ask for the following information: for each of the last four financial years (including the current one) I request disclosure of data relating to children aged 15 and under who have been diagnosed with alcoholism or drug related conditions.
1. For each year I would like a table containing patients’ ages, from 0 to 15 years old accompanied by a figure for the number of children of that age who were diagnosed as alcoholic, alcohol poisoning, treated for alcoholism or excessive alcohol consumption (for example 2016/17: Age 15– 33 Age 14 – 3). Can you outline the figures for each?
2. For each financial year I would also like a table set out in the same way detailing the numbers of children aged 15 or below who were admitted to A&E suffering alcohol-related illness.
3. For each year I would like a table containing patients’ ages, from 0 to 15 years old accompanied by a figure for the number of children of that age who were diagnosed for drug related illnesses or over-consumption (for example 2016/17: Age 15– 33 Age 14 – 3).
4. For each financial year I would also like a table set out in the same way detailing the numbers of children aged 15 or below who were admitted to A&E suffering drug-related illness. Can you outline the figures for each?
5. For each admission in Q1 and Q3, please tell me a) the sex of the child c) a brief summary of the problem, e.g. child was drunk

Download response Drug and alcoholism in children aged under 15 2013-2017. 280417

Eating disorders in paediatric patients 2014-2016.

The number of paediatric patients you have seen between January 1st 2014 and December 31st 2014 for the treatment of eating disorders
The number of paediatric patients you have seen between January 1st 2015 and December 31st 2015 for the treatment of eating disorders
The number of paediatric patients you have seen between January 1st 2016 and December 31st 2016 for the treatment of eating disorders
How many of the paediatric patients were aged 10 and under between January 1st 2014 and December 31st 2014
How many of the paediatric patients were aged 10 and under between January 1st 2015 and December 31st 2015
How many of the paediatric patients were aged 10 and under between January 1st 2016 and December 31st 2016
How many of the paediatric patients were aged 11-16 between January 1st 2014 and December 31st 2014
How many of the paediatric patients were aged 11 -16 between January 1st 2015 and December 31st 2015
How many of the paediatric patients were aged 11 -16 between January 1st 2016 and December 31st 2016

Download response Eating disorders in paediatric patients 2014-2016.

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

FGM C 2013-2016

1) How many females have you treated in connection to/relating to/as a result of FGM/C (female genital mutilation or cutting) practices?
2) Please can you break your answer down by financial years:
– 2015/16
– 2014/15
– 2013/14
3) Can you also break down and categorise the numbers by “reason for treatment”? So for example, i. bleeding ii. infection
4) Can you break down and categorise the numbers by what the treatment was? So for example, i. amputation ii. cosmetic surgery
5) Can you break down and categorise the numbers by the females’ ages? Ideally in these age brackets: i. 0 – 9 ii. 10 – 18 iii. 19 – 27 (and continue by nine-year age brackets)

Download response FGM C 2013-2016

Foetal Alcohol Syndrome 2014-2016. 070417

1. For 2016,
a) How many people were diagnosed as being on the Foetal Alcohol Spectrum. With a breakdown of ages and hospitals.

2. and 3. Same for 2015/2014

Download response Foetal Alcohol Syndrome 2014-2016. 070417

Foetuses that were miscarried, stillborn or aborted and children up to one year old from 1988 to the present day (Nov 2016). 011216

Please supply information for all of the questions below relevant to – foetuses that were miscarried, stillborn or aborted and children up to one year old from 1988 to the present day (Nov 2016).

1. Are you holding organs or tissue samples or bodies of foetuses that were miscarried, stillborn, aborted or of children up to one year old, pending disposal?

2. If yes to Q1, please report how many organs, tissue samples, body parts or bodies of foetuses that were miscarried, stillborn, aborted or of children up to one year old you have retained and still have?

3. In how many of these cases of foetuses that were miscarried, stillborn or aborted or of children up to one year old which have been retained and you still have was consent given by the nearest relatives to take, use and dispose of organs or tissue samples or body parts or bodies?

4. In how many of these cases of foetuses that were miscarried, stillborn or aborted or of children up to one year old which were retained but have since been disposed of was consent given by the nearest relatives to take, use and dispose of organs or tissue samples or body parts or bodies?

Download response Foetuses that were miscarried, stillborn or aborted and children up to one year old from 1988 to the present day (Nov 2016). 011216

Neonatal abstinence syndrome. 200617

Q1) 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 in each of the past five financial years?
Q2) Please breakdown the figure from Q1. giving the age of each mother and the substance she was addicted to?
Q3) Please tell me how much it cost to care for these babies as well as the mothers with addictions to illegal drugs in a hospital/other facility your NHS Trust runs in each of the past five financial years?

Download response Neonatal abstinence syndrome. 200617

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 drug addiction 2014 – 2016. 070417

1. For 2016,
a) How many babies were born with drug addiction/ drug dependency? With a breakdown of which drugs they were addicted to.

2. and 3. Same for 2015/2014

Download response Neonatal drug addiction 2014 – 2016. 070417

Neonatal Unit 161216

1. The type of neonatal unit you have (NICU, Local Neonatal Unit or SCBU). If you have more than one site, please provide the highest level.
2. The region your hospital is in from this list (trusts will only be identified by region in the analysis):
a. South East
b. London
c. North West
d. East of England
e. West Midlands
f. South West
g. Yorkshire and Humber
h. East Midlands
i. North East
3. Activity (in bed days) for the following Healthcare Resource Groups (HRGs):
a. XA01Z
b. XA02Z
c. XA03Z
d. XA05Z
4. Your 2015/16 and 2016/17 Tariff for the above HRGs. Please provide your full tariff including any MFF enhancements.
5. Current neonatal nursing vacancy rate (% of expected) at
a. Band 5
b. Band 6
c. Band 7

Download response Neonatal Unit 161216

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

NHS Children’s Workforce 030117

1. How many registered children’s nurses (Whole Time Equivalent) are employed at your organisation? Please list by clinical area.
2. How many support workers (Whole Time Equivalent, bands 1-4) are working in your children’s service? Please list by clinical area.
3. How many nurses (Whole Time Equivalent) deliver your community children’s nursing service? Please list by clinical area.
4. How many clinical specialist children’s nurses do you have in your service? Please list their clinical specialisms, e.g. 1x haematology; 2x epilepsy.
5. How many advanced neonatal nurse practitioners do you have in your service?
6. How many advanced paediatric nurse practitioners do you have in your service?
7. Do you have transition (children’s to adults’ services) nursing roles? If yes, how many? Do any have clinical specialisms? If so, please list their clinical specialisms, e.g. 1x haematology; 2x epilepsy.
8. Do you employ a play specialist?
9. How many inpatient beds are there designated for children and young people? Please provide a number against the following and list by clinical area:
a. Neonates
b. Children’s
c. Adolescents
10. What were the key gaps in knowledge and skills within the children’s nursing workforce identified by your most recent Training Needs Analysis or courses commissioned through Non-Medical Education and Training (NMET)?

Download response NHS Children’s Workforce 030117

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

Premature birth survival 2012-2016. 280317

For each of the last five calendar years, could you please provide information on the following births at your trust?
How many babies were born live at 21 weeks gestation and how many survived to discharge
How many babies were born live at 22 weeks gestation and how many survived to discharge
How many babies were born live at 23 weeks gestation and how many survived to discharge
How many babies were born live at 24 weeks gestation and how many survived to discharge
How many babies were born live at 25 weeks gestation and how many survived to discharge

Download response Premature birth survival 2012-2016. 280317

Provision of services for Attention Deficit Hyperactivity Disorder (ADHD) 101116

  • What proportion of children and young people with symptoms of ADHD have been referred to an ADHD specialist for assessment in the past 12 months (Quality Statement 1)
  • What proportion of adults with symptoms of ADHD without a childhood diagnosis of ADHD have been referred to an ADHD specialist for assessment in the past 12 months (Quality Statement 2)
  • What proportion of adults who were diagnosed with ADHD as children or young people and present with symptoms of continuing ADHD have been referred to general adult psychiatric services in the past 12 months (Quality Statement 3)
  • What proportion of parents or carers of children with symptoms of ADHD who meet the NICE eligibility criteria have been offered a referral to a parent training programme in the past 12 months (Quality Statement 4)
  • What proportion of children and young people with moderate ADHD have been offered a referral to a psychological group treatment programme in the past 12 months (Quality Statement 5)
  • In the past 24 months, what proportion of eligible patients with ADHD who are starting drug treatment go on to have their initial drug dose adjusted and response assessed by an ADHD specialist (Quality Statement 6)
  • In the past 24 months, what proportion of eligible patients with ADHD who are taking drug treatment have a specialist review at least annually to assess their need for continued treatment (Quality Statement 7)

In addition, can you please provide information on?

  • The number of people with symptoms of ADHD who have come into contact with your service in the past 12 months:

O Children and young people

O adults

  • The number of people referred with symptoms of ADHD who are currently waiting for their first outpatients’ appointment:

O Children and young people

O adults

  • The average waiting time from referral to first outpatients’ appointment in the past 12 months for

O Children and young people presenting with symptoms of ADHD

O Adults presenting for the first time with symptoms of ADHD

  • The range of waiting times (i.e. shortest to longest) for patients from referral to first outpatient appointment in the past 12 months for

O Children and young people presenting with symptoms of ADHD

O Adults presenting for the first time with symptoms of ADHD

  • What specialist services are available for referral for adults presenting with symptoms of ADHD
  • Does your organisation provide a transition to an adult service for adolescents with ADHD?
  • The age at which your organisation transitions a young person diagnosed with ADHD to general adult psychiatric services
  • Does your organisation receive out of area referrals for specialist ADHD services?

Download response letter Provision of services for Attention Deficit Hyperactivity Disorder (ADHD) 101116

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

Sexually transmitted diseases in the under 16 year olds 2012-2016. 250417

1.) 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).
2.) 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.
3.) 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?
4.) Within these figures, please also include the numbers of children who were found to have an STD when using hospital services for other services.
5.) Please separately provide the total number of children under 16 who were a) tested b) diagnosed with HIV over the last five years – with a breakdown of people and ages for each year. This includes children who were found to have HIV when attending hospital for another matter.
If you believe any of the questions this to be exempt information in line with Section 40 (2)(a)(b)(3)(a)(i) Can you please, then, instead, provide an age bracket and the total number for the 5 years as a total.

Download response Sexually transmitted diseases in the under 16 year olds 2012-2016. 250417

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

Compensation claims by staff. 070417

I would like information on the number and nature of compensation claims brought against your organisation by members of staff who have sustained an injury or contracted a disease while employed your organisation in the past five years.
I would like a year by year breakdown, preferably on an excel document via email, detailing:
Details of the injury (i.e. moving and handling injury, slips/trips/falls and so on)
Staff role if known (i.e. staff nurse, doctor)
Whether compensation was paid
The total amount of compensation paid
If information available, any action taking following the incident (i.e. additional training, non-slip flooring and so on)

Download response Compensation claims by staff. 070417

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

Delayed discharge and court action. 070317

1. Since 1.1.15 how many times have you taken court action to evict a patient from a hospital in your trust because you believe they are fit for discharge but they have failed to leave their hospital bed? For each occurrence please state how many days they had occupied a hospital day for while considered fit for discharge?
2. Of those patients discharged from your hospital in either 2014/15 or 2015/16 please state how many patients had been considered fit to discharge but remained in hospital in excess of one full calendar year before they were discharged? For each patient please state how many days they occupied a hospital bed while considered fit to discharge?
3. Using the most recent convenient date do you have any patients in your hospital who are considered fit to discharge but have been in hospital and been fit to discharge in excess of one full calendar year? For each patient please state how many days they have occupied a hospital bed while considered fit to discharge?

Download response Delayed discharge and court action. 070317

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

Enforced DNR. 300317

The number of patients who have been taken to the Royal Courts of Justice Court of Protection, to have a DNR placed upon their lives by your hospital. I would like to know if the patient had a Lasting Power of Attorney and the sex, age, ethnicity of the patients and the length of time each case took & outcomes of each case. From when the hospital opened to the present day.

Download response Enforced DNR. 300317

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

Letters of complaint 2013. 310517

We request the first 25 type-written letters of complaint that your Trust received after 1st October 2013. If your Trust contains more than one unit, we request that the letters are from across the units.

Anonymity of patient letters: The letters will contain personally identifying information, and we request that all personally identifying information be redacted from the letters (i.e., information about addresses, dates, units attended, sexuality, religion, ethnicity, age etc.). We only request information about the patient’s experience of the NHS. We understand that the resultant letters may be heavily redacted.

Why we have selected your Trust: Your trust has been randomly selected. We want a national sample of letters of complaint received by NHS Acute Trusts, and your Trust is an Acute Trust.

Anonymity of your Trust: The name of your trust will not appear in any of our research. The letters which you provide will be aggregated with letters from other Trusts, and will in no way be traceable back to your trust. We are not interested in the identity of any particular Trust.

Download response Letters of complaint 2013. 310517

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

NHS Injury Costs Recovery Scheme 2015-2016 171016

Please can you provide me with information about the total amounts collected by the Trust/Hospital in relation to the NHS Injury Costs Recovery Scheme (was RTA) for the year 2015/16.

Download response NHS Injury Costs Recovery Scheme 2015-2016 171016

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

Agency spend for locum doctors in Acute Medicine. 240317

Can you please assist me with retrieving the total Agency spend for Medical Locum Doctors within Acute medicine over the following months, within your Trust or Health Board?
August 2016
September 2016
October 2016
November 2016
December 2016
January 2017

Download response Agency spend for locum doctors in Acute Medicine. 240317

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

Continuous renal replacement therapy (CRRT). 010217

1. How many machines do you have for continual renal replacement (CRRT) in the intensive care unit/critical care unit?
1. a. Can you split these by manufacturer and age of machine please?
2. Are you in a contract for your machines, if so when does the contract expire?
3. How many CRRT treatments were carried out in 2016 (or the latest 12 month period you have data for)?
4. How many bags of fluid did you use for CRRT in 2016 (or the latest 12 month period you have data for)?
5. Who is your current manufacturer of fluids for CRRT? And for Vascular access? (Double Lumen catheters)
6. Are you in a contract for fluids, if so, when does this expire and is it linked in with the machine contract?
7. What was your total spend on CRRT fluids in 2016 (or the latest 12 month period you have data for)?
8. What was your total spend on CRRT consumables (e.g. consumable sets for the machines) in 2016 (or the latest 12 month period you have data for)?
9. What is the typical renal dose you prescribe to the patients? (In ml/kg/h)
10. Are your units using Citrate Anticoagulation? If yes how frequent (in % vs. Heparin).

Download response Continuous renal replacement therapy (CRRT). 010217

Critical care bed capacity. 090617

Question 1: What is the total number of critical care beds (Level 2 and Level 3) per 100,000 of the population your trust serves?
1. If you cover both secondary and tertiary care, please provide your TOTAL bed:population ratio for the whole trust, AND a figure for both types of service
Question 2: How many critically ill patients were transferred from your hospital to another hospital’s critical care unit for non-clinical reasons in 2016-17?
Question 3: How many days in 2016-17 was the occupancy of your critical care beds over 85% at least one point during those 24 hours?
Question 4: How many patients had an elective operation cancelled due to lack of a critical care bed capacity in 2016-17?
Question 5: How many days in 2016-17 was at least one critical care bed closed due to lack of staff for at least part of the day?

Download response Critical care bed capacity. 090617

Domiciliary services for medicines review and palliative care. 281116

I am currently setting up (1) domiciliary visiting medicines review (focussing on both medicines optimisation and medicines adherence) and (2) palliative care services (to ensure the timely and appropriate availability of end of life medicines) within Norfolk using the community pharmacy network and GP practice based pharmacy network, working in conjunction with our NHS community services teams.  I am therefore writing to ask if you could send me any reports (service specifications, audit reports, service evaluations etc.) which you may have relating to any services of a similar nature delivered in your area.

Download response Domiciliary services for medicines review and palliative care. 281116

Emergency admissions for Asthma, Epilepsy and Diabetes 2014 – 2016. 270317

1. For the last 4 quarters from January 2016 – December 2016, please provide a breakdown of the number of emergency admissions by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.
2. For the last 4 quarters from January 2016 – December 2016, please could you provide a breakdown of the number of emergency attendances by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.
3. For the 4 quarters January 2015 – December 2015, please could you provide a breakdown of the number of emergency admissions by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.
4. For the 4 quarters January 2015 – December 2015, please could you provide a breakdown of the number of emergency attendances by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.
5. For the 4 quarters January 2014 – December 2014, please could you provide a breakdown of the number of emergency admissions by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.

6. For the 4 quarters January 2014 – December 2014, please could you provide a breakdown of the number of emergency attendances by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2?

Download response Emergency admissions for Asthma, Epilepsy and Diabetes 2014 – 2016. 270317

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

No Resus Orders (DNR) in 2011 – 2016. 200417

1. How many No Resus Orders were issued by your hospital in last 5 years?
2. How many of these patients survived and were thus discharged from your hospital in same above period?
3. Have you a pro forma No Resus Order checklist which you use to see whether patient should be given No Resus Order, please send me a copy?
4. What percentage of your SpR or Specialist Registrars are on the General Medical Council’s Specialist Register?

Download response No Resus Orders (DNR) in 2011 – 2016. 200417

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

Service suspensions. 300317

1) In the past 12 months, have you suspended any acute services because of a shortage of doctors or nurses to staff the service?
If yes:
a) Which services were suspended?
b) How many suspensions have there been?
c) What was the longest period a service was suspended for?
2.) Intensive care services: Are any ITU beds closed?
If yes:
a) How many times in the past 12 months have ITU beds had to be closed?

Download response Service suspensions. 300317

 

Delayed transfer of care

Delayed discharge 2013-2017 150217

What is the longest continual stretch of days that have been lost to delayed discharge by one patient in?
a) 2013/14
b) 2014/15
c) 2015/16
d) 2016/17 (YTD)

Download response Delayed discharge 2013-2017 150217

Delayed discharge and court action. 070317

1. Since 1.1.15 how many times have you taken court action to evict a patient from a hospital in your trust because you believe they are fit for discharge but they have failed to leave their hospital bed? For each occurrence please state how many days they had occupied a hospital day for while considered fit for discharge?
2. Of those patients discharged from your hospital in either 2014/15 or 2015/16 please state how many patients had been considered fit to discharge but remained in hospital in excess of one full calendar year before they were discharged? For each patient please state how many days they occupied a hospital bed while considered fit to discharge?
3. Using the most recent convenient date do you have any patients in your hospital who are considered fit to discharge but have been in hospital and been fit to discharge in excess of one full calendar year? For each patient please state how many days they have occupied a hospital bed while considered fit to discharge?

Download response Delayed discharge and court action. 070317

Delayed discharge from the stroke rehabilitation unit at Tunbridge Wells Hospital at Pembury. 011216

1. Please could you provide details of the current number of patients whose discharge from the stroke rehabilitation unit at Pembury Hospital is being delayed while social services arrange personal care packages?
2. Please could you provide details of the number of patients whose discharge has been delayed for more than 7, 14, 21 and 28 days for the same reasons for each month of 2016?
3. Please state the longest number of days for which an individual patient had to wait for a discharge from the stroke rehabilitation unit at Pembury hospital due to a lack of social services capacity to provide personal care 2016?

Download response Delayed discharge from the stroke rehabilitation unit at Tunbridge Wells Hospital at Pembury. 011216

Delayed discharges. 080517

1 – Number of adult patients who are medically fit to leave hospital but are currently unable to be safely discharged. Most recent figures are preferential however the latest on record would also be of use.

2 – Please provide the number of packages of care that are currently delayed due to lack of staffing resources within the community.

3 – Data on agency spend between March 2016 to present date for nursing services within the community.

Download response Delayed discharges. 080517

Delayed discharges 2014-2017 111116

In two of the questions we ask for information collected on 28th September, 2016. This date has been chosen because it is the most recent data collection day for NHS England.

When giving reasons for the delay in discharging a patient, please chose one of the ten categories used by NHS England – awaiting completion of assessment, awaiting public funding, awaiting further non-acute NHS care, awaiting residential home placement or availability, awaiting care package in own home, awaiting community equipment and adaptations, patient or family choice, disputes or housing.
If you record it differently please supply information using the official categories for your nation.

1) Please state the five longest delays (in days) which patients who were ready for discharge, have had before they were able to leave the hospital during the period 1st April 2014 to 31st September 2016.
For each of these delayed discharges, please state:
i) The age of the person concerned.
ii) The original reason for admission to hospital.
iii) The reason for the delayed discharge.
iv) The date on which the patient was ready for discharge.
v) The date on which they were in fact discharged.
2) Please state how many patients, who were ready for discharge, had to wait 28 days or more to leave the hospital.
Please break these figures down by the cause of the delay.
Please provide this information for the following financial years:
i) 2014/15
ii) 2015/16
iii) 2016/17 to date
3) On the day of the 28th September 2016, please state:
i) The five longest waits in days that patients ready for discharge had had as of this date.
ii) For each of these waits, please state the age of the person concerned and the reason for their admission.
iii) For each of these waits, please state the reason for the delay.
4) Please state how much your trust spent on delayed discharges in each of the following financial years.
i) 2011/12
ii) 2012/13
iii) 2013/14
iv) 2014/15
v) 2015/16
vi) 2016/17 to date.
5)
i) On the 28th September 2016, how many of your acute beds were occupied by people who were ready for discharge?
ii) What proportion of your overall number of acute beds were being used by people who were ready for discharge?
iii) Have you had to open extra transitional, reablement or similar beds to meet the additional demand caused by delayed discharges?
iv) If yes, please state how many beds and the cost of providing these.

Download response Delayed discharges 2014-2017 111116

Delayed transfer of care 2013-2016. 070317

1. Over the last 3 years (2013-2016) how many patients have been involved in long-term delayed transfer of care (broken down into a delay of over six months; over one year; over two years etc.)
2. Over the last three years (2013-2016) what is the longest someone has been medically fit to be discharged but is still in the hospital?
3. Currently, what is the longest duration a patient has occupied a hospital bed because they are refusing to leave/disputing/family or patient not accepting the care package available?
4. How many times has the Trust applied for court orders to evict a patient over the last three years?
5. (If this figure is available) How much a year does delayed transfer for care cost the Trust?

Download response Delayed transfer of care 2013-2016. 070317

Delayed transfers of care 060317

1. The number of patients who have died in hospital while experiencing a delayed transfer of care. Please could I have these figures for the years 2014, 2015 and 2016, broken down by year?

Download response Delayed transfers of care 060317

Delayed transfers of care 2016-2017. 150517

What is the longest amount of time in days a patient had been kept in hospital due to delayed transfer in the past 12 months?

Could you give me details for the three longest delayed transfer stays, the name of the hospital concerned and if possible the age and gender of the patients concerned and the department they were in (i.e. elderly care/general surgery, paediatrics etc.)?

Are you also able to give a brief reason for the delay in each instance (i.e. lack of beds in care facility/delay equipping home etc.)?

Download response Delayed transfers of care 2016-2017. 150517

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.

Delays in transfer of care (DTOC) in 2013-14, 2014-15, 2015-16. 190417

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. 190417

Delays in transfer of care (DTOC) in 2013/14, 2014/15, 2015/16.190416

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

DTOC and self-funding patients. 240817

DTOC and Self-Funding Patients
1. How many self-funding adult social care patients waiting for placements causing DTOCs in 2015-16, 2016-17 and 2017 to date?
2. Are there currently any care home placements and / or care package brokerage services being offered to the self-funders at the moment?
MH / Alcohol Related A&E Admissions
3. How many Alcohol and Mental Health A&E admissions and related occupied bed days? And total cost for this?
4. Is there an Alcohol Nurse Liaison service available at the hospital?
Acute Bed Days DTOCs
5. What is the average cost of an acute hospital bed in your NHS Trust
6. The gross cost to the Trust due to delayed transfers of care (DTOC) (before taking into account reimbursements from local authorities).
7. The gross cost to the Trust due to delayed transfers of care where Social Care was responsible for the delay (before taking into account reimbursements from local authorities).
8. The total sum received from local authorities in reimbursements for delayed transfers of care.
9. How many bed days were lost as a result of delayed transfers of care in your NHS Trust for the years 2014/2015 , 2015/2016 & 2016 /2017
10. What is the longest time (in days) one patient has been a delayed transfer of care (DTOC) in your NHS Trust for the years 2014/2015 2015/2016 2016/2017
11. In each case, please provide the age of the patient and reason for the delay and responsible CCG/local authority.
12. What is the longest time in (in days) one patient has been a delayed transfer of care awaiting further assessment in your NHS Trust for the years 2014/2015 2015/2016 2016/2017.
13. In each case, please provide the age of the patient and responsible CCG/ Local authority
14. Has the Trust ever taken legal action to remove a patient whose transfer of care was delayed? a) If so please provide details of when and the reason for delay in transfer of care and responsible CCG/local authority
Contact Details
15. Discharge and DTOC lead within the Trust
16. Alcohol Liaison Service

Download response DTOC and self-funding patients. 240817

Elderly patients delayed transfer of care (DTOC). 040117

I would like some information on the number of elderly patients who have been kept in hospital when they are well enough to be discharged due to a lack of suitable social care provision in the last 5 years.

Download response Elderly patients delayed transfer of care (DTOC). 040117

Patient discharges 2011 – 2016. 081116

(a) Total number of patients discharged by the Trust between 11pm and 6am in each of the last six financial years
(b) Total number of patients discharged by the Trust in each of the last six years

Download response Patient discharges 2011 – 2016. 081116

Patients who have died in hospital while waiting for the start of a social care package 2016

Q1: How many people in all the hospitals within your Trust have died in hospital awaiting the start of a package of local authority social care?
Q2: How many people in all the hospitals within your Trust have died in hospital awaiting the start of a package of continuing healthcare broken down by:

· Those that have been identified as meeting the fast track criteria
· Those that have not been identified as meeting the fast track criteria

Q3: What is the average time period in your Trust in hours/days from the point at which a fast-track CHC application is made to the care package being provided for the 12 month period to the end of September 2016?

What is the average time period in hours/days from the point at which a fast-track CHC application is approved to the care package being provided for the 12 month period to the end of September 2016?

Download response Patients who have died in hospital while waiting for the start of a social care package 2016

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

Pain relief prescriptions 031016

For each of the questions, please can you provide answers for each of the financial years 2013/14, 2014/15 and 2015/16:

1. PARACETAMOL

a. Which suppliers did you buy paracetamol from?
b. How many packets of paracetamol did you buy from each supplier? Please disclose how many tablets were in the packets.
c. How many packets of paracetamol did you buy in total? Please disclose how many tablets were in the packets.
d. How much did you pay each supplier for paracetamol?
e. How much did you spend on paracetamol in total?
f. How many prescriptions in total did you make for paracetamol?
g. How many of these prescriptions were free for the patient?
h. How much money were you paid by patients for paracetamol?

2. IBRUPROFEN

a. Which suppliers did you buy ibuprofen from?
b. How many packets of ibuprofen did you buy from each supplier? Please disclose how many tablets were in the packets.
c. How many packets of ibuprofen did you buy in total? Please disclose how many tablets were in the packets.
d. How much did you pay each supplier for ibuprofen?
e. How much did you spend on ibuprofen in total?
f. How many prescriptions in total did you make for ibuprofen?
g. How many of these prescriptions were free for the patient?
h. How much money were you paid by patients for ibuprofen?

3. ASPIRIN

a. Which suppliers did you buy aspirin from?
b. How many packets of aspirin did you buy from each supplier? Please disclose how many tablets were in the packets.
c. How many packets of aspirin did you buy in total? Please disclose how many tablets were in the packets.
d. How much did you pay each supplier for aspirin?
e. How much did you spend on aspirin in total?
f. How many prescriptions in total did you make for aspirin?
g. How many of these prescriptions were free for the patient?
h. How much money were you paid by patients for aspirin?

4. CODEINE PHOSPHATE

a. Which suppliers did you buy codeine phosphate from?
b. How many packets of codeine phosphate did you buy from each supplier? Please disclose how many tablets were in the packets.
c. How many packets of codeine phosphate did you buy in total? Please disclose how many tablets were in the packets.
d. How much did you pay each supplier for codeine phosphate?
e. How much did you spend on codeine phosphate in total?
f. How many prescriptions in total did you make for codeine phosphate?
g. How many of these prescriptions were free for the patient?
h. How much money were you paid by patients for codeine phosphate?

Download response Pain relief prescriptions 031016

Acupuncture treatments 2010 to 2015

Please provide the following for the years 2010 to 2015 inclusive:
1. The names of the hospitals, clinics or other settings in which you provided acupuncture treatments.
2. The number of acupuncture treatments provided and the number of patients treated at each of these locations.
3. The types of clinicians who provided these treatments, e.g. physiotherapists, doctors, acupuncturists.
4. The total cost of providing acupuncture treatments at each of these locations.
5. The cost of acupuncture needles purchased included in the total cost.

Download response Acupuncture treatments 2010 to 2015 241016

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

AeroChamber with and without mask January – December 2015. 290617

I am writing to request the prescribed annual units (for the period January 2015 – December 2015) of the below:

• AeroChamber with Mask
• AeroChamber without Mask

Download response AeroChamber with and without mask January – December 2015. 290617

Agency spend in Radiology August 2016 – January 2017. 240317

Can you please assist me with retrieving the total Agency spend for Medical Locum Doctors within Radiology over the following months, within your Trust or Health Board?
August 2016
September 2016
October 2016
November 2016
December 2016
January 2017

Download response Agency spend in Radiology August 2016 – January 2017. 240317

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

Anti-microbial resistance. 230817

Please could you provide me with the number of cases between 2010-2017?

– In which patients were unable to be treated with anti-biotics due to anti-microbial resistance.
– In which patients had to undergo an operation to remove the site of resistance due to anti-microbial resistance.
– In which patients had amputations due to anti-microbial resistance.

Download response Anti-microbial resistance. 230817

Antibiotic guidelines. 040117

1) Please provide, in full, the antibiotic guidelines used by your trust.
2) Is antibiotic prophylaxis routinely given for urinary catheter removal after any joint replacement? : yes/no
3) If yes, which is given and how?
4) If yes, what proportion of patients with urinary catheters receive it?

Download response Antibiotic guidelines. 040117

Antibiotic resistant NDM 2014-2016. 280217

Can you please send details of any cases of antibiotic resistant NDM (New Delhi metallo-ß-lactamase) “superbugs” you have reported to Public Health England in 2014, 2015 and 2016.

We are particularly interested in NDM-1, but would appreciate details of any other NDM incidents if available.

Please break the information down into the three years listed.

Download response Antibiotic resistant NDM 2014-2016. 280217

Antibiotics. 270617

Please could you provide me with a list of all companies currently supplying antibiotics – or that have supplied antibiotics in the last three years – to Maidstone & Tunbridge Wells NHS Trust.

Plus:

– The details, where possible, of the antibiotic products these companies supply or have supplied.

Download response Antibiotics. 270617

Aseptic drug compounding or preparation. 290617

1. How much does your aseptic unit cost to run annually?
2. How many aseptically prepared doses does your unit produce per annum?
3. What types of aseptically prepared products does your aseptic unit produce? E.g Parenteral nutrition, antibiotics, cancer chemotherapy?
4. What IT systems does your Aseptic unit currently use to manage the compounding process or help with your prescribing?
5. How many staff do you employ in your aseptic department?
6. How many members of staff are full time equivalents?
7. How many clean rooms do you have in your department?
8. How many isolators do you have in your department?
9. Do you do any outsourcing? Or is all of your compounding carried out in house?
10. Are you a licensed unit? If so, do you compound for any other customers? If yes, who and for how long?
11. What is your unit’s annual drug spend?

Download response Aseptic drug compounding or preparation. 290617

Benzodiazepines. 270617

Prescription of Benzodiazepines (class of psychoactive drugs)
How many patients were given any form of benzodiazepines during treatment in hospital?
Please provide broken-down figures (if possible) for up to the past five years and at least for the past 3 years

Download response Benzodiazepines. 270617

Biologics 101016

We would like to request from Maidstone and Tunbridge Wells NHS Trust (MTW) the numbers of patients treated in the last 12 months with the following drugs for the conditions listed below:

Download response Biologics 101016

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

Biologics and Biosimilar prescribing. 250517

Could you please provide me with the following numbers of patients treated in the last six months (to date) with the following drugs for the conditions listed below?

Rheumatoid arthritis Ankylosing spondylitis Psoriatic arthritis
Abatacept (Orencia)
Adalimumab (Humira)
Apremilast (Otezla)
Certolizumab Pegol (Cimzia)
Etanercept (Enbrel)
Etanercept biosimilar (Benepali)
Golimumab (Simponi)
Infliximab (Remicade)
Infliximab biosimilar (Inflectra)
Infliximab biosimilar (Remsima)
Rituximab (MabThera)
Secukinumab (Cosentyx)
Ixekizumab (Taltz)
Tocilizumab (RoActemra)
Ustekinumab (Stelara)
Vedolizumab (Entyvio)

Download response Biologics and Biosimilar prescribing. 250517

Biologics and biosimilar prescribing. 290617

Could you please provide me with the numbers of patients treated in the last 12 months [latest 12 months possible] with the following drugs within the dermatology or gastroenterology departments?
Abatacept (Orencia)
Adalimumab (Humira)
Apremilast (Otezla)
Certolizumab Pegol (Cimzia)
Etanercept (Enbrel)
Etanercept biosimilar (Benepali)
Fumaric Acid Esters N/A
Golimumab (Simponi)
Infliximab (Remicade)
Infliximab biosimilar (Inflectra)
Infliximab biosimilar (Remsima)
Rituximab (MabThera)
Secukinumab (Cosentyx)
Ixekizumab (Taltz)
Tocilizumab (RoActemra)
Ustekinumab (Stelara)
Vedolizumab (Entyvio)

Download response Biologics and biosimilar prescribing. 290617

Blood cultures. 090617

1. Who is the policy or clinical lead for blood culture best practice at your trust? Please provide a name, job title, postal address, email address and phone number.
2. Does your Trust follow the Public Health England SMI guidelines for blood cultures?
3. How many blood culture sets are taken for each suspected case of (a) sepsis and (b) other bacterial infection, and where there is more than one blood culture set taken are these taken from different sites – please provide an answer for both (a) and (b).
4. How many individual blood cultures were taken at your trust in the following years: (a) 2012/13 (b) 2013/14 (c) 2014/15 (d) 2015/16 (e) 2016/17?
5. How many individual blood cultures were identified as being contaminated in the following years: (a) 2012/13 (b) 2013/14 (c) 2014/15 (d) 2015/16 (e) 2016/17?

Download response Blood cultures. 090617

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

Bronchial challenge testing 040117

Can you please advise if the trust performs Bronchial challenge testing? If the trust does perform these tests could you also advise?
1) The number of tests performed in the last 12 months?
2) Which products are used to perform the test?
3) Contact details for the sites performing the test?

Download response Bronchial challenge testing 040117

Candida Auris. 250817

I am attempting to discover whether the fungus ‘Candida Auris’ has been found in the Tunbridge Wells hospital.

Is it possible for you to give me any information regarding this matter?

Download response Candida Auris. 250817

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

Charges for ultrasound baby scan pictures for 2011, 2012, 2013, 2014 and 2015. 160617

1) The charges for ultrasound baby scan pictures for the years 2011, 2012, 2013, 2014 and 2015 until now (how much you charge expectant mums/dads).
2) The figures for how much profit has been made from the ultrasound charges for each year from 2011 to now.
3) An explanation for why the charges increased (if they did so).

Download response Charges for ultrasound baby scan pictures for 2011, 2012, 2013, 2014 and 2015. 160617

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

Chronic pain service 031016

1. The definition of calculation used for new to follow up ratios for chronic pain referrals.
2. The data for new to follow up for chronic pain referrals for your trust for the years April 2010 to April 2015
3. Is the calculation used for new and follow-up in Chronic Pain a local or national definition?
4. Can you provide the wording of the definition used?
5. Does the New to follow up ratio calculation that is used by your organisation for Chronic Pain also apply to other specialties?
6. If no – please explain the differences in the calculations.

Download response Chronic pain service 031016

Continence Product Formulary 011216

1) Does the Trust have a Continence Product Formulary?
2) If yes to Q1, please provide a copy
3) How often is the Continence Product Formulary reviewed?
4) What date was the Continence Product Formulary last reviewed?
5) What date will Continence Product Formulary be next reviewed?

Download response Continence Product Formulary 011216

CRE infections. 181116

1. How many patients have been?
-colonised
-infected
With CRE infections for each of the past 10 years in your trust?
2. Does your trust have universal screening of patients for CRE when they are admitted, screening of patients with high risk factors or no formal screening policy?
3. How many patients were screened for CRE when they were admitted and deemed high risk for a CRE infection?
4. How many isolation rooms does your hospital have for isolating CRE patients?
5. How many isolation rooms have en suite bathrooms?
6. What is your policy if there is no side room available for isolating patients with CRE?

Download response CRE infections. 181116

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

Cyclotron 221116

This FOI is about the use of Cyclotrons, used for the manufacture of radiopharmaceuticals in PET-CT scanning
Pertains to four main radiopharmaceuticals isotopes (radio-isotopes) used for PET-CT scanning:
18F-Fluorodeoxyglucose = FDG
18F-Choline = FEC for the diagnosis of prostate cancer
18F-Sodium Fluoride = NAF for the diagnosis of skeletal cancers
18F-Florbetaben = FBB for the diagnosis of Alzheimer’s

Download response Cyclotron 221116

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 150217

1. What is the approximate local population catchment your hospital trust provides services for?
2. For each MRI, CT, and PET-CT, please set out the location for each scanner located on Trust property using one line per machine:
3. For each scanner listed in Question 2 as per index, please set out the type of ownership and both the year of manufacture and the year of installation in your trust for each machine:
4. For each scanner listed in Question 3 that is not owned by the trust and as per index, please list the name of the company providing the service:
5. For each scanner listed in Question 2 as per index, please set out the current ‘normal opening hours’ of the service per week and indicate whether this includes a non-emergency weekend service or not:
6. Please set out the total number of MRI, CT, and PET/CT scans that were carried out on scanners within your trust in the financial years (April to March) 2012/13, 2013/14, 2014/15, and 2015/16:
7. Please set out the total number of MRI, CT, and PET/CT scans referred by clinicians from your trust, regardless of whether they were carried out at your trust or at another trust or provider, in the financial years (April to March) 2012/13, 2013/14, 2014/15, and 2015/16:
8. Please list the providers outside your trust below that carried out MRI, CT, and PET/CT scans on your trust’s patients trust during the financial year 2015/16:
9. For each of the hospital providers listed in Question 8 as per index, please set out the total number of MRI, CT, or PET/CT scans that were carried there on your behalf in the financial years (April to March) 2012/13, 2013/14, 2014/15, 2015/16:
10. Does your trust currently hold plans to extend its MRI, CT, or PET/CT capacity (e.g. increase number of scanners)?
11. If yes, what is the likely procurement method your trust is likely to take?
12. Does your trust currently hold plans to invest into high value (>£500k) capital diagnostic equipment (both radiological and non-radiological) over the next five years?
13. If your trust has done any assessment/forecasting of the evolution of demand for MRI, CT, and/or PET-CT scanning, either historic or future, please provide a copy.

Download response Diagnostic imaging 150217

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

Diagnostic services provided by external providers outside the UK. 260717

Does your trust have any diagnostic services provided by external providers outside the UK (e.g. radiology)?

If yes –

– What services?
– Which provider(s) have been chosen to provide these services?
– How much is each contract worth?
– For what time period will the contract run?
– When did you first enter into these arrangements?

Download response Diagnostic services provided by external providers outside the UK. 260717

Electrophysiology equipment. 300317

1. Does your Trust have an Electrophysiology Lab or perform Electrophysiology Procedures?
2. How many 3D Mapping Systems are installed in your Trust?
3. How many Electrophysiology Recording Systems are installed in your Trust?
On average, what is the lifespan of these EP Recording systems?
What brands are they?
Were there any EP Recording systems purchased in the last 12 months?
If yes, how many?
Were these to replace old machines or new purchases?
4. How many Intracardiac Echocardiography (ICE) Systems are installed in your Trust?
5. How many Radiofrequency (RF) Ablation Generators are installed in your Trust?
6. How many cardiac stimulators are installed in your Trust?
7. How many Remote Navigation Systems (from Stereotaxis) are installed in your Trust?

Download response Electrophysiology equipment. 300317

ESBL and CPE infections. 181116

Can you please tell me how many people in your hospital trust:

1. Were admitted to hospital with an ESBL infection
2. Acquired an ESBL infection while in hospital
3. Were admitted to hospital with a CPE infection
4. Acquired a CPE infection while in hospital

Please provide the information for the past 10 years.

Download response ESBL and CPE infections. 181116

Foot protection team. 020617

1. Does your trust operate a foot protection service, as recommended by NICE guideline NG19 on ‘Diabetic foot problems: prevention and management’?

2. If the answer to Q1 is yes, please state the number of podiatrists and orthotists employed within this service.

3. If the answer to Q1 is yes, is this service led by a podiatrist with specialist training in diabetic foot problems, as recommended by NICE guideline NG19 on ‘Diabetic foot problems: prevention and management’?

4. If the answer to Q1 is no, please provide a reason for this.

Download response Foot protection team. 020617

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

Haemochromatosis. 261016

A. the number of patients treated with Haemochromatosis in 2015 who are in maintenance phase of the treatment (*)
B. the number of patients treated with Haemochromatosis in 2015 who are in PRE-maintenance phase of the treatment (+)
C. a copy of the clinical protocol(s) used to treat haemochromatosis
D. a copy of the clinical protocol(s) for therapeutic venesection

(*) “Maintenance phase” relates to patients whose ferritin is <=50 ug/L
(+) “PRE-maintenance phase” relates to patients whose ferritin is in excess of 50 ug/L

Download response Haemochromatosis. 261016

HCV testing 151216

1. Do you currently offer a clinical testing service for HCV?
o Yes, In-house service
o Yes, Send-out to another laboratory
o No
If you have selected send-out testing above, to which laboratory do you send samples for HCV testing?
2. What type of clinical HCV testing do you offer?
o HCV Antibody testing
o HCV RNA testing
o HCV Genotyping
o HCV Drug resistance testing
o Other. Please Specify:
3. If you are offering HCV antibody testing as well as HCV RNA testing, what is the laboratory algorithm used for testing?
o RNA testing is automatically performed as a reflex test dependant on the Antibody result
o The HCV antibody result is reported to the clinician and RNA testing is only performed when specifically requested by the clinician
4. HCV antibody testing details:
Is HCV antibody testing performed using a kit or laboratory developed technique?
If appropriate, please specify kit details:
What platform is used for HCV antibody testing?
What is the laboratory turnaround time for HCV antibody testing?
How frequently is HCV antibody testing performed
(on sample receipt, daily, twice a week, monthly)?
5. HCV RNA testing details:
Is HCV RNA testing performed using a kit or laboratory developed technique?
If appropriate, please specify kit details:
What platform is used for HCV RNA testing?
What is the laboratory turnaround time for HCV RNA testing?
How frequently is HCV RNA testing performed
(on sample receipt, daily, twice a week, monthly)?
6. HCV sample volume:
Annual Sample Volume
1st Nov 2015- 1st Nov 2016 Positivity Rate
1st Nov 2015- 1st Nov 2016
HCV
Antibody testing
HCV
RNA testing
HCV
Genotyping
(If applicable)
HCV
Drug resistance testing
(If applicable)

Download response HCV testing 151216

Hepatitis C. 280417

1. Does your trust treat Hepatitis C? [Yes/No]
2. How many patients with Hepatitis C are registered, or recorded as under you care? [Number]
3. Please could you supply the following information, for patients with hepatitis C, for the last month if possible? Please use the tables to enter by genotype as possible thank you.
By genotype as follows
Interferon Free Treatment
Epclusa
Harvoni
Sovaldi
Sovaldi/Olysio
Sovaldi/Daklinza
Viekirax
Viekirax/Exviera
Zepatier
If your systems do not support the ability to split by treatment, please supply total treated by the genotype split. Similarly, if you are unable to split by genotype, please just split by treatment type.

Download response Hepatitis C. 280417

Hepatitis C Patients 221216

For Hepatitis C patients:
1. How many patients in total are under the institution’s care, but not under any treatment (i.e. no drugs being given for this virus)?
If possible please split by Genotype.

2. For Hepatitis C patients, how many were treated in the month (last month’s available data) with interferon containing therapy and interferon free therapy as listed below. Please use the tables to enter by genotype if possible, thank you.

Download response Hepatitis C Patients 221216

Heroin and cocaine prescriptions. 250117

Under the FOI Act, can you please tell me how many times your trust has prescribed either heroin/diamorphine and/or cocaine to patients in the 2015 and 2016 calendar years.

Download response Heroin and cocaine prescriptions. 250117

Hidradenitis Suppurativa 230117

In your trust, how many patients with a diagnosis of Hidradenitis Suppurativa* (HS) have been treated in the last 12 months [latest available]?

Of these patients how many have been treated with the following;
Adalimumab
Etanercept
Infliximab
Infliximab Biosimilar
Ustekinumab

Download response Hidradenitis Suppurativa 230117

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

Imaging services. 070317

1. Total number of and the manufacturer and model number(s) of each individual:
o MRI scanner
o CT scanner
o PET scanner
o SPECT scanner
o Ultrasound scanner
o Flexible Endoscope [An estimate of the number and predominant manufacturer brand will suffice]
o Catheter Lab X-ray machines
2. The year each individual scanner was purchased, the purchase method**, cost and the scheduled replacement year for each individual:
o MRI scanner
o CT scanner
o PET scanner
o SPECT scanner
Please state the total cost for trust purchases and annual payments if lease or MES.
Please indicate if equipment was purchased through a group purchasing organisation
3. How each of the following equipment has been purchased (e.g. contract with OEM, NHS Supply Chain catalogue) and how often they are replaced on average:
o Ultrasound scanner
o Sets of Flexible Endoscopes
o Catheter Lab CT machines
An estimate of how often the trust aims to replace the listed equipment would be useful (e.g. once every 2 years).
4. The maintenance provider (e.g. the OEM or a third party) and the annual maintenance cost (if applicable) for each individual:
o MRI scanner
o CT scanner
o PET scanner
o SPECT scanner
o Ultrasound scanner
o Catheter Lab CT machines
Might be done by the Original Equipment Manufacturer (OEM) (e.g. Siemens maintenance for a Siemens MRI machine) or a third party. If so, please state the provider name.
If no listed maintenance provider, please state – possibly the case for ultrasound.
5. Staffed hours for each individual: (Please note which of the individual scanners are available 24/7 for A&E purposes.)
o MRI scanner
o CT scanner
o PET scanner
o SPECT scanner
Please state hours each scanner is manned. (e.g. 9am – 6pm, Mon-Fri). Scanners used by A&E departments presumably must be 24/7, so please indicate these where relevant.
6. Number of scans/procedures performed annually in period financial year 2005/06 – 2015/16 for the following: [See the attachment for the relevant OPCS and modality ID codes].
o MRI scans*
o CT scans*
o PET scans*
o SPECT scans*
o Ultrasound scans
o Endoscopy procedures (Upper GI, Lower GI and Urological)
o Cardiac Angiography and Angioplasty procedures
o Cardiac Electrophysiology procedures
*For MRI, CT, PET and SPECT these may be covered by submissions to HSICIC for the Diagnostic Imaging Dataset (DID) (http://www.hscic.gov.uk/did), but we are looking for more granular data by individual machine if possible.
7. Number of scans/procedures performed by external providers on behalf of the trust in this same period. How much was paid per scan/procedures on average? Please list by external provider name. For the following:
o MRI scans
o CT scans
o PET scans
o SPECT scans
o Ultrasound scans
o Endoscopy procedures (Upper GI, Lower GI and Urological)
o Cardiac Angiography and Angioplasty procedures
o Cardiac Electrophysiology procedures
Number of activities performed by an external provider (NHS or Non-NHS), data may be collected by CCGs.
8. Average cost per scan from by year for the period 2005/06 – 2015/16 for the following:
o MRI scans
o CT scans
o PET scans
o SPECT scans
9. The provider of tracers for PET (e.g. FDG) and annual spend on tracers.

Download response Imaging services. 070317

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 or implants September – December 2016.100217

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

2. Does your trust record the time taken from referral of a patient for treatment to the time for an injection or implant to be complete?
If so what is the average waiting time for treatment with an injection of implant?

Download response Intra-vitreal vials or implants September – December 2016.100217

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

Intra-vitreal vials/implants May – August 2016.

Within your trust how many intra-vitreal vials/implants have been used in the latest 4 months, if possible between May and August 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 May – August 2016 101016

Klebsiella Pneumoniae 090617

In the 12 months ending 31 October 2016, what was:
1. The number of patients who had a blood culture positive for Klebsiella pneumoniae (Group A)
2. In Group A, the number of patients who had a blood culture positive for Klebsiella pneumoniae, with the organism found to be resistant to meropenem, resistant to ertapenem, OR reported positive for a carbapenemase (Group “CRKPb”).
3. In Group A, the number of patients who had a blood culture positive for Klebsiella pneumoniae, with the organism NEITHER found to be resistant to meropenem, NOR resistant to ertapenem, NOR reported positive for a carbapenemase (Group “CSKPb”).
4. Within Group CRKPb, the percentage of patients who had died in the period between the specimen date of the first blood culture that became positive for Klebsiella pneumoniae found to be resistant to meropenem, resistant to ertapenem, OR reported positive for a carbapenemase, and 6 days after the specimen date.
5. Within Group CRKPb, the percentage of patients who had died in the period between the specimen date of the first blood culture that became positive for Klebsiella pneumoniae found to be resistant to meropenem, resistant to ertapenem, OR reported positive for a carbapenemase, and 30 days after the specimen date.
6. Within Group CSKPb, the percentage of patients who had died in the period between the specimen date of the first blood culture that became positive for Klebsiella pneumoniae NEITHER found to be resistant to meropenem, NOR resistant to ertapenem, NOR reported positive for a carbapenemase, and 6 days after the specimen date.
7. Within Group CSKPb, the percentage of patients who had died in the period between the specimen date of the first blood culture that became positive for Klebsiella pneumoniae NEITHER found to be resistant to meropenem, NOR resistant to ertapenem, NOR reported positive for a carbapenemase, and 30 days after the specimen date.”
Please provide answers on the same questions for the 12 months period ending 31 October 2015.

Download response Klebsiella Pneumoniae 090617

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

Microbiological techniques 281116

1. Clostridium difficile
2. Penicillin resistant Streptococcus pneumonia
3. Macrolide-resistant Group A Streptococcus
4. Clindamycin-resistant Group B Streptococcus
5. Meticillin resistant Staphylococcus aureus (MRSA
6. Vancomycin resistant / intermediate Staphyloccocus aureus
7. Glycopeptide-resistant
8. Multi-drug resistant Pseudomonas aeruginosa
9. Multi-drug resistant Acinetobacter
10. Drug resistant campylobacter
11. Fluconazole-resistant Candida albicans
12. Carbapenemase-Producing Enterobacteriaceae (CPE
13. ESBL-Producing Enterobacteriaceae
14. AmpC-Producing Enterobacteriaceae
15. Drug resistant non-typhoidal Salmonella
16. Drug resistant Salmonella typhi / paratyphi
17. Drug resistant Shigella
18. Drug resistant TB (MRDTB, XDRTB, Pan-DRTB)

Download response Microbiological techniques 281116

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

Mouthwash product for oral mucositis treatment or prevention. 270317

1. Please advise the estimated number of beds at your hospital(s)
2. Please advise the estimated number of patients treated annually at your hospital(s)
3. Please advise the estimated number of patients receiving chemotherapy at your hospital(s) each year
4. What is the preferred mouthwash product prescribed to patients for oral mucositis treatment or prevention?
5. What is the estimated annual spend on mouthwash?
6. What is the estimated annual number units of mouthwash prescribed?

Download response Mouthwash product for oral mucositis treatment or prevention. 270317

MRI equipment and activity 070317

Please provide the total number of, the manufacturer, the model number(s), and the emplacement type of each individual MRI scanner used in the last year by your trust.
For each of the individual MRI scanner above, in which year was it purchased (or contracted), what was the purchase method, and the scheduled replacement year.
For each of the individual MRI scanner above, please provide the maintenance provider (if applicable).
Please provide the total number of MRI scanners in your trust (static sites only, excluding any mobile scanners), as well as the total number of days during which a MRI Mobile Scanner was used / contracted in your trust annually, for the period from financial year 2005/06 until 2015/16.
Where the number of static MRI scanners changed during a financial year, please list the number of static scanners in operation on 31st March for the year in question.
Please provide the number of MRI scans/procedures performed by external providers (3rd party providers, such as Alliance Medical, InHealth, etc.) on behalf of the trust over the same period.
How much was paid per scan/procedures on average, every year over the same period? Please list by external provider name.
Please detail the normal staffed hours of operation for each individual MRI scanner. In addition, please note which (if any) of the MRI scanners is available for emergency and urgent scanner (e.g. referrals from A&E or medical assessment unit).
Please provide the number of staff employed in your Imaging Department (FTEs = Full Time Equivalent), for each site you may operate, and whether the operation of the scanner(s) and the reporting are done in-house, partly outsourced to a third party provider (supplementing in-house staff) or fully outsourced to a third party provider.
Please describe the availability of free space you currently have within the radiology / imaging sites of your trust, and whether it would be sufficient to add an additional MRI scanner (assuming an increase in demand would require one additional scanner).
Please provide the list of activities (clinical and non-clinical areas) for which your trust (partly) relies on the use of third party providers, and whether those activities have been outsourced to a third party provider outside the hospital ground or within the existing premises.

Download response MRI equipment and activity 070317

MRI scanners. 200417

1. What make/model are your existing MRI scanners?
2. When were they installed?
3. When are they due for renewal?

Download response MRI scanners. 200417

MRI scans 111116

1. What is the current waiting time (in weeks) for a routine MRI scan? What is the current trust waiting time (in weeks) targets for a routine MRI scan?

2. Does the trust hire in any private mobile MRI scanners to meet the existing workload? Or do they send any NHS patients to private centres for their scans?

Download response MRI scans 111116

MRI scans 2016. 070417

A- What is the total number of MRI scans performed by your trust between 1st Jan 2016 and 31st Dec 2016?

B- Of these scans please can I have a breakdown on how many are scans of the brain, IAMS, Cervical spine, Lumbar spine, Hip, Knee, Ankle, Foot, Shoulder, Wrist, Elbow, Hand, Thumb and Finger.

Download response MRI scans 2016. 070417

MRI scans under general anaesthetic. 070417

1. How many patients each year have required an MRI under general anaesthetic in the following years?
a. 2016/17
b. 2015/16
c. 2014/15

2. What is the total approximate cost of these scans in each of the above years?

download response MRI scans under general anaesthetic. 070417

Multiparametric MRI. 070317

Please find attached a copy of your letter in response to a “freedom of information” request. Please can you explain the answer at point 1 in your letter which, at best seems factually incorrect and at worse, deliberately misleading.

Your letter clearly states at point 1 that the Trust does provide multi-parametric MRI scans prior to biopsies but, I have been told by the consultant at Maidstone Hospital that only larger tumours will be detected thereby. I have been advised that there are no machines suitable for mpMRI scans at either Maidstone or Tunbridge Wells hospitals.

The web-site here seems to be clearly relying on the information provided in your letter – https://public.tableau.com/profile/ali.cooper#!/vizhome/mpMRIFOIpublicdashboard-ProstateCancerUK_0/FullresultsStory as shown by the map excerpt below.

Download response Multiparametric MRI. 070317

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 031016

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?
Please provide the number of patients by treatment for the following disease modifying 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 (Plegridy)
Daclizumab (Zinbryta)
Others

Download response Multiple Sclerosis 031016

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 patients 160916

Please see attached for form to fill in to respond to an FOI request regarding the number of patients treated in your trust for the names drugs. I am also interested in knowing the number of new MS diagnoses, MRI scans and the total catchment population of the trust.

Download response Multiple Sclerosis patients 160916

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

Occupational Therapists 2011-2017. 310317

1. How many occupational therapists were/are employed within your Trust in each of the following financial years, in working time equivalent format: 1) 2011/12; 2) 2012/13; 3) 2013/14; 4) 2014/15; and 5) 2016/17 budgeted?

2. What was the total amount spent on occupational therapy services within your Trust in each of the following financial years: 1) 2011/12; 2) 2012/13; 3) 2013/14; 4) 2014/15; and 5) 2016/17 budgeted?

3. Of these, how many occupational therapists were/are working on acute medical wards in each of the following financial years, in working time equivalent format: 1) 2011/12; 2) 2012/13; 3) 2013/14; 4) 2014/15; and 5) 2016/17 budgeted?

4. Of these, how many occupational therapists were/are working in Accident & Emergency departments in each of the following financial years, in working time equivalent format: 1) 2011/12; 2) 2012/13; 3) 2013/14; 4) 2014/15; and 5) 2016/17 budgeted?

Download response Occupational Therapists 2011-2017. 310317

Occupational Therapy Lead 150217

Do you have an occupational therapy lead for the Trust? If so, please provide their name, job title and contact information (including email address, postal address and contact phone number).

Download response Occupational Therapy Lead 150217

Ocriplasmin (Jetrea) treatment. 110717

We are trying to understand the cost effectiveness of Ocriplasmin (Jetrea) treatment for vitreo-macular traction.

We would like to obtain data regarding the number of injections performed, and possibly cost, of this treatment in your Trust, should you have ever provided it.

The time frame would be 01/01/2016 to 31/05/2017, if possible divided by month, otherwise just a total number will suffice.

Download response Ocriplasmin (Jetrea) treatment. 110717

Outbreaks of resistant organisms 2012-2016. 280217

In the last five years, please list each outbreak the trust has declared due to the following organisms:
– Vancomycin-resistant enterococci
– Methicillin-Resistant Staphylococcus aureus (MRSA)
– Extended-spectrum β-lactamase (ESBLs) producing Gram-negative bacteria
-Carbapenem resistant enterobacteriaceae
-Carbapenemase producing organism
-Drug resistant Acinetobacter
-Drug resistant pseudomonas

For each case please specify
-The organism causing the outbreak (eg for carbapenemase producing organisms specify Klebsiella pneumoniae carbapenemase)
-Date the outbreak was declared and date it was declared over
-Number of confirmed cases and number of probable cases
-Description of control measures, eg whether wards were closed, patients put in isolation rooms, hydrogen peroxide vapour used to clean rooms etc. For ward closures please give details of ward type and size (eg 30-bed renal ward)
-Whether the outbreak was reported to Public Health England, and if so, the date it was reported
-Date audit report, outbreak investigation, infection control committee report (or equivalent report) was published
-Number of bed days lost
-Number of patient deaths

Download response Outbreaks of resistant organisms 2012-2016. 280217

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

PDL1 testing. 070417

1. Do you currently offer a clinical testing service for PD-L1 in non-small cell lung carcinoma (NSCLC) as off the beginning of 2017?
2. How is PD-L1 testing in NSCLC normally requested by the clinician? (please select all that apply)
3. If requested as part of a NSCLC panel of tests, how is PD-L1 testing performed in the lab
4. What sample types are processed by the lab for NSCLC testing (EGFR/ALK/PD-L1)? (please select all that apply)
5. What is the number of NSCLC samples being tested (or sent-out) are tested for:?
6. What proportion of PD-L1 NSCLC samples tested are cytology/ cytological cell block samples? (per month or per year or as a percentage of PD-L1 samples tested, whichever is easier to determine)
7. What proportion of PD-L1 NSCLC samples are NOT tested because the samples are EBUS/cytology samples? (per month or per year or as a percentage of PD-L1 samples tested, whichever is easier to determine)
8. What methods are used for PD-L1 testing in NSCLC and their associated clinical cut-off? (please select all that apply)
9. What is the clinical cut offs are used in relation to the antibodies selected above?
10. What IHC staining platform(s) are used in the laboratory that performs the PD-L1 testing e.g. Ventana, Dako, Leica, Menarini, Shandon, Labvision, etc? (If possible, please supply the model of the platform)
11. What percentage of samples tested have ≥1% PD-L1 expression?
12. What percentage of samples tested have ≥50% PD-L1 expression?
13. What is the average turnaround time from sample receipt to report being issued?
14. Are there bottlenecks that prevent this turnaround time from being quicker?
15. Who pays for DLBCL testing?

Download response PDL1 testing. 070417

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 department 150217

1. How many permanent staff are employed by the pharmacy department?
2. How many permanent vacancies are currently open/unfilled within the pharmacy department?
3. How many agency staff/locums are currently being used across the pharmacy department?
4. How many bank temps are being used across the pharmacy department?
5. During the 2015-2016 financial year, how much did the pharmacy department spend on temporary agency staff?
6. During the 2015-2016 financial year, how much did the pharmacy department spend on temporary bank staff?
7. During the 2015-2016 financial year, how much did the pharmacy department spend on permanent finders/introduction fees through recruitment agencies
8. Does the pharmacy department utilise frameworks for temporary staffing? If so, which framework is of choice?
9. Does the pharmacy department book agency staff direct with agencies or do all bookings run through a centralised temporary staffing team?
10. Does the pharmacy department work within a master vendor agreement or managed service agreement?
11. Which agencies does the pharmacy department use for temporary/locum staff?
12. Please provide me with the following contact names within the authority:
a) The name of the senior manager (Chief Pharmacist/Director of Pharmacy) with overall responsibility for the pharmacy department.
b) The name of the head of temporary staffing.

Download response Pharmacy department 150217

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

Physiotherapy appointments. 31.01.17

1 How many physiotherapy appointments are made each Year with the Hospital/Trust?
a. How many of these are postponed/re-appointed for a later date
b. How many are cancelled
c. How many are DNA
2 How much is the Trust paid for each Physiotherapy appointment by the CCG (please indicate if there are different tariffs with different CCGs)
a. For the initial appointment
b. For the follow-up appointments
c. Is the Trust paid for cancellations?
3 How many referrals are from Acute Medicine (ED/Fracture/Ortho) to the Physiotherapy department are there per Year and how many from Primary Care.
4 Does the Trust work with any none NHS rehabilitation partners?
a. Please identify which speciality for rehabilitation
b. Please indicate the organisation
5 What is the mean and modal average waiting time (in days) for a physiotherapy appointment from initial referral from an NHS service (GP/Acute/other) to receipt on initial treatment at the physiotherapy department?
a. How are changes of appointment communicated?
6 For those attending a timed/scheduled/booked appointment at the physiotherapy department
a. how many are treated at that time stated on the appointment
b. For those not treated at the booked time, what is the average waiting time discrepancy from scheduled appointment to actual appointment
c. How long is the mean and modal average scheduled appointment time (in minutes)
i. How long is the actual mean and modal appointment (in minutes)
d. How many patients’ appointments re-scheduled after turning up at the booked time, but are unable to be seen due to delays
7 Does the Trust face any penalties for cancelations/re-scheduling appointments from Government/NHS/CCG?
8 What is the Trusts official stance on referrals to Private Physiotherapy services?
9 Does the Trust offer any private/paid for physiotherapy/rehabilitation service?

Download response Physiotherapy appointments. 31.01.17

Podiatry services 2013-2017. 200417

1. The services of how many podiatrists across all podiatry services were engaged by your trust in each of the following fiscal years 1) 2013-14; 2) 2014-15; 3) 2015-16; 4) Budgeted for 2016-17; all in (i) Working Time Equivalent and (ii) Headcount format

2. How many referrals were made from NHS services at your trust to private podiatric services in each of the following fiscal years 1) 2013-14; 2) 2014-15; 3) 2015-16; 4) Budgeted for 2016-17, and how much did these referrals cost the trust in each such year?

Download response Podiatry services 2013-2017. 200417

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

Post CCT doctors in Radiology.130417

Please provide details of all the current filled training fellowship posts (or other similar training programmes for post CCT doctors) within your Radiology departments.
Please provide:
1. Start dates of current posts
2. End date of current posts
3. The sub-specialist interest under ophthalmology the training post is within (example: MSK, Breast Imaging, Paediatric Radiology…)

Download response Post CCT doctors in Radiology.130417

Provision of Physiotherapy services 031016

1. The number of patients on the waiting list for an appointment with a physiotherapist at the year-end 31st March in each year between 2006 and 2016.
2. The average waiting time for a physiotherapist appointment in each financial year from 2006 to 2016.
3. Annual expenditure on physiotherapy in the trust each year from 2006 to 2016.

Download response Provision of Physiotherapy services 031016

Radio Frequency Identification (RFID) technology. 111116

1. How many beds are in your trust?
2. How many Medical Devices are managed by your trust?
3. How many Clinical Technicians/Engineers are in your Trust?
4. Do you use RFID tracking technology, if yes, Please answer the below questions.
a. For what purpose do you use RFID? (i.e. Records, Patients, Medical Devices, Security etc.)
b. What were the initial setup costs of the supplier? (0-10k, 10-20k, etc.)
c. How many medical devices are tagged?
d. Do you use Passive or Active Tagging?
e. Approximately how long does it take to perform a ward audit using RFID?
f. What are the main medical device types tagged?
5. How long does it take your EBME department to perform a ward audit (for Non-RFID users)?

Download response Radio Frequency Identification (RFID) technology. 111116

Radiopharmaceuticals. 270617

Pertains to four main radiopharmaceutical isotopes (radio-isotopes) used for PET-CT scanning:
18F-Fluorodeoxyglucose = FDG
18F-Choline = FEC for the diagnosis of prostate cancer
18F-Sodium Fluoride = NAF for the diagnosis of skeletal cancers
18F-Florbetaben = FBB for the diagnosis of Alzheimer’s
* includes academia and commercial

Question Set 1
Please provide information for the questions below
SUPPLIER INFORMATION
Who is your Radiopharmaceuticals supplier?*
Postcode of supplier
Annual order size (£/year)

Question Set 2
Please provide information for the questions below
CURRENT PURCHASED VOLUMES
18F-Fluorodeoxyglucose (FDG) (kg/month)
18F-Choline (FEC) (kg/month)
18F Florbetaben (FBB) (kg/month)
18F-Sodium Fluoride (NAF) (kg/month)
CURRENT AVERAGE PURCHASE PRICE
18F-Fluorodeoxyglucose (FDG) (kg/month)
18F-Choline (FEC) (kg/month)
18F Florbetaben (FBB) (kg/month)
18F-Sodium Fluoride (NAF) (kg/month)

Question Set 3
Please describe the procurement structure of your radiopharmaceuticals (ie, procurement buying-groups; tenders?)

Question Set 4
Please describe the tariff structure for radiopharmaceuticals (i.e., how do prices of radiopharmaceuticals change with the quantity bought?)

Question Set 5
When assessing the supply of FDG 18
What drives your choice of supplier? Please state your purchase criteria
When assessing the supply of FBB
What drives your choice of supplier? Please state your purchase criteria

Download response Radiopharmaceuticals. 270617

Ribavirin 200mg, 400mg and 600mg. 270617

I am writing to request hospital prescribing data for Ribavirin 200mg, 400mg and 600mg (Tablets and Capsules). The data is required for all generic and branded prescriptions and should have the below information:

Coverage period: January 1, 2015 to December 31, 2015
BNF Code
BNF Presentation Name
Net Ingredient Cost in £s.
Quantity Prescribed.

Download response Ribavirin 200mg, 400mg and 600mg. 270617

Rosuvastatin (Generic) and Crestor Tablets (April 2016 – March 2017).

I am writing to request details of the number of tablets prescribed for below products by your Trust. The period for which data is being requested is April 2016 – March 2017:
• Rosuvastatin Tablets 5mg
• Rosuvastatin Tablets 10mg
• Rosuvastatin Tablets 20mg
• Rosuvastatin Tablets 40mg
• Crestor Tablets 5mg
• Crestor Tablets 10mg
• Crestor Tablets 20mg
• Crestor Tablets 40mg

Download response Rosuvastatin (Generic) and Crestor Tablets (April 2016 – March 2017).

Scanners 150217

Question 1
How many of the following scanners do you operate in your Trust?
Question 2
For each scanner, could you please fill in the table below with the requested information?
Question 3
Have you used a mobile MRI or CT scanner in the last 12 months? If yes, approximately how many scans were undertaken on a mobile scanner in the last 12 months, and which provider was used?
Question 4
If so, what was the primary reason for using mobile services? (Please allocate an approximate % if multiple reasons)
Question 5
If a mobile scanner has been used in the last 12 months:
– What is the main reason why a new static scanner has not been installed to serve this volume? (Please allocate an approximate % if multiple reasons)
Question 6
Is your Trust planning on installing a new scanner, a new mobile scanner or adding third-party operated scanners, in the next 12 months? If so, is this as a replacement for a scanner already in your Trust?
Question 7
How much do you spend on outsourced radiology reporting, by hospital (or across Trust if not broken down at hospital level)?

Download response Scanners 150217

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

Sterile Services 281116

Name of your Trust
Number of hospitals you provide sterile services to
Number of instruments processed each year?
Number of trays processed each year?
What is the sterilisation cost (in £’s) per instrument? Please provide breakdown if dependent upon tray size
Which specialty has the highest instrument sterilisation requirement?
Are your sterile services, on site or off site?
Are you sterile services in house or out sourced?
What is the isolated cost of sterilising loan trays/instruments in 2015?
If in house
total annual cost 2015 excluding staff
total annual cost 2015 including staff
Number of staff?
Total number of hours over-time paid 2015?
If off site
What is the distance to the off site?
What is the carriage cost incurred? Please provide breakdown if needed.
If outsourced
What is the total annual cost to fast track instrument trays?

Download response Sterile Services 281116

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 Patient Access Schemes Liaison Unit (PASLU). 011216

In order to assist the PASLU in finding new members, I would be extremely grateful if you could supply the contact details of your chief pharmacist or equivalent role within the trust so that the offer to join the NRG can be extended to them. More information regarding the PASLU and the NRG will then be sent to them directly.

Download response The Patient Access Schemes Liaison Unit (PASLU). 011216

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

Theranos’ Edison blood-testing machines 150916

I would like to know how much the trust has spent on Theranos’ Edison blood-testing machines since the beginning of 2012. I would also like to know if there were any planned investments on the products or any investigations into the results they produced.

Download response Theranos’ Edison blood-testing machines 150916

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

Viscosupplementation Injections 2015 – 2017.

1) Does your organisation use/perform Viscosupplementation injections?

2) How much has your organisation spent in the financial year 2015/16 and 2016/17, on Viscosupplementation?

3) Which (brands) Viscosupplements have been use in the financial year 2016/17?

Download response Viscosupplementation Injections 2015 – 2017.

Viscosupplementation injections. 240717

1. Does your organisation use/perform Viscosupplementation injections?
2. If so, how much did your organisation spend on Viscosupplementation injections between the period of 01/01/2016 to 31/12/2016?
3. If your organisation used Viscosupplementation between the period 01/01/2016 to 31/12/2016, which brand(s) Viscosupplement did you use?

Download response Viscosupplementation injections. 240717

Vivomixx Sachets 2015. 300617

Can you please provide me with the usage statistics (number of sachets prescribed) of Vivomixx during the period January 2015 – December 2015.

Download response Vivomixx Sachets 2015. 300617

 

Emergency and Medical Services

Pain relief prescriptions 031016

For each of the questions, please can you provide answers for each of the financial years 2013/14, 2014/15 and 2015/16:

1. PARACETAMOL

a. Which suppliers did you buy paracetamol from?
b. How many packets of paracetamol did you buy from each supplier? Please disclose how many tablets were in the packets.
c. How many packets of paracetamol did you buy in total? Please disclose how many tablets were in the packets.
d. How much did you pay each supplier for paracetamol?
e. How much did you spend on paracetamol in total?
f. How many prescriptions in total did you make for paracetamol?
g. How many of these prescriptions were free for the patient?
h. How much money were you paid by patients for paracetamol?

2. IBRUPROFEN

a. Which suppliers did you buy ibuprofen from?
b. How many packets of ibuprofen did you buy from each supplier? Please disclose how many tablets were in the packets.
c. How many packets of ibuprofen did you buy in total? Please disclose how many tablets were in the packets.
d. How much did you pay each supplier for ibuprofen?
e. How much did you spend on ibuprofen in total?
f. How many prescriptions in total did you make for ibuprofen?
g. How many of these prescriptions were free for the patient?
h. How much money were you paid by patients for ibuprofen?

3. ASPIRIN

a. Which suppliers did you buy aspirin from?
b. How many packets of aspirin did you buy from each supplier? Please disclose how many tablets were in the packets.
c. How many packets of aspirin did you buy in total? Please disclose how many tablets were in the packets.
d. How much did you pay each supplier for aspirin?
e. How much did you spend on aspirin in total?
f. How many prescriptions in total did you make for aspirin?
g. How many of these prescriptions were free for the patient?
h. How much money were you paid by patients for aspirin?

4. CODEINE PHOSPHATE

a. Which suppliers did you buy codeine phosphate from?
b. How many packets of codeine phosphate did you buy from each supplier? Please disclose how many tablets were in the packets.
c. How many packets of codeine phosphate did you buy in total? Please disclose how many tablets were in the packets.
d. How much did you pay each supplier for codeine phosphate?
e. How much did you spend on codeine phosphate in total?
f. How many prescriptions in total did you make for codeine phosphate?
g. How many of these prescriptions were free for the patient?
h. How much money were you paid by patients for codeine phosphate?

Download response Pain relief prescriptions 031016

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

Acopia and-or social admission or ICD 10 code z73. 250417

With regard to A&E statistics pertaining to presenting complaints can you please provide the number of times ‘acopia’ and/or ‘social admission’ or ICD 10 code z73 were recorded as causes for
a. Admission
b. Noted in the discharge summary
c. Recorded as a diagnosis for the periods of
January 2017- March 2017
2016
2015

Download response Acopia and-or social admission or ICD 10 code z73. 250417

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 admissions on 8 and 9 December 2016. 080517

How many admissions happened on 8 and 9 December and at what times and how many cubicles are available in A&E.

Download response A&E admissions on 8 and 9 December 2016. 080517 

A&E agency staff 2016. 290317

1. The amount spent on employing agency/temporary/locum doctors in A&E departments in each month in 2016.
2. The number of FTE roles covered by agency/temporary/locum doctors in each month in 2016
3. The total number of FTE doctors working in the A&E department in each month in 2016.

Download response A&E agency staff 2016. 290317

A&E attendances for assault in 2016. 091216

The data we require are as follows (for period 1st January 2016 and 31st December 2016) in an electronic format that allows us to read the data into a database. Many hospitals respond to our survey and provide data in the form we require. Preferably this format is in an excel file or comma separated text file.

We require the gender of the patient (M or F), the date that they attended due to assault (dd/mm/yyyy) and their age. Age can either be numerical to the nearest year (preferred) or in age bands (“0-10”, “11-17”, “18-30”, “31-50”, “51+”), we can also accept date of birth.

To calculate the level of assault-related injury in England and Wales we also require the total number of attendances for any reason in the year of interest, i.e. 2016.

Download response A&E attendances for assault in 2016. 091216

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 beds and upfront charging. 250417

Accident and Emergency

1. As of April 2010, the total number of Accident and Emergency beds within the Trust (including predecessor Trusts)
2. As of March 2011, the total number of Accident and Emergency beds within the Trust (including predecessor Trusts)
3. As of April 2017, the total number of Accident and Emergency beds within the Trust
Please split the figures for questions 1-3 into overnight beds and day-only beds. This request includes beds that were temporarily unavailable.
4. Please list any Accident and Emergency wards or units that have been permanently closed since April 2010. Please state how many A&E beds they included at point of closure.
5. Please provide the business case or management report/review underpinning each closure listed in response to question 4
6. Please list any Accident and Emergency wards or units that have been permanently opened since April 2010. Please state how many A&E beds they include.

In this request, Accident and Emergency beds, wards and units are those whose primary usage is for Accident and Emergency cases.

Upfront charging of non-residents

7. What is the Trust’s policy on treating overseas patients who are eligible to be charged upfront for care but are not able or willing to pay upfront?
8. What is the Trust’s policy on upfront charging for overseas patients where it is not possible to establish the cost of care upfront?
9. What is the Trust’s policy towards clinical staff who refuse to enforce upfront payment?
10. What is the Trust’s policy on identifying which patients need to be asked for proof of residency in relation to upfront charging, and what form does that proof take?

Download response A&E beds and upfront charging. 250417

A&E by people suffering with mental health related issues 2012-2016. 091216

How many attendances have there been at A&E by people suffering with mental health related issues (for example, categories including, psychiatric conditions, social problems, self-harm) over the last five calendar years (2012/2013/2014/2015/ January 1st – September 30th 2016)?

Please give the breakdown for under 18s and over 18s attendances (and if possible a further breakdown of ages for under 18s).

If possible, for each year, please state how many people waited longer than the four hour waiting target?

If the trust is in charge of more than one hospital, please give separate information per hospital please.

Download response A&E by people suffering with mental health related issues 2012-2016. 091216

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 wait times. 270317

1. What was the date the live A&E wait time information went live on the trust website?
2. For the year before the live A&E wait time information was live on the trust website how many ambulance diverts were requested?
3. For the year before the live A&E wait time information was live on the trust website how many ambulance diverts were granted?
4. For the year after the live A&E wait time information was live on the trust website how many ambulance diverts were requested?
5. For the year after the live A&E wait time information was live on the trust website how many ambulance diverts were granted?
6. How many occasions has the hospital breached 12 hour trolley waiting times, in the last calendar year, for patients that require a inpatient bed.
7. What specialism (directorate/division) were patients who required a inpatient bed if they breached 12 hour trolley waiting times within the last year. Example medical/surgical/ maternity etc. To clarify 12 hour breach time refers specifically to 12 hour trolley wait decision to admit to admission.
8. How many outlying patients were placed in areas due to lack of available beds in the correct specialty/area for the year before the live A&E wait time information was live on the trust website. An example of a outlier is a patient requiring a medical bed being placed in another specialist area such as surgery due to no available medical beds.
9. How many outlying patients were placed in areas due to lack of available beds in the correct specialty/area for the year After the live A&E wait time information was live on the trust website. An example of a outlier is a patient requiring a medical bed being placed in another specialist area such as surgery due to no available medical beds.
10. What system is used to collate the information for the A&E live wait times?
11. How often is this updated on the trust website?

Download response A&E wait times. 270317

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

Agency spend for locum doctors in Acute Medicine. 240317

Can you please assist me with retrieving the total Agency spend for Medical Locum Doctors within Acute medicine over the following months, within your Trust or Health Board?
August 2016
September 2016
October 2016
November 2016
December 2016
January 2017

Download response Agency spend for locum doctors in Acute Medicine. 240317

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

Alzheimer Disease 2012-2016

For the years between 2012 and 2016
1. How many people has your trust/hospital diagnosed with Alzheimer Disease for each of the years mentioned above? If possible could this be broken down by gender?
2. How many people are seen within 12 weeks of being referred by a GP?

Download response Alzheimer Disease 2012-2016 150317

Ambulatory ECG’s 2015-2016. 090217

1. Total number of Ambulatory ECG’s (aka Holter tests, R-Tests, etc) performed in 2015 and to date in 2016 calendar year.
2. If possible, please indicate how many were for ≤24-hour duration; 24-72 hour duration; ≥ 72 hour duration.
3. Please also indicate what current waiting time is for fitting of device and reporting results.

Download response Ambulatory ECG’s 2015-2016. 090217

Annual Departmental activity statistics 2011-2013. 030117

In your trust in each of the following years (in 2011, 2012 & 2013)
– Financial year 2011/2012 and financial year 2012/2013
– Or Calendar year 2011, Calendar year 2012 and Calendar year 2013
Annual departmental activity statistics for Obstetrics & Gynaecology Department for the following data:
Obstetrics (Maternity)
1- Annual total number of all types of deliveries
2- Annual total number Instrumental/operative vaginal deliveries
3- Annual total number of Caesarean sections
4- Annual total number of vaginal deliveries
5- Annual total number of Antenatal out-patients
6- Annual total number of maternity inpatients admitted to wards/hospital
Gynaecology:
7- Annual total number of gynaecological surgical procedures undertaken annually
8- Annual total number of Gynaecology out-patients
9- Annual total number of gynaecology inpatients admitted to wards/hospital
As a Trust in general:
10- Annual total number of theatre cases (surgical procedures), across all specialties
11- Annual total number of patients attended or booked in the outpatient clinics, across all specialties
12- Annual total number of patients admitted to the hospital wards, across all specialties

Download response Annual Departmental activity statistics 2011-2013. 030117

Annual suture usage. 040117

I require suture manufacturer codes with description and total boxes/pack ordered annually/per year. An excel sheet will be ideal.

Any year in the last three year will be suitable.

Download response Annual suture usage. 040117

AUS implant 2014-2017. 010617

I am trying to find out, for each of the last three years of available data, how many AUS’ were implanted by the Trust and how many were infected.

Download response AUS implant 2014-2017. 010617

Bariatric procedures 2013-2017. 260417

Please can you tell me the following information for the last three financial years and current numbers i.e.; 2016/17, 2015/16, 2014/15 and 2013/14
1) Number of bariatric procedures carried out
2) Cost of procedure (s)
3) Age of those who had a bariatric procedure
4) Weight of those who have had a bariatric procedure

Download response Bariatric procedures 2013-2017. 260417

Bariatric surgery 2013-2017. 260417

1) Can you please provide a breakdown of the number of people given bariatric surgery in each of the following years by the health board – 2013, 2014, 2015, 2016, so far 2017?
2) For each year, can you please provide the sexes and age groups (twenties, thirties, forties, etc.) of each person who had the surgery. Please provide the number of people under 21 for each year, with the exact age of each.
3) For each year, please provide the number of people with a medical condition, which meant they needed bariatric surgery, including those with none (can the data please be displayed so that their age groups are given also).
4) Please provide the number of people for each year with a BMI of 35 or less, and of 30 or less, again giving their medical condition and age group (or exact age for under-21s) for each.
5) Please provide a list of the criteria the health board has for offering people bariatric surgery, and if this has changed in the last five years, state when it changed and what it changed from and to.
6) If the health board’s target for the number of people undergoing bariatric surgery has changed in the last five years, please state what it changed from and to, and when this happened.

Download response Bariatric surgery 2013-2017. 260417

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

C.Difficile, MRSA, Klebsiella Pneumoniae Carbapenemase and E.coli. 300317

For the years 2014, 2015, and 2016 please details the following:

How many people and inpatients have been infected with and treated for a superbug.

List which superbug people were infected with.

In which hospital did they contract the infection?

How many of these people later died of the infection?

Download response C.Difficile, MRSA, Klebsiella Pneumoniae Carbapenemase and E.coli. 300317

Carbapenemase-producing organisms. 181116

1. How many patients have been infected with carbapenemase-producing organisms in your trust?

2. How many patients with an infection from a carbapenemase-producing organism have died?

Download response Carbapenemase-producing organisms. 181116

Carbon Monoxide poisoning. 070817

1. How many cases have attended A&E with suspected carbon monoxide poisoning between 1st July 2016- 30th June 2017?
2. How many cases have been treated in A&E with suspected carbon monoxide poisoning between 1st July 2016- 30th June 2017?

Download response Carbon Monoxide poisoning. 070817

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

Cardiac marker point of care tests. 251116

1. Please enter the name of your hospital or trust.
2. Does your trust use point-of-care testing for cardiac markers?
3. In what areas of the hospital is cardiac marker point-of-care testing used?
( ) ED
( ) Wards
( ) Intensive care
( ) Outpatient clinics
( ) Other (please specify)
4. For which cardiac markers does your trust use POCT?
( ) Troponin
( ) BNP
( ) D-dimer
( ) CK-MB
( ) Myoglobin
( ) Other (please specify)
5. For each POC cardiac marker test used in your trust, how many tests are performed every week?
Troponin –
BNP –
D-dimer –
CK-MB –
Myoglobin –
Other –
6. What is the average cost per test (excluding overheads) for each cardiac marker POCT?
Troponin –
BNP –
D-dimer –
Other –
7. How much is spent by your trust per year on cardiac marker point-of-care testing?
Total –
Troponin –
BNP –
D-dimer –
Other –

Download response Cardiac marker point of care tests. 251116

Cell saver machines. 070717

1. How many cell savers do you have within the Trust? Please provide a breakdown of cell savers per hospital if possible.
2. For which surgical procedures were cell savers used in the year 2015 – 2016, breakdown by number if possible?
3. How many consumables were purchased for cell savers during the year 2015 – 2016?
4. How much was spent on cell saver consumables for the year 2015 – 2016?

Download response Cell saver machines. 070717

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

Chronic pain service 031016

1. The definition of calculation used for new to follow up ratios for chronic pain referrals.
2. The data for new to follow up for chronic pain referrals for your trust for the years April 2010 to April 2015
3. Is the calculation used for new and follow-up in Chronic Pain a local or national definition?
4. Can you provide the wording of the definition used?
5. Does the New to follow up ratio calculation that is used by your organisation for Chronic Pain also apply to other specialties?
6. If no – please explain the differences in the calculations.

Download response Chronic pain service 031016

Community Neurology Specialist nurses Parkinson’s Disease. 060317

1) How many Community Neurology Specialist Nurses have been funded since April 2013 – please can the figures be broken down by year?
2) Who funded and provided the nurses each year?
3) Of these nursing positions, how many were solely dedicated to treating Parkinson’s Disease patients, broken down by financial year since April 2013?
4) And how many of the Community Neurology Specialist Nurses specialise in Parkinson’s Disease but treat other neurology patients, broken down by financial year since April 2013?
5) How many patients have been referred to specialist neurology nurses, broken down by financial year since April 2013?
6) Of these patients, how many have been referred because of having Parkinson’s Disease, broken down by financial year since April 2013?
7) What is the average waiting time for neurology patients to see a specialist neurology nurse, broken down by financial year since April 2013?
8) What is the average waiting time for Parkinson’s Disease patients to see a specialist neurology nurse, broken down by financial year since April 2013?
9) How much money has been spent by the provider(s) on specialist neurology nursing positions, broken down by financial year since April 2013?
10) How much money has been spent by the provider(s) on dedicated Parkinson’s Disease nursing positions, broken down by financial year since April 2013?
11) How many times have proposals been rejected to fund new Community Neurology Specialist Nurses, broken down by financial year since April 2013?
12) How many times have proposals been rejected to fund a dedicated Parkinson’s Disease nurse position, broken down by financial year since April 2013?

Download response Community Neurology Specialist nurses Parkinson’s Disease. 060317

Complex Regional Pain Care Syndrome (CRPS). 240317

What does your acute Complex Regional Pain Care Syndrome (CRPS) pathway look like for trauma and orthopaedic, rheumatology and hand acute services?

Download response Complex Regional Pain Care Syndrome (CRPS). 240317

Continuous renal replacement therapy (CRRT). 010217

1. How many machines do you have for continual renal replacement (CRRT) in the intensive care unit/critical care unit?
1. a. Can you split these by manufacturer and age of machine please?
2. Are you in a contract for your machines, if so when does the contract expire?
3. How many CRRT treatments were carried out in 2016 (or the latest 12 month period you have data for)?
4. How many bags of fluid did you use for CRRT in 2016 (or the latest 12 month period you have data for)?
5. Who is your current manufacturer of fluids for CRRT? And for Vascular access? (Double Lumen catheters)
6. Are you in a contract for fluids, if so, when does this expire and is it linked in with the machine contract?
7. What was your total spend on CRRT fluids in 2016 (or the latest 12 month period you have data for)?
8. What was your total spend on CRRT consumables (e.g. consumable sets for the machines) in 2016 (or the latest 12 month period you have data for)?
9. What is the typical renal dose you prescribe to the patients? (In ml/kg/h)
10. Are your units using Citrate Anticoagulation? If yes how frequent (in % vs. Heparin).

Download response Continuous renal replacement therapy (CRRT). 010217

Contract information for TNP and PAC.060317

Section 1
1) What are the Hospital names and locations that form part of the Trust? (Please provide details)
2) Which framework is utilized for purchasing such as SBS, NHS Supply Chain or other (please provide details of all that are used)
3) By which method is this procured? (Please state all that applies)
Section 2
1) What is the name of the manufacture used to provide Topical Negative Wound Therapy Treatment for each hospital location?
*Smith-Nephew
*KCI
*Talley
*Other (please provide names)
2) By which method is this procured? (Please state all that applies)
3) Is this equipment provided via Hire agreement, Purchase or other? (Please provide details)
4) Is the provision of this equipment contracted? Yes or No
5) If contracted is the service and maintenance of this equipment included as part of the contract? Yes or No
6) If No – How is service & maintenance of this equipment dealt with – 3rd party provider or in-house?
7) If 3rd party provider please state company name
8) Is the 3rd party service & maintenance contracted? Yes or No
9) If Yes what is the contract term? (Including any extension periods).
10) What is the expiry date of this contract?
The following questions are only applicable if the supply of Topical Negative Wound Therapy to the hospital trust is contracted.
1) As a result of the tender did you change provider? Yes or No (If Yes please provide name of previous supplier)
2) What date did your current contract start?
3) How long is the current contract? (Including any extension periods)
4) When does the current contract expire?
5) Please provide the financial value of the contract in the last 12 months of the previous contract including total value and periods covered.
6) Please provide the financial value for the first 12 months of the current contract in place.
Section 3
1) What is the name of the manufacture used to provide pressure relief alternating dynamic surface air mattresses to the trust?
*Hill-Rom
*Smith-Nephew
*Talley
*Direct Healthcare
*Karomed
*Other (please provide names)
2) By which method is this procured? (Please state all that applies)
3) What is the total number of dynamic mattresses on-site?
4) Is this a managed service? Yes or No
5) Is the provision of dynamic surfaces contracted? Yes or No
6) If Yes is the service and maintenance of this equipment included as part of the contract? Yes or No
7) If No – How is service & maintenance of this equipment dealt with – 3rd party provider or in-house?
8) If 3rd party provider please state company name
9) Is this 3rd party service contracted? Yes or No
10) If Yes what is the contract term? (Including any extension periods).
11) What is the expiry date of this contract?
12) How is the decontamination of these products managed? In-house or 3rd party provider
13) If 3rd party provider please state company name
14) Is this 3rd party service contracted? Yes or No
15) If Yes what is the contract term? (Including any extension periods).
16) What is the expiry date of this contract
The following questions are only applicable if the supply of dynamic alternating air surface mattresses to the hospital trust is contracted.
1) Which method is used to tender the contract? (Please provide details)
2) What date did your current contract start?
3) What is the term of the contract? (including any extension periods)
4) When does the current contract expire?
5) Is the contract purchase, hire or other (please provide details)
6) If contracted, when did you last tender the contract?
7) As a result of the tender did you change provider? Yes or No (if Yes please provide previous supplier)
8) Please provide the financial value of the contract in the last 12 months of the previous contract including total value and periods covered.
9) Please provide the financial value for the first 12 months of the current contract in place.
Section 4
1) What is the name of the manufacture used to supply profiling bed frames?
*Hill-Rom
*Sidhil
*Invacare
*Linet
*Huntleigh
*Other (please provide details)
2) By which method is this procured? (Please state all that applies)
3) Which products are used? (Please provide details)
4) What is the total number of hospital bed frames on-site?
5) Is the supply of bed frames contracted?
Yes or No?
The following questions are only applicable if the supply of profiling beds to the hospital trust is contracted.
1) What date did your current contract start?
2) How long is the current contract? (Including any extension periods)
3) When does the current contract expire?
4) When did you last tender the contract?
5) As a result of the tender did you change provider? Yes or No (if Yes please state previous supplier)
6) Please provide the financial value of the contract in the last 12 months of the previous contract including total value and periods covered.
7) Please provide the financial value for the first 12 months of the current contract in place.

Download response Contract information for TNP and PAC.060317

Cost of flu treatment in A&E. 250117

a) How many people were admitted to Accident and Emergency with flu in each calendar year: 2010; 2011; 2012; 2013; 2014; 2015, and; 2016?

b) What is the total financial cost for people presenting with flu at Accident and Emergency in each calendar year in answer to Question A. Please provide this information broken down by calendar year, as follows: 2010; 2011; 2012; 2013; 2014; 2015, and 2016. This should include all costs incurred to treat the illness during the patients stay at the hospital, including all staff salaries and any other medical treatment costs.

Download response Cost of flu treatment in A&E. 250117

CRE infections. 181116

1. How many patients have been?
-colonised
-infected
With CRE infections for each of the past 10 years in your trust?
2. Does your trust have universal screening of patients for CRE when they are admitted, screening of patients with high risk factors or no formal screening policy?
3. How many patients were screened for CRE when they were admitted and deemed high risk for a CRE infection?
4. How many isolation rooms does your hospital have for isolating CRE patients?
5. How many isolation rooms have en suite bathrooms?
6. What is your policy if there is no side room available for isolating patients with CRE?

Download response CRE infections. 181116

Cryogenic freezing 061216

For the last five years, could you tell me how many, if any, patients have requested they are cryogenically frozen after death, in the hope they can be revived at a later date?

Download response Cryogenic freezing 061216

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

Dog bites or attacks 2013 – 2016. 100717

1. How many persons have been admitted to hospitals in your Trust for injuries caused by dog bites or attacks?
2. How many persons required inpatient treatment for injuries caused by dog bites or attacks?
3. How many persons required surgery for injuries caused by dog bites or attacks?
4. How many persons suffered fatal injuries for injuries caused by dog bites or attacks?
5. What the total cost of treating injuries caused by dog bites or attacks was to your trust?
Please provide information for the following calendar years:
2013
2014
2015
2016 to date

Download response Dog bites or attacks 2013 – 2016. 100717

Drug and alcohol admissions for homeless patients 2014-2016. 300317

1. How many homeless people (i.e. People with no fixed abode) have been admitted to hospitals within Maidstone and Tunbridge Wells NHS Trust for problems related to drugs? Could you please provide these figures for each of the last three calendar years?
2. How many homeless people (i.e. people with no fixed abode) have been admitted to hospitals within Maidstone and Tunbridge Wells NHS Trust for problems related to alcohol? Could you please provide these figures for each of the last three calendar years?

Download response Drug and alcohol admissions for homeless patients 2014-2016. 300317

Drug coated balloons 060317

1. How many Drug Coated Balloons were used by your Trust for Peripheral Vascular interventions in 2016?
2. What was the total spend by the Trust on Drug Coated Balloons for Peripheral Vascular interventions in 2016?
3. How many Drug Coated Balloons were used by your Trust for Arterio-venous (AV) percutaneous interventions in 2016?
4. What was the total spend by the Trust on Arterio-venous (AV) percutaneous interventions in 2016?
5. What was the total spend by the Trust on Drug coated balloons for Arterio-venous (AV) percutaneous interventions in 2016?

Download response Drug coated balloons 060317

Electrophysiology equipment. 300317

1. Does your Trust have an Electrophysiology Lab or perform Electrophysiology Procedures?
2. How many 3D Mapping Systems are installed in your Trust?
3. How many Electrophysiology Recording Systems are installed in your Trust?
On average, what is the lifespan of these EP Recording systems?
What brands are they?
Were there any EP Recording systems purchased in the last 12 months?
If yes, how many?
Were these to replace old machines or new purchases?
4. How many Intracardiac Echocardiography (ICE) Systems are installed in your Trust?
5. How many Radiofrequency (RF) Ablation Generators are installed in your Trust?
6. How many cardiac stimulators are installed in your Trust?
7. How many Remote Navigation Systems (from Stereotaxis) are installed in your Trust?

Download response Electrophysiology equipment. 300317

Emergency admissions for Asthma, Epilepsy and Diabetes 2014 – 2016. 270317

1. For the last 4 quarters from January 2016 – December 2016, please provide a breakdown of the number of emergency admissions by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.
2. For the last 4 quarters from January 2016 – December 2016, please could you provide a breakdown of the number of emergency attendances by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.
3. For the 4 quarters January 2015 – December 2015, please could you provide a breakdown of the number of emergency admissions by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.
4. For the 4 quarters January 2015 – December 2015, please could you provide a breakdown of the number of emergency attendances by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.
5. For the 4 quarters January 2014 – December 2014, please could you provide a breakdown of the number of emergency admissions by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2.

6. For the 4 quarters January 2014 – December 2014, please could you provide a breakdown of the number of emergency attendances by age group, broken down by quarter, for the following conditions: (a) asthma (b) epilepsy (c) diabetes type 1 & type 2?

Download response Emergency admissions for Asthma, Epilepsy and Diabetes 2014 – 2016. 270317

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

Enforced DNR. 300317

The number of patients who have been taken to the Royal Courts of Justice Court of Protection, to have a DNR placed upon their lives by your hospital. I would like to know if the patient had a Lasting Power of Attorney and the sex, age, ethnicity of the patients and the length of time each case took & outcomes of each case. From when the hospital opened to the present day.

Download response Enforced DNR. 300317

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

Genetic haemochromatosis 1 January 2015 to 31st December 2015 111116

For the period 1 January 2015 to 31st December 2015 (or the most recent full 12 month period if more recent data is available) :

A. The number of patients diagnosed with genetic haemochromatosis who have been provided with genetic testing for haemochromatosis and/or genetic counselling in relation to their condition.

B. The number of marriage or civil partners of patients diagnosed with genetic haemochromatosis who have been provided with genetic testing for haemochromatosis and/or genetic counselling in relation to their partners’ condition.

C. The number of siblings of patients diagnosed with genetic haemochromatosis who have been provided with genetic testing for haemochromatosis and/or genetic counselling in relation to their sibling’s condition.

D. A copy of your protocol or pathway applicable to the provision of genetic testing/counselling for families of patients diagnosed with genetic haemochromatosis.

Download response Genetic haemochromatosis 1 January 2015 to 31st December 2015 111116

Haemochromatosis. 261016

A. the number of patients treated with Haemochromatosis in 2015 who are in maintenance phase of the treatment (*)
B. the number of patients treated with Haemochromatosis in 2015 who are in PRE-maintenance phase of the treatment (+)
C. a copy of the clinical protocol(s) used to treat haemochromatosis
D. a copy of the clinical protocol(s) for therapeutic venesection

(*) “Maintenance phase” relates to patients whose ferritin is <=50 ug/L
(+) “PRE-maintenance phase” relates to patients whose ferritin is in excess of 50 ug/L

Download response Haemochromatosis. 261016

Heart failure (HF) specialist nurses. 221116

1. How many Heart Failure Specialist Nurses did the Trust employ from 30th June 2015 to 30th June 2016?
2. How many Heart Failure Specialist Nurses did the Trust employ from 30th June 2006 to 30th June 2007, and every year since (up until the period covered by question 1)?

Download response Heart failure (HF) specialist nurses. 221116

Hysteroscopes and Resectoscopes. 250517

1. Please enter the number of hospitals under your Trust
2. Please enter the bed size for each of the hospitals in your Trust
3. Hysteroscopes
A. Rigid Hysteroscopes (non – video)
i. How many rigid hysteroscopes are installed per hospital in your trust?
ii. On average, what is the lifespan of these rigid hysteroscopes?
iii. How many of the installed rigid hysteroscopes were replaced last year / this year?
iv. Which manufacturer’s rigid hysteroscopes are used in the hospitals?
B. Flexible Fibre Hysteroscopes (non – video)
i. How many flexible fibre hysteroscopes are installed per hospital in your trust?
ii. On average, what is the lifespan of these flexible fibre hysteroscopes?
iii. How many of the installed flexible fibre hysteroscopes were replaced last year / this year?
iv. Which manufacturer’s flexible fibre hysteroscopes are used in the hospitals?
C. Flexible Video Hysteroscopes
i. How many flexible video hysteroscopes are installed per hospital in your trust?
ii. On average, what is the lifespan of these flexible video hysteroscopes?
iii. How many of the installed flexible video hysteroscopes were replaced last year / this year?
iv. Which manufacturer’s flexible video hysteroscopes are used in the hospitals?
4. Resectoscopes
A. Rigid Resectoscopes
i. How many rigid resectoscopes are installed per hospital in your trust?
ii. On average, what is the lifespan of these rigid resectoscopes?
iii. How many of the installed rigid resectoscopes were replaced last year / this year?
iv. Which manufacturer’s rigid resectoscopes are used in the hospitals?

Download response Hysteroscopes and Resectoscopes. 250517

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

Insulin pumps 2015-2016. 080517

1. How many patients in your area with type 1 diabetes are currently using insulin pump therapy?
2. What percentage of your diabetes population were a) offered and b) received an insulin pump in 2015/2016
3. The total number of patients who were initiated on insulin pump therapy supplied by:
a) Animas
b) Cell-Novo
c) Medtronic
d) Omnipod
e) Roche
4. What was the total spend on insulin pumps and consumables in 2015/2016
5. What guidance, information and structured education do you provide on insulin pumps for
a. providers and
b. patients
6. What choice are providers/patients restricted to in terms of the insulin pumps offered/funded by Maidstone and Tunbridge Wells NHS Trust

Download response Insulin pumps 2015-2016. 080517

Intra-vitreal vials or implants September – December 2016.100217

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

2. Does your trust record the time taken from referral of a patient for treatment to the time for an injection or implant to be complete?
If so what is the average waiting time for treatment with an injection of implant?

Download response Intra-vitreal vials or implants September – December 2016.100217

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

Lipid clinics 2010-2016. 250717

1. Please confirm the total number of referrals to the Trust’s lipid clinic during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
2. Please confirm the total number of referrals to the Trust’s lipid clinics from (a) general practice and (b) secondary care during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
3. Please confirm the average waiting time between patient referral and appointment to the Trust’s lipid clinic during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
4. Please confirm the proportion of patients accessing the Trust’s lipid clinic that are meeting their lipid targets during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
5. Please confirm the proportion of high risk cardiovascular disease patients* accessing the Trust’s lipid clinic that are routinely offered a structured annual review during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
6. Please confirm or deny whether the Trust has in place an integrated care pathway or clinical management strategy for the management of high risk cardiovascular disease patients. If confirmed, please provide details.
7. Please state the budget allocated by the Trust to its lipid clinic during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.

Download response Lipid clinics 2010-2016. 250717

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

Medical and surgical outliers 2013 – 2016.040117

In each of the financial years 2013-14, 2014-15 and 2015-16 (i.e. give figures for each year separately) please supply the following information:
1. How many patients were a) medical b) surgical outliers – i.e. in a bed in another department’s ward?
2. How many of these a) medical and b) surgical outliers were over the age of 65?
3. How many patients were moved between wards during their stay a) 3 times b) 4 times c) 5 times or more? In each category, how many patients were over the age of 65?
4. On how many occasions were patients moved between 8pm and 8am?
5. How many patients were “boarded” – i.e. taken to a ward where they waited until a permanent bed was ready?
6. What was the a) average b) maximum time that patients were “boarded” for?

Download response Medical and surgical outliers 2013 – 2016.040117

Mental Health attendances to A&E 2016-2017.270317

Between the 1st January 2016- 1st January 2017 how many people were seen in a mental health crisis or because of self-harm in accident and emergency?

Download response Mental Health attendances to A&E 2016-2017.270317

Mental Health patients in A&E 2011-2016.070317

1.) In 2015/2016 how many patients aged 19 and younger attended A&E for a mental health problem. (Drug related, psychiatric problems & self-harm).
2.) In 2015/2016 how many patients aged 19 and younger were admitted following a visit to A&E due to mental health. (Drug related, psychiatric problems & self-harm).
3.) In 2015/2016 how many patients 19 and younger arrived by ambulance for mental health problems?
4.) In 2015/2016 how long was the total length of stay in hospital for patients 19 and younger with a mental health problem. (Drug related, psychiatric problems & self-harm).
5.) 1.) 2.) 3.) and 4.) The same for
2011/2012
2012/2013
2013/2014
2014/2015

Download response Mental Health patients in A&E 2011-2016.070317

Mental Health related A&E attendances 2016. 070317

How many attendances have there been at A&E by people suffering with mental health related issues (for example, categories including, psychiatric conditions, social problems, self-harm) throughout 2016.

Please give me the total number of attendances of people suffering with mental health related issues, at A&E for 2016.

Please then give the breakdown for 18 and over, and under 18s and state how many people waited longer than the four hour waiting target.

If the trust is in charge of more than one hospital, please give separate information per hospital please.

Download response Mental Health related A&E attendances 2016. 070317

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

Modafinil. 250717

1. Name of the trust
2. Street, town, county and postcode of where the trust’s headquarters or main location/hospital is sited.
3. Number of hospital admissions across the Trust citing the drug ‘Modafinil’ at any point in patient notes for each year.
4. Number of hospital patients reporting illness where Modafinil was known to be related for each year.
5. Number of deaths in hospital relating to Modafinil if known.
6. Number of deaths where patient was known to be prescribed Modafinil
7. Known cases of Steven-Johnson Syndrome
8. Number of hospital patients where both Modafinil and Steven-Johnson Syndrome of SJS appear in the patient’s record.

Download response Modafinil. 250717

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

MS treatment Sept 2016 – Feb 2017. 240317

In your Trust how many patients with Multiple Sclerosis have been treated with MS disease modifying drugs in the past 6 months? Please use the latest 6 months of data that you can provide.
Please provide the number of patients by treatment for the following disease modifying 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 (Plegridy)
Daclizumab (Zinbryta)
Others

Download response MS treatment Sept 2016 – Feb 2017. 240317

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 031016

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?
Please provide the number of patients by treatment for the following disease modifying 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 (Plegridy)
Daclizumab (Zinbryta)
Others

Download response Multiple Sclerosis 031016

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>

Multiple Sclerosis treatment. 180517

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.
Please provide the number of patients by treatment for the following disease modifying 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 (Plegridy)
Daclizumab (Zinbryta)
Ocrevus (Ocrelizumab)
Others

Download response Multiple Sclerosis treatment. 180517

No Resus Orders (DNR) in 2011 – 2016. 200417

1. How many No Resus Orders were issued by your hospital in last 5 years?
2. How many of these patients survived and were thus discharged from your hospital in same above period?
3. Have you a pro forma No Resus Order checklist which you use to see whether patient should be given No Resus Order, please send me a copy?
4. What percentage of your SpR or Specialist Registrars are on the General Medical Council’s Specialist Register?

Download response No Resus Orders (DNR) in 2011 – 2016. 200417

Non-tuberculosis mycobacterium (NTM).130317

1. In the past 12 months how many patients have been diagnosed with non-tuberculosis mycobacterium (NTM) (A31.0/A31.9)?
1a. Of these how many have been treated with an antibiotic?

2. Do you routinely screen for non-tuberculosis mycobacterium (NTM) (A31.0/A31.9)?
2a. Do you run a NTM (Non-tuberculosis mycobacterium) clinic or service?
Please state any other trusts that share this service?
2b. If you do not have a NTM clinic, where do you refer suspected NTM patients?
2c. How many suspected NTM patients did the trust refer to other institutions in the last 12 months?

3. Which testing laboratory do you send your sputum samples for suspected NTM?
3a. Do have a shared care protocol for treating NTM?

4. Do you run a specific clinic for bronchiectasis patients?
4a. How many patients with bronchiectasis (J47/Q33.4) have you treated in the last 12 months?
4b. How many of these patients have also been diagnosed with non-tuberculosis mycobacterium (NTM) (A31.0/A31.9)
4c. How many of these NTM diagnosed patients are treated long term [more than 12 months] with an antibiotic?
4d. How many of these NTM diagnosed patients are treated long term [more than 12 months] with inhaled or IV amikacin?

5. Do you run a specific clinic for chronic COPD patients?
5a. How many patients with chronic COPD (J44.0, J44.1, J44.8, J44.9) have you treated in the last 12 months?
5b. How many of these patients have also been diagnosed with non-tuberculosis mycobacterium (NTM) (A31.0/A31.9)
5c. How many of these NTM diagnosed patients do you then treat with an antibiotic?
5d. How many of these NTM diagnosed patients do you then treat with inhaled or IV amikacin?

Download response Non-tuberculosis mycobacterium (NTM).130317

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

Orthotics tenders and budgets. 130317

With regards to your orthotics department, would it be possible to know the following information please:
Start/End date of current tender agreement for the provision of orthotics products and or service.
If at all possible, I would also be extremely grateful if you could provide any information relating to contract value and the categories of product/service covered.

Download response Orthotics tenders and budgets. 130317

Parkinson’s and self-administration of medication. 190717

Self-administration of medicines policies
1. Does your Trust have a self-administration of medicines policy for competent patients? Yes/ No
a. If yes, please provide a copy of this policy?
b. If yes, please outline whether this policy applies to all hospital sites and all wards, or specify the sites or wards to which it applies?
c. If no, are you planning to introduce this policy in 2017/18? Yes/ No

2. If you have a policy please provide details of the use of the self-administration of medicines policy? This includes:
a. How are your staff informed about this policy?
b. How is the implementation of this policy monitored across the hospitals in your Trust?

3. If you do not have a self-administration of medicines policy, why is this? [Please let us know of any barriers to introducing a policy in your Trust].

Carers visiting hours
4. Do you currently have a policy which allows carers to visit the person they care for outside of visiting hours? Yes/ No
a. If yes, please provide a copy of this policy.
b. If yes, please outline whether this policy applies to all hospital sites and all wards, or specify the sites or wards to which it applies..
c. If no, are you planning to introduce a policy in 2017/18? Yes/ No
d. If no, please outline any work that your Trust is undertaking with a view to enabling carers to visit the person they care for outside visiting hours?

5. If you have a policy, please provide details of the use of the policy to allow carers to visit outside of traditional visiting hours? This includes:
a. How are your staff informed about this policy?
b. How is the implementation of this policy monitored across the hospitals in your Trust?

6. If you do not have a policy which allows carers to visit the person they care for outside of visiting hours, why is this? [Please let us know of any barriers to introducing a policy in your Trust].

Download response Parkinson’s and self-administration of medication. 190717

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

Snake bites – 2012-2016. 050517

The number of A&E attendances for snake bites for the following 5 calendar years, broken down into age groups -children and adults:

1. 1st Jan 2016 – 31 Dec 2016
2. 1st Jan 2015 – 31 Dec 2015
3. 1st Jan 2014 – 31 Dec 2014
4. 1st Jan 2013 – 31 Dec 2013
5. 1st Jan 2012 – 31 Dec 2012

Download response Snake bites – 2012-2016. 050517

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

Stroke and COPD services. 190717

1. Please provide the waiting times for accessing any services confirmed in request one.

2. Please confirm/deny that patients can be a) re-referred into or b) self-refer back into any services confirmed in request one.

3. Please confirm the staffing make up of any services confirmed in request one.

Download response Stroke and COPD services. 190717

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

Treatments with specific products. 150517

1. Within your trust how many patients have been treated with the following products in the past 3 months you have available;
MabThera IV (rituximab)
MabThera SC (rituximab)
Truxima (rituximab)
Gazyvaro (obinutuzumab)
Imbruvica (ibrutinib)
Zydelig (idelalisib)
Arzerra (ofatumumab)

2. Please can you state the number of patients for the above drugs for the following indications;
Follicular lymphoma [C82.0 to C82.9]
Diffuse Large B-cell Lymphoma [C83.3]
Chronic Lymphocytic Leukaemia [C91.1]
All other B-cell, haematological malignancies (all C82, C83, C85, C88.0, C88.4 codes not listed above]
Rheumatoid Arthritis [M5 and M6]

3. Does your trust code haematological malignancies against ICD10 codes?

Download response Treatments with specific products. 150517

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

Wet Age Related Macular Degeneration (wAMD) between January and April 2017. 200617

Within your trust how many intra-vitreal vials/implants have been used in the latest 4 months, if possible between January and April 2017?

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 Wet Age Related Macular Degeneration (wAMD) between January and April 2017. 200617

 

Endoscopy

Endoscope repair and service contract 2015-2016.

1) Between 1st April 2015 and 31st March 2016, in monetary terms, how much did your Trust spend by individual hospital, on either repairing flexible endoscopes and/or spend on service contracts for the following equipment:
• Gastroscopes
• Colonoscopes
• Duodenoscopes
• Bronchoscopes
• Flexible cystoscopes

Download response Endoscope repair and service contract 2015-2016.

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

Endoscopy systems 060317

1. Do you currently have endoscopy reporting software installed?
2. if the answer to Q1 is yes, who is the software provider?
3. If the answer to Q1, is yes, was the software installed under a fixed term contract or on an annual renewal basis?
4. if the software was installed under a fixed term contract,when does this contract expire?
5. If the answer to Q1 is no, are there any plans to install endoscopy reporting software?
6. if the answer to Q1 is no, is this because you do not provide endoscopy to patients?

Download response Endoscopy systems 060317

 

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

Asbestos Contract 091216

Please can we make a freedom of information request to see a copy of the winning tender / contract for asbestos surveys within your NHS authority?

Download response Asbestos Contract 091216

 

Bed stock. 120717

We require the number of beds at each hospital within your trust.

Download response Bed stock. 120717

Bed stock 2012 and 2017. 280217

1a How many beds did the Trust have for NHS services on 1 January 2012?
1b How many beds does the Trust have for NHS services on 1 January 2017?
2a How many beds did the Trust have for private patients on 1 January 2012?
2b How many beds does the Trust have for private patients on 1 January 2017?

Download response Bed stock 2012 and 2017. 280217

Bed stocks 2012 and 2017. 080217

1- How many beds did the trust have for NHS services in 2012?

2- How many beds does the trust have for NHS services in 2017?

3- How many beds did the trust have for private patients in 2012?

4- How many beds does the trust have for private patients in 2017?

Download response Bed stocks 2012 and 2017. 080217

C.Difficile, MRSA, Klebsiella Pneumoniae Carbapenemase and E.coli. 300317

For the years 2014, 2015, and 2016 please details the following:

How many people and inpatients have been infected with and treated for a superbug.

List which superbug people were infected with.

In which hospital did they contract the infection?

How many of these people later died of the infection?

Download response C.Difficile, MRSA, Klebsiella Pneumoniae Carbapenemase and E.coli. 300317

Catering 2015-2017. 250117

1. For the two past financial years (2015/16 and 2016/17 to date), please provide the following data, breaking it down month by month:
a. The number of inpatient main meals requested in the Trust
b. The number of inpatient main meals left untouched
c. The total cost of providing inpatient main meals
d. The cost of feeding one inpatient per day

2. Please name the catering companies and food suppliers used by the Trust in 2015/16 and 2016/17 to date

3. Please provide details of what changes, if any, the Trust has made or plans to make to inpatient catering and food procurement contracts with suppliers and/or catering companies in response to rising food commodity costs.

4. Please state:
a. Whether the Trust currently meets the following Government Buying Standards for food and catering services: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/418072/gbs-food-catering-march2015.pdf

b. Whether the Trust currently uses or has made plans to use the provisions in the Government Buying Standards that allow an authority to depart from mandated production and/or animal welfare standards to avoid a “significant increase in costs”. If so, please set out the date this decision what taken and the details of what was decided.

Download response Catering 2015-2017. 250117

Catering services 020317

1. Are the catering services provided at your trust managed ‘in house’ or outsourced to a third party provider? If the organisation has a fully managed contract please state.
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 contract duration? Please also provide me with any extensions that maybe offered to the supplier.
4. What is the contract expiry date? Please at least provide me with the month and year.
5. When will this contract be reviewed? Please at least provide me with the month and year.
6. Can you please provide me with the total number of sites the contract covers? An estimate will also be acceptable.
7. What services are provided under this contract? A brief description will be acceptable.
8. 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?
9. Who is the manufacturer and supplier of the trusts patient meals?
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 Catering services 020317

Catering services at Tunbridge Wells Hospital (TWH) and Maidstone Hospital (MGH). 190417

1. Whether your site offers bulk or plated service?
2. Do you use plastic or china cutlery and plates?
3. When it comes to your purchasing process in the catering sector, do you have a centralized system with a purchasing department or are the individual people allowed to make their orders themselves (up to a certain limit)?
4. Do you get your information about the products you need from your go-to manufacturer, your local dealer, your hospital’s purchasing department, the internet or a price list you own?
5. Are those who you get your information from the ones you also buy from or do you use a different authority for that?
6. Last but not least would it be possible to get the contact details of your catering manager (as in first and surname, phone number and email address)?

Download response Catering services at Tunbridge Wells Hospital (TWH) and Maidstone Hospital (MGH). 190417 

Cell saver machines. 070717

1. How many cell savers do you have within the Trust? Please provide a breakdown of cell savers per hospital if possible.
2. For which surgical procedures were cell savers used in the year 2015 – 2016, breakdown by number if possible?
3. How many consumables were purchased for cell savers during the year 2015 – 2016?
4. How much was spent on cell saver consumables for the year 2015 – 2016?

Download response Cell saver machines. 070717

Clinical Service Incidents 2015-2017. 250517

Please provide details of all clinical service incidents caused by estates and infrastructure failure at your hospital trust in 2015/16 and 2016/17 to date.

This is the definition of clinical service incidents: Incidents caused by estates and infrastructure failure which caused clinical services to be delayed, cancelled or otherwise interfered with owing to problems or failures related to the estates and infrastructure failure. Exclude failures relating to non-estates causes e.g. nursing availability, but include where external incidents which estates and infrastructures should have mitigated e.g. utility power failures where the Trusts backup power system failed to offset. An incident is considered to be a delay of at least 30 minutes to clinical services affecting at least 5 patients or equivalent. Both inpatient and outpatient service incidents should be included. Such incidents will include, but are not limited to: • Power and/or heating failures including overheating • Fires and false alarms (where caused by equipment faults or malfunction, deliberate/malicious causes should be excluded) • Water and/or sewage supply • Food production and/or delivery • Pest control

For each incident, please provide a summary of the incident and the impact on services. Please include what the problem was and how clinical services were affected, including details of how many patients were affected, what the service was and how long the service was delayed or whether it was cancelled.

Download response Clinical Service Incidents 2015-2017. 250517

Copy paper 041116

1. What was the latest price paid per ream (500 sheets) of standard white A4 copier paper (80 gsm or equivalent)?
2. If the answer to question 1. is not representative of a usual price paid, what is the average price paid per ream of copier paper during financial year 2015/16?
(Could you please specify whether VAT is included or not in the prices you give?)
3. How many reams of copy paper were purchased during the 2015/16 financial year?

Download response Copy paper 041116

Costa Coffee. 090617

Please can you supply me with information regarding all the Trust’s cost benefits (both financial and kind), commitments and agreements with Costa Coffee over the past 36 months at each of the Trust’s locations?

Download response Costa Coffee. 090617

Courier service contracts. 250417

Please send me details for the period 2016-17 on the following:

1. The total value of the courier service contracts that were outsourced?
2. The name of your primary and any secondary Courier supplier
a) The value of your primary supplier contract, its expiry date and the services they provide (e.g. ad hoc/same day/overnight/GP route)
b) The value of your secondary supplier’s contract, its expiry date and the and services they provide (e.g. ad hoc/same day/overnight/GP route)
3. The total cost of the courier services that were managed in-house?
a) The number of staff employed in managing those contracts
b) The number of vehicles owned or leased to meet the in-house courier requirement
4. The name and email of the person responsible for the procurement/management of these services

Download response Courier service contracts. 250417

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

Dyson products purchased in the last five years. 151216

How many Dyson products has your trust bought in the last five years?

What are these products and models?

A breakdown of how many items of each Dyson product was bought in the last five years, e.g. how many fans, vacuum cleaners, hand dryers etc.

How much money has been spent on all Dyson products for the last five years for your trust?

Please could I have a breakdown for how much has been spent on each type of product, e.g. vacuum cleaners, fans, hand dryers etc., for the last five years?

Download response Dyson products purchased in the last five years. 151216

Effective decontamination. 020817

For each of your hospitals separately, please could you provide me with?

1. How many bed days were lost in financial year 2016/17 whilst undertaking effective decontamination (Hydrogen Peroxide vaporising/fogging/UV): –
a) Following discharge/transfer of patient/s with known/suspected infections e.g. Cdiff/ Multi drug infections (i.e. proactive)
b) Following an outbreak of infection

2. a. Make and number of hydrogen peroxide vaporising fogging machines currently in use
b. Make and number of ultraviolet machines currently in use
c. Make and number of “other” (please state) types of decontamination machines currently in use

3 Is decontamination undertaken internally or through a managed service? If a managed service, please state which company.

4. If applicable, please specify the length of down time post room decontamination following hydrogen peroxide vaporising fogging for:
a. single side rooms
b. 4 bedded rooms.

Download response Effective decontamination. 020817

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

Electrical Materials 2015-2016. 290317

1. Please state what your estimated annual spend is on electrical materials and associated products for the financial year 2015/2016. This might be against the agreement RM3747 – Building Materials and Associated Services, Lot 3 Electrical

2. Where possible please state the suppliers you have bought from and the spend against them.

3. Where possible please state the products bought and the price paid.

Download response Electrical Materials 2015-2016. 290317

Electronic invoices. 270317

1) Do you currently receive electronic invoices? Yes/No
2) If so, are these received in EDI format (not PDF)? Yes/No
3) If not, would you have a date when you could be ready to test/receive EDI Invoices?

Download response Electronic invoices. 270317

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 efficiency 2015-2016. 250517

1. Who is the energy manager at the organisation? Please state the individual’s name and job title
2. For the financial year 2015/16 please provide the following:
a. Overall Energy Performance Certificate (EPC) rating
b. Total internal floor area (m2)
c. Of which, the total occupied floor area (m2)
d. Total energy consumed (kWh)
Please also provide the individual total figures for:
e. Electricity consumed
f. Gas consumed
g. Please state the annual lighting usage for the organisation
h. Total energy cost (£)
Please also provide the individual total costs for:
i. Electricity cost
j. Gas cost
k. Please state the annual lighting cost for the organisation

Download response Energy efficiency 2015-2016. 250517

Energy initiatives. 280717

1) Please state the organisation’s carbon reduction target

2) Lighting
a. Has the organisation updated any of its lighting to energy efficient LEDs?
b. What % of lighting assets have been upgraded?
c. How many bulbs, tubes etc. does this represent?
d. What date did these upgrades take place?
e. What was the total value of the initial investment?
f. How did you fund the investment? Please include the name of any third party finance providers.
g. What are the projected annual savings?
a. budgeted
b. Actual
h. Over how many years is this project expected to break even?
i. Does the organisation have further plans to upgrade lighting?
j. If so, has all the required funding been secured?
k. When is the project due to start?
l. Are there any further plans identified where funding has not yet been secured?
m. Who at the organisation is accountable for securing the funding and management of these projects (please provide name and job title)?

3) Other Energy-Saving Initiatives
What other efficiency projects have you engaged with? Please list all current and planned projects and provide the following information:
Project

4) Third Party Providers
Has the organisation engaged with any third party providers, either a company offering energy efficiency financing (Green Investment Bank, Salix Finance etc.) or through energy performance contracts (EPCs) with energy service providers, to fund the organisations energy efficiency initiatives? Please provide the following details for all arrangements, including any already listed in responses to previous questions:

Download response Energy initiatives. 280717

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

Environmental and waste management. 040117

1. Who is the Trust’s waste manager and what are their contact details?
2. How much is spent on clinical waste per annum? (£)
3. How many tonnes of clinical waste are sent for alternative treatment (last financial year/12 months if possible)?
4. How many tonnes of clinical sharps waste are produced of per annum?
5. How many tonnes of offensive waste is produced per annum?
6. How many tonnes of waste is sent for landfill/waste to energy?
7. How many tonnes of waste is sent for recycling?
8. When does the domestic waste and recycling contract expire?
9. Who currently provides the domestic and recycling waste services?
10. Who currently provides the clinical waste services?
11. When does the clinical waste contract expire?
12. How much is spent on domestic waste per annum? (£)
13. How much is spent on recycling waste per annum?
14. How many tonnes of food waste is segregated and recycled per annum?
15. How much is spent on food waste recycling per annum? (£)
16. How much does the Trust spend on sharps containers per annum? (£)
17. Who currently supplies the sharps containers to the Trust?
18. Does the trust use e-learning for waste management?
19. Does the trust have its own procurement department?
20. Who is the infection control lead and what is their email address?
21. Who is the procurement lead and what is their email address?
22. Who is environmental lead and what is their email address?
23. Who is health and safety lead and what is their email address?
24. Who is the education lead and what is their email address?
25. Is the waste contract linked to a procurement framework?

Download response Environmental and waste management. 040117

Estates and Capital Projects Managers. 300317

Please can you provide the contact details, name, telephone number, email address, of the Head of Estates, Estates Managers and Capital Project Managers for your trust?

Download response Estates and Capital Projects Managers. 300317

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

Fire safety. 070417

I would like to make the following request under the FoI Act

1. In the last five years, has your organisation been served with any enforcement notices relating to fire safety? If so, please give details.
2. Please direct me to your latest fire safety risk assessment (or attach if not online). When was this last updated? What has been done in response to any areas of concern in the assessment?
3. Have you assessed backlog maintenance related to fire safety? If so, what is needed and have you estimated the cost of doing these and do you have any plans to carry out this work and when? Please direct me to the most recent board papers and/or send me any report related to this backlog.

Download response Fire safety. 070417

Gender neutral toilets. 070717

Please can you tell me if you have any gender neutral toilets in your hospital? If so how many?

Download response Gender neutral toilets. 070717

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

Goods and services (2013/14) (2014/15) and (2015/16) 011216

In each of the last three financial years (2013/14) (2014/15) and (2015/16) please state how much your organisation has paid for goods and services from each of the following companies
* ACADEMY OF FABULOUS STUFF COMMUNITY INTEREST COMPANY (10189968)
* LINDUM LOFTS & EXTENSIONS LIMITED (06083403)
* HEALTH MANAGERS NETWORK LIMITED (08234437)
* WOUND SPECIALIST LIMITED (08188747)
* CARBON HEALTH NETWORK LIMITED (06887536)
* UK HEALTHGATEWAY LIMITED (06319587)
* GRASMERE MANAGEMENT COMPANY LIMITED (05685001)

Please provide me with copies of each invoice (accepting that personal details will have to be redacted) so that I can see how much was paid and a description of what it was paid for.

Download response Goods and services (2013/14) (2014/15) and (2015/16) 

Healthcare waste management and procurement. 070417

Please could you provide the following information relating to the amount, cost, methods and reporting of the disposal and treatment of municipal, healthcare and clinical waste?
The questions below relate to bagged waste only, including the following:
• Municipal waste, residual (not segregated for recycling);
• Municipal waste, recyclable (segregated by single type or as a comingled recyclable stream);
• Offensive waste;
• Infectious waste streams, orange and yellow categories (not sharps).
1. Please indicate the total amount of waste (in weight) produced by your organisation:
Municipal, residual (black bags)
Municipal, recycling
Offensive (tiger stripes)
Infectious (orange), suitable for alternative treatment
Infectious (yellow), requiring incineration
2. The associated costs for collection and treatment/disposal of these wastes:
Municipal, residual (black bags)
Municipal, recycling
Offensive (tiger stripes)
Infectious (orange), suitable for alternative treatment
Infectious (yellow), requiring incineration
3. Do you currently compact offensive waste? Yes/No
If No – do you have plans to implement compaction in the next financial year?
4. How often does your organisation report on the management of waste (including cost) at Board level?
Annually/quarterly/monthly/never
5. Do you currently employ any nurses specifically to support the procurement of consumables/supplies/equipment in your organisation (for example a specialist procurement nurse)?
Yes/No
(if yes how many full time equivalents do you employ?)

Download response Healthcare waste management and procurement. 070417

Hospital closures due to drainage or sewer systems since 2012. 091216

1. Since 1 January 2012, on how many separate occasions have any hospital wards, operating theatres or other clinical hospital premises in the trust have had to be closed temporarily because of issues with the hospital’s drainage or sewer systems?

2. What percentage of hospital wards operated by the trust have been temporarily closed since 1 January 2012 as a result of issues with the hospital’s drainage or sewer systems?

3. Since 1 January 2012, on how many separate occasions have any hospital wards, operating theatres or other clinical hospital premises in the trust have had to be closed permanently because of issues with the hospital’s drainage or sewer systems?

4. What percentage of hospital wards operated by the trust have been permanently closed since 1 January 2012 as a result of issues with the hospital’s drainage or sewer systems?

Download response Hospital closures due to drainage or sewer systems since 2012. 091216

Hospital food. 070417

Under the terms of the Freedom of Information Act 2000 I would like answers to the following 5 questions:
1. For the most recent two financial years (14/15) and (15/16) please state what the cost of providing food to patients was at your trust per patient per day?
For example: 14/15 – £3.80, 15/16 – £4.20
2. If you have a figure please state what percentage of food in the most recent financial year (15/16) was returned untouched by patients?
3. If you have an outside caterer that is responsible for supplying food to the Trust, please state the name of the company and how much it was paid by the Trust in (15/16)?
4. In the 2016 calendar year please state how many complaints you logged relating to the provision of on-site food and give brief details of the nature of those complaints.
5. What is the trust’s policy on healthy eating?

Download response Hospital food. 070417

Hospital food costs and wastage. 250517

1. Could you tell me the cost of feeding one inpatient per day (patient meal day) calculated in the same way it is done for the ERIC data?

http://hefs.hscic.gov.uk/ERIC.asp

I would like the average daily cost for the provision of all meals and beverages fed to one inpatient per day. The cost should include all pay and non-pay, including provisions, ward issues, disposables, equipment and its maintenance. This is not the average cost for a single meal but for all meals and beverages delivered to the patients in one day. Please supply the latest possible data 2016/17.
2. Could you tell me the number of wasted meal servings using the same calculation methods used in the ERIC reporting system. Although this figure is no longer included in the ERIC reporting I would still like to see latest figures. Please supply up to date figures including 2017. For plated meal systems, this is the number (calculated over the full menu cycle or 7 days where no menu cycle is used), of unserved in-patient meals remaining at the end of the meals service period expressed as a percentage of the total number of meals provided and available at the commencement of the meal service period.

Download response Hospital food costs and wastage. 250517

Hospital parking 2013-2017. 060617

1. How much money was generated by your hospital trust through parking charges in the hospital car parks during 2013-14, 2014-15, 2015-16 and 2016-17?
2. How many parking fines were issued for parking infringements in your car parks during the years stated above?
3. How many parking fines were written off during the years stated above?

Download response Hospital parking 2013-2017. 060617

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

Medical Devices Manager details. 080517

Under the Freedom of Information Act please could you give me the name and email address of the person within your Trust that holds the following job title:

Medical Devices Manager

Download response Medical Devices Manager details. 080517

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

Non-emergency patient transfers service. 200417

• Suppliers who applied for inclusion on each framework/contract and were successful & not successful at the PQQ & ITT stages*
• Contract values of each framework/contract (& any sub lots), year to date
• Start date & duration of framework
• 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?
• If no contract/ framework in place confirmation that these services are conducted in-house
• Who is the senior officer (outside of procurement) responsible for this contract or service provision?

Download response Non-emergency patient transfers service. 200417

Non-emergency patient transport services. 071216

1. Following the appointment of NEPTS provider G4S to provide all non-emergency patient transport services in Kent from 1st July 2016 and the appointment of Coperforma to provide all non-emergency patient transport services in Sussex from 1st April 2016, can you confirm if MTW Trust have engaged any services, other than from G4S, to transport/convey patients.
2. If the answer to 1 is affirmative, please list the names of the supplying companies.
3. Was the work commissioned in Q1, work that should have been completed by G4S.
4. If the answer to 3 is affirmative, have MTW Trust re-charged G4S.
5. How were the companies in question 2 selected, was this by tender. If not by tender what process was used?
6. How are the companies in question 2 market tested for price, quality delivery and qualifications of staff.
7. How much, in value, have MTW Trust been invoiced for additional Patient Transport Services in July, August, September and October 2016.
8. What process is in place to measure quality standards for any patient transport journeys undertaken by the incumbent NEPTS provider?
9. Can all categories of such quality standards applied be listed and identified?
10. How is activity data reported and what process is in place to ensure accuracy in all activity data collected.
11. What methods are used to ensure NHS information governance protocols/ policy are complied with in relation to P.I.D?

Download response Non-emergency patient transport services. 071216

Non-emergency patient transport services (NEPTS). 070417

1. Do you outsource your NEPTS work to private sector?
2. If you do outsource, when is your initial contract term due and can you tell me the maximum term granted for these contracts?
3. What is the annual value of your NEPTS contract?
4. Do you have plans to join with any other Trusts as part of your procurement?

Download response Non-emergency patient transport services (NEPTS). 070417

Non-emergency Patient Transport Services (NEPTS). 120717

1. Who is your current and previous NEPTS operator (spanning the last 3 years or existing contract- whichever is longer?
2. What is the current contract (s) end date (s) and are there any provision for extensions?
3. Who or which body would the procurement of your future contract be made by?
4. Please provide the name, address, email and telephone number of the person responsible for the commissioning of services and the same for the person responsible for reviewing contract performance.
5. Please provide the current Service Speciation’s in place across the contract (s).
6. How is your current contract operated (in lots or as a whole)? What are the different budgets for these?
7. What is your forecast spend in the following years (please break this down by service: scheduled patient journeys excl. renal, renal patient journeys, high dependency, secure and staff (if this is not available then please provide the total spend)
a. 2017/18?
b. 2018/19?
c. 2019/20?
8. Please provide KPI and Penalties measure in place across this contract and the most recent performance review of the same.
9. Please provide the current Patient Transport Eligibility policy and what are your provisions for revision to this?
10. What is your policy on transporting Escorts? Do you currently make payment provisions for this?

Download response Non-emergency Patient Transport Services (NEPTS). 120717

Outbreaks of resistant organisms 2012-2016. 280217

In the last five years, please list each outbreak the trust has declared due to the following organisms:
– Vancomycin-resistant enterococci
– Methicillin-Resistant Staphylococcus aureus (MRSA)
– Extended-spectrum β-lactamase (ESBLs) producing Gram-negative bacteria
-Carbapenem resistant enterobacteriaceae
-Carbapenemase producing organism
-Drug resistant Acinetobacter
-Drug resistant pseudomonas

For each case please specify
-The organism causing the outbreak (eg for carbapenemase producing organisms specify Klebsiella pneumoniae carbapenemase)
-Date the outbreak was declared and date it was declared over
-Number of confirmed cases and number of probable cases
-Description of control measures, eg whether wards were closed, patients put in isolation rooms, hydrogen peroxide vapour used to clean rooms etc. For ward closures please give details of ward type and size (eg 30-bed renal ward)
-Whether the outbreak was reported to Public Health England, and if so, the date it was reported
-Date audit report, outbreak investigation, infection control committee report (or equivalent report) was published
-Number of bed days lost
-Number of patient deaths

Download response Outbreaks of resistant organisms 2012-2016. 280217

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

Packed lunches for patients. 020617

(1) Does the Trust provide a packed lunch/dinner to patients discharged before/during mealtimes?
(2) If yes, please give an example of the contents of the meal
3i) Are the meals provided under a PFI arrangement? If so, is this a separate contract, or linked to a wider catering/other contract?
(4) Please give the value of the contract to provide packed lunches for the last year figures are available. If part of a wider contract, please estimate the proportion of the contract which covers packed lunches.
(5) How many packed lunch/dinner meals were provided during the year 2015/16?
(6) Please calculate an average cost for providing each meal.

Download response Packed lunches for patients. 020617

Paper procurement. 240717

Question 1:
How many reams of paper, of the following types, did your organisation procure during the 2016/17 financial year*?

Question 2:
Does your Procurement Department stipulate that paper procured within the organisation should be purchased from the NHS Supply Chain Core Stationary List?

Download response Paper procurement. 240717

Patient Safety Case from Pembury PFI Hospital Project. 300317

We would like to receive a copy of the Patient Safety Cases developed for the Pembury PFI project as referenced in the “New Hospital at Pembury – Summary Report” Issued by the NHS National Patient Safety Agency.

Download response Patient Safety Case from Pembury PFI Hospital Project. 300317

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

Personal service companies 090916

Please provide, in an excel spreadsheet, the following information about payments made by the Trust to Personal Service Companies over the past five financial years (2011/12 to 2015/16). Please indicate:

1. The date of the payment;
2. The name of the Personal Service Company that payment was made to;
3. The size (£) of the payment;
4. The “Expense Area” and “Expense Type” of the payment.

Download response Personal service companies 090916

Pest control 2014-2016 071216

1. How many times did your hospital trust have to call out pest control between the financial years 2014/15 and 2015/16?
2. Please further detail each specific incident as far as possible? (For example: what type of pest was seen: rat; cockroaches; ants’ nest etc and where was it spotted: staff locker room; electrical cupboard; kitchen; ward)
3. Please describe any proofing/housekeeping/hygiene recommendations – and/or precautions to be observed by trust staff – given by pest control contractors to help eliminate causes of infestation.
4. Please provide an up-to-date copy of your hospital’s pest control policy if you have one.

Download response Pest control 2014-2016 071216

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

PFI – fines and deductions 281216

Sheet 1 Postcodes
Treasury records – Yellow – because the name of individual PFI projects can sometimes change I have asked you to provide in addition to the name, the Unique HMT ID number that identifies a PFI scheme on the HM Treasury spreadsheet so that I can be sure that I am identifying each scheme correctly.
Postal Address – Green – Could you please provide the postal address for each of the PFI projects listed. Where there are multiple addresses, please could you list each in turn and separate each with a forward slash.

Sheet 2 Fines & Deductions
Each of the PFI projects held by the authority may have incurred financial penalties for poor performance. Could you please record the details of each individual fine or deduction, since the first date of operations, in the second page of the spreadsheet.

Deduction information – Green – Could you please give a short narrative summary of the reason for the deduction, select the type of deduction incurred and note whether this was disputed by the contractor.
Date Information – Blue – Could you please record the date on which the deduction was first made then go on to note over how long the deduction was applied.
Financial Information – Orange – Please record the amount that the authority tried to deduct from the contractor, and where the deduction was disputed and the full sum not awarded the final settlement of the dispute.

Download response PFI – fines and deductions 281216

PFI PPP Safety Audit. 140617

Please answer the following for each PFI/PPP schemes in your health trust treating each scheme as a separate request.
Please provide all documents showing how your organisation has responded to the findings contained in the report on Edinburgh Schools Construction by John Cole: including, but not limited to memos, emails, minutes, reports.
I would like to understand the expertise and resource committed by your organisation to the management and oversight of PFI schemes from procurement through to ongoing contract operation. Please provide documents relating to the PFI Team(s) allocated to each project its makeup and structure of the team during each project phase. This may comprise terms of reference, organisation chart, post titles and role profiles.
Provide the deed of appointment for the Independent Certifier and any other documents setting out the scope of that role. Please confirm the level of indemnity insurance and liability period.
Please confirm whether your organisation employed a member of the Institute of Clerk of Works or an inspector of similar standing and assigned them to each construction site. If someone in this role was employed please confirm their level of qualification, the salary associated with this role and how much time was allocated to per project/site.
Please provide a list of all enforcement or improvement notices served; investigations carried out and reports commissioned into fire safety (include dates and specify who commissioned or issued these) Please provide copies of all items listed.
Provide details of all attempts to make deductions relating to structural defects for each project. Confirm the amount, what it was for, and when the deduction was made.

Download response PFI PPP Safety Audit. 140617

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

Pieces of mail 091216

1) On average, how many pieces of mail does the Trust send on an annual basis?
i. 250,000-500,000
ii. 500,000-750,000
iii. 750,001- 1,000,000
iv. 1,000,001 – 1,250,000
v. 1,250,001 – 1,500,000
vi. Greater than 1,500,000
2) Within your Trust do you use:
a. Franking Machines (Y).
i . If yes, how many franking machines do you have?
ii. If yes, who supplies your franking machines?
• Pitney Bowes
• Neopost
• Other – please specify
b. PPI Envelopes (envelopes with pre-printed indices) (N)
i. If yes, do you have an envelope machine(s) to automate folding and enveloping documents?
ii. If yes, who supplies your envelope machine(s)?
• Pitney Bowes
• Neopost
• Other – please specify
3) For the majority of your postal communication do you use:
a. Internal mail Room
b. External Mail Supplier
i. If yes, please provide the name of External Mail Supplier
c. External Hybrid Mail Supplier
i. If yes, please provide the name of External Hybrid Mail Supplier
4) Does your Hybrid supplier provide you with any of the following mail services?
i. Offsite printing
ii. Posting letters
iii. Other
5) Which supplier(s) do you use to pick up your post?
i. Royal Mail
ii. Whistl
iii. UKMail
iv. Other (please specify)
6) Which procurement frameworks does your Trust use/belong to?
7) How long is left on the current mailing contract?
8) Please supply the name of the person(s) responsible for Transformation projects in your trust and the department they work in if available?

Download response Pieces of mail 091216

Planned refurbishment works and maintenance 2017/18 040117

1. Planned Refurbishment Works & Maintenance budget for 2017/2018

2. Details of all planned refurbishment and maintenance projects for 2017/2018

3. The job title of the person responsible for the above projects e.g Head of Estates

4. The name of the person responsible for the above projects

Download response Planned refurbishment works and maintenance 2017/18 040117

Planned refurbishment works and maintenance 2017-18 040117

1. Planned Refurbishment Works & Maintenance budget for 2017/2018

2. Details of all planned refurbishment and maintenance projects for 2017/2018

3. The job title of the person responsible for the above projects e.g Head of Estates

4. The name of the person responsible for the above projects

Download response Planned refurbishment works and maintenance 2017-18 040117

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

Postage. 150517

1. How many 2nd Class letters does your Trust send out each year from your Maidstone and your Tunbridge Wells sites?
2. What franking charge are you paying for 2nd Class?
3. What is the name and email address of your Facilities Manager who is responsible for the Post Rooms and outbound mail at each of the two sites?

Download response Postage. 150517

Print room and mail services 151216

Print room and commercial print
1. Does the Trust have one or more onsite print rooms/Medical Illustration Departments?
2. If the Trust has an onsite print room/Medical Illustration department, is it managed in house or outsourced?
3. If it is managed in house, who provides the service?
4. If it is being outsourced, who provides the service, when did the contract start and what is the contract term
5. How many staff work in the print room/Medical Illustration Department?
6. Who is the main supplier(s) of the Trusts higher volume commercial print (leaflets, medical forms, posters, letterhead, etc.), when did the contract start and what is the contract term
7. What was the spend on commercial print during 2015/16

Mail services
1. Does the Trust manage its own incoming mail or is this service outsourced
2. If outsourced, who is the current provider, when did the contract start and what is the contract term
3. Is any of the incoming mail scanned or is it physically transported across the Trust
4. If the service is provided in house how many staff are involved in:
a. Distributing incoming mail
b. Collecting outgoing mail
5. What is the volume of outgoing mail sent by the Trust?
6. Does the Trust have any centralised services for printing and sending mail
7. Does the Trust have any hybrid mail services for sending appointment letters or other correspondence?
8. If yes, who is the hybrid mail provider, when did this contract start and what is the contract term
9. Does the Trust have any software products for sending appointment letters electronically or SMS reminders to patients
10 If so, what software products are used, when where these installed and what is the contract term for support

print-room-and-mail-services-151216

Printing, mail room and stationary 031016

1. The number of people currently employed by the trust?
2. Who supplies you printer/copier/scanners across the trust?
3: What make and model and how many of each of printers/copiers/scanners do you have in your main print room and also across the trust?
4. How long are the print services contracts for?
5. What print management software’s do you use across the trust?
6. What scanning software’s do you use across the trust?
7. Is it just this site that you do the printing for or is it other sites too?
8. How much do you spend on printing services across the trust?
9. What is the overall cost of the managed print service contract?
10. What document management software’s/systems do you use across the trust?
11. What IT provider do you use?
12. How long is the print room contract and when is the current print room contract due to end?
13. Do you have an in house design department?
14. Do you have a in-house mail room?
15. Is the mail room contract outsourced or run by the trust?
16. What is the average/estimated monthly amount of the following?
A: Letters coming in to the post room?
B: Letters going out of the post room?
C: Parcels coming in to the post room?
D: Parcels going out of the post room?
17. Is there any plans to scan and archive all the old patients files?
18. If yes to question 17 what is the estimated amount of files?
19. What is the overall yearly spend on stationary across the trust
20. Also could you include the name, title, contact number, and email address for the people responsible for managing the print estate in the trust?
21. Also could you include the name, title, contact number, and email address for the people responsible for managing the post room estate in the trust?

Download response Printing, mail room and stationary 031016

Private Finance Initiative contracts.240217

Please provide information for each PFI hospital or unit within the trust.
1. Any performance adjustments deducted from the yearly unitary charge in respect of each hospital. Please include deductions planned but not yet made and those sought but in dispute.
2. Any other deductions/payments made under the PFI contract regarding defects including, but not limited to, those made by the Trust and the special purpose vehicle/project company.
3. The number of disputes concerning defects/deductions, resolved or otherwise, and whether they went to mediation, adjudication or court.
4. The sections/clauses of the PFI contract pertaining to deductions made in respect to defects, how much they can be and in which circumstances they can be made.
5. The sections/clauses regarding termination of the contract and the powers the trust has in this situation.

Download response Private Finance Initiative contracts.240217

Private patient taxi services 2015-2016 040117

Could you provide me with the total annual cost of private patient taxi services, excluding voluntary car services and patient transport services, e.g. ambulances for 2015/16 (the data that was previously gathered and published as part of ERIC returns: http://hefs.hscic.gov.uk/ERIC.asp)

Download response Private patient taxi services 2015-2016 040117

Recycling of medical aids. 140317

This request concerns the recycling of medical aids by your hospital trust.
1) Please confirm whether your trust recycles medical aids (such as crutches, wheelchairs etc.) for reuse by other patients.
2) Is yes, please provide information on the number of medical aids that were recycled in the 2016 calendar year, broken down by the type of medical aid recycled.
3)
a) Please provide a copy of your trust’s current guidance on recycling medical aids.
b) Please also provide a copy of your trust’s guidance on the recycling of medical aids returned to your trust from other NHS authorities.
c) If you do not have an exact ‘copy’ of this guidance, can you please provide a description of the policies requested in 3a) and 3b)
4) If you do not currently recycle medical aids, please provide a copy of your trust’s guidance on why you do not recycle medical aids, or the minutes of the meeting at which it was decided that your trust would not recycle medical aids. 5) If you do not currently recycle medical aids, please provide all information held concerning current or future trials of this policy within your trust.

Download response Recycling of medical aids. 140317

Repairs on medical instruments 170117

– What is your annual volume and spend on repairs for the following Medical Instruments?
– What is your annual volume and spend on repairs with 3rd party repair companies (who were not the original manufacturer of the instrument)?
– How many Stryker Power tools do you have in your inventory?
– How many Flexible Endoscopes do you have in your inventory? 165
– How many of these scopes were manufactured by the following:

Download response Repairs on medical instruments 170117. 080617

Restraint of patients 070317

1) How many times were security staff called to restrain patients at your organisation?
(i) Between April 2015 to March 2016
(ii) Between April 2016 to the end Jan 2017
2) If recorded, please detail the condition of the patients who were restrained and/or reason the patient needed to be restrained
3) How many of the patients who needed to be restrained in total had dementia?
4) Does your organisation employ an Admiral nurse (dementia specialist nurse) or other dementia lead nurse [please specify]?
5) Is your organisation signed up to John’s Campaign?

Download response Restraint of patients 070317

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

Security. 140317

i) Who provides security at each of your hospital sites? Where security is supplied by multiple providers please breakdown this provision.
ii) How many complaints have been made to the trust in regards to hospital security guards in 2016?
iii) For each complaint, please give a short description of the details (where available) and identify which security provider the security officer was employed by.
iv)The number of times security guards have been used to restrain patients from January 2016 to the latest available figures? And the departments where the restraint took place?
v) Does the trust use security personnel to restrain patients with mental health problems or patients with dementia?

Download response Security. 140317

Service Contracts between June 2015 – May 2016 031016

1) Who is your current provider for the following services (between June 2015 – May 2016):
Service Supplier
Boilers/Heating Systems
Air Conditioning / Refrigeration
Ventilation/Air Handling
2) How were they procured?
Examples: Framework, OJEU Tender, Direct Appointment, Mini Competition, Tender/Quote in line with the Trust SFI’s
2a) If a framework please advise which one?
3) Please provide us a copy of your Trusts Standing Financial Instructions (SFI’s)
4) Have you scheduled the re-procurement of these contracts? If so, when?

Download response Service Contracts between June 2015 – May 2016 031016

Special Purpose Vehicles (SPVs). 160617

1. Does the trust have a Special Purpose Vehicle (SPV)?
If so, please provide the following details for all SPVs held by the trust
a. Registered name
b. Date incorporated
c. What was the agreed function/purpose of the SPV?
d. Who owns shared capital? (Please list all entities and the % of capital held by each)
e. How much VAT was recovered during 2015/16 from the use of the SPV?
f. What was the SPVs Income Surplus for 2015/16?
g. Has the SPV been disclosed to HMRC?
2. Is the trust considering the establishment of an SPV?
If so, please provide the following details for all planned SPVs
a. What are the proposed functions/purpose of the SPV?
b. How much VAT is expected to be recovered from the use of an SPV?

Download response Special Purpose Vehicles (SPVs). 160617

Sterile services and decontamination units. 290617

1. How many theatres does your hospital have?
2. How is the Sterile Services and Decontamination Unit in your hospital organised?
o Own Decontamination Unit
o Own Decontamination Unit that also provides for other hospitals
o Supplied by a Decontamination Unit from a different hospital
o Contracted out
3. From which manufacturer do you get your instruments?
o Getinge
o MMM
o Belimed
o BHT
o Steris
o Dawned
o Peacocks
o Medisafe
o Others:
4. What kind of transporting system do you use at your hospital?
o Open carts
o Closed carts
o Cart in cart system (e.g. Känguruh-System)
o Others:
5. What size are the containers you use?
o ISO
o DIN
o SPRI
o Others:
6. How many containers are processed (cleaned, sterilized, etc.) in your hospital per year?
7. When it comes to your purchasing process in the decontamination sector, do you have a centralized system with a purchasing department or are the individual people allowed to make their orders themselves (up to a certain limit)?
o Centralized system
o Decentralized system
8. Where do you get the information about the products you need from?
o Manufacturer
o Dealer
o Purchasing department
o Internet
o Price list
o NHS Supplier List
o Others:
9. From whom do you buy your products in the end?
o Manufacturer
o Dealer
o Others:
10. Who is the decision maker when it comes Decontamination and Sterile Services issues (as in buying new products, etc.)?
o Sterile Services Manager
o Theatre Manager
o Head of Procurement
o Other:
11. Is it possible to get the contact details for this person (as in first and surname, phone number and E-Mail address)?

Download response Sterile services and decontamination units. 290617

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

Utilities information. 190417

1. Contracts/Agreements relating to the supply of Gas which may include the following:
• Natural Gas Supply
• Gas Heating / Boiler Maintenance
• Installation of Gas Central Heating Systems
2. Contracts/Agreements relating to the supply of Electricity which may include the following:
• Street Lighting
• Electricity Supply (Half Hourly)
• Electricity Supply (Non Half Hourly)
• Corporate Electricity Supply
3. Contracts/Agreements relating to the supply of Water which may include the following:
a. Supply of Water
b. Waste Water
Contract Information- For each of the types of the contract that I am requesting please can you send me the following information. Please remember if there is more than one provider can you please split the contract information up for each individual provider?
1. Unique Contract Key: Please can you provide me with a unique reference quote that relates to each contract.
2. Current Provider: If there is more than one provider please split the contract information individually.
3. Annual Average Spend: Please can you send me the average spends over the last three years. Approximate spend is also acceptable.
4. Contract Duration: Duration of the contract/agreement and can you please include any extension periods that could be executed
5. Contract Commence Date: The date the contract/agreement commenced
6. Contract Expiry Date: The date the contract/agreement expired
7. Contract Description: A brief description of the contract of what support/service in involved
8. Responsible Officer: Who within the organisation is responsible for this contract? Please can you send me the full names, actual job title, internal contact number and the officers direct email address?

Download response Utilities information. 190417

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

Vehicle provision 2016-2017 200117

1. The number of vehicles provided to all grades of Administrative or Management staff by your Trust.
2. The annual cost of this provision for the most recently available financial year.
3. Confirmation that this provision registered with HMRC as a ‘Benefit in Kind’.

Download response Vehicle provision 2016-2017 200117

Vending machines and outlets 070317

1) Do you have vending machines selling chocolate or sweets in portions larger than 250g per item?
2) Do you have any fast food chains in your trust, such as Burger King, Costa Coffee, Starbucks, pizza chains, Subway, Pret or Greggs? Please list.
3) If YES, will these chains meet the NHS England health eating targets set for March 2017?
4) If they will not meet the healthy eating targets, please explain how they have failed to meet them, including details.
5) What action will be taken after March 2017 on food outlets that fail to comply?

Download response Vending machines and outlets 070317

Washer-disinfectors. 290617

1. How many washer-disinfectors are installed in your premises?

2. In which departments are these washer-infectors installed?

3. Do these washer-disinfectors disinfect thermally or by chemical use or both?

4. Do these washer-disinfectors produce records for inspection purposes?

5. Are these washer-disinfectors maintained and serviced by your own staff or by outside sub-contractors?

6. Have you any plans to purchase/install any new washer-disinfectors within the next 12 months, and if so can you specify how many and an approximate date of purchase?

7. What purchasing mechanism is preferred for washer disinfectors? i.e.: outright purchase or rental/lease arrangement?

**If you were to purchase a new washer-disinfector would it be from NHS Supply Chain or direct from the supplier?
8. Can you provide the names and contact details of the following personnel?

Estates Manager or Director.
Facilities Manager
Laboratory Manager
Purchasing or Procurement Manager.

Download response Washer-disinfectors. 290617

Water hygiene. 150317

This request relates specifically to water hygiene and the measures taken to prevent infection from waterborne pathogens.
Can you please advise the number of point-of-use filters used per annum by the Trust to prevent waterborne bacteria exiting the water system?
Ideally a breakdown giving the number of filters used in 2014, 2015 and 2016. However if only approximate annual usage figures are available then this will be adequate for our purposes.

Download response Water hygiene. 150317

 

Finance

2016-2017 Budget. 140617

Under the FOI Act please can you let me know your organisations budget for?
2016
2017
This is the total operating budget for your organisation across all departments etc.

Download response 2016-2017 Budget. 140617

Administration costs 2008-2017. 200417

1. What are the administration costs for each year since 2008, or since the establishment of the Trust, of:
a. The Trust as a whole.
b. Each of the Hospitals within your Trust.
2. Please identify each of the organisations within your Trust (ie. Hospitals, Community based NHS and private providers) that have a business, corporate or related department.
3. The total operating budget for each year since 2008, or since the establishment of the Trust, of:
a. The Trust as a whole.
b. Each of the Hospitals within your Trust.

Download response Administration costs 2008-2017. 200417

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

Ahmedia Ltd 011216

1. Costs claimed by Ahmedia Ltd for NHS England staff unable to attend their Health Care Strategy Forum for the financial year 2015/16?

Download response letter Ahmedia Ltd 011216

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

Budget information. 160617

1) The trust’s total annual budget.
2) The annual cost to the trust of any spending associated with using buildings owned by, leased from or built by private providers – including interest payments.
3) The maintenance and any other associated costs the Trust has paid (during the last three years) to private providers for these buildings. And the expected associated costs for the current financial year.
4) The total value of any contracts the trust holds with private providing services and any commercially viable details of these.

Download response Budget information. 160617

Capped expenditure process. 240717

Under the Freedom of Information Act I wish to request the following information:

• Any official documents your organisation/s hold relating to the Capped Expenditure Programme/Process (CAP) – should include board documents, draft guidelines for process, consultation documents, timelines, memos etc.
• Any correspondence between senior leaders in the area/senior member of staff charged with responsibility for the CAP and NHS leaders at NHS England or NHS Improvement
• Please provide a copy of your ‘final return’ detailing your plans for delivering CEP savings locally – provided to NHS England by the original deadline of 5th May.

Download response Capped expenditure process. 240717

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

Contract information for TNP and PAC.060317

Section 1
1) What are the Hospital names and locations that form part of the Trust? (Please provide details)
2) Which framework is utilized for purchasing such as SBS, NHS Supply Chain or other (please provide details of all that are used)
3) By which method is this procured? (Please state all that applies)
Section 2
1) What is the name of the manufacture used to provide Topical Negative Wound Therapy Treatment for each hospital location?
*Smith-Nephew
*KCI
*Talley
*Other (please provide names)
2) By which method is this procured? (Please state all that applies)
3) Is this equipment provided via Hire agreement, Purchase or other? (Please provide details)
4) Is the provision of this equipment contracted? Yes or No
5) If contracted is the service and maintenance of this equipment included as part of the contract? Yes or No
6) If No – How is service & maintenance of this equipment dealt with – 3rd party provider or in-house?
7) If 3rd party provider please state company name
8) Is the 3rd party service & maintenance contracted? Yes or No
9) If Yes what is the contract term? (Including any extension periods).
10) What is the expiry date of this contract?
The following questions are only applicable if the supply of Topical Negative Wound Therapy to the hospital trust is contracted.
1) As a result of the tender did you change provider? Yes or No (If Yes please provide name of previous supplier)
2) What date did your current contract start?
3) How long is the current contract? (Including any extension periods)
4) When does the current contract expire?
5) Please provide the financial value of the contract in the last 12 months of the previous contract including total value and periods covered.
6) Please provide the financial value for the first 12 months of the current contract in place.
Section 3
1) What is the name of the manufacture used to provide pressure relief alternating dynamic surface air mattresses to the trust?
*Hill-Rom
*Smith-Nephew
*Talley
*Direct Healthcare
*Karomed
*Other (please provide names)
2) By which method is this procured? (Please state all that applies)
3) What is the total number of dynamic mattresses on-site?
4) Is this a managed service? Yes or No
5) Is the provision of dynamic surfaces contracted? Yes or No
6) If Yes is the service and maintenance of this equipment included as part of the contract? Yes or No
7) If No – How is service & maintenance of this equipment dealt with – 3rd party provider or in-house?
8) If 3rd party provider please state company name
9) Is this 3rd party service contracted? Yes or No
10) If Yes what is the contract term? (Including any extension periods).
11) What is the expiry date of this contract?
12) How is the decontamination of these products managed? In-house or 3rd party provider
13) If 3rd party provider please state company name
14) Is this 3rd party service contracted? Yes or No
15) If Yes what is the contract term? (Including any extension periods).
16) What is the expiry date of this contract
The following questions are only applicable if the supply of dynamic alternating air surface mattresses to the hospital trust is contracted.
1) Which method is used to tender the contract? (Please provide details)
2) What date did your current contract start?
3) What is the term of the contract? (including any extension periods)
4) When does the current contract expire?
5) Is the contract purchase, hire or other (please provide details)
6) If contracted, when did you last tender the contract?
7) As a result of the tender did you change provider? Yes or No (if Yes please provide previous supplier)
8) Please provide the financial value of the contract in the last 12 months of the previous contract including total value and periods covered.
9) Please provide the financial value for the first 12 months of the current contract in place.
Section 4
1) What is the name of the manufacture used to supply profiling bed frames?
*Hill-Rom
*Sidhil
*Invacare
*Linet
*Huntleigh
*Other (please provide details)
2) By which method is this procured? (Please state all that applies)
3) Which products are used? (Please provide details)
4) What is the total number of hospital bed frames on-site?
5) Is the supply of bed frames contracted?
Yes or No?
The following questions are only applicable if the supply of profiling beds to the hospital trust is contracted.
1) What date did your current contract start?
2) How long is the current contract? (Including any extension periods)
3) When does the current contract expire?
4) When did you last tender the contract?
5) As a result of the tender did you change provider? Yes or No (if Yes please state previous supplier)
6) Please provide the financial value of the contract in the last 12 months of the previous contract including total value and periods covered.
7) Please provide the financial value for the first 12 months of the current contract in place.

Download response Contract information for TNP and PAC.060317

Cost of flu treatment in A&E. 250117

a) How many people were admitted to Accident and Emergency with flu in each calendar year: 2010; 2011; 2012; 2013; 2014; 2015, and; 2016?

b) What is the total financial cost for people presenting with flu at Accident and Emergency in each calendar year in answer to Question A. Please provide this information broken down by calendar year, as follows: 2010; 2011; 2012; 2013; 2014; 2015, and 2016. This should include all costs incurred to treat the illness during the patients stay at the hospital, including all staff salaries and any other medical treatment costs.

Download response Cost of flu treatment in A&E. 250117

Dyson products purchased in the last five years. 151216

How many Dyson products has your trust bought in the last five years?

What are these products and models?

A breakdown of how many items of each Dyson product was bought in the last five years, e.g. how many fans, vacuum cleaners, hand dryers etc.

How much money has been spent on all Dyson products for the last five years for your trust?

Please could I have a breakdown for how much has been spent on each type of product, e.g. vacuum cleaners, fans, hand dryers etc., for the last five years?

Download response Dyson products purchased in the last five years. 151216

Electronic invoices. 270317

1) Do you currently receive electronic invoices? Yes/No
2) If so, are these received in EDI format (not PDF)? Yes/No
3) If not, would you have a date when you could be ready to test/receive EDI Invoices?

Download response Electronic invoices. 270317

eProcurement system. 200417

Where different and distinct systems are in use at separate Trust sites, please disclose this. Where this is the case, please answer the following sections in a site-specific format.
Where any/all of the procurement functions are outsourced to another party/parties (e.g. a private company or a distinct NHS body) please disclose the structure of this relationship.
1. Does the Trust have/have use of an eProcurement system(s)?
If so, please name the provider(s).
2. What is the length (in years) of the contract(s) in place with such provider(s)?
3. What is the end/renewal date (dd/mm/yyyy) of the contract(s)?
4. What Finance/E.R.P (enterprise resource planning) system does the Trust use?
5. How many members of staff work in the procurement/purchasing department(s) at the Trust?
6. How many members of staff across the Trust have permission/access to raise requisitions and purchase orders through the eProcurement system(s) in place? (estimate)

The following section of this FOI request concerns the capability of any/all eProcurement systems being used by the Trust.
1. Does the system(s) in place cover the sourcing (auctioning/tendering) of goods/services used by the Trust?
2. Does the system(s) in place cover the management of contracts with chosen suppliers?
3. Does the system(s) in place cover the enablement of electronic catalogues to allow buyers within the Trust to purchase goods/services sourced by the Trust?
4. Does the system(s) in place cover the payment to suppliers for goods/services sourced by the Trust? This includes the management of electronic Purchase Orders, Goods Receipts and Invoices.
5. Does the system(s) in place cover the management of supplier relationships and performance?
6. Does the system(s) in place have the capability to analyse current and/or historical procurement spend by the Trust?
7. Does the system(s) in place have the capability to report and demonstrate data relating to procurement spend by the Trust?
8. Does the system(s) in place have the capability to integrate with the Finance/E.R.P (enterprise resource planning) system?
9. Are updates (free or paid) offered for the incumbent system(s), either on a regular or irregular basis?
10. Are there any formalised projects or initiatives currently underway to review/upgrade current procurement practices within the Trust? If yes, please provide details.

Download response eProcurement system. 200417

Estates and Capital Projects Managers. 300317

Please can you provide the contact details, name, telephone number, email address, of the Head of Estates, Estates Managers and Capital Project Managers for your trust?

Download response Estates and Capital Projects Managers. 300317

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

Goods and services (2013/14) (2014/15) and (2015/16) 011216

In each of the last three financial years (2013/14) (2014/15) and (2015/16) please state how much your organisation has paid for goods and services from each of the following companies
* ACADEMY OF FABULOUS STUFF COMMUNITY INTEREST COMPANY (10189968)
* LINDUM LOFTS & EXTENSIONS LIMITED (06083403)
* HEALTH MANAGERS NETWORK LIMITED (08234437)
* WOUND SPECIALIST LIMITED (08188747)
* CARBON HEALTH NETWORK LIMITED (06887536)
* UK HEALTHGATEWAY LIMITED (06319587)
* GRASMERE MANAGEMENT COMPANY LIMITED (05685001)

Please provide me with copies of each invoice (accepting that personal details will have to be redacted) so that I can see how much was paid and a description of what it was paid for.

Download response Goods and services (2013/14) (2014/15) and (2015/16) 

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

Lord Carter Review. 060217

1. The overall savings estimate that has been sent to the trust by Lord Carter, as part of his review of NHS efficiency. Please note, I am not asking for the agreed/confirmed savings figure, I’m asking for the initial figure that was presented to the trust by Lord Carter and his team.
2. The overall savings estimate as a proportion of the trust’s turnover.
3. The ‘pack’ that has been sent to the trust, outlining the areas where savings could potentially be made.

Download response Lord Carter Review. 060217

Lord Carter Review. 160617

I need the report on savings estimates sent to hospital trusts as part of Lord Carter’s review. I believe that many acute trusts have received these estimates. Please can you share this report?

Download response Lord Carter Review. 160617

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

Losses and special payments 140217

In your financial accounts for the financial year 2015/16 did you have a section for “losses and special payments?

1. If so how much money was accounted for in the 2015/2016 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.

Download response Losses and special payments 140217

Medical locum agencies. 070417

1. A list of all agencies the trust uses for temporary workers (Med Locums).

2. A breakdown of monetary spend per agency for the last 12 months.

Download response Medical locum agencies. 070417

Medical locum spend 2016. 130417

I would like to request the Trusts Medical Agency Locum Spend for the year 2016.

Can you please break these figures down accordingly?
1. Agency Locum spend for A&E Doctors in 2016
2. Agency Locum spend for General and Acute medicine Doctors in 2016
3. Agency Locum spend for Radiology Doctors in 2016
4. Agency Locum spend for Paediatric Doctors in 2016
5. Agency Locum spend for Obs and Gynae Doctors in 2016
6. Total Medical Agency Locum Spend in 2016

Please also break them down into the grade accordingly (SHO, Middle and Consultant).

Download response Medical locum spend 2016. 130417

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

Paper procurement. 240717

Question 1:
How many reams of paper, of the following types, did your organisation procure during the 2016/17 financial year*?

Question 2:
Does your Procurement Department stipulate that paper procured within the organisation should be purchased from the NHS Supply Chain Core Stationary List?

Download response Paper procurement. 240717

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

Personal service companies 090916

Please provide, in an excel spreadsheet, the following information about payments made by the Trust to Personal Service Companies over the past five financial years (2011/12 to 2015/16). Please indicate:

1. The date of the payment;
2. The name of the Personal Service Company that payment was made to;
3. The size (£) of the payment;
4. The “Expense Area” and “Expense Type” of the payment.

Download response Personal service companies 090916

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

PFI – fines and deductions 281216

Sheet 1 Postcodes
Treasury records – Yellow – because the name of individual PFI projects can sometimes change I have asked you to provide in addition to the name, the Unique HMT ID number that identifies a PFI scheme on the HM Treasury spreadsheet so that I can be sure that I am identifying each scheme correctly.
Postal Address – Green – Could you please provide the postal address for each of the PFI projects listed. Where there are multiple addresses, please could you list each in turn and separate each with a forward slash.

Sheet 2 Fines & Deductions
Each of the PFI projects held by the authority may have incurred financial penalties for poor performance. Could you please record the details of each individual fine or deduction, since the first date of operations, in the second page of the spreadsheet.

Deduction information – Green – Could you please give a short narrative summary of the reason for the deduction, select the type of deduction incurred and note whether this was disputed by the contractor.
Date Information – Blue – Could you please record the date on which the deduction was first made then go on to note over how long the deduction was applied.
Financial Information – Orange – Please record the amount that the authority tried to deduct from the contractor, and where the deduction was disputed and the full sum not awarded the final settlement of the dispute.

Download response PFI – fines and deductions 281216

Private Finance Initiative contracts.240217

Please provide information for each PFI hospital or unit within the trust.
1. Any performance adjustments deducted from the yearly unitary charge in respect of each hospital. Please include deductions planned but not yet made and those sought but in dispute.
2. Any other deductions/payments made under the PFI contract regarding defects including, but not limited to, those made by the Trust and the special purpose vehicle/project company.
3. The number of disputes concerning defects/deductions, resolved or otherwise, and whether they went to mediation, adjudication or court.
4. The sections/clauses of the PFI contract pertaining to deductions made in respect to defects, how much they can be and in which circumstances they can be made.
5. The sections/clauses regarding termination of the contract and the powers the trust has in this situation.

Download response Private Finance Initiative contracts.240217

Procurement of consumable supplies. 040717

Please provide me with the contact email address for the person in charge of procurement of consumable supplies.

Download response Procurement of consumable supplies. 040717

Public Health funerals 140217

1. Has the Trust conducted any Public Health Act funerals since 01/01/16 to the present (up to and including the date of your response)?
2. If the answer to this question is yes, please disclose for each:
a) The full name of the deceased
b) The date of birth of the deceased
c) The date of death of the deceased
d) The last known address of the deceased
e) Whether details of the estate have been/will be or are likely to be referred to the Government Legal Department, if known.
3. Have there been any similar FOI requests to this (within the time period outlined in question 1)?
4. Within the time period outlined in question 1, has the Trust ever used a genealogist, family researcher, ‘heir hunter’ or similar company to try to locate the next of kin of a deceased person for whom the Trust has taken responsibility for conducting a public health funeral? If so, which research company has been used?

Download response Public Health funerals 140217

Public Health Funerals 2016-2017. 100517

1. How many of these funerals did you arrange in the last financial year?

2. Would you list all funerals with the following details for each: the date, whether the body was buried or cremated, whether a funeral service was held, the total cost (including all disbursements such as crematorium fees and burial plots. And excluding any offset of monies recovered from the estates of the deceased), and the funeral director used. I do not require any personal information such as name or date of birth of the deceased.

3. How were the funerals providers found – on a case-by-case basis or part of a tendered contract?

4. If part of a tendered contract, when did the contract begin and when is it scheduled to be renewed?

Download response Public Health Funerals 2016-2017. 100517

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

STP information submitted to NHS England.041116

Your organisations, as leads in the STP process, were required to submit full “Finance & Efficiency template” returns to NHS England/the national Five Year Forward View office by 5pm on 16 September.

Please provide: The full template return as submitted.

Download response STP information submitted to NHS England.041116

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

Taxis, private hire vehicles and uber type services 2015 – 2017. 270617

How much did your organisation spend on taxis, private hire vehicles and uber-type services in a. 2015-16 and b. 2016-17? Please give figures separately for each year and indicate whether VAT is included in these figures.

Where possible, could you also break down what was spent in each year within this overall figure on?

1. Patient transport
2. Staff transport
3. Transport of clinical items or materials such as specimens scans etc.
4. All other uses (give examples if possible).

Download response Taxis, private hire vehicles and uber type services 2015 – 2017. 270617

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 Finance Department. 250717

I would like to request a copy of the Finance Department’s structure, including the names of post holders for members of staff at band 8a or above.

Download response Trust Finance Department. 250717

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

Waiting List Initiative Payments (WLI) 2013-2016.290317

1. The total amount paid in waiting list initiative payments (and other higher rate additional payments for weekend and evening work) to consultants for the following financial years:
2. The five highest totals of such payments paid to individual consultants, stating the name and job title of each consultant, and how many hours they worked, for the following financial years:
3. The maximum hourly rate and the minimum hourly rate for such payments for each of following financial years:
4.
a) The number of individual consultants (headcount) who received such payments; and
b) The total number of consultants (headcount) working in your trust;
5. The amount paid to private sector providers to carry out routine procedures and the number of procedures carried out for each of the following financial years:

Download response Waiting List Initiative Payments (WLI) 2013-2016.290317

Working capital loans from the Department of Health.240217

Can you please state how much the health trust has received in working capital loans from the Department of Health in the last five years, including the current financial year?

Download response Working capital loans from the Department of Health.240217 

 

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

Acquired Brain Injury rehabilitation prescription. 230817

Can you please advise how many of your patients discharged from hospital with an Acquired Brain Injury (ABI) had a Rehabilitation Prescription?

1. This Trust has patients with an ABI who were discharged with a Rehabilitation Prescription. Yes/No

2. This Trust has [number to be inserted] patients with an ABI who were discharged with a Rehabilitation Prescription in the last financial year.

3. Of the patients who are issued with a Rehabilitation Prescription the following receive a copy
a. – GP [please tick]
b. – patient/family [please tick]
c. – other [please provide details]

Download response Acquired Brain Injury rehabilitation prescription. 230817

Adrenal Surgery 2015-2016. 020217

I would like to know the total number of adrenal surgical procedures carried out at Maidstone Hospital and Tunbridge Wells / Pembury Hospital (TWH) during the financial year April 2015 to March 2016.
This would include all adrenalectomies and other operations on the adrenal glands
I understand the relevant OPCS codes are as follows:

B22.1, B22.2, B22.3, B22.4, B22.8, B22.9, B23.1, B23.2, B23.8, B23.9, B25.1,
B25.2, B25.3, B25.4, B25.8, B25.9

Download response Adrenal Surgery 2015-2016. 020217

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

Alzheimer Disease 2012-2016

For the years between 2012 and 2016
1. How many people has your trust/hospital diagnosed with Alzheimer Disease for each of the years mentioned above? If possible could this be broken down by gender?
2. How many people are seen within 12 weeks of being referred by a GP?

Download response Alzheimer Disease 2012-2016 150317

Ambulatory ECG’s 2015-2016. 090217

1. Total number of Ambulatory ECG’s (aka Holter tests, R-Tests, etc) performed in 2015 and to date in 2016 calendar year.
2. If possible, please indicate how many were for ≤24-hour duration; 24-72 hour duration; ≥ 72 hour duration.
3. Please also indicate what current waiting time is for fitting of device and reporting results.

Download response Ambulatory ECG’s 2015-2016. 090217

Annual Departmental activity statistics 2011-2013. 030117

In your trust in each of the following years (in 2011, 2012 & 2013)
– Financial year 2011/2012 and financial year 2012/2013
– Or Calendar year 2011, Calendar year 2012 and Calendar year 2013
Annual departmental activity statistics for Obstetrics & Gynaecology Department for the following data:
Obstetrics (Maternity)
1- Annual total number of all types of deliveries
2- Annual total number Instrumental/operative vaginal deliveries
3- Annual total number of Caesarean sections
4- Annual total number of vaginal deliveries
5- Annual total number of Antenatal out-patients
6- Annual total number of maternity inpatients admitted to wards/hospital
Gynaecology:
7- Annual total number of gynaecological surgical procedures undertaken annually
8- Annual total number of Gynaecology out-patients
9- Annual total number of gynaecology inpatients admitted to wards/hospital
As a Trust in general:
10- Annual total number of theatre cases (surgical procedures), across all specialties
11- Annual total number of patients attended or booked in the outpatient clinics, across all specialties
12- Annual total number of patients admitted to the hospital wards, across all specialties

Download response Annual Departmental activity statistics 2011-2013. 030117

Annual suture usage. 040117

I require suture manufacturer codes with description and total boxes/pack ordered annually/per year. An excel sheet will be ideal.

Any year in the last three year will be suitable.

Download response Annual suture usage. 040117

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

Assistive devices following total hip replacement (THR). 300317

Has your hospital discontinued provision of hip precautions and/or assistive devices/equipment such as raised toilet seats, long-handled aids, long-handled shoe horns, sock-aids, long-handled sponges, bath benches, wedge pillows and perching stools to patients following total hip replacement (THR)?

Download response Assistive devices following total hip replacement (THR). 300317

Audiology services. 080417

1. What is the present staffing structure for Audiology services at the trust?
2. How many substantive members of staff are there at each AfC pay scale?
3. How many vacancies currently exist within the Audiology team?
4. Have the vacancies been recruited for? If so, why do any persist? When will the vacancies be advertised again?
5. Does the Audiology team within the trust make use of locums?
6. How many locums presently work within Audiology?
7. What band are the locums employed at? How is the band of the locum determined? Are the rates capped? If not, why not? Are there plans to look at capping the excessive charges?
8. Has the trust sought to lower the cost associated with locums to maximise taxpayer money?
9. What are the charges associated with each locum for the trust?
10. What was the overall spend on locum’s within Audiology in the last financial year? What was the overall spend for the months of April, May, June 2017?
11. What are the trust’s plans with regards to staffing within Audiology and the persistent use of costly locums?
12. What is the process of hiring locums in terms of pay scale selected, governance and competency checks within Audiology at MTW NHS Trust?

Download response Audiology services. 080417

Audiology services for children and young people.150317

1. Thinking about the 2015/16 financial year, did your service experience longer waiting times for?
2. Were there any changes in policy or practice in what your audiology service provided in 2015/16?
3. If you have ticked yes to any of the above, please tell us what has changed and the reasons for the
Change
4. At what age does your service transfer deaf young people to adult services?
5. Were there any changes to how your audiology service for deaf children is commissioned in 2015/16?
6. Were there any changes in the number and skill-mix of full time equivalent (FTE) staff in your team, including administrative staff, in 2015/16?
7. If you have ticked yes to any of the above, please describe in more detail what has changed (including the number of staff reductions, if any) and the reasons for the change.
8. Was there a training programme in place for audiologists in your service in 2015/16?
9. If yes, were there any changes to the availability of training in 2015/16?
10. Looking ahead to the 2016/17 financial year, are you aware of any planned changes to any of the below?
11. Did your service provide informal family support services such as parent coffee mornings, playgroups, use of voluntary sector, etc. in 2015/16?
12. If yes, were there any reductions in informal family support services in 2015/16?
13. Is anyone from the audiology team involved in the development of Education Health and Care plans?
14. Have you faced any barriers to being involved in developing Education Health and Care plans?
15. If yes, what were the barriers?
16. Did your service provide any assistive listening devices or take any action to ensure they work effectively with the child’s personal amplification in 2015/16?
17. If you have ticked any of the above, were there any reductions in the provision of assistive learning devices or services to ensure they work effectively with the child’s personal amplification in 2015/16
18. Has your service gained accreditation with (Improving Quality in Physiological Diagnostic Services) IQIPS?
19. Has your service registered for the IQIPS process?
20. Has your service started using the Self-Assessment and Improvement Tool (SAIT)?
21. Has your service applied to UKAS to begin the accreditation peer review process?
22. Has your service booked or completed its onsite assessment with UKAS?
23. If you have not registered with the SAIT for IQIPS, what are your reasons for not doing so?
24. What are the most successful aspects of your audiology service at the moment?
25. What are main challenges or problems facing your audiology service at the moment?
26. Is there anything else you would like to tell us about the audiology service and any future plans?
* 27. Your name:
* 28. Your role:
* 29. Name of audiology service (please don’t use abbreviations):
* 30. Name of Trust that provides the paediatric audiology service (please don’t use abbreviations):
* 31. Sites where paediatric audiology is delivered by your service (please don’t use abbreviations):

Download response Audiology services for children and young people.150317

AUS implant 2014-2017. 010617

I am trying to find out, for each of the last three years of available data, how many AUS’ were implanted by the Trust and how many were infected.

Download response AUS implant 2014-2017. 010617

Bariatric procedures 2013-2017. 260417

Please can you tell me the following information for the last three financial years and current numbers i.e.; 2016/17, 2015/16, 2014/15 and 2013/14
1) Number of bariatric procedures carried out
2) Cost of procedure (s)
3) Age of those who had a bariatric procedure
4) Weight of those who have had a bariatric procedure

Download response Bariatric procedures 2013-2017. 260417

Bariatric surgery 2013-2017. 260417

1) Can you please provide a breakdown of the number of people given bariatric surgery in each of the following years by the health board – 2013, 2014, 2015, 2016, so far 2017?
2) For each year, can you please provide the sexes and age groups (twenties, thirties, forties, etc.) of each person who had the surgery. Please provide the number of people under 21 for each year, with the exact age of each.
3) For each year, please provide the number of people with a medical condition, which meant they needed bariatric surgery, including those with none (can the data please be displayed so that their age groups are given also).
4) Please provide the number of people for each year with a BMI of 35 or less, and of 30 or less, again giving their medical condition and age group (or exact age for under-21s) for each.
5) Please provide a list of the criteria the health board has for offering people bariatric surgery, and if this has changed in the last five years, state when it changed and what it changed from and to.
6) If the health board’s target for the number of people undergoing bariatric surgery has changed in the last five years, please state what it changed from and to, and when this happened.

Download response Bariatric surgery 2013-2017. 260417

Bladder scanners 2015-2016. 150217

1. How many bladder scanners are registered and in working order with your equipment library (or equivalent)?
2. How many ultrasound bladder scanners did your Trust buy in the 2015/16 financial year?
3. Is there a hospital training record for those healthcare workers that are trained to use ultrasound bladder scanners?
4. Do you have a hospital policy which includes the indications for use of ultrasound bladder scanners across all departments and ward areas?
5. How many incontinence nurses or clinical nurse specialists are employed by your Trust?
6. How many urology nurse specialists are employed by your Trust?

Download response Bladder scanners 2015-2016. 150217

Bronchial challenge testing 040117

Can you please advise if the trust performs Bronchial challenge testing? If the trust does perform these tests could you also advise?
1) The number of tests performed in the last 12 months?
2) Which products are used to perform the test?
3) Contact details for the sites performing the test?

Download response Bronchial challenge testing 040117

Cataract lenses, equipment and custom PAKS. 070317

Intra-occular Lenses
• When is your current Intraocular lens contract for Ophthalmology up for renewal?
• Who is your current Intraocular lens provider/providers?
• How long will your future Intraocular tender contract run for?
• What is the value of your current intraocular lens contract?
• What is the price of your most used IOL?
• Do you use Toric Lenses for NHS patients or for private?
• Who is your current Toric Lens supplier?
• Do you have a Toric pathway?
• What is the price of your most used Toric IOL?
– Do you currently have a managed service in place for Ophthalmology?

Cataract Equipment
• When is your Phaco machinery contract up for renewal?
• How many Phaco machines do you currently have at your sites?
• Who is your current provider of the Phaco machinery?
• How long will the future Phaco contract run for?
• What is the value of your Phaco machinery?

Vitro Retinal (VR) Equipment
• When is your Vitro retinal machinery contract up for renewal?
• How many Vitro retinal machines do you currently have at your sites?
• Who is your current provider of your vitro retinal machinery?
• How long will the Vitro retinal contract run for?
• What is the value of your Vitro retinal machinery?

Cataract and VR Custom PAKS
• When is your cataract custom PAKS contract up for renewal?
• Who is your current custom PAKS provider?
• How long will your custom PAKS contract run for?
• What is the value of your Cataracts custom PAKS for the current contract?
• What products are in your standard cataract custom PAK?
• When is your VR custom PAKS contract up for renewal?
• Who is your current VR custom PAK provider?
• How long will the VR custom PAKS contract run for?
• What is the value of your VR custom PAKS for the current contract?
• What products are in your standard VR custom PAK?

– How many cataract procedures did you do in the financial year 2015 – 2016?
– How many VR procedures did you do in the financial year 2015 – 2016?

Download response Cataract lenses, equipment and custom PAKS. 070317

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 150217

1. Is the treatment listed below routinely available to patients according to its NICE TAG?
Aflibercept for treating visual impairment caused by macular oedema after branch retinal vein occlusion [TA409]

2. Please could you send your commissioning policy for cataract surgery. Please indicate the review date of this policy.

Download response Cataract surgery 150217

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

Chronic Fatigue Syndrome 140217

1. Please name the NHS Trust(s) that you represent. Where more than one NHS Trust is represented, please respond to the following requests for information for each Trust individually.
2. For the financial year 1st April 2015 – 31st March 2016, please indicate the number of patients in your NHS Trust with Chronic Fatigue Syndrome. If your Trust deals with both adults and children, then please indicate numbers for both of these patient groups.
3. For the financial year 1st April 2015 – 31st March 2016, please indicate the number of patients in your NHS Trust with Chronic Fatigue Syndrome who have been seen by a Dietitian.
4. Please indicate whether Dietitians within your NHS Trust have a specific nutritional care plan / care pathway for the management of Chronic Fatigue Syndrome. Where this exists, please provide all documentation.

Download response Chronic Fatigue Syndrome 140217

Chronic pain service 031016

1. The definition of calculation used for new to follow up ratios for chronic pain referrals.
2. The data for new to follow up for chronic pain referrals for your trust for the years April 2010 to April 2015
3. Is the calculation used for new and follow-up in Chronic Pain a local or national definition?
4. Can you provide the wording of the definition used?
5. Does the New to follow up ratio calculation that is used by your organisation for Chronic Pain also apply to other specialties?
6. If no – please explain the differences in the calculations.

Download response Chronic pain service 031016

Complex Regional Pain Care Syndrome (CRPS). 240317

What does your acute Complex Regional Pain Care Syndrome (CRPS) pathway look like for trauma and orthopaedic, rheumatology and hand acute services?

Download response Complex Regional Pain Care Syndrome (CRPS). 240317

Continuous renal replacement therapy (CRRT). 010217

1. How many machines do you have for continual renal replacement (CRRT) in the intensive care unit/critical care unit?
1. a. Can you split these by manufacturer and age of machine please?
2. Are you in a contract for your machines, if so when does the contract expire?
3. How many CRRT treatments were carried out in 2016 (or the latest 12 month period you have data for)?
4. How many bags of fluid did you use for CRRT in 2016 (or the latest 12 month period you have data for)?
5. Who is your current manufacturer of fluids for CRRT? And for Vascular access? (Double Lumen catheters)
6. Are you in a contract for fluids, if so, when does this expire and is it linked in with the machine contract?
7. What was your total spend on CRRT fluids in 2016 (or the latest 12 month period you have data for)?
8. What was your total spend on CRRT consumables (e.g. consumable sets for the machines) in 2016 (or the latest 12 month period you have data for)?
9. What is the typical renal dose you prescribe to the patients? (In ml/kg/h)
10. Are your units using Citrate Anticoagulation? If yes how frequent (in % vs. Heparin).

Download response Continuous renal replacement therapy (CRRT). 010217

Contract information for TNP and PAC.060317

Section 1
1) What are the Hospital names and locations that form part of the Trust? (Please provide details)
2) Which framework is utilized for purchasing such as SBS, NHS Supply Chain or other (please provide details of all that are used)
3) By which method is this procured? (Please state all that applies)
Section 2
1) What is the name of the manufacture used to provide Topical Negative Wound Therapy Treatment for each hospital location?
*Smith-Nephew
*KCI
*Talley
*Other (please provide names)
2) By which method is this procured? (Please state all that applies)
3) Is this equipment provided via Hire agreement, Purchase or other? (Please provide details)
4) Is the provision of this equipment contracted? Yes or No
5) If contracted is the service and maintenance of this equipment included as part of the contract? Yes or No
6) If No – How is service & maintenance of this equipment dealt with – 3rd party provider or in-house?
7) If 3rd party provider please state company name
8) Is the 3rd party service & maintenance contracted? Yes or No
9) If Yes what is the contract term? (Including any extension periods).
10) What is the expiry date of this contract?
The following questions are only applicable if the supply of Topical Negative Wound Therapy to the hospital trust is contracted.
1) As a result of the tender did you change provider? Yes or No (If Yes please provide name of previous supplier)
2) What date did your current contract start?
3) How long is the current contract? (Including any extension periods)
4) When does the current contract expire?
5) Please provide the financial value of the contract in the last 12 months of the previous contract including total value and periods covered.
6) Please provide the financial value for the first 12 months of the current contract in place.
Section 3
1) What is the name of the manufacture used to provide pressure relief alternating dynamic surface air mattresses to the trust?
*Hill-Rom
*Smith-Nephew
*Talley
*Direct Healthcare
*Karomed
*Other (please provide names)
2) By which method is this procured? (Please state all that applies)
3) What is the total number of dynamic mattresses on-site?
4) Is this a managed service? Yes or No
5) Is the provision of dynamic surfaces contracted? Yes or No
6) If Yes is the service and maintenance of this equipment included as part of the contract? Yes or No
7) If No – How is service & maintenance of this equipment dealt with – 3rd party provider or in-house?
8) If 3rd party provider please state company name
9) Is this 3rd party service contracted? Yes or No
10) If Yes what is the contract term? (Including any extension periods).
11) What is the expiry date of this contract?
12) How is the decontamination of these products managed? In-house or 3rd party provider
13) If 3rd party provider please state company name
14) Is this 3rd party service contracted? Yes or No
15) If Yes what is the contract term? (Including any extension periods).
16) What is the expiry date of this contract
The following questions are only applicable if the supply of dynamic alternating air surface mattresses to the hospital trust is contracted.
1) Which method is used to tender the contract? (Please provide details)
2) What date did your current contract start?
3) What is the term of the contract? (including any extension periods)
4) When does the current contract expire?
5) Is the contract purchase, hire or other (please provide details)
6) If contracted, when did you last tender the contract?
7) As a result of the tender did you change provider? Yes or No (if Yes please provide previous supplier)
8) Please provide the financial value of the contract in the last 12 months of the previous contract including total value and periods covered.
9) Please provide the financial value for the first 12 months of the current contract in place.
Section 4
1) What is the name of the manufacture used to supply profiling bed frames?
*Hill-Rom
*Sidhil
*Invacare
*Linet
*Huntleigh
*Other (please provide details)
2) By which method is this procured? (Please state all that applies)
3) Which products are used? (Please provide details)
4) What is the total number of hospital bed frames on-site?
5) Is the supply of bed frames contracted?
Yes or No?
The following questions are only applicable if the supply of profiling beds to the hospital trust is contracted.
1) What date did your current contract start?
2) How long is the current contract? (Including any extension periods)
3) When does the current contract expire?
4) When did you last tender the contract?
5) As a result of the tender did you change provider? Yes or No (if Yes please state previous supplier)
6) Please provide the financial value of the contract in the last 12 months of the previous contract including total value and periods covered.
7) Please provide the financial value for the first 12 months of the current contract in place.

Download response Contract information for TNP and PAC.060317

Dental treatments. 170817

• Number of deaths per year since 2000 (including the full year 2000) from general anaesthetic for dental procedures, either under the care of the Public Dental Service (PDS) or Oral and Maxillofacial Surgery (OMFS)
• The age of the patients that died.

Download response Dental treatments. 170817

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

Diagnosed eye conditions – wetAMD. 120717

Within your trust how many patients have been treated, in the past 6 months January to June, 2017 by diagnosed eye condition? Of these patients how many are new to treatment [they have not previously received an injection /implant]?
If you do not have full records an estimate would be helpful.

Download response Diagnosed eye conditions – wetAMD. 120717

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

Drug coated balloons 060317

1. How many Drug Coated Balloons were used by your Trust for Peripheral Vascular interventions in 2016?
2. What was the total spend by the Trust on Drug Coated Balloons for Peripheral Vascular interventions in 2016?
3. How many Drug Coated Balloons were used by your Trust for Arterio-venous (AV) percutaneous interventions in 2016?
4. What was the total spend by the Trust on Arterio-venous (AV) percutaneous interventions in 2016?
5. What was the total spend by the Trust on Drug coated balloons for Arterio-venous (AV) percutaneous interventions in 2016?

Download response Drug coated balloons 060317

Endometriosis surgery 2014-2015 031016

– How many surgeries did you carry out to treat endometriosis in 2014 & 2015 (excluding diagnostic surgery)
– What percentage of these operations included diathermy
– What percentage of these operations included ablation
– What is the normal reason for using diathermy or ablation over excision

Download response Endometriosis surgery 2014-2015 031016

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

Eye procedures 010317

1a. The number of cataract operations carried out by the trust annually for the last three years.
1b. At which hospitals the operations were carried out, and the number at each hospital.
2a. The number of glaucoma filtering surgeries (to include trabeculectomy, deep sclerectomy & viscocanalostomy) carried out by the trust annually for the last three years.
2b. At which hospitals the operations were carried out, and the number at each hospital.
3a. The number of glaucoma tube implantation surgeries carried out by the trust annually for the last three years.
3b. At which hospitals the operations were carried out, and the number at each hospital.

Download response Eye procedures 010317

Foot protection team. 020617

1. Does your trust operate a foot protection service, as recommended by NICE guideline NG19 on ‘Diabetic foot problems: prevention and management’?

2. If the answer to Q1 is yes, please state the number of podiatrists and orthotists employed within this service.

3. If the answer to Q1 is yes, is this service led by a podiatrist with specialist training in diabetic foot problems, as recommended by NICE guideline NG19 on ‘Diabetic foot problems: prevention and management’?

4. If the answer to Q1 is no, please provide a reason for this.

Download response Foot protection team. 020617

Fractured nose operations August 2016 – February 2017. 080517

Would it be possible for you to send me a list of patients who have had operations for fractured noses over the period of August 1 to February 1? Is it also possible to extract how long each operation took? Or rather how long the patient was in theatre for? We are looking to find out how much each costs the trust.

Download response Fractured nose operations August 2016 – February 2017. 080517

Gallbladder removal surgery. 290617

Do you have anything you could please send me which shows the statistics (number of operations performed, complication and mortality rates etc.) for each of the surgeons who does this type of operation at Maidstone to help me decide?

Download response Gallbladder removal surgery. 290617

Gender reassignment surgery 031016

1) Please state the number of patients who have undergone gender reassignment operations in the following financial years:
i) 2010/2011
ii) 2012/2013
iii) 2014/2015
iv) 2015/2016
2) Please state the number of patients currently on the waiting list for gender reassignment operations. Please also provide a breakdown of those on the waiting list for each year of:
a) Patients who were born male who are transitioning to become female.
b) Patients who were born female who are transitioning to become male.
Please provide information for the following financial years:
i) 2010/2011
ii) 2012/2013
iii) 2014/2015
iv) 2015/2016
3) Please state the average waiting time from first appointment to first operation for patients who have elected for gender reassignment surgery in the following financial years:
i) 2010/2011
ii) 2012/2013
iii) 2014/2015
iv) 2015/2016
4) Please state the five longest waiting times of those on the waiting list for a gender reassignment operation for:
a) Patients who were born male who are transitioning to become female.
b) Patients who were born female who are transitioning to become male.
Please provide information for the following financial years:
i) 2010/2011
ii) 2012/2013
iii) 2014/2015
iv) 2015/2016
5) Please state the overall numbers of operations for patients undergoing reassignment in the following financial years.
i) 2010/2011
ii) 2012/2013
iii) 2014/2015
iv) 2015/2016
6) Please state how many consultants/surgeons currently work for your trust who carry out gender reassignment operations or gender reassignment related surgery – and the type of surgery and operations they will carry out when doing gender reassignment operations.

Download response Gender reassignment surgery 031016 

Glaucoma services at Maidstone Hospital. 020617

Glaucoma Treatment Pathway – (possible responsible person is Director/Clinical Manager for Ophthalmology)
1) On average, how many follow up visits would a patient have in their first year following a glaucoma surgery procedure?
2) How many follow up visits would a patient have in the first year following a minimally invasive glaucoma surgery procedure?
3) Could your hospital provide a specific minimally invasive glaucoma pathway?

HES Data – (Business Manager for Ophthalmology)
4) What is the total number of minimally invasive glaucoma surgery procedures performed in your Trust from April 2015-2016?
5) How many combined glaucoma surgery with Phacoemulsification and lens extraction procedures were performed in your hospital from April 2015-2016?
6) How many glaucoma surgeries were performed in your Trust from April 2015-2016?
7) How many minimally invasive glaucoma surgery procedures were performed in conjunction with Phacoemulsification Cataract Extraction and Lens implant procedures from April 2015-2015?

Surgeon Information – (Director/Clinical Manager for Ophthalmology)
8) How many surgeons perform glaucoma surgery in your hospital? Of the surgeons who perform glaucoma surgery in your hospital, how many perform
minimally invasive glaucoma surgery?
9) Does your hospital Trust have a block contract with its affiliate CCG (Health Board)?

Reimbursement – (Business Manager for Ophthalmology)
10) What OPSC4 code(s) is being used to code for the implantation of Minimally invasive glaucoma surgery devices at your Trust?
11) What is the HRG coding and 2017/18 National Tariff reimbursement for minimally invasive glaucoma surgery procedures performed in conjunction with Phacoemulsification Cataract Extraction and Lens implant procedures?

Procurement – (Business Manager or Procurement Officer for Ophthalmology)
12) What was your Trusts budget for minimally invasive glaucoma surgery procedures from April 2015 – 2016? What price does your Trust pay for its most commonly used minimally invasive glaucoma surgery device?
13) What minimally invasive glaucoma surgery device(s) is your hospitals using? E.g. iStent, Xen Gel, etc
14) What was the process for gaining approval for a minimally invasive glaucoma device(s) at your hospital?

Download response Glaucoma services at Maidstone Hospital. 020617

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

Hidradenitis Suppurativa 230117

In your trust, how many patients with a diagnosis of Hidradenitis Suppurativa* (HS) have been treated in the last 12 months [latest available]?

Of these patients how many have been treated with the following;
Adalimumab
Etanercept
Infliximab
Infliximab Biosimilar
Ustekinumab

Download response Hidradenitis Suppurativa 230117

Hysteroscopes and Resectoscopes. 250517

1. Please enter the number of hospitals under your Trust
2. Please enter the bed size for each of the hospitals in your Trust
3. Hysteroscopes
A. Rigid Hysteroscopes (non – video)
i. How many rigid hysteroscopes are installed per hospital in your trust?
ii. On average, what is the lifespan of these rigid hysteroscopes?
iii. How many of the installed rigid hysteroscopes were replaced last year / this year?
iv. Which manufacturer’s rigid hysteroscopes are used in the hospitals?
B. Flexible Fibre Hysteroscopes (non – video)
i. How many flexible fibre hysteroscopes are installed per hospital in your trust?
ii. On average, what is the lifespan of these flexible fibre hysteroscopes?
iii. How many of the installed flexible fibre hysteroscopes were replaced last year / this year?
iv. Which manufacturer’s flexible fibre hysteroscopes are used in the hospitals?
C. Flexible Video Hysteroscopes
i. How many flexible video hysteroscopes are installed per hospital in your trust?
ii. On average, what is the lifespan of these flexible video hysteroscopes?
iii. How many of the installed flexible video hysteroscopes were replaced last year / this year?
iv. Which manufacturer’s flexible video hysteroscopes are used in the hospitals?
4. Resectoscopes
A. Rigid Resectoscopes
i. How many rigid resectoscopes are installed per hospital in your trust?
ii. On average, what is the lifespan of these rigid resectoscopes?
iii. How many of the installed rigid resectoscopes were replaced last year / this year?
iv. Which manufacturer’s rigid resectoscopes are used in the hospitals?

Download response Hysteroscopes and Resectoscopes. 250517

Intra-vitreal vials/implants May – August 2016.

Within your trust how many intra-vitreal vials/implants have been used in the latest 4 months, if possible between May and August 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 May – August 2016 101016

Investigation of venous thrombo-embolism (VTE) prophylaxis in patients undergoing orthopaedic surgery. 091216

– Name of Trust
– Contact email address
– Contact phone number
1) Do you have a specific trust guideline for venous thrombo-embolism (VTE) prophylaxis in patients undergoing trauma & orthopaedic surgery?
2) If yes to (1), please provide full details of your trust VTE prophylaxis guidelines for patients undergoing all forms of trauma & orthopaedic surgery
3) If no to (1), please provide reasons why not (if known).

Download response Investigation of venous thrombo-embolism (VTE) prophylaxis in patients undergoing orthopaedic surgery. 091216

Kawasaki Disease 031016

Q1 Please can you advise what action has been taken by your Trust in response to the Patient Safety Alert on Kawasaki Disease, issued on 11 May 2016?

Q2 Can you confirm for your Trust, if:
a) All current and past patients with giant coronary artery aneurysms resulting from Kawasaki Disease have been identified and made aware of the Patient Safety Alert
b) Current and past patients with existing or resolved coronary artery aneurysms resulting from Kawasaki Disease have all been identified and notified of the Patient Safety Alert
c) You have recalled these past Kawasaki Disease patients seen in the organisation, for assessment and given Patient Specific Protocols where needed

Feedback to share learning was sought from NHS bodies receiving the Alert.

Q3 Please can you advise what response your Trust, on receiving the Alert, gave?

Kawasaki Disease is the leading cause of acquired coronary artery disease in children in the UK. However, approaches to treatment and management of the disease in both the acute phase and long term management vary considerably. For your Trust, please can you confirm:
Q4 Are the 2013 Kawasaki Disease Management Guidelines; Management of Kawasaki Disease; D Eleftheriou, M Levin, D Shingadia, R Tulloh, NJ Klein, PA Brogan, actively implemented within your Trust? (you can download the document here: http://www.societi.org.uk/resources.html)

Kawasaki Disease affects a growing number of children and young people in the UK.
Q5 For your Trust, listing data sets individually, please provide, per calendar year for the period 2006 to 2016 inclusive, the following information:

Number of admissions of acute Kawasaki Disease
Month of case admission
Patient gender
Patient ethnicity
Age of patient at diagnosis
First four items of patient postcode (partial postcode which is non-identifiable)

Download response Kawasaki Disease 031016

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

Operating theatre equipment 2410016

1. How many hospitals are in your trust?

2. How many units of operating theatre tables (general purpose operating theatre tables, as well as specialized operating theatre tables) are installed in your hospitals?

3. How many units of operating theatre lights (LED Operating Theatre lights, for instance) are installed in your hospitals?

4. How many overhead, ceiling mounted equipment booms are installed in the operating theatres and intensive care units of your hospitals?

Download response Operating theatre equipment 2410016

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 fellowship/post CCT training posts 160916

Details of all the current filled training fellowship posts (or other similar training programmes for post CCT doctors) within your Ophthalmology departments.
Please provide:
1. Start dates of current posts
2. End date of current posts
3. The sub-specialist interest under ophthalmology the training post is within (example: Cataracts, Glaucoma, VR, MR etc.)

Download response Ophthalmology fellowship/post CCT training posts 160916

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

Orthotic Services 280217

1. Which of the following Orthotic Services does your Trust/Health board provide?
2. If your service is run by a contractor:
Please name them
When did the current agreement start?
What is the total value of the contract?
Is the tender covering both service and product? Please state what it covers
3. How is your orthotics service commissioned?
4. Please provide annual volumes of orders for the last 12 months (2015-16), and manufacturer lead times for:
Stock paediatric Footwear
Modular adult Orthotic Footwear
Bespoke Orthotic Footwear
Orthotic Footwear repairs
Moulded EVA Insoles
Plastic Heel cups
Carbon Fibre Insoles
Bespoke AFOs
5. Can you give the breakdown of your financial performance versus budget for your Orthotic PRODUCT annually for the last 5 years?
6. Can you give a breakdown of your financial performance versus budget for your orthotic service excluding all NON-PAY items.
7. Over the last five financial years, how many orthotics appointments were made for your entire service?
8. Over the last five financial years, how many patients were seen in your entire orthotics service?
9. Out of the patients treated, as detailed in the above table, how many of these patients were under 18 years of age? (Broken down in patients seen per year)
10. What is your average DNA (Did not attend) rate across your service over the last 5 years?
11. Is your orthotics service part of the 18 week referral to treatment pathway?
12. Regarding your current Orthotic Service Waiting times –
What is your average waiting time from referral to assessment for a routine adult appointment?
What is your average waiting time from referral to assessment for an urgent adult appointment?
What is your average waiting time from referral to assessment for a routine paediatric appointment?
What is your average waiting time from referral to assessment for an urgent paediatric appointment?
What is your average waiting time from assessment to supply of paediatric AFOs?
13. Does your orthotics service take part in multidisciplinary joint clinics?
14. Does your service have access to the following facilities?
3D instrumented gait laboratory
2D Video vector analysis
Video analysis
Other gait analysis facilities
15. Are children seen in separate paediatric clinics?
16. Please answer the following section considering Orthotic Sessions run over the last 12 months (2015-16):
What is your average number of Orthotist sessions (session meaning 1 clinic usually of 3 hours) per week?
What is your average number of Limited orthotic practitioners (LOP) sessions per week?
How many full time equivalent Orthotists work in your trust?
How many Administration staff do you employ to work within the Orthotics Service?
17. Does the orthotics manager have a clinical background?
18. Please give details of the skill mix of orthotists currently within your orthotics service:
19. Do orthotist’s working with complex and highly complex conditions already have or are provided with additional post-graduate training in orthotic management of these conditions?
20. Do your orthotists have protected continued professional development (CPD) time?
21. Do you have any orthotist vacancies at the moment?
22. Are you currently employing locum/agency orthotists to cover any aspect of your orthotics service?
23. Have you employed locum/agency orthotists at any time over the last 5 years?
If yes, please give details of all locum/agency orthotists you have utilised over the last 5 years:
24. How many formal and informal complaints have you received regarding your Orthotic Service in the last 5 years?
25. How many orthotic related incidents have been logged on your Trust/health board incident reporting system over the last 5 years?
26. Does your service monitor patient satisfaction?
27. Does your service use outcome measures for the orthotic interventions you issue to patients?
28. What Key performance indicators (KPI) does your Trust monitor for the orthotics service?
29. Does your service accept direct GP referrals?
30. Do you have an orthotic service patient entitlement allowance for the following orthoses or is provision as needs require?

Download response Orthotic Services 280217

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

Pre-operative assessment clinic. 070417

1. Number of patients seen per year in the pre-operative assessment clinic (average or 2015-16 figures if available)
2. Number of consultant PAs for pre-operative assessment broken down as follows:
a. PAs for pre-operative assessment lead consultant
b. PAs for notes review / routine enquiries
c. PAs for high risk clinic
3. Do you run a cardiopulmonary exercise testing service?
4. If yes, how many consultant PAs are dedicated to this. Are they included in the figures above?
5. How many WTE trained nurses do you employ in the pre-operative assessment clinic?
6. How many WTE untrained/support staff do you employ in the pre-operative assessment clinic?
7. What was the budget for your pre-operative assessment clinic in 2015-16?
8. How much income was generated by the preoperative assessment clinic in 2015-16?

Download response Pre-operative assessment clinic. 070417

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

Prostate Cancer 160916

1. We understand the Trust has a Local Urology MDT and has representation on the Specialist Urological MDT for West Kent. Please can you confirm if these MDTs are still operational?
2. If yes, please confirm if the following individuals/roles are still members of the MDTs?
3. Please can you confirm whether the Trust still references the following document(s) in relation to the treatment of patients with Prostate Cancer:
Local Management of Urological Cancers 2015 – Review date June 2016 (Dartford and Gravesham NHS Trust, Medway NHS Foundation Trust, Maidstone and Tunbridge Wells NHS Trust)
4. Does the Trust reference any other Referral Pathways / Care Pathways in relation to the treatment of Prostate Cancer? If so, please provide a copy or website link.
5. If yes, when is/are the document(s) expected to be reviewed?
6. Please can you confirm whether we are permitted to reuse the above information under the Open Government Licence?
We (IMS Health) request permission to re-use as a part of an independent analysis into the treatment of patients with Prostate Cancer, which has been commissioned by one of our clients. The contents of the report will not be made available publically, but may be used by other IMS Health Group entities and service suppliers. The information in the report will be presented in a factual manner with all publication details staying true to the publisher.

We acknowledge that information provided may be protected by copyright and will include a copyright statement to this effect at the end of any information we publish if requested by you.

Download response Prostate Cancer 160916

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

Secondary Care Ophthalmology provision. 200617

1. Do you currently operate an eye/ophthalmology department?
2. If yes to 1, do you provide care to patients with maculopathies, AMD or Naevi?
3. If yes to 2, how many follow-ups are associated with each of these eye diseases (please breakdown by disease)
4. If yes to 2, do you operate any community clinics, mobile services, or sub contracted community arrangements for the delivery of follow-up appointments to patients with maculopathies, AMD or Naevi?
5. If yes to point 4, of the follow-ups in point 2, what is the split of follow up activity for each of these site or sub-contracted arrangements or pathway?

Download response  Secondary Care Ophthalmology provision. 200617

Sub-contracting of surgical activity. 130317

Question 1
• In the last 12 months, have you sub-contracted any surgical activity to non-NHS providers (e.g. providers such as Ramsay Health Care, Nuffield Health, BMI, Spire, Care UK)?
Question 2
• If yes, which kind of private providers were used to undertake such services? Please select which apply and the name of the sub-contracted companies which were used
Question 3
• Please indicate what was the main cause of the need to sub-contract activity (please allocate an approximate % if multiple reasons)
Question 4
• What were the major surgical specialities that were sub-contracted (e.g. Orthopaedics, Ophthalmology etc.)
– If possible, please provide an estimated % split by speciality of total sub-contracted spend
Question 5
• How much was spent by the Trust on sub-contracted surgical activity over the last 12 months?
Question 6
• Do you currently have an operational Private Patient Unit?
• Do you currently have an operational Private Patient Unit?
Question 7
• If no, what is the reason that you have not opened a Private Patient Unit to date (please allocate an approximate % if multiple reasons)?

Download response Sub-contracting of surgical activity. 130317

Surgical reconstructions. 100517

I would be most grateful if you could break down the number of women who had a reconstruction to those who had a surgical reconstruction done by a onco plastic or plastic surgeon. Surgical reconstructions are usually by means of implants or a free flap reconstruction such as DIEP or a combination of both. Please do not include those who were fitted with a prosthesis as that is not a surgical reconstruction.

Download response Surgical reconstructions. 100517

Tattoo removal. 070417

1. The amount of tattoos removed
2. The cost of removing tattoos

I would like this information broken down annually for 2014, 2015, and 2016.

Download response Tattoo removal. 070417

Telemedicine 031016

What proportion of hospital departments use telemedicine (the remote diagnosis and treatment of patients by means of telecommunications technology)? Please provide as a proportion (e.g. 7/20) and list the departments.
Overall, has the feedback regarding telemedicine from patients and clinicians been positive or negative?
Do you have any plans to expand the use of telemedicine across the hospital or bring in any new telemedicine technologies?

Download response Telemedicine 031016

Tonsillectomies. 221116

1. Total number of tonsillectomies performed by each hospital in the trust per year?
2. Total number of secondary hemorrhages (bleeds) post tonsillectomy for each hospital in the trust per year?
3. Total number of readmissions for pain post tonsillectomy for each hospital in the trust per year?
4. Average duration of stay for a Tonsillectomy for each hospital in the trust?

Download response Tonsillectomies. 221116

Topical Chlorhexidine for skin preparation prior to surgery.

Please would you indicate the exact number of bottles of the following products that your hospital trust ordered in the last 12 months:
· 2% chlorhexidine in 70% IPA (Ecolab) in 500ml bulk bottles with the manufacturer product code 3059670 and EAN code 4028163058733, and catalogue code MRB 613
· 2% chlorhexidine in 70% IPA (Ecolab) in 200ml bottles with the manufacturer product code 3059650, the EAN code 4028163058757 and catalogue code MRB 620

· Has the hospital trust considered either or both MHRA guidance’s?
· At which sub-committee of the board was this MHRA guidance considered?
· Please send through agenda, minutes or paperwork from that committee which demonstrates that the guidance was on the agenda, was presented and discussed at the meeting and a decision to follow or not-follow the guidance was made and documented

Download response Topical Chlorhexidine for skin preparation prior to surgery. 090617

Urology services 2013-2016 281116

• The total number of patient referrals made to Maidstone and Tunbridge Wells NHS Trust to specialist urology services during the financial years 2013-14, 2014-15 and 2015-16
• The total number of male patient referrals made to the Trust to specialist urology services during the financial years 2013-14, 2014-15 and 2015-16
• The total number of female patient referrals made to the Trust to specialist urology services during the financial years 2013-14, 2014-15 and 2015-16
• The total number of first-time referrals made to the Trust to specialist urology services during the financial years 2013-14, 2014-15, and 2015-16
• The average waiting time between patient referrals to specialist urology services and appointments with aforementioned services during the financial years 2013-14, 2014-15 and 2015-16

Download response Urology services 2013-2016 281116

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

 

Governance

Risk Register entries 2012 – 2017. 300317

I am writing to request a set of risk data from your risk register system in accordance with the Freedom of Information Act. I would like to obtain the data for the following five risks that were registered in your risk register system in the last 5 years:
 C difficile infections (or any other infection control related risks)
 Access to blood fridge
 Slippery floor
 Trailing cables (or cable trip hazards related risks)
 Staff shortage

Please note that I am not looking for raw number of events, but the following details for each risk:
1) Risk descriptions
2) Risk type and sub-type
3) Initial (or inherent), current (or residual) and targeted risk (likelihood and consequence) scores

Download response Risk Register entries 2012 – 2017. 300317

Serious Untoward Incidents and Never Events 2013-2016.

1. How many Serious Untoward incidents has your trust recorded in 2013-14, 2014-15, 2015-16 and 2016-17 to date?
2. Can you please reveal details to me of each SUI incident?
3. (if possible within the cost limit) What sanctions were taken against staff involved in the SUI incidents?
4. How many never events have been reported during the years outlined in question 1 and where possible can you reveal details of the nature of these incidents?

Download response Serious Untoward Incidents and Never Events 2013-2016.

Serious untoward incidents reported within the Trust during 2016. 100517

1. The number all Serious Untoward Incidents (SUIs) reported within your NHS trust which occurred during 2016 (Jan-Dec), and the details of what occurred.

2. Of those SUIs, how many resulted in a patient death.

Download response Serious untoward incidents reported within the Trust during 2016. 100517

Washer-disinfectors. 290617

1. How many washer-disinfectors are installed in your premises?

2. In which departments are these washer-infectors installed?

3. Do these washer-disinfectors disinfect thermally or by chemical use or both?

4. Do these washer-disinfectors produce records for inspection purposes?

5. Are these washer-disinfectors maintained and serviced by your own staff or by outside sub-contractors?

6. Have you any plans to purchase/install any new washer-disinfectors within the next 12 months, and if so can you specify how many and an approximate date of purchase?

7. What purchasing mechanism is preferred for washer disinfectors? i.e.: outright purchase or rental/lease arrangement?

**If you were to purchase a new washer-disinfector would it be from NHS Supply Chain or direct from the supplier?
8. Can you provide the names and contact details of the following personnel?

Estates Manager or Director.
Facilities Manager
Laboratory Manager
Purchasing or Procurement Manager.

Download response Washer-disinfectors. 290617

 

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

Clinical Software. 010217

1. What is your Current Healthcare information system?
2. Which solutions are you using as an Electronic Patient Record?
3. Which solutions are you using as a PACS? Does it have an integrated RIS?
4. Do you have an operating theatre management software? (If yes, which one?)
5. Do you have an anaesthesia management software? For the pre-anaesthesia consultation? Anaesthesia management during the procedure? PACU surveillance? (If yes, which one?)
6. Do you have an ICU management software? (If yes, which one?)
7. Is medical data recovered from medical devices and added to the patient record?
8. Is there a plan to change any of your existing systems? (If yes, do you have a determined budget for it?)
9. What is your procurement process? Do you go through tenders? Use professional buying organisations?
10. Who is the person in charge of Anaesthesia?
11. Who is the person in charge of OR management?
12. Who is your IT manager for clinical software?

Download response Clinical Software. 010217

Clinical Systems. 200617

Please confirm the following pieces of information:
1. Who is the Trust’s current supplier for their Electronic Patient Record (EPR)?
2. What is the contract start and end date for the Electronic Patient Record?
3. Who is the Trust’s current supplier for your Patient Administration System?
4. What is the contract start and end date for the Patient Administration System?
5. When are you due to start looking to re-procure your clinical systems?
6. Who is the Trust’s current Chief Clinical Information Officer?
7. Which member of the board is responsible for IT?
8. As part of planning for the replacement of PAS how much has your organisation assigned a specifically for data migration to offset the risks to revenue generation post go-live of the new system?
9. How many FTEs does the Trust employ to clean data and handle data quality problems?
10. Does the Trust use any external organisation to provide tools and /or services for data quality improvements?
11. What is the estimated cost of cleaning data for statutory reporting ?
12. What is the estimated cost of cleaning data for clinical risk avoidance?
13. Who is responsible within your organisation for identifying the technical requirements for systems that support sustainability plans as described in the Five Year Forward View?

Download response Clinical Systems. 200617

Clinical Systems. 240717

1. Please confirm the systems in use in the following areas:
a. EPR
b. PAS
c. A&E
d. Order Comms
e. Maternity
f. Theatres
g. ePrescribing
h. ITU/anaesthetics
i. eObservations/Early Warning Signs

2. Can you please confirm when this contract expires?
a. EPR
b. PAS

3. Is the trust planning an EPR procurement?

4. If so, what are the timescales?
a. What procurement route are you planning, e.g. OJEU, SBS, LPP?
b. Have you done any market assessment, and if so, which solutions do you think are a good fit for your organization?

5. Have you allocated budget for this project/migration?
a. Apart from budget, are there any other factors affecting whether this procurement proceeds?
6. Who are the main stakeholders involved in the review and decision-making process?
a. Apart from within the trust, are there outside stakeholders, eg STP, NHS
Improvement, GDE, neighbouring trust?

7. Did you/have you expressed an interest in being a GDE (Global Digital Exemplar) Fast Follower, and if yes, which GDE would you be following?

Download response Clinical Systems. 240717

Clinical systems and supplies. 200617

1. Please provide details of which system you use and which supplier provides your Trust with the following functionality:
• PAS
• Scheduling
• Letters creation
• ePrescribing
• PACS
• RIS
• Pharmacy
• LIMS
• Observations
• Order Communications
For the same areas, please provide details of when each of these contracts is due for renewal.
2. Is the Trust currently in the process of early fact finding, OBC, Procurement, FBC or implementation for an EPR?
3. Is the Trust currently in the process of early fact finding, OBC, Procurement, FBC or implementation for an RIS and/or PACS?

Download response Clinical systems and supplies. 200617

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

IT contracts and infrastructure. 060717

Please send me information with regard to the following:
1. Number of employees
2. URL Filtering vendor
3. URL Filtering annual cost
4. URL Filtering expiry date
5. Firewall vendor
6. Firewall annual cost
7. Firewall expiry date
8. Sandboxing vendor
9. Sandboxing annual cost
10. Sandboxing expiry date
11. Guest WiFi vendor
12. Guest WiFi annual cost
13. Guest WiFi expiry date
14. Number of Egress Points
15. VPN Vendor
16. Number of IT Security Breaches in past 12 months
17. Are you using Office 365?
18. Are you scanning SSL traffic?
19. What are your MPLS costs per year?
20. How many locations do you have connected to your MPLS Network?
21. Who are the people responsible for Network Security?
22. Which cloud Platform or platforms as a Service (PAAS) are you using / looking to use? (AWS, Azure, Google)
23. Who is your Head of Security or Chief Information Security Officer?
24. Who is your Chief Information Officer or Chief Technology Officer?
25. Who is your Senior Cloud Architect?
26. What VPN / RAS solution do you use?
27. How much is your VPN / RAS solution renewal cost?
28. When is your VPN / RAS solution due to be renewed?

Download response IT contracts and infrastructure. 060717

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

Cyber and ransomware attacks. 281116

1. How many times has your organisation been a victim of a cyber-attack in the last two years?
2. How many times has your organisation been a victim of a ransomware attack in the last two years? In each case, was a ransom paid and if so how much was paid?
3. For each of the cyber and ransomware attacks, please provide a summary of the incident. This should including details of who was targeted, how they were targeted, what the immediate impact was, for instance was patient or staff data targeted, and if so in what way and how many people’s data was affected? For each of the attacks, please also detail whether the police became involved, and whether the perpetrator or perpetrators were caught?

Download response Cyber and ransomware attacks. 281116

Cyber-attack in May 2017. 010617

1) Please provide the total financial cost to the trust caused by/associated with the ‘cyber-attack’ of May 2017 (please include any costs including processes changed, e.g. cost of couriers to send scans to other hospitals, external assistance required, additional staffing, revenue lost)
2) Please provide details of the amount, and nature/rough description, of any cancelled appointments or operations.

Download response Cyber-attack in May 2017. 010617

Cyber attacks 2013 – 2016 060317

1) How many cyber attacks have been conducted against the Trust in the past three years?
2) Please detail the date of each attack.
3) Please detail in each instance what services were disrupted and for how long.
4) Please detail the estimated cost to the Trust of cyber attacks in the past three years.

Download response Cyber attacks 2013 – 2016 060317

Cyber-attacks 2014-2017. 010617

Please could you answer the following:-
1. Does your organisation keep an incident log of cyber-attacks?
2. How many cyber-attacks – attempted and successful – were recorded against your organisation in the last three financial years, year-by-year (i.e. 2014/15, 2015/16, 2016/17)?
3. Where cyber-attacks were successful, what kind of data and what amount of data, if any, was lost or stolen? Was it confidential?
4. For each case, please confirm:- the type of attack (e.g. ransomware, denial of service etc.)
5. What demand, if any, was made to resolve the attack? Did the organisation comply?
6. Whether the attack was reported to police or other responsible authority? Was the attacker traced/convicted?

Download response Cyber-attacks 2014-2017. 010617

Cyber-attacks. 260617

1. How many cyber-attacks were registered against your hospital’s computers and website pages in each of the last five financial years, including 2017-18 to date?
• Could you please provide a figure broken down for each financial year?
• Can you please list examples of the types of cyber-attack, for instance ransomware, phishing attacks, malware virus incidents and social engineering attacks?
2. From which countries did the cyber-attack originate?
3. Where possible, can you give details of the nature of any security breaches or operational impact which resulted from cyber-attacks or e-crimes against your hospitals?
• Could you please list whether diagnostic equipment such as scanners, including MRI scanners were affected and for how long?
4. Is your hospital trust using external companies to help them prevent cyber-attacks and if so how much is the trust paying for their services?

Download response Cyber-attacks. 260617

Cyber security. 020617

ID 4037 -. How many computers across your Trust use Windows XP?
ID 4038 – What the predicted/estimated cost to your trust is/for/against cyber-attacks across 2017?
ID 4039 – How many patients had to be notified of an appointment being cancelled due to the cyber-attack on NHS systems on the 12th May 2017?
ID 4040 – Could you advise how many attempted cyber-attacks have been directed at your trust in 2016 and 2017 to date?
ID 4041 – How many computer infection attempts have been cleared/stopped by your firewall or antivirus software by day for the month of May 2017 so far?

Download response Cyber security. 020617

Cyber security. 030517

1. Has your organisation completed all of the government’s ’10 steps to cyber security’?
O Yes
O No

2. Have you suffered Distributed Denial of Service (DDoS) cyber-attacks on your network in the last year?
O Yes
O No

3. If so, how many DDoS attacks did you experience during 2016?
a. Attacks occur weekly or even daily
b. Attacks occur monthly
c. Less than a handful of attacks during the entire year

4. Has your organisation ever been the victim of a DDoS attack which was used in combination with another type of cyber-attack, such as a demand for ransom/ransomware, network infiltration or data theft?
O Yes
O No

5. How does your IT team detect that your organisation has suffered a DDoS attack?
O End-users complain of a service issue
O High bandwidth spikes with other network security tools
O Infrastructure outages/failures, (e.g. firewalls went down)
O Application failures, eg. Websites going down

6. Does your method of DDoS mitigation detect sub-saturating DDoS attacks of less than 30 minutes in duration, which do not typically overwhelm the network?
O Yes
O No

Download response  Cyber security. 030517

Cyber Security 2012-2017 221216

1. How much money has the Trust spent on cyber security measures in the following financial years:
a. 2016-17 (so far)
b. 2015-16
c. 2014-15
d. 2013-14
e. 2012-13
i. If data for the current financial year is incomplete or unavailable, please provide the data for the most recent financial years. If these exceed the cost limit of FoI requests, then please provide the data for as many recent years as possible.
2. How many cyber-attacks has the Trust experienced in the following financial years:
a. 2016-17 (so far)
b. 2015-16
c. 2014-15
d. 2013-14
e. 2012-13
i. If data for the current financial year is unavailable, please provide the data for the most recent financial years. If these exceed the cost limit of FoI requests, then please provide the data for as many recent years as possible.
3. How were each of these cyber threats dealt with? If this request exceeds the FOI cost limit, then please provide as much explanation as possible of how the Trust dealt with the most recent cyber threats.
4. What was your Trust’s total spending budget for the following financial years:
a. 2016-17
b. 2015-16
c. 2014-15
d. 2013-14
e. 2012-13

Download response Cyber Security 2012-2017 221216

Cyber Security Services 181116

1. Standard Firewall (Network) – Firewall service protects your corporate Network from unauthorised access and other Internet security threats
1. Who is the existing supplier for this contract?
2. What does the organisation spend for each of contract?
3. What is the description of the services provided for each contract?
4. What is the expiry date of each contract?
5. What is the start date of each contract?
6. What is the contract duration of contract?
7. What is the hardware brand? If available.
8. What is the software brand? If available?
9. The responsible contract officer? Full name, job title, contact number and direct email address.
2. Intrusion Detection – network intrusion detections systems (IDS) and network intrusion prevention systems (IPS) services that detect Web application attacks and include anomaly-awareness in addition to handling older threats that haven’t disappeared.
1. Who is the existing supplier for this contract?
2. What does the organisation spend for each of contract?
3. What is the description of the services provided for each contract?
4. What is the expiry date of each contract?
5. What is the start date of each contract?
6. What is the contract duration of contract?
7. What is the hardware brand? If available.
8. What is the software brand? If available?
9. The responsible contract officer? Full name, job title, contact number and direct email address.
3. Web Applications Firewall – A Web application firewall (WAF) is a firewall that monitors, filters or blocks the HTTP traffic to and from a Web application.
1. Who is the existing supplier for this contract?
2. What does the organisation spend for each of contract?
3. What is the description of the services provided for each contract?
4. What is the expiry date of each contract?
5. What is the start date of each contract?
6. What is the contract duration of contract?
7. What is the hardware brand? If available.
8. What is the software brand? If available?
9. The responsible contract officer? Full name, job title, contact number and direct email address.
4. Threat Monitoring – organizations and security analysts to identify and protect against security threats.
1. Who is the existing supplier for this contract?
2. What does the organisation spend for each of contract?
3. What is the description of the services provided for each contract?
4. What is the expiry date of each contract?
5. What is the start date of each contract?
6. What is the contract duration of contract?
7. What is the hardware brand? If available.
8. What is the software brand? If available?
9. The responsible contract officer? Full name, job title, contact number and direct email address.
5. Anti-virus Software Application – Anti-virus software is a program or set of programs that are designed to prevent, search for, detect, and remove software viruses, and other malicious software like worms, trojans, adware, and more.
1. Who is the existing supplier for this contract?
2. What does the organisation spend for each of contract?
3. What is the description of the services provided for each contract?
4. What is the expiry date of each contract?
5. What is the start date of each contract?
6. What is the contract duration of contract?
7. What is the hardware brand? If available.
8. What is the software brand? If available?
9. The responsible contract officer? Full name, job title, contact number and direct email address.
6. Encryption Facilities – s a host based software solution designed to encrypt sensitive data before transferring it to tape for archival purposes or business partner exchange.
1. Who is the existing supplier for this contract?
2. What does the organisation spend for each of contract?
3. What is the description of the services provided for each contract?
4. What is the expiry date of each contract?
5. What is the start date of each contract?
6. What is the contract duration of contract?
7. What is the hardware brand? If available.
8. What is the software brand? If available?
9. The responsible contract officer? Full name, job title, contact number and direct email address.

Download response Cyber Security Services 181116

Cybersecurity. 180817

1. Do the Trust’s clinical systems share username and password combinations? [Yes, all/Yes, some/No]
2. For clinical systems, are users required to change their passwords at pre-defined regular intervals? [Yes, all/Yes, some/No]
3. For clinical systems, are minimum requirements set regarding users’ passwords’ composition e.g. mandating that they containing ‘special’ characters, contain upper and lowercase letters or contain numbers and letters (please do not include rules regarding password length in this answer)? [Yes, all/Yes, some/No]
4. For clinical systems, are minimum length requirements set regarding users’ passwords e.g. that they must be more than a pre-specified number of characters? [Yes, all/Yes, some/No]
5. For clinical systems, are maximum length requirements set regarding users’ passwords e.g. that they must be less than a pre-specified number of characters? [Yes, all/Yes, some/No]
6. Are users provided with an indicator of password strength when they are choosing passwords for clinical systems? [Yes, all/Yes, some/No]
7. For clinical systems, are passwords checked against published databases of known compromised passwords e.g. those available at haveibeenpwned.com? [Yes, all/Yes, some/No]
8. For clinical systems, are passwords stored as plain text? [Yes, all/Yes, some/No]
9. For clinical systems where passwords are stored hashed, are password hashes salted? [Yes, all/Yes, some/No/Not applicable]
10. For clinical systems, when incorrect passwords are entered, do further attempts eventually result in either throttling of further access attempts or account lock-out? [Yes, all/Yes, some/No]
11. For clinical systems, when users log in successfully, are they shown details of recent logins to that account? [Yes, all/Yes, some/No]
12. For clinical systems with web browser based interfaces, is login compatible with password management software (for example 1Password or Last Pass)? [Yes, all/Yes, some/No]
13. For clinical systems, does the Trust employ two-factor authentication? [Yes, all/Yes, some/No]
14. Does the Trust provide access to clinical systems from outside Trust premises e.g. using virtual private network technology? [Yes/No]
15. Is access to clinical systems from outside the Trust premises restricted to Trust-owned devices? [Yes/No/Not applicable]
16. Does access to the Trust’s network from outside Trust premises require two-factor authentication? [Yes, all/Yes, some/No/Not applicable]
17. For devices with access to the Trust’s network, are manufacturers’ passwords changed from default on installation? [Yes, all/Yes, some/No]
18. Do users of the Trust’s clinical systems receive specific training on cybersecurity in general? [Yes, all/Yes, some/No]
19. Do users of the Trust’s clinical systems receive specific training in choosing and maintaining appropriate passwords? [Yes, all/Yes, some/No]
20. Do users of the Trust’s clinical systems receive specific advice not to share passwords between clinical systems and other accounts? [Yes, all/Yes, some/No]

Download response Cybersecurity. 180817

Data breaches 2014-2016. 020617

Please could you provide me with the number of data breaches recorded by your trusts for each of the past three years? Please give a breakdown for each year.

Could you please provide a spreadsheet giving details of each incident?

For example please provide information on the type of data breach (e.g. communications being sent to the wrong person, breaches of confidentiality, loss or theft of data and unauthorised access to data) and specific details of what happened.

Download response Data breaches 2014-2016. 020617

Data breaches and cyber security 2014 and 2015 111016

1. How many data breaches you detected in 2015
2. How many of those breaches were cyber incidents
3. How many data breaches you detected in 2014
4. How many of those breaches in 2014 were cyber incidents
5. How much your trust spent on cybersecurity in 2015?
6. How much your trust spent on cybersecurity in 2014?

Download response Data breaches and cyber security 2014 and 2015 111016

Data hosting. 080517

1. Do you host your data in-house or with external providers?
2. Is any of your data stored in the cloud? If so, do you use private or public cloud?
3. Are you considering moving any data into the cloud during the next 12 months?

Download response Data hosting. 080517

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 dictation, speech recognition and outsourced transcription services.010317

Part 1 – Generic, non-commercially sensitive information:
1. Please confirm when your current contract for the provision of digital dictation expires;
2. Please confirm when your current contract for the provision of Speech Recognition expires;
3. Please confirm when your current contract for the provision of Outsourced Transcription expires.

Part 2 – Specific information:
1. Digital Dictation
a. Please confirm how many licences the Trust currently has; and
b. Please confirm annual expenditure on Annual Support Fees.
2. Speech Recognition
a. Please confirm how many licences the Trust currently has; and
b. Please confirm annual expenditure on Annual Support Fees.
3. Outsourced Transcription
a. Please confirm how many lines or minutes he Trust currently sends to Outsourced Transcription; and
b. Please confirm annual expenditure.

Download response Digital dictation, speech recognition and outsourced transcription services.010317

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 health record (EHR) vendors. 110717

We are currently researching what electronic health record (EHR) vendors NHS trusts are using to manage the following records for these departments:

– Cardiology
– Diabetes
– Neuroscience & Neurology
– Infection, Immunology, Inflammatory and Immunity
– Oncology
– Musculoskeletal

We would be very grateful if The Trust could let us know the vendors that are currently being used.

Download response Electronic health record (EHR) vendors. 110717

Electronic Medical Record (EMR). 010217

1. Please provide the supplier (company) name of Electronic Medical Records system currently in use at your Trust/hospital. Please provide all suppliers if more than one system is in place.
2. Please supply the brand name of the Electronic Medical Record system currently in use at your Trust/hospital. Please provide all suppliers if more than one system is in place.

Download response Electronic Medical Record (EMR). 010217

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

ERP Systems Information. 280217

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 HRMS systems?
10. What Applications are you running for:
o Finance?
o HR?
o Payroll?
o Project?
o CRM?
o Manufacturing?
o Sourcing?
o Invoice Scanning Tool?
o Are you using Config Snapshot?
o What BI Tool are you using?
11. What versions of the above Applications are you running?
12. When was your last Application upgrade?
13. Are you planning another upgrade in the next 12-18 months?
14. Do you have an Oracle support partner for applications? If so who?
15. What kind of support is included in the contract (functional/technical/etc.?)
16. What is the value of the application support contract?
17. When does it expire?
18. Where do you advertise any Oracle procurement opportunities?
19. Who is responsible for looking after the contract for the Oracle estate?
20. Who is responsible for looking after the licenses for the Oracle estate?
21. How much do you pay annually for Oracle Support & Maintenance?
22. When does this contract renew?
23. Do you work with off-shore partners?
24. Who are your off –shore partners for ERP Systems Implementation and support?

Download response ERP Systems Information. 280217

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

FOI requests 041116

1. What software do you use for FOI requests?
2. What are the modules it provides e.g. run reports etc.
3. Who is the contractor (company name)?
4. How long have you been using the software?
5. What is the annual cost?
6. How many FOI requests did you process (2015/16)?
7. How many staff processes your organisational FOIs?
8. Please provide the information governance service structure

Download response FOI requests 041116

FOI requests 2012-2017. 250517

1. How many FOI requests have been received by your trust on a year by year basis for the past 5 years?
2. How many of the FOI requests have breached the 20 working day limit stipulated by the act in the past 5 years?
3. How many times was your trust reported to the ICO because of breaches and if they issued fines/how much, etc. – for past 5 years?
4. Please can you able to advise how long the average FOI request takes to complete?
5. Please can you advise the minimum time and cost and the maximum time and cost of an FOI request?
6. Please can you advise how many staff you have in your department working on FOI requests and WTE?
7. Please can you confirm what computer systems do you use to manage your FOIs, (Citrix, Proteus, etc.)?
8. What is your estimated cost in terms of consultant time, admin staff, secs, managers spent on FOI requests?

Download response FOI requests 2012-2017. 250517

FOI requests 2014 – 2016.280217

1. How many requests you have received under the FOI Act in the calendar years 2014, 2015, 2016?
2. How many staff members, their full time equivalent, and their AfC bandings are allocated to the management of the requests?

Download response FOI requests 2014 – 2016.280217

FOI requests 2014 – 2016.280217

1. How many requests you have received under the FOI Act in the calendar years 2014, 2015, 2016?
2. How many staff members, their full time equivalent, and their AfC bandings are allocated to the management of the requests?

Download response FOI requests 2014 – 2016.280217

FOI requests. 300317

1. The software systems you use to monitor/process FOI requests.
2. The job title and pay band of staff employed in the administration and processing of FOI requests.
3. The number of FOI requests received for each month of January and February 2017.

Download response FOI requests. 300317

GS1 Compliance Officer 151216

Please can you supply the contact details of the Organisations GS1 Coordination AND / OR GS1 Compliance Officer?

Download response GS1 Compliance Officer 151216

Health Records Management Code of Practice. 141216

Following the Records Management Code of Practice for Health & Social Care 2016 which was published by the Information Governance Alliance in July ’16 on behalf of the Department of Health, has your Trust made any changes to retention practice under ‘record type’ to retain records for either 30 years or 8 years after patient death for long term illnesses or an illness that may re-occur?

Download response Health Records Management Code of Practice. 141216

Hospital TVs. 050517

1. Please state, on wards where television use is offered, whether or not in-patients are charged for its use.
If so please outline what rate is offered to in-patients (how much they pay for its use, eg £3 per hour).

2. Please state whether or not they need to purchase a card to charge with funds, and if so, please state whether a refund is offered should the in-patient not use all their card ‘credit’.
3. Please state whether or not this service is supplied to the NHS by a private provider.
4. Please name the private provider.

Download response Hospital TVs. 050517

ICT 031016

Number of staff within the organisation
Total number of sites under your estate – including hospitals, dentists, doctors. Please give a breakdown of each below:
Hospitals, Dentists, Doctors
Annual IT spend – last financial year
IT Budget – next financial year
Number of PC’s within the IT network
Number of Laptop/Mobile Devices
Name of main IT Contact
Plans for new sites over the next 3 years (please provide detail below)
Equipment/Software
Network – Core Switches
Network – Edge Switches
Network – Wireless
Firewall
Storage Area Network (SAN)
Servers/Hosts
Backup – Hardware
Backup – Software
Backup – Service
Email System

Download response ICT 031016

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 expenditure. 070417

Please could you provide me with information about your ICT expenditure, as broken down in the attached template? I have included this template in order to make it easier for you to understand my requirements and provide answers.

Within the response, please include:
* Expenditure from all parts of your organisation (central services and departments);
* As well as your own organisation, expenditure for any subsidiary organisations that fall within the scope of your accounts; and
* Both revenue (or operating) expenditure and capital expenditure

Download response ICT expenditure. 070417

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

IT Infrastructure 2016-2018. 080517

1. What is your annual IT Infrastructure Budget for 2016, 2017 & 2018?
2. What storage vendor(s) and model do you currently use?
3. When was the installation date of above storage vendor(s)? (Month/year)
4. When is your planned (or estimated) storage refresh date? (Month/year)
5. What is your estimated budget for the refresh?
6. What is the capacity of the storage data in TB?
7. The total number of IT staff employed by the organization:
8. Please list and provide contact details for the IT senior management team including CIO, IT Director and Infrastructure Architects if applicable:
9. Please confirm if you are utilising desktop virtualisation technologies and if so how many users do you provide services for?
10. What backup software do you use?
11. How much data do you backup in TB?
12. Number of servers?
13. What operating system(s) do you use?
14. Number of virtualised servers?
15. What percentage of your environment is virtualised?
16. If you outsource your IT works, please provide who it is with and when the contract started and ends.
17. Please also name all of the IT re-sellers that you work with and buy from, as well as the frameworks that you use for the release of any tenders etc.
18. Please also approximate the time spent managing your IT systems, specifically storage, per week in the unit of man hours. Also approximate the amount of time taken carving out LUNs and/or Volumes.
19. Please list any and all pain points that the IT teams, and organisation as a whole, experience with regard to the storage and usage of the virtualised workloads.
20. How is your storage connected, i.e. via Fibre Channel, Ethernet (NFS or ISCSi). If your storage is currently connected via Fibre Channel, do you have access to 10 GB Ethernet, or 1 GB ethernet, and if so, please declare which.

Download response IT Infrastructure 2016-2018. 080517

IT infrastructure and cyber security 2015-2017 – 080517

1. What is your organisation’s IT spend in FY15/16 and projected for FY16/17?
2. Does your organisation outsource any or all of its IT infrastructure?
3. What elements of your IT infrastructure are managed by a cloud provider?
4. Does your organisation plan to move to a cloud-based service in the next 2 years?
5. What percentage of your servers are virtualised and what virtualisation platform do you use?
6. How does your organisation manage data storage?
7. How many servers does your organisation have and are these owned or leased?
8. Please specify your organisation’s network suppliers, annual spend and contract renewal dates
9. Please outline the extent of your trust’s WiFi coverage?
10. Does your organisation have a BYOD or CYOD policy?
11. What mobile device management (MDM) software does your organisation use?
12. Does your organisation have a mobile threat prevention solution?
13. What devices are used by your organisation?
14. What video/web conferencing software does your organisation use?
15. What desktop operating system software is used by your organisation?
16. What personal office productivity software is run by your organisation?
17. Does your organisation use NHSMail or a locally hosted email system?

Download response IT infrastructure and cyber security 2015-2017 – 080517

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

Integration engine. 150317

1. Please state which Integration Engine is installed and in use across the organisation?
2. Who monitors and supports the interfaces developed & deployed on the Integration Engine (IE / integration platform)
3. If the support is externally managed;
a) what is the existing contract duration
b) when is it due to expire
c) who is the current support provider?
4. What is the current cost for this contract per year – or if the contract is for a longer period, the yearly costs, / overall cost and the duration?
5. What is the procurement route for the above services should they be external to the Trust (Tender etc.)

Download response Integration engine. 150317

IT Integration Manager 01.02.17

Please could you give me the name and email address of your IT Integration Manager, if you do not have someone with this job tile please could you tell who is responsible within your Trust for IT Integration.

Download response IT Integration Manager 01.02.17

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 contracts 160916

I would like to submit a Freedom of Information Request relating to specific ICT contract(s) for Server Hardware Maintenance, Server Virtualisation Licenses and Maintenance and Storage Area Network (SAN) Maintenance/Support which may include:
· Server Hardware Maintenance- contracts relating to the support and maintenance of the organisation’s physical servers.
· Virtualisation Licensing (VMware, Solaris, Unix, Linux, Windows Server)-
· Virtualisation Maintenance/Support (VMware, Solaris, Unix, Linux, Windows Server)
· Storage Area Network Maintenance/Support (EMC, NetApp etc.)

For each of the types of server ICT contracts above can you please send me the following data types?
1. Contract Title: Please provide me with the contract title.
2. Contract Type: Please can you provide me with one or more contract types the contract relate to: Server Hardware, Virtualisation, SAN (Storage Area Network)
3. Existing/Current Supplier: Please provide me with the supplier name for each contract.
4. Hardware Brand: Please state the hardware brand of the servers related to the contract with supplier e.g. Hardware Maintenance could be Dell, IBM etc
5. Operating System / Software (Platform): (Windows, Linux, Unix, Vsphere, AIX, Solaris etc.) Please state the operating system used by the organisation.
6. Annual Average Spend: Please provide me with the annual average spend for this contract?
7. Contract Duration: (Please can you also include notes if the contract includes any contract
extension periods.)
8. Contract Expiry Date: Please can you provide me with the date of when the contract expires.
9. Contract Review Date: (An approximate date of when the organisation is planning to review this particular contract.)
10. Purchase of Servers: Could you please provide me with the month and year in which most/bulk of servers where purchased.
11. Number of Physical Server: Please can you provide me with the number of physical servers.
12. Number of Virtual Servers: Please can you provide me with the number of Virtual servers’ servers.
13. Brief Contract Description: I require a brief description of the service provided under this contract. Please don’t just put maintenance I need at least a sentence.
14. Internal Contact: (The person from within the organisation that is responsible for reviewing and renewing this particular contract. Please include their full name, job title, direct contact number and direct email address.)

Download response IT contracts 160916

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 networks 141016

1. How many staff do you currently have?
2. How many IT network accounts do you have for logging on to the network currently?
3. How many Full Time Equivalent (FTE) staff (including vacancies) do you have that are responsible for Information Governance (IG)?
4. How many FTE staff (including vacancies) do you have that are responsible for information/IT security? (If they are the same FTE as those responsible for IG just say that)?
5. Please state the make/model version number (as applicable) for the following IT security controls on your IT network;
a. Desktop firewall
b. Anti-Malware
c. Device Control (e.g. endpoint protection to prevent exfiltration of data)
d. Network Vulnerability
e. Web Proxy
f. Network Access Control
g. Intruder Prevention System (IPS)
h. Intruder Detection system (IDS)
i. Firewall activity logging/monitoring
j. Active Directory activity logging/monitoring
k. Security Incident and Event Management (SIEM)
6. Date (month/year) of last penetration test carried out on any part of your organisation’s IT infrastructure (whether that is hosted infrastructure or not)?

Download response IT networks 141016

IT Security October 2016

1. Desktop anti-virus
2. Protection of Microsoft Exchange environment (please state if this is not applicable due to the use of NHSmail/NHSmail2)
3. Email gateway (please state if this is not applicable due to the use of NHSmail/NHSmail2)
4. Web gateway
5. Mobile device management/enterprise mobility management
6. Hard disk encryption
7. Removable media encryption
7. Firewall
8. VPN
9. Two factor authentication provider
9. Wireless network provider
10. Virtual server software provider and number of virtual servers (e.g. VMWare, Hyper-V etc.)
11. VDI software provider and number of VDI instances
12. Network access control solution provider
13. Security information and event management (SIEM) solution provider
Please also provide:
1. The total number of computers within the organisation.
2. The total number of smartphones within the organisation.
3. The total number of tablet devices within the organisation.
4. Details of whether IT security is provided by an in-house team or by a third party – if by a third party please state who provides the service and when the contract expires.

Download response IT Security October 2016

IT Skills assessment tools 151216

I would like to know if the Trust currently uses an automated skills assessment tool when recruiting candidates for IT roles.

For example, to test the ability of a developer / programmer, would the hr department or hiring manager put candidates through an automated online skills assessment?

If so, please confirm which tool is used, when the contract is up for renewal and any fees involved please.

Download response IT Skills assessment tools 151216

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

IT Systems 160916

Please could you provide the following information from your IT department?
General
* Number of Sites
* Number of Employees
* Number of IT Staff
* Annual IT Budget
Key dates:
Server Refresh
Server Support
Virtualisation Refresh
Virtualisation Support
Storage Refresh
Storage Support
Desktop Refresh
Desktop Support
Backup Refresh
Backup Support
VDI Refresh
VDI Support
Network Refresh
Network Support
DR Contract Renewal date
Name of Supplier:
Desktops:
Number of Desktops
Do you use VDI?
If so what platform do you use?
Servers
Number of Windows Servers
Number of UNIX/Linux Servers
What operating system do you use?
Percentage Virtualised
Virtualisation platform
Server Vendor
Value of contract
Applications:
Database vendors
Email provider
PACS Provider
VNA Provider
SSO Provider
EPR Provider
Database Archival
Email Archival
File Archival
Volume of Data in TB
Storage Vendor
Storage Virtualisation
Tape Vendor
Backup Software
Disk Backup
What do you Backup to (vendor hardware)?
Value of backup support contract
What networking equipment do you use in the Datacentre?
Network speed
Storage Network
Value of contract
Do you use WAN optimisation?
If so what product do you use?
Have you virtualised your networks?
Network virtualisation vendor
What legacy infrastructure falls outside these support contracts:
Which services do you outsource?
When does your contract refresh?
Who are your providers?
Do you use any Cloud services?
If yes, which ones?
What automation tools do you use
Do you do a Cloud File Storage Provider? Who?
How far are you in your cloud strategy?
a) Not considering Cloud for the foreseeable future
b) Interested in Cloud, but have not started looking into it
c) Research Stage
d) Meeting with Suppliers
e) Consultancy
f) Started to integrate
g) Fully integrated
In addition, please could you provide a copy of your IT Strategy for 2016 and an Organisation chart depicting the IT department with contact names?

Download response IT Systems 160916

IT/ICT technical training courses April 2016 – October 2016. 241016

Q1. Have you purchased any IT / ICT technical training courses or any other training Since April 2016 from?
QA training or QA limited (or any related businesses)
Rath House
55-65 Uxbridge Road
Slough
SL1 5SG
Or any other of QA’s offices?
Q2. If so, please state what specific training services have been purchased and the exact monetary amount spent and what dates were these purchases made since April 2016?
Q3. Who are the decision makers or buyers (provide name, job title, email address and direct phone number) who have purchased this IT/ICT technical training course or any other training Since April 2016?
Q4. How much money has been spent with QA limited, QA training, QA Group, QA apprenticeships (or associated/related businesses) since April 2016 by entity?
Q5. Have you purchased any pre-paid training credits before the financial year is coming to an end and then used the training courses in a next financial year?
Q6. Please provide exact details of all the courses or training purchased under the pre-paid credits?
Q7. What specific procurement processes were followed to award QA the training contracts?
Q8. Provide copies of all the contracts awarded to QA in the last 3 years?
Q9. Which other training providers were shortlisted before these individual contracts were awarded? List by contract.
Q10. What is the current process for procuring training services?
Q11. What is the complaints procedure for raising breaches in procurement processes? Example: creating one dominate supplier, awarding contracts without a fairness and transparency and not seeking to obtain best value for money.
Q12. What training is yet to be purchased up to 1st April 2017? .
Q13 Please give specific details of courses, locations number and number of delegates who require to attend the training courses until 1st of April 2017 ?

Download response IT/ICT technical training courses April 2016 – October 2016. 241016

LAN maintenance and services. 080216

Please can you send me the organisation’s Local Area Network (LAN) contract, which may include the following?
· Support and Maintenance- e.g. switches, router, software etc.
· Managed
· Installation
· Cabling
1. Existing Supplier: Who is the current supplier for each contract? 2. Annual Average Spend for Supplier: What is the annual average spending on the supplier above? If there is more than one supplier please split the annual averages spend for each supplier.
3. Number of Users: Please can you provide me with the number of users each contract covers. Approximate number of users will also be acceptable.
4. Number of Sites: The number of sites where equipment is supported by these contracts.
5. Contract Type: For each contract is the contract Managed, Maintenance, Installation, Software
6. Hardware Brand: What is the hardware brand of the LAN equipment?
7. Contract Description: Please provide me with a brief description of the overall contract.
8. Contract Duration: What is the duration of the contract is and can you please also include any extensions this may include for each contract. 9. Contract Expiry Date: When does the contract expire for each contract?
10. Contract Review Date: When will the organisation is planning to review the contract?
11. Responsible Officer: Who within the organisation is responsible for each of these contract(s) please provide me with contact details including name, job title, contact number and email address?

If the LAN maintenance is included in-house or managed please include the following information:
1. Hardware Brand: What is the hardware brand of the LAN equipment?
2. Number of Users: Please can you provide me with the number of users this contract covers. Approximate number of users will also be acceptable.
3. Number of Sites: Estimated/Actual number of sites the LAN covers. 4. Responsible Officer: Who within the organisation is responsible for LAN please provide me with contact details including name, job title, contact number and email address?

Download response LAN maintenance and services. 080216

Local Area Network (LAN) information. 110717

Please can you send me the organisation’s Local Area Network (LAN) contract, which may include the following:
• Support and Maintenance- e.g. switches, router, software etc
• Managed
• Installation
• Cabling
1. Existing Supplier: Who is the current supplier for each contract?
2. Annual Average Spend for Supplier: What is the annual average spending on the supplier above? If there is more than one supplier please split the annual averages spend for each supplier.
3. Number of Users: Please can you provide me with the number of users each contract covers. Approximate number of users will also be acceptable.
4. Number of Sites: The number of sites where equipment is supported by these contracts.
5. Contract Type: For each contract is the contract Managed, Maintenance, Installation, Software
6. Hardware Brand: What is the hardware brand of the LAN equipment?
7. Contract Description: Please provide me with a brief description of the overall contract.
8. Contract Duration: What is the duration of the contract is and can you please also include any extensions this may include for each contract.
9. Contract Expiry Date: When does the contract expire for each contract?
10. Contract Review Date: When will the organisation is planning to review the contract?
11. Responsible Officer: Who within the organisation is responsible for each of these contract(s) please provide me with contact details including name, job title, contact number and email address?

If the LAN maintenance is included in-house or managed please include the following information:
1. Hardware Brand: What is the hardware brand of the LAN equipment?
2. Number of Users: Please can you provide me with the number of users this contract covers. Approximate number of users will also be acceptable.
3. Number of Sites: Estimated/Actual number of sites the LAN covers.
4. Responsible Officer: Who within the organisation is responsible for LAN please provide me with contact details including name, job title, contact number and email address?

Download response Local Area Network (LAN) information. 110717

IT middle management structure chart.140217

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

Download response IT middle management structure chart.140217

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 contract information. 060717

1. Existing Supplier(s) – If there is more than one supplier please split the contract up including the contract value, number of users, duration, contract dates and internal contact details.
2. Annual Average Spend- Can you please provide me with the average annual spend over the 3 years. If this is a new contract can you please provide the estimated annual spend.
3. Number of Users- Number of connections for each network provider.
4. Duration of the contract- please state if the contract also include contract extensions for each provider.
5. Call off Contract Start Date- please provide me with information on when the framework commenced and include the month and year and day if possible for each network provider.
6. Call off Contract Expiry Date- please provide me with information on when the framework expires and include the month and year and day if possible for each network provider.
7. Contract/Framework Agreement Review Date- please provide me with the month and year and day if possible of when the organisation plans to review it mobile phone contracts for each network provider.
8. The person within the organisation responsible for this particular contract. Can you send me the full contact details Contact Name, Job Title, Contact Number and direct email address for each network provider?

Download response Mobile phone contract information. 060717

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

Multi-Functional printers and devices. 151216

How many Full Time Employees do you have?
How many locations do you have?
Please confirm if you are in contract for a managed print service.
Does this include Multi-Functional Devices (MFDs) and printers?
Please confirm contract number and dates.
Please confirm who the contract was awarded to.
Please confirm the name of the employee that is responsible for the management of the printer estate for your organisation.
Please confirm if you currently reclaim the VAT on the managed service contract
Please confirm if you intend to go out to tender next time or call off an existing framework. If so, which one?
How many MFDs do you have?
What is the annual spend on MFDs – including lease costs, consumables, costs per click and service charges?
How many printers do you have?
What is the annual spend on printers – including lease costs, consumables, costs per click and service charges?
Please confirm the annual volumes of mono and colour prints.
How much time a month does the IT team spend on printer queries from end users?
Do you have any mobile print capabilities?
Do you have any secure print capabilities?
What print management software do you use across the organisation?

Download response Multi-Functional printers and devices. 151216

NHS IT database. 150317

Can you review the attached spreadsheet of systems we have recorded for your trust and correct any mistakes, omissions or changes?
Can I ask that you validate the spreadsheet and give particular priority on systems that we don’t record or been replaced with a new system please.

Download response NHS IT database. 150317

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

Pager hardware. 200417

1. The name of the person within your Trust including their job title and email address responsible for pager hardware?
2. The name of the person within your Trust including their job title and email address responsible for pager software?
3. How many pagers are used currently within the trust?
4. When the supplier contracts due to expire?

Download response Pager hardware. 200417

PAS, EPR and patient flow systems. 161116

1) What Patient Information System (PAS) do you use and when does the contract with your present supplier expire?
2) What Electronic Patient Record system (EPR) do you use and when does the contract with your present supplier expire?
3) Do you use an electronic patient flow/bed management system and is so – which system do you use and when does the contract with your present supplier expire?
4) Do you use an electronic system to monitor patient flow through the emergency department? If so, can you please tell me what system you use and when the contract is due to expire?
5) Will you be going out to procurement for any of the above systems within the next 3 years?
6) Please can you contribute the name and contact details of the organisations – a) CIO, b) CCIO and c) IT Director d) Clinical director for ED

Download response PAS, EPR and patient flow systems. 161116

Patient administration system 150217

1. What is the name of your Patient Administration Systems (PAS)?
2. What is the name of your PAS Software Supplier?

Download response Patient administration system 150217

Patient appointment systems. 080517

1. What patient administration systems do you use to book patient appointments/attendances for outpatient, inpatients and diagnostics?
2. Do you have plans to replace any of your clinical systems within the next 2 years? If so, which ones.
3. What integration software is in place to allow third party applications to interact with trust patient administrations systems/software? What technologies do you support for data exchange?
4. Do you use a data warehouse for your activity informatics? If so how often is it uploaded/refreshed?

Download response Patient appointment systems. 080517

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

Photocopiers, Multi-Functional Devices and Desktop Printers. 140317

Please could you provide the following information in relation to Photocopiers, Multi-Functional Devices and Desktop Printers?
1. Type of current contract details?
2. Name of companies awarded?
3. What is the length of contract/s and end dates?
4. Number of devices?
5. Estimated annual print/copy volume
6. What is the annual spend?
7. Please provide details on how these were procured. i.e. – By Framework
a. Procurement method that’s used
b. If Framework, please state which one
8. Do you have any print management software? If so, which software?
9. Do they supply you with any scanning software (additional to the software native to the device)? If so, which software?
10. What Document Management solution/s do you currently use within your organization?
11. Do you have any managed cloud hosting solution? If so which software / provider?
12. Do you have any mobile print software? If so, which software?
13. Who is the person within your organization responsible for the MFD’s and the contract(s), what is their title, and their contact details?

Download response Photocopiers, Multi-Functional Devices and Desktop Printers. 140317

Public cloud venders and future cloud storage.060317

1. Are you currently using any cloud services from a public cloud vendor such as Amazon, Microsoft etc.?
2. What services are you using?
3. Who is responsible for maintaining these relationships?
4. If not, have you plans to begin using any such services in the next 3 years?
5. Would you consider utilising Infrastructure as a Service(IaaS) in the future as a means to reduce costs and simplify IT?
6. If not, why not?
7. Who is responsible for setting your annual ICT/Informatics budget/s?

Download response Public cloud venders and future cloud storage.060317

Ransomware. 210617

1. The total amount your trust has spent on upgrading computers following the WannaCry ransomware attack reported on 12th May 2017.

2. The number of computers running Windows XP software still in operation across the hospitals that are within your trust.

Download response Ransomware. 210617

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

Ransomware and cyber security. 210617

1. The name and job title of your current clinical chief information officer(s) (CCIO)
2. The name and job title of your current clinical safety officer(s) (CSO)
3. Were any computers, tablets, mobile devices at your trust affected by the recent Ransomware (WannaCry) ‘attack’?
a. If yes, was any patient data lost (e.g. progress notes, pathology results, radiology results, medication history etc.)? Please specify what data was lost and over what time frame.
4. If you were not affected the ransomware, did you limit/prevent clinical staff access to computers/other devices as a precaution?
5. Do you utilise a managed service for cybersecurity, or manage it internally using commercial off the shelf (COTS) solutions?
b. If a managed service – please can you name the provider?
c. If COTS solution – please can you name all the products used?

Download response Ransomware and cyber security. 210617

Ransomware and Malware. 010617

1. Details of any ransomware that has affected any of the IT systems used by the Maidstone and Tunbridge Wells NHS Trust. In each case this should include:
O The name of the ransomware
O The systems affected by the attack and what it is normally used for
O The operating system being run
O When and for how long systems were affected
O How the systems were affected, i.e. whether files were decrypted, systems locked, or other (please specify)
O What would happen if the ransom was not paid
O How the ransomware gained access to the network, i.e. phishing email, USB stick, other (please specify)
O The ransom requested
O If the ransom was paid and the total ransom paid for the attack
O The number of medical activities (e.g. operations, scans, prescriptions, etc) that had to be suspended or altered during the infection period

2. Details of any other type of malware that has affected any of the IT systems used by the Maidstone and Tunbridge Wells NHS Trust. In each case this should include:
O The name of the malware
O The systems affected by the attack and what it is normally used for
O The operating system being run
O How the systems were affected, i.e. whether files were decrypted, systems locked, data stolen or other (please specify)
O When and for how long systems were affected
O How the ransomware gained access to the network, i.e. phishing email, USB stick, other (please specify)
O The number of medical activities (e.g. operations, scans, prescriptions, etc) that had to be suspended or altered during the infection period

3. Any correspondence between senior members of staff about incidents logged as part of 1 and 2.

4. Any correspondence between the Maidstone and Tunbridge Wells NHS Trust and government departments logged as part of 1 and 2.

Download response Ransomware and Malware. 010617

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

SAN contract and Hardware Support contract. 080517

Can you please provide the updated information as the SAN contract with ComCom and also the Hardware support contract with Block Solutions have expired or if this has been rolled over?

Download response SAN contract and Hardware Support contract. 080517

Senior management, Information, Performance, Data, Analytics and IT. 130417

Would it be possible to request a copy of the organisation chart for Maidstone & Tunbridge Wells NHS Trust?

Particularly in the areas of Senior Management, Information, Performance, Data, Analytics & IT.

Download response Senior management, Information, Performance, Data, Analytics and IT. 130417

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

IT spend 2015-2018. 280717

The information that I require relates to the financial spend and forecast for FY 2015-16, FY 2016-17 and FY 2017-18.

Download response IT spend 2015-2018. 280717

Spending on computers and laptops 2012-2017. 080517

• The Maidstone and Tunbridge Wells NHS Trust spending on computers and laptops, over the last five years (separated by year)
• The number of computers and laptops purchased by the Maidstone and Tunbridge Wells NHS Trust over the last five years (separated by year)
• The number of computers and laptops disposed by the Maidstone and Tunbridge Wells NHS Trust over the last five years (separated by year)
• The total Maidstone and Tunbridge Wells NHS Trust IT spend per year, over the last five years (separated by year)

Download response Spending on computers and laptops 2012-2017. 080517

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

Telecom Audit – Telephony 141016

Mobile Telephony / Computing Name of supplier:
Total spend with supplier in a recent 12 month period (all spend, including hardware):
Of total spend, how much of the spend was on iPads or other tablet devices:
Of total spend, how much of the spend was on feature phones and smart phones:
Current number of SIM connections (voice only):
Current number of SIM connections (voice and data):
Current number of SIM connections (data only):
How many connections (in total) have had no active usage in a recent 3 month period?
Contract model (single date for all connections / term per connection / both):
Contract end date:
What procurement route has been used for your mobile contract:

Tablet Computing Name of supplier:
Total spend on tablet computers with supplier in a recent 12 month period:
Most used operating system on your tablet devices:
For orders requiring OJEU or frameworks, what procurement route is used?
Laptop Computing Name of supplier:
Total spend on laptop computers with supplier in a recent 12 month period:
For orders requiring OJEU or frameworks, what procurement route is used?
Fixed Line Telephony Name of supplier:
Total spend with supplier (on fixed line telephony) in a recent 12 month period:
Number of ISDN30 bearers:
Number of ISDN30 channels:
Number of PSTN lines:
Number of SIP trunks:
Number of SIP channels:
Contract End Date:
What procurement route has been used for your fixed line contract:
Internal Telephony Name of PBX infrastructure maintenance supplier:
Total spend with supplier (on internal telephony maintenance and hardware) in a recent 12 month period:
Of total spend, what was the spend on physical kit:
Of total spend, what was the spend on licences:
Switch Manufacturer(s) and Model Number(s):
Number of ports being used:
Contract End Date for maintenance contract:
For contracts requiring OJEU or frameworks, what procurement route is currently used?

Download response Telecom Audit – Telephony 141016

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 ICT Integration engine. 270717

1. Which integration Engine are your Trust currently using? Please could you give me the product name and supplier name
2. The contract renewal date for the Trust integration Engine.

Download response Trust ICT Integration engine. 270717

Trust It strategy. 270717

Please could you email me a copy of your Trusts current IT strategy.

Download response Trust It strategy. 270717

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

WannaCry cyber-attack. 300617

1. How many computers in your Trust were infected with ransomware in the WannaCry attack in May this year?
2. How many (i) operations and (ii) patient appointments were cancelled as a result of the WannaCry attack?
3. How much money did you pay to enable you to use these computers again following the WannaCry attack?
4. In (i) 2014/15 and (ii) 2015/16 how many times were the Trust hit by ransomware attacks and how much money did the Trust pay to the cyber criminals to release your machines?

Download response WannaCry cyber-attack. 300617

WannaCry ransomware. 210617

1. What percentage of the Trust’s Microsoft Windows machines (servers, PCs, laptops) was affected, locked or otherwise knocked-offline by the WannaCry ransomware attack?
2. Please provide the total number of machines affected.
3. Of this total number, how many were Windows XP machines?
4. How long were the affected machines rendered unusable in terms of hours or days?
5. What steps did the Trust take to recover the affected machines?
6. Which applications or services at the Trust were directly affected as a result of the attack?
7. How many times did your Trust pay the ransom demanded by the WannaCry malware to unlock any of the affected machines?
8. What data was lost from the Trust as a result of the WannaCry attack?
9. Since your WannaCry attack, what new security technologies has the Trust deployed to ensure the future integrity and safety of its Windows IT systems?

Download response WannaCry ransomware. 210617

WannaCry ransomware attack. 190717

1) Was your trust affected by the WannaCry ransomware cyber-attack on the NHS in May 2017 (http://www.bbc.co.uk/news/health-39899646)?
2) If so, please list the hospitals or addresses of other sites within your trust affected.
3) How many outpatient appointments were cancelled or postponed because of the attack (if relevant)? Please state the number of cancellations and postponements per day, e.g. 12 May 2017, 13 May 2017 etc. that were as a result of the attack.
4) How many operations were cancelled or postponed because of the attack (if relevant)? Please state the number of cancellations and postponements per day, e.g. 12 May 2017, 13 May 2017 etc. that were as a result of the attack.
5) What was the total cost to your trust of the attack? Please break down the cost in terms of cancelled or postponed appointments, staff overtime, IT support or other expenses.
6) Did your trust pay any ransom? If so, how much was paid?
7) How many computers were affected?
8) How many computers do you have in total?
9) Did your trust install a patch to protect systems from WannaCry, issued by NHS Digital on 17 March, 25 April, 27 April and 12 May? When was it installed?

Download response WannaCry ransomware attack. 190717

WannaCry ransomware attack. 210617

1. Did your trust shut down any IT systems in response to the ransomware attack, known as WannaCry, on or after 12 May, 2017?
2. How many computers/servers/devices infected in the ransomware attack, known as WannaCry, on 12 May, 2017?
3. How many planned appointments and/or operations did the trust cancel/postpone/reschedule as a result, either direct or indirect, of the WannaCry ransomware attack?
4. Did you trust put in place any emergency ambulance diverts from its emergency department as a result of the WannaCry ransomware attack?
5. How many “serious incidents” occurred at your trust as a result, direct or indirect, of the WannaCry ransomware attack?
6. Was there any other impact on clinical care, for example delays or lack of access to tests?
7. In 14 March, 2017, Microsoft released a patch for computers/servers/devices to remove the specific vulnerability. This was made available to trusts by NHS Digital on 25 April, 2017, and trusts were explicitly informed of this availability on 27 April, 2017. On May 12, 2017, had your trust applied the patch detailed above to all computers/server/devices running a version of Windows to which the patch was applicable?

Download response WannaCry ransomware attack. 210617

Windows screen lock 060317

1. Has your organisation implemented Windows screen lock as an information security measure?
2. If yes, approximately, when was it implemented?
3. Has it been implemented across the whole organisation or has it been partially implemented in certain areas?
4. If partially implemented what areas are covered?
5. After how many minutes does the screen lock?
6. If it is different timings for different areas what are they?

Download response Windows screen lock 060317

 

Major Incident

Antibiotic resistant NDM 2014-2016. 280217

Can you please send details of any cases of antibiotic resistant NDM (New Delhi metallo-ß-lactamase) “superbugs” you have reported to Public Health England in 2014, 2015 and 2016.

We are particularly interested in NDM-1, but would appreciate details of any other NDM incidents if available.

Please break the information down into the three years listed.

Download response Antibiotic resistant NDM 2014-2016. 280217

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

C.Difficile, MRSA, Klebsiella Pneumoniae Carbapenemase and E.coli. 300317

For the years 2014, 2015, and 2016 please details the following:

How many people and inpatients have been infected with and treated for a superbug.

List which superbug people were infected with.

In which hospital did they contract the infection?

How many of these people later died of the infection?

Download response C.Difficile, MRSA, Klebsiella Pneumoniae Carbapenemase and E.coli. 300317

Clinical Service Incidents 2015-2017. 250517

Please provide details of all clinical service incidents caused by estates and infrastructure failure at your hospital trust in 2015/16 and 2016/17 to date.

This is the definition of clinical service incidents: Incidents caused by estates and infrastructure failure which caused clinical services to be delayed, cancelled or otherwise interfered with owing to problems or failures related to the estates and infrastructure failure. Exclude failures relating to non-estates causes e.g. nursing availability, but include where external incidents which estates and infrastructures should have mitigated e.g. utility power failures where the Trusts backup power system failed to offset. An incident is considered to be a delay of at least 30 minutes to clinical services affecting at least 5 patients or equivalent. Both inpatient and outpatient service incidents should be included. Such incidents will include, but are not limited to: • Power and/or heating failures including overheating • Fires and false alarms (where caused by equipment faults or malfunction, deliberate/malicious causes should be excluded) • Water and/or sewage supply • Food production and/or delivery • Pest control

For each incident, please provide a summary of the incident and the impact on services. Please include what the problem was and how clinical services were affected, including details of how many patients were affected, what the service was and how long the service was delayed or whether it was cancelled.

Download response Clinical Service Incidents 2015-2017. 250517

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

Kent Online report. 140617

In the first place, having looked at your web site I cannot see any reference to the Freedom of Information Act. It may be there somewhere but if so it is carefully hidden away. Why is this?

Secondly, please provide details of the improvements that you claim have been made. I assume that there have been some senior management team and board discussions on this matter, and a variety of internal emails, etc. so I should be grateful for the relevant documentation.

Thirdly, what was the precise status of the member of staff involved and why have you not sent this case on to the relevant registration council?

Fourthly, I wish to be provided with information on the due diligence you carry out on contractors/agencies supplying nursing staff and on the subsequent performance monitoring/quality control systems you have in place.

Download response Kent Online report. 140617

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

Never events and Serious Untoward Incidents 2013 – 2016.280217

A catalogue of all records held of “never events” that occurred in Accident & Emergency departments within the Trust broken down by month since January 2013 including figures for the most recent month where statistics are available. Please provide the date of incidents, location of incident (hospital), a brief description and any investigation outcome known.

A catalogue of all records held of Serious Untoward Incidents (SUI) or Serious Incidents Requiring Investigation that occurred in Accident & Emergency departments within the Trust broken down by month for each of the last 3 years since January 2013 including figures for the most recent month where statistics are available. Please provide the date of incidents, location of incident (hospital), a brief description and any investigation outcome known.

Download response Never events and Serious Untoward Incidents 2013 – 2016.280217

Pressure Ulcer incidents in 2015 031016

In 2015, how many pressure ulcer incidents were there throughout the Trust and how many of those were grade 3 or 4?

How much did this cost your trust in total?

Download response Pressure Ulcer incidents in 2015 031016

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. 160617

1. The total number of Serious Incidents (formally referred to as Serious Untoward Incidents – SUIs) recorded by your Trust (accompanied by a list of these recorded incidents – where possible), during the financial year of:
a. 2016 – 17
2. The total number of sites under the management of your Trust during the period above. If your trust has merged or restructured during the period please state the date and the names of the organisations involved.
Please supply the total figure for recorded Serious Incidents during the stated period relating to ALL sites/operations under the management of your Trust. It is NOT necessary to supply a broken down figure for each site.

Download response Serious Untoward Incidents. 160617

Serious Untoward Incidents and Never Events 2013-2016.

1. How many Serious Untoward incidents has your trust recorded in 2013-14, 2014-15, 2015-16 and 2016-17 to date?
2. Can you please reveal details to me of each SUI incident?
3. (if possible within the cost limit) What sanctions were taken against staff involved in the SUI incidents?
4. How many never events have been reported during the years outlined in question 1 and where possible can you reveal details of the nature of these incidents?

Download response Serious Untoward Incidents and Never Events 2013-2016.

Serious untoward incidents reported within the Trust during 2016. 100517

1. The number all Serious Untoward Incidents (SUIs) reported within your NHS trust which occurred during 2016 (Jan-Dec), and the details of what occurred.

2. Of those SUIs, how many resulted in a patient death.

Download response Serious untoward incidents reported within the Trust during 2016. 100517

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

Staffing, vacancies, Serious Incidents and ward closures. 120717

1) The number of current doctor and nursing vacancies in the trust broken down by pathway or department. If possible, please also include the length of time vacancies have been open for. (If your reporting only covers vacancies open for a certain length of time, say three months, happy to go with that.
2) The number of doctor and nursing vacancies the Trust had five years ago. Figure can be this time five years ago or at the start of the financial year five years ago.
3) The total number of serious incidents at the Trust during each of the last five financial years – and the number of these where concerns over staffing levels were raised either by complainants, review procedures or in investigations.
4) The number of occasions during each of the last five years wards have been closed and operations cancelled due either partly, or wholly, due to lack of staff.

Download response Staffing, vacancies, Serious Incidents and ward closures. 120717

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

A&E beds and upfront charging. 250417

Accident and Emergency

1. As of April 2010, the total number of Accident and Emergency beds within the Trust (including predecessor Trusts)
2. As of March 2011, the total number of Accident and Emergency beds within the Trust (including predecessor Trusts)
3. As of April 2017, the total number of Accident and Emergency beds within the Trust
Please split the figures for questions 1-3 into overnight beds and day-only beds. This request includes beds that were temporarily unavailable.
4. Please list any Accident and Emergency wards or units that have been permanently closed since April 2010. Please state how many A&E beds they included at point of closure.
5. Please provide the business case or management report/review underpinning each closure listed in response to question 4
6. Please list any Accident and Emergency wards or units that have been permanently opened since April 2010. Please state how many A&E beds they include.

In this request, Accident and Emergency beds, wards and units are those whose primary usage is for Accident and Emergency cases.

Upfront charging of non-residents

7. What is the Trust’s policy on treating overseas patients who are eligible to be charged upfront for care but are not able or willing to pay upfront?
8. What is the Trust’s policy on upfront charging for overseas patients where it is not possible to establish the cost of care upfront?
9. What is the Trust’s policy towards clinical staff who refuse to enforce upfront payment?
10. What is the Trust’s policy on identifying which patients need to be asked for proof of residency in relation to upfront charging, and what form does that proof take?

Download response A&E beds and upfront charging. 250417

Audio-visual translation services. 020317

1. Select type of health care provider
2. Select type(s) of population treated at the hospital/clinic
3. Does your institution produce or contribute to provide patients with audio-visual content (e.g., contraception campaign videos, documentaries, etc.)?
4. Does your institution produce or take part in any of the following?
5. How is that audio-visual content adapted for patients at a disadvantage? Select as many options as needed.
6. Who carries out this type of tasks? Select as many options as needed.
7. Which of the following practitioners collaborate with your institution? Select as many as needed.
8. What is the name of your institution?

Download response Audio-visual translation services. 020317

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

Debt collection agencies and overseas patients. 170817

Please answer question 1, and then answer question 2 and/or 3, depending on which of these refer to the Trust’s specific financial arrangement.

1. since 1 January 2016, which debt collection agency/agencies has the Trust used to recover costs from chargeable overseas NHS patients?

2. If the Trust contracted an agency/agencies to recover debts from chargeable overseas patients, please provide the following details about this financial arrangement in the period from 1 January 2016 until the present:
i) What was the duration and value of this contract (including all extra fees, such as but not limited to commission fees and “no win, no fee” fees)?
ii) What was the total value of all debts recovered, and the total value of chargeable overseas patients’ debts recovered?
iii) What was the value of chargeable overseas patients’ debts that were passed along to the agency/agencies but remain unrecovered?

3. If the Trust has sold chargeable overseas patients’ debts onto an agency/agencies, please provide the following details about this financial arrangement in the period from 1 January 2016 until the present:
i) What was the number and value of chargeable overseas patients’ debts that were sold on?
ii) At what rate were these debts sold on, as compared to their original value (please state a range if different debts were sold at different rates)?

Download response Debt collection agencies and overseas patients. 170817

Department of Health’s policies and guidance for charging Overseas Visitors. 170517

1) In relation to the costs recouped by your Trust as a result of these policies for the financial years 2014/15, 2015/16, and 2016/17, I would like to know:
a. The total number of ‘Overseas Visitors’ who were invoiced for using services in each of these financial years.
b. The total amount of income ‘Overseas Visitors’ were invoiced for in each of these financial years.
c. The number of these invoices which were sent to UK addresses and the total amount they represented.
d. The total amount of payments actually recovered in each of these financial years.
e. The amount of debts written off in each of these financial years.
2) In relation to the costs incurred by your Trust of implementing these policies, I would like to know:
a. The cost of funding the salaries of Overseas Visitors Manager/s and any staff supporting them.
b. Any other costs associated with this work, including those such as facilities and equipment.
c. The overall cost of implementing these policies.
3) I would also like to request:
a. copies of any communications with the Department of Health, including emails, electronic documentation and meeting minutes, regarding this matter which relates specifically to your Trust, for example feedback on your performance following submission of the data.
b. The minutes of any board meetings where this matter was discussed.
4) Any other information which you believe is relevant to this request.
5) I would also like to know whether or not your Trust has been identified as one of those citied by Jeremy Hunt in ‘Making a Fair Contribution’ as one that “NHS Improvement will work intensively over the coming months with” because it is considered to be one of those “who has the most potential to recover costs” as a result of its “geography and size”.

Download response Department of Health’s policies and guidance for charging Overseas Visitors. 170517

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

Foreign nationals 171016

How many non-insured foreign nationals that have been unable to cover their healthcare costs have you cared for in the last two years, and from what countries?
On average how many days have they been admitted for?

Download response Foreign nationals 171016 

Immigrants and asylum seekers.240217

I would like to know how much this trust spent in the last financial year to treat immigrants and asylum seekers.
If you don’t know the exact amount you can give me an estimate.

Download response Immigrants and asylum seekers.240217

largest unpaid bill for and overseas patients 2013-2016. 281216

In each of the last three financial years (13/14), (14/15) and (15/16) what is the largest bill for the treatment of a foreign patient who was not entitled to free NHS care that you have written off in that you now see no realistic prospect of ever being paid for it.

For each of these three bills please state (i) the amount that has been written off and (ii) the main specialism of care that was provided e.g. (cardiology, orthopaedics, etc.) and (iii) the nationality of the patient.

NOTE: This question relates to the financial year that the bill was written off, NOT when the treatment was received.

Download response largest unpaid bill for and overseas patients 2013-2016. 281216

Letters regarding immigration status and NHS treatment 2016-2017. 070417

1. How many letters have been sent out to patients from this Trust informing them that they may not be eligible for NHS care? Please provide figures for April 2016 up to April 2017, or the most recently available 12-month period.

To clarify my recent FOI request, I’m looking for information on people who may have been ineligible for NHS care due to their immigration status.

Download response Letters regarding immigration status and NHS treatment 2016-2017. 070417

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

Outstanding medical bills for overseas patients.140217

Please could you provide me with details of any outstanding individual medical bills for foreign patients using maternity services within the trust?

Within this, could you please include the dates that the care was provided and the nationality of the patient?

Please redact the name of the patient if you feel it would breach any laws protecting their identity.

Also, please can you tell me if debts are written off or passed on to debt recovery services after a certain amount of time and how long that is?

Download response Outstanding medical bills for overseas patients.140217

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-2013-2016-181116

1. For each of the last three financial years (2013/14), (2014/15) and (2015/16) how many Overseas Patients Not Eligible for Free UK Healthcare were treated in the maternity department of your Trust who did not pay their care bill in full?

2. Please state what the value of this care was in each of the last three financial years?

3. In relation to the bills that make up the total in Q.2 please state what the biggest single care bill was in each of the last three years.

Download response Overseas patients 181116

Overseas patients 2012 – 2016. 041116

1. How many non-EU nationals were treated in your NHS trust during each of the last four years?
2. How many of these were “chargeable” patients – i.e. those who should not have been receiving NHS care for free? Please give figures for each year
3. How much money has the trust recovered in charges from patients who were not eligible for free NHS care? Please give figures for each year
4. How much money has the trust NOT been able to recover in charges from patients who were not eligible for free NHS care? Please give figures for each year
5. Which departments were most frequently used by non-EU overseas patients (e.g. maternity/gynaecology)?

Download response Overseas patients 2012 – 2016. 041116

Overseas patients 2013 – 2016. 250117

Parts 1 and 2 of this request relate to recovering the cost of NHS maternity treatment for overseas visitors not entitled to free NHS treatment.
Part 3 of this request relates to recovering the cost of all NHS treatment for overseas visitors not entitled to free NHS treatment.

PART 1
For each of the periods 1) 1st April 2013 to 31st March 2014, 2) 1st April 2014 to 31st March 2015 and 3) 1st April 2015 to 31st March 2016, please state:
a) The total number of overseas visitors your trust charged for using maternity services during the specified period.
b) Please state the total amount of money your trust charged overseas visitors for using maternity services during the specified period.
c) Of the total amount charged during the specified period, how much money had been recovered from overseas visitors for using maternity services by the end of the specified financ