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August 2020

In August 2020 we received 20 FOI requests. On this page you can find a full list of the requests we received, along with our response.
Children’s health

FOI 82280 ADHD services. Date requested 20 August 2020

Request received

  • Number of adults (over 18) who were formally diagnosed with ADHD in 2018 to 2019?
  • Number of children (under 18) were diagnosed with ADHD 2018 to 2019?
  • How many adults and children have a diagnosis of ADHD in your area?
  • Average waiting time for those with ADHD symptoms between referral and assessment? For adults (over 18) and children (under 18).
  • Average waiting time for those with ADHD symptoms between referral and diagnosis? For adults (over 18) and children (under 18).
  • Percentage of the people in your area diagnosed with ADHD are male and female?
  • How much of your budget is spent annually on ADHD services? For adults (over 18) and children (under 18).

Our response: 25 August 2020

NHS Kernow does not hold the information requested, for more information please contact the provider Cornwall Partnership NHS Foundation Trust.

FOI 81930 mental health services. Date requested 20 August 2020

Request received

  1. Breaking down the data by each month, how many young people were referred to CAMHS service for Tier 3 support from March 2019 to July 2020?
  2. Breaking down the data by each month, how many young people were refused CAMHS services, because the service lacked capacity from March 2019 to July 2020?
  3. Regarding CAMHS services in the financial year 2018-19?
  4. Regarding CAMHS services in the financial year 2019-2020?

Our response: 5 August 2020

NHS Kernow does not hold the information requested, for more information please contact Cornwall Partnership NHS Foundation Trust.

Continuing healthcare

FOI 82300 Personal health budgets. Date requested 20 August 2020

Request received

Which companies or suppliers do you use to support the

  1. Assessment of personal health budgets?
  2. Management of personal health budgets?
  3. Payment of personal health budgets?

Our response: 3 September 2020

  1. NHS Kernow’s in-house staff support the assessment of personal health budgets.
  2. NHS Kernow uses the following companies to support the management of personal health budgets:
    • Enham
    • Disability Cornwall
    • Payroll Direct
    • Kernow Accountancy
  3. The actual budget payment to the individual or to the companies mentioned in quarter 2 is done by NHS Kernow. However these companies assist the budget holders in making payments to the carers or PAs.

FOI 82230 continuing healthcare spend. Date requested 18 August 2020

Request received

Please provide data for 2016 to 2017, 2017 to 2018, 2018 to 2019, 2019 to 2020 and 2020 to 2021.

  1. Supply the name, email address and telephone number of the commissioner with responsibility for packages of home care for adults aged 18 to 65.
  2. Number of adults in receipt of CHC funded care packages (number of care packages commenced in the year).
  3. Of those adults in receipt of CHC funded care packages, please provide the number that were home care packages for adults (number of care packages commenced in the year).
  4. Of those adults in receipt of CHC funded home care packages, please provide the number that were processed through the fast track system (this is often related to end of life care packages).
  5. Of those adults in receipt of CHC funded care packages, please provide the number that are in receipt of personal health budgets.
  6. CCG’s total gross expenditure on continuing healthcare funded packages. If expenditure for 2020 to 2021 is not yet available, please provide projected expenditure.
  7. CCG’s total gross expenditure on continuing healthcare funded home care packages. If expenditure for 2020 to 2021 is not yet available, please provide projected expenditure.
  8. The lowest, mean and highest rate (fee) paid per week for CHC funded home care packages for 2020 to 2021. If figures are not yet available, please provide projected figures or figures from the previous year (2019 to 2020).
  9. Provide a list of the 10 providers who received the greatest amount of funding from CHC funded home care packages. If expenditure for 2020 to 2021 is not yet available, please provide projected expenditure.

Our response: 11 September 2020

NHS Kernow’s director with responsibility for continuing healthcare (CHC) is John Groom.

The information below shows the number of adults in receipt of CHC funded care packages:

  • 2016 to 2017: 1,935
  • 2017 to 2018: 1,689
  • 2018 to 2019: 1,642
  • 2019 to 2020: 1,493

The information below shows the number of adult CHC home care packages:

  • 2016 to 2017: 351
  • 2017 to 2018: 318
  • 2018 to 2019: 333
  • 2019 to 2020: 293

The information below shows the number of adult CHC funded home care packages that were processed through the fast track system:

  • 2016 to 2017: 80
  • 2017 to 2018: 66
  • 2018 to 2019: 67
  • 2019 to 202020: 57

The information below shows the number of adult CHC funded care packages in receipt of a personal health budget:

  • 2016 to 2017: 34
  • 2017 to 2018: 41
  • 2018 to 2019: 58
  • 2019 to 2020: 106

The information below shows the NHS Kernow’s total gross expenditure on adult CHC funded packages:

  • 2016 to 2017: £63,220,443.15
  • 2017 to 2018: £59,835,778.98
  • 2018 to 2019: £58,147,458.10
  • 2019 to 2020: £62,613,149.06
  • 2020 to 2021, as at 24 August 2020: £24,662,944.18

The information below shows the NHS Kernow’s total gross expenditure on adult CHC funded home care packages with minimum and maximum rates:

Financial year Spend Minimum cost Maximum cost
2016 to 2017 £17,506,993.78 £9.00 £7,233.70
2017 to 2018 £19,427,919.89 £8.25 £7,877.96
2018 to 2019 £20,558,694.75 £4.76 £7,803.20
2019 to 2020 £24,436,820.08 £10.17 £10,756.13
2020 to 2021 £10,267,225.03 £10.25 £14,772.56

The information below shows the 10 providers for who received the greatest amount of funding from CHC funded home care packages:

2016 to 2017 2017 to 2018 2018 to 2019 2019 to 2020 2020 to 2021
Total Community Care Ltd Direct payment PHB Direct payment PHB Direct payment PHB Cornwall Council
Bluebird Care (Mid Cornwall) – Starboard Tack LLP Total Community Care Ltd Total Community Care Ltd Total Community Care Ltd Direct payment PHB
Active Assistance Brain Injury Service Bluebird Care (Mid Cornwall) – Starboard Tack LLP Bluebird Care (Mid Cornwall) – Starboard Tack LLP Newcross Healthcare Solutions Ltd Domiciliary Care Agency Total Community Care Ltd
Direct payment – PHB Active Assistance Brain Injury Service Newcross Healthcare Solutions Ltd Domiciliary Care Agency Bluebird Care (Mid Cornwall) – Starboard Tack LLP Bluebird Care (Mid Cornwall) – Starboard Tack LLP
Newcross Healthcare Solutions Ltd Domiciliary Care Agency Newcross Healthcare Solutions Ltd Domiciliary Care Agency Active Assistance Brain Injury Service Active Assistance Brain Injury Service Active Assistance Brain Injury Service
Embrace (Formerly European Lifestyles) Pulse Cornwall Council Heart of the South Care Agency Heart of the South Care Agency
Pulse Tracscare (Formerly Embrace) United Response Cornwall Council Newcross Healthcare Solutions Ltd Domiciliary Care Agency
Penhellis Community Care Ltd Brandon Trust Pulse United Response Disability Cornwall
Cornwall Care Ltd Stayathome Ltd/CHAOS Heart of the South Care Agency Disability Cornwall Thornbury Nursing Services
Green Light PBS Ltd Cornwall Care Ltd Accomplish Group Lifestyles Ltd (formerly Tracscare) Alexandra’s Community Care United Response
Contracts

FOI 82270 Out of hours contract. Date requested 20 August 2020

Request received

Can you provide details of the organisation that you have commissioned to provide out of hours GP services?

  1. Start date of contract
  2. Length of contract
  3. Name of organisation
  4. Registered company number
  5. Type of organisation (ltd company, CIC, cooperative, charity)

Our response: 20 August 2020

  1. NHS Kernow’s GP out of hours service contract is from 30 November 2020 to 30 November 2022.
  2. The contract is for 5 years.
  3. The contract is with Royal Cornwall Hospitals NHS Trust.
  4. Not applicable.
  5. NHS trust.

FOI 82290 Continence services. Date requested 20 August 2020

Request received

  1. When urology appliance management was last discussed at Governing Body?
  2. Please provide link to the meeting pack and minutes.
  3. Who is your lead for urology appliance management?
  4. What is their email address?
  5. Does your urology or continence appliance budget sit within the GP budget?
  6. If no:
    • Do you operate a centralised urology or continence service?
    • Who provides the service?
    • Contract start, end and review dates?
    • Contract value per year?
    • What is the total net cost of prescribing or supply of appliances for continence?
    • Does the CCG have any rebates in place with any companies for continence products? If yes please provide product names, start dates and contract lengths.
  7. Does your CCG commission a community pharmacy not dispensed service? If yes, please send the specification
  8. If no, does your CCG have any plans to commission a community pharmacy not dispensed service?

Our response: 10 September 2020

  1. Urology appliance management has not been discussed at Governing Body meetings.
  2. All NHS Kernow’s Governing Body meeting agendas and minutes are published on our website.
  3. NHS Kernow holds a block contract for adult community services with Cornwall Partnership NHS Foundation Trust (CFT). They provide a bladder and bowel service, which provides professional advice, guidance and information on the management of bladder and bowel incontinence. The director with responsibility for this contract is John Groom.
  4. For more information please contact CFT.
  5. NHS Kernow holds block contracts with Royal Cornwall Hospitals Trust (RCHT) and University of Plymouth Hospitals Trust (UHP) for secondary care services. Both trusts provide urology services. CFT provides a continence service within its adult community services, as described above in answer to question 3.
    • CFT provides a continence service, as described above in answer to question 3.
    • Adult community services contract start date 1 April 2018, contract length 3 years.
    • Adult Community Services is a block contract so values at service level are not available.
    • Prescribing and prescription data is in the public domain available via ePACT or/and Open Prescribing.
    • NHS Kernow does not have any rebate in place with any companies for continence products.
  6. NHS Kernow does not commission a community pharmacy not dispensed service. NHS Kernow does not have plans to commission a community pharmacy not dispensed service.

FOI 81970 Telehealth. Date requested 5 August 2020

Request received

Within your organisation or any service you commission, is there any use of the following:

  • remote healthcare monitoring for COPD patients
  • patients with heart failure

Definition for clarity: a patient has either an app, a website link and/or vital sign monitoring where they do this in 1 place and a clinician reviews their data in another.

Should there be use of the above listed programs, when these contracts due for review or renewal and where possible please supply the provider company name.

In addition, can you please tell me in which area of your organisation any similar programs are being used. For example for COVID-19 discharge patients, for patients with diabetes.)

Our response: 14 August 2020

NHS Kernow does not hold the information requested, for more information please contact the provider Cornwall Partnership NHS Foundation Trust.

FOI 81420 Telehealth. Date requested 12 August 2020

Request received

Regarding patents that your organisation does own or has previously owned:

  1. Any telehealth services currently commissioned by the CCG which provide care to nursing homes, other residential care facilities or intermediate care providers.
  2. Whether these services currently provide remote diagnostic capabilities.
  3. Please indicate when existing services will be re-procured.
  4. Please indicate whether there are plans for a future telehealth service or whether telehealth services are included in commissioning intentions.

Our response: 13 August 2020

Telehealth is commissioned by Cornwall Partnership NHS Foundation Trust (CFT), please contact them for more information

FOI 81960 Virtual consultations. Date requested 4 August 2020

Request received

We understand that the CCG has contracted with Consultant Connect Limited for the provision of advice and guidance services to primary care clinicians through the Consultant Connect app.

  1. Confirm whether that is the case and provide a copy of any contract between the parties.
  2. Provide a copy of any risk assessment or review of clinical governance in respect of the Consultant Connect service which the CCG has undertaken or received. Please include any data protection impact assessments.
  3. Describe or provide a copy of the process and/or procedures in place to ensure the ongoing suitability of consultants providing advice on behalf of Consultant Connect.
  4. Provide details of the indemnity arrangements between the CCG (NHSE) (or any other public authority) and Consultant Connect Limited for liability for claims arising from the use of the app.
  5. Provide a copy of any business case or similar document prepared to inform the decision to commission the Consultant Connect service.

Our response:-6 August 2020

NHS Kernow does not have a contract with Consultant Connect Limited. NHS Kernow does not currently use this system

COVID-19

FOI 82450 COVID-19 infections. Date requested 28 August 2020

Request received

  1. Have records of COVID-19 infections in patients which were hospital acquired been kept? If so how many COVID-19 infections in patients were hospital acquired? Of those who acquired COVID-19 while in hospital, how many died? What was the total number of COVID-19 deaths in hospital?
  2. Have records been kept of members of staff who contracted COVID-19? If so how many members of staff contracted COVID-19? How many members of staff were absent from work due to COVID-19? How many members of staff died due to COVID-19?
  3. Total number of COVID-19 infections recorded in hospital?
  4. What is the procedure for when a patient is diagnosed with COVID-19 outside a COVID-19 ward? Has this procedure remained the same throughout the time period set out above?
  5. What is the procedure for when a member of staff is diagnosed with COVID-19? Has this procedure remained the same throughout the time period set out above?

Our response: 8 September 2020

NHS Kernow does not hold information on hospital acquired COVID-19 infections, please contact:

NHS Kernow has had no confirmed cases of staff testing positive for COVID-19. There have been less than 5 COVID-19 related absences and no deaths.

NHS Kernow’s procedure for when a member of staff is diagnosed with COVID-19 is to follow the latest government advice, which is constantly being updated.

FOI 82350 COVID-19 treatments. Date requested 24 August 2020

Request received

Please tell me if you can offer via special ordering application the following preventive and/or therapeutic prescription drugs found useful in medical research papers against:

  1. Favipiravir (Avigan)
  2. Ivermectin
  3. Famotidine (Pepcid Ac)
  4. Hydroxychloroquin + Azithromycin + Zinc
  5. Bcg vaccine

Our response: 3 September 2020

NHS Kernow is a commissioner of NHS services and not a provider, we do not provide medicines for the prevention or treatment of any disease

As for whether NHS Kernow offers treatment required by patients, again the answer is no. We are commissioners not providers and any decision to treat would not be at the request of patients, but as part of a shared decision between the prescribing clinician and the patient.

FOI 82010 COVID-19 services. Date requested 6 August 2020

Request received

  1. Are you commissioning post-COVID services in hospital or in the community?
  2. Can you describe these services?
  3. How much have you spent on these services?
  4. How many patients have accessed your post-COVID services

Our response: 13 August 2020

NHS Kernow has not commissioned any specific service designed to treat patients with COVID-19 who were not hospitalised with the virus and who have not necessarily had a positive COVID-19 test. All care for this cohort of patients is delivered by existing services, based on need, in the hospital or the community. For example if a patient needed respiratory services, we commission the acute hospital to provide respiratory service, but not specifically or only for those patients who have had COVID-19.

FOI 81940 COVID-19 spend. Date requested 3 August 2020

Request received

  1. How much money overall has the CCG set aside for reimbursing GPs for costs incurred due to COVID-19?
  2. How much of that money in question 1 has so far been spent on reimbursing GPs for costs incurred due to COVID-19?
    • If possible within the cost for an FOI, please provide the breakdown for the money so far spent on the following items. If this is not possible within the costs, then please answer all the other questions from 3 onwards anyhow.
    • PPE
    • IT equipment
    • practice premises protections including screens, marker tape, hand sanitizer
    • items for providing outdoor clinics and gazebos
    • practice staffing costs where cover is required due to absence if staff member is shielding or self isolating and a locum staff member is needed to cover
    • practice staffing costs where extra staff are needed to ensure GPs can provide the new care home service, which involves weekly virtual ward rounds by GPs
  3. How much of that money in question 1 has ended up being spent on other costs, not related to GPs?
  4. How much of that money in question 1 does the CCG now have left?
  5. Please could you provide the plans and policy documents outlining how the CCG is reimbursing / will reimburse GPs for costs incurred due to COVID-19?

Our response – 12 August 2020

  1. NHS Kernow has not identified a budget for reimbursing GPs for costs incurred due to COVID-19.
  2. NHS Kernow has reimbursed GPs approximately £1,773,273 for COVID-19 related costs. This includes reimbursement for additional opening over the Easter and May bank holidays.
    • Breakdown of costs where possible below:
    • £178,000.00 has been reimbursed for PPE.
    • We not hold a breakdown for IT equipment costs; this would be included in the costs for additional items which total £245,542.00.
    • NHS Kernow does not hold a breakdown for practice premises protections; this would be included in the costs for additional items which total £245,542.00.
    • NHS Kernow does not hold a breakdown for providing outdoor clinics; this would be included in the costs for additional items which total £245,542.00.
    • £284,916.00 has been reimbursed for practice staffing costs.
    • NHS Kernow has not provided specific additional funding for practice staffing costs regarding ensuring GPs can provide the new care home service. NHS Kernow have however established a care home local incentive scheme which provides funding based on the number of beds, which runs from 1 May to 30 September to support this.
  3. This is not applicable as no budget has been identified.
  4. This is not applicable as no budget has been identified.
  5. There is a standard operating procedure for NHS Kernow’s COVID-19 related costs reimbursement. Email our FOI team to request a copy.
Organisation

FOI 82370 Human resources. Date requested 24 August 2020

Request received

We are unable to publish this answer on our website due to the accessibility regulations. To request a copy of this FOI, please email our FOI team.

FOI 82020 Executive members of staff. Date requested 6 August 2020

Request received

I am making a formal application under the Freedom of Information Act (2000) to obtain the names and email addresses of the people doing the following roles:

  • accountable officer
  • planned care lead
  • primary care lead

Our response: 6 August 2020

  1. Accountable officer is Helen Charlesworth-May
  2. Planned care lead is John Groom
  3. Primary care lead is Andrew Abbott
Patient safety and experience

FOI 82250 Mobile arm support. Date requested 19 August 2020

Request received

  1. Do you fund the assessment of Mobile Arm Supports?
  2. If yes, do you then fund the provision of Mobile Arm Supports?
  3. If yes, what is the eligibility criteria?
  4. Have personal health budgets been used towards the provision of Mobile Arm Supports?
  5. If no, is funding sought privately or from a charitable grant?

Our response: 3 September 2020

NHS Kernow operates a joint equipment panel with Cornwall Council.

This panel funds the assessment of mobile arm supports and funds the provision of mobile arm supports only with the approval of the multi-disciplinary (MDT) equipment approval panel. Each application is reviewed on a case by case basis by the panel and there is no written eligibility criterion as such.

No personal health budgets have been used towards the provision of mobile arm supports as all equipment of this type requests go through the MDT equipment panel and if approved funded appropriately from the joint equipment fund.

It is up to the individual or carer if they want to fund a mobile arm support privately or through a charitable grant.

Prescribing and pharmacies

FOI 82320 Oral nutritional supplements. Date requested 21 August 2020

Request received

Is Seravit unflavoured oral supplementation powder available to children, on prescription, in Cornwall?

Our response: 3 September 2020

Paediatric Seravit vitamin and mineral supplement is included in the drug tariff as a borderline substance. It can be prescribed if the patient fits the following criteria: “in restrictive therapeutic diets in infants and children”.

It has not been included on the Cornwall Joint Formulary. Simply because an application has not been made. However, where the specialist paediatric team requests this to be prescribed, and the patient fits the criteria, the GP is able to write a prescription following guidance provided by the specialist team.

Public health

FOI 81590 Rare conditions. Date requested 3 August 2020

Request received

  1. Current Primary Care Prescribing Rebate Schemes (2019 to 2020). Please distinguish which rebates are aligned to PrescQIPP and which are independent
  2. Which current QIPP Prescribing Schemes 2020 to 2021
  3. What is the current years (2020 to 2021) CCG QIPP/efficiency savings plan target for your organisation?
  4. What is the value of the prescribing element for the current year (2021 to 2022) CCG QIPP and efficiency savings plan target for your organisation?
  5. Does your CCG (or any of its constituent members) use the GP prescribing decision support software known as DXS?

Our response: 1 September 2020

  1. You can view our rebate scheme on our website.
  2. Our prescribing rebate schemes have yet to be finalised for 2020 to 2021.
  3. NHS Kernow does not have these figures at present. Due to the pandemic we have been operating a different financial regime where budgets and subsequent QIPP targets have not been finalised.
  4. NHS Kernow does not have these figures at present. Due to the pandemic we have been operating a different financial regime where budgets and subsequent QIPP targets have not been finalised.

FOI 82100 Winter planning. Date requested 10 August 2020

Request received

Do you:

  1. Have procedures or policies in place to ensure primary health and home care practitioners assess the heating needs of people who use their services at least once a year? As recommended by National Institute for Health and Care Excellence (NICE) guidance on excess winter deaths and illness and the health risks associated with cold homes (NG6).
  2. Record or audit compliance with the recommendation referenced in question 1 among primary health and home care practitioners?
  3. Have procedures or policies in place to ensure that, when a patient is discharged from a health or social care setting, an assessment is carried out into whether they are likely to be vulnerable to the cold? If action is needed to make their home warm enough for them to return to, as recommended by NICE guidance NG6?
  4. Record or audit compliance with the recommendation referenced in question 3?

Our response: 11 August 2020

NHS Kernow does not have procedures or policies in place around the heating needs of people in our area and we do not collect this data. NHS Kernow does not record or audit compliance to any policies or procedures around assessments for people being discharged from a health or social care setting around vulnerability to the cold.

Women’s health

FOI 82110 Maternity services. Date requested 11 August 2020

Request received

For the grouping of pregnant women who experience domestic abuse, I am seeking access to information relating to the following items, which I understand CCGs are required to collect as per the NICE guidelines. I am seeking this information for the period 1 March 2019 to 29 February 2020.

  1. The number of pregnant women who:
    • attend for booking by 10, 12+6 and 20 weeks
    • attend for the recommended number of antenatal appointments, in line with national guidance
    • experience, or have babies who experience, mortality or significant morbidity
    • number of appointments each woman attends
    • number of scheduled appointments each woman does not attend.
  2. Recorded satisfaction levels and feedback or pregnant women who experience domestic abuse who have presented for antenatal care.
  3. Local protocol for pregnant women who experience domestic abuse, developed by commissioners and those responsible for the organisation of local antenatal services. The NICE guidelines state this should include:
    • clear referral pathways that set out the information and care that should be offered to women
    • latest government guidance on responding to domestic abuse
    • sources of support for women, including addresses and telephone numbers, such as social services, the police, support groups and women’s refuges
    • safety information for women
    • plans for follow up care, such as additional appointments or referral to a domestic abuse support worker
    • obtaining a telephone number that is agreed with the woman and on which it is safe to contact her
  4. Contact details of other people who should be told that the woman is experiencing domestic abuse, including her GP.

Our response: 20 August 2020

NHS Kernow does not hold the information requested, please contact the providers of maternity services:

FOI 82440 termination of pregnancy. Date requested 28 August 2020

Request received

Please provide information from the date of their first referral appointment to (and including) the date of the procedure.

In 2014, 2015, 2016, 2017, 2018, 2019:

  1. Average waiting time (in calendar days) for women who had an NHS-funded medical abortion.
  2. Average waiting time (in calendar days) for women who had an NHS-funded surgical abortion.

Our response: 3 September 2020

Anyone seeking a termination of pregnancy is able to self-refer to this information is not held by NHS Kernow. For more information please contact the providers of terminations of pregnancy as follows:

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