The browser you are using is no longer supported. Please switch to Edge or Chrome

January 2021

In January 2021 we received 15 FOI requests. On this page you can find a full list of the requests we received, along with our response.
Clinical management

FOI 84870 equipment. Date requested 6 January 2021

Request received

Please could you provide information of Elastomeric IV infusion pumps (disposable) purchased by the CCG in the last 12 months period or your fiscal year, whichever is most convenient for you to provide the data. Please provide data from each hospital, including the volume purchased and the brand of pump.

  1. Which brand(s) do you purchase?
  2. What model do you purchase?
  3. What quantities do you purchase on an annual basis?
  4. Who are the main clinicians responsible within your CCG for the prescribing and administration of elastomeric devices?
  5. What medicines do you fill the devices with?
  6. Do you fill elastomeric devices in your pharmacy aseptic unit if you have one? Advise if you purchase pre-filled elastomeric devices from a commercial compounder
  7. What drugs are provided pre-filled?
  8. What quantities do you purchase on an annual basis?

Our response

NHS Kernow is not a provider organisation and as such we do not purchase or use Elastomeric IV infusion pumps. For more information please contact the provider organisations:

Continuing healthcare

FOI 85130 continuing healthcare information. Date requested 18 January 2021

Request received

For each financial year from 2015 to 2020, please could you provide the following information in relation to NHS continuing healthcare for your CCG.

  • Total spending on NHS continuing healthcare (CHC) and funded nursing care.
  • Spending on standard CHC.
  • Spending on fast track CHC.
  • Spending on funded nursing care.
  • Any other related spending on NHS CHC*.
  • Saving or QIPP targets for NHS CHC.
  • Actual savings achieved for NHS CHC.
  • I am aware that there have been amalgamations and mergers of CCGs over time. If this has occurred in your CCG, please could also you provide the information for the former CCGs up to the date of the amalgamation or merger.

    If your CCG hosts the NHS continuing healthcare for other CCGs, please provide the figures that relate to your own CCG. I have submitted separate requests to the CCGs that you provide a service for (although I am happy to receive a joint response that separates out the figures for each CCG within your group).

    * Other CHC spending is CHC costs which are not attributed to CHC standard, fast track or funded nursing care. I appreciate that there is likely to be some understandable disparity in accounting practices between CCGs on this. For example, some CCGs may simply include package costs and assessment costs in any particular band, while others may apportion office costs. I’m mainly looking for the general picture.

    Our response

    Total spending on NHS CHC and funded nursing care:

    • 2015/16 – £57,814,358
    • 2016/17 – **
    • 2017/18 – **
    • 2018/19 – **
    • 2019/20 – **

    Spending on standard CHC:

    • 2015/16 – £42,807,359
    • 2016/17 – £45,818,002
    • 2017/18 – ***
    • 2018/19 – ***
    • 2019/20 – ***

    Spending on fast track CHC:

    • 2015/16 – £5,527,667
    • 2016/17 – £5,256,272
    • 2017/18 – ***
    • 2018/19 – ***
    • 2019/20 – ***

    Spending on funded nursing care:

    • 2015/16 – £6,411,933
    • 2016/17 – £8,690,901
    • 2017/18 – ***
    • 2018/19 – ***
    • 2019/20 – ***

    Associated spend:

    • 2015/16 – £3,166,170
    • 2016/17 – £3,544,712
    • 2017/18 – £3,657,422
    • 2018/19 – £3,209,110
    • 2019/20 – £3,732,969

    Saving or QIPP targets for NHS CHC:

    • 2015/16 – £0
    • 2016/17 – £5,280,000
    • 2017/18 – £8,786,000
    • 2018/19 – £3,500,000
    • 2019/20 – £0

    Actual savings achieved for NHS CHC:

    • 2015/16 – £0
    • 2016/17 – £2,726,000
    • 2017/18 – £8,370,0000
    • 2018/19 – £3,500,000
    • 2019/20 – £0

    For items marked **, this information was previously released in August 2020 and the response published on NHS Kernow’s website.

    For items marked ***, this is published by NHS England.

    FOI 84860 continuing healthcare information. Date requested 6 January 2021

    Request received

    1. The total number of people you have in live in care and the number in each of the following client groups: over 65-year-old’s, dementia, mental health, physical disabilities and learning disabilities. If you have any placement numbers on any other client categories, not listed above please supply these as well? Please also provide the current placement numbers, average weekly cost, range of weekly costs and names of providers you have providing services on a spot contract basis? As well as the current placement numbers and names of providers you have providing services under any framework or block contracting arrangement? Please provide the average weekly cost, range of weekly costs, any individual annual lot size values and commencement and expiry dates for any current framework and block contracts. Also please provide details of any forthcoming ones?
    2. The names, job titles, telephone numbers and email addresses of the responsible commissioning managers or brokerage officers for these placements?
    3. Details of any partnership procurement and contracting arrangements you have with other CCG’s or local authorities for live in care services?
    4. Whether you commission from regulated providers only or introductory ones as well?
    5. Any policies or changes to policy on live in care, in light of COVID-19 and recent case law changes?

    Our response

    1. NHS Kernow does not hold continuing healthcare information in a way that shows live in care.
    2. The director with responsibility for continuing healthcare is John Groom, telephone 01726 627800.
    3. Joint home care contract with the local authority.
    4. Regulated providers.
    5. None.
    Contracts

    FOI 85290 Wheelchair service. Date requested 29 January 2021

    Request received

    1. Do you procure your wheelchair service as an integrated service (with approved repairer and assessments included in one contract), or do you procure them as individual contracts?
    2. Which provider(s) do you use for your current wheelchair services? If approved repairer and assessments are procured outside this, which provider(s) are used for these services?
    3. Is the wheelchair service / approved repair contract(s) in partnership with any other CCG(s)? If so, please provide a list of the CCGs that share this contract.
    4. If your provider is a non-NHS organisation, what year did you first use a non-NHS provider?
    5. When did your current wheelchair service or approved repair contract(s) start, and what is the contract end date? Please include any information on contract extensions.
    6. Which provider(s) was used for the previous wheelchair service or approved repair contract(s)?
    7. What is the annual value of the wheelchair service or approved repair contract(s) for the last three years (year end 31 March)? If not available, please provide data for any available years. Please specify if these values relate only to your CCG or for a multiple CCG.

    Our response

    1. Procured as individual contracts.
    2. Cornwall Partnership NHS Foundation Trust and Millbrook Services Ltd.
    3. No.
    4. 2015.
    5. 1 April 2017 to 31 March 2021 (extension included).
    6. Millbrook.
    7. NHS Kernow only. 2017 to 2018: £1,653,000. 2018 to 2019: £1,871,000. 2019 to 2020: £2,305,000.

    FOI 85030 non-emergency patient transport. Date received 15 January 2021

    Request received

    1. Who was your previous operator(s) of non-emergency patient transport services (operator that you used before your current operator)? Note: If you had multiple operators please provide all names that are available.
    2. What were the start and end date(s) of the contract(s) with your previous operators of non-emergency patient transport services?
    3. How many patient journeys were undertaken over the course of your previous contract(s)? Note: If you had more than one operator please give the approximate split of journeys or contract value if possible.

    Our response

    1. NSL Limited.
    2. 1 October 2013 to midnight on 27 May 2016.
    3. NHS Kernow only holds partial data for this contract and can advise that for the 2015 to 2016 financial year there were 45,969 journeys and 767,529 mileage. This represents an average year’s usage for the period of the contract, but we must caveat that data for this period was unreliable and has not been validated.

    FOI 84900 non-emergency patient transport. Date received 8 January 2021

    Request received

    This is an FOI request under the Freedom of Information Act 2000, with respect to the non-emergency patient transport services (NEPTS) within your CCG.

    1. Which provider(s) do you use for NEPTS journeys?
    2. If you use a single provider, do they cover all of your journeys, or do you cover some in-house? What is the approximate percentage split of journeys by the different providers you use?
    3. When did your contract start, and what is the contract end date?
    4. What is the annual NEPTS contract value for the last three years (year end 31 March)? If not available, please provide data for any available years.
    5. How many patient journeys were contracted under the NEPTS contract for the last three years (year end 31 March)? Are these calculated as one-way journeys or return journeys?
    6. Is the contract in partnership with any other CCG(s)?

    Our response

    1. NHS Kernow uses E-zec Medical for non-emergency patient transport (NEPTS).
    2. E-zec cover all journeys.
    3. The contract started in May 2016 and run until May 2022, with an extension.
    4. NHS Kernow’s NEPTS contract value for the last three years is 2017/18: £3,146,910.00; 2018/19: £3,257,980.00 and 2019/20 – £3,490,407.00.
    5. The number of patient return journeys under the NEPTs contract for the last three years was 2017/18 – 39,669; 2018/19 – 37,190 and 2019/20 – 40,565.
    6. This contract is not in partnership with any other CCGs.
    COVID-19

    FOI 85020 COVID-19 vaccination. Date received 14 January 2021

    Request received

    1. Locations of current vaccine centres which are active vaccine centres within Cornwall.
    2. Locations of potential vaccine centres which are yet to become active within Cornwall.
    3. What contractors have been awarded to assist with the setup of the new potential vaccines centres.

    Our response

    1. There are currently vaccination centres run by primary care networks in Bodmin, St Austell, Truro, Falmouth, Newquay, Redruth, Mount Hawke, Penzance, Liskeard, Helston and Hayle.
    2. Under section 22 of the Freedom of Information Act details of planned vaccination centres will be published in due course.
    3. NHS Kernow does not hold this information.

    FOI 84980 COVID-19 vaccination. Date requested 11 January 2021

    Request received

    1. Please list, by each day, the numbers of patients in Cornwall in all settings to have received either the Pfizer vaccine or the Oxford AstraZeneca vaccine since the first Pfizer dose was administered on 9 December 2020.
    2. What percentage, and number, of frontline NHS staff in Cornwall were vaccinated between 9 December 2020 and 9 January 2021?
    3. What percentage, and number, of care home staff in Cornwall were vaccinated between 9 December 2020 and 9 January 2021?
    4. What percentage, and number, of care home residents in Cornwall were vaccinated between 9 December 2020 and 9 January 2021?
    5. On the basis of the existing rate of deliveries into Cornwall, when will each of the 59 GP surgeries in Cornwall be able to offer vaccination?
    6. What plans exist to set up a mass vaccination centre in Cornwall, and where will this be (the Royal Cornwall Showground has been suggested)?
    7. Of the patients in all settings to have received their first dose of either vaccine, what percentage (and number) has also received their second dose?

    Our response

    NHS Kernow does not hold this information; this information is collated and held by the national programme team. From 11 January, daily data for England has been published showing the total number vaccinated to date, including first and second doses. On 14 January and then on a weekly basis, NHS England and NHS Improvement will publish a more detailed breakdown of vaccinations in England, including by region.

    Initially, the characteristics of the Pfizer vaccine which include special requirements for storing and distributing the vaccine have limited the number of venues from which we are able to offer vaccination. We will be increasing the number of vaccination locations over the coming weeks as the Oxford AstraZeneca vaccine becomes more available locally. These sites will need to be approved by NHS England and NHS Improvement. We are also planning for mobile vaccination units for those who are housebound.

    The national programme team have confirmed that under section 22 of the Freedom of Information Act, details of mass vaccination centres in Cornwall will be published in due course.

    Finance and budgets

    FOI 85090 organisation structure. Date received 18 January 2021

    Request received

    1. What is your current invoice process for handling supplier invoices, from receipt to when it is posted in the ERP and ready for payment?
    2. What systems do you use for managing and processing invoices and catalogues?
    3. How many invoices were processed in 2019 to 2020?
    4. In what format do you currently receive invoices?
    5. Do you print your emailed or PDF invoices?
    6. Do accounts payable check every invoice received?
    7. What is the current split between PO and non PO invoices?
    8. If you have an invoice matching process, is this automated or manual?
    9. How many FTEs do you have in your accounts payable team who process invoices?
    10. What % of invoices were paid late in 2019 to 2020?
    11. What processes or solutions do you have in place for employees to submit and reclaim expenses?
    12. How many expense claims were submitted by employees in 2019 to 2020?
    13. Do you use optical character recognition (OCR) to scan invoices and/or expenses?
    14. Have there been investigations relating to expense compliance in your organisation in the last 24 months? If so, how many?
    15. What’s the total number of employees across the CCG, any GPs and services you support?

    Our response

    1. NHS Kernow exempts the release of the information requested under section 31 of the act, Law enforcement. (1) Information which is not exempt information by virtue of section 30 is exempt information if its disclosure under this Act would, or would be likely to, prejudice (a) the prevention or detection of crime. This is because to release the information requested would be likely to promote the criminal activity of fraud. The public interest of this information has been considered and it is deemed that the information is not in the public interest to release, as this may lead to fraud of the public purse.
    2. As response one.
    3. Information is published on our website in our annual report.
    4. Paper or electronic.
    5. Invoices are sent by suppliers direct to NHS Shared Business Services.
    6. As response one.
    7. Over 99% is non PO.
    8. Not applicable.
    9. NHS Kernow has approximately 0.5 of a whole time equivalent resource engaged in accounts payable related work. The majority of processing is carried out by NHS Shared Business Services.
    10. Information is published on our website in our annual report.
    11. NHS Kernow uses e-expenses software for claims.
    12. 1,488.
    13. As response one.
    14. No.
    15. Information is published on our website in our annual report.
    Miscellaneous

    FOI 84970 GP practices. Date received 11 January 2021

    Request received

    I request all email addresses for all practice managers for all GP practices that come within the purview of NHS Kernow.

    Please supply the data with at least the following columns: practice_id and email.

    For example: A00010, info@example.com.

    Our response

    Under section 21 of the Freedom of Information Act NHS Kernow exempts this information as it is reasonably accessible by other means. GP practices list contact details on their websites, please note these may be generic email addresses for the practice which are used by practice managers.

    Organisation

    FOI 85270 Organisation structure. Date received 28 January 2021

    Request received

    The name and email address of the person that has the following job role or equivalent within the CCG:

    1. Chief information officer, IT director or the person that has overall responsibility of CCG IT requirements.
    2. Director of transformation, director of strategy or the person that has overall responsibility of CCG transformation.
    3. Medical director or chief medical officer.
    4. Director or head of primary care.
    5. Chief pharmacist or head of medicine optimisation.

    Our response

    1. Andrew Abbott
    2. Carolyn Andrews
    3. Natalie Jones
    4. As response 1.
    5. NHS Kernow does not release the names of employees below director level. Andrew Abbott is the responsible director.

    FOI 85060 primary care networks. Date received 18 January 2021

    Request received

    1. Please provide the name of each primary care network (PCN) that operates within your CCG’s region’s geographical boundaries including their address and telephone number.
    2. Please provide the name of the appointed clinical director for each of these PCNs within your region.
    3. Please confirm which healthcare provider organisation, this clinical director works from, for example CCG name, acute trust name, mental health trust or GP name.
    4. Please provide their contact email address.
    5. Please provide the name of the appointed digital or IT lead for each of these PCNs within your region.
    6. Please confirm which healthcare provider organisation, this digital or IT lead works from, for example CCG name, acute trust name, mental health trust or GP name.

    Our response

    For questions one to four, the information requested is published on our website.

    Andrew Abbott is the director of primary care for NHS Kernow Clinical Commissioning Group.

    FOI 84810 executive team. Date received 4 January 2021

    Request received

    In the 2018 to 2019 and 2019 to 2020 financial years what was the most expensive restaurant bill claimed on expenses by any of the trust’s executives and directors?

    Please state the name and address of the restaurant, how many people were dining, the date of the dinner and the job title of the director or executive who claimed the meal on expenses.

    Our response

    2018/19:

    • Job title: GP lay member
    • Amount claimed: £15.00
    • Date of expense: 21 March 2019
    • Number of staff: 1
    • Name and address of restaurant: All Bar One, Buckingham Gate, 52 Victoria Street, London SW1E 6QP

    2019/20:

  • Job title: Chief finance officer
  • Amount claimed: £10.50
  • Date of expense: 21 January 2020
  • Number of staff: 1
  • Name and address of restaurant: Premier Inn, York Road, London
  • Patient safety and experience

    FOI 84840 GP practices. Date received 5 January 2021

    Request received

    Please can you send me all guidance relating to do not attempt resuscitation orders issued to GP surgeries by the CCG between 1 February 2020 to the present day (5 January 2021).

    Our response

    NHS Kernow sends weekly bulletins to GP’s; copies are retained for a 4-month period. On 26 November 2020 the GP bulletin included this guidance.

    Update on do not attempt cardiopulmonary resuscitation (DNACPR) and learning disabilities
    It is important to remember and follow the guidance for the care and treatment of someone with a learning disability, when they are admitted into hospital or reach end of life care.

    A learning disability should never be a reason for issuing a do not attempt cardiopulmonary resuscitation (DNACPR) or used to describe the cause of death on a death certificate. A learning disability is not a fatal condition.

    Both locally and nationally, cases have been highlighted where treatment escalation plans (TEPs) and DNACPR have been applied where learning disability is stated as a factor in the decision.
    A DNACPR decision must be in line with guidance from the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing.

    In May 2019 the national medical director, Professor Stephen Powis wrote to emphasise the above with regard to learning disability, death certification and DNACPR and NICE emergency critical care guidance was also provided earlier this year.

    Properties and estates

    FOI 85280 GP practices. Date received 28 January 2021

    Request received

    I would like to make a request for some data on GP practice closures that took place in the calendar year of 2020 under the Freedom of Information Act.

    GP practices that have closed and had their patient lists dispersed in 2020:

    • name of each practice
    • list size of each practice
    • date of closure

    Practice branches that have closed as a result of practices merging in 2020:

    • name of each practice branch
    • list size of each practice branch that has closed as a result of practices merging
    • date of closure

    Practice branches that have closed NOT as a result of practices merging in 2020:

  • name of each practice branch
  • list size of each practice branch that has closed not as a result of practices merging
  • date of closure
  • Our response

    No practice closures or mergers have taken place in 2020.

    One practice branch has closed in 2020:

    • Grampound Surgery, a branch surgery of Probus
    • as a branch surgery they did not have a specific list size
    • formally closed on 25 December 2020

    Google Translate

    Text Size

    Change font

    Contrast