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March 2021

In March 2021 we received 13 FOI requests. On this page you can find a full list of the requests we received, along with our response.
Clinical management

FOI 86280 tier 3 weight management. Date requested 30 March 2021

Request received

  1. What number of patients from you CCG have been referred to a tier 2 service in the last 12 months?
  2. What are the names of the tier 2 services which available to patients in your CCG?

Our response

NHS Kernow does not commission these services. Tier 2 weight management services are commissioned by the local authority. Please contact Cornwall Council for this information.

FOI 85920 guideline and treatment pathways. Date requested 4 March 2021

Request received

Please provide me with the following pharmacological management guideline and treatment pathways:

  • heart failure
  • pseudohypoaldosteronism (PHA) type 2 diabetes pertaining to use of SGLT2, DPP-4 and GLP-1

Our response

There are no specific guidelines or pathway documents for these 2 indications. Fact sheets on the formulary pertaining to prescribing in type 2 diabetes, gliptins and GLP-1’s are available through Cornwall Joint Formulary hosted by Eclipse.

Contracts

FOI 86230 Alternative provider medical services. Date requested 29 March 2021

Request received

  1. I would like to know the alternative provider medical services (APMS) contracts that your CCG ,–the merged CCGs, or NHS England (in your area) have entered into since 2017, including their start and expiry dates.
  2. I would also like to know the PMS or GMS contracts your CCG, or the merged CCGs, or NHS England (in your area) have entered into since 2014, including their start and expiry dates.

Our response

To request a copy of document supplied for this response, please email our FOI team.

FOI 85830 community health services. Date requested 1 March 2021

Request received

  1. Does the CCG commission community health services via a block contract? If the answer is no, briefly describe the commissioning approach.
  2. Does the CCG’s community health service contract specifically include the provision of care for ambulatory sensitive conditions which are designed to prevent emergency admission to hospital?
  3. Is the prevention of admission to hospital with one or more ambulatory sensitive condition a specific component of the current contract for district nursing services?
  4. Other than an inflationary uplift, has the community health services contract increased, decreased, or remained the same during the 2019 to 2020 and 2020 to 2021 financial years?
  5. Has the CCG commissioned services in the last 2 years (2019 to 2020 and 2020 to 2021) that are specifically designed to prevent admission to hospital for patients with ambulatory sensitive conditions?
  6. If the answer to question 5 was yes – were these services to develop:
    • new teams within the community health services
    • ambulatory care in the hospital setting
    • existing community health services and teams
    • primary care – general practice services or GP federations
    • other (briefly describe)

Our response

  1. Yes.
  2. No.
  3. No
  4. Remained the same.
  5. No.
COVID-19

FOI 85930 vaccination programme. Date requested 5 March 2021

Request received

  1. Are you ensuring information sent to a visually impaired person about vaccine appointments or provided to them at a vaccination centre is available in an accessible format such as large print and braille? If yes, how?
  2. Are you providing clear information on the location of vaccine centres, such as public transport options and alternatives for blind and partially sighted people? If yes, how?
  3. Are you making sure that vaccination venues have clear signage and good levels of lighting to enable blind and partially sighted people to access them? If yes, how?
  4. Are you ensuring staff and volunteers at vaccination centres are trained to provide support to people with sight loss, such as providing verbal or sighted guiding where necessary? If yes, how?
  5. Are you aware of and using the sight loss sector guidance on vaccine rollout? If yes, how have you used this?

Our response

NHS Kernow is not a provider and does not directly deliver vaccinations. Each vaccination site will be aware of potential specific needs of individuals with physical, communication, cognitive and sensory impairments and will make the necessary reasonable adjustments to cater for these.

NHS Kernow is aware of the sight loss sector guidance and has distributed it to the vaccine sites alongside other information and guidance on how to make reasonable adjustments to improve ease of access.

Mental health and learning disabilities

FOI 86120 IAPT services. Date requested 16 March 2021

Request received

Please could you confirm:

  1. Name, job title and email address of the individual responsible for commissioning IAPT services?
  2. Current provider of IAPT services?
  3. Name, job title and email address of the individual responsible for delivering the IAPT service?
  4. Current total cost of the IAPT service and duration of the contract?
  5. When the IAPT service will next be re-tendered on the basis of the current contract duration?
  6. Total number of individuals who have currently been waiting more than 6 months for counselling services?
  7. If you commission any digital IAPT services (either as a sub-contract to the overall provider or as a separate contract), and if so who the digital provider is, and what services they provide to patients, and the cost and duration of this contract and when it will next be tendered.

Our response

  1. NHS Kernow does not release the names of employees below director level. John Groom is our director for integrated care.
  2. Cornwall Partnership NHS Foundation Trust (CFT).
  3. Please contact CFT for this information.
  4. 5 years at £4.3m per annum.
  5. Procurement timeframes are not yet agreed.
  6. NHS Kernow does not hold any of this data; this may be available from CFT.
  7. NHS Kernow does not hold this information. Please contact CFT for details of any sub-contracting arrangements with digital providers.
Organisation

FOI 86110 whistleblowing. Date requested 17 March 2021

Request received

  1. How many reports did you receive from whistle blowers in 2019 and in 2020?
  2. How many people do you have in your organisation that are trained or permitted to take reports from whistleblowers?
  3. What training have the people in question number 2 received in whistleblowing?
  4. What cost, if any, was there for this training?
  5. Which organisation delivered each course?
  6. What is the name of the person that arranged this training, and what is their email address?
  7. What methods do you have for whistle blowers to contact a person that is authorised to take their report, and what are the specific details of these, for example email addresses, telephone numbers?
  8. What are the email addresses for the people authorised to receive whistle blower reports?
  9. How many whistle blowers have left the organisation within 12 months of making a report?
  10. How many whistle blowers have made an allegation of ‘detriment’ against your organisation?

Our response

  1. NHS Kernow received no whistleblowing reports during 2019 or 2020.
  2. 5.
  3. None, their experience and position within the organisation provides the necessary skills and capabilities.
  4. Zero.
  5. Not applicable.
  6. Not applicable.
  7. Available within our whistleblowing and freedom to speak up policy. NHS Kernow does not release the names and addresses of staff below director level. Paul Hulme is the responsible director.
  8. NHS Kernow does not release the names and email addresses for staff below director level. Paul Hulme is the responsible director.
  9. None.
  10. None.

FOI 85990 ICS. Date requested 10 March 2021

Request received

Please could provide the name of the individual and their job title and email address, associated to each of the below work streams at your integrated care system. In cases where there are joint leads, please include the names of both individuals.

Name, Job title and email address of:

  • system lead
  • independent chair
  • lead for workforce
  • lead for finance
  • lead for continuing healthcare
  • lead for strategy and system development
  • chief operating officer
  • chief nurse
  • medical director
  • IT lead

Our response

NHS Kernow does not hold the information requested as the Cornwall and the Isles of Scilly integrated care system has not yet been created. Timeline is dependent on legislation but is expected to be formed by April 2021. Therefore, the job roles have not yet been assigned.

FOI 85890 structure. Date requested 3 March 2021

Request received

The name and email address of the person within your CCG that holds the following job title / responsibility or equivalent

  1. Chief information officer (IT).
  2. Chief clinical information officer.
  3. IT director.
  4. Procurement director.
  5. Director of finance (chief finance officer).
  6. Chief executive.

Our response

  1. Clare Bryan.
  2. NHS Kernow does not have a chief clinical information officer.
  3. Andrew Abbott.
  4. Per number 1.
  5. Per number 1.
  6. NHS Kernow does not have a chief executive. Helen Charlesworth-May is the joint accountable officer.
Prescribing and pharmacies

FOI 86250 rebate schemes. Date requested 29 March 2021

Request received

I would like to request a list of pharmaceutical products and drugs that your CCG currently holds rebate agreements for.

I would like to request the product names (brand and generic when applicable) with start finish dates and fully understand that the financial details of the rebates would be considered commercially confidential.

Our response

This information is publicly available on NHS Kernow’s website in our publication scheme.

Referral management

FOI 86090 ophthalmology. Date requested 16 March 2021

Request received

For the following questions, please supply the data broken down by month, for the calendar years 2019, 2020, and 2021:

  1. Number of ophthalmology outpatient attendances, cancellations and did not attend.
  2. The number of referrals made for an ophthalmology specialist appointment.
  3. The number of patients waiting 18 weeks or longer for a referral for an ophthalmology specialist appointment.
  4. The average waiting time in weeks from referral to treatment for ophthalmology patients.
  5. The number of cancelled cataract surgery appointments.
  6. The number of regular “check-up” appointments that have been cancelled.
  7. The number of AMD treatment appointments that have been cancelled.
  8. The number of patients who have had a virtual appointment, either by phone, video conferencing or any other means.
  9. If you have categorised patients by risk of vision loss, can you please break down the answers to questions 1 to 8 by these categories. If it is not possible to break the data down by month, please supply the data in the shortest time-frame available (for example week or quarter).

Our response

For questions 1 to 4, please email our FOI team for a copy of the spreadsheet containing this information.

For questions 5 to 9, NHS Kernow does not hold this information. Please contact the providers: Royal Cornwall Hospital, University Hospitals Plymouth, Royal Devon and Exeter, Probus Surgical Centre, Peninsula Treatment Centre.

FOI 85850 ophthalmology. Date requested 2 March 2021

Request received

  1. Please provide details of the referral pathway (by CCG) for patients who are being referred for cataract surgery. Please state if referrals are made to a provider directly, via the patients GP or other route of referral. (if other, please provide details).
  2. Please provide the name and location of all commissioned providers for cataract surgery within the CCG(s).
  3. Please provide the name and location of all providers offering cataract surgery within your CCG (s) through non-commissioned activity.
  4. For the providers detailed in your response to questions 2 and 3, please provide the total number of completed cataract surgery for the periods 2019 to 2020 and 2020 to 2021 (to date).
  5. For the providers detailed in your response to question 2, please provide the current wait times for cataract surgery.
  6. Please confirm when your current contract that includes cataract surgery is due to expire and if there is an option to extend services. If there is an option to extend, please advise on how long for.
  7. Please confirm then name and contact details of the individual(s) who manage this contract within the CCG(s).

Our response

Referrals are made via the patients GP (via eRS) to the referral management service.

For questions 2 to 4, please email our FOI team for a copy of the spreadsheet containing this information.

For question 5, NHS Kernow does not hold this information; waiting times for specific procedures can be found out from each provider direct.

Contracts with NHS trusts are renewed annually. Independent providers expire on 31 March 2021; 1 year extension or use of ICF framework.

NHS Kernow does not release names of staff below director level. John Groom is the director for integrated care.

Women’s health

FOI 86100 Access to fertility services for female same-sex couples. Date requested 17 March 2021

Request received

  1. Please disclose whether NHS Kernow funds IVF services for female same-sex couples? If so, how many cycles of IVF per couple does the CCG fund per couple?
  2. If the answer to is yes, please disclose under NHS Kernow’s current policy, how many cycles of artificial insemination must be undertaken by a female same-sex couple in order to become eligible to access NHS-funded IVF? How many of the above-mentioned cycles of artificial insemination must be self-funded by the couple?
  3. Please disclose whether fertility services using donor sperm are provided under NHS Kernow?
  4. Please disclose how many cycles of IVF have been provided to female same-sex couples, funded by NHS Kernow, in the last year (April 2020 to present) and five years (April 2016 to present)?
  5. Please disclose whether NHS Kernow’s policy regarding IVF access for female same-sex couples has been subject to any legal challenge? If so, how much money has been paid out by NHS Kernow in settlements to resolve these challenges in the last 5 years (April 2016 to present)?

Our response

Answers to questions 1,2 and 3 can be found in the NHS Kernow commissioning policy which is available on our website.

For question 4, NHS Kernow does not hold this information, which may be available from the providers:

For question 5, the answer is no.

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