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May 2020

In May 2020 we received 10 FOI requests. On this page you can find a full list of the requests we received, along with our response.
Continuing healthcare

FOI 80620 information. Date requested 1 May 2020

Request received

Under the Freedom of Information Act, I would like to request the following information regarding spending and contracts for older person’s care services (aged 65 and over). Please provide answers on the attached Microsoft Excel spreadsheet.

  1. Please provide the highest, lowest, average (mean) and median actual weekly fees paid to older person’s care providers under a Continuing Healthcare (CHC) package in 2019/20 and 2020/21 for:
    • residential
    • residential EMI
    • nursing
    • nursing EMI
  2. Please provide the annual number of people aged 65 and over funded by the CCG under a Continuing Healthcare (CHC) package in an older person’s care home for 2018/19, through to 2020/21

For clarification, EMI stands for elderly mentally infirm. If figures for 2020/21 are not available please provide budgeted or predicted figures.

Our response – 22 May 2020

Email our FOI team for a copy of the completed spreadsheet.

FOI 80700 information. Date requested 9 May 2020

Request received

My request relates to continuing healthcare payments. I appreciate CCGs are under huge amounts of pressure at the moment, though this request is necessary for my research on the pandemic. My request is as follows.

  1. How many continuing healthcare assessments for adults did your CCG carry out between 1 January 2019 and 1 May 2019?
  2. How many continuing healthcare assessments for adults did your CCG carry out between 1 January 2020 and 1 May 2020?
  3. Between 1 January 2019 and 1 May 2019 how many adults in your CCG received fully funded NHS Continuing Healthcare packages of care?
  4. Between 1 January 2020 and 1 May 2020 how many adults in your CCG received fully funded NHS Continuing Healthcare packages of care?
  5. Between 1 January 2019 and 1 May 2019 what was the actual amount spent on continuing healthcare for adults?
  6. Between 1 January 2020 and 1 May 2020 what was the actual amount spent on continuing healthcare for adults?
  7. Between 1 January 2019 and 1 May 2019 what was the actual amount spent by your CCG for those adults in receipt of:
    • NHS fully funded nursing home care?
    • “Care at Home” – NHS Continuing Healthcare packages of care which enabled patients to remain at home?
  8. Between 1 January 2020 and 1 May 2020 what was the actual amount spent by your CCG in for those adults in receipt of:
  9. NHS fully funded nursing home care?
  10. “Care at Home” – NHS Continuing Healthcare packages of care which enabled patients to remain at home?

Our response – 22 May 2020

  1. 243
  2. 130
  3. 2,245
  4. 2,012
  5. £19,401,810
  6. £20,036,324
  7. a) £9,306,996 and b) £7,788,108
  8. a) £9,097,369 and b) £8,620,886
Finance and budgets

FOI 80650 finances. Date requested 2 May 2020

Request received

I am looking for some assistance with your organisations spend and transparency data.

There appears to be no file available for the month of Feb 2020. Could you advise when the file will be made available to view online? Would it be possible for you to email me a copy of the Feb 2020 file please?

Our response – 13 May 2020

NHS Kernow can confirm in line with section 1 of the act that the information is held by the organisation. Under section 22 of the act, information intended for future publication, NHS Kernow exempt the release of the requested information. The information will be published on NHS Kernow’s website in due course.

Usually this information is published on our website within 2 months after the end of each month. However due to the COVID-19 pandemic this work has been delayed and will be published shortly.

Long term conditions

FOI 80870 arthritis services. Date requested 23 May 2020

Request received

We are comparing the different rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis biologic pathways. We kindly request if you would be able to send us your most up to date biologic pathways for these 3 conditions from all the CCGs that fall under your bracket.

Our response – 15 May 2020

Details of the biologics pathways for the 3 conditions were attached to the response. Email our FOI team for a copy of the attachments.

Mental health and learning disabilities

FOI 80860 IAPT. Date requested 22 May 2020

Request received

In relation to the IAPT service(s) which your CCG commissions, please could you tell us whether this service provides couple therapy for depression (also called behavioural couples therapy)?

Our response – 11 June 2020

Yes, behavioural couples therapy (BCT) is in the specification for our IAPT service. However, it is not currently being delivered as the trained therapists who were qualified to deliver this modality have left the organisation and have not yet been replaced. There are plans to factor the re-recruitment in this skill set into future IAPT workforce planning. However, at this time NHS Kernow cannot give the timeframe.

Organisation

FOI 80670 STP. Date requested 5 May 2020

Request received

I am writing to request information under the Freedom of Information Act regarding the leadership team of your STP. Please could provide the name of the individual and their job title, associated to each of the below work streams. In cases where there are joint leads, please include the names of both individuals.

  1. System/STP lead
  2. Independent chair
  3. Lead for workforce
  4. Lead for finance
  5. Lead for continuing healthcare

Our response – 13 May 2020

  1. Not applicable as Cornwall and the Isles of Scilly STP operates with a distributed leadership model that relies on the chief officers of NHS Kernow, Royal Cornwall NHS Hospitals Trust, Cornwall Partnership NHS Foundation Trust, Kernow Health CIC plus the strategic directors for adults and children’s services at Cornwall Council. These names are available on the respective organisations websites.
  2. John Govett, Cornwall and the Isles of Scilly health and care STP independent chair
  3. Phil Confue, chief executive of Cornwall Partnership NHS Foundation Trust
  4. Clare Bryan, system finance director, NHS Kernow
  5. John Groom, director of integrated care at NHS Kernow, holds this responsibility but is not a member of the Transformation Board. Therefore, the chief officer from NHS Kernow would represent this service area, when needed.

FOI 80850 COVID-19 risk assessments. Date requested 21 May 2020

Request received

I would appreciate a response as detailed as possible please.

Simon Stevens and Amanda Pritchard wrote to all NHS trusts and CCG chief executives on 29 April to advise that employers, on a precautionary basis, should conduct risk assessments for staff at greater risk during the COVID-19 pandemic and to act accordingly.

Has your organisation completed risk assessments on all black Asian and minority ethnic (BAME) staff? What precautions, if any, have you put in place to protect BAME staff once they’ve been risk assessed?

Our response – 12 June 2020

The majority of NHS Kernow’s staff continue to work from home. A process is in place to support any colleagues who may have additional risks factors, including BAME. This process includes risk assessment and access to support and advice from occupational health. The risk assessments, working requirements and support mechanisms are regularly reviewed in line with national guidance in order to support and protect individuals appropriately.

FOI 80880 COVID-19 risk assessments. Date requested 26 May 2020

Request received

On 29 April, the chief executive and the chief operating officer of NHS England, Sir Simon Steven and Amanda Pritchard wrote in a letter addressing the second phase of the NHS response to COVID19; a recommendation to risk-assess staff at potentially greater risk and make appropriate arrangements accordingly.

I would therefore like to make a FOI about the clinical commissioning group’s (CCGs) action in this regard, to date. This is to help assess the differences and or similarities in CCGs practices and to help inform best practices in primary care nationwide.

Please provide communications addressing:

  1. Recommendations made to your local primary care providers.
  2. Recommendations received from primary care providers.
  3. Any monitoring process that is currently in place concerning this risk assessments/ appropriate arrangements.

Our response – 10 June 2020

On 11 May 2020 NHS Kernow communicated the following recommendations and guidance to all GP practices in the weekly GP bulletin.

NHS Employers – risk assessments

NHS England and Improvement have updated their guidance for NHS employers on carrying out risk assessments for staff, particularly those potentially at more risk due to their race, age, disability or pregnancy. More specific guidance on risk assessment for BAME staff in primary care is in development. Expectation is that this will be high level and complement what has been produced nationally.

At the date of your Freedom of Information request no recommendations have been received from primary care providers or any monitoring processes in place concerning this risk assessment and appropriate arrangements.

Prescribing and pharmacies

FOI 80730 rebate schemes. Date requested 11 May 2020

Request received

I would like to request the below information.

A list of pharmaceutical products/drugs that your primary care organisation currently holds rebate agreements for.

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

NHS Kernow publishes rebate scheme information on our website.

FOI 80740 oral nutritional supplements. Date requested 12 May 2020

Request received

Can you please provide me with the following?

  1. Contact details for the medicines’ management lead on vitamin D for NHS Kernow.
  2. A copy of the latest vitamin D guidance used by the CCG for both adults and children.
  3. Any guidance or leaflets provided by the CCG regarding advice to patients on OTC or maintenance vitamin D supplementation.

Our response – 19 May 2020

NHS Kernow does not release the names of employees below director level. Andrew Abbott is the director of integrated care (primary care).

Vitamin D guidance can be found on the NHS Kernow formulary website.

A vitamin D leaflet is also available on the NHS Kernow formulary website.

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