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September 2020

In September 2020 we received 22 FOI requests. On this page you can find a full list of the requests we received, along with our response.
Children’s health

FOI 82990 mental health services. Date requested 28 September 2020

Request received

  1. Which CAMHS tier 4 inpatient services are currently commissioned by this clinical commissioning group?
  2. Which organisations are contracted to provide independent mental health advocacy for the child inpatients (aged under 18) in the CAMHS tier 4 inpatient services listed in answer to question (1)?
  3. How many children (aged under 18) received assistance as mental health inpatients from an independent advocate in 2017/18, 2018/19 and 2019/20?
  4. How many complaints from children (aged under 18) in the CAMHS tier 4 inpatient services listed in the answer to question 1 and/or their parents were recorded in 2017/18, 2018/19 and 2019/20?
  5. If you have information on the reason for those complaints please provide this.
  6. How many children (aged under 18) received assistance from an independent advocate when making a complaint in 2017/18, 2018/19 and 2019/20?
  7. How many children (aged under 18) who were mental health inpatients were placed in adult wards in 2017/18, 2018/19 and 2019/20?
  8. How many children (aged under 18) who were mental health inpatients were admitted to a hospital or unit outside their home commissioning hub area in 2017/18, 2018/19 and 2019/20?

Our response – 19 October 2020

NHS Kernow does not commission CAMHS tier 4 inpatient services and does not hold the requested information. These are commissioned by NHS England Specialised Commissioning; please contact them for more information.

Continuing healthcare

FOI 82790 personal health budgets. Date requested 21 September 2020

Request received

  1. Are you partnering with any other private or public sector organisations to deliver your personal health budgets (PHBs)? If so, please provide the names of those organisations and a summary of the services they provide to the CCG
  2. Who is responsible for the delivery of the PHB targets and what are their contact details (name, email and phone number)?
  3. Who is responsible for the delivery of the continuing healthcare programme and what are their contact details (name, email and phone number)?
  4. Who is responsible for the digital transformation within the CCG and what are their contact details (name, email and phone number)?
  5. Who is the current director of finance within the CCG and what are their contact details (name, email and phone number)?
  6. How many people in your CCG have been awarded a continuing healthcare budget and how many of these have taken up a PHB?
  7. What is the total annual spend on PHBs for your CCG, and how that spend breaks down by direct payment, third party managed and notional budgets?
  8. In the report published by NHS England you have declared 2,371 PHBs in the other category, can you please provide a breakdown of what types of PHBs these are? For example wheelchair PHBs, end of life.
  9. What software, if any, is used to manage PHBs in your CCG?
  10. What is the total annual cost for this software and what licensing model is used, for example % of budget per user or fixed cost
  11. When is the contract for the PHB software up for renewal?

Our response – 19 October 2020

  1. NHS Kernow partners with Cornwall Council who delivers carers PHBs on our behalf. We also jointly deliver them for people who are jointly funded by health and social care. Disability Cornwall and Enham provide managed account services whilst payroll direct assist budget holders with payroll services.
  2. NHS Kernow does not release the names of employees below director level, the director with responsibility for PHB targets is John Groom.
  3. NHS Kernow’s director with responsibility for the delivery of the continuing healthcare programme is John Groom.
  4. NHS Kernow’s director with responsibility for digital transformation is Andrew Abbott.
  5. NHS Kernow’s director with responsibility for finance is Clare Bryan.
  6. NHS Kernow does not record how many offers of PHBs were offered, however 335 people took up a PHB in the financial year 2019/20.
  7. For 2019/20 NHS Kernow’s spend on PHBs was as follows:
    • total spend on PHBs £9,787,921.02
    • direct payment £2,580,286.56
    • direct payment via brokerage £1,195,173.45
    • notional budget £6,012,641.01
  8. The majority of other PHBs will be carer PHBs; they could also be end of life care and Section 117 aftercare.
  9. NHS Kernow uses software called Broadcare to manage PHBs.
  10. The total annual cost for this software is £39,000.00; this is a fixed cost for 40 users.
  11. The Broadcare contract is up for renewal in March 2021.
Contracts

FOI 83030 printers. Date requested 30 September 2020

Request received

  1. Companies awarded photocopiers/MFDs, printers and print room or reprographics?
  2. Length of contracts and end dates
  3. Number of devices?
  4. Annual print and copy volume?
  5. Annual spend?
  6. Details on how these were procured. For example by framework or procurement method. If framework, please state which one.
  7. Do you have any print management software? If so, which software?
  8. Do they supply you with any scanning software (additional to the software native to the device)?
  9. What document management solutions do you currently use within your organisation?
  10. Who are the procurement and business and IT contacts within your organisation responsible for the decision on MFD’s and the contract(s)? What is their job title, and their contact telephone and email details?

Our response – 22 October 2020

  1. NHS Kernow uses Canon UK Ltd MFD machines which incorporate photocopying and printing. We do not have a print room or reprographics.
  2. 4 of these MFD machines are on one contract for 5 years with an end date of 8 June 2023. The other 4 machines are on 1 contract with an end date of 28 February 2025.
  3. NHS Kernow has 8 MFD devices.
  4. NHS Kernow does not record information on print volumes.
  5. NHS Kernow’s annual spend on our MFD machines is £46,436.04.
  6. 4 of our MFD machines were procured using a direct award on the Crown Commercial Services RM3781 multifunctional devices, managed print and content services and records and information management lot 1 framework. The other 4 devices were procured using a direct award on the Crown Commercial Services RM3781 multifunctional devices, managed print and content services and records and information management lot 2 framework.
  7. These MFD machines have uniflow software.
  8. These devices have built in scanning software.
  9. NHS Kernow does not use a document management system.
  10. NHS Kernow’s director with responsibility for procurement and business and IT contracts is our finance director, Clare Bryan.

FOI 82640 procurement. Date requested 10 September 2020

Request received

  1. Can you provide details of your current financial ledger system supplier: examples such as Oracle, One Advanced or Integra?
  2. Can you provide details if your current financial ledger system also delivers procurement services?
  3. Can you provide details of the current renewal and end date of this contract?
  4. Who is the main point of contact for this contract and their title and contact details?
  5. Which board member has responsibility for the finance department and their title and contact details?

Our response – 29 September 2020

NHS Kernow uses the Oracle financial ledger system. We use Iproc for procuring NHS national catalogue items only like stationery, all other procurements are carried out via another system. These contracts are nationally mandated by NHS England who hold the contract with Shared Business Services.

NHS Kernow’s director with responsibility for contracting is the chief finance officer, Clare Bryan.

FOI 82610 bereavement counselling. Date requested 12 August 2020

Request received

  1. Did you directly provide any bereavement support at any point in the last 3 financial years? If yes, please indicate which years.
  2. Did you commission or provide any grant funding to any organisation that provide bereavement support at any point in the last 3 years? If yes, please indicate which years.
  3. How much money, if any, did you allocate for directly providing bereavement services in each of the last 3 financial years?
  4. How much money, if any, did you allocate for commissioning/grant funding of bereavement services in each of the last 3 financial years? Please list grant and contract amounts separately.
  5. Are you aware of other organisations or bodies in the area covered by your CCG that commission bereavement services, for example a local authority? If yes, please indicate which organisations these are
  6. Have you commissioned any additional organisations or provided any additional grant funding to provide bereavement support directly in response to the COVID-19 pandemic? Please include organisations you have existing contracts with but have increased the amount of funding you have given due to the pandemic situation. If yes, please outline how much money and to how many organisations your CCG has given, and over what time period (for example a 1-year contract, 2-year contract)?
  7. Which organisations do you currently financially contract or provide grant funding to, to supply bereavement services?
  8. Please can you tell us the number of adults who benefitted from bereavement services in your CCG area in each of the last 3 financial years? Please include, where possible, an age profile within this.
  9. Have you undertaken any mapping or reviews of the availability of both formal and informal bereavement support services available in your area? If you are able, please do include any links to this work.

Our response – 22 September 2020

NHS Kernow is a commissioner of services and not a provider and therefore does not directly provide and bereavement support. NHS Kernow commissioned an organisation to provide bereavement support in the last 3 consecutive years.

NHS Kernow does not allocate any money directly for providing bereavement services and hasn’t for the last 3 financial years.

The actual grant amount for providing bereavement services for the last 3 years are as follows:

  • 2018/19 – £10,260.00
  • 2019/20 – £10,260.00
  • 2020/21 – £5,130.00 year to date (planned spend is £10,260.00 for the full financial year)

NHS Kernow has not commissioned any additional organisations or provided any additional grant funding to provide bereavement support directly in response to the COVID-19 pandemic.

NHS Kernow has a contract with Cruse Bereavement Care. NHS Kernow does not hold information detailing a breakdown of the numbers of adults who benefitted from bereavement services for any year. NHS Kernow has not undertaken any mapping or reviews of the availability of both formal and informal bereavement support services available in our area.

FOI 82470 stoma services. Date requested 2 September 2020

Request received

  1. When was stoma appliance management last discussed at Board or Governing Body?
  2. Please provide the board pack and minutes.
  3. Who is your lead for stoma appliance and accessories?
  4. What is their email address?
  5. Do you operate a centralised stoma service?
  6. Who provides the service?
  7. What are the contract start/end/review dates?
  8. What is the contract value per year?
  9. What is the total net cost of prescribing or supply of appliances for stoma.
  10. Does the CCG have any rebates in place with any companies for stoma products? If yes please provide product names, start dates and contract lengths.

Our response – 11 September 2020

The minutes and agendas for all of NHS Kernow’s Governing Body meetings are published on our website.

Stoma appliance management is part of NHS Kernow’s contract with Cornwall Partnership NHS Foundation Trust; the contract only states that is it part of the responsibilities of the district nursing teams. Please contact CFT for more information.

COVID-19

FOI 82690 COVID-19 infections. Date requested 13 September 2020

Request received

  1. The total number of your workforce as a whole.
  2. The total number of staff who have died from COVID-19 within your organisation
  3. The total number of staff who have been admitted to hospital as a result of COVID-19
  4. The total number of staff who have been properly diagnosed with COVID-19 not requiring hospitalisation
  5. The total number of staff who have had to take time off work through isolation procedures not counting when the offices were actually closed

Our response – 28 September 2020

  1. There are 272 members of NHS Kernow workforce.
  2. No members of NHS Kernow’s staff have died of COVID-19.
  3. No members of NHS Kernow’s staff have been hospitalised as a result of COVID-19.
  4. See Q3.
  5. No members of staff had to take time off work through isolation procedures before the offices were closed.
Long term conditions

FOI 82940 diabetes services. Date requested 28 September 2020

Request received

  • What alternative arrangements for structured diabetes education programmes have been commissioned or put in place to support people living with diabetes due to the COVID-19 pandemic? For example. virtual delivery via video conferencing tools, digital.
  • With the recent NHS primary care reorganisation, which organisation within your STP and ICS footprint is responsible for the commissioning of structured diabetes education programmes for people living with diabetes?
  • Could you provide contact details for the main person responsible for commissioning structured diabetes education programmes for people living with diabetes?

Our response – 6 October 2020

NHS Kernow’s alternative arrangements for our NICE recommended structured diabetes education programmes include type 1 diabetes education which is being delivered via video conferencing with specialist clinicians. There is also access to a digital offer via the My Desmond app for people newly diagnosed with Type 2 diabetes, which features diabetes-related content as well as booster sessions allowing users to interact with the programme on an ongoing basis. There is also an opportunity to ask an expert, while people can also track their activity levels and link up to their Fitbit, Google Fit or Garmin activity trackers.

NHS Kernow is responsible for the commissioning of structured diabetes education programmes for people living with diabetes.

NHS Kernow does not release the names of employees below director level. The director with responsibility for diabetes commissioning is John Groom.

Mental health and learning disabilities

FOI 83010 learning disabilities. Date requested 28 September 2020

Request received

  1. Total number of adults with learning disabilities in long term residential or supported living care funded by NHS Kernow as of 31 March 2020. Could you please break down this into number solely funded by the CCG and number joint funded with a local authority.
  2. Number of adults with learning disabilities in long term residential or supported living care funded by NHS Kernow as of 31 March 2020. Please breakdown by average weekly fee or cost of care and care settings.
  3. Please provide the corresponding information as of 31 March 2018.
  4. Please provide the corresponding information as of 31 March 2015.

Our response: 19 October 2020

The total number of adults (ages 18 to 64) with learning disabilities in long term residential or supporting living care funded by NHS Kernow as of 31 March 2020 is as follows:

  • NHS Kernow funded – 48
  • Joint funded with Cornwall Council – 20

Please see below for the number of adults (ages 18 to 64) with learning disabilities in long term residential or supported living care funded by NHS Kernow as of 31 March 2020:

Less than £1,500 £1,500-£2,500 More than £2,500
Residential care *Less than 5 15 33
Supported living 7 *Less than 5 7

Please see below for the number of adults (ages 18 to 64) with learning disabilities in long term residential or supported living care funded by NHS Kernow as of 31 March 2018:

Less than £1,500 £1,500-£2,500 More than £2,500
Residential care 8 10 19
Supported living *Less than 5 6 5

Please see below table for the number of adults (ages 18 to 64) with learning disabilities in long term residential or supported living care funded by NHS Kernow as of 31 March 2015:

Less than £1,500 £1,500-£2,500 More than £2,500
Residential care 12 10 17
Supported living 0 *Less than 5 *Less than 5

* Please note for numbers less than 5, NHS Kernow exempts the release of this information under section 40 of the Freedom of Information Act 2000 – Personal Information, as it could identify individuals involved.

FOI 82980 learning disabilities. Date requested 28 September 2020

Request received

  1. Who is the LeDeR local area contact (LAC) for the CCG?
  2. How many local reviewers are engaged by the CCG? Of these, how many are permanent employees?
  3. How many LeDeR notifications did the CCG receive in 2018?
  4. How many LeDeR notifications did the CCG receive in 2019?
  5. How much did the CCG spend on agency or independent LeDeR reviewers in the last financial year (1 April 2019 to 31 March 2020)?
  6. How are reviewers paid (for example hourly, daily, or per review completed) and what is the average or standard rate of pay?

Our response: 9 October 2020

  1. NHS Kernow does not release the names of employees below director level, the director with responsibility for learning disabilities is John Groom.
  2. NHS Kernow employs 7 local reviewers on a permanent basis.
  3. NHS Kernow received 31 LeDeR notifications in 2018.
  4. NHS Kernow received 32 LeDeR notifications in 2019.
  5. Not applicable, NHS Kernow employees LeDeR reviews so does not use agency or independent reviewers.
  6. NHS Kernow’s reviewers are Agenda for Change band 7, they are paid an hourly rate.

FOI 82800 mental health services. Date requested 5 October 2020

Request received

  1. Total number of adults age 65+ with mental, physical or learning disabilities, receiving care, where your CCG is the primary funder. Provide data as of 31 March 2020, by care requirement.
  2. Please provide the corresponding information as of 31 March 2018.
  3. Please provide the corresponding information as of 31 March 2016
  4. Total number of adults age 65+ with a neuro-degenerative disease (excluding dementia), acquired brain injury and spinal cord injury (please separate if possible), mental health, receiving care, where your CCG is the primary funder. Please provide data as of 31 March 2020, by primary condition and severity of condition.
  5. Please provide the corresponding information as of 31 March 2018.
  6. Please provide the corresponding information as of 31 March 2016.

Our response: 5 October 2020

Please see below number of patients aged 65 and older by care requirement where NHS Kernow is the primary funder of care. Please note we are unable to break the data down any further than what is given:

Mental disability:

  • As at 31/03/2020: 668
  • As at 31/03/2018: 543
  • As at 31/03/2016: 733

Physical disability:

  • As at 31/03/2020 – 658
  • As at 31/03/2018 – 815
  • As at 31/03/2016 – 925

Learning disability:

  • As at 31/03/2020 – 11
  • As at 31/03/2018 – 13
  • As at 21/03/2016 – 9

Other:

  • As at 31/03/2020 – 242
  • As at 31/03/2018 – 364
  • As at 21/03/2016 – 442

Please see below number of patients by care requirement (ages 65+) where NHS Kernow is the primary funder of care, please note we are unable to break the data down any further than what is given:

Neuro-degenerative disease (excluding dementia):

  • As at 31/03/2020 – 110
  • As at 31/03/2018 – 118
  • As at 31/03/2016 – 150

Acquired brain injury (ABI):

  • As at 31/03/2020 – 7
  • As at 31/03/2018 – 8
  • As at 31/03/2016 – Less than 5

Spinal cord injury:

  • As at 31/03/2020 – Less than 5
  • As at 31/03/2018 – Less than 5
  • As at 21/03/2016 – Less than 5

Mental health:

  • As at 31/03/2020 – 668
  • As at 31/03/2018 – 543
  • As at 21/03/2016 – 733

FOI 82760 mental health services. Date requested 17 September 2020

Request received

  1. The total number of adults (ages 18-64) with mental, physical or learning disabilities, receiving care, where your CCG is the primary funder, as of 31 March 2020, by care requirement
  2. Please provide the corresponding information as of 31 March 2018.
  3. Please provide the corresponding information as of 31 March 2016
  4. The total number of adults (ages 18-64), with neuro-degenerative disease (excluding dementia), acquired brain injury + spinal cord injury (please separate if possible), mental health, receiving care, where your CCG is the primary funder, as of 31 March 2020, by primary condition and severity of condition.
  5. The total number of adults (both ages 18-64, and 65+ years old), with early onset or complex dementia, receiving care, where your CCG is the primary funder, as of 31 March 2020, by primary condition and severity of condition.
  6. Please provide the corresponding information as of 31 March 2018.
  7. Please provide the corresponding information as of 31 March 2016

Our response – 2 October 2020

Please see below number of patients by care requirement (ages 18 to 64) where NHS Kernow is the primary funder of care, please note we are unable to break the data down any further than what is given.

Mental disability:

  • As at 31/03/2020 – 103
  • As at 31/03/2018 – 76
  • As at 31/03/2016 – 50

Physical disability:

  • As at 31/03/2020 – 147
  • As at 31/03/2018 – 144
  • As at 31/03/2016 – 151

Learning disability:

  • As at 31/03/2020 – 177
  • As at 31/03/2018 – 140
  • As at 21/03/2016 – 30

Please see below number of patients by care requirement (ages 18 to 64) where NHS Kernow is the primary funder of care, please note we are unable to break the data down any further than what is given.

Neuro-degenerative disease (excluding dementia):

  • As at 31/03/2020 – 38
  • As at 31/03/2018 – 32
  • As at 31/03/2016 – 38

Acquired brain injury (ABI):

  • As at 31/03/2020 – 12
  • As at 31/03/2018 – 11
  • As at 31/03/2016 – 12

Spinal cord injury:

  • As at 31/03/2020 – 14
  • As at 31/03/2018 – 12
  • As at 21/03/2016 – 9

Mental health:

  • As at 31/03/2020 – 103
  • As at 31/03/2018 – 76
  • As at 21/03/2016 – 50

Early on-set or complex dementia (18 to 64 years old):

  • As at 31/03/2020 – 22
  • As at 31/03/2018 – 17
  • As at 21/03/2016 – 14

Early on-set or complex dementia (65+ years old):

  • As at 31/03/2020 – 608
  • As at 31/03/2018 – 679
  • As at 21/03/2016 – 897

FOI 82600 mental health services. Date requested 9 September 2020

Request received

  • A copy of your policy and/or procedure and/or arrangements for the supply of urgent beds under section 140 of the Mental Health Act 1983. Please indicate if you do not have one.
  • List of hospitals used for urgent beds under section 140
  • A copy of any joint policy for admissions – shared with your local authority, providers, police and ambulance service – on what to do when a bed cannot be found.
  • 4The number of deaths – if any – in your area where access to a hospital bed was awaited for the following financial years: 2017/18, 2018/19 and 2019/20
  • How many acute mental health beds to you plan to commission over the following financial years: 2020/21, 2021/22 and 2022/23

Our response – 2 October 2020

NHS Kernow’s policy for the supply of urgent beds under section 140 of the Mental Health Act is currently under review, it will be published in due course.

Cornwall Partnership NHS Foundation Trust (CFT) is the hospital trust used for urgent beds under section 140.

There is an escalation process in place with providers, please contact CFT for more information.

NHS Kernow does not hold the information on the number of deaths, please contact CFT for more information.

NHS Kernow currently commissions a total of 135 beds. At this time, there are no plans to reduce or increase the bed capacity, noting however that fur to the COVID-19 pandemic, some beds have been repurposed, and this is under regular review.

Organisation

FOI 82930 equality. Date requested 27 September 2020

Request received

  1. For 1 April 2010 to 31 March 2020, information provided by financial year, your Public Sector Equality Duty (PSED) compliance policy and reports on how you’ve met this policy.
  2. For 1 April 2010 to March 2020, information provided by financial year, provide a list of all LGBT organisations you have consulted; received training from or helped formulate training for trust staff. For example Stonewall, Mermaids, Gendered Intelligence, GIRES, Action LGBT, Trans Health. Please include classroom based and e-learning; paid monies to for goods and services, advertised on your website or intranet, links or print-outs of information or granted permission to display, share or use trust logo.
  3. For 1 April 2020 to 31 March 2020, information provided by financial year, provide a list of all women’s organisations (local or national domestic abuse or rape crisis charities, Women’s Budget Group, Timewise, Pregnant then Screwed, Woman’s Place UK, Fair Play for Women)
  4. The money spent annually, during this same period, on supporting and promoting LGBT groups and causes. Please include LGBT or rainbow merchandising, such as involvement in diversity champion schemes, lanyards, flags, posters and other materials; attending conferences and events and training for Trust staff. Including classroom based and e-learning; subscriptions and donations to LGBT organisations such as Stonewall, Gendered Intelligence and Mermaids, GIRES, Action LGBT, Trans Health.
  5. The money spent annually, during this same period, on supporting and promoting women’s groups and causes including:
    • International Women’s Day, domestic violence merchandising. Such as involvement in champion schemes, lanyards, flags, posters and other materials. Please separately list schemes to tackle domestic violence from the overall spending.
    • Attending conferences and events and training for trust staff. Including classroom based and e-learning
    • subscriptions and donations to women’s organisations such as local or national domestic abuse or rape crisis charities, Women’s Budget Group, Timewise, Pregnant then Screwed, Woman’s Place UK, Fair Play for Women
  6. Can you forward all of your official policies for the following? Please detail the contribution each LGBT group made to each policy and guideline.
    • your staff and patient equality policy
    • women’s policy
    • LGBT policy and transgender policy
    • children’s transgender policy
    • any inpatient school materials
    • any patient treatment guidelines
    • patient literature or posters written in conjunction with the LGBT groups
  7. Can you forward all of your official policies for the following? Please name and each women’s group and detail the contribution each made to policy/guidelines.
    • your staff and patient equality policy
    • women’s policy
    • LGBT policy and transgender policy
    • children’s transgender policy
    • any inpatient school materials any patient treatment guidelines
    • patient literature or posters written in conjunction with the women’s groups
  8. Did your trust obtain legal advice to determine the legality of the transgender policy, specifically in terms of the Equality Act (2010) and single-sex exemptions? If so, what law firm did you consult with, and what were the associated costs?
  9. Which staff roles and other NHS organisations provided input to your transgender policy? Please include name of NHS organisation, date and policy referred to? Who is the executive owner of the transgender policy? Please include the approved committee consultation comments, where were they taken from and which role reviewed them. Please name any internal networks, committees or groups also consulted.

Our response: 20 October 2020

NHS Kernow does not have a separate Public Sector Equality Duty (PSED) compliance policy. In line with section 21 of the Freedom of Information Act (information reasonable accessible by other means) our current compliance report information is already accessible on our website.

Please note NHS Kernow was formed on 1 April 2013 and cannot provide information relating to the former primary care trust (2012 to 2013). Please contact the Department of Health’s legacy team to request this information.

NHS Kernow took part in Stonewall diversity champions programme between 7 September 2018 and 6 September 2020. During the same period we received training for Stonewall champions and leadership programme. We paid for this service and were granted permission to use the Stonewall logo.

NHS Kernow has not consulted any women’s organisations from 1 April 2020 to 21 March 2020. On an ad-hoc basis we have promoted publicity items in relation to activities from such groups.

NHS Kernow spends £2,500.00 +VAT per annum for membership to Stonewall. NHS Kernow purchased 2 lots of NHS rainbow lanyards at £102.00 +VAT each. In 2019 NHS Kernow paid £6,300.00 for the Stonewall LGBTQ+ allies programme.

NHS Kernow has not spent any money supporting or promoting women’s groups and causes.

In line with section 21 of the Freedom of Information Act 21 (information reasonable accessible by other means), all of NHS Kernow’s policies are available on our website. No women’s groups were consulted on these policies.

NHS Kernow does not have a specific transgender policy. Gender reassignment is commissioned by NHS England Specialist Commissioning. Therefore we would rely on their policy, please contact them for more information. Within NHS Kernow’s assisted conception policy we have a section on cryopreservation to preserve fertility which specifically mentions the transgender pathway. NHS Kernow did not seek legal advice for this policy.

As above please contact NHS England Specialist Commissioning for more information on the transgender policy. NHS Kernow does not release the names of employees below director level; the director with responsibility for the assisted conception policy is John Groom.

FOI 82660 STP. Date requested 11 September 2020

Request received

  1. A copy of the latest draft or iteration of the ICS/STP’s 5-year plan.
  2. A copy of the organisational structure of the ICS/STP.
  3. A full list of the member organisations of the ICS/STP.
  4. A copy of the ICS/STP’s workforce strategy.
  5. A copy of any assessment the STP/ICS made of the condition and quality of NHS estates across the system, for example a strategic estates plan?
  6. Details of documentation regarding any service reconfiguration plans the STP/ICS has.
  7. Please confirm whether the STP/ICS holds public board and leadership team meetings? And please confirm the frequency of those meetings if so.
  8. Since the formation of the STP/ICS what engagement has been carried out? Please detail public meetings, formal consultation, meetings with system leaders and relevant formal letters sent.
  9. What public or clinical engagement is planned for developing or finalising the system’s 5-year plan?

Our response 9 October 2020

In line with section 21 of the Freedom of Information act, this information is already accessible. The latest version of Cornwall and the Isles of Scilly’s STP 5-year plan is available on the Cornwall and the Isles of Scilly Health and Care Partnership website.

In line with section 21 of the Freedom of Information act this information is already accessible. A copy of Cornwall and the Isles of Scilly’s organisational structure plan is available on the Cornwall and the Isles of Scilly Health and Care Partnership website.

The member organisations are as follows:

  • Cornwall Council
  • Council for the Isles of Scilly
  • Royal Cornwall Hospitals NHS Trust
  • Cornwall Partnership NHS Foundation Trust
  • University NHS Hospitals Plymouth
  • NHS Kernow Clinical Commissioning Group
  • Kernow Local Medical Committee
  • Kernow Health CIC
  • Cornwall Voluntary Sector
  • representatives from primary care as well as a care sector representative on behalf of care homes

In line with section 21 of the Freedom of Information act this information is already accessible. Key estates information is available on the Cornwall and the Isles of Scilly Health and Care Partnership website.

NHS Kernow’s long term plan sets out how services will change over the medium term. This is due to be reviewed in the light of our phase 2 COVID recovery plans, which are just being finalised, and the accelerated transformation that formed part of our COVID response locally.

STP/ICS Partnership Senate meetings are held publicly every quarterly. The next meeting will take place on 15 October 2020 and starts at 10am. Diary invites can be requested by contacting NHS Kernow’s corporate governance team.

There were 2 significant phases of engagement early on in the life of the STP that helped shape our model of care and priorities. For documents detailing our engagement on the long term plan please email our FOI team. Further engagement will focus on the programmes of work rather than on the plan itself, in line with our commitment to take forward service development with input from local stakeholders.

FOI 82590 equality. Date requested 9 September 2020

Request received

  1. How many members of staff in your trust or group have any of the words equality, diversity or inclusion in their job title.
  2. How many members of staff of your trust or group have received unconscious bias training in each of the last 5 years.

Our response 5 October 2020

NHS Kernow has 1 employee with the word equality, diversity or inclusion in their job title.

No members of staff at NHS Kernow have received unconscious bias training in the last 5 years.

Prescribing and pharmacies

FOI 83020 rebate schemes. Date requested 29 September 2020

Request received

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 – 30 September 2020

This information is publicly available on NHS Kernow’s website.

Referral management

FOI 82720 urology services. Date requested 16 September 2020

Request received

I would like to know how many such circumcisions were carried out by NHS Kernow in the years 2018 and 2019, or any similar time period for which records are readily available. If possible I would like to be provided with a break down of the ages of the patients at the time of the procedure; either in the way in which this information is already recorded by yourselves, or in the following way:

  • ages 0-5
  • ages 6-11
  • ages 12-17
  • ages 18+

I would also like a list of the hospitals or other NHS Kernow facilities that have carried out this procedure in the time period set out above or in a similar time period. Or other non-NHS Kernow facilities, such as those falling within the jurisdiction of other CCGs or those in the private sector.

Our response 5 October 2020

Please see below the numbers of circumcisions carried on NHS Kernow patients in 2018 and 2019.

2018:

  • 0-5 years – 19
  • 6-11 years – 34
  • 12-17 years – 22
  • 18+ years – 182

2019:

  • 0-5 years – 8
  • 6-11 years – 39
  • 12-17 years – 35
  • 18+ years – 244

These were carried out by the following providers;

  • Barking, Havering and Redbridge University Hospitals NHS Trust
  • BMI – The Chiltern Hospital
  • Duchy Hospital
  • Northern Devon Healthcare NHS Trust
  • Nuffield Health, Plymouth Hospital
  • Royal Cornwall Hospitals NHS Trust
  • Royal Devon and Exeter NHS Foundation Trust
  • University College London Hospitals NHS Foundation Trust
  • University Hospitals Bristol and Weston NHS Foundation Trust
  • University Hospitals Plymouth NHS Trust

FOI 82730 assisted conception. Date requested 16 September 2020

Request received

  1. Does your CCG currently offer IVF/assisted conception for any of the following: heterosexual couples, same-sex couples or single women?
  2. What is the required length of subfertility for the following (if applicable): heterosexual couples, same-sex couples or single women?
  3. Providing individuals or couples meet the required eligibility criteria, how many cycles, what type of cycle and/or treatment is available to the following: heterosexual couples, same-sex couples or single women?
  4. Can individuals or couples have had any prior IVF treatment (NHS or privately funded)? If so, what is permitted?
  5. What is the required age range for individuals wishing to access fertility treatment?
  6. What are the necessary health requirements and criteria for individuals wishing to access fertility treatment?
  7. Can individuals wishing to access fertility treatment have existing children?
  8. What is the eligibility criteria for the partners of individuals wishing to undergo treatment?
  9. Is there any additional eligibility criteria that individuals should be aware of if wishing to access treatment?

Our response – 23 September 2020

NHS Kernow publishes our treatment policy for assisted conception which answers all of your questions on our website.

FOI 82700 assisted conception. Date requested 14 September 2020

Request received

Re COVID-19 and patient eligibility for assisted conception services, any information regarding NHS Kernow CCG’s approach to patient eligibility for assisted conception services, in cases where:

  • under normal circumstances, there exists an upper age limit for access to assisted conception services
  • delays related to the COVID-19 pandemic have resulted in (or may result in) patients exceeding that limit.

Our response – 23 September 2020

NHS Kernow publishes our treatment policy for assisted conception which answers all of your questions on our website.

NHS Kernow has agreed to review on a case by case basis any individuals who were delayed due to COVID-19 and subsequently exceeded those limits

FOI 82580 RTT. Date requested 9 September 2020

Request received

The total number of occasions per calendar month when a patient died while on an incomplete RTT pathway, for each month from January 2018 to the latest available month (July or August 2020).

Our response 25 September 2020

See below information for NHS Kernow, please note this data only covers patients referred to Royal Cornwall Hospitals NHS Trust, NHS Kernow does not hold any other data. Patients have the right to choose where they are referred, so this is not a complete dataset for all patients in Cornwall, in order to collate a full dataset you would need to contact each provider with an NHS contract for this information. The nearest trusts that patients could be referred to are Royal Devon and Exeter NHS Foundation Trust and University Hospitals Plymouth NHS Trust.

It’s possible that patients could be on multiple waiting lists at the time of their death so they could be double counted in the figures below. The figures below count individual incomplete pathways, not unique patients.

Month 2018 2019 2020
January 30 23 31
February 17 17 18
March 12 18 22
April 22 21 24
May 25 16 10
June 18 21 18
July 24 13 16
August 11 15 7
September 13 12
October 17 14
November 26 18
December 19 18
Urgent care

FOI 82510 out of hours contract. Date requested 3 September 2020

Request received

  1. How many patients have used the 111 service for accident and emergency since the 111 First campaign launched on 30 June?
  2. What have been the outcomes for these patients? How many have been booked A&E appointments? How many have been sent to ‘hot clinics’ or urgent treatment centres’? How many have been referred to primary care? How many were not referred to any health service at all? What other outcomes were there?
  3. Can the above be broken down by month please?
  4. Could you also please provide comparative stats for how many calls 111 has received from 30 June to today (September 3) and the same period last year? How many more patients are contacting 111 for 111 First this year, as opposed to last year’s call volumes?

Our response – 22 September 2020

  1. 46,797 calls have been made to Cornwall’s 111 service for accident and emergencies since it was launched on 30 June.
  2. From the data we hold NHS Kernow can determine that 60% of calls had clinical contact, 2,125 attended the emergency department and 3,608 were attended to by ambulance. For more information please contact the main contract holders Royal Cornwall Hospitals Trust (RCHT)
  3. NHS Kernow does not hold a month by month breakdown; please contact RCHT as per the above.
  4. For the same period last year, 30 June to 3 September, Cornwall’s 111 service received 31,868 calls.

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