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NHS Kernow’s website closed on 30 June 2022. Visit the NHS Cornwall and Isles of Scilly Integrated Care Board website for information about our health and care services.

April 2022

In April 2022 we received 17 FOI requests. On this page you can find a full list of the requests we received, along with our response.
Children’s health

FOI 90620. Autism. Date requested 6 April 2022

Request received

  1. How many children with suspected autism received a first diagnostic appointment in the year up to 31 March 2022?
  2. How many of these children waited more than 13 weeks for that first appointment?
  3. What was the average wait time?
  4. What were the longest 3 wait times for these children?
  5. How many children with suspected autism received a first diagnostic appointment in the year up to 31 March 2021?
  6. How many of these children waited more than 13 weeks for that first appointment?
  7. What was the average wait time?
  8. How many children with suspected autism received a first diagnostic appointment in the year up to 31 March 2021?
  9. How many of these children waited more than 13 weeks for that first appointment?
  10. What was the average wait time?
  11. How many children with suspected autism received a first diagnostic appointment in the year up to 31 March 2020?
  12. How many of these children waited more than 13 weeks for that first appointment?
  13. What was the average wait time?
  14. How many children with suspected autism received a first diagnostic appointment in the year up to 31 March 2029?
  15. How many of these children waited more than 13 weeks for that first appointment?
  16. What was the average wait time?
  17. How many children with suspected autism are currently waiting for their first diagnostic appointment?
  18. What is the average wait time for these children?
  19. How many of these children have been waiting for more than 13 weeks?
  20. What are the longest 3 wait times for these children?

Our response

NHS Kernow does not hold the information requested. Please email Cornwall Partnership NHS Foundation Trust who are the service provide.

Clinical management

FOI 90660. Weight management services. Date requested 8 April 2022

Request received

  1. A list of tier 3 and tier 4 weight management services that are commissioned by your clinical commissioning group (CCG).
  2. Contact details for the above weight management services
  3. The referral criteria, including inclusion and exclusion criteria, for each of the above services
  4. How many patients from the GP practices in this CCG have been referred to these services since January 2017?
  5. How many of these patients referred in the past 5 years are on the GP severe mental illness register?

Our response

NHS Kernow commissions the tier 3 weight management service as part of the bariatric service (tier 4) at Royal Cornwall Hospitals Trust. Please email Royal Cornwall Hospitals NHS Trust for this information.

Referral criteria is available on the referral management service website.

FOI 90700. Pulmonary rehab services. Date requested 12 April 2022

Request received

  1. Who commissions the pulmonary rehab services your patients have access to and who provides these services?
  2. When did the services first commence?
  3. How many patients have been referred to the service in the last 12 months and 24 months of data held?
  4. Of these being referred how many have actually attended the service in these same time periods?
  5. How long does the average patient stay within the services?
  6. What is the current waiting list size for the service?
  7. What is the current remaining contract durations for these services?
  8. Has the clinical commissioning group ever commissioned digital respiratory services? If so, were these for pulmonary rehab, who were the providers and how many patients have utilised this digital element?

Our response

  1. NHS Kernow commissions the services, which is provided by Cornwall Partnership Foundation Trust.
  2. November 2019.
  3. April 2020 to March 2021: 230. April 2021 to March 2022: 497.
  4. April 2020 to March 2021: 75. April 2021 to March 2022: 254.
  5. 16 weeks.
  6. 190 patients.
  7. NHS contracts reviewed annually.
  8. Yes. NHS Kernow does not hold the information requested; this may be available from Cornwall Partnership NHS Foundation Trust.

FOI 90720. AMD services. Date requested 19 April 2022

Request received

  1. Provide the name of all providers delivering AMD services on behalf of your clinical commissioning group (CCG).
  2. By provider, the total number of AMD patients seen within 2019 to 2020.
  3. By provider, provide the total number of AMD patients seen within 2020 to 2021.
  4. By provider, provide the total number of AMD patients seen within 2021 to 2022.
  5. When is the current AMD contract is due to expire?
  6. Is there an option to extend this contract, and if so, for how long?
  7. The name and contract details for the individual who manages this contract within your CCG.

Our response

  1. AMD services are provided by our local NHS Trusts: Royal Cornwall Hospitals Trust, University Hospital Plymouth Trust, Royal Devon University Healthcare NHS Foundation Trust.
  2. We do not hold this information, please contact the providers direct.
  3. As above.
  4. As above.
  5. Not applicable.
  6. Not applicable.
  7. NHS Kernow does not release the names of employees below director level. John Groom, director for planned care, email John Groom.
Continuing healthcare

FOI 90630. Domiciliary care. Date requested 7 April 2022

Request received

  1. How are your adult generic continuing healthcare (CHC) homecare packages commissioned (notional budgets)?
  2. Can you please provide information on the pricing structure for your generic CHC homecare packages?
  3. Do you include mileage and travel time in your generic CHC home care rates?
  4. Would you be happy to share your generic CHC home care service specification with us?
  5. How are your adult fast track homecare packages commissioned?
  6. Can you please provide information on the pricing structure for your fast track CHC homecare packages?
  7. Do you include mileage and travel time in your fast track CHC home care rates?
  8. Would you be happy to share your fast track CHC home care service specification with us?
  9. How are your adult section 117 homecare packages commissioned?
  10. Can you please provide information on the pricing structure for your adult section 117 homecare packages?
  11. Do you include mileage and travel time in your adult section 117 homecare packages rates?
  12. Would you be happy to share your adult section 117 homecare service specification with us?
  13. How are your adult discharge to assess (pathway 1) homecare packages commissioned?
  14. Can you please provide information on the pricing structure for your adult discharge to assess (pathway 1) homecare packages?
  15. Do you include mileage and travel time in your adult discharge to assess (pathway 1) homecare rates?
  16. Would you be happy to share your adult discharge to assess (pathway 1) homecare service specification with us?

Our response

Our response was provided in the attachment required to answer this request. Email our FOI team for a copy of the response.

FOI 90750. Community nursing and care. Date requested 27 April 2022

Request received

I would like to request information regarding your total annual expenditure and average annual expenditure per service user for mental and physical health community nursing and residential care home services. I am requesting this data for the past 5 financial years broken down by the categories in the list below:

  • acquired brain injuries
  • neurodegenerative diseases
  • cognitive disorders
  • psychotic and personality disorders
  • learning disabilities and autistic spectrum disorder
  • physical disabilities

Our response

Our response was provided in the attachment required to answer this request. Email our FOI team for a copy of the response.

FOI 90760. Community nursing and care. Date requested 27 April 2022

Request received

I would like to request information regarding your total annual expenditure and average annual expenditure per service user for mental and physical health community nursing and residential care home services. I am requesting this data for the past 5 financial years.

  • acquired brain injuries
  • neurodegenerative diseases
  • cognitive disorders
  • psychotic and personality disorders
  • learning disabilities and autistic spectrum disorder
  • physical disabilities

Our response

Our response was provided in the attachment required to answer this request. Email our FOI team for a copy of the response.

COVID-19

FOI 90730. Operational costs. Date requested 21 April 2022

Request received

  1. The number of COVID-19 vaccination centres the CCG paid private firms to operate in the periods March 2021 and March 2022.
  2. The amount of money the CCG paid for premises to run Covid-19 vaccination centres in the period 1 January 2021 to March 2021; and 1 January 2022 to 31 March 2022.
  3. The number of jabs given at vaccination centres in the period of March 2021 and the period of March 2022.
  4. Staff costs associated with running vaccination centres from 1 January 2022 to 31 March 2022.

Our response

  1. NHS Kernow did not pay any private firms as we did not commission vaccination centres.
  2. Nil.
  3. NHS Kernow does not hold this information.
  4. NHS Kernow does not hold this information.
Mental health and learning disabilities

FOI 90740. Learning disability and autism. Date requested 25 April 2022

Request received

  1. How many people with a learning disability or autism are on the learning disability register in your area? If the data is available, could you break this figure down by ethnicity?
  2. How many people with a learning disability or autism have died in your area over the last 5 years (please supply this information annually, from 2017 to 2022 or the year in which the latest data is available)?
  3. How many learning disability mortality review (LeDeR) notifications have been made by the CCG in the last 5 years (please supply this information annually, from 2017 to 2022 or the year in which the latest data is available)?

Our response

  1. There are 2,624 individuals over 18 on the Cornwall and Isles of Scilly learning disability register. There are 422 individuals aged 14 to 18.
  2. NHS Kernow does not hold this information.
  3. NHS Kernow does not hold this information.
  4. This information is published in the learning disability mortality review annual reports available on our website.
Miscellaneous

FOI 90640. Healthcare options. Date requested 7 April 2022

Request received

  1. How many hospitals are in your area? (NHS and private)?
  2. How many hospitals with emergency department units are in your area?
  3. How many minor injury units are in your area (NHS and private)?
  4. How many GP and doctors surgeries are in your area (NHS and private)?
  5. How many health clinics are in your area (NHS and private)?
  6. How many high-street pharmacies are in your area (including pharmacies located inside of other high-street stores)?

Our response

  1. 12 NHS and 1 private.
  2. There is 1 hospital in Cornwall which has an emergency department status and 1 which provides urgent care.
  3. There are 10 minor injury units.
  4. 57 GP and doctor surgeries.
  5. NHS Kernow does not hold this information. This may be available from Cornwall Partnership NHS Foundation Trust, who are the providers of this service.
  6. NHS Kernow does not hold this information. NHS England hold the pharmaceutical services contract and may be able to provide this information. Email NHS England or you may wish to use an on-line search facility for pharmacists in geographical areas.

FOI 90690. Primary care EMR systems. Date requested 12 April 2022

Request received

Could you provide a list of the following in your area:

  • practice name and code
  • GP system
  • switching to
  • switching date

The last 2 are in relation to practices which are due to change system (for example Vision to EMIS Web). I would like to know the system to which they are switching and the proposed switch over date.

Our response

This is the list for Cornwall and the Isles of Scilly. Please note that there are no planned migrations at present.

Practice name Practice code GP system
Lander Medical Practice L82001 TPP
Port Isaac Surgery L82003 EMIS
Wadebridge and Camel Estuary Practice L82004 EMIS
Penryn Surgery L82006 TPP
Medical Centre Camelford (Dr Nash) L82007 EMIS
Stratton Medical Centre L82008 TPP
Carnewater Practice L82009 EMIS
Stillmoor House Medical Practice L82010 EMIS
Brannel Surgery L82011 TPP
Tamar Valley Health L82012 TPP
Perranporth Surgery L82013 TPP
Chacewater Health Centre L82015 TPP
Oak Tree Surgery L82016 EMIS
St Mary’s Health Centre L82017 TPP
Helston Medical Centre L82018 TPP
Old Bridge Surgery L82022 EMIS
Petroc Group Practice L82023 EMIS
Mevagissey Surgery L82025 TPP
Middleway Surgery L82026 EMIS
Three Spires Medical Practice L82028 TPP
Narrowcliff Surgery L82029 EMIS
Launceston Medical Centre L82030 TPP
Fowey River Practice L82035 EMIS
Bodriggy Health Centre L82036 EMIS
Atlantic Medical Group L82038 EMIS
Lostwithiel Surgery L82039 EMIS
Carn To Coast Health Centres L82041 EMIS
Leatside Health Centre L82042 EMIS
Quay Lane Surgery L82043 EMIS
Veor Surgery L82044 EMIS
Probus Surgery L82045 TPP
Saltash Health Centre L82046 TPP
Marazion Surgery L82047 EMIS
Roseland Surgeries L82048 TPP
Falmouth Health Centre L82049 EMIS
Rosedean Surgery L82050 EMIS
Clays Practice L82051 TPP
Trescobeas Surgery L82052 TPP
St Agnes Surgery L82054 TPP
The Mullion and Constantine Group Practice L82056 TPP
St Keverne Health Centre L82057 TPP
Bottreaux Surgery L82058 EMIS
Meneage Street Surgery L82059 TPP
Carnon Downs Surgery L82061 TPP
Port View Surgery L82066 EMIS
Praze-an-Beeble Surgery L82068 EMIS
Sunnyside Surgery L82070 EMIS
Medical Centre Camelford (Dr Garrod) L82618 EMIS
Harris Memorial Surgery L82620 EMIS
Westover Surgery L82622 EMIS
Rame Group Practice Y00969 EMIS
Rosmellyn Surgery Y01050 EMIS
Morrab Surgery Y01051 EMIS
Neetside Surgery Y01127 TPP
Stennack Surgery Y01922 EMIS
Newquay Health Centre Y02517 EMIS
St Austell Health Group Y04957 TPP

FOI 90780. Community diagnostic centres. Date requested 29 April 2022

Request received

  1. Did you assign a lead employer for the workforce?
  2. Did you create a workforce strategy to support roll out of the model?
  3. Are staffed rotated across primary and secondary care and the CDC model or other?
  4. Did you recruit additional staff and if so what roles, for example radiographer?
  5. Is the private sector utilised in the model and how?
  6. What is the workforce composite?
  7. Is the model aligned to training academies and elective surgical hubs? If yes, please explain how.

Our response

  1. No, our system workforce is made up of multiple providers and subsequently so will our community diagnostic centres (CDC) workforce.
  2. There is currently no separate workforce model for the implementation of CDCs in our area. We are aligned with workforce strategies being co-created within our regional imaging and pathology networks.
  3. As per number 1, our CDCs will be staff by multiple providers across our system and potentially beyond (in instances where we do not have the workforce availability and need to subcontract this via independent sector organisations).
  4. The only staff currently recruited as part of year 1 and early adopter modalities, have been phlebotomy staff.
  5. We are making assumption that this question relates to independent sector providers providing NHS care. They are utilised in our model under local procurement and competition regulations.
  6. Mixture of above.
  7. Yes, this our regional imaging and pathology networks and whole system workforce plans.
Organisation

FOI 90610. ICS and ICBs. Date requested 5 April 2022

Request received

  1. The number and names of the individual places being established within your integrated care system (ICS) and/or integrated care board (ICB).
  2. The name of the executive leaders of each place if chosen, or please state if not yet chosen.
  3. The governance form of each place, for example consultative forum, delegation within ICB, committee of ICB, joint committee, lead provider (include which provider). Please state if not yet chosen.
  4. The provider collaboratives which are operating or will be operating in 2022 to 2023 within the ICB and ICS area (including any which cover a wider are than the ICB and ICS).
  5. The names and job titles and roles of individuals so far appointed (or appointed in designate) to the ICB’s board so far.

Our response

  1. NHS Kernow is establishing 3 integrated care areas (ICA’s); west Cornwall, north and east Cornwall and central Cornwall. These ICA’s are built around our primary care networks.
  2. With a population of approximately 650,000, the Cornwall and Isles of Scilly ICB is smaller than many other ICB’s. Therefore, we shall have only 1 executive leader, Kate Shields, the ICB’s chief executive. The ICB chief executive will be supported by a non-executive director and by 3 managing directors, one responsible for each of the ICAs. They will work in partnership with the place based clinical leadership teams.
  3. At this stage each ICA will have a committee reporting to the ICB board as well as its own ICA forum.
  4. Established collaboratives are in place, which cover mental health, children’s and cancer across the peninsular.
  5. The names and job titles of those appointed are published on the Cornwall and Isles of Scilly Health and Care Partnership website. This will be updated when further appointments are announced.

FOI 90650. Information technology. Date requested 7 April 2022

Request received

  1. Can you please list the number of devices deployed by your organisation?
  2. Does your organisation have any plans for refreshing or replacing the devices?
  3. Does your organisation have any plans for developing, refreshing, or replacing IT or ICT software applications?

Our response

Device type Number of devices
Laptops 389
Mobile phones 326
Printers 3

Servers, storage devices, networking and security infrastructure are provided as part of managed service.

IT or ICT hardware 2022 to 2023 2023 to 2024 2024 to 2025
Laptops £64,000 £56,000 £102.000
Mobile phones Replaced as break fix only, unknown quantity Replaced as break fix only, unknown quantity Replaced as break fix only, unknown quantity

If the projected expenditure is not available, list the years when the refresh or replacement is due or planned for the above devices. There are no development, refresh or replacement plans.

Prescribing and pharmacies

FOI 90670. Rebate schemes. Date requested 11 April 2022

Request received

  1. Details of the number of commercial discounts or rebate schemes you receive for devices listed in the Drug Tariff for Part IXA-Appliances under hypodermic equipment for section G Subcutaneous Drug Delivery Accessories-Sterile.
  2. Can you confirm if you directly purchase products in devices listed in the Drug Tariff for Part IXA-Appliances under hypodermic equipment for section G Subcutaneous Drug Delivery Accessories-Sterile or if you reimburse GP contractors who do so?

Our response

  1. None.
  2. No.

Prescribing rebate information is publicly available on our website on our publication scheme page.

FOI 90710. Rebates. Date requested 14 April 2022

Request received

  1. What rebates, if any, have you signed in the last 6 months for insulins, GLP-1, DPP-IV, SGLT-2, and growth hormones?
  2. For the same products mentioned, have any rebates expired in the past 6 months? If so what was the end date?
  3. What is the total number of active, current rebates held?

Our response

NHS Kernow exempts the release of the information requested under section 21 of the act. Information is reasonably accessible to the applicant by other means. This exemption is engaged for the following reason:Prescribing rebate information is publicly available on our website on our publication scheme page.

FOI 90770. Osteoporosis medication. Date requested 28 April 2022

Request received

  1. For the financial years 2019 to 2020, 2020 to 2021 and 2021 to 2022 how much did you spend on osteoporosis medication with oral bisphosphonates (alendronate, risedronate, ibandronate)?
  2. For the financial years 2019 to 2020, 2020 to 2021 and 2021 to 2022 how much did you spend on osteoporosis medication with Denosumab?
  3. For the financial years 2019 to 2020, 2020 to 2021 and 2021 to 2022 how much did you spend on osteoporosis medication with DXA scans?
  4. For the financial years 2019 to 2020, 2020 to 2021 and 2021 to 2022 how much did you spend on osteoporosis medication with scans this provided?
  5. For the financial years 2019 to 2020, 2020 to 2021 and 2021 to 2022 how much did you spend on osteoporosis medication with DXA VFA (vertebral fracture assessment) scans commissioned?
  6. What proportion of GP practices have a systematic process in place (for example regular data search) for identifying people who require a fracture risk assessment?
  7. What proportion of GP practices have osteoporosis identification or management tools embedded into their electronic patient management systems?
  8. For financial years 2019 to 2020, 2020 to 2021 and 2021 to 2022, what proportion of patients across your CCG aged 50 and over had a fracture risk assessment using FRAX or QFracture in line with NICE and NOGG recommendations?
  9. For financial years 2019 to 2020, 2020 to 2021 and 2021 to 2022,what proportion of these were referred for a DXA scan?
  10. What proportion of practices have an identified clinician or other healthcare professional with special interest in osteoporosis?
  11. How much of your additional role reimbursement scheme (ARRS) funds have you invested into community pharmacists?
  12. What proportion of GP practices have access to a community pharmacist? What proportion of these have a designated role in identifying and managing osteoporosis? What proportion of these routinely perform osteoporosis medication reviews?
  13. What proportion of GP practices have access to a first contact practitioner? What proportion of these have a designated role in identifying and managing OP?
  14. What proportion of patients being treated in primary care with osteoporosis medications have had a review of their medication within 12 months of treatment initiation?
  15. What proportion of patients being treated in primary care with oral bisphosphonate therapy have had their treatment reviewed at 5 years of treatment?

Our response

NHS Kernow does not hold this information,

Prescribing data and information is available from NHS Business Services Authority.

NHS England commission community pharmacists. Please note that ARRS is not permitted to be used to fund community pharmacists but does allow for the funding for clinical pharmacists which is a different role and purpose to community pharmacy.

There are a range of first contact practitioner roles that can be employed by primary care networks (PCNs) through the ARRS. These include physiotherapist, podiatrists, occupational therapists and dieticians. Currently only the first contact physiotherapist role is being used by 13 out of 14 PCNs.

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