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December 2021

In December 2021 we received 24 FOI requests. On this page you can find a full list of the requests we received, along with our response.
Clinical management

FOI 89850. Procedures of limited clinical values. Date requested 3 December 2021

Request received

  1. Please provide a comprehensive list of the services that your clinical commissioning group (CCG) is no longer providing on the NHS, often termed procedures of limited clinical values or commissioning values?
  2. Please can you advise whether your CCG is currently providing vasectomies?
  3. If there is still a vasectomy service within your CCG please can you provide information times on the current waiting period for an appointment?
  4. Please can you advise how much the CCG pays the individual surgeon per procedure?
  5. Please provide the names of the surgeon(s), practice or contract holder for your vasectomy service?

Our response

  1. NHS Kernow commissioning policies are available on our website.
  2. Yes, NHS Kernow commissions local anaesthetic vasectomies from a number of community-based providers.
  3. Current waiting times are within the national 18-week referral to treatment time target.
  4. £318.33.
  5. Probus Surgical Centre, Three Spires Medical Practice, Veor Surgery and Sentinel Healthcare.

FOI 89900. Functional neurological disorder. Date requested 7 December 2021

Request received

  1. Does your commissioning agreement within your CCG inclusive of treatment for functional neurological disorder (FND)?
  2. Can you please confirm that the commissioning agreement within your CCG provides each of the following services and that people with FND are eligible to be referred and receive this treatment:
    • neurological physiotherapy
    • neurological occupational therapy
    • speech and language therapy
    • psychological therapies
  3. Can you please provide a list of the services offered and contact details which include inpatient and community and outpatient rehabilitation services in question 2?
  4. If your commissioning agreement excludes the treatment of FND, can you please provide details of which services in your CCG areas accepts referrals for treatment for FND?
  5. Do you have plans to improve access to treatment for people with FND? If so, can you provide details of what improvements are being implemented?
  6. Would you or your colleagues be interested in accessing clinical support and education about FND involving specialist clinicians?

Our response

  1. NHS Kernow commissions general neurological services for in-patients from acute providers Royal Cornwall Hospitals NHS Trust (RCHT) and University Hospitals Plymouth NHS Trust (UHP) and community rehabilitation services from Cornwall Partnership NHS Foundation Trust (CFT). A FND service is provided by UHP.
  2. NHS Kernow commissions:
    • neurological physiotherapy for in-patients and community provision
    • neurological occupational therapy for in-patients and community provision
    • speech and language therapy and for in-patients and community provision
    • psychological therapies for in-patients at RCHT and UHP
  3. FND is not specifically commissioned within Cornwall and the Isles of Scilly, but UHP provide a service for outpatients in the catchment area.
  4. UHP provide a service for outpatients in the catchment area.
  5. There are no plans at present to create a separate pathway or service for FND within Cornwall and the Isles of Scilly.
  6. From a commissioning point of view, NHS Kernow would be interested in finding out more of the benefits to patients and the health and care system of this service.

FOI 89910. Specialist palliative care services. Date requested 7 December 2021

Request received

  1. What specialist palliative care services are commissioned by the CCG for the financial year 2021 to 2022?
  2. How many specialist palliative care professionals are funded or commissioned by the CCG for the financial year 2021 to 2022?
  3. What is the CCG’s annual budget dedicated to specialist palliative care services commissioned for the current financial year, 2021 to 2022?
  4. How many specialist palliative care beds are commissioned by the CCG for the financial year 2021 to 2022?
  5. During the financial year 2021 to 2022, how many visits have been made by specialist palliative care professionals to patients who died at home in the CCG?
  6. Does the CCG commission seven-day specialist palliative care services? If yes, please specify their hours of operations and the specific services available.

Our response

  1. NHS Kernow commissions Cornwall Partnership NHS Foundation Trust and Royal Cornwall Hospitals NHS Trust to provide specialist palliative care services. Please contact them for a breakdown of their services.
  2. NHS Kernow does not hold this information. Please contact the providers for this information.
  3. NHS Kernow does not hold this information. We commission the above trusts to provide specialist palliative care services via wider block contracts. Please contact them for a breakdown of their service costs.
  4. NHS Kernow does not individually commission specialist palliative care beds.
  5. NHS Kernow does not hold this information.
  6. Yes. NHS Kernow commissions the above providers to provide specialist palliative care services. Please contact them for a breakdown of their services.

FOI 89930. Tier 3 weight management services. Date requested 14 December 2021

Request received

  1. Provide the number of FTE members of staff does your tier 3 weight management service employs, what position and by what grade are these.
  2. How often does this service operate?
  3. How many patients have been referred from your CCG or health board to a tier 3 weight management service in the past 12 months?
  4. If you commission this service, what was the total number that were referred from other CCGs or health boards?
  5. If there is a tier 3 weight management service, what type of contract is in place?
  6. As per the endocrinology GIRFT report, what plans do you have to undertake the specific actions outlined in the report? What timelines have been applied?
  7. Have you adopted the local enhanced service for referrals to weight management?

Our response

  1. Number of FTE members of staff:
    • bariatric physician 0.3 whole time equivalent (WTE)
    • dietician 1.5 WTE
    • clinical psychologist 1.6 WTE
  2. NHS Kernow does not hold the information requested, for more information contact the provider. Email Royal Cornwall Hospitals NHS Trust.
  3. As answer 2.
  4. As answer 2.
  5. Block.
  6. As answer 2.
  7. Yes.

FOI 89940. Tier 4 weight management services. Date requested 14 December 2021

Request received

  1. What is the current number of patients on a waiting list for tier 4 weight management services in your CCG?
  2. What was the number of patients on the waiting list 24 months ago?

Our response

  1. On 21 December 2021 there were 80.
  2. On 18 December 2019 there were 35.
Continuing healthcare

FOI 90020. Personal health budgets. Date requested 21 December 2021

Request received

  1. What type of personal health budgets (PHBs) does the CCG offer?
  2. For an individual starting out on their PHB journey, who would be their first point of contact for each of the above cohorts, and what are their contact details?
  3. Which commissioned third party organisations do you use to support the delivery of PHBs?
  4. Which non-commissioned support organisations do you work with to support the delivery of PHBs?
  5. Do you envisage that the above information will change when organisations operate with their partners in integrated care systems (ICSs) from April 2022?

Our response

  1. Type of personal health budgets offered:
    • adult continuing healthcare (CHC): notional and direct payment PHBs are offered (this will include people who have physical or mental health conditions and learning disabilities who meet the eligibility criteria for CHC)
    • adult S117 PHB: notional PHBs are offered for clients with S117 eligibility (where a client has a social care personal budget by direct payment or notional this should be joined and managed by local authority or Cornwall Partnership NHS Foundation Trust as appropriate)
    • children’s CHC: continuing care, S117, learning difficulties, mental health
    • wheelchairs are preparing a PHB offer which went live in December 2021
  2. First point of contacts:
    • adult CHC: PHBs are discussed when eligibility for CHC is agreed and offered at the 3-month review. If a notional PHB is required, then the CHC nurse co-ordinators will arrange. If a direct payment is requested, then the generic PHB email and the phone number (01726 627659) is supplied
    • adult S117 PHB: first contact should be through care co-ordinator or case co-ordinator
    • children’s CHC: children’s continuing care team or the mental health and learning disabilities resource panel, email the children’s panel
    • wheelchairs: the Cornwall wheelchair service is available on 01209 318122
  3. Third party organisations
    • CHC PHBs do not commission any third-party organisations to support the delivery of direct payment PHBs
    • adult S117 do not commission any third-party organisation to support the delivery of direct payment PHBs
    • children’s do not commission any third-party organisations to support the delivery of direct payment PHBs
    • wheelchairs: Millbrook for the provision of wheelchairs and payment
  4. Non-commissioned support organisations
    • CHC adults are initially directed to Skills for Care. Currently Disability Cornwall, Payroll Direct, Enham Trust, are the managed account providers known to us. FISH and Mark Bates Ltd are the main 2 insurance companies used. Budget holders are free to source any appropriate service providers to meet the needs identified in their support care plan to provide training and DBS checks and any associated support.
    • children’s CHC: Skills For Care, DisAbility Cornwall, Enham Trust, Kernow Accountancy, Mark Bates and FISH. Families can source from any organisation, but these are the most used.
    • wheelchairs: Cornwall Council and DisAbility Cornwall
  5. This has not been decided yet.
Finance and budgets

FOI 90000. Additional roles reimbursement scheme. Date requested 20 December 2021

Request received

  1. How much was the CCG allocated for employing additional roles reimbursement scheme (ARRS) staff in 2019 to 2020, 2020 to 2021 and 2021 to 2022?
  2. How much of this budget did the CCG spend in those years?
  3. If there was underspend in any of these years, please provide details of what this funding was instead allocated to.

Our response

Year Budget held by NHS Kernow Budget retained centrally Total ARRS budget
2019 to 2020 £567,148.82 £511,696.18 £1,078,845
2020 to 2021 £2,572,000 £1,732,000 £4,304,000 *
2021 to 2022 £3,335,000 £4,185,000 £7,520,000

* Total budget available was £4.304m. £2.572m was held locally by the CCG. The remainder (£1.732m) was held centrally by NHS England to be drawn down when local budget was fully spent.

Budget spent:

  • 2019 to 2020 = £472,845
  • 2020 to 2021 = £2,498,972
  • forecast outturn as at 31 December 2021 = £7,320,276

Details of what this funding was allocated to:

  • 2019 to 2020: £115,000 primary care network (PCN) pharmacy support paid to Kernow Health CIC. PCNs also submitted plans to use their underspend for a range of workforce investments linked to ARRS primarily involving the bringing forward the recruitment of paramedic and mental health workers
  • 2020 to 2021: no reallocation of surplus
  • 2021 to 2022: £199,724 with plans to reallocate underspend between PCNs on an application fair share basis
Mental health and learning disabilities

FOI 89790. Locked rehabilitation. Date requested 1 December 2021

Request received

  1. How many patients were sent to locked mental health rehabilitation wards in 2018 to 2019, 2019 to 2020 and 2020 to 2021?
  2. Of those in question 1, how many were out-of-area placements? Please give the data broken down by years.
  3. Of your patients currently placed within locked mental health rehabilitation wards, how many have been on their current ward for longer than 12 months?
  4. Of those in answer 3, how many of the patients are on wards run by the independent sector, wards run by the NHS or out-of-area placements?
  5. What is the longest length of time, in days, a patient has remained on their current ward for question 3?
  6. Is the patient in answer 5 on a ward run by the NHS or independent sector?

Our response

NHS Kernow holds the information requested but as the number of placements are small, the information cannot be disclosed. It could potentially identify the individuals involved, especially if combined with other data, and this would constitute a breach of the Data Protection Act 2018. Therefore, this information is exempt from disclosure under section 40(2) of the Freedom of Information Act 2000 on the grounds that it is personal information.

FOI 89970. Organisation structure. Date requested 15 December 2021

Request received

  1. Name and contact details of those individuals responsible for the commissioning of adult services with reference to learning disabilities and mental health conditions.
  2. Provide an organogram of key individuals who have responsibility for commissioning adult services for learning disabilities and mental health conditions within your CCG.

Our response

NHS Kernow does not release the names of employees below director level. John Groom, director for planned care is responsible for mental health and learning disabilities: email John Groom.

FOI 90060. Psychosexual clinics. Date requested 30 December 2021

Request received

  1. Does your health board provide psychosexual clinics, and can you provide the total number and addresses of all NHS psychosexual clinics? If you do not know who should we ask?
  2. Does your health board provide counselling and sex therapy services, and can you provide the details of any NHS counselling services and sex therapy services? If you do not know who should we ask?

Our response

NHS Kernow do not also commission any of these services specifically. Cornwall Partnership NHS Foundation Trust are the providers. Email Cornwall Partnership NHS Foundation Trust and they may be able to provide you with the information.

Miscellaneous

FOI 89860. Stonewall funding. Date requested 6 December 2021

Request received

  1. In respect of each of the years 2015 to 2021, please confirm what funding has been provided to Stonewall by NHS Kernow Clinical Commissioning Group.
  2. Please specify whether the funding in 1 above has been in the form of:
    • direct grants for unlimited purposes
    • direct grants for limited purposes (in that event, stating the purpose)
    • payment for goods or services (specifying the relevant goods and services)
  3. Where the funding in 1 above has been by way of payment for goods or services, please specify what:
    • analysis has been conducted to ascertain whether these goods or services meet contractual and/or legal requirements
    • contractual or other recourse exists to reclaim in respect of goods or services that are defective, substandard or delivered in contravention of the law
    • steps are being taken to seek recourse for any such contractual or legal shortfalls
  4. In respect of the payments referred to in 1 above, please state what:
    • criteria were applied in deciding to make payments by way of direct grants
    • tendering process was conducted with regard to provision of goods or services
    • alternative suppliers of goods or services were considered

Our response

Funding provided to Stonewall:

  • 2015 to 2016: none
  • 2016 to 2017: none
  • 2017 to 2018: none
  • 2018 to 2019: net £9,655, gross £11,586
  • 2019 to 2020: net £3,055, gross £3,665
  • 2020 to 2021: none
  • 2021 to 2022: none to date

Funding breakdown:

  • direct grants for unlimited purposes: Not applicable
  • direct grants for limited purposes:
    • payments made in 2018 to 2019 were net £9,655, gross £11,586 which consisted of:
      • diversity champions programme: net £2,500, £3,000 gross
      • Stonewall leadership programme July 2018: net £1,905, £2,286 gross
      • in-house allies programme March 2019: net £5,250, £6,300 gross
    • payments made in 2019 to 2020 were net £3,055, gross £3,665 which consisted of:
      • diversity champions programme: net £2,500, £3,000 gross
      • Stonewall workplace conference Manchester, September 2019: net £230, £275 gross
      • Stonewall open trans allies programme June 2019: net £325, £390 gross
    • payment for goods or services: Not applicable

Question 3 is not applicable.

Response to question 4:

  • utilise the diversity champions programme to improve the organisation’s inclusivity
  • training for a senior manager on developing authentic leadership practice
  • increase the number of trained allies by up to 40 and to further support the organisation in achieving this aim
  • learn and share best practice on inclusive workplaces
  • improve the organisation’s inclusivity with specific regard to people who are trans

The spend does not contravene the public contract regulations 2015 and therefore does not require formal tendering.

Stonewall was the only provider approached.

FOI 89870. Email details for GP surgeries. Date requested 7 December 2021

Request received

Please provide the generic email addresses of GP surgeries in your clinical commissioning group?

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:

You can use this information to obtain the generic email for each GP surgery from their own websites.

FOI 89920. Postal, print, and digital services. Date requested 13 December 2021

Request received

Please can you supply a list of suppliers your trust undertakes to supply any postal, print, and digital services listed below.

  1. Printing of any trust approved appointments document and or any other type or trust information sent to the public.
  2. Please provide the name of the postal services supplier, suppliers you have contracted to print and post any trust letter sent daily, weekly, or annually?
  3. Any contracts you have with any supplier of print and or postal services for the trust and when they are contracted to.
  4. Do you have any digital, emailing, SMS or any such like contracts you have, who with and when they are due to expire?

Our response

  1. Canon (UK) Limited.
  2. Royal Mail for postal services. Quadient CXM UK Limited for franking.
  3. Canon (UK) Limited contract is due to expire 30 April 2023. Royal Mail is ongoing and has no end date. Quadient CXM UK Limited contract is due to expire 19 April 2023.
  4. NHS Mail for email which has no end date. AccuRx for GP SMS and video consultation which is due to expire on 30 September 2022. British Telecom for SMS messaging service which is due to expire on 31 March 2022.

FOI 90030. Primary care social prescribing. Date requested 22 December 2021

Request received

  1. Who is your lead for primary care social prescribing?
  2. Do you have any projects or programmes around increasing exposure and uptake of social prescribing services?
  3. Are you committed to the network direct enhanced contract, specifically around social prescribing? If so, what are your current initiatives?
  4. Do you currently use or plan to use software products for social prescribing?
  5. If yes, what are the names of the software products being used or planned?
  6. What framework were used or do you plan to use (G-Cloud, HSSF, GP IT) to purchase these software products?
  7. Do those software products integrate with the clinical systems? If so, which clinical systems?
  8. Is integration with clinical systems a requirement for your selection of a social prescribing software solution?
  9. What are the main attributes you require when considering a social prescribing software or solution partner?
  10. Estimated percentage of patients in your area in primary care that received a social prescription this past year?
  11. Estimated percentage of referrals in your area in primary care that were social referrals this past year?
  12. How do you currently measure and report on social referral activity?
  13. What percentage of GP practices in your area have at least 1 social prescribing link worker, care coordinator or care navigator that specifically deals with patients who need social prescribing?

Our response

NHS Kernow does not release the name of employees below director level. Andrew Abbott is the director of primary care.

There are a number of projects and programmes where social prescribing is a valuable element such as population health management and personalised care. We are certainly seeing an increase in the number of social prescribers across our primary care networks (PCNs) and this in turn is increasing the uptake of services.

All PCNs have employed social prescribers. The population health management approach leads to more personalised support and this is growing momentum across our system.

We did have a Department of Health and Social Care funded Social Prescribing (2019 to 2022) pilot which trialled the use of Elemental software however this has been decommissioned at end of the scheme in March 2022 as the PCN additional roles reimbursement Scheme (ARRS) funded posts take over. We do not currently have a plan to use software products for social prescribing.

Our response to questions 5 to 10 is not applicable.

As the impact and investment fund (the way this is measured) has been stood down for most of 2021 to 22 due to prioritising the COVID-19 vaccination programme, this information has not been routinely recorded and collected. Our latest information is July 2021 and 1.3% of our population had a social prescribing referral.

For question 12, this is via the PCN contract impact and investment fund indicator PC01.

All PCNs in Cornwall and the Isles of Scilly have employed social prescribers. We have 2 practices not in a PCN currently who do not have access to a social prescriber, but they are hoping to have that in place shortly. They represent 3% of our practices.

Organisation

FOI 89960. Information technology. Date requested 15 December 2021

Request received

  1. How many people are employed by your organisation, including full time and part time?
  2. What is your current intranet solution?
  3. How long have you been using this intranet solution?
  4. When is your intranet contract up for renewal?
  5. What is your annual intranet budget?
  6. What is your procurement process? Please can you include any portals used to list tenders and/or any suppliers or consultants used to procure.
  7. Do you share intranet or IT services with other organisations, if so who?
  8. Which team and/or individuals are responsible for managing your intranet internally?
  9. Are you using the Office 365 suite? If so, which applications from the suite are in use?
  10. Which team and/or individual(s) are responsible for your intranet’s procurement within the organisation?
  11. Is your active directory hosted on-premise, or in the cloud?
  12. Could you provide us with a link to your digital workplace strategy?

Our response

  1. 295.
  2. WordPress.
  3. July 2017.
  4. Not applicable as built and maintained in-house.
  5. Currently zero.
  6. Publication portal which links to Contract Finder and the find a tender service in order for us to publish opportunities and awards. Apart from the following that are regional contracts, all procurements are managed in-house:
    • home oxygen via South, Central and West Commissioning Support Unit
    • enteral feeds and continence products via Peninsula Purchasing and Supply Alliance
  7. Yes, Cornwall IT Services.
  8. Communications and engagement team.
  9. Yes, the NHS Digital supplied N365 Microsoft Office set.
  10. Communications and engagement team.
  11. On premises.
  12. NHS Kernow do not hold a digital workplace strategy.

Please email our FOI team for a copy of the NHS Kernow procurement protocol.

FOI 89980. GP IT support service. Date requested 16 December 2021

Request received

  1. Please can you advise the name of your current supplier of the GP IT support service?
  2. What is the current cost for this service annually?
  3. What is the contract end date?
  4. Will you be going out for a competitive tender at the end of this contract, and will you be doing this off the HSSF or via another framework or OJEU tender?
  5. Can you confirm what frameworks you use for IT services, consultancy and hardware procurements?

Our response

  1. Royal Cornwall Hospitals NHS Trust (Cornwall IT Services) and Crowbytes Limited.
  2. Due to COVID, normal recharging arrangements have been suspended. The last actual recharge figure we can provide is for 2019 to 2020 is £331,788 with Royal Cornwall Hospital Trust. Based on actual billing for 2021 to 2022 is £735,376.80 with Crowbytes Limited.
  3. Both are on a rolling basis until completion of a procurement.
  4. Yes, we will be going out to procurement, method of procurement has not yet been decided. It may be from a framework or it may be a standalone procurement.
  5. Various have been used namely:
    • GP IT Futures
    • Digital First online consultation and video consultations
    • Crown Commercials Services Management Consultancy Framework
    • Digital Outcomes and Specialist framework

FOI 89990. Medicines optimisation software. Date requested 17 December 2021

Request received

  1. Which medicines optimisation software(s) are current in operation in your CCG?
  2. If more than 1, what percentage of your surgeries are covered by each of the systems?
  3. What is the title of the member of staff who leads on the utilisation of these systems?

Our response

  1. First Databank Optimise Rx.
  2. 90% coverage with OptimiseRx.
  3. NHS Kernow does not release the name of employees below director level. The director responsible is Andrew Abbott, director of primary care.

FOI 90010. GP practices. Date requested 20 December 2021

Request received

  1. List of the GP practices sub-contracted to or effectively run by an NHS acute trust or hospital in a vertical integration structure.
  2. The date each GP practice operation was acquired by the trust or hospital.
  3. What, if any, amount of money was paid as a part of the acquisition of each GP practice?

Our response

NHS Kernow do not have any GP practices sub-contracted or run by a NHS acute trust or hospital.

FOI 90040. IT systems. Date requested 24 December 2021

Request received

  1. What applications and versions are you running, and what was the value of the contracts for finance, HR, payroll, projects and business intelligence software tools?
  2. Are you planning a IT system upgrade in the next 12 to 18 months?
  3. How many full time employees do you have (excluding employees at schools)?
  4. Which enterprise resource planning (ERP) or finance system do you currently use?
  5. What is the value and expiry date of your current contract or licence? What are the extension options?
  6. How many finance system users do you have?
  7. How many purchasing system users do you have?
  8. Which supply chain management system do you currently use? What is the value and expiry date of your current contract or licence? What are the extension options?
  9. Which enterprise performance management, scenario planning or strategic modelling system do you currently use?
  10. What is the value and expiry date of your current contract or licence? What are the extension options?
  11. Which human capital management or HR system do you currently use?
  12. What is the value and expiry date of your current contract or licence? What are the extension options?
  13. How many HR system users do you have?
  14. Do you have a digital transformation strategy?
  15. What parts of your digital transformation strategy are you looking to implement in the next 12 to 18 months?
  16. Do you have any plans to migrate to a fully integrated, fully cloud based back-office system in the next 2 years?
  17. Do you have an Oracle support partner for applications? If so who? What kind of support is included in the contract, and when does it expire?
  18. Are you running any Oracle databases? If so, what versions are you currently running? What applications are being run on these databases? Are you planning another database upgrade in the next 12 to 18 months?
  19. Do you have an Oracle support partner for databases, if so who? What is the per annum value of the database support contract, and when does it expire? Where are the databases held? If not, how many in-house DBAs do you have?
  20. Where do you advertise any Oracle procurement opportunities? Who is responsible for looking after the contract or licences for the Oracle estate? When does this contract renew? Do you work with off-shore partners?
  21. Have you considered using a software as a service solution and not yet moved to one? Do you currently work with any partners in this space?
  22. At what level are decisions are made around procuring software and services such as video conferencing?
  23. We request for you to provide contact details of all chief decision makers regarding your technology through your organisation?
  24. We would like to know if you are currently using video consultation technology? If so, what suppliers and software are you using, what is the costing structure and breakdown, and when is it up for renewal? Who funds it?
  25. We would like to know if you are currently using online consultation technology? If so, what suppliers and software are you using, what is the costing structure and breakdown, and when is it up for renewal? Who funds it?
  26. Are you aware of or going to take up the funding offered by NHS England to do or improve online consultation sessions?
  27. What do you see as the biggest benefit of online consultations and video consultations, and what do you look for in one?
  28. What is your strategy for online and video consultations over the next 12 to 18 months?
  29. How many patients would you expect to use an online service and a video consultation?
  30. Does your current system have the ability to perform triage pre consultation and would you want that capability?
  31. Would you be prepared to pay more than the current NHS subsidy level if there were additional features that would be of benefit?

Our response

  1. Oracle for all clinical commissioning groups (CCGs) nationally are mandated to use this. The electronic staff record (ESR) are national systems. Some colleagues use Smart Sheets under licence from a system partner. Microsoft Power BI (£816 per annum, as a top-up to N365 licences).
  2. None other than regular hardware refresh.
  3. Staffing information is published in the annual report available on our website.
  4. Finance system is Oracle which is commissioned by NHS England and NHS Improvement. It is provided to NHS Kernow and we have no detail relating to the contract.
  5. Currently around 110.
  6. There is no separate purchasing system the majority of the CCG’s expenditure is in respect of services.
  7. None.
  8. None.
  9. Not applicable.
  10. All staff have access to our HR system (ESR). We publish the number of staff in our annual report.
  11. Currently in development.
  12. Not possible to specify as strategy is in development.
  13. Dependent on suitability of nationally provided platform for Azure and N365.
  14. No.
  15. Only via nationally provided systems such as SBS Finance system (as per question 1). Finance as per mandate mentioned in question 1.
  16. No.
  17. No.
  18. Currently use a SaaS model for office productivity via the national N365 offering. Currently use Trustmarque as licensing partner for N365.
  19. Organisation with support from regional and national teams.
  20. Andrew Abbott, director of primary care.
  21. No. This question may be more applicable to Royal Cornwall Hospitals NHS Trust and Cornwall Partnership NHS Foundation Trust.
  22. As question 23.
  23. Currently using all available funding to support online consultations in primary care.
  24. NHS Kernow is unable to answer this question as this is opinion and not business information.
  25. None.
  26. Not applicable.
  27. Not applicable.
  28. Yes.

FOI 90050. Annual report and governing body members. Date requested 29 December 2021

Request received

Please could you kindly send via email, copies of your organisational annual report since 2013. If your organisation is made up of a number of CCGs that have merged since 2013, please can you send copies of the annual reports for the individual CCGs prior to the merger as well as after the merger.

Please could you also provide the number of Governing Body and board voting members including executive and non-executive directors, accountable officers, chairs and lay members for each of the categories listed below for each financial year (April to March) from 2013 to 2014.

  • male
  • female
  • white
  • BAME
  • mixed ethnicity
  • other ethnicity
  • has a disability or impairment

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 reasons:

  • annual reports are published on our website
  • the retention period for annual reports is 3 years, therefore previous annual reports are no longer available

Governing Body membership is

Year Male Female White BAME, mixed or other ethnicity Has a disability or impairment
2013 to 2014 8 6 8 0 0
2014 to 2015 7 6 7 0 0
2015 to 2016 7 7 13 0 0
2016 to 2017 8 5 9 0 0
2017 to 2018 8 5 11 0 0
2018 to 2019 7 8 13 0 0
2019 to 2020 9 9 13 0 0
2020 to 2021 8 4 12 0 0
2021 to 2022 (to date) 8 6 14 0 0

Please note not all members have disclosed information.

Prescribing and pharmacies

FOI 89880. Diabetes, urology and wound care formulary. Date requested 7 December 2021

Request received

  1. Names and direct contact email address and telephone numbers of the people who are responsible for the formulary.
  2. Date of the next review of your formulary.
  3. Details of how you intend to review your formulary (include process, timelines).
  4. Details of local partnership arrangement for formulary review. Please provide the contact name, email address and telephone number for the person with responsibility where a partnership arrangement is in place.

Our response

  1. NHS Kernow does not release the names of employees below director level. The formulary is looked after by the medicines management team.
  2. Formulary areas will be reviewed at different times, review dates can be taken from the documents on the formulary:
    • guidelines for blood glucose monitoring in adult patients due for review September 2024
    • prescribing insulin needles fact sheet due for review June 2023
    • for joint dressings is currently under review
  3. Formulary review is likely to be undertaken by a pharmacist and technician from the medicines management team, with input from other clinicians and specialities as required. For example, diabetic specialist nurses. Updated guidelines or new formulary requests are approved at the area prescribing committee. Timelines may vary depending on the area.
  4. Not applicable.

It is not quite clear what area of urology is being asked about. We do have a continence formulary, due for review July 2023. If this is not relevant, please come back to us with more specific detail on the query.

FOI 89950. Saxenda. Date requested 14 December 2021

Request received

  1. What steps has your CCG or trust taken to ensure compliance with the mandatory NICE tag 664 for Saxenda. If none, what plans are in place to address this?
  2. Have patients that are eligible to utilise the NICE approved product Saxenda been able to access this product? If so please provide the volume, or if not, please provide any current plans to address this.

Our response

  1. As part of the NICE TA compliance process in the trust, endocrinology will have assured the trust clinical effectiveness group that they are compliant.
  2. Yes, patients have been able to access the product. The volume of patients that have accessed it is not available.
Properties and estates

FOI 89840. NHS Properties. Date requested 2 December 2021

Request received

  1. In Cornwall, can you let me know which NHS properties, buildings and sites are now owned by NHS Property Services?
  2. How much rent is being charged and paid to NHS Property Services each year on such properties in Cornwall?
  3. Have any sales been made from the Cornwall NHS estate and if so, which ones are they?

Our response

NHS Kernow is a clinical commissioning group responsible for the planning and commissioning of health care services. NHS Kernow is unable to help you with your enquiry regarding another organisations. Please contact NHS Property Services customer services team or search their property database to find a portfolio of properties in Cornwall and Isles of Scilly.

Urgent care

FOI 89890. IUC Kernow and Cornwall 111 and out of hours. Date requested 7 December 2021

Request received

Could you please provide me with the following information related to IUC Kernow and Cornwall (111 and out of hours):

  1. Provider name.
  2. Partner provider name (if applicable).
  3. Services provided (for example 111 or GP out of hours).
  4. Contract start date.
  5. Contract end date.
  6. Optional contract extension in years (if applicable).
  7. Contracting extending?
  8. Commissioning intentions at the end of the current contract.

Our response

  1. Royal Cornwall Hospitals NHS Trust.
  2. Kernow Health CIC.
  3. 111 and GP out of hours.
  4. November 2017.
  5. November 2022.
  6. Not applicable.
  7. To be confirmed.
  8. To be confirmed.

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