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February 2022

In February 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 90400. Children and young people services. Date requested 28 February 2022

Request received

  1. Who delivers your end-to-end continuing care service (assessments and case management) for children and young people? This refers to children and young people aged under 18 who may have 1 or a combination of the following: physical disability, mental health needs, learning disability, end of life needs.
    • In-house.
    • Local authority.
    • CSU.
    • Third-party.
  2. Does the CCG have a provider framework in place for the commissioning of children and young people’s continuing care packages?
  3. How many applications for children and young people’s continuing care did the CCG receive in the financial year 2020 to 2021 (April 2020 to March 2021)?
  4. How many of these received CCG funding as a result of the application in 2020 to 2021?
  5. What was the CCG’s total spend on this cohort in 2020 to 2021?
  6. At the end of January 2022, how many children and young people were in receipt of funding from a continuing care funding stream?
    • Total.
    • Under 16.
    • Over 16.
  7. What percentage of 18-year-olds transitioned from children and young people’s continuing care into continuing healthcare over the last 3 financial years (2018 to 2019, 2019 to 2020 and 2020 to 2021)?
  8. How many complaints or appeals relating to children’s and young peoples continuing care has the CCG had over the last 3 financial years (2018 to 2019, 2019 to 2020 and 2020 to 2021)?

Our response

  1. In-house.
  2. Yes, in part, historic provider framework in place for proportion of hours, this is currently under review.
  3. NHS Kernow holds the information but where the numbers are less than 10, the information cannot be disclosed as it could potentially identify the individuals involved, especially if combined with other data, 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.
  4. As per answer 3. The percentage of acceptance of referrals is 83%.
  5. £1.75 million.
  6. Total is 28.
  7. As per answer 3.
  8. As per answer 3.
  9. 100%.
  10. Complaints for the 2 financial years to 2020 the numbers are less than 5 and for 2020 it is zero.

NHS Kernow assess and fund mental health through alternative packages of care, hospital avoidance and section 117 and not children’s continuing care, as we do not feel it accurately assesses need in this domain. The numbers and specifically the budget would be significantly higher otherwise.

NHS Kernow holds the information but where the numbers are less than 10, the information cannot be disclosed as it could potentially identify the individuals involved, especially if combined with other data, 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.

Clinical management

FOI 90270. Sexual health. Date requested 7 February 2022

Request received

  1. How many sex related injuries have been admitted?
  2. How many people admitted for sexual health issues?
  3. List the reasons for admission regarding sexual health issues.
  4. How many people admitted due to injuries to their genitalia?
  5. List the reasons for admission regarding injuries to genitalia.
  6. How many people admitted due to injuries caused by sexual activity?
  7. How many men were admitted due to injuries caused by sexual activity (including age splits)?
  8. How many women were admitted due to injuries caused by sexual activity (including age splits)?

Our response

NHS Kernow is a clinical commissioning group responsible for the planning and commissioning of health care services. NHS Kernow does not hold the information requested.

Contact providers for this information.

Continuing healthcare

FOI 90250. Contracts. Date requested 2 February 2022

Request received

  1. Who is your current case management system provider and what is the current contract end date?
  2. What is your total continuing healthcare (CHC) spend?
  3. What is your current CHC spend budget?
  4. Current supplier management software provider and what is the current contract end date?
  5. Current brokerage software provider and what is the current contract end date?
  6. Who is your head of CHC?
  7. What, if any, procurement contract do you use to engage your nursing homes, and domiciliary care agencies, for CHC?
  8. Further to question 7, what are the associated contract end dates, if applicable.

Our response

  1. Broadcare: 31 March 2023.
  2. Forecast spend for 2021 to 2022 is £60,448,000.
  3. Budget for 2021 to 2022 is £63,934,000.
  4. This is conducted in-house.
  5. ADAM Software: 9 June 2023. This is commissioned by the local authority, Cornwall Council as the lead commissioner. For more information email Cornwall Council’s FOI team.
  6. NHS Kernow does not release the name of employees below director level. Dylan Champion is the system director for adults and community.
  7. Procurement is carried out in-house or in collaboration with the council procurement team.
  8. Nursing homes: 31 March 2024 with 2 x 12-month extension options. Domiciliary care agencies: 8 June 2023 no further extension options.
Contracts

FOI 90320. Cataract surgery. Date requested 8 February 2022

Request received

The information required, is to identify which companies have been authorised to offer cataracts surgery. What date were these contracts awarded, and for how long these contracts run?

Our response

The following providers provide cataract surgery to NHS Kernow.

  • Royal Cornwall Hospitals Trust: NHS trust contracts currently under NHS England guidance due to COVID.
  • University Hospitals Plymouth NHS Trust: NHS trust contracts currently under NHS England guidance due to COVID.
  • Practice Plus Group Plymouth: 1 April 2021 to 31 March 2022.
  • Probus Surgical Centre: 1 April 2021 to 31 March 2022.

FOI 90330. Telephony and broadband. Date requested 9 February 2022

Request received

  1. Name of the supplier for each contract for telephony or voice services.
  2. Contract renewal date? Include day, month and year (month and year are also acceptable). If this is a rolling contract, provide the rolling date of the contract. If there is more than 1 supplier, split the renewal dates up into however many suppliers.
  3. Contract duration? The number of years the contract is for each provider, also include any contract extensions.
  4. Type of lines? Can you split the type of lines per each supplier?
  5. Number of lines, channels and SIP trunks. Can you split the number of lines per each supplier?
  6. Supplier’s name (not mobiles) for minutes and landline provider. If there is no information available, can you provide further insight into why?
  7. Contract renewal date. Include day, month and year (month and year is also acceptable). If this is a rolling contract, provide the rolling date of the contract.
  8. Monthly average spend on calls for each provider. An estimate or average is acceptable. If SIP services, provide the cost of services per month.
  9. The number of years the contract is for each provider, also include any contract extensions.
  10. The number of telephone extensions the organisation currently has.
  11. Broadband provider supplier’s name? If there is not information available, can you provide further insight into why?
  12. Renewal date? Include day, month, and year (month and year is also acceptable). If this is a rolling contract, provide the rolling date of the contract. If there is more than 1 supplier, split the renewal dates up into however many suppliers.
  13. Annual average spend for each broadband provider.
  14. WAN provider? Provide the main supplier(s) if there is no information available, provide further insight into why?
  15. Renewal date? Include day, month, and year (month and year are also acceptable). If this is a rolling contract, provide the rolling date of the contract. If there is more than 1 supplier, split the renewal dates up into however many suppliers.
  16. Provide me with a brief description for each contract.
  17. State the number of sites the WAN covers.
  18. Annual average spend for each WAN provider. An estimate or average is acceptable.
  19. For each WAN contract can you provide information on how this was procured, especially around those procurement that used frameworks. Provide me with the framework reference, for example open procurement.
  20. Full contact details including contact number and email and job title for the person responsible for all the contracts above.

Our response

  1. BT.
  2. June 2024 to 2026.
  3. 5 (+2).
  4. VOIP.
  5. Not possible to disaggregate for NHS Kernow from system-wide provision.
  6. BT.
  7. June 2024 to 2026.
  8. Minutes inclusive within contract.
  9. 5 (+2).
  10. Not possible to disaggregate for NHS Kernow from system-wide provision.
  11. Not applicable (N/A).
  12. N/A.
  13. N/A.
  14. BT.
  15. June 2024 to 2026.
  16. HSCN CoIN service.
  17. 4.
  18. £3,756.
  19. Open procurement (OJEU).
  20. NHS Kernow does not release the name of employees below director level. Andrew Abbott is the director of primary care: email Andrew Abbott or call 01726 627800<

FOI 90380. Contracts register. Date requested 22 February 2022

Request received

I would like to submit a request for some information from the organisation, in relation to their contract’s register. The full contract register should display all the organisations existing and live contracts.

  1. Contract unique reference number associated with the contract.
  2. Contract title.
  3. Procurement category. State the category name of the contract.
  4. Supplier name.
  5. Spend (total, annual or contract value).
  6. Duration of contract.
  7. Contract extensions.
  8. Start date of contracts.
  9. Expiry date of contracts.
  10. Contract description.
  11. Contact owner (person that manages the contract register).
  12. CPV codes and pro-class.
  13. Can you also provide me with contact details of the person responsible for the actual contract’s register or someone responsible for API?

Our response

NHS Kernow can confirm in line with section 1 of the act that the information is held by the organisation. Under section 22 of the act: information intended for future publication, we exempt the release of the requested information. The information is expected to be published on our website by the end of March 2022.

In relation to question 13, NHS Kernow does not release the name of employees below director level. Simon Gittoes-Davies is the interim chief finance officer: email Simon Gittoes-Davies or call 01726 627800.

Finance and budgets

FOI 90290. Spend data. Date requested 8 February 2022

Request received

I am looking for some assistance with your organisation’s spend and transparency data. There appears to be no file available for the month of November 2021. Could you advise when the file will be made available to view online? Would it be possible for you to email me a copy of the November 2021 file?

Our response

NHS Kernow apologises for the delay in publishing this information. The transparency in public expenditure for November 2021 to January 2022 is now available on our website.

FOI 90390. Counter fraud services. Date requested 28 February 2022

Request received

  1. Amount spent on counter fraud services in the financial year 2019 to 2020?
  2. How much of this was spent on:
    • strategic governance
    • involve and inform
    • prevent and deter
    • hold to account
    • other
  3. Number of successful civil sanctions obtained in respect of fraud and fraud-related offences?
  4. Amount recovered as a result of these civil sanctions?
  5. Number of successful criminal sanctions obtained in respect of fraud and fraud-related offences?
  6. Amount recovered as a result of these criminal sanctions?
  7. Amount spent on counter fraud services in the financial year 2020 to 2021?
  8. How much of this was spent on:
    • strategic governance
    • involve and inform
    • prevent and deter
    • hold to account
    • other
  9. Number of successful civil sanctions obtained in respect of fraud and fraud-related offences?
  10. Amount recovered as a result of these civil sanctions?
  11. Number of successful criminal sanctions obtained in respect of fraud and fraud-related offences?
  12. Amount recovered as a result of these criminal sanctions?

Our response

In 2019 to 2020, NHS Kernow spent £18,000. For questions 2 to 6, NHS Kernow does not hold this information.

In 2020 to 2021, NHS Kernow spent £16,000. For questions 8 to 12, NHS Kernow does not hold this information.

Miscellaneous

FOI 90280. GP surgery staff. Date requested 8 February 2022

Request received

How many:

  • GP’s are on the payroll for the Leatside surgery in 2022?
  • were on the payroll for Manor Surgery prior to COVID?
  • were on the payroll for Clinton Road Surgery prior to COVID?
  • are currently signed off sick at the new surgery (week commencing 7 February)?

Our response

NHS Kernow does not hold the information requested. GPs are not employed by NHS Kernow as practices are independent contractors. Email Leatside Health Centre to ask for this information.

FOI 90310. GP funding schemes. Date requested 8 February 2022

Request received

  1. A list of funding schemes (separate from funding covered by the GMS, PMS or APMS contract and any local or national enhanced services) that are still available at the CCG, for GP practices to access in 2021 to 2022.
  2. Indicate how much funding is still available (as yet unallocated) for GP practices to access under each scheme for 2021 to 2022. Provide the latest figure available and specify the date at which this is correct.
  3. If there is any unallocated funding, provide details of how can GP practices access them.

Our response

  1. NHS Kernow does not have any funding schemes still available for GP practices to access.
  2. None.
  3. Not applicable.
Organisation

FOI 90240. Integrated care system (ICS). Date requested 1 February 2022

Request received

Provide the details of all place based partnerships that are established or are being established.

Our response

As part of our ICS, we have established 3 integrated care areas (ICAs) that will become our place-based partnerships. The names of these partnerships are west Cornwall ICA, central Cornwall ICA and north and east Cornwall ICA.

FOI 90340. ICS. Date requested 10 February 2022

Request received

  1. What is the deadline for completing your draft integrated care board (ICB) constitution?
  2. Do you plan to run a public consultation as part of the process of drafting your ICB constitution? If so, when? If it has already taken place, when did it take place?
  3. Will your constitution disqualify people who work for or have financial interests in private healthcare companies or private companies that deliver or want to deliver services to the NHS from sitting on your ICB? If not, why?
  4. What is the deadline for your ICB to produce your scheme of reservation and delegation (SoRD) document? If it has already passed, when was the deadline?
  5. Will you commit, in your SoRD, to not delegating any commissioning decisions to anybody or committee that includes people who work for or have financial interests in private healthcare companies or private companies that deliver or want to deliver services to the NHS from sitting on your board? If not, why?

Our response

With the establishment of ICB’s deferred until 1 July 2022, NHS England and NHS Improvement (NHSEI) is currently revising the deadline at the moment. It is feasible the draft constitution deadline will be towards the end of May 2022.

No public consultation has taken place to date. Regular engagement has already taken place with our local health and care system partners. Our proposed ICB board members include the following:

  • ICB chair plus 5 non-executive directors
  • ICB executives (chief executive, chief medical officer, chief finance officer and chief nursing officer)
  • partner members (1 representing the views of primary care medical services; 1 representing the views of our 2 local authorities; and 2 representing the views of provider NHS trusts)

The flexibility referred to in the question relates to the partner members. According to national guidance received, ICB’s are only able to have provider partner members that are employed by NHS trusts. Consequently, any nominations from individuals employed by private providers or community interest companies, will not be eligible for consideration.

In line with above, the NHS Cornwall and Isles of Scilly draft ICB constitution contains the following as criteria for disqualification as a board member: “A person whose involvement with the private healthcare sector or otherwise could reasonably be deemed to risk undermining the independence of the NHS.” This is mandatory text and will feature in every ICB constitution.

With the establishment of ICB’s deferred until 1 July 2022, NHSEI is currently revising the deadline at the moment. It is feasible the draft SoRD deadline will be towards the end of May 2022.

The ICB will abide by its SoRD as well as its scheme of delegation which dictate the type and level of decision making which is taken either by specific ICB staff or committees. The SoRD will also confirm which matters and decisions are reserved solely for the ICB board. In view of the governance arrangements that shall be in place upon the establishment of the ICB, we do not anticipate the scenario presented could arise as we also have strict rules which ensure we manage and mitigate actual or perceived conflicts of interest. Consequently, it is not necessary to include the clause suggested within the SoRD.

FOI 90350. Staff training courses. Date requested 14 February 2022

Request received

  1. How much has been spent on training courses or qualifications for staff in the following categories, and how many people have undergone this training? Provide information for 2020 to 2021, 2019 to 2020 and 2018 to 2019.
    • mandatory training (includes e-learning if applicable)
    • level 5 to 7 courses (includes e-learning if applicable)
    • level 2 to 4 courses (includes e-learning if applicable)
  2. What departments deal with the provision of qualifications or courses and who is the lead for provisioning these courses?.
  3. Do you purchase any training from external training providers? If yes, list the amounts below.

Our response

Email our people and organisational development team for information on external learning and apprenticeships.

Financial year Total spent on mandatory training Number of participants
2020 to 2021 £80 1
2019 to 2020 £3,550 83
2018 to 2019 £6,129 49
Financial year Total spent on level 5 to 7 courses Number of participants
2020 to 2021 £7,387 2
2019 to 2020 £6,359 5
2018 to 2019 £6,720 6
Financial year Total spent on level 2 to 4 courses Number of participants
2020 to 2021 £14,211 6
2019 to 2020 £24,294 14
2018 to 2019 £18,997 8
Training provider Amount paid to training provider (2020 to 2021) Number of participants (2020 to 2021) Courses supplied by training provider and number of participants
HFMA £8,496 Not applicable Not applicable
Cornwall College £14,745 Not applicable Not applicable
Truro and Penwith College £533 Not applicable Not applicable
University of Exeter £3,927 Not applicable Not applicable
ILX Group PLC £3,460 Not applicable Not applicable

FOI 90360. ICT strategy. Date requested 16 February 2022

Request received

  1. Provide the IT department strategy or plans, highlights their current and future objectives.
  2. Organisation chart. A visual document that presents the structure of the IT department, include name and job titles. If this cannot be sent, work towards a structure with job titles.
  3. Annual or business plan. Like the ICT strategy but is more annually focused.
  4. Capital programme and budget. A document that shows financials budget on current and future projects.

If some of these documents are not valid, state when the 2021 onwards ICT documents are planned to be published.

Our response

  1. Due to be published July 2022.
  2. 1 x head of primary care digital, 1 x senior project manager, 1 x project manager, 1 x data quality manager, 1 x technical engineer.
  3. Due to be finalised April 2022.
  4. Capital programme (circa £550k) subject to award by NHS England. The outcome is not yet known.
Prescribing and pharmacies

FOI 90370. Wound dressing formulary. Date requested 17 February 2022

Request received

Please may I ask for details of your wound dressing formulary, details of dressings listed and prices if available. Contact details of the person or persons involved in this formulary is also requested.

Our response

Wound dressing information is available on the Cornwall Joint Formulary website.

NHS Kernow does not release the names of employees below director level. The formulary is looked after by the medicines optimisation team.

Public health

FOI 90300. PCR tests. Date requested 8 February 2022

Request received

Can the NHS confirm that the PCR tests the UK has been using detect flu and other coronavirus, as well as COVID-19. I am aware that America is now using a different test as of 31 December 2021 as the PCR test we and the rest of the world used had evidence that it did give false positives for COVID-19 based on this evidence.

Our response

NHS Kernow does not hold the information requested as PCR tests are commissioned nationally. Email NHS England to ask for this information.

Women’s health

FOI 90260. IVF. Date requested 3 February 2022

Request received

Provide details of the criteria a person needs to meet to be eligible for IVF in your CCG area.

For the years 2021, 2020, 2019, how many people:

  • accepted for IVF treatment in your CCG area?
  • refused for IVF treatment in your CCG area?
  • refused based on their BMI?
  • from an ethnic minority background received IVF treatment in your CCG area? If the information is held, indicate the ethnic backgrounds.

Our response

NHS Kernow’s treatment policies are available on our website.

For question 2, NHS Kernow does not have access to this level of information. Contact the providers to ask for this information:

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