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June 2021

In June 2021 we received 20 FOI requests. On this page you can find a full list of the requests we received, along with our response.
Continuing healthcare

FOI 87920 retrospective claims. Date requested 17 June 2021

Request received

  1. How many retrospective cases have been completed by or on behalf of the CCG?
  2. How many of the cases referred to in 1 above have been successful (for example redress paid or waiting for redress to be paid)?
  3. Please provide the total amount paid in redress to claimants. Please provide this amount annually.
  4. In relation to 3 above, please provide the total amount paid in interest to claimants. Please provide this information annually.

Our response

  1. NHS Kernow has completed 383 claims.
  2. 57 claims paid or waiting redress.
  3. Total amount paid in redress to claimants:

    • 2012: £41,497.96
    • 2013: £152,218.01
    • 2014: £143,890.04
    • 2015: £165,504.52
    • 2016: £176,028.67
    • 2017: £53,858.00
    • 2018: £37,355.32
    • 2019: none
    • 2020: £177,820.92
    • 2021: £73,552.96
  4. Total amount paid in interest:
    • 2012: £4,773.31
    • 2013: £21,131.76
    • 2014: £2,740.28
    • 2015: £3,462.80
    • 2016: £6,753.78
    • 2017: £1,364.58
    • 2018: £1,390.55
    • 2019: none
    • 2020: £1,883.55
    • 2021: £1,013.72

FOI 87880 home care rates. Date requested 15 June 2021

Request received

  1. The lowest rate per hour paid to any individual home care provider during the reference period, expressed in pounds and pence per hour.
  2. The highest rate per hour paid to any individual home care provider during the reference period, expressed in pounds and pence per hour.
  3. The average (arithmetic mean) price per hour paid to all home care providers for all hours of home care services purchased during the reference period, expressed in pounds and pence per hour.
  4. The total hours of home care purchased from all providers during the reference period.
  5. The total hours of home care purchased from all home care providers during a 7-day period which includes Monday 20 April 2020 (for example the figure which provides a like-for-like comparison with item 4, above, for the previous year).
  6. Your organisation’s total spend on home care services purchased from all providers during the reference period.
  7. In relation to contracts held with independent and voluntary sector home care providers. Whether your organisation has imposed a contractual requirement that any home care provider pay their workers an hourly rate above the prevailing rate of the statutory national minimum wage (including national living wage) and the minimum pay rate specified. Please provide your response in pounds and pence per hour, if the answer is yes.
  8. In relation to how you have calculated the price you pay for home care, whether you have undertaken a calculation of the hourly cost of a home care service to assure yourself that the price you pay to independent and voluntary sector home care providers covers their costs and expectations of a profit or surplus. Please provide information for the financial years 2019 to 2020, 2020 to 2021 or 2021 to 2022. If your answer is yes, please supply a copy of the most recent numerical calculation referred to in your answer, including the financial year to which it relates. For the avoidance of doubt, this question asks you to supply a numerical calculation, rather than a narrative description of the factors which you have considered in setting the prices paid.

Our response

  1. £12.32.
  2. £27.
  3. £20.70.
  4. 7,025 hours.
  5. 7,459 hours.
  6. £164,864.
  7. Yes, national living wage foundation rate of £9.50.
  8. Yes, the UKHCA model is used. NHS Kernow does not hold this information, please contact Cornwall Council for the breakdown.
Contracts

FOI 88230 Age UK. Date requested 28 June 2021

Request received

Could you please send me details of the contracts you have with Age UK Cornwall. Including those for the transport of renal patients.

Our response

NHS Kernow does not have any contracts with Age UK.

FOI 88080 integrated urgent care service. Date requested 23 June 2021

Request received

  1. Suppliers who applied for inclusion on each framework or contract and were successful and not successful at the PQQ and ITT stages.
  2. Actual spend on this contract or framework (and any sub lots), from the start of the contract to the current date.
  3. Start date and duration of framework or contract?
  4. Could you please provide a copy of the service or product specification given to all bidders for when this contract was last advertised?
  5. Is there an extension clause in the framework(s) or contract(s) and, if so, the duration of the extension?
  6. Has a decision been made yet on whether the framework(s) or contract(s) are being either extended or renewed?
  7. Who is the senior officer (outside of procurement) responsible for this contract?

Our response

  1. Suppliers who submitted a tender response for this contract were Royal Cornwall Hospitals NHS Trust and Devon Doctors Limited.
  2. £48,409,755 original full contract value, however, increased activity means the full contract value will be £49,276,755.
  3. Service commenced on 1 December 2017. 5 year contract with a 3-year break clause.
  4. Please email our FOI team to request a copy of the service specification.
  5. No.
  6. No.
  7. Andrew Abbott director of primary care.

FOI 87570 agency staff. Date requested 1 June 2021

Request received

  1. Do you currently have a contract with a neutral vend or master vend? If so, what are their name and when does the contract expire? If there is an option of an extension, please list how long it is.
  2. All the supplier names who supplied yourself with temporary agency labour in the above period.
  3. The actual spend value for each supplier in the above period.
  4. The types of roles that were supplied.
  5. The dates they were supplied, if not available the week the invoice was invoiced or paid.

Our response

  1. No.
  2. Hays.
  3. £15,802.
  4. Administration.
  5. April to September 2020.
COVID-19

FOI 88260 vaccines. Date requested 30 June 2021

Request received

For each calendar month between (and including) December 2020 and May 2021, please provide a breakdown, by ethnicity, of the number of:

  1. people in the clinical commissioning group (CCG) area who have been contacted by their GP or the NHS to receive a COVID-19 vaccine
  2. Pfizer/BioNTech COVID-19 vaccines administered in the CCG area
  3. AstraZeneca COVID-19 vaccines administered in the CCG area
  4. Moderna COVID-19 vaccines administered in the CCG area

Our response

NHS Kernow does not hold the information broken down by ethnicity and are unable to provide the information requested.

For questions 2 to 4, please email our FOI team to request a copy of the breakdown.

FOI 87830 vaccination. Date requested 12 June 2021

Request received

  1. The number of deaths, by the 5 age band groups, for the 4 months, December 2020, January 2021, February 2021 and March 2021?
  2. From the above age bands and months, those who died were they COVID-19 Unvaccinated or COVID-19 vaccinated?
  3. From those who died in the 5 age groups, in each of the 4 months, which of the 3 vaccinations were they vaccinated with?
  4. If the clinical commissioning group does not have this information, please provide the name of the hospital, trust or other source who has this information that is very specific to the above named in the freedom of information request, together with the correct FOI email address?

Our response

December 2021:

  • In-hospital: Less than 54 = 7, aged 55 to 64 = 15, aged 65 to 75 = 31, aged 75 to 84 = 58, aged 85 and over = 81. Total = 192.
  • Out of hospital: Breakdown by month = *. Total 6

January 2021:

  • In-hospital: Less than 54 = 10, aged 55 to 64 = 16, aged 65 to 75 = 39, aged 75 to 84 = 75, aged 85 and over = 108. Total = 248.
  • Out of hospital: Breakdown by month = *. Total 12

February 2021:

  • In-hospital: Less than 54 = 7, aged 55 to 64 = 14, aged 65 to 75 = 33, aged 75 to 84 = 83, aged 85 and over = 82. Total = 219.
  • Out of hospital: *

March 2021:

  • In-hospital: Less than 54 = 7, aged 55 to 64 = 9, aged 65 to 75 = 31, aged 75 to 84 = 47, aged 85 and over = 62. Total = 156.
  • Out of hospital: *

* NHS Kernow does not hold this information. This may be available from the public health team at Cornwall Council.

** As the information is not held for the breakdown of out of hospital deaths, NHS Kernow are unable to provide this information.

For question 2, 3 and 4. NHS Kernow does not hold this information. NHS England may be able to assist, though it is possible that this information is not recorded.

Information governance

FOI 88010 patient identifiable data. Date requested 21 June 2021

Request received

I am interested to know the extent of health care (not care, nursing home or social care) that is being delivered by commercial and private companies (excluding GP practices). The names of the companies and the area of clinical activity in which they are operating.

After September 2021, I am presuming that any private or commercial company will be able to apply for access to GP patient data for planning and research purposes.

Our response

NHS Kernow publishes details of all contracts held on our website.

NHS Kernow does not share data for secondary care purposes without the appropriate permissions and agreements in place. Details of how we use your data and our privacy notice are published on our website.

Long term conditions

FOI 88050 chronic pain. Date requested 21 June 2021

Request received

  1. How many consultations are there per year for chronic pain?
  2. How many patients per year does that represent?
  3. What is the total cost of care per year for chronic pain?
  4. What is the total cost of medication per year for chronic pain?
  5. Do you have a secondary care pain unit in the CCG? If so, how many referrals are made to this unit per year?
  6. Do you have community pain services? If so, how many consultations are made to these services per year? and what is the cost of care within these services per year?

Our response

  1. In the financial year 2020 to 2021, there were 11,126 outpatient attendances.
  2. 6,675.
  3. In the financial year 2020 to 2021, the spend was £1,132,139.
  4. NHS Kernow does not hold this information. Prescribing data and information is available from the NHSBSA website.
  5. Yes, in the financial year 2020 to 2021, 918 GP referrals were made.
  6. No, NHS Kernow does not commission community pain services.

FOI 87710 health coaching. Date requested 7 June 2021

Request received

  1. What was the spend on health coaching to enable citizens to manage long term conditions (for example diabetes or hypertension) over the last 2 most recent financial years?
  2. What was the spend on health coaching to enable citizens to lifestyle choices (for example stop smoking or losing weight) over the last 2 most recent financial years?
  3. Who were the providers of these services?
  4. Were there any services commissioned aimed at people of BAME origin to proactively manage their long-term conditions, or lifestyles which provides the support in their own language or in a culturally sensitive way?
  5. If the answer to question 4 is no, are there any plans to do this in future and who would be responsible for this? If the answer to question 4 is yes, who were the providers?

Our response

  1. NHS Kernow does not hold the information requested as spend for health coaching is not recorded separately.
  2. NHS Kernow does not hold the information requested as spend for health coaching is not recorded separately.
  3. Health coaching is included as part of the nursing associate (ARR) roles in primary care.
  4. No.
  5. This service is in its infancy with plans to expand and develop further. NHS Kernow is looking at ways in which it can be embedded within different parts of health and social care, to include sector of the Cornish population including people of BAME origin.
Mental health and learning disabilities

FOI 88100 ICBT. Date requested 23 June 2021

Request received

  1. Do you have a provider of internet-enabled cognitive behavioural therapy (iCBT)? If not, are you planning to choose one in the future and when do you plan to tender for the service?
  2. Which digital system do you use to deliver iCBT also known as computerised CBT or online CBT (for example IESO, SilverCloud, Kooth)?
  3. How is the iCBT solution usually procured (for example tender, spot purchase)?
  4. How is iCBT provided in your region (for example procured by CCG or ICS and then available to individual GP practices, procured by individual GP practices, procured by NHS mental health trusts)?
  5. Who is in charge of making the procurement decisions for iCBT software (for example commissioners, clinical lead, NHS partners)?
  6. When did the ongoing contract for the used iCBT software start?
  7. When will the ongoing contract for the used iCBT software end?
  8. How frequent are contracts for iCBT software renewed?
  9. How are you paying for the usage of the iCBT software (for example on-off payment, recurring annual payments, payment by volumes delivered)?
  10. In case there was an on-off payment, how much did you pay for the iCBT software?
  11. In case there are recurring payments, how much do you pay per year for the iCBT software?

Our response

For questions 1 to 11, but excluding question 5, NHS Kernow does not hold this information for adult services. iCBT is commissioned by Cornwall Partnership Foundation Trust.

Answers below are for children and young adult services. Except number 5 which is for all age categories.

  1. In response to increase in demand due to COVID-19, we currently commission Kooth to deliver internet-enabled counselling up to the age of 18 years. An extension to include those up to 25 years is in the final stages of agreement.
  2. The children and young people’s programme commissions Kooth to deliver internet-enabled counselling.
  3. If NHS Kernow were to procure it would be via tender if over the public contract regulations 2015 light touch regime threshold.
  4. The Kooth counselling service is available to all qualifying residents of Cornwall and Isles of Scilly.
  5. Commissioners, in collaboration with ICS partners.
  6. Kooth Plc start 1 April 2021.
  7. Expiry 31 July 2022.
  8. This is the first time that NHS Kernow has directly commissioned this service.
  9. Annual payments.
  10. £171,120 for on-line up to 18 years for 1 year plus £101,000 for on-line 18 years to 25 years for 1 year.
  11. Not applicable.

FOI 87990 CAMHS. Date requested 21 June 2021

Request received

Please answer questions 1 to 5 for the following time periods 1 April 2019 to 31 March 2020 and 1 April 2020 to 31 March 2021.

  1. During this time period, please give the number of children and young people referred to your CAMHS for services including treatment for symptoms of anxiety, depression, trauma symptoms and eating disorder services.
  2. Of these, how many were emergency referrals for CAMHS and eating disorder services?
  3. During this time period, please give the number of children and young people waiting longer than 12 weeks without contact by services for CAMHS and eating disorder services.
  4. During this time period, please give the number of children and young people whose referral was closed before treatment, and who were referred for CAMHS and eating disorder services.
  5. For children and young people whose referrals were closed before treatment, please provide all the reasons why this happened.
  6. Please give the number of children and young people still waiting for treatment on 31 March 2020 and 31 March 2021, and who have not been contacted for CAMHS and eating disorder services.

Our response

Please note, for answers shown as * NHS Kernow holds the information. Where the numbers are 5 or less, 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.

  1. Number of children and young people referred to CAMHS:
    • 2019 to 2020: CAMHS = 4,028. Eating disorder 4,169.
    • 2020 to 2021: CAMHS = 265. Eating disorder 284.
  2. Emergency referrals:
    • 2019 to 2020: CAMHS = 99. Eating disorder 196.
    • 2020 to 2021: CAMHS = *. Eating disorder 12.
  3. Number of children and young people waiting longer than 12 weeks without contact:
    • 2019 to 2020: CAMHS = 435. Eating disorder 187.
    • 2020 to 2021: CAMHS = *. Eating disorder *.
  4. Number of children and young people whose referral was closed before treatment:
    • 2019 to 2020: CAMHS = 880. Eating disorder 940.
    • 2020 to 2021: CAMHS = 20. Eating disorder 17.
  5. Closure reasons:
    • 2019 to 2020:
      • admitted elsewhere (at the same or other health care provider) = *
      • moved out of the area = *
      • no further treatment appropriate = 53
      • nothing entered (null) = 761
      • patient did not attend = *
      • patient refused to be seen = *
      • patient requested discharge = 7
      • referred to other speciality or service (at the same or other health care provider) = 43
      • treatment completed = 22
    • 2020 to 2021:
      • admitted elsewhere (at the same or other health care provider) = *
      • no further treatment appropriate = *
      • nothing entered (null) = 855
      • patient requested discharge = *
      • referred to other speciality or service (at the same or other health care provider) = 86
      • treatment completed = *
  6. NHS Kernow does not hold this information. This may be available from Cornwall Partnership NHS Trust who provide this service.
Organisation

FOI 88200 ICS. Date requested 25 June 2021

Request received

  1. Please disclose the name, email address and telephone number of the senior responsible officer for the integrated care system (ICS)?
  2. Please disclose the names, email addresses and telephone numbers for the workforce leads (including the 2 most senior workforce leads, all senior project managers and the workforce deployment systems development lead(s)) for the ICS?
  3. Please provide the names, email addresses and telephone numbers for the 2 most senior finance leads for the ICS?
  4. In addition (not in replacement of) the above information, please provide a copy of or a working URL for the ICS’s organisational chart.
  5. Please also provide a copy of or a working URL for the ICSs current workforce strategy.

Our response

NHS Kernow does not hold the information requested as the Cornwall and the Isles of Scilly ICS has not yet been created. Timeline is dependent on legislation but is expected to be formed by April 2021. Therefore, the job roles have not yet been assigned.

FOI 88090 Stonewall. Date requested 23 June 2021

Request received

  1. What was the membership fee given to Stonewall as part of their Diversity Champions programme in each of 2018 to 2019, 2019 to 2020 and 2020 to 2021 by your organisation?
  2. What additional monies have been given to Stonewall in each of 2018-19, 2019-20 and 2020-21? Specifically, this incorporates:
    • events and conferences (where, for example, your organisation has purchased tickets to attend or entered raffles or auctions organised by Stonewall); please name any events and conferences that your organisation attended and the date attended
    • other programmes (such as LGВТ Leadership programme, LGВТ role model programme, ally and/or trans ally programmes, as well as train the trainer programmes)

Our response

  1. 2018 to 2019 and 2019 to 2020: net £2,500. £3,000 gross. 2020 to 2021 none.
  2. Additional monies given to Stonewall:
    • events and conferences – 2018 to 2019 and 2020 to 2021 none. 2019 to 2020: Stonewall workplace conference Manchester, 27 September 2019; cost £230 net (£275 gross).
    • other programmes – 2018 to 2019: Stonewall leadership programme, 10 to 12 July 2018; cost £1,905 net (£2,286 gross) and Stonewall in-house allies programme, 12 March 2019; £5,250 net (£6,300 gross). 2019 to 2020: Stonewall open trans allies programme, 12 June 2019; £325 net (£390 gross). 2020 to 2021: none.

FOI 88170 structure. Date requested 23 June 2021

Request received

  1. What was the annual turnover and revenue (£m) of your organisation in 2019 to 20 and 2020 to 2021?
  2. How many full time employees make up your organisation’s workforce?
  3. Do you currently outsource any employment or HR, finance or procurement services and if so which service and to whom?
  4. Does your organisation currently plan to outsource any corporate services in employment or HR, finance or procurement services in the future? If so, which one?
  5. What third-party technologies or suppliers does your organisation use for the following:
    • HR (beyond ESR, for example Locum’s Nest, Allocate, recruitment agency platforms or portals)
    • learning and development (including e-learning portals)
    • finance and accounting services (including your ERP solution)
    • procurement services (including inventory and catalogue management)

Our response

  1. NHS Kernow can confirm in line with section 1 of the act that the information is held by the organisation. NHS Kernow exempts the release of the information requested for 2019 to 2020 under section 21 of the act: information is reasonably accessible to the applicant by other means. This information is published on our website in our annual report. We exempt the release of the information requested for 2020 to 2021 under section 22 of the act: information intended for future publication. This information will be published on NHS Kernow’s website in due course.
  2. 197.
  3. Some back office financial services are outsourced. This primarily relates to the financial ledger and relates processes which is contracted by NHS England and NHS Improvement on behalf of all clinical commissioning groups. HR, transactional recruitment, payroll pensions and occupational health are provided as a shared service from another NHS Trust. We have external legal services, and we also pay for an employee assistance programme. Procurement none.
  4. None.
  5. Third-party technologies:
    • health assured for EAP
    • ESR
    • NHS Kernow uses Oracle Financial software provided by NHS Shared Business Services. NHS England and NHS Improvement contracts directly with NHS Shared Business Services
    • none

FOI 87760 structure. Date requested 9 June 2021

Request received

Please could you assist me with the following information. The name and email contact detail for the person within the CCG that holds the following responsibility:

  1. Senior operation lead for elective care.
  2. Planned care lead.
  3. Chief operating officer.
  4. Transformation director.
  5. Patient service lead for elective care.
  6. Person that holds responsibility for winter pressure.

Our response

NHS Kernow does not release the names of staff below director level.

John Groom is director for planned and elective care and integrated care.

Helen Childs is the chief operating officer.

Carolyn Andrews is the transformation director. .

NHS Kernow does not have 1 person responsible for winter pressure. The directors responsible are:

  • John Groom.
  • Andrew Abbott, director for integrated care primary care.
  • Karen Kay, director for integrated care in hospital.

FOI 87720 Stonewall. Date requested 8 June 2021

Request received

  1. What payments, if any, you made to Stonewall (officially Stonewall Equality Limited) in the financial year 2019 to 2020?
  2. What payments, if any, you made to Stonewall (officially Stonewall Equality Limited) in the financial year 2020 to 21?
  3. What payments, if any, you expect to make to Stonewall (officially Stonewall Equality Limited) in the current financial year?

Our response

  1. £3,055 excluding VAT.
  2. None.
  3. None.

FOI 87600 equality and diversity policies. Date requested 2 June 2021

Request received

What is your local policy on the following?

  1. Equality, diversity and inclusion for staff.
  2. Equality, diversity and inclusion for patients.
  3. Provision of transgender related healthcare for children.
  4. Provision of transgender related healthcare for adolescents.
  5. Provision of transgender related healthcare for adults.
  6. Capacity and consent to treatment for young people.
  7. Supplementing NHS care with private care.

Our response

  1. To request a copy of the equality, diversity and inclusion policy for staff, please email our FOI team.
  2. Under section 1 of the freedom of information act NHS Kernow can confirm that this information is not held. Our equality and diversity impact assessments are published alongside our commissioning policies.
  3. Under section 1 of the freedom of information act NHS Kernow can confirm that this information is not held. NHS Kernow does not have a local policy specifically relating to the provision of transgender related healthcare for children, adolescents and adults. The provision of services for all members of the population is embedded in within our commissioning cycle. This ensures we assess the needs of the entire population and adhere to national and NICE guidance.
  4. As per response to question 3, Under section 1 of the freedom of information act NHS Kernow can confirm that this information is not held.
  5. As per response to question 3, Under section 1 of the freedom of information act NHS Kernow can confirm that this information is not held.
  6. Under section 1 of the freedom of information act NHS Kernow can confirm that this information is not held. NHS Kernow is a clinical commissioning group responsible for the planning and commissioning of health care services. NHS Kernow does not hold the information as this will be the responsibility of the service provider.
  7. Under section 1 of the freedom of information act NHS Kernow can confirm that this information is not held. NHS Kernow does not have a local policy but follows the NHS national policy. This is available on the NHS England website.
Properties and estates

FOI 87940 disinfection systems. Date requested 17 June 2021

Request received

  1. Does your organisation currently purchase any of the following or similar disinfection systems: hydrogen peroxide vapour disinfection systems, mobile ultraviolet light disinfection systems or electrostatic disinfection systems?
  2. From which suppliers do you obtain these systems, and can you confirm the spend in the last 2 years?
  3. Were these systems purchased through a tender or framework? If so, which one? Please provide the following details: name, reference and where this was published?
  4. Are you under contract with your current supplier(s) for the above? If so, what is the start and end date(s) of the contract(s)?
  5. Can you provide the name and contact details for the person(s) responsible for procuring these systems?
  6. Can you provide contact details for the department responsible for managing this service or more broadly infection, prevention, and control?
  7. Within this sector, are peer-reviewed studies considered a part of your selection for suppliers?
  8. Many ultraviolet disinfection systems use mercury bulbs – can you confirm if your systems use these alongside your associated environmental management procedures?

Our response

No. NHS Kernow does not purchase this type of equipment.

FOI 87870 facilities. Date requested 15 June 2021

Request received

Please can you supply a list of suppliers your trust to undertake and supply any of the soft facilities listed below under the terms of the Freedom of Information Act 2000 (‘the Act’).

  • Guarding fixed and mobile.
  • Security services assessment and design.
  • Supply, installation and maintenance of security alarms, fire alarms, access control systems and CCTV systems.
  • Staff call and lone working devices and monitoring.
  • Total security services solution.
  • Porterage.
  • Courier services.
  • Asbestos management.
  • Asbestos removal.
  • Demolition services.
  • Lift maintenance.
  • Legionella and water treatment services.
  • Fire risk assessments and consultancy services.
  • Passive and active fire safety.
  • PAT testing.
  • Pneumatic tube systems.
  • Pest control.
  • Cleaning services including deep clean and specialist cleaning and consumables.
  • Laundry services.
  • Grounds, hard surface and gardens maintenance, landscaping and tree management.
  • Gritting, snow clearance and winter services.
  • Window cleaning internal and external.
  • Catering services general (+ optional retail outlets) and corporate.
  • Total soft facilities management.

Our response

Of the services requested, only 3 are commissioned by NHS Kernow as follows:

  • courier services are commissioned for NHS trusts in Cornwall and delivered by Royal Cornwall Hospitals NHS Trust
  • PAT testing (AC Pat Testing, Torquay)
  • cleaning consumables (NHS Supply Chain)

Information regarding the other services may be available from NHS Property Services.

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