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September 2021

In September 2021 we received 19 FOI requests. On this page you can find a full list of the requests we received, along with our response.
Care homes

FOI 89460 older person’s care services. Date requested 30 September 2021

Request received

  1. Highest, lowest, average (mean) and median actual weekly fees paid to older person’s care providers under a continuing healthcare package. Please provide data for 2020 to 2021 and 2021 to 2022. Include older person’s residential, residential elderly mentally infirm, nursing and nursing elderly mentally infirm.
  2. Number of people aged 65 and over funded by the CCG under a continuing healthcare package in an older person’s care home for 2019 to 2020, through to 2021 to 2022.

Our response

Please email our FOI team for a copy of this response.

FOI 89430 Fee increase. Date requested 27 September 2021

Request received

  1. Please can you tell me if the CCG offered higher fees to care homes if they accepted COVID patients from hospital at any point since March 2020?
  2. If you sent out a letter or email to care homes communicating this increased fee, please include it in your response.
  3. If care homes signed a contract with the CCG to accept COVID patients from hospital please also include this in your response.

Our response

No increase or higher fees were offered. Care home tier pricing system followed throughout COVID. Additional 1 to 1 support may have been agreed for COVID isolation purposes.

Children’s health

FOI 89330 Community disability equipment. Date requested 10 September 2021

Request received

  1. Value of community disability equipment provided by your organisation to disabled and terminally ill children (as defined by the 2010 Equality Act). We require information from each organisation separately.
  2. Numbers of individual pieces of equipment supplied to disabled and terminally ill children in your area.

Our response

NHS Kernow does not hold the information requested. Royal Cornwall Hospitals NHS Trust who are the providers may hold the information.

Clinical management

FOI 89390 Atrial fibrillation. Date requested 21 September 2021

Request received

  1. What requirements do GPs or GP practices have to meet in order to be able to order 24 hour ECGs (Holter monitor tests)?
  2. According to my estimates, 1 primary care network (PCN) carries out about 500 tests per year using 12-Lead ECG.
    • Do you have information on how many 12-lead ECG are performed annually in the UK?
    • Do you have any information on how many 24 hour ECGs are performed annually in the UK?
    • How many 24 hour ECGs examinations are carried out in your system?
  3. How often is atrial fibrillation diagnosed among the ECG performed? According to my data, 16.5% of patients diagnosed with the Holter test have atrial fibrillation.
  4. Number of public hospitals are in your system?

Our response

  1. Patients with:
    • unexplained syncope, near syncope or episodic dizziness without obvious cause
    • unexplained recurrent palpitation
    • episodic shortness of breath, chest pain or fatigue that is not otherwise explained
    • neurological events when transient atrial fibrillation or flutter is suspected
  2. For question 2a and 2b, NHS Kernow does not hold this information. This may be available from NHS England. For question 2c, NHS Kernow does not hold the actual number. I it is estimated that approximately 5,500 were carried out in 2019 to 2020.
  3. NHS Kernow does not hold this information. This may be available from NHS England.
  4. Cornwall and the Isles of Scilly have 2 main NHS providers. Royal Cornwall Hospitals NHS Trust is the principal provider of acute, specialist and community healthcare to the people of Cornwall and the Isles of Scilly with 3 sites. Cornwall Partnership NHS Foundation Trust is the provider of community hospitals with 10 sites.

FOI 89310 Chronic pain. Date requested 6 September 2021

Request received

Please provide us with the financial years of 2018 to 2019, 2019 to 2020 and 2020 to 2021.

  1. How many consultations are there per year in each of the following care settings for chronic pain:
    • community services
    • primary care (general practice)
    • secondary care (acute hospitals)
  2. How many patients per year does that represent in each care setting:
    • primary care (general practice)
    • community services
    • secondary care (acute hospitals)
  3. What is the total cost of medication per year for chronic pain? Please give us the total cost for providing the following analgesics on prescription in each of the following care-settings:
    • primary care (general practice)
    • community services
    • secondary care (acute hospitals)
  4. Do you have a secondary care pain unit in the CCG? If so, how many referrals are made to this unit per year?
  5. Do you have community pain services? If so, how many consultations are made to these services per year? How are these services commissioned?
  6. What is the total cost of care per year for chronic pain? In each setting for each financial year:
    • primary care (general practice)
    • community services
    • secondary care (acute hospitals)

Our response

  1. Response below:
    • None.
    • NHS Kernow does not hold this information. It is possible that this information is not recorded.
    • 2018 to 2019: Outpatient 7,900 and inpatient 1,188
    • 2019 to 2020: Outpatient 7,325 and inpatient 1,164
    • 2020 to 2021: Outpatient 11,126 and inpatient 556
  2. Response below:
    • None.
    • None.
    • 2018 to 2019: Outpatient 3,731 and inpatient 916
    • 2019 to 2020: Outpatient 3,571 and inpatient 908
    • 2020 to 2021: Outpatient 6,675 and inpatient 465
  3. NHS Kernow does not hold this information. Prescribing data and information is available from the NHSBSA.
  4. Yes.
    • 2018 to 2019 referrals: 1,520
    • 2019 to 2020 referrals: 1,365
    • 2020 to 2021 referrals: 918
  5. No.
  6. Response below:
    • NHS Kernow does not hold this information.
    • Not applicable.
    • 2018 to 2019: Outpatient £681,238 and inpatient £709,275
    • 2019 to 2020: Outpatient £700,994 and inpatient £738,303
    • 2020 to 2021: Outpatient £810,548 and inpatient £321,591

FOI 89290 Tier 2 weight management service. Date requested 1 September 2021

Request received

  1. How many patients do you believe are eligible in your clinical commissioning group (CCG)?
  2. Number of patients do you currently have on your waiting list?
  3. How many patients have you referred in the last 12 months?

Our response

NHS Kernow does not hold this information as tier 2 weight management In Cornwall and Isles of Scilly is provided by Cornwall Council.

Continuing healthcare

FOI 89370 Personal health budgets. Date requested 18 September 2021

Request received

  1. For each year the information is available:
    • Number of personal health budgets active by the end of the year.
    • Value of personal health budgets active by the end of the year.
    • Number of personal health budgets identified as having any fraudulent activity by the end of the year.
    • Value of personal health budgets identified as any fraudulent activity by the end of the year.
    • Number of personal health budgets identified as having fraud referrals by the end of the year.
    • Value of personal health budgets identified as having fraud referrals by the end of the year.
  2. Give the method of delivery of the personal health budget by notional budget, third party budget and direct payment.
  3. Give the type of personal health budgets (for example healthcare, wheelchair, end of life, mental health)

Our response

NHS Kernow has a robust process of financial reviews, and we are not aware of any fraudulent activity with our personal health budgets.

Number of personal health budgets active:

  • 2015 to 2016: 20
  • 2016 to 2017: 57
  • 2017 to 2018: 68
  • 2018 to 2019: 93
  • 2019 to 2020: 153

Value of personal health budgets active:

  • 2015 to 2016:
    • Direct payment: £14,136.23
    • Direct payment via brokerage: £8,899.85
    • Notional budget: £689.58
  • 2016 to 2017:
    • Direct payment: £35,940.41
    • Direct payment via brokerage: £10,749.12
    • Notional budget: £12,582.55
  • 2017 to 2018:
    • Direct payment: £49,148.29
    • Direct payment via brokerage: £14,977.61
    • Notional budget: £19,370.84
  • 2018 to 2019:
    • Direct payment: £50,763.38
    • Direct payment via brokerage: £19,755.62
    • Notional budget: £43,219.48
  • 2019 to 2020:
    • Direct payment: £49,978.02
    • Direct payment via brokerage: £27,103.68
    • Notional budget: £159,962.00
  • 2020 to 2021:
    • Direct payment: £43,673.57
    • Direct payment via brokerage: £36,908.14
    • Notional budget: £125,044.08

For questions 1c to 1f the answer is none.

For a response to question 2, please see above.

The answer to question 3 is healthcare.

Contracts

FOI 89440 Ophthalmology. Date requested 29 September 2021

Request received

Please provide data for 2020 to 2021, 2021 to 2022 and 2022 to 2023. Also include the service item and indicative number of patients

  1. Expression of interests submitted by CCG and/or NHS Trust to seek provision of ophthalmology services.
  2. Ophthalmology contracts awarded by CCG and/or NHS Trust to seek provision of ophthalmology services.
  3. Expression of interests submitted by CCG and/or NHS Trust to seek provision of cataract services.
  4. Ophthalmology contracts awarded by CCG and/or NHS Trust to seek provision of cataract services.
  5. 2020 to 2021 and 2021 to 2022 annualized activity levels of contract values at CCG and provider.
  6. End dates of your current commissioned ophthalmology providers?
  7. Members of your local CCG and ICS involved in ophthalmology decision making for the ICS footprint?
  8. Who is currently identified as the ICS HVLC cataract hub for 2022?

Our response

  1. None.
  2. Ophthalmology activity count by provider is below. Note the information provides ophthalmology activity (not patient numbers). Due to COVID arrangements, no NHS trust contracts have been awarded since 2019 to 2020 but are based on 2019 to 2020 contracting arrangements as per NHSE guidance.
    • North Devon Healthcare Trust: 2020 to 2021 510 and 1 April 2021 to 31 August 2021: 838
    • Practice Plus Group: 2020 to 2021 1,860 and 1 April 2021 to 31 August 2021: 673
    • Probus Surgical Centre: 2020 to 2021 2,176 and 1 April 2021 to 31 August 2021: 994
    • Royal Cornwall Hospitals NHS Trust: 2020 to 2021 44,618 and 1 April 2021 to 31 August 2021: 24,619
    • Royal Devon and Exeter: 2020 to 2021 168 and 1 April 2021 to 31 August 2021: 112
    • University Hospital Plymouth: 2020 to 2021 13,068 and 1 April 2021 to 31 August 2021: 6,399
  3. None.
  4. Contained within activity described in question 2.
  5. See response to question 2.
  6. NHS trust contracts currently under NHS England guidance arrangements. Probus Surgical Centre and Practice Plus Group: 31 March 2022.
  7. Planned care board and CCG finance committee.
  8. This information is not yet available as Cornwall and the Isles of Scilly ICS eyecare strategy is in development.

FOI 89450 IAPT contract. Date requested 29 September 2021

Request received

Please could you provide details of the contract dates for the above service and whether there are any potential extensions? If so, have these extensions been granted.

Our response

The contract runs from 1 April 2017 to 31 March 2020 (initial term) with an option to extend for 24 months (to 31 March 2022) awarded to non-NHS provider Outlook South West.

In December 2019, Outlook South West requested to novate their contract to Cornwall Partnership NHS Foundation Trust from 1 April 2020 for the remainder of the contract term. NHS Kernow agreed to the novation and activated the 24 months extension at which point the pandemic hit the UK.

The contract details a 12 months notice period to terminate. NHS Kernow is advised by the NHS contract technical guidance to set out its commissioning intentions ahead of issuing a notice to terminate a contract and this would be done prior to commencing any procurement process. NHS Kernow analysed the risks and impact that serving notice could have on a recently novated key mental health service. Considering the short period that which Cornwall Partnership NHS Foundation Trust had held this contract, felt the risks involved in running such a procurement mid-pandemic outweighed the risk of extending the contract for an additional 12 months. This was approved by NHS Kernow’s finance and performance committee in April 2021. Therefore 12 months notice will now be issued on 31 March 2022 with a view to commencing a full procurement for a new contract start date 1 April 2023.

FOI 89350 Non-emergency patient transport service. Date requested 16 September 2021

Request received

  1. Actual spend on this contract or framework (and any sub lots), from the start of the contract to the current date
  2. Start date and duration of framework or contract?
  3. Is there an extension clause in the framework(s) or contract(s) and, if so, the duration of the extension?
  4. Has a decision been made yet on whether the framework(s) or contract(s) are being either extended or renewed?
  5. Who is the senior officer (outside of procurement) responsible for this contract?

Our response

  1. Contract value per financial year, excluding any additional COVID related costs:
    • 1 June 2016 to 31 March 2016: £2,391,339
    • 2017 to 2018: £3,146,910.00
    • 2018 to 2019: £3,257,980.00
    • 2019 to 2020: £3,490,407.00
    • 2020 to 2021: £3,490,407.00
  2. The contract started on 1 June 2016 and ends in March 2023.
  3. No.
  4. No.
  5. NHS Kernow does not release the names of employees below director level. John Groom, director of planned care.

FOI 89280 111 and out of hours services. Date requested 1 September 2021

Request received

  1. Who is the organisation who is commissioned to run your 111 service and GP out of hours service, when do these contracts expire and is this a sole agreement just with your CCG or a jointly commissioned service and if so with which other CCG?
  2. Name and email address of the person at the CCG responsible for each of these services.
  3. Do you intend to procure an integrated urgent care service in the next 18 months?

Our response

  1. Royal Cornwall Hospitals NHS Trust. The contracts expire on 30 November 2022 unless an extension is confirmed and is a sole agreement.
  2. The director responsible is Andrew Abbott, director of primary care.
  3. Not yet confirmed.
Finance and budgets

FOI 89360 Artwork. Date requested 17 September 2021

Request received

  1. How many artworks have been purchased by the trust in 2018 to 2019, 2019 to 2020 and 2020 to 2021?
  2. How many artworks are in the possession of the trust?
  3. What is the estimated value of the artworks?
  4. How many of the artworks are on public display?

Our response

None.

FOI 89320 Spend and transparency data. Date requested 6 September 2021

Request received

There appears to be no spend and transparency data available for the month of June 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 June 2021 file please.

Our response

NHS Kernow apologies for the delay in publishing this information. The transparency in public expenditure for June to August 2021 is now available on our website.

Mental health and learning disabilities

FOI 89410 ADHD assessments. Date requested 22 September 2021

Request received

For the last 10 years, ideally per calendar year, or as many years as you have for that period, which you have data please provide a breakdown of the number of:

  • adult ADHD assessments undertaken
  • female adult ADHD assessments
  • male adult ADHD assessments
  • children ADHD assessments
  • girls (under 18) ADHD assessments
  • boys (under 18) ADHD assessments

Our response

NHS Kernow does not hold the information as the reporting of ADHD assessment numbers is not routinely required.

This information may be available from Cornwall Partnership NHS Foundation Trust.

Miscellaneous

FOI 89420 GP optional services and schemes. Date requested 24 September 2021

Request received

A list of all the optional services and schemes commissioned by the CCG that your member GP practices could choose to participated in during 2021 to 2022. For example local enhanced services, local improvement schemes and prescribing incentive or improvement schemes.

  1. Value of each, for example the total amount that can be earned for participation in the service or scheme per patient or per procedure.
  2. Total budget for each for 2021 to 2022.
  3. Specification for each of these services or schemes and provide the specific pdf or word document.
  4. Additionally could you please indicate where if any schemes are commissioned at primary care network level.
  5. Please indicate which, if any, schemes are being suspended in order to ease workload for practices in light of additional pandemic related workload.

Our response

Please email our FOI team for a copy of the response.

Organisation

FOI 89380 Integrated care system. Date requested 20 September 2021

Request received

Please provide the names and email address of the people that hold responsibility for these job titles within Cornwall and the Isles of Scilly integrated care system (ICS):

  • performance director
  • transformation director
  • chief information officer
  • information technology manager
  • telecoms manager
  • head of primary care

Our response

Cornwall and Isles of Scilly ICS is in development. The timeline is dependent on legislation but is expected to be formed by April 2022. Therefore, not all roles have been appointed to.

Our transformation director is Carolyn Andrews.

Prescribing and pharmacies

FOI 89400 Primary rebate schemes. Date requested 21 September 2021

Request received

I would like to enquire about primary rebate schemes you have signed in the last 12 months. Could you please supply the following information regarding primary rebate schemes:

  1. What product names (brand and generic if possible)?
  2. What were the start and finish dates (or ongoing if applicable)?
  3. Which rebates are aligned to PrescQIPP, and which ones are independent?

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 in our publication scheme page.

Primary care

FOI 89470 New Lizard surgery. Date requested 29 September 2021

Request received

I would like to enquire into the New Lizard Surgery in Lizard Point, Cornwall. I have gathered they are linked to the Mullion Surgery but I may have this wrong.

  1. Is it possible to have the surgery patients list (how many patients are registered)?
  2. How many prescriptions they dispense there?
  3. Also in your opinion is there a requirement of a pharmacy in the area?

Our response

  1. Lizard Surgery is a branch site of Mullion and Constantine GP practice. As of July 2021, Mullion and Constantine GP practice have 8,201 registered patients.
  2. NHS Kernow does not hold this information. The dispensing element for dispensing practices is managed by NHS England.
  3. NHS Kernow is unable to answer this question.
Referral management

FOI 89300 Fertility treatment. Date requested 6 September 2021

Request received

I’m interested in the NHS’s help with fertility and I’m looking to understand the differences in care across the various clinical commissioning groups. I’d like to request information regarding:

  • number of cycles that will be funded
  • any criteria that must be met before the person will be referred to a private fertility clinic

Our response

Our treatment policies are available on our website.

Any criteria must be met before the person will be referred for NHS funded treatment at a fertility clinic providing NHS services.

NHS Kernow does not fund private fertility treatment. A lot of independent providers undertake a mixture of NHS and private work. In these situations, the NHS funded activity would be subject to the criteria as per policy.

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