Home - Walsall CCG



Q2 Freedom of Information 2019-20FOI RequestsDetailsFOI Request 197Infection ControlFOI Request 198Locked Rehabilitation Units and Assessment Treatment UnitsFOI Request 199Specialist Mental Health Nursing Homes FOI Request 200Specialist Adult Diabetes Multi-disciplinary TeamsFOI Request 201Walsall Clinical Commissioning Group Organisational StructureFOI Request 202Primary Care Network Leads FOI Request 203Genetic HemochromatosisFOI Request 204Counter Fraud ServicesFOI Request 205WCCG Finance and Contracting Organisational ChartFOI Request 206Infected Blood Inquiry FOI Request 207Wound Care Dressings Supply RouteFOI Request 208ECG RequestsFOI Request 209Mental Health Crisis Resolution/Home Treatment TeamsFOI Request 210Type 1 DiabetesFOI Request 211APMS ContractsFOI Request 212NHS Continuing Healthcare FundingFOI Request 213Procurement of GP Direct Access Pathology ServicesFOI Request 214Individual Funding Requests FOI Request 215Clinically Assisted Nutrition and Hydration (CANH)FOI Request 216Estates, Facilities and Capital Projects TeamsFOI Request 217Primary Care Networks (PCNs)FOI Request 218Assessments undertaken for NHS Continuing HealthcareFOI Request 219NHS Funded Continuing HealthcareFOI Request 220Cerebral PalsyFOI Request 221Contracts awarded to Private Providers to provide NHS ServicesFOI Request 222Exceptional Cases System FOI Request 223The flammability of skin emollient products when soaked into fabricFOI Request 224Procedures/treatments funded by NHS in 2014, no longer receiving funding todayFOI Request 225Procedures of Limited Clinical Effectiveness/Applications for prior approval FOI Request 226Venous Thromboembolism (VTE)FOI Request 227Provision of EnoxaparinFOI Request 228NHS Continuing Healthcare FundingFOI Request 229Diagnosis and monitoring of glaucomaFOI Request 230Primary Care Networks FOI Request 231Walsall CCG Structure Chart FOI Request 232Procedures of Limited Clinical Effectiveness (POLCE)FOI Request 233Lakeside View PrioryFOI Request 234Enhanced (non GMS or PMS) service contracts FOI Request 235Funding of Liposuction FOI Request 236Continuing Healthcare PackagesFOI Request 237Funding provided for IVF TreatmentFOI Request 238Member GP Practice DetailsFOI Request 239Tier3 Weight Management ServiceFOI Request 240CCG Expenditure FOI Request 241Continuing Healthcare FOI Request 242Risk to service deliveryFOI Request 243Services obtained by WCCG on behalf of Organisations other than Acute TrustsFOI Request 244Primary Care NetworksFOI Request 245Victims of modern slaveryFOI Request 246Abortion Provision in the calendar year 2018FOI Request 247Waiting times for NHS funded medical and surgical abortionFOI Request 248Individual Funding RequestsFOI Request 249Eating disorder service providers FOI Request 250Finance costs incurred in complying with the EU exit operational readiness guidanceFOI Request 251Eligibility for IVF TreatmentFOI Request 252Access to NICE-recommended non-pharmacological therapy for the management of low back pain and/or sciaticaFOI Request 253Bowel preparation for colonoscopyFOI Request 254Cataract ProceduresFOI Request 1971) What infection control support do you provide to general practice - be it guidance, resources, auditing?2) Do you currently commission any provider to support general practice with infection control?2.i) If yes, please give provider name2.ii) If no, how do practices in your area ensure their compliance with infection control guidance and best practice? 3) Have you ever commissioned a provider to support general practices in your area with infection control? If yes:3. i) Please name the provider3. ii) When was this service commissioned? 3. iii) When did this service end or is it still running?3. iv) What happened to the funding at the end of this service? 4) Does the CCG have any plans to commission any service in the future to support general practice with infection control requirements?Walsall Clinical Commissioning Group response:Thank you for your email regarding infection control, it would be more appropriate for your request to be responded to by Walsall Council. You can forward your request to: foi@.uk FOI Request 198Please can you tell me how many beds the CCG commissions in locked rehabilitation units and Assessment Treatment Units on the 04 July. Please state how much each bed costs on a daily basis and please give the name of the unit and the length of time the patient has been at the unit.Walsall Clinical Commissioning Group response:Walsall Clinical Commissioning Group is unable to break down the patient level detail as this is exempt under Section 40 – Personal Information of the Freedom of Information Act 2000.There were 24 beds commissioned by Walsall Clinical Commissioning Group in Locked Rehabilitation Units, and three beds commissioned for Assessment and Treatment The units commissioned are:255 Lichfield Road Abbey House BCPFT Penrose A&TBCPFT The LarchesCygnet CedarsDartmouth HouseHuntercombe Eldertree LodgeKemple ViewSAHC TavenerSedgeley HouseSt AndrewsSt Augustine’sWoodland ViewCost per day: Lowest rate: ?285.00Highest rate: ?708.00Average rate: ?400.00Length of days: Least: one day Highest: 1415Average: 463FOI Request 199In accordance with the Act I should be grateful if you would let me have information?for your CCG.For the periods 1st?April 2016?- 31st?March 2017 and 1st?April 2017?- 31st?March 2018 please provide?the following information.1. How many individuals with a diagnosis of mental illness have been placed in Nursing Homes who are wholly funded?by each CCG?2016/17: CHC (158), Sec.117 (48)2017/18: CHC (151), Sec.117 (43)a) How many of these individuals have challenging behaviour??2016-17 (53) based on them being placed in Challenging Behaviour Unit nursing home placement2017-18 (78) based on them being placed in Challenging Behaviour Unit nursing home placement ?????????????b)????What is the most expensive placement cost? 2016-17 ?3718 per week (incl additional observations)2017-18 ?4431 per week (incl additional observations)c)????What is the average cost of these placements??2016-17 ?1313 per week 2017-18 ?1589 per week2. How many individuals with a diagnosis of mental illness have been placed in Nursing Homes who are partially funded by?each of these CCGs?CHC cases are fully funded. a)????How many?of?these individuals have been placed in a specialist mental health nursing home? 2016-17?(27), 2017-18 (12) ?b)????What is the CCG’s average contribution to the cost of these placements??All clients are fully funded3.????How many individuals with a diagnosis of dementia have been placed in Nursing Homes who are funded?either wholly or partially by?these CCGs?As below – all cases are fully funded. a)????How many?of?these individuals have been placed in specialist mental health nursing home? – 2016-17 (23)2017-18 (33)b)????What is the average cost of these placements??The response to question 1c will apply to this question. 4.????How many individuals with a diagnosis of mental illness or dementia have been placed in Nursing Homes outside of?Walsall – 92% a)????What is the average cost of these placements? Finance information is not held in geographical detailFOI Request 200ThemeQuestionAnswersMental health professional in diabetes serviceHow many specialist adult diabetes multi-disciplinary teams do you commission in your CCG area?1. One How many people are currently under the care of each specialist adult diabetes multi-disciplinary team in your CCG area?2.Please email this question to Dudley & Walsall Mental Health Partnership Trust: dwmh.foi@ How many whole time equivalent mental health professionals do you commission as part of each specialist adult diabetes multi-disciplinary team, and which part of the service are they aligned to??3.Please email this question to Dudley & Walsall Mental Health Partnership Trust: dwmh.foi@ Improving Access to Psychological Therapies -Long Term Condition and Medically Unexplained Symptoms ServicesHave you commissioned an Improving Access to Psychological Therapies – Long Term Conditions and Medically Unexplained Symptoms (IAPT-LTC) service?4. NoIf yes, have you commissioned a diabetes pathway as part of the IAPT-LTC service?5.IAPT-LT (Diabetes) is commissionedIf yes and the service has been running for over 6 months, how many people with diabetes have been referred to IAPT-LTC services in your CCG area in each month in the last six months (between 1st January 2019 and 30th June 2019)?6.January:February:March:April:May:June:Please email this question to Dudley & Walsall Mental Health Partnership Trust: dwmh.foi@ FOI Request 201In relation to the Freedom of Information Act please can you reply with structure charts listing all managers for the following departments within (ORGANISATION).? (LIST DEPARTMENTS)Corporate TeamPaul Maubach, Accountable Officer Finance & ContractingMatthew Hartland, Chief Finance OfficerCommissioningPaul Tulley, Director of Commissioning Primary Care & Medicines ManagementDonna Macarthur, Director of Primary Care & IntegrationComplex Commissioning Quality Safeguarding & CHCSarah Shingler, Chief Nursing Officer / Director of Quality FOI Request 202I would like to make a Freedom of Information request on below-mentioned questions which are related to the components of Primary Care Network.An excel sheet with the same questions are also attached with the email for your convenience. Name of CCG – Walsall Clinical Commissioning Group Name of every primary care network in that CCG’s patch – Please see attached document Name of each PCN’s clinical director/s – Please see attached document Name of each deputy clinical director/other PCN leadership figure that PCNs in your area have decided to use - Please see attached documentName of each constituent practice - Please see attached documentEach practice’s code - Please see attached documentSize of patient list of each constituent practice - Please see attached documentThe identity of the nominated payee (e.g. the name of the GP practice or Federation that fills this role) - Please see attached documentFOI Request 203I am writing to you under the Freedom of Information Act 2000 to request the following information from you.For the period 1st January 2018 to 31st December 2018 (or the most recent 12-month period available), the number of patients diagnosed with genetic hemochromatosis under the care of GP practices in your area.It would me more appropriate for this question to be responded to by Walsall Healthcare NHS Trust FOI@walsallhealthcare.nhs.ukb.The current number of GP practices in your area. - 52c.The current number of practising GPs in your area.237 GPs 177 are either partners or salaried GPs30 are long term locums 30 are ad hoc short term locumsFOI Request 204How many people does your organisation employ? – 87 Headcount (78.7 WTE)?What is the total annual expenditure budget of your organisation? – ?7500 ?How many full-time employment staff does your organisation employ dedicated to counter fraud activities? – Walsall CCG does not employ any staff specifically dedicated to counter-fraud activities; counter-fraud services are outsourced.If you employ such staff, how many full-time employment staff are directly employed by your organisation? – N/AIf any of your counter fraud staff are supplied by another organisation, could you identify the name of the organisation(s) which supplies them? – CW Audit Services?Approximately how much did you spend on counter fraud activities in the last reporting year? – ?7,750.00?How many referrals for fraud investigation has your counter fraud team received in the last reporting year? – 7How many fraud cases has your counter fraud team successfully investigated? I.e. leading to sanction and/or recovery of monies in the last reporting year. – 0?FOI Request 205Could you please provide a detailed organisation chart for the Finance Directorate, confirming the name, position and contact details of the individuals within the directorate. Walsall Clinical Commissioning Group response:Please see Finance & Contracting Organisational Chart below. ?We cannot release staff details below Governing Body level as this is exempt under Section 40 – Personal Information of the Freedom of Information Act 2000 - Matthew Hartland matthewhartland@ FOI Request 206Copies of all correspondence to/from the Infected Blood Inquiry during the period 1st January 2019 to 17th July 2019.Please see attachments 1a to 1f inclusive as our response to this question. Have you received any notice or instruction regarding the retention and/or request of documents relevant to the Infected Blood Inquiry?The CCG has not received any notice or instruction regarding the retention and/or request of documents relevant to the Infected Blood InquiryIf a request for documentation and/or its retention has been received from the Infected Blood Inquiry, please supply a copy of any such notices or requests and copies of any replies to such a request and internal correspondence relating to such.The CCG has not received any request for documentation and the CCG does not hold any patient records and is not allowed any patient identifiable data, therefore no information available to sendFOI Request 207In accordance with the Freedom of Information Act please state which supply route your organisation currently uses to procure wound care dressings – a) FP10 b) online non-prescription ordering service (ONPOS), c) NHS Supply Chain, d) Amcare Group, e) Other [please specify]. A FP10 prescription Please state when your Wound Care formulary first adopted your current supply route.This has not changed – this has always been the caseFOI Request 208Re: Information request under the Freedom of information act 2000 I am writing to request information related to diagnosis of Paroxysmal Atrial Fibrillation held by NHS WALSALL CCG under the above mentioned Act I would like the NHS WALSALL CCG to provide me with the following information: The number of Holter ECG requests into the hospital trust for suspected paroxysmal and benign palpitations. The tariff cost for 24hr, 48hr, 72hr and 7 days Holter ECG for NHS WALSALL CCG Walsall Clinical Commissioning Group response:Thank you for your email about ECG requests.? I can confirm that it would be more appropriate for our request to be responded to by Walsall Healthcare NHS Trust.? You can forward your request to FOI@walsallhealthcare.nhs.uk FOI Request 209Can you please provide the names and catchment areas served of the mental health crisis resolution / home treatment teams (a mental health service that provides rapid response and/or intensive home treatment for people in crisis) that you commission? Please include services that are only available to specific demographics (children and young people, working age adults, older adults, and dementia).Walsall Clinical Commissioning Group response:Walsall CCG commissions services for people with a Walsall General Practitioner. This is the catchment area. Adult Mental HealthCrisis Team The Crisis Team is an out of hour’s emergency/urgent care service that provides rapid assessment and telephone intervention to known patients experiencing an acute mental health crisis or in acute mental health distress.?Currently the team accepts referrals from Primary Care Mental Health, GPs and patients currently open to Trust services (outside of working hours) and NHS 111.The service operates from 17.00 - 09.00 a.m. Monday–Friday and 24 hours at weekends and bank holidays.?Provide out of hours cover for older adults and children and young people.Open patients to DWMH are provided with the 607777 number and out of hours G.P’s and all other referral sources are given the 01922 607000Home Treatment TeamThe provision of Home Treatment aids least restrictive practice and reduces the frequency and the length of hospital admissions for people experiencing an acute episode of mental illness.Home Treatment Teams have a recovery focus in their work with patients and carers, seeing each patient as an integral part of a family and community.Staff are optimistic about the patient’s prospects of recovery from severe mental illness and work using the bio-psycho-social model to help patients to develop aspirations, which drive their recovery. Patients are viewed as part of a network with family and friends. Support to and collaboration with carers is therefore a core role of the Home treatment service.Care is provided in the least restrictive environment, with the minimum disruption to patients’ lives in order to meet their clinical and safety/risk management needs, through providing credible alternatives to hospital admission.This helps the patient to remain in contact with their own resources and support networks and optimise their care pathway, helping them to increase their autonomy and resilience.Carers can be actively involved in all aspects of care with the patient’s consent.Open patients to DWMH are provided with the 608300 number and out of hours G.P’s and all other referral sources are given the 01922 607000Older Adult Mental Health (including dementia)Enhanced Community Mental Health Team for Older Adults (Walsall)What is this service?The Enhanced Community Mental Health Team for Older Adults offer assessment and a range of specialised interventions for all complex mental health needs and associated risks. This includes people with working age dementia.The service functions 9am to 7pm, 7 days a week.How can I access the service?The service can be accessed by referrals from primary care and other statutory services, with evidence of GP assessment. The service provides a gateway for all specialist/secondary mental health services.Where is the service provided?The service is based at Blakenall Village Centre and covers the area of Walsall. The service contact details are:Blakenall Village CentreThames RoadBlakenallWalsallWS3 1LZ01922 608002Children and young peopleCAMHS stands for Intensive Child and Adolescent Mental Health Services. The ICAMHS team can be involved in a young person’s care for a variety of reasons:Deliberate Self Harm Assessments – ICAMHS see young people who have tried to harm themselves in some way or who are experiencing a crisis with regards to their mental health which has requested them to be admitted to A&E. ICAMHS will attend the paediatric ward at Walsall Manor Hospital to complete a mental health assessment once the young person is deemed medically fit.Deliberate Self-Harm Follow Up – Every young person assessed when seen at Walsall Manor Hospital is offered a follow up appointment within 7 days. This is to re-assess the risk post discharge following an episode of self-harm or crisis and consider either a plan of support from CAMHS, discharge from CAMHS and/or support from other services is required.Priority Choice Appointments – When a young person is referred to CAMHS and is deemed to have an increased risk to themselves or to others or if early intervention is required for the presenting symptoms ICAMHS will see a young person within 7 days of referral so that an assessment can take place.Appointments and Home Visits – ICAMHS see young people for appointments at home and sometimes at our offices. These appointments are for continuous assessment, monitoring and management or increased risk behaviours or episodes of mental health crisis that require more intensive monitoring.If a young person is in need of urgent crisis support outside of the operating hours for ICAMHS we recommend that you access your nearest Accident & Emergency department.ICAMHS work 8-8 365 days of the yearThey can be contacted via the hospital switchboard out of hours on 01922 607000 or through the CAMHS direct line 01922 607400The team have a 4 hour response time to urgent referrals via A and E or GPFOI Request 210As part of the Freedom of Information process, please provide the following information in electronic format for the last financial year (1st April 2018 and 31st March 2019):?How many people are living with Type 1 diabetes in your CCG? (Total number) – The CCG do not hold this information. How many people with Type 1 Diabetes in your CCG use continuous glucose monitoring (CGM) (Total number) – Approx. 5 Does your CCG have a policy on the funding of CGM? (Yes/No) The CCG does not have a policyIf your CCG has a policy in place for CGM, please provide a copy of the policy or a link to the policy – Not relevant How is CGM currently funded within your CCG? (E.g. routinely commissioned/ routinely commissioned within the scope of the NICE guidance/Individual Funding Request/Patient self-funded/ Hospital funded/other (please describe) etc.) Commissioned as clinically necessary/exceptional circumstances in conjunction with insulin pump therapyDoes your CCG specify specific CGM systems? YESIf your CCG does specify specific CGM system, please provide a list of the CGM systemsDexcom SystemHow many IFR applications were received between 1st April 2018 and 31st March 2019 for CGM? (Total number) - 0 IFRs -Please note Walsall CCG manage requests for CGM through the HiCost drugs module on Blueteq.How many people with Type 1 Diabetes in your CCG use Flash Glucose Monitoring? (Total number) – 200 approx.Does your CCG have a policy on the use and funding of Flash Glucose Monitoring? (Yes/No) – Yes If your CCG has a policy in place for Flash Glucose Monitoring, please provide a copy of the policy or a link to the policy - is Flash Glucose Monitoring?currently funded within your CCG? (e.g. routinely commissioned/ routinely commissioned within the scope of the NICE guidance/Individual Funding Request/Patient self-funded/ Hospital funded/ Other (please describe) etc.) – This is line with NHS England and RMOC (Regional Medicines Optimisation Committee) guidanceFOI Request 211Please can you confirm the details for each of the following. Please can you confirm how many APMS contracts you are currently operating. -5. Please see table below for the remaining questionsWhich geographical areas do these APMS contracts cover. Please can you provide the details of who the incumbents for these APMS Contracts are.Please can you confirm the start date of your current APMS contracts.Please can you confirm the date your current APMS contracts are due to renew.ContractGeographical areasProviderStart DateDue to renewForrester StreetWalsall Modality 01/09/201831/08/2023Keys Medical CentreWalsall Modality01/09/201831/08/2023Collingwood Family PracticeWalsall Modality01/09/201831/08/2023Blakenall Harden Walsall Modality01/09/201831/08/2023New Invention Medical CentreWalsall Modality01/04/201631/03/2026Extended AccessWalsall BoroughWALDOC Limited01/09/201831/03/2020FOI Request 212Under the Freedom of Information Act please tell me:For each of the last five calendar years,Walsall Clinical Commissioning Group response:Our CHC data is recorded per financial year (April – March). The answers below are based on the last 5 financial years How many patients in your area received NHS Continuing Healthcare funding2014/1510442015/1611172016/1710372017/1810552018/19920b)How many of your patients in your area had NHS Continuing Healthcare funding taken away after a reassessment.2014/15422015/16692016/17802017/18662018/1942FOI Request 213Subject: Procurement of GP Direct Access Pathology Services?Please list the pathology providers, including NHS organisations, which you used during financial year 2018/19 to provide GP direct access pathology services (list any provider with a spend in the year greater than ?25,000)Walsall Healthcare TrustRoyal Wolverhampton HospitalHeart of England NHS Trust?Please provide the amount spent with each provider on GP direct access pathology during the year 2018/19.Direct Access Pathology Services18/19 ________ Walsall Healthcare Trust3,774,145Royal Wolverhampton Hospitals 106,056Heart of England 159,341________4,039,543________?Please state which of following methods for calculating payment best describes the contractual arrangement between the CCG and each providerAmount paid for direct access pathology not explicitly stated, i.e. included within larger overall contractFixed payment amount for pathology agreed for the yearFixed payment amount agreed for the year, but adjusted if volumes are higher or lower than expectedPayment calculated based on a cost per specialty, e.g. ?X per blood science test, ?Y per microbiology sample, ?Z per histology casePayment calculated on a price per specific test, e.g. ?X for Urea and Electrolytes, ?Y for full blood count, ?Z for MRSA test?Have the authority undertaken a procurement advertised via OJEU for GP direct access pathology during the past five years?? If so, please provide link.No FOI Request 2141. Do you have an official policy on dealing with individual funding requests and if so, will you share it?? Please find copy attached (attachment 1) Attachment 2 enclosed answers questions 2 to 6 inclusive:How many individual funding requests has your?CCG?received in each of the last three calendar years??Please refer to tab 1 – No of IFRs.3. How many individual funding requests has your?CCG?approved in each of the last three calendar years??Please refer to tab 1 – No of IFRs.4. How many individual funding requests has your?CCG?rejected in each of the last three calendar years??Please refer to tab 1 - No of IFRs.5. Can you provide a list of the treatments that have been funded through an individual funding request? (3 calendar years) Please refer to tab 2, 3, 4 – List of IFRs 2018-19, 2017-18 & 2016-17.6. Can you provide a list of the treatments that have been declined following an individual funding request? (3 calendar years) Please refer to tab 2, 3, 4 – List of IFRs 2018-19, 2017-18 & 2016-17.FOI Request 2151) Please state the name of your CCG or Health Board?Walsall Clinical Commissioning Group2) How many patients currently under the care of your CCG/ Health Board are being kept alive with clinically assisted nutrition and hydration (CANH) that are in a persistent vegetative state or minimally conscious state?Zero3a) How many patients from Q2 have been kept alive for 1 year or more? Zero b) How many patients from Q2 have been kept alive for 3 years or more? Zero c) How many patients from Q2 have been kept alive for 5 years or more? Zero4a) How much money did your CCG/Health Board spend on the patients from Q2 in the years; 2015 – 2016 N/A 2016 – 2017 N/A 2017 – 2018 N/Ab) How much money does your CCG/Health Board spend per patient (from Q2) on average?N/A5) How many next of kin of patients from Q2 have asked for the CANH to be stopped and their loved ones be moved into palliative care? N/A6a) In how many patients cases, have you been in a legal battle, whether mediation or court, because next of kin wanted to stop CANH in the last 5 years? Zero b) What has been the financial cost of these legal battles/mediations? N/AFOI Request 216Please may you provide an organisation chart for the estates, facilities & capital projects teams from a director level through to officer level. Please provide full names and contact details (phone numbers & email addresses)Walsall Clinical Commissioning Group response:Estates services (including estates capital projects support) are outsourced to another organisation – we do not therefore have a structure chart. Facilities management is not separately commissioned; it is an integral part of the lease arrangement with the landlords of the various properties for which we occupy. The Chief Finance Officer has ultimate responsibility for these functions.? There is no structure chart as there is no direct line management structure in place.FOI Request 217I am writing to you under the Freedom of Information Act 2000 to request the following information:Please provide summary information of all Primary Care Networks (PCNs) formed or forming within the geographic footprint of NHS Walsall CCG.? ?All the information I am requesting was provided to your CCG by all new Primary Care Networks in a standardised form in May 2019, in the PCNs’ initial Network Agreements returns, as required by the Network Contract DES Directions.?Specifically, please provide:?1) Summary details of all new PCNs’: ?·???????? Member general practices (names and NHS Organisation Data Service codes);·???????? Non-general practice members / other named stakeholders (names and NHS Organisation Data Service codes where relevant);·???????? Clinical Director (name and contact details);·???????? Maps of all PCN’s geographic area.?Information on all of the above was provided by all PCNs in Schedule 1 of their Network Agreement returns.?Copies of requested information are attached; please see attachments 1a, 1b and 1c.?2) Additionally, please provide each network’s written Network Agreements, covering the following Schedules, where provided:·???????? Schedule 3 – Activities;·???????? Schedule 4 – Financial Arrangements;·???????? Schedule 5 – Workforce;·???????? Schedule 7 – Arrangements with organisations outside of the Network.?The CCG are not able to provide a response to this question and would apply an FOI Exclusion, Section 43 of the Freedom of Information Act 2000; this is applied as the Network Agreements are commercially sensitive information.3) In addition, please provide details of all primary care General Practices falling within your CCG footprint that have not entered into a PCN Network Agreement.The CCG would advise that this is none. FOI Request 218We make a request for information under the Freedom of Information Act and in relation to assessments undertaken for NHS Continuing Healthcare. ?1. Between 1 January 2017 to 31 July 2019:(a) How many NHS continuing healthcare assessments (Decision Support Tools or fast track assessments) were undertaken;(b) How many of the above assessments recommended eligibility for NHS continuing healthcare; and(c) How many of the above eligible recommendations were overturned or granted by the CCG.?Please provide this data in annual figures or quarters. CCG response:Could I ask for clarification on the information they require to question 1(b) - How many of the above eligible recommendations were overturned or granted by the CCGDecisions are only overturned following? Local Appeal process and the FOI does not make any reference to Local Appeal data.Could it be you are referring to the number of assessments that were agreed Not eligibleFOI Request 219We make this request pursuant to the Freedom of Information Act 2000. Our request relates to claims pursued for NHS funded continuing healthcare under the scheme announced by the Department of Health in 2012. Therefore, registered with the Clinical Commissioning Groups (CCGs) before September 2012 (for claims involving periods of care from 1 April 2004 to 31 March 2011) and 31 March 2013 (for claims involving periods of care from 1 April 2011 to 31 March 2012). Our request therefore relates to claims involving previously un-assessed periods of care (“PUPoC”) and claims were any assessments completed at the time were deemed flawed under the October 2012 guidance, NHS Continuing Healthcare: Dealing with requests for assessments for un-assessed periods of care. In respect of the claims, please provide us with the following information: 1. How many PUPoC cases have been completed by or on behalf of the CCG - 110 cases2. How many PUPoC cases are still open - 0 2. How many of the cases referred to in 1 above have been successful, (i.e. redress paid) - 31 cases in total, some fully eligible, others partly eligible3. How many PUPoC cases are waiting for redress (eligibility awarded and redress to be made) 0 4. Please provide the total amount paid in redress to claimants. Please provide this amount annually.‘?0002012-13 452013-14 92014-15 622015-16 1512016-17 45Total 3125. In relation to 4 above, please provide the total amount paid in interest to claimants. Please provide this information annually.‘?0002012-13 02013-14 02014-15 42015-16 352016-17 5Total 446. If applicable, please confirm the total amount paid by the CCG to commission third parties (CSU and/or private companies) to undertake retrospective PUPoC claimsThe CCG did not contract this exercise out to other agencies/partiesFOI Request 220What is the total number of children and young people diagnosed with cerebral palsy by your CCG in the last five years? (NB: this should be recorded as a total figure rather than figures for each year individually to allow for comparison with previous results) – The CCG do not hold this information. What is the care pathway for children and young people with cerebral palsy in your CCG? Please provide a copy of this if possible. – The CCG do not hold this information. Is there a specific timescale set out in your care pathway for referral to a child development service for diagnosis of cerebral palsy from the point when symptoms are initially identified? - The CCG do not hold this information.What is the total number of:Health visitors employed by your CCG - The CCG do not hold this information.Specialist health visitors for children with special needs employed by your CCG? - The CCG do not hold this information.What training is given to healthcare professionals, including health visitors and GPs, to recognize the risk factors and possible symptoms for cerebral palsy? - The CCG do not hold this information.What is the total number of specialist staff employed by your CCG, who are trained to work with children and young people with cerebral palsy, from the following disciplines:Paediatric speech and language therapy - ZeroPaediatric physiotherapy - ZeroPaediatric occupational therapy - ZeroHow many children and young people with cerebral palsy are currently on a waiting list to access any of the above services within your CCG? - The CCG do not hold this information.If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request. -?FOI Request 221Over the past three financial years (2016/17 to 2018/19 inclusive), in instances where your CCG has awarded contracts to private providers (i.e. non-NHS, independent sector providers, excluding charities and social enterprise) to provide NHS services, how many have been ended by the private providers before the end of the contracted period? Please provide the following details where possible: OneThe name of the provider Nestor Primecare Services LimitedThe length and value of the contract, and the nature of the service being provided 5-year contract at a total cost of ?19,360,069Nature of Service: Urgent Care and GP Out of HoursThe reason for the premature terminationAs nationally reported, the provider had financial difficulties with their parent company Allied Healthcare.The amount of time left to run on the contract at the point at which it was terminated 1 year and 9 months How continuity of service was guaranteed following the termination Emergency step in provider was sourced.f. If any termination payment was paid, and how much that payment was (i.e. was any money paid to compensate for the premature cancellation of the contract)N/A2. Over the same period, has the CCG prematurely terminated any contracts with private providers to provide NHS services before the end of the contracted period? As before, please provide details where possible.No3. How many contracts in total has the CCG awarded to private providers over the same period?26FOI Request 222I would like to make an FOI request for information on the number of times doctors attempted to get patients treatment through the exceptional cases system in each of the last 5 years? (Exceptional cases as defined by this BBC article:??) Please could I also have the information for the number of times these were accepted?It would be preferable to receive this information via electronic format to?joshdolder@If the document contains information not disclosable under Freedom of Information, please remove those sections and mark clearly that they have been removed.Walsall Clinical Commissioning Group response:We have reviewed the BBC article; however we do not operate our IFR Policy using the BBCs definition of Exceptional cases.? The article indicates that:‘such care is normally given routinely’If care is commissioned, providing the patient meets the criteria, treatment is provided. ‘It is normally associated with new drugs not yet available on the NHS, to pay for expensive treatments in unusual circumstances or to get care that there are legitimate restrictions on, such as cosmetic surgery’.IFR Policy states that the Clinician/Consultant will need to demonstrate ‘clinical exceptionality’ for any request to be funded via this route. ??As above, if care is commissioned, providing the patient meets the criteria, treatment is provided. ??Aesthetic/Cosmetic treatments are not funded on the NHS (unless they meet specified criteria in some cases).? ‘Over the same period, the number of cataract appeals trebled to more than 1,000’.No appeals have been received via the IFR Team and therefore unclear as to the BBC’s definition of ‘Appeal’.? If they mean complaints, we would not hold this information. The requester enquires as to the ‘number of times doctors attempted to get patients treatment through the exceptional cases system in each of the last 5 years?’The number of IFRs reported (approved and declined) each year is attached within an excel spreadsheet please see attachment 1aFOI Request 223We are researchers from Anglia Ruskin University working on the flammability of skin emollient products when soaked into fabric. This work is in collaboration with West Yorkshire, Essex and Cambridgeshire Fire and Rescue Service, the London Fire Brigade, St Andrews Centre for Plastic Surgery and Burns, the National Fire Chiefs Council and the Medicines and Healthcare products Regulatory Agency (MHRA). ?In light of our work on this matter, we wish to understand how the warnings and advice produced because of our original research are now being implemented across health care services.?Therefore, please could we request answers to the following based upon the December 2018 MHRA report on emollient flammability: ?Has this information provided by the MHRA been implemented across your CCG to advise healthcare professionals? Yes ?How has this been implemented? Please also provide details of any future intentions. CCG Medicines Safety Officer has distributed this information to all prescribers by email. The information was also included in the prescribing newsletter and disseminated as well as being discussed as the Walsall health economy wide medicines safety group. This includes representation from community pharmacy, hospital trust and General Practice. ?Has this information provided by the MHRA been implemented across your CCG to advise the public on how to use emollient skin products safely? Yes ?How has this been implemented? Please also provide details of any future intentions.Included in GP newsletters and drug safety updates are on our public facing formulary site; ?FOI Request 224I would like to make an FOI request for a list of procedures/treatments that were funded by the NHS in your CCG in 2014, however no longer receive NHS funding today.?It would be preferable to receive this information via electronic format. If the document contains information not disclosable under Freedom of Information, please remove those sections and mark clearly that they have been removed.Walsall Clinical Commissioning Group response:In relation to the CCG policy on Procedures of Lower Clinical Value (PoLCV), we have compared the policy document approved in 2012 (which remained in force until the 2016 policy revision) with our current policy version which took effect from April 2019.All of the procedures listed in the 2012 policy remain in the current 2019 policy version with the exception of the following;Apiectomy; Dental Implants; Wisdom teeth removal; Hyperbaric Oxygen Therapy.These four procedures became the commissioning responsibility of NHS England and so were removed from the policy. Routine Doppler Ultrasound of Umbilical and Uterine artery in Antenatal care. This procedure was removed from the policy following updated NICE guidance in 2016 that recommended this procedure should only be used in high risk pregnancies, and not routinely.FOI Request 225Under the Freedom of Information Act, please can you provide me with the number of applications for prior approval made for Procedures of Limited Clinical Effectiveness, and the number refused, in each of the following financial years (2014/15, 2015/16, 2016/17, 2017/18, and 2018/19 (year from April to March), broken down by procedure.Please can you provide me with the number of individual funding requests made and refused in each of the following financial years (2014/15, 2015/16, 2016/17, 2017/18, and 2018/19 (year from April to March), broken down by procedure.??Please see the two attachments from the CCG in response to your questions above. The CCG does not hold prior approval data for 2014/15 and 2015/16.FOI Request 226FOI request into CCG Venous Thromboembolism (VTE) prevention and management practicesName: Position: CCG: Email: Venous thromboembolism (VTE) is a collective term referring to deep vein thrombosis (DVT) and pulmonary embolism (PE). VTE is defined by the following ICD-10 codes: I80.0-I80.3, I80.8-I80.9, I82.9, O22.2 – O22.3, O87.0 – O87.1, I26.0, and I26.9. QUESTION ONE – VTE RISK ASSESSMENT AND DIAGNOSISThe CCG does not hold the data Are in-patients who are considered to be at risk of VTE in your CCG routinely checked for both proximal and distal DVT? (Tick one box)Yes?No?For in-patients diagnosed with VTE in your CCG between 1 April 2018 and 31 March 2019, what was the average time from first clinical suspicion of VTE to diagnosis?For in-patients diagnosed with VTE in your CCG between 1 April 2018 and 31 March 2019, what was the average time from diagnosis to first treatment?QUESTION TWO – ROOT CAUSE ANALYSIS OF HOSPITAL-ASSOCIATED THROMBOSISThe CCG does not hold the data According to Service Condition 22 of the NHS Standard Contract 2017/19, the provider must:“Perform Root Cause Analysis of all confirmed cases of pulmonary embolism and deep vein thrombosis acquired by Service Users while in hospital (both arising during a current hospital stay and where there is a history of hospital admission within the last 3 months, but not in respect of Service Users admitted to hospital with a confirmed venous thromboembolism but no history of an admission to hospital within the previous 3 months)...”The provider must report the results of those Root Cause Analyses to the co-ordinating commissioner on a monthly basis.How many cases of hospital-associated thrombosis (HAT) were recorded in your CCG in each of the following quarters? QuarterTotal recorded number of HAT2018 Q2 (Apr –Jun)2018 Q3 (Jul – Sep)2018 Q4 (Oct – Dec)2019 Q1 (Jan – Mar)How many Root Cause Analyses of confirmed cases of HAT were performed in each of the following quarters?QuarterNumber of Root Cause Analyses performed2018 Q2 (Apr – Jun)2018 Q3 (Jul – Sep)2018 Q4 (Oct – Dec)2019 Q1 (Jan – Mar)According to the Root Cause Analyses of confirmed HAT in your CCG between 1 April 2018 and 31 March 2019, in how many cases:Did patients have distal DVT?Did patients have proximal DVT?Were patients receiving thromboprophylaxis prior to the episode of HAT?Did HAT occur in surgical patients?Did HAT occur in general medicine patients?Did HAT occur in cancer patients?QUESTION THREE – ADMISSION TO HOSPITAL FOR VTEThe CCG does not hold the data.How many patients were admitted to your CCG for VTE which occurred outside of a secondary care setting between 1 April 2018 and 31 March 2019? Of these patients, how many:Had a previous inpatient stay in your CCG up to 90 days prior to their admission?Were care home residents?Were female?Were male?Of the patients admitted to your CCG for VTE occurring between 1 April 2018 and 31 March 2019 who had a previous inpatient stay in your CCG up to 90 days prior to their admission, how many had their VTE risk status recorded in their discharge summary?Please describe how your CCG displays a patient’s VTE risk status in its discharge summaries.QUESTION FOUR – PHARMACOLOGICAL VTE PROPHYLAXISThe CCG does not hold the data.How many VTE patients who were eligible received pharmacological VTE prophylaxis between 1 April 2018 and 31 March 2019? How many of VTE patients who were eligible received pharmacological VTE prophylaxis within 14 hours of admission between 1 April 2018 and 31 March 2019? QUESTION FIVE – VTE AND CANCER How many patients has your CCG treated for cancer (of all types) in each of the past three years? – These are counts of patients with an inpatient spell having a cancer primary diagnosis (ICD10 codes beginning ‘C00’ through ‘D48’ inclusive), each patient has been counted once and where a patient is recorded in multiple calendar years the patient has been assigned to the earliest year. This is the closest approximation available for the number of patients registered to NHS Walsall CCG GP Practices ‘treated for cancer’. 20163,23020172,86420182,707Of the patients treated for cancer, how many also had a diagnosis of venous thromboembolism (VTE) {VTE is defined by the following ICD 10 codes: I80.0-I80.3, I80.8-I80.9, I82.9, O22.2 – O22.3, O87.0 – O87.1, I26.0, and I26.9} in each of the past three years? These are counts of patients with an inpatient spell having a cancer primary diagnosis (ICD10 codes beginning ‘C00’ or ‘D48’ inclusive) and a secondary diagnosis indicating VTE as defined in the question, each patient has been counted as often as the combination of codes has been observed. This is the closest approximation available for the number of patients registered to NHS Walsall CCG GP Practices ‘treated for cancer’ who also had a diagnosis of VTE. Small number results suppressed. 2016Fewer than 102017Fewer than 102018Fewer than 10 Of the patients treated for cancer who also had a diagnosis of VTE in each of the past three years, how many: Small number results suppressed.201620172018Were receiving chemotherapy?Not AvailableNot AvailableNot AvailableHad metastatic disease?Fewer than 10Fewer than 10Fewer than 10Had localised disease?Fewer than 10Fewer than 10Fewer than 10Were treated for brain cancer?Fewer than 10Fewer than 10Fewer than 10Were treated for lung cancer?Fewer than 10Fewer than 10Fewer than 10Were treated for uterine cancer?Fewer than 10Fewer than 10Fewer than 10Were treated for bladder cancer?Fewer than 10Fewer than 10Fewer than 10Were treated for pancreatic cancer?Fewer than 10Fewer than 10Fewer than 10Were treated for stomach cancer?Fewer than 10Fewer than 10Fewer than 10Were treated for kidney cancer?Fewer than 10Fewer than 10Fewer than 10In how many patient deaths within your CCG was cancer (of any type) listed as the primary cause of death in each of the past three years: The CCG does not have this data. 201620172018Of the patients who died within your CCG, in how many was VTE as well as cancer listed as a cause of death in each of the past three years: The CCG does not have this data. 201620172018 Of the patients who died in your CCG who had both VTE and cancer listed as a cause of death, how many: The CCG does not have this data. 201620172018Were receiving chemotherapy?Were treated for brain cancer?Were treated for lung cancer?Were treated for uterine cancer?Were treated for bladder cancer?Were treated for pancreatic cancer?Were treated for stomach cancer?Were treated for kidney cancer?Are ambulatory cancer patients who are receiving chemotherapy in your CCG routinely risk assessed for their risk of developing CAT/VTE? The CCG does not hold this data. Yes?No?Are ambulatory cancer patients who are receiving chemotherapy AND deemed at high risk of developing CAT/VTE offered pharmacological thromboprophylaxis with? Please tick/cross all those appropriate. The CCG does not hold this data.Low-molecular-weight heparin (LMWH)Direct Oral Anticoagulants (DOAC)AspirinWarfarinOtherNoneQUESTION SIX – PATIENT INFORMATIONThe NICE Quality Standard on VTE Prevention stipulates that patients/carers should be offered verbal and written information on VTE prevention as part of the admission as well as the discharge processes.What steps does your CCG take to ensure patients are adequately informed about VTE prevention? (Tick each box that applies) It would be more appropriate for your request to be responded to by Walsall Healthcare Trust; you can forward your request to FOI@walsallhealthcare.nhs.ukDistribution of own patient information leaflet?Distribution of patient information leaflet produced by an external organisation If yes, please specify which organisation(s): ?Documented patient discussion with healthcare professional ?Information provided in other format (please specify)?If your CCG provides written information on VTE prevention, does it provide information in languages other than English? (Tick each box that applies) - It would be more appropriate for your request to be responded to by Walsall Healthcare Trust; you can forward your request to FOI@walsallhealthcare.nhs.ukYesIf yes, please specify which languages: ?No?QUESTION SEVEN – COST OF VTE IN YOUR AREADoes your CCG have an estimate of the cost of VTE to the NHS locally (including cost of treatment, hospital bed days and litigation costs) for 2018/19? (Please tick one box) The CCG does not hold this data.Yes?No? If ‘Yes’, please specify the estimated cost: Please indicate the cost-estimate for the following areas of VTE management and care, as well as the corresponding number of VTE hospitalisations/ re-admissions/ treatments that occurred between 1 April 2018 and 31 March 2016[?]. (assumed April 18 to March 19)VTE management and care Cost-estimateCorresponding patient numbersVTE hospitalisations[1]VTE re-admissions [2]VTE treatments (medical and mechanical thromboprophylaxis)VTE litigation/negligence costsFOI Request 227I am undertaking a nationwide survey to gain better understanding of the marketplace and am writing to you under the Freedom of Information Act 2000 to request the following information from NHS Walsall CCG.Please confirm the existence or otherwise of financial arrangements with an NHS Trust or Trusts to compensate them for providing enoxaparin either generic(biosimilar) or as a brand from the Trust rather than it being continued in primary care. We are not requesting the exact terms of such an arrangement.Walsall Clinical Commissioning Group response:The CCG does not have financial arrangements with any NHS Trusts that are specific to any particular drugs. CCG’s reimburse hospital Trusts for the costs of drugs that are issued to a patient at the point of discharge from the Trust to enable smooth discharge and transfer of care back into the community or primary care. It is expected that Trusts will only issue drugs that are compliant with the jointly agreed formulary.Please confirm the number of days medicine commissioned or expected to be supplied by NHS trusts on discharge for the CCGs patients.The expectation is that 28 days drugs will be supplied upon discharge, or less if the drug is only required for a shorter period.Please indicate any arrangements for the supply of in Tariff drug courses longer than this standard period.GPs are expected to prescribe drugs that are required beyond 28 days for both in tariff and outside of tariff drugs, unless the patient remains under the supervision of a hospital consultant for the duration of their care.Please indicate how the CCG compensates NHS Trusts for providing an on-going course of in Tariff Drugs it deems to be unsuitable for CCG continuation.If drugs are in tariff the CCG does not reimburse the Trust as it forms part of the cost of the hospital treatment. If Drugs are required post 28 days discharge, the NHS Trust is contracted to comply with the jointly agreed formulary. If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request.If you can identify any ways that my request could be refined, I would be grateful for any further advice and assistance.FOI Request 228Please could you provide me with the following information regarding NHS continuing health care (CHC) payments in the five years up to the end of the 2018-2019 financial year (April 6):?The amount of funding the CCG has paid out as a result of retrospective CHC claims, broken down by yearYearAmount ?’0002014-15 632015-161572016-17452017-1802018-190The number of people who have had their CHC funding withdrawn, broken down by year2014/15672015/16582016/17702017/18612018/1939The number of people who have undergone reassessments for their CHC funding, broken down by yearWith the implementation of the National Framework for CHC/FNC (revised Oct-18) we generated a number of new CHC review codes to reflect changes in practice i.e. Care Reviews. All old CHC Review codes were deleted to prevent reviews being logged against the wrong review type going forward post Oct-18. Therefore, we cannot extract review data prior to Oct-18 October 2018 – March 2019: 362 review completed?If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide assistance, under your Section 16 obligations, as to how I can refine my request to be included in the scope of the Act. In any case, if you identify ways that my request could be refined please provide assistance to indicate this.?FOI Request 229Do you have contracts in place for the diagnosis, and monitoring of glaucoma? Walsall Clinical Commissioning Group response:Walsall CCG commissions Walsall Healthcare NHS Trust to deliver a glaucoma diagnosis and monitoring service within general ophthalmology clinics as part of the acute contract.2) Can you please confirm the providers who are currently accredited to deliver this service?Walsall Healthcare NHS Trust – under the acute element of the contract.3) Can you please confirm whether the CCG paid any 'non-contracted' providers for the delivery of the service? This information is not available – outpatient’s data is not broken down into this level of detail.4) Can you please confirm the service pathway and requirements for the current diagnosis and monitoring of Glaucoma pathways? Community Optometrists refer direct to secondary care Ophthalmology for diagnosis and monitoring of Glaucoma.5) Can you please confirm the tariffs that the CCG currently pays for each part of the Glaucoma Diagnosis and Monitoring Pathway? The glaucoma diagnosis and monitoring pathway is bundled in the secondary care Ophthalmology contract.6) Can the CCG please confirm the number of episodes that they paid for under each part of the Glaucoma Diagnosis and Monitoring Pathway during the following periods? This information is not available, as this is not broken down into this level of detail.?April 2017-March 2018?April 2018 - March 2019?April 2019 - July 20197) Can the CCG please provide a copy of the service specification for each part of the Glaucoma Diagnosis and Monitoring Pathway? There is no service specification for glaucoma diagnosis and monitoring.8) Can the CCG please confirm when the current contracts for Glaucoma Diagnosis and Monitoring Pathways both started, and are due to expire? Glaucoma diagnosis and monitoring is delivered within secondary care Ophthalmology services as part of the acute contract held between the CCG and Walsall Healthcare NHS Trust 9) Can you please confirm if the current contract has an option to further extend? If so, for how long? The service referenced is within the main NHS acute contract which is reviewed annually in line with national guidance10) Can the CCG please confirm their intentions on what happens with the Glaucoma Diagnosis and Monitoring when they expire? The CCG reviews the ophthalmology pathway there is no plan imminently to separate Glaucoma from the main contract, however this will continue to be reviewed as part of the BC STP elective care work stream.FOI Request 230Walsall Clinical Commissioning Group response:The CCG would advise that our website contains PCN information that will provide response to your questions 1, 2 and 4; the link can be found here am requesting the following information:Q1 The name of each PCN within the CCG – please see website link Q2 The name of each member GP practice within each PCN – please see website link Q3 The practice code of each member practice – please see attachment 3 Q4 The size of each member practice – please see website link I look forward to hearing back within the statutory 20 working day period. In the meantime, if you require any clarification about this request for data, please do not hesitate to get in contact.FOI Request 231Please can you provide under the Freedom of Information Act a structure chart for the CCG inclusive of all 'Heads of Service,' 'Assistant Directors' and Directors with the full job titles and the names of individuals who hold these positions.Walsall Clinical Commissioning Group response:Please find attached the Walsall CCG structure chart outlining the roles as requested. The CCG has provided details of our Governing Body member names within the chart but has applied Section 40 of the Freedom of Information Act as this constitutes personal data for the remaining staff names.FOI Request 232For your information, POLCE refers to Procedures of Limited Clinical Effectiveness, but is previously known as ‘low priority treatments’. Please treat POLCE in this request as referring to ‘Procedures of Limited Clinical Effectiveness’ and what was previously called ‘low priority treatments’. If the CCG does follow a POLCE policy, please could you provide answers to each following question covering the following time periods: The first covering the time period 1st January 2015 – 31st December 2015; The second covering the time period 1st January 2016 – 31st December 2016; The third covering the time period 1st January 2017 – 31st December 2017;and the fourth covering the time period 1st January 2018 – 31st December 2018;and the fifth covering the time period 1st January 2019 – 1st August 2019.For each time period, how many applications were approved and referred?For each time period, how many applications were rejected?Walsall Clinical Commissioning Group response for 1. and 2. Please see the attached document for the information requested. We do not have the data for 2015.FOI Request 233I am writing to you under the Freedom of Information Act 2000 to request the following information: Please could you tell me how many NHS patients were referred by your CCG to Lakeside View in 2018? Lakeside View Priory is owned by Arcadia Group, a private hospital. 1-5* clients placed during 1/4/18 – 31/3/19*a range has been indicated to ensure anonymity.Please could you disclose how many of those patients had home addresses more than 100 miles away from Lakeside View? 0Please could you disclose how much money was spent by your CCG to send those patients to Lakeside View in 2018? ?156,299 during 1/4/18 – 31/3/19If you know of any way I could improve my request, please let me know as I would be happy to clarify. FOI Request 234Do you currently have any enhanced (non GMS or PMS) service contracts involving prostate cancer and/or Leuteinising Hormone-Releasing Hormone Analogue (LHRHa) administration with GP practices? Zoladex and Protap are included within a Treatment Room Locally Commissioned Service to GPs. a.)? If Yes - Does this service involve payments for the administration of the following LHRHA’s, please indicate which? Zoladex (Goserelin) - yesProstap (Leuprorelin) - yesLutrate (Leuprorelin) - noDecapeptyl (Triptorelin) - nob.) If Yes - What is the frequency of payment?? Where possible please provide breakdown by drug name. Please see below c.) If Yes - What is the payment amount? Where possible please provide breakdown by drug name. Please see below For the above (a-c) please use the table below to capture.Drug nameFrequency of paymentPayment amountZoladex (Goserelin)?Quarterly??13.06Prostap (Leuprorelin)?Quarterly??13.06Lutrate (Leuprorelin)?n/a?Decapeptyl (Triptorelin)?n/a??If you do have a service, does the service include payment for other activities, specifically:PSA – Nosymptom questionnaires – Nopatient review follow ups – NoOther? - (please specify) response required if applicable - NoWhat is the payment amount for these activities?? Please where possible provide a breakdown by activity name.?N/AFOI Request 235How many applications for the funding of Liposuction (any kind) were approved for the treatment of Lipedema/Lipoedema in the following years20162017Walsall Clinical Commissioning Group response:Liposuction for these procedures is not routinely commissioned in the NHS and could only be funded via an Individual Funding Request. There have been no requests received by Walsall CCG for this procedure in 2016 or 2017.FOI Request 236I am making a formal application under the Freedom of Information Act (2000) to obtain the following information:?The total number of Continuing Health Care (CHC) packages delivered in the individuals own homes (not care homes or residential facilities), that were managed in the financial year 18/19 (excluding any individual packages under ?1,000 per week). – 37 The total value of CHC spend in the financial year 18/19 and for this to be broken down to show spend with third-party providers (Non-NHS bodies) CHC Spend Total - ?20,349kThird Party Providers - ?20,215kTotal number and value of emergency funded care (outside of CHC funded) packages. – 63kWho is the main point of contact at the CCG responsible for commissioning Continuing Health Care packages in the following areas:Mental Health – *Sarah Shingler Chief Nurse Director of Quality Paediatrics – *Sarah Shingler Chief Nurse Director of Quality Adult – *Sarah Shingler Chief Nurse Director of Quality *‘The CCG has provided details of our Governing Body member name but has applied Section 40 of the Freedom of Information Act as this constitutes personal data for remaining staff names.’FOI Request 237I am writing to make an open government request for all the information to which I am entitled under the Freedom of Information Act 2000. In order to assist you with this request, I am outlining my enquiry as specifically as possible. If however this request is too wide or unclear, I would be grateful if you would contact me as I understand that under the Act, you are required to advise and assist requesters.I am looking for information about the funding provided by the Walsall CCG for IVF treatment. As such, I would like to know the answer to the following questions:?Does the CCG fund IVF treatment? YesIf no, when did the CCG stop offering funding for IVF treatment??Not applicable.What are the current criteria set out by the CCG that women under the age of 40 must meet in order to successfully qualify for NHS-funded IVF treatment?The age of the female partner at the time of treatment must be under 40 years of age. - If infertility is clinically identified in a female from the age of 20 years old – NHS infertility treatment should be offered without delay. - Where the woman is aged between 36<39 years of age, the couple should be offered NHS infertility treatment without further delay Referrals for NHS infertility treatment should be made on or before the females 39th birthday (i.e. at least 12 months before her 40th birthday) to ensure relevant investigations can be completed, and treatment must have commenced prior to the females 40th birthday. How many full cycles of IVF will the CCG fund if a woman under the age of 40 meets all of these criteria?? One.What are the current criteria set out by the CCG that women aged 40 to 42 must meet in order to successfully qualify for NHS-funded IVF treatment??In females aged 40–42 years, offer NHS infertility treatment provided the following 3 criteria are fulfilled: ? they have never previously had IVF treatment ? there is no evidence of low ovarian reserve ? there has been a discussion of the additional implications of IVF and pregnancy at this age. How many full cycles of IVF will the CCG fund if a woman aged 40 to 42 meets all of these criteria? One.Does the CCG fund IVF treatment for women over the age of 42? If so, what are the current criteria set out by the CCG that women must meet in order to successfully qualify for NHS-funded IVF treatment?? No.How many full cycles of IVF will the CCG fund if a woman over the age of 42 meets all of these criteria? None. Whilst NICE recommend an extension of the female age to 42 where specific criteria are met, the success rates for this cohort of patients is relatively low. FOI Request 238I am writing to you under the Freedom of Information Act 2000 to request the following information regarding GP surgeries in your CCG.The postal and email addresses of all Practice Managers within the CCG and the relevant GP surgeries they manage?Walsall Clinical Commissioning Group Response:The list of all member practices in the Walsall Borough are displayed on the CCGs website, the link below will take you to this page: Practice’s individual website will display their contact details as relevant.The CCG does not share personal email addresses of Practice Managers and would apply an exemption under Section 40 Personal Information of the Freedom of Information Act 2000 for this part of the response.Please provide the information in an email reply.If it is not possible to provide the information requested due to the information exceeding the cost of compliance limits identified in Section 12, please provide advice and assistance, under the Section 16 obligations of the Act, as to how I can refine my request.FOI Request 239I am seeking to receive information regarding the Tier 3 Weight Management service that is available to the patients of your Clinical Commissioning Group.Walsall Clinical Commissioning Group Response:The CCG does not hold the data to provide a response to your questions, it would be more appropriate for your request to be responded to by Walsall Council. Your can forward your request to foi@.ukCould I request answers to the below questions:What is the name of the Tier 3 Weight Management Service available to your patients?Do you commission the Tier 3 Weight Management Service?If not, who does?What numbers of patients have been referred to this service in the last 12 months of available data?FOI Request 240I am making this request under the FOI act, as such, could you please fill in the below table to represent the CCGs total expenditure in 18/19 and CCGs 19/20 budget for the categorised care types:?18/19 Expenditure??19/20 BudgetCommunity Services??29,745,000??31,365,000Continuing Care (Children & Young People)??929k??966kContinuing Healthcare (CHC) incl. Funded Nursing Care (FNC) (Adults)??22,209k??23,161kLearning Disability??6,051,000??5,184,000Mental Health??38,882,000??41,269,000FOI Request 241The CCG has responded to your Continuing Healthcare part of your request. With respect to the remaining areas you have listed, the CCG does not hold this data and advise it would be more appropriate for your request to be responded to by Walsall Council, you can forward your request to foi@.ukThe data I would like to request is the following, split by the age of the patient into under 16, 16 to 65 and over 65, from 2013 to 2019:???????? Spinal cord injuries – data not held o?? The number of people with spinal cord injuries that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)o?? The total spent on people with spinal cord injuries that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)??????? Acute brain injuries – data not held o?? The number of people with acute brain injuries that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)o?? The total spent on people with acute brain injuries that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)??????? Respiratory/ventilation – data not held o?? The number of people with respiratory/ventilation issues that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)o?? The total spent on people with respiratory/ventilation issues that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)??????? Learning disabilities – data not held o?? The number of people with learning disabilities that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)o?? The total spent on people with learning disabilities that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)??????? Epilepsy – data not held o?? The number of people with epilepsy that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)o?? The total spent on people with epilepsy that require:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)??????? Total Continuing Healthcare (CHC) please see response below o?? The total number of people in receipt of CHC in:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)o?? The total CHC spend on:??Residential care??Live-out homecare (care where they are regularly visited by a professional carer)??Live-in homecare (care where a professional carer lives with the care receiver)?If the data cannot be split by the age of the patient, please can I receive the breakdown that is possible.Walsall Clinical Commissioning Group Response:Total Continuing Healthcare (CHC)o?? The total number of people in receipt of CHC in:??Residential care2013/14 U18 (0), <65 (0), 65+ (0)2014/15 U18 (0), <65 (0), 65+ (0)2015/16 U18 (0), <65 (0), 65+ (0)2016/17 U18 (0), <65 (0), 65+ (0)2017/18 U18 (0), <65 (0), 65+ (0)2018/19 U18 (0), <65 (0), 65+ (0)??Live-out homecare (care where they are regularly visited by a professional carer)2013/14 U18 (15), <65 (74), 65+ (304)2014/15 U18 (1-5*), <65 (91), 65+ (406)2015/16 U18 (10), <65 (91), 65+ (321)* a range has been indicated to ensure anonymity 2016/17 U18 (8), <65 (77), 65+ (281)2017/18 U18 (9), <65 (90), 65+ (306)2018/19 U18 (11), <65 (89), 65+ (264)??Live-in homecare (care where a professional carer lives with the care receiver)2013/14 U18 (0), <65 (0), 65+ (0)2014/15 U18 (0), <65 (0), 65+ (0)2015/16 U18 (0), <65 (0), 65+ (0)2016/17 U18 (0), <65 (0), 65+ (0)2017/18 U18 (0), <65 (0), 65+ (0)2018/19 U18 (0), <65 (0), 65+ (0)o?The total CHC spend on:??Residential care - ?0??Live-out homecare (care where they are regularly visited by a professional carer) Under 1818-65 YearsOver 65?000's?000's?000's2013/144762,0761,3492014/152641,9861,4842015/162752,1081,7632016/172962,6821,8802017/183242,5501,6002018/195222,4461,439NB These figures do not include LD CHC as they were part of a Pooled Budget – and figures are not available FOI Request 242I am writing under the Freedom of Information Act 2000 and would like access to the following information:?i) Have any adult social care provider written to your Clinical Commissioning Group about a “risk to service delivery” in the last 12 months as part of their Brexit contingency planning, both if there is a deal and if there is no-deal.??Noii) The number of letters received from adult social care providers to your Clinical Commissioning Group which mentions a “risk to service delivery” in the last 12 months as part of their Brexit contingency planning, both if there is a deal and if there is no-deal Not applicableiii) The full contents of those letters as relates to letters where “risk to service delivery” is mentioned. ?Not applicable FOI Request 243Please note my request is for services obtained by the CCG on behalf of organisations other than Acute TrustsMy specific questions and the responses required are embedded.For clarity please provide data from the past calendar year (01/8/2018 to 31/07/2019), if this is not available please provide for the most recent financial year.I appreciate your CCG provide services across a wide area therefore if you have multiple services purchased for multiple organisations please provide the supplier names where requested and then provide average annual volumes and average cost per unit.\sWalsall Clinical Commissioning Group Response:This FOI needs to be sent to the providers of NHS services as our CCG does not commission patient tracking systems or operate any type of system outlined above.FOI Request 244Could we have the following information Walsall Clinical Commissioning Group Response:The CCG would advise that the response to questions 1, 2 and 3 can all be found on the CCG website. Please use this link PCN’s exist within your CCG – see response above The surgeries within each PCN – see response aboveThe Clinical Director for each PCN – see response above The nominated payee surgery for each PCN – The CCG would advise that each PCN Clinical Director is the nominated payee for their PCN. Query received from FOI requestor 30th September:On the link it does not state which practice each Clinical Director is from therefore I don’t know who the nominated surgery is for each PCNWalsall Clinical Commissioning Group Response:?????????????? Dr N Asghar, CD for North is from Pinfold Medical Centre?????????????? Dr R Ahmed, CD for South 1 is from Little London Surgery?????????????? Dr R Hobson, CD for South 2 is from Lichfield Street?????????????? Dr S Kaul, CD for East 1 is from New Road Surgery?????????????? Dr F Bolliger, CD for East 2 is from Northgate Practice?????????????? Dr R Sandhu, CD for West 1 is Kingfisher Berkley Practice?????????????? Dr S Abdalla, CD for West 2 is from Lockfield SurgeryFOI Request 245Who, if anyone, within your organisation is responsible for ensuring victims of modern slavery receive the support and treatment to which they are entitled?Walsall Clinical Commissioning Group Response:Modern slavery comes under the Safer Walsall partnership with the lead being the Local Council.There is soon to be a new strategy published which will outline what the partnership will do over the next 3 years which includes reducing Serious Organised Crime and supporting the victims What, if any, statutory body or board within your organisation has strategic responsibility to plan for and to meet the needs of victims of modern slavery?Modern slavery comes under the Safer Walsall Partnership Board.Does your organisation have any specific commissioning arrangements and/ or pathways to meet the needs of victims of modern slavery in relation to:Mental ill- health? The CCG does not have a specific pathway for modern slavery. Substance misuse? It would be more appropriate for your request to be responded to by Public Health at Walsall Council. You can forward your request to foi@.ukDoes your organisation have explicit links to the local organisations that provide support for victims of modern slavery under the Home Office contract for modern slavery and if so, what are they?Links through Black Country Women’s Aid and IRIS AdvocatesOne of the key partners on the Safer Walsall Partnership Board.Modern Slavery is also a part of Safeguarding and is included in all trainingFOI Request 246Please can you tell me the total amount (whether estimated or exact) your Clinical Commissioning Group spent on abortion provision in the calendar year 2018 (01/01/2018-31/12/2018)?Terms: 'Abortion provision' refers to all abortion procedures, pre abortion counselling and post abortion care.Walsall Clinical Commissioning Group Response:The total cost of abortion provision for the period 01/01/18 – 31/12/18 is ?292,855.FOI query received from requestor to response issued:I am slightly puzzled why the total given is ?292,855 considering Walsall CCG facilitated 1,212 abortions in 2018. This is significantly lower cost of the national average; a figure approaching ?500,000 would be expected.Please can you check this discrepancy? Perhaps your figure is from either NHS hospitals, private clinics, but not both?Walsall Clinical Commissioning Group Revised Response:The acute activity was not included in the original calculations.The total cost of abortion provision for the period 01/01/18 – 31/12/18 is ?534,753.FOI Request 247Under the Freedom of Information Act 2000, I request the following information: * The average waiting time (in calendar days) for women who had an NHS-funded medical abortion in 2016, 2017, 2018 - from the date of their first referral appointment to (and including) the date of the procedure. * The average waiting time (in calendar days) for women who had an NHS-funded surgical abortion in 2016, 2017, 2018 - from the date of their first referral appointment to (and including) the date of the procedure.Walsall Clinical Commissioning Group Response:The CCG does not hold this dataFOI Request 248FOI Request 249Walsall Clinical Commissioning Group Response:The CCG has responded in excel format as requested. Please see the document embedded for ease of reference.Please provide the names and addresses, including a postcode (and organisation code if easily accessible), of all eating disorder service providers and clinics that patients are currently referred to for all the CCGs you are responsible for. To add to this request, please indicate for each eating disorder service whether they provide inpatient, outpatient, community services, or a combination.Please provide this in a spreadsheet with a file type ending in .xlsx with two separate sheets in the following table formats:Sheet 1Provider nameFull addressPostcodeOrganisation code????Sheet 2Clinic nameFull addressPostcodeOrganisation code????Please note that I am not requesting information on the numbers of patients being referred, or any other information which could be used to identify individuals, and nothing is being requested - or should be provided - which would make the request exempt under Section 40 of the Act. Please also note that this information differs from data available on the NHS Direct website in that this information relates to services used within a specific CCG, rather than merely those that may be used by any CCG, and so is not exempt under Section 21 of the Act. If the request needs refining or clarifying, please provide advice and assistance under Section 16 of the Act on how the request may be refined (for example in terms of how the data is stored, or to be fulfilled within the cost limits).FOI Request 250I would like to request the finance costs (both revenue and capital) incurred in complying with the EU exit operational readiness guidance issued on 21 December 2018 by the Department of Health and Social Care.This guidance asks NHS trusts and clinical commissioning groups to: “Record costs (both revenue and capital) incurred in complying with this guidance. Costs with a direct financial impact should be recorded separately to opportunity costs.”The guidance can be accessed here: can this information:1.?Be provided from 22nd December 2018 to the date of this FOI 26 September 20192.?Split the costs into a) direct financial impact and b) opportunity costsWalsall Clinical Commissioning Group Response:The CCG would advise for both questions 1 and 2 that there are no costs specifically set aside. The response to the EU Exit is covered through our existing EPRR arrangements FOI Request 251This FOI relates to any changes in your CCG's policy regarding eligibility for IVF treatment since January 2017.?Please tell me if any of the following factors have been altered in your CCG's eligibility criteria:1) The age of the woman?2) The time the woman needs to have spent trying to get pregnant through unprotected sexual intercourse without success?3) Whether the woman has to have been using artificial insemination to conceive, and how many cycles they must have gone through (and the number using intrauterine insemination)?4) Lifestyle factors, like smoking, BMI, alcohol use, etc.5) The number of previous unsuccessful IVF cycles (whether self- or NHS-funded)?6) The number of implantations per cycles (for example, 1 fresh and 2 frozen, or 1 fresh and 0 frozen, or 1 fresh and 3 frozen)7) The funding of cryopreservation of embryos remaining - for how long will your CCG fund this??Please note, if none of the policies in any of the points between 1 - 7 have changed in your CCG's IVF policy since January 2017, please simply state no changes have been made and do not elaborate further.?Walsall Clinical Commissioning Group Response:The CCG would advise there have been no changes in the policyFOI Request 252Under the Freedom of Information Act 2000, I am requesting the following information on access to NICE-recommended non-pharmacological therapy for the management of low back pain and/or sciatica:Walsall Clinical Commissioning Group Response:The CCG does not hold this data. It would be more appropriate for your request to be responded to by Walsall Healthcare Trust. You can forward your request to FOI@walsallhealthcare.nhs.ukPsychological therapies (using a cognitive behavioural approach):Are GPs able to refer NHS patients with chronic pain to this service? (Yes/No)How many NHS patients were referred in 2017/18, 2018/19 and 2019/20 (to date)What was the average waiting time in 2017/18, 2018/19 and 2019/20 (to date)Manual therapy (spinal manipulation, mobilisation or soft tissue techniques such as massage):Are GPs able to refer NHS patients with chronic pain to this service? (Yes/No)How many NHS patients were referred in 2017/18, 2018/19 and 2019/20 (to date)What was the average waiting time in 2017/18, 2018/19 and 2019/20 (to date)Group exercise programme (biomechanical, aerobic, mind–body or a combination of approaches):Are GPs able to refer NHS patients with chronic pain to this service? (Yes/No)How many NHS patients were referred in 2017/18, 2018/19 and 2019/20 (to date)What was the average waiting time in 2017/18, 2018/19 and 2019/20 (to date)Pain Management Programmes:Are GPs able to refer NHS patients with chronic pain to this service? (Yes/No)How many NHS patients were referred in 2017/18, 2018/19 and 2019/20 (to date)What was the average waiting time in 2017/18, 2018/19 and 2019/20 (to date)FOI Request 253I would like to make a request for some information relating to bowel preparation for colonoscopy if that is possible.? All of the questions refer to colonoscopy procedures performed between 1st?January?2018 and 1st?January?2019.? Please let me know if any of the questions do not appear clear, I am more than happy to further clarify.Walsall Clinical Commissioning Group Response:The CCG does not hold the data to respond to your questions. it would be more appropriate for your request to be responded to by Walsall Healthcare Trust, you can contact their FOI by using the following email address: FOI@walsallhealthcare.nhs.ukWhat is the first line bowel preparation laxative that is offered to patients undergoing colonoscopy?Do you offer any alternative bowel preparation laxatives for patients undergoing colonoscopy?How many patients received each bowel preparation laxative between 1st January 2018- 1st?January?2019?What was the number of patients receiving each bowel preparation laxative who had inadequate bowel preparation between 1st?January?2018- 1st?January?2019?Are patients undergoing colonoscopy advised to take the bowel preparation at a single time or split over two different times?During the period of 1st?January?2018- 1st?January?2019, what times were patients advised to consume the bowel preparation for a morning colonoscopy appointment?During the period of 1st?January?2018- 1st?January?2019, what times were patients advised to consume the bowel preparation for an afternoon colonoscopy appointment?During the period of 1st?January?2018- 1st?January?2019, what times were patients advised to consume the bowel preparation for an evening colonoscopy appointment?Are patient’s advised to consume a particular diet prior to their colonoscopy? If so what diet are they advised to consume? How many days are they advised to consume it for?Do any of your patients attend a specific pre assessment clinic after they are referred for colonoscopy, but before they attend on the day of their endoscopy to receive more detailed endoscopy information???What is the criteria for referral to this pre assessment clinic?How many patients are seen in this pre assessment clinic between 1st?January?2018- 1st?January?2019?How many colonoscopies did you perform in the last year (1st?January?2018- 1st?January?2019)During the period of 1st?January?2018- 1st?January?2019:How many patients were documented as having excellent bowel preparation?What was the polyp detection rate in patient with excellent bowel preparation?How many patients were documented as having good bowel preparation?What was the polyp detection rate in patient with good bowel preparation?How many patients were documented as having fair bowel preparation?What was the polyp detection rate in patient with fair bowel preparation?How many patients were documented as having inadequate bowel preparation?What was the polyp detection rate in patient with inadequate bowel preparation?How many patients had a morning appointment during the period of 1st?January?2018- 1st?January?2019?How many patients who had a morning appointment during the period of 1st?January?2018- 1st?January2019 had inadequate bowel prep?How many patients had an afternoon appointment during the period of 1st?January?2018- 1st?January?2019?How many patients who had an afternoon appointment during the period of 1st?January?2018- 1st?January?2019 had inadequate bowel prep?How many patients had an evening appointment during the period of 1st?January?2018- 1st?January?2019?How many patients who had an evening appointment during the period of 1st?January?2018- 1st?January?2019 had inadequate bowel prep?If a patient has a repeat colonoscopy due to inadequate bowel preparation, do you have a specific bowel preparation regime for those patients????If so what is it?FOI Request 254Can you please tell me whether your respective CCG is on the Effective Use of Resources Policy relating to cataract procedures.??Walsall Clinical Commissioning Group Response:Yes, it is part of the Procedures of Lower Clinical Value (POLCV) policy; the details of the policy are on the CCG website: ................
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