- Disclosure log Freedom of Information requests November 2016
Contents Children s health... 3 FOI56130 - CYYP funding... 3 FOI56370 - Self-harm... 4 Continuing healthcare... 5 FOI56380 - Assessments / applications... 5 FOI56540 - DST assessments... 5 FOI56570 - Assessments... 6 Contracts... 7 FOI56420 - NHS 111... 7 Finance & budgets... 8 FOI56290 - NHS Kernow spend... 8 FOI56300 - Friends and Family Test expenditure... 9 FOI56430 Managing Director expenses... 9 FOI56450 - Staff Christmas parties... 10 Individual funding requests... 11 FOI56070 - Plastic surgery policies... 11 FOI56580 - IVF... 12 Long term conditions... 13 FOI56400 - Dementia services... 13 Organisation... 14 FOI56190 - STP plan... 14 Prescribing & pharmacies... 14 FOI56440 - Oral Nutritional Supplements... 14 FOI56590 - GF survey consultation... 14 Referral management... 15 FOI56040 - Hip and knee replacements... 15 FOI56080 - Services... 16 FOI56250 - Skin lesions... 18 Appendix... 20 FOI56430 Managing Director expenses... 20 The information supplied to you continues to be protected by the Copyright, Designs and Patents Act 1988. You are free to use it for your own purposes, including any non-commercial research you are doing and for the purposes of news reporting. Any other re-use, for example commercial publication, would require the permission of the copyright holder. 2
Most documents supplied by NHS Kernow Clinical Commissioning Group will have been produced by local officials and will be our copyright. Information you receive which is not subject to our copyright continues to be protected by the copyright of the person, or organisation, from which the information originated. You must ensure that you gain their permission before reproducing any third party information. Disclosure log for November 2016 Children s health FOI56130 - CYYP funding Date received 04/11/2016 In the March Budget 2015, an extra 1.25bn funding for children and young people s mental health services was announced. Out of this, 119 million was included in CCG baseline allocations for 2016-17. 1. Did your CCG receive the amount specified in 2016-17? If not, how much was received? A. To date, NHS Kernow has received the following: Baseline amount based on 2015/16 allocation of 1,058k; Eating disorder: 300k Waiting List initiative: 125k. Total amount anticipated for 2016/17 is 1,483k. 2. How much of this funding did your CCG spend on children and young people s mental health services in the first half of 2016-17 (i.e. 1 April 2016 to 30 September 2016)? A. On 31 May 2016, 712k was allocated to projects. Only 78k of the allocation has been claimed in the period specified. 3. How much of this funding does your CCG expect to spend on children and young people s mental health services in total in 2016-17? A. 962k. In the Autumn Statement 2014, an extra 150 million funding for children and young people s eating disorder services was announced. Out of this, 30 million has been allocated to CCGs in 2016-17. 4. Did your CCG receive the amount specified in 2016-17? If not, how much was received? A. Yes, 300k was received. 3
5. How much of this funding did your CCG spend on children and young people s eating disorder services in the first half of 2016-17 (i.e. 1st April 2016 to 30th September 2016)? A. On 31 May 2016, 247k was allocated to projects. 6. How much of this funding does your CCG expect to spend on children and young people s eating disorder services in total in 2016-17? A. 247k. FOI56370 - Self-harm Date received 17/11/2016 1. Details of how many individual admissions there have been for 12-18 year olds who have self- harmed in each of the last five financial years - i.e. 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16. A. NHS Kernow was formed on 1 April 2013 and cannot provide information relating to the former primary care trust (2012 to 2013). Please contact the Department of Health s legacy team to request this information: reviews&informationteam@dh.gsi.gov.uk. For the year June 2013 to March 2014: 174 2014-2015: 192 2015 2016: 272 For the year April 2016 to August 2016: 121 2. Details of how many inpatient days stay have there been for 12-18 year olds who have self- harmed in in the same five financial years. A. NHS Kernow was formed on 1 April 2013 and cannot provide information relating to the former primary care trust (2012 to 2013). Please contact the Department of Health s legacy team to request this information: reviews&informationteam@dh.gsi.gov.uk. For the year June 2013 to March 2014: 290 2014-2015: 311 2015 2016: 534 For the year April 2016 to August 2016: 268 4
Continuing healthcare FOI56380 - Assessments / applications Date received 17/11/2016 1. What is the average (i.e. mean) time taken by your CCG to conduct NHS continuing healthcare assessments? The time period should be calculated from receiving the initial checklist to notifying the applicant of the eligibility result. 2. What is the longest time period your CCG has taken to make a decision on an application for NHS continuing healthcare? The time period should be calculated from receiving the NHS Continuing Healthcare checklist to informing the family of the decision that has been made in writing. A. NHS Kernow does not hold the information in the format you have requested. NHS Kernow does not hold a report that provides the average (mean) and longest time period taken to conduct / make a decision on CHC assessments. FOI56540 - DST assessments Date received 29/11/2016 1. Please provide the number of CHC DST assessments that have been carried out by NHS Kernow since its inception in April 2013? NHS Kernow does not hold the information you have requested for information relating to 1 April 2013 to 30 September 2014. We are unable to provide information prior to 1 October 2014, as we did not collect this information. From 1 October 2014, there have been 1,644 DST assessments carried out. 2. Of those DST assessments please inform me of the number for which an invitation was extended to Cornwall Council for a Social Worker to attend as a member of the multidisciplinary team? A. NHS Kernow does not hold the information in the format you have requested. NHS Kernow does not routinely record the number of invitations sent to Cornwall Council for a social worker to attend DST assessments however, we can confirm that Cornwall Council are invited to attend all DST assessments. 3. Please inform how many of those DST assessments had a social worker from Cornwall Council attend as a member of the multidisciplinary team? A. NHS Kernow does not hold the information in the format you have requested. NHS Kernow does not routinely record the number of social workers that attend DST assessments. 5
4. Can you please inform me of the number of DST assessments since April 2013 which recommended that the individual had a primary health need and therefore qualified for Continuing Healthcare Funding? A. NHS Kernow does not hold the information in the format you have requested. NHS Kernow does not routinely collect this information. Reporting of this data is under development. The primary health need is only one element of the DST determination and cannot be used as a standalone element to determine a positive DST. The person must be assessed as having a primary health need and meet a number of severe and moderate health domains to be deemed eligible. 5. How many people have qualified for CHC funding under the fast track procedure since April 2013? A. NHS Kernow does not hold the information you have requested for information relating to 1 April 2013 to 30 September 2014. We are unable to provide information prior to 1 October 2014, as we did not collect this information. From 1 October 2014, 3,629 people qualified for CHC funding under the fast track procedure. FOI56570 - Assessments Date received 22/11/2016 1. What arrangements does NHS Kernow have in place to ensure that its contractors maintain adequate case notes relating to persons accommodated by them and in nursing care? A. NHS Kernow does not hold the information you have requested. NHS Kernow does not contract with care homes for the provision of services for all residents; this is the responsibility of the local authority. NHS Kernow only has agreements for specific patients which set out the care package to be delivered with the level of funding payable. The care plan and Continuing Health Care (CHC) patient data (case notes) are reviewed by NHS Kernow s CHC team, as per the persons commissioned care package arrangement and at least annually as per the NHS CHC Framework (revised 2012). Whilst the local authority may have some references in its contract with care homes, to the standard of recordkeeping to be maintained (please contact the local authority to establish the fact of this matter - foi@cornwall.gov.uk), it is the Care Quality Commission (CQC) that sets the standards and provides the inspection regime within which Care Homes must comply in order to maintain their registration with the CQC. 6
2. Please provide copies of the Checklist Assessment, together with the Decision Support tool and accompanying recommendation relating to my mother that were conducted on or around 16 May 2016, the time when I was advised to accommodate my mother in a residential nursing care facility. 3. Please provide copies of correspondence sent to me at the time, advising me of the procedure involved and the location and time of any proposed meeting. Please include details of the individuals who might have participated in any such meetings and the professional capacity in which they might have acted. 4. If either a checklist or a DST was conducted at this time, please give details of which of your officers fulfilled the responsibilities of Coordinator Officer. A. Your request to access your personal data is not covered by the Freedom of Information Act. All requests for personal information are governed by the Data Protection Act. Therefore, NHS Kernow exempts the release of this information under Section 40 (data protection) of the Freedom of Information Act. More information on requesting personal data is available on our website: www.kernowccg.nhs.uk/get-info/information-governance/subject-accessrequests/ Contracts FOI56420 - NHS 111 Date received 21/11/2016 1. Please can you provide the expenditure data for the NHS 111 service as a yearly average unit cost per call. I would also be happy to receive a total yearly expenditure on the service with the number of calls answered for each CCG as I can calculate a unit cost from here. This expenditure figure could be the how much is paid to the external provider to provide the NHS 111 service. The period I am looking into is from when the NHS 111 service began (ideally from pilot stage in 2010 if that applies to your CCG) up to now (however I understand that the very latest figures may not be available yet). A. NHS Kernow was formed on 1 April 2013 and cannot provide information relating to the former primary care trust (2012 to 2013). Please contact the Department of Health s legacy team to request this information: reviews&informationteam@dh.gsi.gov.uk. Average cost per call 2013/14 contract 24.85 2014/15 contract 11.68 2015/16 contract 10.72 2016/17 contract 12.01 7
Please note that the CCG does not commission this service on a cost for case basis, it is commissioned as a block contract/ fixed value contract and therefore variation in actual calls received during the year is a significant influence on the resulting unit price. Finance & budgets FOI56290 - NHS Kernow spend Date received 11/11/2016 1. The total budget of the CCG 2. The total spent on each of the following areas: a) Accident and Emergency Ambulance Service b) NHS 111 c) Out of hours primary care d) Elective hospital care e) Rehabilitation services f) Maternity and newborn services (including, if available, a breakdown into physical and mental health) g) Children s health (including, if available, a breakdown into physical and mental health) h) Services for learning disabilities i) Mental health services (including a separate figure for psychological therapies) j) Infertility treatment k) NHS continuing healthcare (including, if available, a breakdown into at home care and care homes) l) Community healthcare (including any appropriate sub-sections) m) Eye care services n) Prisoner/detainee/young offender treatment o) Other A. NHS Kernow routinely publishes information in spend in our monthly Governing Body papers. More information can be found on our website: https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spendit/ https://www.kernowccg.nhs.uk/get-info/governing-body-meetings/ We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means. NHS Kernow also submits programme budgeting returns to NHS England, which includes further information on spend. This information is published by NHS England; please contact NHS England s FOI team at england.contactus@nhs.net to obtain this information. 3. The total spent on each of the following areas: a) Dental services 8
NHS Kernow does not commission dental services. Please redirect your request to NHS England (england.contactus@nhs.net) to obtain this information. FOI56300 - Friends and Family Test expenditure Date received 14/11/2016 Please can your organisation respond to this request in relation to the money your organisation has invested in implementing the Friends and Family Test. 1. Initial cost to set up and implement the FFT 2. Ongoing or recurrent costs of operating the FFT 3. Bands of staff and Whole Time Equivalents directly responsible for the management of Friends and Family Test 4. If you have used an external / third party agency to implement the Friends and Family Test A. NHS Kernow does not hold the information you have requested. NHS Kernow, as a commissioner of services, has not implemented the Friends and Family Test (FFT). There is an expectation for providers of NHS services in Cornwall and the Isles of Scilly to use the FFT as a patient experience metric, based on national guidance. Therefore, please redirect your request to providers to obtain the information you have requested: Cornwall Partnership NHS Foundation Trust (cpntr.freedomofinformation@nhs.net ) Royal Cornwall Hospital NHS Trust (rch-tr.foi@nhs.net) Plymouth Hospitals NHS Trust (plh-tr.foi-requests@nhs.net FOI56430 Managing Director expenses Date received 23/11/2016 Could you please provide me with full details of the expenses claimed by the accountable officer or most senior clinical leader of your NHS Clinical Commissioning Group? More specifically, I would like to request: 1. A copy of all expense claims forms from 1 April 2014 to 1 November 2016. "Expenses" include, but are not restricted to, costs associated with: a) private car use (eg mileage, care hire costs) b) public travel (e.g, train, bus) c) subsistence (e.g. meals whilst away from normal place of work). d) A copy of all receipts associated with each expenses claim as detailed in Q1 a) to c) of this request, from 1 April 2014 to 1 November 2016. 9
A. A list of the Managing Director s expenses for the period of 1 April 2013 to 18 February 2015 as well as expenses for 9 March 2015 to 18 March 2016 have previously been disclosed in FOI requests in March 2015 (FOI 46630) and March 2016(FOI 51240) and are available to view in our FOI Disclosure Log: www.kernowccg.nhs.uk/get-info/information-governance/freedom-of-information- (foi)-requests/foi-disclosure-log/ We therefore exempt the release of this information under section 21 of the Freedom of Information Act, information accessible by other means. The Managing Director did not claim expenses between 19 March 2016 and 1 November 2016. A copy of the Interim Chief Officer s expenses for the period of 9 December 2015 to 30 September 2016 is attached. NHS Kernow has not received expenses from the Interim Chief Officer for the period of 1 October 2016 to 1 November 2016 and therefore, we are unable to provide the information you have requested. NHS Kernow staff members can submit their expenses up to three months after they have incurred an expense. 2. A copy of credit card statements used by the Accountable Officer or most senior clinical leader of your NHS Clinical Commissioning Group, from 1 April 2014, to 1 November 2016. A. The Accountable Officer does not hold a company credit card. 3. A copy of associated invoices/receipts against each credit card statement as provided in Q3 of this request. A. N/A. FOI56450 - Staff Christmas parties Date received 23/11/2016 1. Please say how much money your CCG spent on a staff Christmas party or Christmas parties in 2015. If different, please also say how much money your CCG spent on any staff party, parties or social events for staff during November and December 2015. A. NHS Kernow did not fund any staff Christmas parties or social events during November and December 2015 10
Individual funding requests FOI56070 - Plastic surgery policies Date received 02/11/2016 1. Whether your commissioning group funds the procedures listed below; 1) Body contouring surgery following massive weight loss including abdominoplasty, 2) mastopexy, brachioplasty, thigh lift. 3) Mastopexy (not post massive weight loss) 4) Breast reduction 5) Breast augmentation 6) Correction of breast asymmetry (developmental) 7) Correction of breast asymmetry (post mastectomy/ lumpectomy) including implant and nonimplant 8) techniques 9) Rhinoplasty 10) Septorhinoplasty 11) Face lift 12) Correction of facial asymmetry both acquired (eg facial palsy, post cancer resection, post 13) hemifacial atrophy), post traumatic and congenital including nonsurgical (botulinum toxin 14) and filler) and surgical correction, including facelift, browlift, eye lid surgery 15) Prominent ear correction 16) Correction of congenital ear deformities eg Microtia 17) Blepharoplasty 18) Excision of benign lesions eg. Congenital and acquired naevi 19) Liposuction 20) Scar revision 21) Use of Botulinum Toxin for hyperhidrosis 22) Laser therapy including- use for treatment of vascular and pigmented lesions use for skin 23) resurfacing, use for treatment of scars 24) Surgical treatment of lymphoedema and lipoedema 25) Fat grafting for the correction of congenital or acquired contour deformity. 26) Surgery for the correction of rhinophyma 27) Excision of preauricular appendages, congenital naevi and other skins lesions in children A. NHS Kernow s treatment policies are available on our website: https://www.kernowccg.nhs.uk/get-info/individual-funding-requests/treatmentpolicies/ We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means. 11
2. If the procedures listed are funded, what inclusion and exclusion criteria exist for each procedure? A. NHS Kernow s treatment policies, including criteria, are available on our website,: https://www.kernowccg.nhs.uk/get-info/individual-funding-requests/treatmentpolicies/ We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means. 3. If a procedure is not listed does this mean it is funded? A. No, NHS Kernow has a commissioning policy for cosmetic surgery, which covers any cosmetic procedure. The policy is available here: https://www.kernowccg.nhs.uk/get-info/individual-funding-requests/treatmentpolicies/ We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means. 4. If criteria exist how were these developed and what evidence base was used in the development of these criteria? 5. Was a plastic surgeon included in the process of developing the criteria? A. NHS Kernow s commissioning policies and referral guidelines are developed in conjunction with General Practitioners, consultants from the relevant specialty and Public Health. All relevant guidance is taken into account at the time of writing and all policies and guidelines are reviewed regularly or when new guidance is published. 6. If a procedure is not funded what if any means of challenge is available to the patient or their advocate? A. If a treatment is not funded, patients or their advocates can complete an individual funding request. More information is available on our website: https://www.kernowccg.nhs.uk/get-info/individual-funding-requests/ We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means. FOI56580 - IVF Date received 25/11/2016 1. How many cycles of IVF provision does your Clinical Commissioning Group provide? A. NHS Kernow s Assisted Conception policy is available on our website: 12
http://policies.kernowccg.nhs.uk/documentslibrary/kernowccg/individualfundin grequests/policies/assistedconceptionrevisedoct2010.pdf We therefore exempt the release of this information under section 21 of the Freedom of Information Act, information accessible by other means. 2. Has this changed in the last four financial years, if so, from what to what? A. NHS Kernow was formed on 1 April 2013 and cannot provide information relating to the former primary care trust (2012 to 2013). Please contact the Department of Health s legacy team to request this information: reviews&informationteam@dh.gsi.gov.uk. NHS Kernow has not made any changes to the policy since it was formed on 1 April 2013. 3. Does your CCG also restrict IVF for other reasons? (eg to couples where one of the people in the relationship already has a child.) A. NHS Kernow s Assisted Conception policy is available on our website: http://policies.kernowccg.nhs.uk/documentslibrary/kernowccg/individualfundin grequests/policies/assistedconceptionrevisedoct2010.pdf We therefore exempt the release of this information under section 21 of the Freedom of Information Act, information accessible by other means. Long term conditions FOI56400 - Dementia services Date received 18/11/2016 1. How much did the CCG spend per dementia patient in the financial years a) 2015-16 b) 2014-15 and c) 2013-14? 2. What was the average waiting time for GP referrals to memory clinics in the financial years a) 2015-16 b) 2014-15 and c) 2013-14? Please give this figure in terms of the weeks, from referral to assessment at a memory clinic. 3. What was the longest waiting time for a GP referral to a memory clinic in the financial years a) 2015-16 b) 2014-15 and c) 2013-14? 4. How many patients were referred to memory clinics in the financial years a) 2015-16 b) 2014-15 and c) 2013-14? A. NHS Kernow does not hold the information in the format you have requested. Specialist dementia services are provided by Cornwall Partnership NHS Foundation Trust as part of a block contract and we are therefore unable to provide the individual patient spend, waiting times, or referral numbers for this service. Please redirect your request to Cornwall Partnership NHS Foundation Trust (cpn-tr.freedomofinformation@nhs.net) to obtain this information. 13
Organisation FOI56190 - STP plan Date received 08/11/2016 1. I am writing to you in your capacity to ask you please publish Cornwall's sustainability and transformation plan (STP) immediately. A. The draft Cornwall and Isles of Scilly Sustainability and Transformation Plan will be published on 28 November 2016. We therefore exempt this information under section 22 of the Freedom of Information Act, information intended for future publication. At that time, we will be launching a series of public, staff and stakeholder engagement events, media and public information and a survey. This will run through until January and shape the next iteration of our plan, which will be available in 2017. Anything requiring formal public consultation is planned to be published in late summer 2017. Prescribing & pharmacies FOI56440 - Oral Nutritional Supplements Date received 21/11/2016 1. Please provide your annual spend on Oral Nutritional Supplements in relation to the national spend per 1000 patients. A. NHS Kernow does not hold the information you have requested. This information is held by NHS Business Services Authority; please redirect your request to nhsbsa.foirequests@nhs.net to obtain this information. Please note, this information is also available on the Open Prescribing website: https://openprescribing.net/analyse/#org=ccg&orgids=11n&numids=9.4&denom =total_list_size&selectedtab=summary We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means. FOI56590 - GF survey consultation Date received 23/11/2016 1. Please provide minutes of the meeting where the final decision to stop gluten free prescribing was made. 14
A. NHS Kernow is unable to disclose the information you have requested, the decision to no longer support the supply of gluten free foods on prescription was made in the part two section of the Governing Body meeting, which is a private and confidential session. We therefore exempt the release of this information under section 43 (2) of the Freedom of Information Act, commercial interests. Further information on the decision to no longer support the supply of gluten free foods on prescription is available on our website: https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spendit/services-review-update/gluten-free-prescribing/ Referral management FOI56040 - Hip and knee replacements Date received 01/11/2016 1. As of the 1st November 2016, for your referral for total hip replacement NICE states in TAG 304 that THA is appropriate for end stage arthritis but that prior to this, conservative management must be tried: a) must patients have to go through a structured physio pathway before referral? b) is there a criteria based referral system before referral? c) if so, is there a minimum amount of time they must attend the pathway and if so, how much time? d) is there a bmi limit under which patients must lie before you refer to a specialist and if so what is that bmi limit? e) must a weight loss programme be completed before funding can be commissioned for those who fall outside of the bmi limit? f) does completion of the weight loss programme allow the patient to be commissioned for funding (irrespective of successful weight loss)? g) is there a mechanism to bypass the bmi limit/ physio pathway referral for the referring gp/ accepting orthopedic surgeon to gain funding if it is necessary to operate on a patient who may lose their independence? h) is evidence smoking a restriction to funding of an arthroplasty? i) does the patient have to have a subjective pain hip score (or alternative eg oxford) below a threshold before referral can be made? A. NHS Kernow s clinical referral guidelines for hip replacements is published on our Referral Management Service website: http://rms.kernowccg.nhs.uk/rms/primary_care_clinical_referral_criteria/primary_c are_clinical_referral_criteria/orthopaedics/hip We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means. 2. As of the 1st November 2016, for your referral for total knee replacement NICE states in TAG 304 that TKA is appropriate for end stage arthritis but that prior to this, conservative management must be tried: 15
a) must patients have to go through a structured physio pathway before referral b) is there a criteria based referral system before referral? c) if so, is there a minimum amount of time they must attend the pathway? If so, how much time d) is there a bmi limit under which patients must lie before you refer to a specialist? If so, what is that bmi limit? e) must a weight loss programme be completed before funding can be commissioned for those who fall outside of the bmi limit? f) does completion of the weight loss programme allow the patient to be commissioned for funding (irrespective of successful weight loss)? g) is there a mechanism to bypass the bmi limit/ physio pathway referral for the referring gp/ accepting orthopedic surgeon to gain funding if it is necessary to operate on a patient who may lose their independence? h) is evidence smoking a restriction to funding of an arthroplasty? does the patient have to have a subjective pain knee score (or alternative eg oxford) below a threshold before referral can be made? A. Kernow s clinical referral guidelines for hip replacements is published on our Referral Management Service website: http://rms.kernowccg.nhs.uk/rms/primary_care_clinical_referral_criteria/primary_c are_clinical_referral_criteria/orthopaedics/knee We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means. FOI56080 - Services Date received 02/11/2016 1. Please disclose details of any referral management system or scheme that your CCG currently has in place for managing referrals from GPs to secondary care. (please include details of when the current system was introduced, the name of the service provider and which clinical specialities the system applies to). A. NHS Kernow has a RMS, which manages referrals from 53 GP practices, excluding those in East Cornwall. NHS Kernow commissions Devon Referral Support Services (DRSS) to manage referrals for the 11 practices in East Cornwall. The referral management centres were was transferred from Cornwall and the Isles of Scilly Primary Care Trust to NHS Kernow on 1 April 2013. 2. Please state in percentage terms and in numerical terms how the referral management system has impacted upon first outpatient attendances since its implementation (for example, it has led to an X% reduction, and X fewer referrals). 16
A. The information you have requested is in the tables below. Please note that returned referrals represent the reduction in outpatient attendances. RMS: 2013/14 2014/15 2015/16 Returned % Returned % Returned % Returned Returned Returned April 440 6% 591 6% 748 8% May 581 7% 726 7% 695 7% June 555 7% 719 7% 724 7% July 648 7% 667 7% 752 7% August 563 8% 470 7% 627 7% September 681 8% 515 6% 790 8% October 760 9% 605 7% 697 6% November 752 8% 565 8% 687 7% December 560 7% 502 7% 643 7% January 706 7% 543 6% 713 7% February 603 7% 610 7% 716 7% March 654 7% 748 7% 805 8% DRSS: NHS Kernow does not hold the information you have requested for 2013/14 2014/15 2015/16 Returned % Returned Returned % Returned April 87 4% 131 5% May 86 3% 116 5% June 76 3% 146 6% July 91 3% 164 6% August 63 3% 104 5% September 97 4% 133 5% October 90 3% 155 5% November 72 3% 149 6% December 80 3% 167 7% January 77 3% 139 6% February 26 1% 160 6% March 141 5% 149 5% 3. Please state the total cost of operating the referral management system since its introduction and how much each individual referral costs to be processed. Referral Management Service: 2013-14: 811k 7.93 per referral (estimated) 2014-15: 920k 8.69 per referral (estimated) 2015-16: 960k 7.94 per referral (estimated) 17
DRSS has had an annual contract in place from 2013/14 with NHS Kernow for 273k. NHS Kernow does not hold the information you have requested for 2013/14 2014/15 8.95 per individual referral cost 2015/16 8.77 per individual referral cost 4. Please state the total savings the referral management system has delivered since its introduction. NHS Kernow does not hold the information you have requested for 2013/14. Information on the savings made for 2014/15 and 2015/16 are below. Please note that this is the maximum assumed savings for example it should be assumed that a proportion of those referrals that are returned because of incompleteness would at a later date be re-submitted and the referral submitted successfully. It is also likely that duplicate referrals, if they had got through the RMS, might have been identified at the hospital and rejected at that point and therefore not incurred the cost of a duplicate appointment. Referral Management Service: 2014-2015: 2.9 million 2015-2016: 2.9 million These savings are calculated using the cost of appointment/treatment for referrals which were returned to the GP due to: Incomplete workup Duplicate referral Procedure of limited clinical benefit (ie a procedure that is not commissioned by the CCG or only commissioned in exceptional circumstances which have not been evidenced in the referral) DRSS: 2014-2015 = 856k 2015-2016 = 1.3 million FOI56250 - Skin lesions Date received 10/11/2016 1. Can you please provide me with details of the number of referrals for treating the following skin lesions in the last 12 months. a) Verruca Vulgaris b) Verruca Plantaris c) Molluscum Contagiosum d) Skin Tags e) Lentigo f) Actinic Keratosis g) Verruca Plana 18
h) Seborrheic Keratosis If you do not have the information for each specific lesion could you please advise the total number of referrals in the last 12 months for treatment of non-malignant skin lesions. A. NHS Kernow does not hold the information you have requested. Please redirect your request to the following organisations, who may hold the information you have requested: Cornwall Partnership Foundation Trust: cpn-tr.freedomofinformation@nhs.net Peninsula Community Health: PCH.InformationGovernance@nhs.net Royal Cornwall Hospital: rch-tr.foi@nhs.net 2. Can you also please provide a best estimate of the total annual spend by the CCG for the current financial year? A. The data below is the total number of outpatient attendances and associated total spend for all dermatology activity which will include non-malignant and malignant skin lesions for the period of September 2015 to August 2016: No. appointments attended Spend New OP 14,929 1,631,366 Follow-up OP 31,139 2,363,039 Totals 46,068 3,994,405 19
Appendix FOI56430 Managing Director expenses 20
Interim Chief Officer expenses 9 December 2015 to 30 October 2016 Expense Element Miles Claimed Claim From Claim To Value Business Miles TAS NR NHS 4 09-Dec-2015 26-Feb-2016 2.24 Business Miles TAS NR NHS 5 09-Dec-2015 26-Feb-2016 2.80 Business Miles TAS NR NHS 4 09-Dec-2015 26-Feb-2016 2.24 Business Miles TAS NR NHS 4 09-Dec-2015 26-Feb-2016 2.24 Business Miles TAS NR NHS 59 09-Dec-2015 26-Feb-2016 33.04 Business Miles TAS NR NHS 36 09-Dec-2015 26-Feb-2016 20.16 Business Miles TAS NR NHS 29 09-Dec-2015 26-Feb-2016 16.24 Business Miles TAS NR NHS 65 09-Dec-2015 26-Feb-2016 36.40 Business Miles TAS NR NHS 179 09-Dec-2015 26-Feb-2016 100.24 Business Miles TAS NR NHS 65 09-Dec-2015 26-Feb-2016 36.40 Business Miles TAS NR NHS 4 09-Dec-2015 26-Feb-2016 2.24 Business Miles TAS NR NHS 65 09-Dec-2015 26-Feb-2016 36.40 Business Miles TAS NR NHS 66 09-Dec-2015 26-Feb-2016 36.96 Business Miles TAS NR NHS 59 09-Dec-2015 26-Feb-2016 33.04 Business Miles TAS NR NHS 157 09-Dec-2015 26-Feb-2016 87.92 Business Miles TAS NR NHS 207 09-Dec-2015 26-Feb-2016 115.92 Business Miles TAS NR NHS 49 09-Dec-2015 26-Feb-2016 27.44 Business Miles TAS NR NHS 53 09-Dec-2015 26-Feb-2016 29.68 Business Miles TAS NR NHS 59 09-Dec-2015 26-Feb-2016 33.04 Business Miles TAS NR NHS 41 09-Dec-2015 26-Feb-2016 22.96 Business Miles TAS NR NHS 16 09-Dec-2015 26-Feb-2016 8.96 Passenger Allowance NR NP NT NNI NHS 59 09-Dec-2015 26-Feb-2016 2.95 Business Miles TAS NHS Direct Payment 890 25-May-2016 25-May-2016 178.00 Parking Costs NR NP NT NNI NHS N/A 25-May-2016 31-May-2016 6.60 Business Miles TAS NHS Direct Payment 94 01-Jun-2016 30-Jun-2016 18.80 Business Miles TAS NHS Direct Payment 29 01-Jun-2016 30-Jun-2016 5.80 Business Miles TAS NHS Direct Payment 60 01-Jun-2016 30-Jun-2016 12.00 Business Miles TAS NHS Direct Payment 36 01-Jun-2016 30-Jun-2016 7.20 Business Miles TAS NHS Direct Payment 33 01-Jun-2016 30-Jun-2016 6.60 Business Miles TAS NHS Direct Payment 232 01-Jun-2016 30-Jun-2016 46.40 Business Miles TAS NHS Direct Payment 155 01-Jun-2016 30-Jun-2016 31.00 Business Miles TAS NHS Direct Payment 3 01-Jun-2016 30-Jun-2016 0.60 Business Miles TAS NHS Direct Payment 29 01-Jun-2016 30-Jun-2016 5.80 Business Miles TAS NHS Direct Payment 30 01-Jun-2016 30-Jun-2016 6.00 Business Miles TAS NHS Direct Payment 29 01-Jul-2016 31-Jul-2016 16.24 Business Miles TAS NHS Direct Payment 29 01-Jul-2016 31-Jul-2016 16.24 Business Miles TAS NHS Direct Payment 80 01-Jul-2016 31-Jul-2016 44.80 Business Miles TAS NHS Direct Payment 65 01-Jul-2016 31-Jul-2016 36.40 Business Miles TAS NHS Direct Payment 15 01-Jul-2016 31-Jul-2016 8.40 Business Miles TAS NHS Direct Payment 27 01-Jul-2016 31-Jul-2016 15.12 Business Miles TAS NHS Direct Payment 29 01-Jul-2016 31-Jul-2016 16.24 Parking Costs NR NP NT NNI NHS N/A 01-Jul-2016 31-Jul-2016 5.60 Parking Costs NR NP NT NNI NHS N/A 01-Jul-2016 31-Jul-2016 5.60 Business Miles TAS NHS Direct Payment 3 01-Aug-2016 31-Aug-2016 1.68 Business Miles TAS NHS Direct Payment 204 01-Aug-2016 31-Aug-2016 114.24 Business Miles TAS NHS Direct Payment 24 01-Aug-2016 31-Aug-2016 13.44 Business Miles TAS NHS Direct Payment 79 01-Aug-2016 31-Aug-2016 44.24 Business Miles TAS NHS Direct Payment 29 01-Aug-2016 31-Aug-2016 16.24 Business Miles TAS NHS Direct Payment 14 01-Aug-2016 31-Aug-2016 7.84 Business Miles TAS NHS Direct Payment 24 01-Aug-2016 31-Aug-2016 13.44 Business Miles TAS NHS Direct Payment 22 01-Aug-2016 31-Aug-2016 12.32 Business Miles TAS NHS Direct Payment 44 01-Aug-2016 31-Aug-2016 24.64 Parking Costs NR NP NT NNI NHS N/A 01-Aug-2016 31-Aug-2016 2.60 Parking Costs NR NP NT NNI NHS N/A 01-Aug-2016 31-Aug-2016 2.60 Parking Costs NR NP NT NNI NHS N/A 01-Aug-2016 31-Aug-2016 7.90 Business Miles TAS NHS Direct Payment 210 01-Sep-2016 30-Sep-2016 117.60 Business Miles TAS NHS Direct Payment 32 01-Sep-2016 30-Sep-2016 17.92 1 of 2
Interim Chief Officer expenses 9 December 2015 to 30 October 2016 Expense Element Miles Claimed Claim From Claim To Value Business Miles TAS NHS Direct Payment 21 01-Sep-2016 30-Sep-2016 11.76 Business Miles TAS NHS Direct Payment 210 01-Sep-2016 30-Sep-2016 117.60 Business Miles TAS NHS Direct Payment 21 01-Sep-2016 30-Sep-2016 11.76 Business Miles TAS NHS Direct Payment 204 01-Sep-2016 30-Sep-2016 114.24 Business Miles TAS NHS Direct Payment 22 01-Sep-2016 30-Sep-2016 12.32 Business Miles TAS NHS Direct Payment 57 01-Sep-2016 30-Sep-2016 31.92 Business Miles TAS NHS Direct Payment 201 01-Sep-2016 30-Sep-2016 112.56 Miscellaneous Travel NR NP NT NNI NHS N/A 01-Sep-2016 30-Sep-2016 6.40 Miscellaneous Travel NR NP NT NNI NHS N/A 01-Sep-2016 30-Sep-2016 16.70 Parking Costs NR NP NT NNI NHS N/A 01-Sep-2016 30-Sep-2016 4.50 Parking Costs NR NP NT NNI NHS N/A 01-Sep-2016 30-Sep-2016 5.00 Subsistence Payments NP NT NNI PAY NHS N/A 01-Sep-2016 30-Sep-2016 80.00 Total 2,100.41 2 of 2