• Freedom of Information disclosure log

The Disclosure Log is our public record of information requests we have received and responded to since January 2022.

The purpose of the Disclosure Log is to give you access to information that Norfolk Community Health and Care NHS Trust has previously provided under the Freedom of Information (FOI) Act 2000.

Before sending us a new request, please search our Disclosure Log in case we have already answered it for someone else. Please note this information can be searched by keyword relating to category, subject matter or question.

To view the response to an FOI request, please click on the link named ‘response’ within the ‘View our response to this request’ column. 

The Disclosure Log will be updated monthly (last updated 22 April 2022).

 
Reference Category Subject matter Question View our response to this request Date requested
FOI-22-0081 Digital Systems Electronic Patient Records

We are researching the use of electronic patient records in the NHS for a feature, following on from the new targets for NHS digitisation announced by Sajid Javid in February.

Could you confirm whether your trust has an EPR currently, and if so the name of the EPR and company providing it? If your trust doesn’t have an EPR, can you provide details of whether the trust is currently procuring an EPR, or plans to procure, or does not yet plan to procure?

Response 11.04.2022
FOI-22-0076 Procurement Systems 1. What ERP (Enterprise Resource Management) or Finance system is currently used at Norfolk and Suffolk NHS Foundation Trust? 2.When does your contract expire? 3.Do you have any planned upgrades of the software? If so, when? 4.Are you planning to go to market for a different ERP/ Finance system? If so, when? 5. Who are the people responsible within your organisation for your ERP / Finance system? Please provide full name, title, and contact information if possible. Response 05.04.2022
FOI-22-0075 Finance Pre-Paid Debit Cards Please kindly send to me all recorded information that the Trust holds regarding its outsourcing of the provision of pre-paid debit cards in the financial years 2020/21 and 2021/22 and its current and planned outsourcing of the provision of pre-paid debit cards in 2022/23 and future financial years. Such information should include all recorded information regarding: - (a) the Trust’s outsourcing of the provision of pre-paid debit cards for the use by staff, volunteers, patients and service users; (b) the ways in which the Trust uses pre-paid debit cards; (c) the full name(s) of any outsourced service provider(s) supplying the Trust; (d) the contract(s) with any outsourced service provider(s) supplying the Trust; (e) the date(s) on which contract(s) with outsourced service provider(s) expire; (f) the total fees paid by the Trust, or budgeted to be paid, by supplier, for each of the financial years requested above; (g) the number of pre-paid debi t card users the Trust had, or anticipates having, for each of the financial years listed above; (h) the tendering process, or other procurement method, under which the outsourced contract(s) were awarded; (i) the tendering process, or other procurement method, under which the service will be re-contracted; and (j) the date on which the process referred to in (h), for the re-contracting of the outsourced service, will commence. (k) the name and email address of the person within the Trust who has responsibility for the Trust’s management and provision of pre-paid debit cards. Response 05.04.2022
FOI-22-0073 HR Ethnic Minority Categories Within the ethnic minority categories used within your organisation to collate information on patient ethnicity, are Gypsy, Roma, Traveller included as three separate ethnic minority groups? Do you collate heath trends related to Gypsy, Roma, Traveller health and illness? Please can you send me the list of ethnic groups used by your organisation when collating ethnicity information about patients. Response 01.04.2022
FOI-22-0072 Nursing Cancer Treatment The purpose of these questions is to understand the variability of treatment within your trust and in context to the rest of the country.

Q1. In the past 3 months (or the latest 3 months data you have available), how many metastatic non-small cell lung cancer (NSCLC) patients were treated with any of the following:

•Afatinib

•Alectinib

•Atezolizumab monotherapy

•Atezolizumab in combination

•Bevacizumab

•Brigatinib

•Capmatenib

•Ceritinib

•Crizotinib

•Dacomitinib

•Dabrafenib with Trametinib

•Docetaxel monotherapy

•Durvalumab

•Erlotinib

•Gefitinib

•Gemcitabine

•Nintedanib with Docetaxel

•Nivolumab

•Osimertinib

•Paclitaxel

•Pembrolizumab monotherapy

•Pembrolizumab in combination

•Pemetrexed with Carboplatin/Cisplatin

•Tepotinib

•Vinorelbine with Cisplatin/Carboplatin

•Any other SACT

•Palliative care only
Response 01.04.2022
FOI-22-0071 Nursing Cancer Treatment The purpose of these questions is to understand the variability of treatment within your trust and in context to the rest of the country.

Q1. In the past 3 months (or the latest 3 months data you have available), how many Metastatic/advanced Breast cancer patients were treated with:

•Abemaciclib (Verzenios) + aromatase inhibitor *

•Abemaciclib (Verzenios) + Fulvestrant (Faslodex)

•Alpelisib (Piqray) + Fulvestrant (Faslodex)

•Atezolizumab (Tecentriq)**

•Bevacizumab (Avastin)

•Eribulin (Halaven)

•Everolimus (Afinitor) + Exemestane

•Fulvestrant (Faslodex) as a single agent

•Gemcitabine + paclitaxel

•Herceptin (Trastuzumab) + paclitaxel

•Herceptin (Trastuzumab) as a single agent

•Lapatinib (Tyverb)

•Neratinib (Nerlynx)

•Olaparib (Lynparza)

•Palbociclib (Ibrance) + aromatase inhibitor*

•Palbociclib (Ibrance) + Fulvestrant (Faslodex)

•Pertuzumab (Perjeta) + trastuzumab + docetaxel

•Ribociclib (Kisqali) + aromatase inhibitor*

•Ribociclib (Kisqali) + Fulvestrant (Faslodex)

•Talazoparib (Talzenna)

•Trastuzumab emtansine (Kadcyla)

•Other active systemic anti-cancer therapy **

*aromatase inhibitor eg. Anastrozole, Exemestane or Letrozole

**eg. docetaxel, vinorelbine or capecitabine as a single agent


Q2. For the above patients, how many of these received their first ever dose for each product line?
Response 01.04.2022
FOI-22-0070 Nursing Melanoma Treatment The purpose of these questions is to understand the variability of treatment within your trust and in context to the rest of the country.

Q1. In the past 3 months (or the latest 3 months data you have available), how many melanoma patients were treated with:

•Bevacizumab (Avastin)

•Dacarbazine (DTIC)

•Trametinib (Mekinist)

•Dabrafenib (Tafinlar)

•Ipilimumab (Yervoy)

•Vemurafenib (Zelboraf)

•Nivolumab (Opdivo)

•Nivolumab + Ipilimumab (Opdivo + Yervoy)

•Pembrolizumab (Keytruda)

•Vemurafenib + cobimetinib (Zelboraf + Cotellic)

•Dabrafenib + Trametinib (Tafinlar + Mekinist)

•Braftovi (encorafenib) in combination with Mektovi (binimetinib) for BRAF V600 patients

•Other active systemic anti-cancer therapy [please state]

•Palliative care only

Q2. In the past 3 months (or the latest 3 months data you have available), how many metastatic melanoma patients were treated with the following:  

•Ipilimumab  

•Ipilimumab AND Nivolumab

•Nivolumab  

•Pembrolizumab   

•Dabrafenib AND Trametinib

•Any Other Targeted Therapy (Dabrafenib /Encorafenib AND Binimetinib  /Trametinib  /Vemurafenib  /Vemurafenib AND Cobimetinib)

•Other active systemic anti-cancer therapy

•Palliative care only
Response 01.04.2022
FOI-22-0068 Nursing Revolade The purpose of these questions is to understand the variability of treatment within your trust and in context to the rest of the country.

Q1. How many patients has your trust treated (for any disease) in the last 6 months (or the latest 6 months data you have available) with the following treatments:

•Revolade (eltrombopag)  

•Nplate (romiplostim)  

•Doptelet (avatrombopag)  

•Tavlesse (fostamatinib)

Q2. In the last 6 months (or the latest 6 months data you have available), how many patients has your trust treated for immune thrombocytopenia (ITP)?

Q3. Of the patients treated for immune thrombocytopenia (ITP) in the last 6 months (or the latest 6 months data you have available),  how many were treated with:

rituximab   

mycophenolate mofetil   

surgery (splenectomy)

Q4. Does your trust participate in any ongoing clinical trials for immune thrombocytopenia (ITP)? If so, can you please provide the name of each trial along with the number of patients taking part?
Response 31.03.2022
FOI-22-0067 Digital Services EPR

Please enter 'No System Installed' under supplier name if your trust does not use the system:

System type - EPR

Supplier name -

System name -

Date installed -

Contract expiration -

Total value of contract (£) –

Is this contract annually renewed? - Yes/No

Do you currently have plans to replace this system? - Yes/No

Procurement framework -

Other systems it integrates with?  -

Notes - e.g. we are currently out to tender

System definition:

Electronic Patient Record (EPR) – An electronic patient/health record is a digital version of a patient's paper chart.

Response 30.03.2022
FOI-22-0066 Estates Gender Neutral Toilets This is an information request to gender neutral toilets at the trust.  Please include the information for each of the following periods: 2018-2019, 2019-2020, 2020-2021, 2021-2022.  The number of gender neutral toilets installed at the trust during this time or the number of pre-existing toilets which have been converted in to gender neutral toilets.  Please do not include disabled toilet in this list.  The cost of installing these toilets or the cost of converting the pre-existing toilets. Copies of any complaints made to the trust about these toilets, with any necessary redactions. Response 29.03.2022
FOI-22-0065 Nursing Long Covid I would like to request the following information: 1. How many passwords have been generated for the Your COVID Recovery App in 2020, 2021 and 2022? 2. How many patients have been referred to the Nuffield Health long COVID recovery programme from the CCG in 2020, 2021 and 2022? Please separate the data if you oversee FOI disclosure for more than one NHS Trust.  Response 22.03.2022
FOI-22-0063 HR Allied Health Professions

The role of Director/Chief/Lead of AHPs:

Q1. Within your trust do you have a role that meets this requirement?

Q2. What is the job title?

Response 18.03.2022
FOI-22-0062 HR Covid-19

I’m requesting the following information on employees with post-Covid syndrome at your trust.

  1. How many employees at your trust have an ongoing absence from work owing to illness from COVID-19 that has been ongoing for 12 weeks or more as of 11 March 2022?
  2. How many employees at your trust have had an absence from work owing to illness from COVID-19 that lasted for 12 weeks or more between 30 January 2020 and 11 March 2022?
  3. How many RIDDOR reports has your trust submitted to HSE since 30 January 2020 relating to:
    1. accidents or incidents at work which have, or could have, led to the release or escape of coronavirus (SARS-CoV-2) (dangerous occurrences)?
    2. a person at work (a worker) having been diagnosed as having COVID-19 attributed to an occupational exposure to coronavirus (a case of disease)?
    3. the death of a worker as a result of occupational exposure to coronavirus (a work-related death due to exposure to a biological agent)?
Response 17.03.2022
FOI-22-0061 HR Menstrual Cycle

Do you have a period policy for staff?

If you do, when was it implemented and what does it say?

If not, are you planning to implement one?

Do you provide any free sanitary products for staff? If yes, for which staff and where?

Are the needs of women who have health problems related to their periods (such as endometriosis) covered by any other policies?

What are you doing to ensure staff have the knowledge and support they need with any issues related to their menstrual cycle? 

Response 17.03.2022
FOI-22-0060 Digital Services Systems Please could you provide the following information: Intranet Questions How many people are employed by your organisation, including full time and part time? What is your current intranet solution? (Sharepoint, Wordpress, Interact, Invotra, Oak etc) How long have you been using this intranet solution? When is your intranet contract up for renewal? What is your annual intranet budget? What is your procurement process? Please can you include any portals used to list tenders and/or any suppliers/consultants used to procure. Do you share intranet/IT services with other organisations, if so who? Which team and/or individual(s) are responsible for managing your intranet internally? Are you using the Office 365 suite? If so, which applications from the suite are in use? Which team and/or individual(s) are responsible for your intranet’s procurement within the organisation? Is your Active Directory hosted on-premise, or in the cloud? Could you provide us with a link to your Digital Workplace Strategy? Website / Accessibility Questions What software are you currently using for your website? What team/individual is responsible for maintaining your website? Do you work with an external supplier to maintain your website, if so when does your contract expire? When did you last conduct an accessibility audit against your public website? What team/individual is responsible for digital accessibility across your public facing services? What is your budget for digital accessibility? What is your annual marketing/communications budget for creating content for residents? Do you work with external marketing/communications suppliers to create content for your public facing services? When was the last time you conducted a content audit on your website to remove outdated content? Response 15.03.2022
FOI-22-0059 Finance Agency Spend

This question relates to Doctors, Nurses, Allied Health Professionals or Health Scientists and Non-Medical, Non-Clinical Staff

Please provide agency spend for the staff group for the Financial Year 2021-22 (please specify your start and end date used) Financial Year indicating what percentage is on and off-framework (for example, “£4,650,000 – c80% framework / 20% off-framework”).

Please provide bank spend for the staff group  for Financial Year 2021-22 (please specify your start and end date used)

Please confirm which model you have in place for managing agency within the staff group: Email to preferred supplier List, a Master Vendor, a Neutral Vendor, or a Software cascade to a preferred supplier list

Please confirm what percentage of bookings over the last 6 months have been within the NHSI agency caps (an approximation based on NHSI data submissions is fine)

Please confirm which provider manages your direct engagement process, the fee for the service and the date on which this contract expires (no this is not relevant for Nursing)

Please confirm what percentage of bookings are processed with a VAT savings by your direct engagement (DE) provider (average for last 3 months –December, January and February)

Is your bank managed by an external bank provider (e.g., NHS Professionals, Bank Partners) or in-house? Please confirm who is the external bank provider and when the contract expires if relevant

Is your bank managed via software? If so, please confirm which software.

Is the Trust likely to undertake any procurement activity over the next 18 months related to provision or bank or agency services or software for the relevant staff group?

If you have a managed service, master vendor or neutral vendor in place for Agency medics/Agency doctors please confirm who this contract is with and the date on which this contract expires

If you have a managed service, master vendor or neutral vendor in place for Agency Nurses please confirm who this contract is with and the date on which this contract expires

Response 15.03.2022
FOI-22-0058 Procurement Enhanced Disinfection Methods

1.What process/products do you use for disinfection/decontamination additional to a manual cleaning programme, for instance for a terminal clean or an outbreak?

2.Do you use Hydrogen Peroxide Vapour (HPV Fogging) or Ultraviolet (UVC) for decontamination?

3.What companies do you use and how many units do you have in operation for both HPV and UVC?

4.Is the equipment operated by NHS staff, or by an outsourced Contract Cleaning Company? If the latter, who is the contractor?

5.Were these systems purchased via a tender or mini competition?

6.Were these systems purchased through a framework agreement or direct sale?

7.Were these systems purchased outright, or via a lease rental package?

8.What were the costs of the systems when new?

9.Who is your current supplier and are you under contract?

10.What is the annual value of this contract, including consumables, extended warranties and maintenance agreements?

11.What is the start and end date of the contract?

12.Do you use a managed service in addition to your own operation?

13.Could you provide me with the contact details for the person/s responsible for the fields below?

• Infection Prevention and Control

• Estates & Facilities / Domestics

• Procurement

•Housekeeping

Response 15.03.2022
FOI-22-0057 Procurement Facilities

Please provide the current status.

Elis - Laundry contract

I would like the organisation to review my freedom of information request below, that’s focused around contract data for services around facilities management.

1.      Office and building cleaning – Service contract that is focused around office, commercial and building cleaning services.

2.      Lift service and maintenance – Service contract for lift service and maintenance.

3.      Food – Service contract that is focused around catering services.

4.      General waste services contracts – The organisation’s primary general waste service contract.

5.      Laundry services where clothes and linen can be washed and ironed.

Contract profile questionnaire for each type of contract:

1.      Supplier/Provider of the services

2.      Total Annual Spend – The spend should only relate to each of the service contracts listed above.

3.      A description of the services provided under this contract please includes information if other services are included under the same contract.

4.      The number of sites the contract covers

5.      The start date of the contract

6.      The end date of the contract

7.      The duration of the contract, please include information on any extensions period.

8.      Who within the organisation is responsible for each of these contracts? name, Job Title, contact number and email address.

Response 14.03.2022
FOI-22-0056 Procurement Software Contracts I’m writing to request information regarding the software contracts that the organisation uses for MRI cardiovascular post-processing software. 1. Which Hospitals use post-processing Cardiac MRI software? Please discriminate per hospital and department. To help you identify whether any Cardiac MRI software (MRI cardiovascular post-processing software) is in use, please see some examples below (please note this is not a comprehensive list) and note that Cardiac MRI Software is a software that allows dedicated cardiac visualization, analysis, and reporting: NeoSoft (SuiteHEART) Circle Cardiovascular Imaging (CVI42) Medviso (Segment CMR) ARTERYS (CardioAI) GE Healthcare (CardiacVX) Medis Medical Imaging (Medis Suite MR) Based on Q1 can you please provide for each hospital the following: 2. Name of Supplier: Software provider for each contract? 3. The brand of the software: Actual name of the software. Please do not provide the supplier name again please provide the actual software name. 4. Description of the contract: Can you please provide detailed information about this contract and please state if upgrade, maintenance and support is included. Please also list the software modules included in these contracts. 5. What is the value of the contract? (please detail what the initial up-front cost of the software platform is, and detail annual or recurring costs in perpetuity i.e. support and maintenance, and professional services invoiced for, be it with the vendor directly and or a third-party) 6. Number of Users/Licenses: What is the total number of user/licenses for this contract? 7. Contract Duration: What is the duration of the contract please include any available extensions within the contract. 8. Contract Start Date: What is the start date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY. 9. Contract Expiry: What is the expiry date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY. 10. Contact Details: Contact details of the person within the organisation responsible for this particular software contract (name, job title, email, contact number) Response 08.03.2022
FOI-22-0055 Procurement Clinical Imaging Equipment

We are currently updating data on your Trust’s medical imaging equipment and spend. Can you please complete the fields below with what you currently hold?

A list of the current medical imaging equipment held by the Trust across all hospital sites, providing the following information:

Q1: What is your overall spend on medical imaging products and services for the current year?

Q2: How much do you spend on each modality requested below for the current year:

a)Computed Tomography (CT)

b)Magnetic Resonance Imaging (MRI)

c)Ultrasound

d)Fluoroscopy

e)Mammography

f)Nuclear

g)Mobile X-ray

h)Static X-ray

Q3: A list of the current equipment held by the Trust across all hospital sites for each of the following:

a)Supplier

b)Product

c)Contract start date

d)Contract expiry date

e)Number of devices

f)Age of product

Example Response: 3 x Siemens Acuson SC2000, Initial cost £ 29,000, Contract start date 10/02/2022 Contract end date 10/02/2026, 6 years old

Q4: Annual cost of maintenance of equipment

Q5: What percentage of your imaging equipment has an element of Artificial Intelligence?

Definitions:

1. Computed Tomography (CT) - is a medical imaging technique that uses computer-processed combinations of multiple X-ray measurements taken from different angles to produce images of a body, allowing the user to see inside the body without cutting. They are used within Medical Physics and Radiology departments.

2. Magnetic Resonance Imaging (MRI) - is a medical imaging technique used in radiology to form pictures of the anatomy and the physiological processes of the body. They are used in Medical Physics and Radiology departments.

3. Ultrasound – is an imaging method that uses high-frequency sound waves to produce images of structures within the body. Ultrasound machines are used in various departments such as Radiology, Renal, Urology, Vascular, Clinical Science and Medical Physics.

4. Fluoroscopy - is an imaging technique that uses X-rays to obtain real-time moving images of the interior of an object. These products are used in Radiology departments.

5. Mammography – is a screening system used to detect and diagnose breast cancer by taking an X-ray of the breast. These products are used by Radiology and Breast Imaging professionals.

6. Nuclear - is a specialised area of radiology that uses very small amounts of radioactive materials, or radiopharmaceuticals, to examine organ function and structure. These products are used in Medical Physics and Radiology departments.

7. Mobile X-ray - these units are used for radiographic imaging of patients who cannot be moved to the radiology department and who are in areas, such as intensive and critical care units or operating and emergency rooms, that lack standard, fixed radiographic equipment. Medical applications can include general radiography and orthopaedic, paediatric, skeletal, and abdominal imaging. They are usually used by Surgeons and Medical Physics and Radiology professionals.

8. Static X-ray - is used for taking standard x-rays. These products are used in Medical Physics and Radiology departments.

Response 08.03.2022
FOI-22-0054 Research Clinical Trials Can you tell me how many commercial clinical trials have been taking place in this hospital trust during 2021?  This could be completed trials, or trials that are ongoing.  When I say "commercial trials", I mean trials that are funded or sponsored by a commercial company such as a pharmaceutical company. Response 07.03.2022
FOI-22-0053 HR Physical/verbal abuse on staff

I am writing to request you to provide the information below as per The Freedom of Information Act 2000 on The number of reports registered to this Trust in each calendar year between 2015 - 2021 of physical violence and/or verbal abuse committed by patients or members of the public within this Trust’s premises against individuals employed at this Trust. In particular, I am requesting Number of reports of physical violence in the calendar year 2015: Number of reports of physical violence in the calendar year 2016: Number of reports of physical violence in the calendar year 2017: Number of reports of physical violence in the calendar year 2018: Number of reports of physical violence in the calendar year 2019: Number of reports of physical violence in the calendar year 2020: Number of reports of physica l violence in the calendar year 2021: Number of reports of verbal abuse (that did not entail physical violence) in the calendar year 2015: Number of reports of verbal abuse (that did not entail physical violence) in the calendar year 2016: Number of reports of verbal abuse (that did not entail physical violence) in the calendar year 2017: Number of reports of verbal abuse (that did not entail physical violence) in the calendar year 2018: Number of reports of verbal abuse (that did not entail physical violence) in the calendar year 2019: Number of reports of verbal abuse (that did not entail physical violence) in the calendar year 2020: Number of reports of verbal abuse (that did not entail physical violence) in the calendar year 2021: I am also requesting:

The number of Full Time Equivalent staff employed at this Trust in the calendar year 2015:

The number of Full Time Equivalent staff employed at this Trust in the calendar year 2016:

The number of Full Time Equivalent staff employed at this Trust in the calendar year 2017:

The number of Full Time Equivalent staff employed at this Trust in the calendar year 2018:

The number of Full Time Equivalent staff employed at this Trust in the calendar year 2019:

The number of Full Time Equivalent staff employed at this Trust in the calendar year 2020:

The number of Full Time Equivalent staff employed at this Trust in the calendar year 2021

Response 07.03.2022
FOI-22-0052 HR Staffing

Q1. How many British Muslim employees have you recruited?  Please provide figures for every year since 2010.

Q2. What is the average length of service?

Q3. How many British Muslims have you employed in communications/media roles since 2010?

Response 06.03.2022
FOI-22-0051 Nursing Trauma Rehabilitation

To understand the supply of Level 1a resources at your centre, please would you be kind enough to answer the following questions: 

1. How many Level 1a patients are admitted/referred to your centre?  Please provide the yearly figures (number of patients) from the financial years ended 2019, 2020 and 2021

2. What provisions are available at your centre, in terms of number of beds, equipment and staff?

3. What is the average waiting time for patients to get an admission at your facility?

Response 06.03.2022
FOI-22-0050 Corporate Risk Management

Please provide a copy of your organisations Risk Management Strategy

Please provide a copy of your organisations Risk Management Policy if this is a separate document to the Strategy

Please provide your organisations Risk Appetite Statement Please provide your organisations approach to risk tolerance

Please provide the minutes and any associated papers from the last meeting where your Board of Directors reviewed the Trust’s risk appetite statement and setting the risk tolerance levels within the organisation

Please provide a copy of your organisations latest Corporate Risk Register Report

Please provide a copy of your organisations latest Board Assurance Framework

Please provide a copy of your latest Risk Management Internal Audit report Please confirm how your organisation records risk – do you use a system, if so which system e.g. in house, Ulysses, Datix, Radar etc, or do you use excel spreadsheets?

Please provide the risk management role structure within your organisation including the Banding of these roles

Response 04.03.2022
FOI-22-0049 Nursing CAMHS Inpatient Services 1. How many beds on CAMHS inpatient wards were provided by your Trust on 1 March in each of the following years? i) 2017 ii) 2018 iii) 2019 iv) 2020 v) 2021 2. What was the total amount spent on agency nurses in each of the following years, in relation to CAMHS inpatient services? i) 2017 ii) 2018 iii) 2019 iv) 2020 v) 2021 3. What was the total amount spent on bank nurses in each of the following years, in relation to CAMHS inpatient services? (Please understand ‘bank nurses’ to be nurses employed via NHS nursing banks) i) 2017 ii) 2018 iii) 2019 iv) 2020 v) 2021 Please also answer the following question if it is possible within the cost limit. If the following question would exceed the cost limit then please only answer questions 1 to 3 above. 4. How many full-time equivalent unregistered/support worker staff were you employing in relation to CAMHS inpatient services on 1 March in the following years: i) 2018 ii) 2019 iii) 2020 iv) 2021 v) 2022 Please also answer the following question if it is possible within the cost limit. If the following question would exceed the cost limit then please only answer questions 1 to 4 above. 5. On how many shifts were bank and agency nurses (combined) used on CAMHS inpatient wards in the following years? i) 2019 ii) 2020 iii) 2021 Response 04.03.2022
FOI-22-0048 Covid-19 Covid-19 Vaccines

Under Freedom of information, please can you supply the following:

- How many members of the public, and your staff, have been given Covid-19 mRNA vaccinations to date?

- Have these injections been given to any children, if so how many?

As part of the legally required process of Informed Consent, before giving these injections:

- Were people routinely informed of the individual risk that Covid-19 posed to them, for their particular age group?

- Were people routinely informed that these vaccines are still part of an ongoing trial until 2023?

- Were people routinely informed that these vaccines were authorised for emergency use only?

- Were people routinely informed that these mRNA vaccines have never before been used on human beings?

- Were people routinely informed that the vaccine manufacturers currently all have immunity from liability for any adverse events and death?

- Were people routinely informed there is no medium to long term safety data for these vaccines?

- Were people routinely informed there is no data on how these vaccines affect fertility or the reproductive system?

- Were people routinely informed they can still catch and spread Covid-19 after vaccination?

- Were people routinely informed of the constituent components / ingredients of the vaccines they received?

- Were people routinely made aware of the Yellow Card data for these vaccines, which shows a very disturbing number of serious injuries and deaths compared to all other vaccines?

- Exactly what other Informed Consent, if any, was given/obtained, relating to the risks and benefits of these vaccines?

Response 04.03.2022
FOI-22-0047 Nursing VTE

Under the Freedom of Information Act of 2000, please can you provide me with the following information:    

Acute management of Venous thromboembolism: 

  1. Confirm whether the Trust routinely prescribes direct oral anticoagulants (DOACs) in preference to low molecular weight heparin (LMWH) and warfarin for the management of standard acute venous thromboembolism (VTE)?
  2. Please provide a copy of the Trusts’ management policy on management of acute venous thromboembolism (VTE).
  3. Does the Trust provide all patients with an unprovoked VTE a medical opinion from a thrombosis physician?
  4. Does the Trust definition of an ‘unprovoked VTE’ include women using the combined oral contraceptive pill or hormone replacement therapy (HRT)?
  5. Do investigations after an unprovoked VTE follow NICE guidance?
  6. Per week, how many clinics are devoted to seeing patients with VTE in the Trust?
  7. How many full-time equivalents are employed by the Trust to provide thromboprophylaxis and care of thrombosis patients from?
  8. Nursing
  9. Pharmacists
  10. Medical
  • Does the Trust routinely meet the 95% VTE Risk Assessment level required by NHS England?
  1. Please provide the monthly percentage (admissions numbers/VTE risk assessments carried out) for VTE risk assessments carried across the Trust between 1st October 2021 – 31 December  2022.
  2. Does the Trust have dedicated funding for a team  ensuring VTE prevention occurs?
  3. Please provide a copy of the Trust’s thromboprophylaxis protocols used to treat in-patients with COVID-19 pneumonia.

Psychological care

  1. Do VTE patients within the Trust have access to clinical psychological support?
  2. How many sessions per week are provided by the Trust for VTE clinical psychological support?

Cancer-associated VTE

  1. Does the Trust have a dedicated clinical lead for cancer associated thrombosis (CAT)?
  2. Does a protocol exist for managing VTE in those with cancer?
  3. Please provide a copy of the Trusts’ protocol for managing VTE in those with cancer. 

VTE prevention and management in the community

  1. Please provide copies of VTE care pathways developed to support community clinicians with regards to:

(i)                 Anticoagulation medication changes

(ii)                Anticoagulation dosing.

  1. Does the Trust have specific VTE guidance for:

(i)                 System wide protocols?

(ii)                E-consultation facilities?

(iii)              On call clinician to discuss problems and seek advice from?

 

  1. Please provide copies of the Trust’s protocol documents for VTE prevention and management in

(i)                 System wide protocols

(ii)                E-consultation facilities

(iii)              On call clinician to discuss problems and seek advice from

 

Response 03.03.2022
FOI-22-0046 Corporate Surveys We are looking to update our records to ensure that we make timely contact in the future in relation to Patient and Staff Insight and Feedback programmes. We would therefore be grateful if you could respond to the following questions by return email and at the earliest opportunity. Can you answer the three questions for each of the below surveys: 1. CQC patient surveys: a. Urgent and Emergency Care b. Children and Young Peoples Inpatient c. Community Mental Health d. Adult Inpatient e. Maternity 2. NHS PROMs (patient Reported Outcome Measures)for hip and knee replacements 3. NHS National Staff Survey 4. Quarterly Staff Friends and Family test (now called National Quarterly Pulse Survey) 5. Patient Friends and Family Test. Can you provide details of your current supplier : Can you provide details of the current renewal/end date of this contract? Who is the main point of contact for this contract and their title and contact details? Response 03.03.2022
FOI-22-0045 HR Sexual Harrassment / Assault

1. Please provide the number of allegations reported within your trust, clinical commissioning group or other care setting as defined,  of

a) Rape

b) Sexual assault

c) Sexual harassment

d) Sexual misconduct

2. Please advise the location of these offences and or alleged offences broken down by location  Mental Health Unit, Hospital, Other Hospital Setting to be clearly defined.

3. Please provide this data for the last three years, 2019, 2020, 2021 and 2022 to date.

4. Please provide a month by month  and location

5. Please identify if these allegations are

A On Staff carried out by a staff Member

B On Staff carried out by a patient or visitor

C By Staff on a Patient

D by Staff on a visitor

E On Staff carried out by a visitor

6. For each of these allegations please advise if a suspect was identified and or arrested

7. If a suspect was identified and the suspect was identified as a member or staff or a contractor to the trust, CCG or group. What was the outcome?  Was the suspect subsequently arrested, charged or convicted?  Was the suspect subsequently investigated,suspended or dismissed from the Trust.

Response 02.03.2022
FOI-22-0044 Nursing Sleeping pill prescriptions How many prescriptions for sleeping pills did you give out in 2021, 2020, 2019, 2018 and 2017?  Could you please break this down by the name of the drug.  How much did this cost in total each year?  If possible, could you please break down the age of patients that received the prescriptions, either exact ages or in age groups (e.g. xx number of prescriptions given to 16-24 year olds) Response 01.03.2022
FOI-22-0043 Digital Services Licenses

Please could you confirm which, if any, of the following does your organisation hold more than 50 user licences:

Salesforce

Pardot

Tableau

Mulesoft

Slack

Ncino

Vlocity

Response 01.03.2022
FOI-22-0042 HR Medical Staff Agreements

1. How many agreements with medical staff has your trust entered into under the following sections of the law in the past five years?

Section 147(3) of the Equality Act 2010

Section 203 (3) Employment Rights Act 1996

Section 11A Employment Rights Act 1996

2. How many COT-3 agreements have been entered into?

3. Please provide the total amount paid out in total by the trust for those agreements.

Response 01.03.2022
FOI-22-0041 Nursing Rehabilitation To understand the supply of level 2b resources at your centre, please would you be kind enough to answer to the following questions: 1) How many level 2b patients are admitted/referred to your centre? Please provide the yearly figures (number of patients) from the financial years ended 2019, 2020 and 2021. 2) What provisions are available at your centre, in terms of beds, equipment and staff? 3) What is the average waiting time for patients to get an admission at your facility? 4) Is your rehabilitation centre accredited by the United Kingdom Rehabilitation Outcomes Collaborative (UKROC)?  Response 28.02.2022
FOI-22-0040 Finance Fraud 1 a) Amount spent on counter fraud services in the financial year 2019/20 b) How much of this was spent on: (i) Strategic Governance (ii) Involve & Inform (iii) Prevent & Deter (iv) Hold to Account (v) Other c) (i) Number of successful civil sanctions obtained in respect of fraud and fraud-related offences (ii) Amount recovered as a result of these civil sanctions d) (i) Number of successful criminal sanctions obtained in respect of fraud and fraud-related offences (ii) Amount recovered as a result of these criminal sanctions 2 a) Amount spent on counter fraud services in the financial year 2020/21 b) How much of this was spent on: (i) Strategic Governance (ii) Involve & Inform (iii) Prevent & Deter (iv) Hold to Account (v) Other c) (i) Number of successful civil sanctions obtained in respect of fraud and fraud-related offences (ii) Amount recovered as a result of these civil sanctions d) (i) Number of successful criminal sanctions obtained in respect of fraud and fraud-related offences (ii) Amount recovered as a result of these criminal sanctions Response 26.02.2022
FOI-22-0039 Digital Services Systems

Contract 1 contact centre/call centre contracts

Please send me the following information for each provider:

1.       Incumbent Supplier: For each of the contract(s) please can you provide me with the supplier of the contract.

2.       Annual Average Spend: the annual average (over 3 years) spends for each supplier

3.       Contract Expiry: the date of when the contract expires.

4.       Contract Review: the date of when the contract will be reviewed.

5.       Contract Description: a brief description of the services provided of the overall contract.

6.       Contact Details: The person from within the organisation responsible for the contract. Please provide me with their full name, actual job title, contact number and direct email address.

7.       Number of Agents; please provide me with the total number of contact centre agents.

8.       Number of Sites; please can you provide me with the number of sites the contact centre covers.

9.       Manufacturer of the contact centre: Who is the manufacturer of the contact centre system that you operate?

10.   Busy Periods: Please state the month(s) which the contact centre is at its highest/busiest during the year. This can be based upon the number of calls. Your provider may be able to tell you quicker. E.g., JAN-MAR, APR, JUNE.

11.   Do you use Microsoft Exchange 2003 as your email server? If not, then which product do you use?

12.   Number of email users: Approximate number of email users across the organisations.

Please add any further comments attached to this contract if there are any changes coming to the organisation with regards to contact centres.

The second part of my request relates to the use inbound network services contracts which could relate to one of the following:

1.       0800, 0845, 0870, 0844, 0300 number

2.       Routing of calls

3.       Caller Identifier

4.       Caller Profile- linking caller details with caller records

5.       Interactive voice response (IVR)

For contract relating to the above please can you provide me with?

1.       Incumbent Supplier: For each of the contract(s) please can you provide me with the supplier of the contract.

2.       Annual Average Spend: the annual average (over 3 years) spends for each supplier

3.       Contract Expiry: the date of when the contract expires.

4.       Contract Review: the date of when the contract will be reviewed.

5.       Contract Description: a brief description of the services provided of the overall contract.

6.       Contact Details: The person from within the organisation responsible for the contract. Please provide me with their full name, actual job title, contact number and direct email address.

Response 26.02.2022
FOI-22-0038 HR Sexual Harrassment / Assault

 Q1.) For each of the past five years please state the number of complaints reported by members of staff (including locums, agency workers or casual staff) against other members of staff received of: 2016 2017 2018 2019 2021 Sexual Misconduct Sexual Harassment Sexual Assault Rape Allegation

Q2.) By year for each of the complaints recorded above can you state the outcome following each allegation: a) Complaint withdrawn b) Insufficient evidence to make a finding of fact. c) Perpetrator cautioned – or similar note made on their employment file d) Disciplinary action e) Sacked

Q3.) By year can you state in each category in the table how many of the complaints were referred to the police?

Q4.) By year, please state the number of settlement/compromise agreements which contain non-disclosure clauses your organisation made with current or former staff which involve or relate to sexual misconduct, sexual harassment, sexual assault, rape. For each of these, please state the number and financial value of the settlements. 

Response 25.02.2022
FOI-22-0037 Digital Services Printers

We are currently updating data on your Trust's printing devices (infrastructure hardware) and would appreciate your help. Can you please complete the fields below with what you currently hold?

Standard Printers

Number of printers:

Main supplier:

Contract end date:

Annual spend £'s 2020-21:

-

MFD Printers

Number of printers:

Main supplier:

Contract end date:

Annual spend £'s 2020-21:

Definitions

MFD printers - A Multi-Function Device (MFD) is a machine that can print, copy and scan. These devices have faster print speeds and allow additional functionality such as scan to email. Secure print and follow-me printing are two of the key features of the new devices.

Response 24.02.2022
FOI-22-0036 Procurement Nursing Agency Usage Can you please provide me with the below information? 1.(a) Who is the head of procurement at Norfolk Community Health and Care NHST responsible for approving Nursing agency usage? (b) Secondly, who is the temporary / flexible staffing lead responsible for the management of this service at Norfolk Community Health and Care NHST? 2. Please can you provide the contact number and email address in relation to both question 1 (a) and (b) 3. Have you used Off-framework nursing agency staff in the last 7 months at Norfolk Community Health and Care NHST? 4. How much was your Off-Framework agency spend for each of the following staff groups between November 2021 –January 2022 (a) RGN’s (b) RCN’s (c) RN’s and (d) RMN (e) Specialist RN (ITU) (f) Specialist RN (A&E) 5. Following the same breakdown of staff groups in Question 3, how many Off-framework shifts have been unfilled between November 2021 – January 2022? Response 23.02.2022
FOI-33-0035 Procurement Pathology Agency Usage 1: Who is the head of procurement responsible for approving Biomedical Science/Pathology agency usage at Norfolk Community Health and Care NHS Trust? 2: Who are the managers responsible for agency approval for Pathology/Laboratory agency usage (on and off framework) for the following departments at all hospitals associated with the Trust: - Blood Sciences (Haematology, Biochemistry, and Blood Transfusion): - Infectious Sciences (Microbiology, Virology, Molecular, Serology, COVID): - Cellular Pathology 3: Please provide the contact numbers and email addresses in relation to question 1 and 2. 4: Have you used off-framework agency staff for Biomedical Science/Pathology between January 2021 and January 2022? 5: How much was your off-framework agency spend for each of the following departments between January 2021 and January 2022: (a) Blood Sciences (Haematology, Biochemistry and Blood Transfusion): (b) Infectious Sciences (Microbiology, Virology, Molecular, Serology, COVID): (c) Cellular Pathology 6: How many roles were filled by off-framework agency workers between January 2021 and January 2022 for each of the departments outlined in question 5? 7: How many unfilled roles did you have between January 2021 and January 2022 for each of the departments outlined in question 5? Response 22.02.2022
FOI-22-0034 Procurement Plastic Pouches

Could you please provide me with the information how many plastic laminating pouches/sleeves were purchased in: 

2019, 2020, 2021

Thank you for your assistance in this, these numbers will help to be able to identify opportunities towards net zero.  Also any chance you can provide who is responsible for the purchases of these items, or how much they cost for the Trust?

Response 22.02.2022
FOI-22-33 HR Medical Placements

1. How much funding did the Trust receive in total for the education of undergraduate medical students in the most recent financial year?

  • Please specify how much of this funding was from the Higher Education England medical undergraduate tariff (previously known as the Service Increment for Teaching or SIFT), and how much was from any other sources, if applicable.

2. How many medical students were placed in the Trust during the most recent financial year?

  • Please specify how many student ‘places’ the Trust hosted at any one time in the most recent year, as well as how many students hosted over the year in total. (e.g. the Trust may host 10 students at a time for one placement rotation, and after 8 placement rotations has hosted a total of 80 students over the course of the year.)
  • Please specify which medical schools you hosted students from, and how many students from each medical school were hosted

3. How much of the funding your Trust receives for hosting undergraduate medical students was ringfenced to be spent specifically on the education of medical undergraduates in the most recent financial year?

4. How much money did the Trust spend on undergraduate medical education in the most recent financial year? Please include the following:

  • How much was spent on staff with a specific undergraduate teaching role, such as Clinical Teaching Fellows (CTFs)?
  • How many staff with a specific undergraduate teaching role (e.g. CTFs) were employed?
  • If there are CTFs employed by the Trust, how many hours of protected teaching time are they allocated per week as part of their role?
  • How much was spent on administrative staff employed specifically to support undergraduate teaching activities?
  • How many administrative staff were employed specifically to support undergraduate teaching activities?

5. If the Trust has made notable expenditures on medical undergraduate education in the most recent financial year that have not been listed in response to question 4, please provide this information.

Response 21.02.2022
FOI-22-0032 Corporate Board Members

Q1. Please could you kindly send via email, pdf copies of your annual reports for each financial year from 2012/13.

Q2. Please could you also provide the number of Board voting members including Executive and Non-Executive Directors, Chief Executive Officers, Chairs and Lay Members for each of the categories as listed below for each financial year (April - Mar) from 2012/13. Male / Female White / BAME, Mixed ethnicity, Other ethnicity Has a disability or impairment / Does not Year 2012/13, 2013/14, 2014/15,2015/16, 2016/17, 2017/18, 2018/19, 2019/20, 2020/21, 2021/22 (to date)

Response 21.02.2022
FOI-22-0031 HR Agency Shifts

1) How many agency nursing shifts have your Trust used SNG or Thornbury Nursing Services for between 1st December 2021 and 10th February 2022

 2) Please provide a breakdown of the amount of shifts per ward or department where SNG or Thornbury Nursing Services were used between 1st December 2021 and 10th February 2022

3) How many agency nursing shifts have your Trust used Nutrix , MED GEN, Greenstaff for between 1st December 2021 and 10th February 2022?  

4)  Please provide a breakdown of the amount of shifts per ward or department where Nutrix, or Greenstaff were used between 1st December 2021 and 10th February 2022

 5) Please name any other OFF CONTRACT SUPPLIERS who have been utilised by the Trust between 1st December 2021 and 10th February 2022 

6) If for any reason you are unable to supply data up until 10th February please provide the data until 31st January 2022

Response 18.02.2022
FOI-22-0030 Covid-19 Emergency Funding Grants

Please provide the total amount claimed by your Trust in Emergency Government Covid funding grants that went to private facilities management companies between Jan 2020 - Jan 2022. 

If available - please provide an expense type breakdown of this spending: 

E.G: Total amount given to FM Contract supplier: 
PPE
Vaccines
Additional Pandemic Staffing Costs

Response 17.02.2022
FOI-22-0029 Procurement Waste Collection Tenders I would like to submit a Freedom of Information request to see when any tenders are due to be released for waste collections at the Trust, this is for all waste streams. Response 16.02.2022
FOI-22-0028 Procurement Mattresses / Cushions Can you advise me of how I can contact your procurement department and Tissue Viability, either direct or generic email. Also please could you provide the following information How much do you spend on foam mattresses per annum? How many mattresses are Crib 7 rated? How much do you spend on dynamic mattresses per annum? How much do you spend on hybrid mattresses per annum? When does your current mattress contract end? When will you go out to tender for mattresses? How much do you spend on foam cushions per year? Do you purchase dynamic cushions? If you purchase dynamic cushions how much does this cost per annum? Response 14.02.2022
FOI-22-0027 Finance Third Parties

I am writing to request information under the Freedom of Information Act regarding your organisation's Private Patient Third Party Involvement. Please can you complete the below questions.

1.    Does the organisation receive private patient income from third parties? For example for delivery of private patient services, for renting of space, through a commercial agreement etc.

2.    If yes, please state the name/names of the third parties? For examples HCA, BUPA, Spire Healthcare

3.    What category of income does the organisation receive from the third party, please put a "x" next to the options that apply below:

Joint Venture (a commercial arrangement between two or more participants)

Rental of estates or hospital space

A Profit Share Agreement (an agreement between two or more entities who pool resources and agree to split earnings by sharing profit on a pre-agreed ratio)

Payment by Activity (is a form of financing that makes payments contingent on results for example number of patients treated, number of procedures completed)

Other (please state)

Response 11.02.2022
FOI-22-0026     Request for information cancelled by the requestor.    
FOI-22-0025 Nursing MSK Physiotherapy  I am writing to request information regarding services that you provide for musculoskeletal conditions, and specifically low back pain. I would appreciate your help with the following questions. The questions are all with regards to outpatient and/or community physiotherapy services: 1. Please briefly outline the relevant services within outpatient and/or community physiotherapy that you are commissioned to provide for musculoskeletal conditions, and any services that are specific to back pain? 2. What is the current average waiting time for a musculoskeletal physiotherapy appointment for a new referral or self-referral for non-specific lower back pain? (if you are not able to answer this specifically for low back pain please provide the figure for musculoskeletal physiotherapy more generally in your service) 3. How has the waiting time for musculoskeletal physiotherapy appointments for lower back pain changed over the historical time period for which you have data? If possible, an annual figure for each of the last 5-10 years would be most helpful. (Again, please answer for general musculoskeletal physiotherapy services if you do not hold specific data for back pain). 4. How many patients are currently on your waiting list(s) for physiotherapy services for lower back pain? 5. How many patients are currently on your waiting list(s) for physiotherapy services across all musculoskeletal conditions? 6. Does your musculoskeletal physiotherapy service(s) accept self-referrals from patients for back pain (as opposed to requiring a GP or primary care referral)? 7. What is the contract type by which you are commissioned to provide musculoskeletal physiotherapy services? a. If paid by activity and/or outcomes/results please provide the unit costs used to charge the CCG (e.g. cost per physio appointment) b. If part of a block contract please provide the details of any KPIs (and the associated incentives) within that block contract used to measure/monitor the quality of MSK physiotherapy services 8. How does the average healthcare spend per patient for non-specific low back pain break down across different services and costs? Response 11.02.2022
FOI-22-0024 Digital Services Communication Systems

Contract 1 - Telephony/Voice Services (Analogue, ISDN VOIP, SIP etc) 

1.Telephony/Voice Services Provider- Please can you provide me with the name of the supplier for each contract.

2.Telephony/Voice Services - Contract Renewal Date- please provide day, month and year (month and year are also acceptable). If this is a rolling contract, please provide me with the rolling date of the contract. If there is more than one supplier, please split the renewal dates up into however many suppliers

3.Telephony/Voice Services - Contract Duration- the number of years the contract is for each provider, please also include any contract extensions.

4.Telephony/Voice Services - Type of Lines - Please can you split the type of lines per each supplier? PSTN, Analogue, SIP, ISDN, VOIP

5.Telephony/Voice Services Number of Lines / Channels / SIP Trunks- Please can you split the number of lines per each supplier? SIP trunks/connections, PSTN, Analogue, ISDN

Contract 2 - Incoming and Outgoing of call services.

6.Minutes/Landline Provider- Supplier’s name (NOT Mobiles) if there is no information available, please can you provide further insight into why?

7.Minutes/Landline Contract Renewal Date- please provide day, month and year (month and year is also acceptable). If this is a rolling contract, please provide me with the rolling date of the contract.

8.Minutes Landline Monthly Spend- Monthly average spend on calls for each provider. An estimate or average is acceptable. If SIP services, please provide me with the cost of services per month.

 9.Minute’s Landlines Contract Duration- the number of years the contract is for each provider, please also include any contract extensions.

10.Number of Extensions- Please state the number of telephone extensions the organisation currently has. An estimate or average is acceptable. 

Contract 3 - The organisation's broadband provider.

11.Broadband Provider- Supplier’s name if there is not information available, please can you provide further insight into why?

12.Broadband Renewal Date- please provide day, month, and year (month and year is also acceptable). If this is a rolling contract, please provide me with the rolling date of the contract. If there is more than one supplier, please split the renewal dates up into however many suppliers

13.Broadband Annual Average Spend- Annual average spend for each broadband provider. An estimate or average is acceptable.

Contract 4 - Contracts relating to Wide Area Network [WAN] services, this could also include HSCN network services.

14. WAN Provider- please provide me with the main supplier(s) if there is no information available, please can you provide further insight into why?

15.WAN Contract Renewal Date- please provide day, month, and year (month and year are also acceptable). If this is a rolling contract, please provide me with the rolling date of the contract. If there is more than one supplier, please split the renewal dates up into however many suppliers

16.Contract Description: Please can you provide me with a brief description for each contract

17.The number of sites: Please state the number of sites the WAN covers. Approx. will do.

18. WAN Annual Average Spend- Annual average spend for each WAN provider. An estimate or average is acceptable.

19.For each WAN contract can you please provide me with information on how this was procured, especially around those procurement that used frameworks, please provide me with the framework reference.

20.Internal Contact: please can you send me their full contact details including contact number and email and job title for all the contracts above.

Response 10.02.2022
FOI-22-0023 HR Agency Usage

How many RGN and HCA shifts have been filled using an “Off Framework” Agency between November 1st 2021 and January 31st 2022

Which “Off Framework” Nursing agencies have been used by the Trust between November 1st 2021 and January 31st 2022

Breakdown of shifts filled by each individual “Off Framework” Nursing Agencies between November 1st 2021 and January 31st 2022

Total Cost for each “Off Framework” Nursing Agency between November 1st 2021 and January 31st 2022

Response 08.02.2022
FOI-22-0022 HR Staff Wellbeing

I am writing to request the following from your NHS trust under the Freedom of Information Act 2000: Please provide figures per month for the calendar years 2019, 2020, 2021 and 2022 so far.

Please also break the data down by department, gender, age bracket, and ethnic group.

Number of staff seeking treatment from mental health services / on mental health waiting lists

Number of staff off sick with a) depression/anxiety, b) PTSD/trauma symptoms, and c) burnout/exhaustion Longest staff sickness absence for mental health reasons (specifying reason) Number of staff leaving trust, citing reason as a) depression/anxiety, b) PTSD/trauma symptoms, and c) burnout/exhaustion

Response (1) 

 

Response (2)

04.02.2022
FOI-22-0021 HR Covid-19 Vaccinations

Please may you provide me with figures on the following:

As of 3 February 2022, how many staff members in your trust were defined as ‘health and social care workers who have face-to-face contact with service users’?

As of 3 February 2022, how many of those staff members had not received any Covid vaccination?

How many are medically exempt?

Response 03.02.2022
FOI-22-0020 Estates Catering

I would be grateful if you could provide me under the Freedom of Information Act, details in respect to the contracts below.

Retail Catering Services / Patient feeding services

1.The name and contact details for the Chief Executive?

2.The name and contact details for the Director of Finance?

3.The name and contact details for the Director of Estates and Facilities?

4.The name and contact details of the Procurement Director?

Retail Catering

5.The name(s) of the company(ies) who currently provides retail catering at the hospital?

6.Is this a single service contract or part of an IFM contract? If so, who is the FM provider and what other services are included?

7.How many of each type of outlet are there e.g. coffee shop, restaurant etc

8.When does the contract expire?

9.What is the average sales turnover per annum for all the outlets combined?

Patient Feeding

10.Who provides patient feeding within the hospital?

11.If this is run in house is the trust willing to consider outsourcing?

12.If outsourced, is this a single service contract or part of an IFM contract? If so, who is the FM provider and what other services are included?

13.When does the contract expire?

14.What is the annual turnover per annum for patient feeding?

Additional Questions

15.How many beds are there in the hospital? If there is more than one hospital in the trust, please can you breakdown the number of beds per hospital building?

16.How many staff work in each hospital?

17.Do you use a framework for catering? If so, which framework do you use?

Response 

 

 

02.02.2022
FOI-22-0019 Nursing Clinical Negligence Allegations

I am writing to you under the Freedom of Information Act 2000 to request the following information. Please may you provide me with the following details:

1. What was the total number of allegations or attempted clinical negligence claims related to cerebral palsy against your trust per annum in 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012 and 2011? Please provide the data broken down by year.

2. What was the total number of successful clinical negligence claims related to cerebral palsy against your trust in 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012 and 2011? Please provide the data broken down by year.

3. What was the total sum paid out in successful and settled clinical negligence claims related to cerebral palsy in 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012 and 2011?

Please provide the data broken down by year. 

Response

02.02.2022

FOI-22-0018 Procurement Medical Devices

Having reviewed your website and policies, I am unable to obtain the relevant documents, which is why I have made this request. I would like to know which documents are used for the review and approval of new medical devices within your NHS Trust/entity.

The exact naming of the documents may differ, but the context is the same, so we ask for judgement to be used, and please let us know if you require further clarification.

1.Could you please provide a copy of the Trusts/entity“New Medical Device policy?”

2.Could you please provide a copy of the Trusts/entity“Medical Devices and Procurement Review Group policy?”

3.Could you please provide a copy of the Trusts/entity“Business case template for new medical devices or technology” for new medical/diagnostic device approval?

4.Could you please provide a list of all approved medical devices in your Trusts/entity? Excel format, word or PDF is fine.

5.Could you please provide a copy of the policy which supports “medical devices on trial requirements”.

6.Could you please provide the policy for including a new pathology test within the Trusts/entity?

7.Could you please provide the policy for the “New medical Product Selection Group”

8.Could you please confirm how often new medical device review meetings take place?

9.Could you please provide me the name of the staff member responsible for finances of new medical devices and their email address.

10.Could you please provide me the name of the staff member responsible for procurement of new medical devices and their email address.

11.Lastly, could you please supply a copy of the last 3 ‘New Medical Device meeting’ minutes and also the location of where they are published on your website?

Response (1)

 

Response (2)

 

Response (3)

 

Response (4)

02.02.2022
FOI-22-0017 Nursing Palliative Care

1. I should be grateful if you would be able to confirm to what extent your hospice takes in to account patients' Advanced Decisions?

2. Is terminal sedation an option in your hospice and if so is priority given to the assessment of pain or distress by the patients, or if unable to communicate, by relatives or Doctors?

Response 02.02.2022
FOI-22-0016 Contract Autism Diagnosis

1. Under the NCHC contract, what % of ADOS or ADOS-informed assessment interviews are conducted by clinical psychologists, and what % by psychiatrists specialising in adult psychology?

2. Under the NCHC contract, what % of diagnoses include clinical psychologists, and what % include psychiatrists specialising in adult psychology among the multidisciplinary team reaching the clinical conclusion after the assessments have been completed?

3. Under the NCHC contract, what % of diagnoses given to date are autism? Please provide %s for other diagnoses, for example social anxiety ADHD, OCD and so on.

4. Under the NCHC contract, the Owl Centre offers six post-diagnostic group support sessions to patients receiving a positive autism diagnosis. Are the sessions offered or begun before or after development of a care plan for each individual?

5. Under the NCHC contract, what clinical specialist(s) attend the Owl Centre’s support sessions? Please give their specialism (as per the list below) saying what percentage of support sessions are attended by which specialism.

6. Under the NCHC contract, how many clients are there per group (max/min)? Are sessions online or in person? If a mix, please say what % for each to date.

7. The Owl Centre lists some 275 practitioners on its website, but nothing on the site identifies which are freelancers and which are Owl Centre directly employed staff. Please say currently how many practitioners the Owl Centre directly employs as staff and how many freelancers.

8. Of current directly employed staff please give figures for the number of:

  • SALTs                                                                           Occupational therapists
  • psychiatrists specialising in adult psychiatry         paediatric psychiatrists
  • clinical psychologists                                                 educational psychologists,
  • mental health nurses                                                integrative psychotherapists
  • social workers                                                             CBT practitioners
  • HCPC-regulated other therapists                            PSA-regulated play therapists

 9. What expertise does the Owl Centre have in other mental health conditions like      schizophrenia, psychosis, anorexia, bipolar and physical health conditions like diabetes, and heart  and lung conditions? For example, does it directly employ clinicians specialising wholly or largely in any of these conditions?

Response 31.01.2022
FOI-22-0015 HR Structure

I am writing to you under the Freedom of Information Act 2000 to request the following information:

1.How many Trust Executives do you have within the trust?

2.A list of the Trust Executive level roles, with their banding

3.Which is the highest-earning role within the trust?

4.How many different nursing roles do you have within the trust?

5.A list of all the nursing roles, with their banding

If easier, I will accept any of the requested information in an Excel or CSV format.

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.

Response

28.01.2022
FOI-22-0014 Nursing Weight Management

What is the Current number of patients on a waiting list for Tier 4 weight management services in your trust?

What was the number of patients on the waiting list 24 months ago?

Response 26.01.2022
FOI-22-0013 Procurement Radiology Systems

We are currently updating data on your Trust's Maternity and Radiology (RIS) systems.

Can you please complete the fields below with what you currently hold?

Please enter 'No System Installed' or 'No department' under supplier name if your trust does not use the system or have the department:

System type - Maternity / Supplier name / System name / Date installed / Contract expiration / Notes - e.g. we are currently out to tender / Is this contract annually renewed? - Yes/No / Do you currently have plans to replace this system? - Yes/No /

System type – Radiology Information System / Supplier name / System name / Date installed / Contract expiration / Notes - e.g. we are currently out to tender / Is this contract annually renewed? - Yes/No / Do you currently have plans to replace this system? - Yes/No

System definitions:

Maternity – It is the specialist maternity system in use for maternity care.

Radiology Information System (RIS) – It is the core system for the electronic management of imaging departments. Often used in conjunction with PACS and VNAs, major functions of the RIS can include patient scheduling, resource management, examination performance tracking, reporting, results distribution, and procedure billing.

Response 25.01.2022
FOI-22-0012 Estates Trust Vehicles

The trust is requested to provide a list of motor vehicles operated (owned or leased) and currently licensed with the Driver & Vehicle Licensing Authority (“the DVLA”). Please include the following details.

1.Vehicle Make and Model;

2.Date new or date of acquisition.

3. Name and email address of the individual responsible for fleet management. Please ensure this is provided by PDF attachment.

Response 21.01.2022
FOI-22-0011 Digital Services IT

How many staff do you employ?/ Do you have a critical care function? / Are you actively involved in/contributing to ICS level initiatives? / How many desktop devices do you have in the Trust? / What makes & models are most used? / What is your main web browser? / How many trust mobile devices do you have? (phones/tablets) / What are the main makes and models? / As a whole, does the Trust favour Apple or Android devices? / Are employees encouraged to use their personal devices for work? / Do you use an MDM solution to manage devices? / Who is your Internet provider? / Do you have any known Wifi dead zones? / Who is your cellular provider? / Do you have known cellular coverage dead zones? / Do you use pagers/bleeps / Who is your current pager/bleep service provider? / Do you rely on commercial apps such as whatsapp to communicate internally? / Which commercial/external apps do you use? / Do you use any of the following supplier’s services: Careflow Connect, Hospify, Vocera, Ascom, Multitone, Netcall? / Do you use any software to manage tasks at night? If yes, what software do you use? / If not, how do you manage your tasks at night (word of mouth, whiteboard etc)? / Which roles are responsible for managing the workload at night? / Which authentication protocol(s) do you use (ie. SAML, O Auth 2, OIDC)? / What PAS/EPR system do you use? / Do you have APIs to integrate with the PAS/EPR? / Do you use Business Intelligence software? If so, what? / Do you raise alerts/send emails triggered by data? If yes, please provide any examples you can. / Do you have other mechanisms to raise an alert/alarm other than a bleep? If yes, please specify examples

Response 21.01.2022
FOI-22-0010 Covid-19 Varied

Due to the new guidelines/laws being enforced on all NHS, apparently regardless of position held within the trust, please accept this request for information under the freedom of information act.

1, Please confirm the categories of, and numbers, of staff, if any, that do not perform CQC Regulated Activities. ie Chief Executive, Managers, HR Staff, Medical Secretaries, IT Staff, etc and the numbers falling into each group 

2, Please confirm the categories of, and numbers, of staff, if any, that will not be required to be vaccinated under the Government Guidelines or Laws. ie Chief Executive, Managers, HR Staff, Medical Secretaries, IT Staff, etc and the numbers falling into each group

3, What provision, if any, is there for these staff to be given a safe working environment outside of a hospital setting, that would be afforded to them under Health & Safety Laws? ie Is there a satellite office/building where members of staff that do not have or require direct contact with patients or careers, and are staff being given the option to work in such buildings? Alternatively is there provision for these staff to work from home (as may have happened during periods of staff isolation)?

4, Please confirm the categories of, and numbers, of staff, including clinical and frontline, if any, that have been identified as not “fully vaccinated”. ie Chief Executive, Managers, HR Staff, Medical Secretaries, IT Staff, Receptionists, Consultants, Porters, etc and the numbers falling into each group.

5, Please confirm the categories of, and numbers, of staff, if any, that fall into the numbers identified in question 1 and 2 above, that have been told they might be required to be “fully vaccinated” prior to 1st April 2022.

6, Is any provision, as outlined in question 3 being offered to staff identified in question 5? Please confirm the categories of, and numbers, of staff, if any, that have been offered a safe working environment.

7, Are any staff already working within areas, as outlined in question 3, and what is their current vaccine status. Are any of these staff being told they might be required to be “fully vaccinated”? Please confirm the categories of, and numbers, of staff, if any, in respect to both parts of this question.

8, As it appears that all non clinical staff are being asked to get vaccinated or leave with absolutely no compensation or redundancy package. Please could you confirm this is being extended to all staff from the chief executive down to the cleaners and the exact same package will be received by all. 

9, Please provide a list of all remuneration packages and bonus schemes paid out over the past 4 years to all non clinical staff and any agreed packages that will not be affected if they leave rather than taking up a vaccine.

10, Please provide a list of roles within the trust and their remuneration for any position not required to be “fully vaccinated”.

11, Please provide details of all redundancy packages, including Golden Handshakes awarded to all non clinical staff who have left in the past 4 years.

12, Please confirm the volume of Midazolam used within the trust, broken down into the amount per month since January 2017.

13, Please confirm the number of deaths at the trust, from all causes, broken down into the amount per month since January 2017.

14, Please confirm the number of deaths at the trust, from all causes, where Midazolam was administered within 7 days prior to death, broken down into the amount per month since January 2017.

15, Please confirm the number of deaths at the trust, directly attributed to Covid19, broken down into the amount per month since January 2020.

16, Please confirm the number of deaths at the trust, directly attributed to Covid19, where Midazolam was administered within 7 days prior to death, broken down into the amount per month since January 2020.

17, Please provide evidence to show all Covid19 Vaccines have an Absolute Risk or Response Difference (ARD) of greater than 2% Efficacy in prevention of death.

18, Please provide all ARD Efficacy Rates for all vaccines.

19, Please provide a list of all ingredients / components of all vaccines.

20, Please provide a list of all known side effects from all vaccines.

21, Please provide the number of reported incidences of side effects within your trust area and nationally broken down into months.

22, Please provide the number of diagnoses corresponding to the list of known side effects, whether caused by a vaccine or not, broken down into months from January 2018 both within your trust area and nationally and their vaccine status, and whether it has been reported on the Yellow Card System for reporting adverse reactions.

23, Please could you explain your recruitment process for any replacement staff. Will they be found and recruited from the general UK population, excluding any legal or illegal immigrants or asylum seekers who have entered the country in the past 2 years, and confirm that they will all be required to meet a minimum standard of written and spoken English equivalent to the national standard that would be achieved by a school leaver to obtain a pass mark in the subject as well as a proven track record or relevant skills within the area they are being employed, that the overall demographic of the staff will not change, and that all will be required to have a minimum of 2 vaccine shots prior to employment and before remuneration starts, and any incentive packages being offered including reduced cost of, or free, accommodation or support packages.

24, How confident does the Trust feel about enforcing unlawful legislation that goes against Public Health (Control of Disease) Act 1984: Section 45e, International Human Rights Laws, and the Nuremberg Code? And in light of the Criminal Investigation being conducted by the Metropolitan Police CID (Hammersmith), Case Number 6029679/21, into vaccine adverse reactions and deaths caused, do you not feel it would be better to postpone the mandatory vaccination until after the inevitable court case, or at least until the nationwide investigation is complete?

25, Will the Trust be financially liable for compensation claims, from staff, who have been (unlawfully) forcibly coerced into taking a drug that is still on trial and with no long-term studies into Efficacy or Safety (especially considering question 20), for life changing disabilities inflicted by the vaccine or even death, especially as the government seems to have (unlawfully) exempted itself and the pharmaceutical companies producing the vaccine from any financial obligations to compensate victims?

26, Are the Trust prepared for countless legal actions, on the grounds of the points raised in question 24 & 25, for Constructive Dismissal and how much has the trust set aside for damages, personal compensation, and legal fees for each of the points raised in question 24, 25, & 26?

27, Will the Trust continue to conduct Lateral Flow Tests, PCRs, and Lamp Tests, that not only don't appear to confirm an infection, infectiousness, or even the existence of Covid19?

28, Will the Trust continue to enforce Medical Apartheid to patients (and staff) that are not willing to submit to medical testing (as mentioned in question 27) that is against their Human Rights and in contradiction to the Nuremberg Code, or (unlawfully) enforced vaccinations before medical procedures (or working) which is against the Nuremberg Code (& 45e as mentioned in question 24)?

Response 20.01.2022
FOI-22-0009 HR Management Structure Please provide me with an up to date Organisational Structure chart for management level and above including all manager NAMES, contact details and job titles for Nursing Management, Clinical Governance, and Operations. Response 19.01.2022
FOI-22-0008 Procurement Reporting systems

Could you confirm if the Trust use or have purchased Microsoft Power BI?

If not what other reporting system does the Trust use?

Response 19.01.2022
FOI-22-0007 Procurement Autism

This enquiry is about your possible contact with a private health company called the Owl Centre.

  1. Please identify the name of your NHS Trust.
  2. Does your Trust now, or has it since start-2011, used the Owl Centre to provide any health service(s)?
  3. If this Trust does, or did, when did the contract start and when did it finish, or does it remain current?
  4. If it does/did, what service did the Owl Centre provide – for example speech and language therapy, ADHD or autism diagnosis or support. Please say which condition, disorder or illness and whether to assess, diagnose/screen, or treat/support.
  5. Please provide any information available about the contract, for example (but not limited to) how many assessments or treatments they should provide per month/year.
  6. At the time the contract was signed with the Owl Centre, and also at the time the contract started, was the Owl Centre registered with the CQC?
  7. If so, did the registration cover the service they were providing for the Trust?
Response 17.01.2022
FOI-22-0006 Estates Rainbow Crossings

This is an information request relating to rainbow themed crossings at hospitals within the NHS Trust.

Please include the information for each of the following periods; 2018-19, 2019-20, 2020-21:

  • Total expenditure on rainbow crossings at hospitals within the trust’s remit
  • A full list of rainbow crossings at all hospitals added/built during this period
Response 11.01.2022
FOI-22-0005 Nursing Cancer referrals
  1. Please can you provide the most recent data available that details the total number of urological cancer referrals in 2021 
  2. Please can you provide data showing the total number of urological cancer referrals in England in 2020 
  3. Please can you provide data showing the total number of urological cancer referrals in England in 2019 
  4. Please can you provide data showing the total number of urological cancer referrals in England in 2018 
  5. Please can you provide data showing the total number of urological cancer referrals in England in 2017 
Response 10.01.2022
FOI-22-0004 Nursing Infection Control

I would like to please request the following information with regards to notifiable diseases:

Can you please provide the incidence of  Vancomycin-resistant Enterococci (VRE) in your trust over the previous 12 months?

Response 05.01.2022
FOI-22-0003 Finance Overseas Visitors

With regard to Overseas Visitors (as defined in the NHS Data Dictionary)

  • What is the name and email address of the person who undertakes the duties of Overseas Visitors Manager?
  • What is the name, position and email address of the Senior Responsible Officer (usually at Exec level) for Overseas Visitors?
  • Does your Trust have a steering group which oversees Overseas Visitors Functions?
  • What is the name of your ICS Integrated Care System (if you have an email contact for the chair please can you provide that)
Response 05.01.2022
FOI-22-0002 Procurement Patient Access Portal Systems

We are currently updating data on your trust’s Patient Portal / Patient Access Portal systems.

Can you please complete the fields below with what you currently hold?

Please enter 'No System Installed' under supplier name if your trust does not use the system:

Response 04.01.2022
FOI-22-0001 Procurement Monofocal IOLs
  • The name of the company your Trust is contracted to for the supply of monofocal intraocular lenses (IOLs)
  • The predominant model of IOL your Trust procures through the contract 
  • The volume (number) of monofocal IOLs your Trust has agreed to procure per year through the current contract 
  • Actual volumes of monofocal IOLs your Trust inserted per year since 2019 
  • The date your contract expires with your current monofocal IOL provider 
Response 01.01.2022