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FREEDOM OF INFORMATION REQUESTS July 2015

Request Response

FOI 330/2015 Received 06.07.15

1. Which of these procedures do you offer freely and which on an individual basis for those patients with facial palsy?

1. Botox injections for synkinesis or facial asymmetry2. Static Therapies (4 procedures)

browlift canthopexy/ canthoplasty static facial slings face lifts

3. Dynamic Therapies: (2 procedures) sliding temporalis myoplasty cross facial nerve graft and free muscle transfer

(facial reanimation)2. If you only offer these on an individual evaluated basis why is

this?

1. Which of these procedures do you offer freely and which on an individual basis for those patients with facial palsy?

1. Botox injections for synkinesis or facial asymmetry

2. Static Therapies (4 procedures) browlift canthopexy/ canthoplasty static facial slings face lifts

3. Dynamic Therapies: (2 procedures) sliding temporalis myoplasty cross facial nerve graft and free muscle

transfer (facial reanimation)

Where a patient has suffered facial palsy the procedures you have identified would be offered freely if this was considered appropriate by the patients clinician. They would not be freely offered for cosmetic reasons.

2. If you only offer these on an individual evaluated basis why is this?

The only scenario where they would not be freely offered to a patient with facial palsy is if the patients clinician did not think this was appropriate but the patient requested NHS funding.

In this instance a referral would need to be considered by the Individual Funding Request (IFR) panel which is managed by the Commissioning Support Unit (CSU) and consists of a multidisciplinary team, who assess the case.

FOI 331 Received 06.07.15

. Do you commission podiatry services provided under AQP?2. If you do commission podiatry services provided under AQP

who do you commission these services from?3. What is your tariff description and costs for AQP podiatry

services?4. Please indicate your tariff type and volume for AQP podiatry

services?5. Please indicate activity type by tariff, by provider for AQP

podiatry services for 2012-2013, 2013-2014, and 2014 to current date?

6. Does your AQP provider ensure decontamination of instruments in line with European standards?

I can confirm that Barnsley CCG has not commissioned Podiatry Services under the Any Qualified Provider route.

FOI 332 Received 07 July 2015

I would be most grateful if you could let me know the figures for people awarded NHS Continuing Care, NHS Nursing and Joint Package over the past two years.

FOI 333 – RECEIVED 9 JULY 2015

Please can you tell me how many cycles of IVF treatment the CCG offers to women under the age of 40 and how many cycles to women over the age of 40.Please can you also tell me how many individual funding requests the CCG has received since April 2013 for IVF treatment and how many have been granted funding. Please list the number of applications and those which were successful on an annual basis since April 2013.

Please can you tell me how many cycles of IVF treatment the CCG offers to women under the age of 40 (2) and how many cycles to women over the age of 40 (1)

Please can you also tell me how many individual funding requests the CCG has received since April 2013 for IVF treatment and how many have been granted funding. Please list the number of applications and those which were successful on an annual basis since April 2013.

2013 – 2 approved

2014 – 3 declined, 2 approved

2015 – 3 declined, 1 approved

FOI 334/2015 – RECEIVED 9 JULY 2015

Has NHS Barnsley CCG introduced, or is it planning to introduce, new limits to access/eligibility for services during 2015-16, for financial/efficiency/value reasons?

Is your CCG planning to introduce new limits to access/eligibility for services during 2016-17, for financial/efficiency/value reasons?

If you responded ‘yes’ to either of the previous questions, please state your plans for limiting access/eligibility.

If you responded ‘yes’ to either of the first two questions, how much money do you estimate this will save?

Has NHS Barnsley CCG introduced, or is it planning to introduce, new limits to access/eligibility for services during 2015-16, for financial/efficiency/value reasons?

No, the CCG has no plans at present

Is your CCG planning to introduce new limits to access/eligibility for services during 2016-17, for financial/efficiency/value reasons?

The CCG has no plans at present

FoI No: 335 – received 7 July 2015

Under the freedom of information request I am wanting to know how many People are diagnosed with Huntington’s Disease in the area,

If you cover one or more CCG’s this would apply for all the areas covered.

FoI No: 336 – received 7 July 2015

a) What is the average number of patients per GP in your CCG area.

b) The top five highest amounts for the total number of patients that a single GP in your CCG area is responsible for (using the most recent figures available). If the answer can include a) the amount; b) the name of each of the five GPs and their practice.

Unfortunately we are unable to answer your question as we do not hold a database with the number of people who have been diagnosed with Huntington’s disease.

Unfortunately the CCG does not hold the information that you have requested.

The data requested can all be found on the Health and Social Care information Centre, the data on the site can be integrated to drill down to CCG level data.

I have included a link which will direct you to the General and Personal Medical Services, England - 2004-2014, this data published was March 25, 2015.

http://www.hscic.gov.uk/searchcatalogue?productid=17387&q=primary+care+workforce&topics=0%2fWorkforce&sort=Relevance&size=10&page=2#top

http://www.hscic.gov.uk/searchcatalogue?productid=17387&q=primary+care+workforce&topics=0%2FWorkforce&sort=Relevance&size=10&page=2#top



http://www.hscic.gov.uk/catalogue/PUB16934

In order to be helpful I have included a spreadsheet which lists all the practices in Barnsley, the practice population and number of GP’s at each practice. Please bear in mind the data is from 2014 and there has been changes such as practice mergers and GP retirement so is not up to date but is the most recent data available.

FOI 337 – received 10 July 2015

I would like to make a freedom of information request to learn the amount of money that has been paid by providers in your area for breaches of the Department of Health's same sex accommodation (mixed sex wards) guidance since penalties were introduced. I would like this separated in to funds from mental health service providers and other providers.

The answer for the years 2013/14, 2014/15 and 2015/16 to date is that no penalties were raised and thus no payments made, as no breaches occurred. The CCG came into existence on 1st April 2013.

FOI 338 – Received 13 July 2015

1)

a How many patients have applied to the CCG for a personal health budget since April 2015?

b How many patients in the CCG area who applied since April 2015 now hold a personal health budget?

1)

a How many patients have applied to the CCG for a personal health budget since April 2015? 2

b How many patients in the CCG area who applied since April 2015 now hold a personal health budget? 2

c How many requests made since April 2015 for personal

http://www.hscic.gov.uk/catalogue/PUB16934

c How many requests made since April 2015 for personal health budgets were not approved by the CCG?

2)

a How many patients have applied to the CCG for a personal health budget in total?

b How many patients are there in total in the CCG area who now hold a personal health budget?

c How many requests made in total to the CCG for personal health budgets were not approved by the CCG?

3) How many patients in the CCG area are eligible for personal health budgets

health budgets were not approved by the CCG? Zero

2)

a How many patients have applied to the CCG for a personal health budget in total? 6 - this includes 2 post April 2015 and 4 prior to April 2015, these 6 are included within the numbers in question 2b

b How many patients are there in total in the CCG area who now hold a personal health budget? 25 this includes people with are both full NHS CHC and joint NHS CHC funded with Social Care

c How many requests made in total to the CCG for personal health budgets were not approved by the CCG? Zero

3) How many patients in the CCG area are eligible for personal health budgets? 55


1. How much in total did NHS Barnsley CCG spend on procuring external support from a CSU and other external providers for each of the following functions / business areas in the 2013/2014 financial year? (Please indicate amount per functional area)

* HR and organisational development * Financial management, accounting and payroll

Barnsley CCG - Services under SLA with Commissioning Support Unit

Expenditure Area Expenditure 2013/14

* HR and organisational development 185,103* Financial management, accounting and payroll

327,857

* Information communication technology (ICT) 641,263* Corporate governance and risk 242,248* Provider management

* Information communication technology (ICT) * Corporate governance and risk * Provider management * Market management * Communications * Patient and public consultation and engagement * Business intelligence and informatics * Medicines management/optimisation * Service redesign, transformation and reconfiguration

2. How much in total did NHS Barnsley CCG spend on procuring external support from a CSU and other external providers for each of the following functions / business areas in the 2014/2015 financial year? (Please indicate amount per functional area)

* HR and organisational development * Financial management, accounting and payroll * Information communication technology (ICT) * Corporate governance and risk * Provider management * Market management * Communications * Patient and public consultation and engagement * Business intelligence and informatics * Medicines management/optimisation * Service redesign, transformation and reconfiguration

* Market management* Communications 166,264* Patient and public consultation and engagement* Business intelligence and informatics 495,587* Medicines management/optimisation* Service redesign, transformation and reconfigurationTotal 2,058,322

Note: Other Services for which information has not been requested are also commissioned from Commissioning Support Unit

3. Which of the following functions / business areas were delivered in full or part by a CSU under a Service Level Agreement on behalf of NHS Barnsley CCG in 2013/2014 financial year.

* HR and organisational development * Financial management, accounting and payroll * Information communication technology (ICT) * Corporate governance and risk * Provider management * Market management * Communications * Patient and public consultation and engagement * Business intelligence and informatics * Medicines management/optimisation * Service redesign, transformation and reconfiguration

3. Which of the following functions / business areas were delivered in full or part by a CSU under a Service Level Agreement on behalf of NHS Barnsley CCG in the 2014/2015 financial year.

* HR and organisational development * Financial management, accounting and payroll * Information communication technology (ICT) * Corporate governance and risk * Provider management * Market management

* Communications * Patient and public consultation and engagement * Business intelligence and informatics * Medicines management/optimisation * Service redesign, transformation and reconfiguration

4. Which of the following functions / business areas are currently delivered in full or part by a CSU under a Service Level Agreement on behalf of NHS Barnsley CCG

* HR and organisational development * Financial management, accounting and payroll * Information communication technology (ICT) * Corporate governance and risk * Provider management * Market management * Communications * Patient and public consultation and engagement * Business intelligence and informatics * Medicines management/optimisation * Service redesign, transformation and reconfigurationFOI 340 – Received 13 July 2015

Who provides the doctor service when the gp surgeries are closed?

What training is provided to doctors working evenings and weekends?

Who provides the doctor service when the gp surgeries are closed? Care UK

What training is provided to doctors working evenings and weekends? Please contact the provider for this information.

Who is the medical director for the ccg? Dr M Ghani

How many doctors are employed to cover the OOH service?

Who is the medical director for the ccg?

Who is the medical director for the out of hours GP service?

How much do you spend per annum on the OOH GP service?

What is the annual salary and bonus package for the medical directors for the ccg and the OOH GP service?

How many GP training meetings have been held in the last twelve months for your doctors in the day service and for doctors in the OOH service?

What topics have been discussed at these meetings?

Are the minutes of these meetings published for public viewing and scrutiny?

How many complaints have been made about the OOH GP service ?

What is the complaints policy of the ooh GP service?

What learning points have been identified from the complaints ?

Are all doctors informed of the learning points from each valid complaint ?

What is the policy of the OOH GP service for improving the quality of the service provided by its doctors?

Who is the medical director for the out of hours GP service? Dr Andy Mellor

How much do you spend per annum on the OOH GP service? £1.9m

What is the annual salary and bonus package for the medical directors for the ccg and the OOH GP service? CCG Medical Director’s remuneration is £79k, the CCG does not make bonus payments (remuneration information can be found in the CCG’s Annual Report and Accounts, which is published on our website). The CCG does not hold the salary information for the OOH GP Service.

How many GP training meetings have been held in the last twelve months for your doctors in the day service and for doctors in the OOH service? 12 BEST Events since July 14.What topics have been discussed at these meetings? BEST event topics in the last 12 months have covered Substance misuse, Safeguarding vulnerable people, Mental Health awareness, COPD, Haematology, Men’s health, Obesity, Blood, Liver and Bowels, Paediatric, Dermatology and Epilepsy.

Are the minutes of these meetings published for public viewing and scrutiny? These are training events and are therefore not minuted.How many complaints have been made about the OOH GP service ? 5

What is the complaints policy of the ooh GP service? – please

What is the policy of the CCG for improving the quality of the service provided by its doctors?

see complaints procedure included as part of the contract.SC16 Complaints16.1 The Commissioners and the Provider must each publish, maintain and operate a Complaints Procedure in compliance with the Fundamental Standards of Care and other Law and Guidance.

16.2 The Provider must:

16.2.1 provide clear information to Service Users, their Carers and representatives, and to the public, displayed prominently in the Services Environment as appropriate, on how to make a complaint or to provide other feedback and on how to contact their Local Healthwatch; and

16.2.2 ensure that this information informs Service Users, their Carers and representatives, of their legal rights under the NHS Constitution, how they can access independent support to help make a complaint, and how they can take their complaint to the Health Service Ombudsman should they remain unsatisfied with the handling of their complaint by the Provider

What learning points have been identified from the complaints ? The CCG review themes and trends and identify learning points, this to date has in the main looked at learning around communication and behaviour of staff.

Are all doctors informed of the learning points from each valid complaint ? Yes

What is the policy of the OOH GP service for improving the

quality of the service provided by its doctors? All practices are registered with the Care Quality Commission who inspect practices to ensure they meet the essential standards for quality and patient safety

What is the policy of the CCG for improving the quality of the service provided by its doctors ? This information is fed back and monitored by the CCG. The CCG also monitors key performance indicators in Primary Care contracts which are set nationally by NHS England and locally by the CCG.


Please can you supply the following information:

The name of the provider of your local Community Dermatology Services?

The name and contact details of the Commissioner within the CCG responsible for the contract with this provider?

When the current contract with this provider is due to expire?

Barnsley CCG do not commission community dermatology services and therefore no contract is in place.


The NCHA is researching NHS hearing care in England. Goals of the research include

assessing whether service provision varies across England and if so how

assessing whether commissioning meets best practice guidelines

measuring the impact of policy intervention from Monitor and NHS England

This research is in the public interest. The NHS has a £22bn funding gap and Monitor – the sector regulator – published a report in March 2015 highlighting potentially large efficiency gains in the adult hearing service.

FOI 343 – RECEIVED 14 JULY 2015

The contract information sent by the organisation previously has now expired please can you provide me with a new update of the telephone maintenance contract:

Please can you send me the following contract information with regards to the organisation’s telephone system maintenance contract (VOIP or PBX, other) for hardware and Software maintenance and support:

1. Contract Type: Maintenance, Managed, Shared (If so please state orgs)

2. Existing Supplier: If there is more than one supplier please split each contract up individually.

3. Annual Average Spend: The annual average spend for this contract and please provide the average spend over the past 3 years for each provider

Contract Type: Maintenance, Managed, Shared (If so please state orgs) Maintenance Maintenance

Existing Supplier: If there is more than one supplier please split each contract up individually. Siemens Voice Connects

Annual Average Spend: The annual average spend for this contract and please provide the average spend over the past 3 years for each provider 70k 15k

Number of Users: 6000 How many practices? 26

Hardware Brand: The primary hardware brand of the organisation’s telephone system. Highpath DX N/A

Application(s) running on PBX/VOIP systems: Applications that run on the actual PBX or VOIP system. E.g. Contact Centre, Communication Manager. PBX N/A

Telephone System Type: PBX, VOIP, Lync etc PBX N/A

Contract Duration: please include any extension periods. 12

4. Number of Users:

5. Hardware Brand: The primary hardware brand of the organisation’s telephone system.

6. Application(s) running on PBX/VOIP systems: Applications that run on the actual PBX or VOIP system. E.g. Contact Centre, Communication Manager.

7. Telephone System Type: PBX, VOIP, Lync etc

8. Contract Duration: please include any extension periods.

9. Contract Expiry Date: Please provide me with the day/month/year.

10. Contract Review Date: Please provide me with the day/month/year.

11. Contract Description: Please provide me with a brief description of the overall service provided under this contract.

12. Contact Detail: Of the person from with the organisation responsible for each contract full Contact details including full name, job title, direct contact number and direct email address.

If the service support area has more than one provider for telephone maintenance then can you please split each contract up individually for each provider.

Months 12 months

Contract Expiry Date: Please provide me with the day/month/year. March 2016 March 2016

Contract Review Date: Please provide me with the day/month/year. November 2015 March 2016

Contract Description: Please provide me with a brief description of the overall service provided under this contract. Maintenance Only Maintenance only

Contact Detail: Of the person from with the organisation responsible for each contract full Contact details including full name, job title, direct contact number and direct email address. *.

Richard Wright [email protected] ICT Infrastructure Manager 01226 432771

Jayne Sivakumar [email protected] Head of Service Development Manager 01226 433784

mailto:[email protected]


If the contract is a managed service or is a contract that provides more than just telephone maintenance please can you send me all of the information specified above including the person from with the organisation responsible for that particular contract.

If the maintenance for telephone systems is maintained in-house please can you provide me with:

1. Number of Users:

2. Hardware Brand: The primary hardware brand of the organisation’s telephone system.

3. Application(s) running on PBX/VOIP systems: Applications that run on the actual PBX or VOIP system. E.g. Contact Centre, Communication Manager.

4. Contact Detail: Of the person from with the organisation responsible for telephone maintenance full Contact details including full name, job title, direct contact number and direct email address.

Also if the contract is due to expire please provide me with the likely outcome of the expiring contract.

If this is a new contract or a new supplier please can you provide me with a short list of suppliers that bid on this service/support contract?


Please could we request the number of initial consultations by provider for elective surgery in the following areas:

Spinal SurgeryGeneral SurgeryGynaecology

Orthopaedics split into:Hand & WristShoulder & ElbowHipKneeFoot & Ankle

Please could we also request the number of procedures by provider for elective surgery in the above areas.


I wish to request the following information:

How much did you spend on obesity services in the financial year 2014/15?

In financial year 2014/15 how much did you spend on tier 2 obesity services?


How much did you spend on obesity services in the financial year 2014/15? - The CCG do not commission obesity services

In financial year 2014/15 how much did you spend on tier 2 obesity services? - Tier 2 weight management services are not commissioned by the CCG.


In financial year 2014/15 how much did you spend on orlistat

In financial year 2014/15 how much did you spend on orlistat medication?

In financial year 2014/15 how much did you spend on bariatric surgery?

In financial year 2014/15 how much did you spend on obesity training?









medication? - £132,402

In financial year 2014/15 how much did you spend on bariatric surgery? - Services are not commissioned by the CCG

In financial year 2014/15 how much did you spend on obesity training? - Services are not commissioned by the CCG

How much did you spend on obesity services in the financial year 2013/14? - The CCG do not commission obesity services



In financial year 2013/14 how much did you spend on orlistat medication?- £180,460

In financial year 2013/14 how much did you spend on bariatric surgery? - Services are not commissioned by the CCG

In financial year 2013/14 how much did you spend on obesity training? - Services are not commissioned by the CCG

How much did you spend on obesity services in the financial





year 2012/13? - The CCG did not come into operation until 1 April 2013, therefore data relating to 2012/13 is not available.

In financial year 2012/13 how much did you spend on tier 2 obesity services? - as noted above

In financial year 2012/13 how much did you spend on tier 3 obesity services? - as noted above

In financial year 2012/13 how much did you spend on orlistat medication? - as noted above

In financial year 2012/13 how much did you spend on bariatric surgery? - as noted above

In financial year 2012/13 how much did you spend on obesity training? - as noted above

FOI 346 – received 16 july 2015

Please provide details of your CCG’s NHS wig provision policy for dermatology patients, including those with alopecia and other dermatology conditions which cause hair loss. I would assume that a wig policy would include such information as:

- Details of the number of wigs that dermatology patients can obtain via a NHS wig prescription including details of the type of wig allowed, whether a monetary value is placed on allowance, any limitations/timescales.

- Can people with all types of alopecia obtain a wig via a prescription? i.e can androgenetic and scarring alopecia patients obtain a

The CCG do not commission Wig provision this is commissioned by NHS England.

prescription or is one offered just to those with alopecia areata?

- If wig prescriptions are only offered to those with a certain severity of hair loss, what extent of the head needs to be affected for a prescription to be offered?

- Are prescriptions for human hair wigs ever offered?

- What is the annual CCG budget for wigs?

- Does the annual CCG budget for wigs include wigs for oncology patients as well as dermatology patients? Or are there separate budgets? If so, please provide details of both.

- Do patients have a choice as to a supplier to take their wig prescription?

- If a choice of supplier is provided, please confirm the number of choices patients receive and the names and addresses of the NHS approved suppliers.

I am happy to receive the wig policy as it stands regardless of whether it covers all the aforementioned points.


Q1. Please list all contracts for clinical services awarded by the CCG since April 2013

In response to your request for information please see the link below:-

Q2. Please state the name of the service provider which was awarded each contract

Q3. Please state the value of each contract

http://www.barnsleyccg.nhs.uk/about-us/contracts.htm


I wish to submit a freedom of information request to the organisation with regards to their current recycling and waste support and maintenance contracts.

Examples of recycling contracts you could have:

Green Waste Disposal Household Waste Recycling Centres Refuse Recycling Street Cleaning Recycling Collection Services

Examples of waste management contracts you could have:

Waste Development Environmental Assessment Waste Transfer & MRF (Materials recovery facility) Waste Disposal Landfill Bulky Waste

For each of the types of contract above please can you send me :

1. Contract Type- From the examples given above please state what type of contract this is. Please state other and type of contract if the type of contract is not listed above. In some cases the organisation

The supplier of the recycling or waste contract Barnsley Metropolitan Borough Council Shred-It Ltd

3. What is the annual average spends for each of the suppliers. For those organisations with new contracts can you please specify the estimated spend? £104.00 £800.00

4. A brief description of what the contract entails. Please to specific to the services provided under these contract(s). Please provide me with a few sentences. Fortnightly collection of paper and cardboard Four weekly collection of confidential waste

5. What is the contract duration of the each of the contract(s)? Rolling Contract Rolling Contract

6. What is the start date of each contract(s)? 8th July 2013 July 2013

7. What is the expiry date of each contract(s)? n/a as it is a rolling contract n/a as it is a rolling contract

8. When does the organisation intend to review these contract(s) Vicky, can you please advise

http://www.barnsleyccg.nhs.uk/about-us/contracts.htm

will have one or two big contracts that is covered in a managed contract please state in the contract description what services the contract provides as well.

2. The supplier of the recycling or waste contract

3. What is the annual average spends for each of the suppliers. For those organisations with new contracts can you please specify the estimated spend?

4. A brief description of what the contract entails. Please to specific to the services provided under these contract(s). Please provide me with a few sentences.

5. What is the contract duration of the each of the contract(s)?

6. What is the start date of each contract(s)?

7. What is the expiry date of each contract(s)?

8. When does the organisation intend to review these contract(s)

9. Who is responsible for reviewing this contract please send me their full name, actual job title, contact number and their direct email address.

Even if the organisation has a managed contract please can you send me all the contract information I have requested including the

9. Who is responsible for reviewing this contract please send me their full name, actual job title, contact number and their direct email address - Vicky Peverelle, Chief of Corporate Affairs, 01226 433742, [email protected]


contact details.

If this contract has just been award within the last six months can you please send me information on the shortlist of suppliers that bid on the contract?


1. Who is the senior responsible person for interpreting and translation services?

2. Is Interpreting services contracted?3. Do you have an in-house interpreting model or outsourced

or use a combination of both4. Do you service interpreting bookings for any other public

sector organisations5. If the service is contracted, when did the contract commence

and when is it due to expire?6. Was the contract awarded after using an OJEU tendering

process or was the service accessed through a framework, if so which one?

7. Please provide a copy of the contract/framework call off minus any commercially sensitive information.

8. Total face to face interpreting spend in 20129. Total face to face interpreting spend in 201310.Total face to face interpreting spend in 201411.Total telephone interpreting spend in 201212.Total telephone interpreting spend in 201313.Total telephone interpreting spend in 201414.Number of face to face interpreting bookings 201215.Number of face to face interpreting bookings 2013

Please see the answers in red for questions 1 to 8. For questions 9 to 19 please see the activity / spend data that was sent to the CCG in relation to work around the deaf community and BSL Interpretation services. Please note that South West Yorkshire Partnership Foundation Trust is the Community and Mental Health provider that holds the contract on the CCG’s behalf and therefore have answered the questions as fully as possible.

1. Who is the senior responsible person for interpreting and translation services? – Interpreter services commissioned by Community and Mental Health provider, therefore there is no contract held by the CCG.

2. Is Interpreting services contracted? Yes, as per answer to 1.

3. Do you have an in-house interpreting model or outsourced or use a combination of both – it is contracted out on our behalf by the Community and Mental Health provider

4. Do you service interpreting bookings for any other public sector organisations - No

5. If the service is contracted, when did the contract commence and when is it due to expire? Contract is

16.Number of face to face interpreting bookings 201417.Number of telephone interpreting bookings 201218.Number of telephone interpreting bookings 201319.Number of telephone interpreting bookings 2014

between our Community and Mental Health services provider and the provider of the Interpreting Services

6. Was the contract awarded after using an OJEU tendering process or was the service accessed through a framework, if so which one? Not known – would need to ask the Community and Mental Health Services provider

7. Please provide a copy of the contract/framework call off minus any commercially sensitive information. As per answer to Q6

8. Total face to face interpreting spend in 2012 – For Q8 - Q19 Please see attached reports relating to activity / spend data – this is nor routinely provided to the CCG as we do not hold this contract but it was provided on a one-off basis in relation to a specific request that the CCG made

9. Total face to face interpreting spend in 201310.Total face to face interpreting spend in 201411.Total telephone interpreting spend in 201212.Total telephone interpreting spend in 201313.Total telephone interpreting spend in 201414.Number of face to face interpreting bookings 201215.Number of face to face interpreting bookings 201316.Number of face to face interpreting bookings 201417.Number of telephone interpreting bookings 201218.Number of telephone interpreting bookings 201319.Number of telephone interpreting bookings 2014

1. Further to the story in the Barnsley Chronicle recently, what is the CCG doing to ensure the continuing provision of GP services to Brierley


1. Further to the story in the Barnsley Chronicle recently, what is the CCG doing to ensure the continuing provision of GP services to Brierley and Shafton, and where will services be located?

2. Is the CCG implementing a new formula for the distribution of capitation funding to GP practices and how will this make provision for varying levels of deprivation and the needs of special population groups, eg homeless people?

3. We understand that the CCG has appointed a finance officer on £13,000 per year for 3 days work per month, equivalent to £140,000 per annum full-time. What is the purpose of this appointment and how can it be justified?

and Shafton, and where will services be located?

Barnsley CCG together with NHS England - North (Yorkshire and the Humber) is responsible for GP services at Brierley Medical Centre. The Sheffield Health and Social Care Foundation Trust is responsible for the delivery of GP services at Brierley Medical Centre and it employs the GPs and practice staff. The Trust’s contract for the Medical Centre will shortly come to an end but before the contract finishes we are planning to undertake a review of the services. We will do this so that prior to the contract ending, we can engage with and gain feedback from the patients to discuss the future of the services and consider the potential options available in the best interest of patients locally, taking into consideration the feedback they give us.

2. Is the CCG implementing a new formula for the distribution of capitation funding to GP practices and how will this make provision for varying levels of deprivation and the needs of special population groups, eg homeless people?

The CCG has no plans to implement a new formula for the distribution of capitation funding to GP practices. However, if any such future changes would be driven by national policy and would be implemented in accordance with

national guidance.

3. We understand that the CCG has appointed a finance officer on £13,000 per year for 3 days work per month, equivalent to £140,000 per annum full-time. What is the purpose of this appointment and how can it be justified?

The advertised post is for a lay member. The post holder will join the CCG Governing Body as a Lay Member to lead on Governance, and will be expected to act as Chair to a number of Board Committees, including Audit Committee and Remuneration and will also be a member of the Finance and Performance Committee. As background and context regarding the salary when originally recruiting Lay Members to the CCG a bench marking exercise was undertaken and circa £13,000 was the average salary for Lay Members in CCGs. The national guidance provided to CCG’s at the time suggested that CCG Governing Members should be recruited on Very Senior Managers pay, terms and conditions that were equivalent to Agenda for Change Band 9 (77,850 – £98,453) The Lay Member post works 24hrs per month which is O.16wte therefore the salary of £13,399.67 advertised is a gross whole time equivalent salary of £87,098 which is around midpoint of the band 9 range.

FOI 351 – received 27th July 2015

Re: GP out of hours (OOH) services:

1. Is your GP OOH service required or recommended to meet a minimum staffing level? No we commission service outcomes

2. If so, what is the requirement or recommendation? N/A3. Is this staffing level a contractual requirement? N/A4. On how many occasions per month for the past 6

1. Is your GP OOH service required or recommended to meet a minimum staffing level?

2. If so, what is the requirement or recommendation?3. Is this staffing level a contractual requirement?4. On how many occasions per month for the past 6 months has

your GP OOH provider failed to meet that minimum staffing requirement/recommendation?

5. Please detail for each occasion how far below the required/recommended staffing level the service was?

6. What sanctions have been applied to the GP OOH provider in the past 6 months due to failure to meet a minimum staffing level?

Note - if answering questions 3 or 4 falls under a section 12 time/cost limit exemption, please provide details for the last 2 months, or for the last 1 month.

months has your GP OOH provider failed to meet that minimum staffing requirement/recommendation? N/A

5. Please detail for each occasion how far below the required/recommended staffing level the service was? N/A

6. What sanctions have been applied to the GP OOH provider in the past 6 months due to failure to meet a minimum staffing level? N/A


The total amount spent by your organisation on non-medical / non-clinical interim staff (i.e staff that may work within contract management, human resources, IT, finance, procurement, business development, administration, et cetera)

I request this information for the financial years of 2013/14 and 2014/15

When responding, please confirm if the value given is

Total cost of Agency Staff - 2013-14 £'000

Full Cost Of Short-Term Contract and Agency Staff - Agency Admin & Clerical 120.24Full Cost Of Short-Term Contract and Agency Staff - Agency Nursing 0Full Cost Of Short-Term Contract and Agency Staff - Agency Pharmacy 10.46Full Cost Of Short-Term Contract and Agency Staff - Agency Interim Managers 0

130.7

inclusive of agency fees and VAT Total cost of Agency Staff - 2014-15 £'000

Full Cost Of Short-Term Contract and Agency Staff - Agency Admin & Clerical 126.8Full Cost Of Short-Term Contract and Agency Staff - Agency Nursing 78.3Full Cost Of Short-Term Contract and Agency Staff - Agency Pharmacy 106.7Full Cost Of Short-Term Contract and Agency Staff - Agency Interim Managers 153.0Full Cost Of Short-Term Contract and Agency Staff - Agency Specialist Contractors0.0

464.8

* - Inclusive of VAT / FeesFOI 353 – RECEIVED 28 July 2015

Under the Freedom of Information Act, please send me the latest version of NHS Barnsley CCG’s finance and activity plan for 2015-16.

All CCGs have been required to submit data to NHS England via this template: http://www.england.nhs.uk/wp-content/uploads/2014/12/2-ccg-act-finc-temp.xlsm

I am asking for the most recent version of this report.

Please send it in Excel format, rather than converting it into a pdf.

Section 22 – Information intended for future publication. NHS England have advised us that they anticipate that the requested information (information in aggregated report form) will be published on their website later this year. NHS England will not publish the template forms in their entirety but the majority of information contained will be represented in the summary reports which they intend to publish.

Section 43 - Commercial interests. The information which we have included in our plans, which we have submitted in confidence to NHS England, includes detailed finance and activity data. As such we consider the remaining information not planned for future publication by NHS England to be exempt under section 43 (commercial in

http://www.england.nhs.uk/wp-content/uploads/2014/12/2-ccg-act-finc-temp.xlsm

http://www.england.nhs.uk/wp-content/uploads/2014/12/2-ccg-act-finc-temp.xlsm

confidence). If this data were available to other provider organisations it could potentially affect our Providers’ commercial interests. In releasing the information to you as a requester under the Freedom of Information Act 2000, we would be agreeing its release into the public domain and by doing so make it available to local provider organisations. We therefore consider this information to be exempt under Section 43 of the Freedom of Information Act 2000 as information which, if released, would be likely to prejudice the financial interests of the CCG in commissioning services effectively and efficiently. Section 43 is a qualified exemption which is subject to the public interest test. We consider that the public interest is served by the publication of the Financial Plan on the NHS England website


Under the Freedom of Information Act, please send me details of:

All initiatives in NHS Barnsley CCG’s 2015-16 QIPP plan which are intended to produce a reduction in acute emergency activity.

Please include the projected net savings attached to these initiatives.

Barnsley CCG is actively working with partner organisations through the Health and Wellbeing Board to deliver a reduction in Emergency Activity through a number of schemes as detailed in the Better Care Fund Plan for Barnsley. A link is available to the Better Care Fund plan as follows: https://www2.barnsley.gov.uk/media/3522971/bcf_barnsley_part_2_20140919_-_final.pdf

For the scheme identified as reducing Emergency Activity, the figures quoted are gross savings. It is expected that savings generated are reinvested in services in line with the strategic goals of partner organisations. Each of the schemes list

https://www2.barnsley.gov.uk/media/3522971/bcf_barnsley_part_2_20140919_-_final.pdf

https://www2.barnsley.gov.uk/media/3522971/bcf_barnsley_part_2_20140919_-_final.pdf

contribute to QIPP.


The NHS Constitution says you have the right to access certain services commissioned by NHS bodies within maximum waiting times. Where this is not possible and you ask for this, the NHS will take all reasonable steps to offer you a range of suitable alternative providers.

Who makes the decision on which alternative providers you use? And what is the criteria?

The NHS Constitution sets out a number of waiting time standards for referral to treatment. Clinical Commissioning Groups commission services and activity from NHS hospital and community services providers to ensure these standards are met. Performance is then managed through contract management and monitoring. If there were to be any issues with providers meeting these waiting times standards then commissioners would look to commission additional activity from alternative providers. Barnsley Clinical Commissioning Group contracts with a number of hospital and community services providers for Barnsley patients and currently the waiting time standards are being met.

From a patient perspective, when a referral is being made for treatment, the patient has a choice of provider through the choose and book system which enables the patient to consider potential waiting times and choose from the available providers, where they want their initial appointment and treatment to take place.


Can I ask what the CCG position is regarding the funding of Xiapex in the treatment of Dupytrens please?

Xiapex has been given a Provisional Red classification by our Area prescribing committee.

This means it can only be prescribed by a specialist and not by GP practices.

If specialists wish to prescribe it then the NHS Trusts or organisation which they work for would need to fund the treatment or apply to the CCCG for funding on an individual Patient basis.

I do not know what decision NHS specialist commissioning has made regarding this treatment.


Does your CCG commission domiciliary care?

How many patients do you provide health funded domiciliary care for?

How many hours per week are commissioned? How many service users / patients do you care for under

this agreement?

What is the average hourly rate of services provided? Do you provide simple homecare or complex clinical care

in the community? What is the name of the person who is responsible for

Does your CCG commission domiciliary care? Services commissioned by Barnsley Metropolitan Borough Council (BMBC)

How many patients do you provide health funded domiciliary care for? As of 04/08/15 - CHC Fully Funded - 53, Fast Track Fully Funded 48.

How many hours per week are commissioned? Accurate number of hours not available due to how packages are recorded on the system. Not all packages are entered with the number of hours as some packages are agreed with a weekly amount.

commissioning these services? Could you please confirm the population base for this CCG area?

How many service users / patients do you care for under this agreement? Same as point 2.

What is the average hourly rate of services provided? BMBC Framework rate between £11.00 and £14.00

Do you provide simple homecare or complex clinical care in the community? - Both

What is the name of the person who is responsible for commissioning these services?- Barnsley Metropolitan Borough Council.

Could you please confirm the population base for this CCG area? 283,745


1. Contact details for the Procurement Officer/Medicines Management Pharmacist responsible for medical supplies relating to Diabetes (Blood glucose meters and Insulin pen needles)

2. Current Standardisation guidelines for Blood glucose meters.

1. Contact details for the Procurement Officer/Medicines Management Pharmacist responsible for medical supplies relating to Diabetes (Blood glucose meters and Insulin pen needles)Chris Lawson, Head of Medicines Optimisation, 01226 433669

2. Current Standardisation guidelines for Blood glucose meters.Please see page 45 on the following link:-

http://www.barnsleyccg.nhs.uk/CCG%20Downloads/Members/Medicines%20management/Prescribing%20Guidelines/Barnsley%20Diabetes%20Guidelines%20-%20April%202014.pdf







a) Does the CCG currently operate any schemes for GPs which include a ‘maximum number of referrals’ as a target?(Please list all relevant, including schemes to be implemented in the next year)

a. Which procedures does this scheme target?(Please list all relevant)

b. Are there any incentives or sanctions linked to achieving these targets? (Please give details. This could include a payment per patient for achieving targets, or loss of payments for exceeding them, but does not have to

c) Does the CCG currently operate any schemes for GPs which include a ‘maximum number of referrals’ as a target?(Please list all relevant, including schemes to be implemented in the next year)

Barnsley CCG does not currently operate any scheme for GPs which include a ‘maximum number of referrals’ as a target.

a. Which procedures does this scheme target? (Please list all relevant) not applicable.

b. Are there any incentives or sanctions linked to achieving these targets? (Please give details. This could include a

be financial)

b) Does the CCG have similar targets for prescribing, excluding schemes to switch from branded drugs to generics?(Please list all relevant, including schemes to be implemented in the next year)

a. Which conditions or medicines does this scheme target?(Please list all relevant)

b. Are there any incentives or sanctions linked to achieving these targets?(Please give details. This could include a payment per patient for achieving targets, or loss of payments for exceeding them, but does not have to be financial)

payment per patient for achieving targets, or loss of payments for exceeding them, but does not have to be financial) not applicable.

d) Does the CCG have similar targets for prescribing, excluding schemes to switch from branded drugs to generics?(Please list all relevant, including schemes to be implemented in the next year)

Antibiotic prescribing and antimicrobial stewardshipa. Which conditions or medicines does this

scheme target?(Please list all relevant)

MeasureReduced the percentage of cephalosporin, quinolone and co-amoxiclav prescribing from all antibiotics prescribed by 10% (July to December 2015** compared with July to December 2014) OR to below the England median value [11.3%]ANDReduced antibiotic prescribing (Items/STARPU) by 2% (July to December 2015** compared with July to December 2014) OR to below the CCG average target.** or July 2015 to latest month’s prescribing data available when the scheme is evaluated compared with the same period in the previous year

b. Are there any incentives or sanctions linked to achieving these targets?(Please give details. This could

include a payment per patient for achieving targets, or loss of payments for exceeding them, but does not have to be financial)

Target

≤11.3% (Items/ Items) [England median value]or 10% reduction in prescribing

AND ≤637.3 (Items/ STARPU) [CCG Average] or 2% reduction in prescribing


1. How many applications have you had for funding for high cost drugs for non-NICE indications in the last year?

2. How many of these applications were successful?

3. How much funding has been allocated to high costs drugs for non- NICE indications in the last year?

4. Please indicate the number of applications and funding in the last year for the specified indications below:

Indications Total Applications Successful Applications

Total Funding

Hidradenitis SuppurativaJuvenile Idiopathic ArthritisNon-Radiographic Axial

1. How many applications have you had for funding for high cost drugs for non-NICE indications in the last year? - 11

2. How many of these applications were successful? – 10 (1pending)

3. How much funding has been allocated to high costs drugs for non- NICE indications in the last year? – Barnsley CCG does not have access to the information as it is contained within overall drugs recharge from provider.

4. Please indicate the number of applications and funding in the last year for the specified indications below:

IndicationsTotal Applications Successful Applications Total

FundingHidradenitis Suppurativa 0 Unable to provide this as costs not always given by referring cliniciansJuvenile Idiopathic Arthritis0

SpondyloarthritisUlcerative Colitis

Non-Radiographic Axial Spondyloarthritis 0Ulcerative Colitis 0


What is the population size covered by your community continence service provider?

2. Please provide a copy of your community provider continence service specification.

3. Does your provide incontinence pads to patients, or do they assess patients and advise which products the patient needs to purchase?

4. If your provider does provide incontinence pads, is there a limit to how many they are prescribed? If so how many are they allocated?

5. How many weeks supply of pads do patients get at a time?

6. What is the average number of pads prescribed to each patient per day?

7. How often are patient’s continence requirements reviewed?

8. How many pads does your provider prescribe a year, for the last full year of data that is available.

9. What is the average daily cost of a patient within the continence service?

10. Please confirm the percentage of the continence patient case

The CCG’s Community Continence Service is provided by South West Yorkshire Partnerships NHS Foundation Trust. I have attached a copy of the specification that the CCG holds. All other specific questions relating to the specification will need to be re-directed to South West Yorkshire Partnership. http://www.southwestyorkshire.nhs.uk/about-us/corporate-information/freedom-of-information/

http://www.southwestyorkshire.nhs.uk/about-us/corporate-information/freedom-of-information/

http://www.southwestyorkshire.nhs.uk/about-us/corporate-information/freedom-of-information/

load that are prescribed pads due to mobility issues rather than incontinence?

11. Do you provide products for CHC patients in nursing homes, or would this be included in their CHC package of care?

12. Could you please share any prices of products that you may have available?

13. What is the overall cost of your community continence service for the last year available? Please then split this into the amount spent on products, and the amount spent on service delivery.

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