NHS Kernow - Disclosure Log Freedom of Information Requests October 2017

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Contents Children’s Health ........................................................................................................ 3

FOI 63560 Equipment Budget ................................................................................ 3

Continuing Healthcare ................................................................................................ 4

FOI 63520 Personal Health Budgets ...................................................................... 4

FOI 63160 Dementia .............................................................................................. 4

Contracts .................................................................................................................... 5

FOI 63390 APMS.................................................................................................... 5

FOI 63200 Medication - Prostate Cancer ............................................................... 5

FOI 63060 Non-Emergency Patient Transport ....................................................... 5

FOI 63500 Non-Emergency Patient Transport ....................................................... 6

Finance and Budgets ................................................................................................. 8

FOI 63190 VAT ....................................................................................................... 8

Long Term Conditions .............................................................................................. 11

FOI 63490 Chronic Migraine ................................................................................. 11

FOI 63330 Autism ................................................................................................. 11

Mental Health and Learning Disabilities ................................................................... 12

FOI 63070 Access to Services ............................................................................. 12

Organisation ............................................................................................................. 15

FOI 63450 Sexual Harassment ............................................................................ 15

FOI 63050 Mobile Security ................................................................................... 16

FOI 63590 General Practice Forward View .......................................................... 17

Prescribing and Pharmacies .................................................................................... 17

FOI 63170 Formulary ............................................................................................ 17

Women's Health ....................................................................................................... 18

FOI 63180 Cervical Screening .............................................................................. 18

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All appendices for this disclosure log are available upon request by emailing KCCG.FOI@nhs.net with the appropriate FOI reference below.

Children’s Health

FOI 63560 Equipment Budget

I would like to submit a Freedom of Information Requests regarding the working papers (note, minutes and agendas) of the following two Kernow CCG working groups from their inception or any activities from January 2015 onwards:

Kernow Non-Emergency Patient Transport Project Delivery Group A. Please see attached as requested.

Non-Emergency Patient Transport Project Steering Group A. Please see attached as requested.

2. In particular, I note that they intended to contact relevant patient groups about the NEPTS Engagement and consultation that was conducted between December 2016 and February 2017. Could you provide a list of the patient organisations actually contacted and those that replied and were involved in the exercise? A. The consultation itself included the following stakeholders:

MPs

Cornwall and IoS Cancer Patient and Carer Group RCHT

All PPGs (Torpoint PPG specifically engaged)

Scrutiny Committees Cornwall and IoS

Healthwatch Cornwall

Healthwatch IoS

Disability Cornwall and IoS

TravellerSpace

iSight Cornwall

Hearing Loss Cornwall

Cornwall Voluntary Sector Forum

Intercom Trust

Cornwall Rural Community Charity

Age Concern Cornwall

Leagues of Friends of community hospitals

Renal patients at the RCHT dialysis unit Any specific responses from those groups were added to the NEPTS engagement report which can be found on the NHS Kernow website: https://www.kernowccg.nhs.uk/your-health/patient-transport/ 3. Could you also confirm who the authors of the NEPTS Engagement report were? A. NHS Kernow does not release the name of employees below director level. The director with responsibility for this area of work is Gordon Frame.

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4. Finally, could you disclose any interim reports or discussions between these groups and either the Finance Committee or the Governing Body, together with any relevant committee papers, when the activities of these groups were acknowledged or discussed. A. There were reports submitted to the Finance Committee but these went to the part 2 private sections due to commercial confidentiality. The report sent to Quality and Performance Committee was sent to Part 2 private section due to purdah. Attached is the frontispiece. The Quality and Performance Committee reported to the June meeting of the Governing Body, the ratification of the NHS funded patient transport Policy. These papers can be found on the NHS Kernow website: https://www.kernowccg.nhs.uk/3203

Continuing Healthcare

FOI 63520 Personal Health Budgets In relation to the current financial year (17/18) could you please provide me with information relating to the first 20 occasions in which you sanctioned the use of a patient’s Personal Health Budget (PHB) to be spent on something that was NOT for the provision of care, medicine, or transport to a place where care or medicine was provided. For each of these 20 occasions please state (i) what the money was spent on and (ii) how much money was spent on it and (iii) what was the outcome the patient was working towards as a result of this spend?

A. NHS Kernow does not store this type on information in a format to produce this information. Each support plan is developed in order to provide the optimum health outcomes. If activities such as horse riding, hydrotherapy are identified within the support care plan as conducive to the health outcomes then these will be paid for via PHB.

How many PHBs for individual patients were in operation in the 2016/17 financial year and what was the total cost of them?

A. Across NHS Kernow PHBs for 74 patients were in operation for the financial year 2016/17 at a total cost of £1,849,557.89

FOI 63160 Dementia

1. Under the Freedom of Information Act, I would like to know how many people in Cornwall have applied to be assessed for NHS funding who have dementia and how many with any form of dementia have received funding for the full cost of their care. Can you please include data for the past three years.

A. 938 people applied for assessment between Oct-14 and Sep-17.

670 received funding for their full cost of care between Oct-14 and Sep-17.

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Contracts

FOI 63390 APMS 1. What is the total number of APMS contracts held by the CCG? 2. What is the Date of renewal against each APMS contract? 3. When will tender processes begin for each APMS contract? 4. What is the value and value calculation for any APMS contract? A. The information requested above can be found on our website, we therefore exempt the release of this information under section 21 of the Freedom of Information Act, Information Accessible by other means. 5. Are you partnered with a GP federation? A. NHS Kernow has no formal partnership with a GP federation.

FOI 63200 Medication - Prostate Cancer 1.) Do you currently have any enhanced (non GMS or PMS) service contracts involving prostate cancer and/or Leuteinising Hormone-Releasing Hormone Analogue (LHRHa) administration with GP practices? A. No, NHS Kernow does not have any enhanced services or payments contracts with GP practices for LHRH analogues. Questions 2-6 Are not applicable as there is no enhanced services or payment contract.

FOI 63060 Non-Emergency Patient Transport 1. I would like to submit a Freedom of Information Requests regarding the working papers (note, minutes and agendas) of the following two Kernow CCG working groups from their inception or any activities from January 2015 onwards:

Kernow Non-Emergency Patient Transport Project Delivery Group A. Please see attached as requested.

Non-Emergency Patient Transport Project Steering Group A. Please see attached as requested.

2. In particular, I note that they intended to contact relevant patient groups about the NEPTS Engagement and consultation that was conducted between December 2016 and February 2017. Could you provide a list of the patient organisations actually contacted and those that replied and were involved in the exercise? A. The consultation itself included the following stakeholders:

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MPs

Cornwall and IoS Cancer Patient and Carer Group RCHT

All PPGs (Torpoint PPG specifically engaged)

Scrutiny Committees Cornwall and IoS

Healthwatch Cornwall

Healthwatch IoS

Disability Cornwall and IoS

TravellerSpace

iSight Cornwall

Hearing Loss Cornwall

Cornwall Voluntary Sector Forum

Intercom Trust

Cornwall Rural Community Charity

Age Concern Cornwall

Leagues of Friends of community hospitals

Renal patients at the RCHT dialysis unit

Any specific responses from those groups were added to the NEPTS engagement report which can be found on the NHS Kernow website: https://www.kernowccg.nhs.uk/your-health/patient-transport/ 3. Could you also confirm who the authors of the NEPTS Engagement report were? A. NHS Kernow does not release the name of employees below director level. The director with responsibility for this area of work is Gordon Frame. 4. Finally, could you disclose any interim reports or discussions between these groups and either the Finance Committee or the Governing Body, together with any relevant committee papers, when the activities of these groups were acknowledged or discussed. A. There were reports submitted to the Finance Committee but these went to the part 2 private sections due to commercial confidentiality. The report sent to Quality and Performance Committee was sent to Part 2 private section due to purdah. Attached is the frontispiece. The Quality and Performance Committee reported to the June meeting of the Governing Body, the ratification of the NHS funded patient transport Policy. These papers can be found on the NHS Kernow website: https://www.kernowccg.nhs.uk/3203

FOI 63500 Non-Emergency Patient Transport 1. Which company(s) holds the contract to supply your current patient transport services? A. This information is available on our website; https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-it/ 2. Please state the full name of your CCG

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A. NHS Kernow Clinical Commissioning Group 3. Please state is this service was procured through a framework agreement with other CCGs/NHS Trusts (is so please provide the names of the other CCGs/NHS Trusts) A. NHS Kernow hold the contract for non-emergency patient transport services, the service was not procured through a framework 4. Please state the contract start date and end date of your current transport services A. This information is available on our website; https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-it/ 5. What is the expected value of this contract? A. This information is available on our website; https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-it/ 6. What is your annual budget for patient transport services? A. NHS Kernow’s budget for non-emergency patient transport for 2017/19 is £3,339,430 7. Are there provisions for contract extensions (including how many years and the extension terms). If yes, please state if the contract extension been awarded A. NHS Kernow has provisions for a contract extension of up to two years. A 12 months contract extension has been granted. 8. Please state the names of the organisations who bid for the contract A. The procurement of the non-emergency patient care contract was managed by the Primary Care Trust, for legacy information please contact the Department of Health’s legacy team to request this information: reviews&information@dh.gsi.gov.uk 9. How many patients are transported annually by your patient transport providers, and how many journeys are undertaken? A. For non-emergency patient transport 35,000 journeys are undertaken annually. We do not hold information on how many patients are included in the number of journeys 10. What would the procurement model be for future contracts? E.g. will the contract be procured jointly with another CCG? A. NHS Kernow will procure future contracts alone 11. What are the performance standards the current service provider(s) operate under? (e.g. Discharge - 90% of patients to be collected in 4 hours of ready time. Categories for performance usually being Discharge from inpatient, Travel Time, Arrival time & Departure time) 12. What is the current provider’s performance against these standards in the last 12 months? (e.g. Discharge – 70% of have patients have been collected in 4 hours of ready time)

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A.

Key Performance Indicator Target Sep-17

Service users to arrive at ultimate destination prior appt. time 95% Actual 83.42%

Trajectory 76%

Renal patients to arrive at ultimate destination up to 30 minutes prior to apt time

95% Actual 64.73%

Trajectory 60%

Service users to be collected at their agreed discharge/ready time up to 60 minutes after their identified ready time

95% Actual 80.31%

Trajectory 68%

Renal patients to be collected at their agreed discharge/ready time up to 30 minutes after their identified ready time

95% Actual 80.00%

Trajectory 60%

Service users to arrive at ultimate destination up to 45 minutes prior to appt. time

90% Actual 69.32%

Trajectory 68%

Service users to be collected at their agreed discharge/ready time up to 45 minutes after their identified ready time

90% Actual 74.47%

Trajectory 60%

Journeys for short notice bookings will take place within 120 minutes of booking time

95% Actual 61.94%

Trajectory 60%

Service users living over 10 and under 35 miles away from the treatment centre should not spend more than 90 minutes on the

vehicle on either an outward or return journey 95%

Actual 80.65%

Trajectory 85%

Service users living over 35 and less than 50 miles away from the treatment centre should not spend more than 120 minutes on the

vehicle on either an outward or return journey 95%

Actual 80.00%

Trajectory 80%

Service users to be delivered home or to their agreed destination within 10 minutes of “Time to Specific Home Visit”

95% Actual 40.00%

Trajectory 45%

Finance and Budgets

FOI 63190 VAT 1. Does the organisation use an external provider for VAT advisory services? If so please state the name of the organisation used? (E.g. Ernst Young, Berthold Bauer, Liaison, CRS, KPMG, RSM etc.)? A. Liaison

Please state the contract start and end date or review period. A. This information can be found on our website

https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-

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it/ we therefore exempt the release of this information under section 21 of the Freedom of Information Act; information accessible by other means.

Please confirm the total value of VAT recovered by the provider in 2016/17

A. £68,153

Please state the total amount spent by the organisation for these services in 2016/17

A. NHS Kernow is withholding this information under section 43 (2) of the Freedom of Information Act; Prejudice to commercial interests. To release this information ‘ would be likely to prejudice’ the commercial operation of NHS Kernow and not allow us to secure the best value for money in future contracts.

2. Did the organisation use an external provider to re-review VAT recovered in the last financial year (16/17)? If so please state the name of the company used. A. NHS Kernow did not use an external provider to re-review VAT recovered in the last financial year. 3. Please state the total number of Accounts Payable invoices processed by the organisation in the last financial year (16/17) A. The CCG publishes in its annual accounts its compliance with the Better Payment Practice Code which shows the volume of invoices processed in the financial year. We therefore exempt the release of this information under section 21 of the Freedom of Information Act; accessible by other means. https://www.kernowccg.nhs.uk/about-us/annual-report/ 4. Please state the total value of Accounts Payable invoices in the last financial year (16/17) A. The CCG publishes in its annual accounts its compliance with the Better Payment Practice Code which shows the total value of Accounts Payable invoices in the financial year. We therefore exempt the release of this information under section 21 of the Freedom of Information Act; accessible by other means. https://www.kernowccg.nhs.uk/about-us/annual-report/ 5. Which Finance system is used by NHS Kernow CCG (Oracle, Agresso, Sage, E-Financial, SAP etc.) A. NHS England requires all CCGs to use Oracle as their financial accounting package. 6. How many active suppliers are currently on the Supplier Masterfile? A. 2269 7. How many inactive suppliers are currently on the Supplier Masterfile? A. 363 8. Is 3rd party pre-payment software utilised by NHS Kernow CCG to prevent invoice payment errors from occurring?

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A. No, this is part of the standard software. 9. Since 2013, please state the name(s) of all external organisation(s) used to review AP and identify and recover erroneous payments, and the period(s) reviewed by each. A. The CCG takes part in the National Fraud Initiative (NFI).

Please state the total value of moneys recovered by each provider in the period(s) reviewed.

A. The 2014/15 exercise recovered £25,346.57, the 2016/17 is not yet completed.

Please state the total amount paid to any external parties/ total cost to of utilising these services, for this review work. A. £1000 paid to Audit Commission Dec 14 for NFI 14/15

£1000 paid to Cabinet Office in Mar 17 for NFI exercise 16/17 10. Do you use any external provider to ensure invoices correlate to the contract charges i.e. checking volume discounts have been applied (please state name)? A. No

What % fee or rates does the trust pay for this service? A. Not applicable

11. What is annual spend on agency staff during the last financial year – broken down by staffing category? A. 16/17: £604k (£38k A&C, £566k managers) 12. How many contracts are currently active at the CCG? A. This information can be found on our website https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-it/ we therefore exempt the release of this information under section 21 of the Freedom of Information Act; information accessible by other means. 13. What internal controls does NHS Kernow CCG have to prevent payment errors occurring (3 way matching, no PO no PAY, invoice scanning etc.) A. NHS Kernow uses 3 way matching, invoice scanning, duplicate invoice number check, scheme of delegation for invoice approval, manual invoice payment run authorisation to prevent payment errors. 14. Please provide a current CCG contact list/organisations structure for finance & procurement departments A. NHS Kernow does not release the names and contact details for employees below director level. The Director with responsibility for this area of work is Simon Bell who can be contacted on 01726 627800. 15. Does NHS Kernow CCG conduct supplier statement reconciliation exercises on any suppliers? A. Yes

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If so, what selection criteria is adhered to? A. Target complicated and material accounts, includes ones where issues been experienced before with invoicing/allocation problems/errors. The NHS routinely undertakes an agreement of balances exercise between NHS bodies.

Long Term Conditions

FOI 63490 Chronic Migraine

1.) Does your CCG commission services for chronic migraine? A. Yes, NHS Kernow does commission services for chronic migraine. 2.) If your CCG does commission chronic migraine services who are the providers commissioned to provide these services? A. NHS Kernow commissions Royal Cornwall Hospitals Trust, Plymouth Hospitals Trust, North Devon District Hospital and Royal Devon and Exeter Hospital.

FOI 63330 Autism 1. Names of all assessment centres to which adults in the CCG are referred for autism diagnostic assessments. Firstly, I would like the names of all centres to which adult patients under this CCG are referred for NHS assessment and diagnosis of autism (including both autism with intellectual disability and “high functioning” autism or Asperger Syndrome).

A. Patients living in Cornwall and the Isles of Scilly are referred to Outlook South West’s specialist diagnostic service. Where there is concurrent mental health condition, Cornwall Partnership Foundation Trust would be delivering interventions. This would also include individuals who might have a learning disability where reasonable adjustment could be made to support access to services. 2. Number of patients of each gender who were referred to each centre for an autism assessment – in last 5 years.

A. NHS Kernow does not hold the information you have requested, please contact Outlook South West http://www.outlooksw.co.uk/ and/or Cornwall Partnership Foundation Trust cpn-tr.freedomofinformation@nhs.net 3. Number of patients of each gender who received a diagnosis of any form of autism or autism spectrum disorder from each centre in last 5 years.

A. NHS Kernow does not hold the information you have requested, please contact Outlook South West http://www.outlooksw.co.uk/ and/or Cornwall Partnership Foundation Trust cpn-tr.freedomofinformation@nhs.net

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Mental Health and Learning Disabilities FOI 63070 Access to Services 1. What services do you commission Cornwall Foundation Trust to provide for people with Personality Disorders? A. NHS Kernow commission a specific Personality Disorder service from CFT. More details about the service can be found here: https://www.cornwallft.nhs.uk/services/community-mental-health-services/personality-disorder-service/ 2. How Many people with Personality Disorders access these services? A. NHS Kernow does not hold this information, please contact Cornwall Partnership Foundation Trust 3. How do you evaluate the success of your commissioning programme to enable planning for future commissioning? A. NHS Kernow monitor and evaluate the services it commissions from CFT through the analysis of a range of performance indicators as part of their main block contract. NHS Kernow hold monthly Integrated Assurance Meetings with CFT to ensure quality of service provision. 4. How many people in East Cornwall have a personality disorder diagnosis? A. NHS Kernow does not hold this information, please contact Cornwall Partnership Foundation Trust 5. Please could you give me the budget figures for east Cornwall provision for people with personality disorders in the last two years? A. NHS Kernow does not hold this information, please contact Cornwall Partnership Foundation Trust 6. How many patient/hours or therapy/hours are they expected to provide for people in East Cornwall with personality disorders in their contract? A. NHS Kernow do not commission by patient numbers/hours of therapy, nor by individual geographical area. 7. If you do not specifically commission services for people with Personality Disorders, but give CPFT a budget to use as they please, please provide total budget figures for east Cornwall provision in the last two years? A. N/A as NHS Kernow commission a specific Personality Disorders service 8. If you have no expectation regarding how many patient/hours or therapy/hours should be provided for people with personality disorders for the money you give, and are thus unable to answer Q4, please provide the figures for total patient/hours or therapy/hours that east Cornwall are expected to provide in their contract? A. NHS Kernow do not commission by patient numbers/hours of therapy, nor by individual geographical area.

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9. What services do you commission CFT to provide for people with PTSD? A. NHS Kernow do not commission a specific PTSD service, however, people with a PTSD diagnosis can access CFT services if considered appropriate for their assessed needs. 10. How many people with PTSD access these services? A. NHS Kernow does not hold this information, please contact Cornwall Partnership Foundation Trust 11. How do you monitor patient outcomes of your commissioned service? A. NHS Kernow monitor and evaluate the services it commissions from CFT through the analysis of a range of performance indicators as part of their main block contract. NHS Kernow hold monthly Integrated Assurance Meetings with CFT to ensure quality of service provision. 12. How many people in East Cornwall have a PTSD diagnosis? A. NHS Kernow does not hold this information, please contact Cornwall Partnership Foundation Trust 13. Please could you give me the budget figures for East Cornwall provision for people with PTSD in the last two years? A. NHS Kernow do not hold the information you request as we do not specify commissioning by geography 14. How many patient/hours or therapy/hours are they expected to provide for people in East Cornwall with PTSD in their contract? A. NHS Kernow do not commission by patient numbers/hours of therapy, nor by individual geographical area. 15. Please could you give me the budget figures for the Cornwall Personality Disorder Service? A. NHS Kernow do not hold the information you request as this service is part of a block contract with Cornwall Partnership Foundation Trust. 16. How many patient/hours or therapy are they expected to provide in their contract? A. NHS Kernow do not commission by patient numbers/hours of therapy, nor by individual geographical area. 17. How many patients access these services? A. NHS Kernow does not hold this information, please contact Cornwall Partnership Foundation Trust 18. How many patients in Cornwall have a personality disorder diagnosis? A. NHS Kernow does not hold this information, please contact Cornwall Partnership Foundation Trust 19. How many patients in Cornwall have a PTSD diagnosis? A. NHS Kernow does not hold this information, please contact Cornwall Partnership Foundation Trust

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20. What services, other than those provided by CFT do you commission for people with a PTSD diagnosis? A. NHS Kernow commission the following mental health services, of which people with a PTSD diagnosis can access if it is considered appropriate for their assessed need:

IAPT – Outlook South West

Vocational Support – Pentreath

Enablement Project – Pentreath/Penta Health & Wellbeing

Community Development Workers – Pentreath

Sanctuary House – Re-gain 21. How many patients access these services? A. NHS Kernow does not hold this information, please contact each individual organisation 22. How many people with personality disorders have had a personal health budget from April 2017 to today’s date? A. Less than 5 23. Did they receive direct payments or notional budgets? A. Direct Payments 24. What are the criteria for applying for a personal health budget from April 2017 to today’s date? A. The funding is agreed by the CCG Independent Funding Request Process, a PHB allows the flexibility with care plan to be patient centred 25. How many people with PTSD have had a personal health budget from April 2017 to today’s date? A. Less than 5 26. Did they receive direct payments or notional budgets? A. Direct Payments 27. What are the criteria for applying for a personal health budget if you have a PTSD? A. The funding had been agreed by the CCG Independent Funding Request Process, a PHB allowed the flexibility to develop a patient centred/ patient directed care plan. 28. What are the criteria for someone with a PTSD and personality disorder to access a personal health budget? A. See above 29. How many people with any long term mental health condition had a personal health budget from April 2017 to today’s date? A. Those who are eligible for CHC are 6, for patients funded by other means we do not differentiate between physical and mental health conditions.

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30. What are the criteria for deciding how much you can expect to receive for a personal health budget to enable you to access treatment to improve your mental health? A. If the patients are eligible for CHC then the Manchester Tool is used to provide an indicative budget, if not then the needs are individually assessed and an appropriate budget is agreed using market costs to direct cost of a service.

Organisation

FOI 63450 Sexual Harassment

1. How many allegations of a) sexual assault and b) sexual harassment has your organisation received against GPs or CCG employees in each of the past four years? A. NHS Kernow does not hold the data requested for GPs, please contact NHS England, which commissions GP services: email england.contactus@nhs.net The following answers apply only to staff employed by NHS Kernow. Fewer than five allegations were made. If the number is very low (fewer than 5) the information cannot be disclosed as it could potentially identify the individuals involved, especially if combined with other data, this would constitute a breach of the Data Protection Act 1998. Therefore, this information is exempt from disclosure under section 40(2) of the Freedom of Information Act 2000 on the grounds that it is personal information. 2. In how many of the cases were any of the alleged victims aged 18 or under at the time of the alleged offence? A. None 3. In how many of the cases were any of the alleged victims current or former patients? A. None 4. For each case, did it lead to i) internal disciplinary proceedings, ii) external disciplinary proceedings (i.e. through a regulator) and/or iii) a financial settlement. A. No 5. For each case, please provide a broad description of the allegations involved, including the number of alleged victims / alleged perpetrators; their age (within a 10-year band); the date of the alleged offence and whether the alleged perpetrator occupied a managerial position. A. Fewer than five. If the number is very low (fewer than 5) the information cannot be disclosed as it could potentially identify the individuals involved, especially if combined with other data, this would constitute a breach of the Data Protection Act 1998. Therefore, this information is exempt from disclosure under section 40(2) of the Freedom of Information Act 2000 on the grounds that it is personal information.

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6. For each case, please list the gender of the alleged perpetrator and the alleged victim. Alternatively, provide totals for the genders of the alleged perpetrators and alleged victims across all of your cases A. Fewer than five. If the number is very low (fewer than 5) the information cannot be disclosed as it could potentially identify the individuals involved, especially if combined with other data, this would constitute a breach of the Data Protection Act 1998. Therefore, this information is exempt from disclosure under section 40(2) of the Freedom of Information Act 2000 on the grounds that it is personal information. 7. For each case which was dealt with by disciplinary proceedings, how many alleged offenders were i) fired; ii) suspended, iii) received written or verbal warnings. i) All cases were investigated and no formal disciplinary proceeding was required ii) All cases were investigated and no formal disciplinary proceeding was required iii) All cases were investigated and no formal disciplinary proceeding was required 8. Please provide the value of any financial settlement in each case. A. Not applicable. 9. Did any settlements (financial or otherwise) include clauses placing any restriction on the ability of the alleged victim to discuss the events involved? If so, how many? A. Not applicable.

FOI 63050 Mobile Security 1. I am carrying out some research relating to the level of security currently used by NHS organisations on mobile device estates (i.e. smart phone devices, tablet devices, but not laptop devices). Please could I ask you to respond to this Freedom of Information request on behalf of your organisation?

A. Please see attached response as requested. 1

1 All appendices for this disclosure log are available upon request by emailing KCCG.FOI@nhs.net with

the appropriate FOI reference.

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FOI 63590 General Practice Forward View The General Practice Forward View set out that CCGs should provide £171 million of practice transformational support to general practice. This investment is designed to be used to stimulate development of at scale providers for improved access, stimulate implementation of the 10 high impact actions to free up GP time, and secure sustainability of general practice. As set out in the NHS Operating Planning and Contracting Guidance 2017-2019, CCGs will need to find this funding from within NHS England allocations for CCG core services. CCGs should plan to spend £3 per head as a one-off non-recurrent investment commencing in 2017/18. This could for example be £3 split between 2017/18 and 2018/19 (e.g. £1.50 in 2017/18 and £1.50 in 2018/19) or £3 in one of these years (i.e. either £3 in 2017/18 or £3 in 2018/19). 1. Has the CCG budgeted to provide full transformational funding to general practice by the end of 2018/19? A. NHS Kernow has budgeted to provide full transformational funding to general practice by the end of 2018/19

2. If so, how much of this transformational funding is the CCG planning on providing to general practice: a. Per head for 2017/18? - £1.50 per head for 2017/18

b. In total for 2017/18? - £848,000 in total for 2017/18 c. Per head for 2018/19? - £1.50 per head for 2018/19 d. In total for 2018/19? - £848,000 in total for 2018/19 3. If the CCG cannot provide the full transformational funding by the end of 2018/19, what is the main reason this?

A. Not Applicable

Prescribing and Pharmacies FOI 63170 Formulary

1. Does the CCG have a formulary for Blood Glucose Test Strips and Lancets If so please can you provide the formulary/s or link to the formulary/s

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A. Yes NHS Kernow does have a formulary for Blood Glucose Test strips and lancets. The link to this is: www.eclipsesolutions.org/Cornwall 2. Does the CCG have a formulary for Insulin Pen Needles. If so please can you provide the formulary/s or link to the formulary/s A. Yes NHS Kernow does have a formulary for Blood Glucose Test strips and lancets. The link to this is: www.eclipsesolutions.org/Cornwall 3. Is the CCG supported by CSU guidance, APC guidelines or regional or speciality guidance when forming the above formularies for BGTS, Lancets and Pen Needles A. NHS Kernow is supported by specialty guidance when forming formularies. 4. Please advise the responsible Medicines Optimisation contact for the above formularies and their contact details A. NHS Kernow does not release the contact details of staff below director level. The director responsible for prescribing is Andrew Abbot who can be contacted on 01726 627800. 5. Please advise the dates when the above Formularies were last reviewed and when they are set for next review. A. The formulary review is ongoing and all the documents on the formulary have a review date which can be found on the formulary www.eclipsesolutions.org/Cornwall. We therefore exempt the release of this information under section 21 of the Freedom of information act, Information Accessible by other means.

Women's Health FOI 63180 Cervical Screening 1. What activities has Kernow CCG undertaken to promote cervical screening and increase uptake over the last year (August 2016 - August 2017)? We are looking for an outline of any activities that the CCG has been involved in or led, for example, mapping the area using PHE data to target resources in increasing uptake among certain groups; using PHE’s interactive screening coverage tool to investigate screening coverage for their practices; working directly with GP surgeries to raise awareness of screening; and using quality schemes, such as locally enhanced services, to improve screening coverage. We do not need any documentation, but would be grateful for as high level of detail as you are able to give b. What were the outcomes of those activities? For example, greater awareness, increased screening coverage.

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c. Have local targets been set to improve cervical screening level? i. Yes / no ii. If yes, please give details d. Does your CCG have a budget to encourage uptake of cervical screening? i. Yes / no ii. If yes, please give details 2. Are you aware of the report published by Jo’s Cervical Cancer Trust in January 2017, ‘Cervical Screening in the Spotlight: an audit of activities undertaken by local authorities and clinical commissioning groups to increase cervical screening coverage in England’? i. yes/no b. If yes, have any additional activities to improve cervical screening coverage been undertaken or planned as a result of the ‘Cervical Screening in the Spotlight’ report? i. Yes / No If yes, can you outline what? 3. Has your team accessed cervical screening programme coverage statistics (management information) in the GP data hub on NHS digital i. Yes – if so, how have they used them? ii. No – why not? A. NHS Kernow does not hold the information you have requested. Please contact the Public Health team at Cornwall Council who have responsibility for promoting the take up of cervical screening. https://www.cornwall.gov.uk/council-and-democracy/data-protection-and-freedom-of-information/freedom-of-information-advice/freedom-of-information-foi-online-request-form/