June 2010 Disclosure Log

2) Was the payment made before or after surgery?
(How was the whole monetary side co-ordinated with Dr. Guichet, as  Dr. Guichet usually requires payment 15 days before commencement of surgery).

Please see answer to question 1.

3) Can Dr. Thallon give me the name of anyone that I or someone from my PCT can speak to at the Department of Health Overseas Section?

You or your PCT can contact Department of Health Overseas Healthcare Team on 0191 218 1999. 

4) Can Dr. Thallon give me any guidance with regards to how I can obtain approval from my local PCT for my operation in Marseille?

The Department of Health issued revised guidance for the NHS in April 2010 with regard to handling requests from patients for treatment in countries of the European Economic Area. The guidance covers issues relating to prior authorisation under either E112, run by central government, and what was called the Article 49 Route (now Article 56) which is run by PCTs.  This legislation comes in to effect 1st June 2010, and PCTs are required to establish and publish procedures for determining applications for prior authorisation for treatment under either E112 or Article 56.  Please contact your PCT for this revised guidance.
Your consultant must seek approval from your local PCT on your behalf by applying for funding for treatment abroad under the latest Department of Health revised guidance.  This may be handled through their Individual Funding Request route or another route used for Cross Border or Overseas Healthcare.
You will find guidance from NHS Choices as follows:  http://www.nhs.uk/Pages/HomePage.aspx|  

You will find guidance from the Department of Health as follows:  http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_115256|  

Please note, Individual funding cases do not set precedent for this or any other PCT.
Mr Guichet can provide details directly to your PCT regarding which portions of his treatment will be private and therefore funded through the Article 56 route.

How many former NHS campus residents have subsequently received assessment or treatment in a private hospital?

None

How long (in days) has each former campus resident spent receiving assessment or treatment in a private hospital (please list)?

None

What was the cost of the NHS campuses in your area before the move and the cost of services in the community for these people now they have moved out of NHS campuses?

£8,427,074 – before transfer
£10.092,014 – after transfer

2)The amount of funding that has been made available by the PCT to aid implementation of the HTM01-05 cross infection regulations for dental surgeries.

Funding for implementation of HTM01-05 cross infection regulations is the responsibility of the dental surgery.  Therefore the PCT provides no funding.

3) How the funding has been used e.g. washer disinfectors, capital investment for structural changes to the buliding, funding for loss of earnings due to surgery closure etc

Please see answer to question 2.

4)How much funding the PCT provided for loss of earnings due to snow closure of dental surgeries in the tax year 2009-2010.

This is not the responsibility of the PCT and therefore no funding is provided.

5)How much funding the PCT provided for defibrillators in the tax years 2007-2008, 2008-2009 and 2009-2010.

Costs for defibrillators would be met by individual dental surgeries.

- Estates Strategy document (These may also be known as Commissioner Investment and Asset Management Strategy)

The Strategic Services Development Plan went to the Public Board Meeting of March 2008.  The link below is the papers of the meeting, please look under item 10.

http://www.westkentpct.nhs.uk/NetsiteCMS/pageid/152/index.html|

 
The information we are disclosing is copyrighted to NHS West Kent and as such is subject to the restrictions imposed by Copyright Legislation. Any re-use for commercial purposes is subject to the Re-use of Public Sector Information Regulations. Individual and specific permission must be sought for any such re-use which may or may not be allowed and for which a fee may be payable. If you wish to re-use this information for any commercial purpose or applications you must contact Janet McCartney, Corporate Services Manager on 01732 375296 and obtain written authority for such use prior to using the information. Breaches of the Regulations on the re-use of Public Sector Information will be taken extremely seriously by NHS West Kent.

3.  How much did your organisation spend in total on management consultancy in the financial year 2009-2010?

£947,302

4.  Of this total, how much was spent on management consultants in connection with the preparation of World Class Commissioning panel presentations?

Nil

5.  How much did your organisation spent so far on management consultancy in the financial year 2010-2011?

£162,114 – spend so far April – May 2010

6.  How much of this was spent on management consultants in connection with the preparation of World Class Commissioning panel presentations?

Nil

This information can be accessed via the Office for National Statistics using the weblink below.

http://www.neighbourhood.statistics.gov.uk/dissemination/instanceSelection.do?JSAllowed=true&Function=&%24ph=60_61&CurrentPageId=61&step=2&datasetFamilyId=1730&instanceSelection=120435&Next.x=8&Next.y=10|

2.  Number of surgeries [in orthopaedics] carried out in total, hospital specific and what surgeries these were i.e. Rotator Cuff, Shoulder Stabilisation,  ACL reconstruction and Meniscal repair.

Please contact the hospitals direct to obtain this information.

3.  Latest annual reports

Please find below a link to the webpage that the latest Annual Report can be found.

http://www.westkentpct.nhs.uk/The_Board/Annual_General_Meeting_2009/index.html|

4.  Number of staff [consultants and nurses] on the various orthopaedic wards.

NHS West Kent does not record this information, please contact the hospitals direct.

5.  Information on planned new builds.

There are no new plans for new buildings to be constructed for West Kent Community Services. The major PFI development at Pembury for the Maidstone and Tunbridge Wells Trust will open next year and is the first 100% single bed development of its kind.

2. Duration of the Contract

Please see answer to question 1.

3. Total value of the Contract

Please see answer to question 1.

4. Who within the Trust is the procurement leader for that specific contract? (Please can you provide me with their full name, job title, direct numbers and email addresses?)

Please see answer to question 1.

5. Who is the current supplier for this specific contract?

Please see answer to question 1.

6. Do you use framework agreements to purchase or lease? If so which?

We did not use a framework agreement to purchase these machines.

2. A list of companies used for assisting in the PCT’s ‘QIPP’ activities.

No companies have been used by NHS West Kent for the QIPP initiative.

The total value of personal expenses in connection with work reimbursed to those staff in that period.

£1.08 million

The length of that time period. This can be chosen to make it easy to get data. Ideally it should be a quarter or a year, since a month data may be atypical

One year

The start of that period.

1st April 2009

A  breakdown of the total expense by sub category e.g. travel, subsistence, stationery, miscellaneous.  But, any alternative  breakdown would be acceptable

Business mileage  £896,299.45
Lease car mileage £47,866.10
Mortorcycle mileage £237.70
Public transport rate £26,007.20
Candidate interview expenses £101.76
Course expenses and fees £3,992.93
Excess travel £33,700.91
Expenses £89.54
Miscellaneous travel £49,223.64
Parking costs £22,403.32
Passenger allowance £3,373.03
Subsistence payments £5,634.36

Does your organisation provide a credit or charge card for paying expenses.

Yes

Which range of job roles are able to use an organisation credit or charge card for paying expenses.

Personal Assistants
Assistant Directors
Directors
Admin to Corporate Services Team

The standard method used for claiming expenses.  Hard copy form – please give reference, on-line system, credit card account, other.

Travel and subsistence claim form.

How expenses are paid back to staff – e.g. wire to bank account, by cheque, other.

Included in salary and paid into bank account.

The frequency of reimbursement – e.g. monthly, quarterly, other.

Monthly

Any information relating to the above questions specific to your organisation that should be noted before comparing your data with that from equivalent organisations.

2. How many cases of bronchitis or COPD have there been within your authority?

This information is already in the public domain for every PCT and SHA in England.  Users need to click on the links for each year and then follow links to 'Data tables' and 'PCT Prevalence'.
 
Published Quality of Outcomes Framework (QoF) prevalence on Information Centre for Health and Social Care website between 2004/05 and 2008/09:

http://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/the-quality-and-outcomes-framework|

3. How many cases of cancer has there been under your authority?

This information is already in the public domain for every PCT, Local Authority and SHA in England and Wales from the National Centre for Health Outcomes development website (www.nchod.nhs.uk).  As it is less easy to provide direct links, the key stats requested have been provided below:

The number of cancer registrations [all cancers excluding skin cancers other than malignant melanoma (ICD-10 C00-C97 exc C44] in the NHS West Kent resident population in the respective calendar years:
 
2002 - 2,759
2003 - 2,902
2004 - 2,990
2005 - 2,851
2006 - 2,931

4. How many deaths have there been from cancer within your authority?

This information is already in the public domain for every PCT, Local Authority and SHA in England and Wales from the National Centre for Health Outcomes development website (www.nchod.nhs.uk).  As it is less easy to provide direct links, the key stats requested have been provided below:

Deaths from all malignant neoplasms, classified by underlying cause of death (ICD-10 C00-C97), registered in the respective calendar year(s) to NHS West Kent residents:
 
2004 - 1,633
2005 - 1,547
2006 - 1,579
2007 - 1,682
2008 - 1,656
 
Source: Office for National Statistics (ONS)

All six of the Local Authorities within the NHS West Kent boundary have a Cancer registration rate significantly below the England rate at the 95% confidence level based on the average of calendar years 2004-2006.  Lower level data is not available except from the Thames Cancer Registry.

6. Are there any areas within your authority which have been identified as ‘cancer clusters’?

NHS West Kent does not hold data relating to reported Cancer Clusters.

2. How many individual cases of norovirus were linked to contaminated drinking water?

Please see answer to question 1.

3. How many deaths have been recorded as a result of norovirus?

Please see answer to question 1.

4. How many deaths have been recorded as a result of norovirus from contaminated water?

Please see answer to question 1.

2.  Contract Term

Seven Years

3.  Contract Value for Full Contract Term (£)

This is a consortium contract with other Trusts in Kent, therefore we do not know the full contract value

4.  Annual Tonnages of individual waste streams

Pharmaceutical, Sharps, Cytotoxic and Cytostatic - All of these waste streams are logged together for reporting purposes as they are all incinerated.  The tonnage of HTI waste processed in the financial year 2009-2010 was 17 tonnes
 
Anatomical - The PCT does not produce anatomical waste.
 
General Clinical - The tonnages of general clinical waste produced in the financial year 2009-2010 was 40.36 tonnes.

Invicta PBC|
Sevenoaks PBC|
Weald PBC|
DGS PBC|
Tonbridge and Tunbridge Wells PBC|

Please could you also provide the following information if it is not contained within any of the documentation requested as above:

Please find attached a practice based list|, this provides a list  of each practice and to the PBC group they belong, the clinical Lead and PBC/PCT Lead

List of PBC Leads, PBC Clinical Leads and PBC Leads for specific disease areas

PBC Leads for specific areas can be found on individual funding request sheet attached.|

List of PBC Leads at PCT level

This is found in the attached document PBC Practice List.

List of PBC Clinical Priorities for the PCT and each PBC group

Please see the attached commissioning plans and also below a link to the webpage containing the Strategic Commissioning Plan 2010-15 and the Operating Plan 2010/11
http://www.westkentpct.nhs.uk/The_PCT/Our_plans/index.html|

PBC budget for 2009/10 and 2010/11 plus prescribing budget for 2009/10 and 2010/11

The 2009/10 budgets are included in the commissioning plans and the 2010/11 budgets will be included in the plans once published.

Whether each PBC cluster budget for 2009/10 was overspent or underspent?

The accounts for 2009/10 are still being audited.  We expect this to be completed by September and will then be available on out website.

2. Please state, for each of these financial years, how many redundancies this total relates to. For example £1m for two redundancies in 2008/09.

2007/8 – 6
2008/9 – 0
2009/10 - 0

3. Please detail the number of redundancy payments over £100,000, in £50,000 brackets.

Nil

2. When was funding of homeopathy services last reviewed by the PCT?
What was the reason for any decision to continue or cease funding homeopathy services?

Funding of homeopathy services was first reviewed in 2007 with decision to withdraw routine funding finally approved by the Board in July 2008 for implementation from 1 April 2009.  Implementation was reviewed by the Board September 2009 and the review formally closed.  NHSWK no longer funds homeopathy.  Please find below the weblinks for the above Board Papers.

Item 6 - http://www.westkentpct.nhs.uk/NetsiteCMS/pageid/310/index.html|

Item 11 - http://www.westkentpct.nhs.uk/NetsiteCMS/pageid/641/index.html|

3. What are the contact details for any homeopathy providers from which the PCT commissions services for patients?

Not applicable

3.  Does the PCT have its own threshold BMI or additional criteria different from NICE guidance that must be met for bariatric surgery to be offered? Please provide details.

The PCT follows NICE guidance.

4.  Does the PCT have a specialist obesity service? Please provide details.

No

2.) How do we procure Construction Contractors?
 
Again the selection of contractors route will depend on the type of contract, the size/cost and time/programme constraints:

• Selection through the OGC Buying solutions framework.

• Selection through Constructionline as a basis for a list. The drive is now towards selecting contractors through a random selection process via Constructionline as a basis for providing total transparency – this is work in progress.

3.) If by our own framework, please advise:-
 
• We do not have a framework of our own and utilise the above selection routes.

a) The titles and content of all the relevant frameworks
 Not Applicable

b) Who is on the current frameworks?
 Not Applicable

c) The start and end dates of the frameworks
 Not Applicable

d) Any possible extension periods to the frameworks
 Not Applicable

e) The name and contact e-mail of the person responsible for the framework
 Not Applicable

Cost to the PCT for Orthopaedic trauma services undertaken in Hospitals outside of the West Kent area.

Financial Year 2009/10 - £ 1,772,822.00

2) The name/email address and contact number of their PA

Dr O’Neill’s PA can be contacted on 01732 375200

3) The name/email address and contact number of a Senior Analyst

The Director with overall responsibility of analysts is Daryl Robertson.  NHS West Kent only releases names and contact details of very senior/public facing members of staff

In assessing your request in line with the provisions of the Freedom of Information Act 2000 we regret that we are unable to comply with your request because we believe this information is exempt from disclosure under:

Section 12 – The Act provides an exemption where the cost of compliance is estimated to exceed the appropriate limit.  We calculate that to obtain all the information you require would exceed the 18 hour limit suggested as a reasonable timescale.  If you would like to refine your request and re-submit it, it will be looked at again.

2) Please list the name of the organisation(s) that provided out-of-hours coverage in your PCT between 1 April 2006 and 31 March 2007?

Dartford and Gravesham PCT and On Call Care Ltd

3) How many GP practices were there in your PCT between 1 April 2006 and 31 March 2007?

104 GP Practices

4) How many GP practices opted to continue providing out-of-hours care to their patients between 1 April 2006 and 31 March 2007?

None

5) Are the answers to question 1 – 4 the same between 1 April 2007 and 31 March 2008? If not, please list the new information for questions 1 – 4.

Yes

3. How many new services have been commissioned using PBC in each year since it was launched?

2006/07 1
2007/8 2
2008/09 10
2009/10 11
2010/11 22
Total  46

General practice federations

No

5. What financial support, if any, are you providing for these organisations?
 
None
 

2.  How many pharmacists sit on this committee?

1 in period April-November 2009, 2 from December 2009-March 2010

3.  How many GPs sit on this committee?

3 April-June 2009, 5 July 2009-March 2010

4.  Has the PCT appointed a board member with responsibilities for community pharmacy?

Deputy Chief Executive (Daryl Robertson)

5.  How many times did a member of the PCT medicines management or public health teams attend an official meeting of the Local Pharmaceutical Committee?

4

6.  How many times did a member of the PCT medicines management or public health teams attend an official meeting of the Local Medical Committee?

2

2. The number of pharmacies within the PCT

111

3. The PCT’s spend on pharmacy contractual funding – not including the prescribing budget

£8,260,478

4. The PCT’s spend on pharmacy advanced services (MURs)

£446,656

5. The PCT’s spend on commissioned pharmacy enhanced services

£400,591

6. The average time taken to pay pharmacy contractors for services claimed for

4 to 6 weeks

2. Has the PCT sent out a questionnaire to pharmacy contractors about its PNA in the last eighteen months? If so, when?

The PCT is currently working on a PNA, a questionnaire was sent September 2009

3. Has the PCT met with the Local Pharmaceutical Committee (LPC) to discuss the PNA in the last eighteen months? If yes, how many times?

LPC is represented on the Joint steering group with NHS Eastern and Coastal Kent. The group has met 8 times. The PNA has also been discussed at 3 LPC committee meetings.

4.  Has the PCT referred to the templates and guidance produced by the Pharmaceutical Services Negotiating Committee with regard to PNAs?

Yes

2. Breakdown of this spend into service fees for pharmacy commissioned smoking cessation and spend on medicines/NRT prescribed.

Pharmacy Commissioned smoking Cessation spend = £37273
Spent on medicines/NRT prescribed = £40854.44

3. Number of community pharmacies commissioned to deliver smoking cessation service.

72

4. The fee paid to pharmacies per patient treated, or details on the fee amount and structure if it is not paid per treatment.

The Service Agreement sum was as follows:-
£15 for a completed initial patient assessment which must include the setting of a Quit date.
PLUS
Either
£25 for a successful Self Reported 4-week quitter
OR
£45 for a successful CO validated 4 week quitter.
PLUS
Reimbursement of the drug tariff price of any NRT supplied (trade price only). The patients own GP will supply Bupropion or Varenicline)
 

Total spend - £20493            

6. Breakdown of this spend into service fees and spend on medicines prescribed.

Drugs £13781 and Fees £6712

7. Total budget for pharmacy MAS.

Total budget - £45000

8. Number of community pharmacies commissioned to deliver MAS.

61

9. The fee paid to pharmacies per patient treated, or details on the fee amount and structure if it is not paid per patient.

- £4.25 plus drug tariff price of drugs for patient seen under a PGD.
- £2.00 plus retail cost of drugs for patient seen under a protocol

10. Has the PCT commissioned, or is it planning to commission, a community pharmacy Vascular Risk Assessment scheme?

No

11. Has the PCT commissioned, or is it planning to commission, a general practice Vascular Risk Assessment scheme?

No

12. Total budget for any community pharmacy Vascular Risk Assessment scheme or planned scheme.

Nil

2. What was your PCT total primary care prescribing expenditure for Q3 financial year 2009/10?

Just Q3 Expenditure was £25,961,864.26
Up to Q3 was £75,033,163.51

3. What was your PCT total patient list size for quarter 3 financial year 2009/10?

704,282

4. Do more than 50% of your prescribing support team staff spend the majority of their time on hands-on work in GP practices to increase cost effective and evidence based use of medicines?

No

2. Will the PCT be reviewing the use of GP balanced scorecards as a result of the new role of GPs in  commissioning of services and the  Government's decision that PCTs should no longer performance manage GPs on areas such as access?

Yes, the balanced scorecard will be part of a quality framework that will be of benefit to both the PCT and practices to ensure and develop quality services.

3. What proportion of GPs currently offer extended hours in the PCT?

Of the 103 practice in NHS West Kent 99 practices offer extended opening hours. 96% of practices operate extended opening hours.
 
 
4. will GPs be free to stop providing extended hours now that the Government has said it does not want PCTs to performance manage access 
 
Yes, providing they give 3 months to terminate the contracting arrangements