The response to your query is detailed below:

1. Considering patients across all pathways (admitted/non-admitted/incomplete) who breached their 18 week Referral to treatment target between January and November 2013 what was:

a)    The total number in breach who were transferred to an alternative provider on the NHS as a result? 19 patients seen in the Private Sector, funded by the NHS, who were reported as 18 week breaches during Jan13-Nov13

And

b)    This expressed as a proportion of all those in beach of the RTT target? Total admitted (unadjusted) patient breaches = 5,039. This equates to 0.38%

2. Does the Trust record whether such transfers were initiated by patients or the relevant departments within the hospital? If so what is the percentage split between the two? We have no record of this

3. As of November 2013, what is the longest waiting time for:

(a) any treatment/procedure; – 360 days (51 weeks) as at 30/11/2013

(b) any diagnostic test? – 13 weeks as at 30/11/2013 (Gynae – cystoscopy)

at the Trust.

The ordering is dealt with by the four technical officers:

Jeff Norrie 0121 424 7165

Peter Shrigley 0121 424 4477

Rob Whitehouse 0121 424 2426

Steve carroll 0121 424 2426

Could you send me contact details of staff who work within EBME / Medical Engineering who would be in charge of ordering labels, tags etc?

1. Please can you provide me with the monthly figures for the number of alcohol-related A&E and/or Urgent Care Centre admissions you have had in the last six months. For the sake of clarity, that is August, September, October, November, December and January.

Emergency alcohol related admissions

1. How many resulted in death? For those that involved death please provide a brief description (where possible) of why they were admitted (e.g. Road traffic collision, fell down stairs, injuries sustained in a fight, etc.

Patients who died because of an alcohol related condition – Of the 11 patients who died because of an alcohol related admission, below is a table with the description of their other diagnosis.

1. How many (of all admissions), if any, are associated with the current “NekNomination” craze whereby people nominate one another to drink alcohol in a more and more extreme manner?

None of our admissions are associated with NekNomination.

FORMULARY

Which Formulary do you use? The Interface Formulary for Adults and ” Guidance for the Management of Wounds in Primary Care”

Which group or committee is responsible for developing this formulary? Formulary Working Group

Who at your organisation sits on this committee? There are 3 GPs, 3 Consultants, 2 Heads of Medicines and Prescribing from local CCGs, 1 Interface Prescribing Manager, 1 Assistant Head of Medicines Management, 1 Medicines information Pharmacist, 1 Interface Pharmacist

Is this a joint formulary with other organisations?   YES

If Yes: which organisations do you share the formulary with? Solihull Clinical Commissioning Group and Birmingham Cross City Clinical Commissioning Group

MEDICINES MANAGEMENT   Not Applicable

Is your Medicines Management a joint Committee/Team?

If yes: which organisations do you share the committee/Team with?

Who are the people that sit on your medicines committee/Team?

Do you commission any medicines management services from, Private providers?

If yes: who are those providers?

AREA PRESCRIBING

Which Area Prescribing Committee covers your organisation?  There is one established Area Prescribing Group (South Staffordshire). A new APC for Birmingham, Solihull and Sandwell is currently being developed.

Who at your organisation sits on the Area Prescribing Committee? For South Staffordshire – Clinical Director of Pharmacy

For Birmingham, Solihull, Sandwell APC – Clinical Director of Pharmacy/ Medical representative to be agreed.

DRUG AND THERAPEUTIC COMMITTEES

Which Drugs and Therapeutic Committee covers your organisation? Heart of England NHS Foundation Trust

Who at your organisation sits on the Drugs and Therapeutic Committee? Clinical Director of Pharmacy, Principal Pharmacist Clinical Effectiveness and Medication safety, Principal Pharmacist Specialised Medicines (as NMP lead), Consultant Anaesthetist, Cons Emergency medicine, Cons Paediatrics, CNS Urology as NMP nurse lead, Interface Prescribing Manager, ANP emergency medicine.

The response to your query is attached.  FOI 2943

Please be aware that approximately 200 patients missing their time of discharge have been excluded from the data.

Under the Freedom of Information Act please provide the following details on the times of day new mothers are discharged from your hospitals.
More specifically:

For EACH of your hospitals providing maternity care or birth centres (or similar)

1. For 2013:
a) The number of mothers who have given live births discharged for each hour of the day:
i. between 00:00 hours and 00:59 hours (24 hour clock)
ii. between 01:00 hours and 01:59 hours
iii. between 02:00 hours and 02:59 hours…. and so on to complete the 24 hour period.

Please put the results in a table, preferably in an excel spreadsheet. An example of how the table might look is below:

b) Please provide the total number of discharges (separate incidents of mothers being discharged after giving live births) for the year.

2.a) and b) The same for 2012

3.a) and b) The same for 2011

The response to your query is detailed below:

1. How many births took place at the Trust [ie with the assistance of its staff – be that in a unit or in the community] in the calendar year

(a) 2011 registered births 10964 and 160 non registerable births.

(b) 2012 registered 10834 and 140 non registerable births.

(c) 2013 registered 10541 and 157 non registerable births.

1. How many times did the Trust have to temporarily close its maternity unit(s) to new admissions in the calendar year (a) 2011 (b) 2012 (c) 2013 ?

Please see attached document  CLOSURES 2011 TO 2013

1. As a result of temporary closures, on how many occasions did a woman need to be transferred to another maternity unit in the calendar year (a) 2011 (b) 2012 (c) 2013 ?

We do not hold this information

1. How many midwives were in post at the Trust (FTE) as of (a) 1^st Jan 2012 (b) 1^st Jan 2013 (c) 1^st Jan 2014 ?

Please note the data we have supplied relates to clinical midwives. These figures exclude staff on maternity leave and long term sick and also exclude any temporary staffing usage.

31^st December 2013 – 336.41

31^st December 2012 – 300.16

31^st December 2011 – 307.76

1. 5.       What was the midwife vacancy rate (FTE) as of 1^st Jan 2014?

Against the budget at 31^st December 2013 HEFT is over established by 38.33. Please be aware that HEFT recruits to 120% to allow for annual leave, training and sickness to be covered without having to use bank staff.  If the additional 20% were added back in there would be 7.23 vacancies.

You asked “You mention there is a cleaning service provided by G4S – could you tell me the end date of the agreement and if there are any extensions, whether they are likely to be taken?”

The response to your query is detailed below:

The contract we have for the provision of cleaning services with G4S expires on the 3^rd April 2016, there is an option for a 2 year extension at one year intervals.

No decision has been made as to whether we will be taking up the extension.

You asked:

• Which Framework Agreement, if any, the Trust call of for medical locum staff?
• Which Framework Agreement, if any, the Trust call of for agency nursing staff?
• Which Framework Agreement, if any, the Trust call of for agency AHP/HSS staff?

The response to your query is detailed below:

We use the Health Trust Europe (HTE) Framework.

You asked I am looking to find out the ‘number of staff working in outsourced services’ (G4S, Estates etc) at the Trust.  Would you be able to point me in the right direction as to who could help me please?

The response to your query is detailed below:

• The current head count of staff employed for contracted services in Hotel Services (this relates to services delivered by G4S and Sunlight Service Group) only is 455.
• In terms of Estates we do have service contracts for energy, grounds etc. But these staff are not considered to be working in an out-sourced capacity.

Please send me:

1. The number of specific IgE blood tests, broken down by allergen, performed by the acute trust between January 1 2013 and December 31 2013?
2. If the acute trust does not perform the blood tests in house, the number of Specific IgE blood test requests, broken down by allergen, sent away for testing between January 1 2013 and December 31 2013?

The response to your query is attached.  I hope that this answers your query. Specific IgE data – 18 02 14