Quit for good by taking the Stoptober challenge

Published/updated: 29/09/14 13:55

stop smoking clinicThe Solihull NHS Stop Smoking Service is urging smokers to kick the habit this October by taking up the Stoptober challenge.

The service, part of the Heart of England NHS Foundation Trust, is backing the Stoptober campaign which runs for 28 days during October and is urging smokers to join and as a result be five times more likely to stay smoke free.

Across England last year over 250,000 people registered for Stoptober and of those taking part, 130,000 reached 28 days – making them five times more likely to quit for good.

Advisors from the Solihull NHS Stop Smoking Service will be at the West Mall, in Chelmsley Wood Shopping Centre every day up to October 1 encouraging people to take part and giving out information.

The stop smoking advisors will also be joined by fire fighters from the West Midlands Fire Service to promote not only stopping smoking, but also the opportunity to have free home fire safety checks, with 80% of serious injury/deaths caused by house fires, due to smoking.

Sarah Stables, Solihull Stop Smoking Service manager, said: “Stopping smoking is undoubtedly a tough process to go through but a campaign such as Stoptober gives smokers the chance to be part of something and give them the motivation to succeed.

“The Solihull Stop Smoking Service will be on hand to offer advice and support throughout Stoptober. Let us guide you through how to stop smoking – everyone is different and we can help find the right way for you. You are four times more likely to quit with our help.”

The Solihull Stop Smoking Service runs a range of stop smoking clinics and drop-ins to suit everyone. This includes a drop-in clinic at The Toby Jug in Chester Road, Kingshurst, on Tuesdays from 6pm to 7.30pm and at the Woodman’s Rest Pub, Union Road, Shirley, every Saturday morning between 10am and midday.

A new venue for the service is The Art Space at The Parade Shopping Centre, Kingshurst when a weekly drop-in session will be starting on Monday 6 October and running from 1pm – 5pm.

For further information contact the team on 0121 704 6000 or visit www.solihullstopsmoking.co.uk. Follow us on Twitter @solistopsmoking

FOI 3114 Anaesthesia

Published/updated: 26/09/14 07:13

1). Number of General Anaesthesia procedures

2). Number of Anaesthesia procedures done solely by intravenous anaesthesia (total intravenous anaesthesia)

3). Total number of anaesthesia procedures

4). Total number of epidural procedures

No. procedures
Anaesthetic type Total
General 25,044
Local 6,555
Regional block 2,148
Sedation 618
Other / n/a 572
Spinal 17
Subtenon block 3
TOP 2
Local infiltration 2
Lumber plexus 2
Femoral block 1
Axillary block 1
Interscalene block 1
Grand Total 34,966

FOI 3119 Private Beds

Published/updated: 26/09/14 07:12

The response to your query is detailed below:

 

  1. How many beds do you have in the Trust? Attached

 

Since the extension of the amount of revenue a Trust is allowed to obtain from private sources went up to 49% –

 

  1. How many cancellations of operations in hospitals under your Trust have taken place from 2012 – preferably a monthly breakdown of figures if they are kept like that? Attached

 

  1. How many beds out of the total number of beds under your responsibility have been used for Private Patient Services?

 

Summary Private Beds Average
Financial Year 2013/2014
Site
BHH           0.17
GHH           0.04
SOL           0.24
Total           0.45
**Average beds used each day at each site by private patients. (funding their own treatment)

FOI 3303 BME Stats

Published/updated: 26/09/14 07:11

The response to your query is detailed below:

 You asked for the BME status of the following groups:

  • % of the workforce = 26%
  • % of non-executive directors = 33%
  • % of executive directors  = 0%

You asked for the number of staff from BME backgrounds going through disciplinary processes

Information taken from various trackers recording data from 2009 – present (2014).  The information requested was about BME data capture for the following topics :

Disciplinary

  • Grievance
  • Bullying & Harassment
  • Capability and Performance.

Unfortunately BME data was not captured accurately for the above groups until 2013 and even then it has been an infrequent capture process.

Therefore the one that has been completed the most and with the most cases is Disciplinary, for grievance, Bullying and harassment and Capability the data capture is negligible.

Disciplinary

Total 1910 cases.

Cases with no recorded BME data : 1345

Total BME recorded on Disciplinary Tracker :

 White British                                            442

White Irish                                                3

White other                                              13

Mixed white/Caribbean                14

Mixed white/Asian                                    1

Mixed other                                              1

Asian/British                                             6

Asian/Pakistani                            3

Asian/British/other                                   19

Black/black British/Caribbean                 9

Black/Black British/African                      9

Black/British/other                                   7

Any other ethnic group                             2

Not prepared to state                               12

 

 

FOI 3277 VTE Audit

Published/updated: 26/09/14 07:10

Please find attached the completed VTE audit and supporting policies

Blood_clot_prevention

OandG_VTE_RA

VTE Policy V2

APPTG Annual Survey 2014 – Trusts_HEFT_Reply

FOI 3299 Visual impairment information and infection rates

Published/updated: 26/09/14 07:08

1. A copy of HEFT policy for managing the care of visually impaired patients.

EQUALITY AND DIVERSITY TRAINING – Faculty Website Information

Interpreting%20and%20Translation%20Services%20Operational%20Policy%20v3.0

EIA CHECKLIST E&D 2012

We do not have a specific policy for the management of visually impaired patients.  I have attached our Interpreting policy which makes reference to ensuring appropriate methods of communication are used and that the needs of the patient are identified early and makes specific reference to deaf/blind patients. We encourage all our staff to obtain their Equality and Diversity certificate.  I have included the schedule of related training courses offered throughout the year which include a specific course on communicating with those with visual and hearing impairment.

2. The statistics for infection rates on Ward 14 Good Hope hospital from January 1st 2013 to date?

Our infection control team reports 0 (zero)  infections in the date period you have asked about.  The Infection Control team examined data on;

  • Post 48hr cases for C.Diff (Toxin Positive)
  • MRSA
  • E.Coli
  • MSSA

FOI 3304 Parkinsons

Published/updated: 26/09/14 07:06

Within your organisation how many patients are currently [in the last 12 months] being treated for Parkinson’s Disease?

What type of service does your trust run for Parkinson’s Disease?

If you operate a service;

How many Parkinson’s Disease Specialist Nurses are based at your trust?

How many Neurologists or other physicians who initiates/changes treatment are there?

How many patients are being treated for Parkinson’s Disease with the following treatments in the last 12 months:

Levodopa (co-beneldopa or co-careldopa)  
Pramipexole (Mirapexin) lkh  
Ropinirole (ReQuip)  
Rotigotine (Neupro)  
Apomorphine (APO-go)  Pen and Infusion Levels  
Duodopa [carbidopa/levodopa] intestinal gel  
Deep Brain Stimulation  
Amantadine Hydrochloride  
Pergolide Mesilate  
Tolcapone  
Selegiline Hydrochloride  
Cabergoline  
Entacapone  
Pramipexole (Generic)  
Rasagiline Mesilate  
Any other drugs used in treatment of Parkinson’s  

 

Does your trust carry out response tests for apomorphine, if so how many in the last 12 months?

Within your organisation how many patients are currently [in the last 12 months] being treated for Parkinson’s Disease? FOI 3,304

 

What type of service does your trust run for Parkinson’s Disease? Treatment and referral.

 

If you operate a service; How many Parkinson’s Disease Specialist Nurses are based at your trust? We have 3 Parkinson specialist nurses, not based directly in the trust, but help with patients who are referred specifically for them.

 

How many Neurologists or other physicians who initiates/changes treatment are there? 4 neurologists.

How many patients are being treated for Parkinson’s Disease with the following treatments in the last 12 months:

Please find below the number of patients for each drug listed – This report was run against patient data reports for BNF code 4.9.1 for the last 12 months.

AMANTADINE 24
APOMORPHINE 2
CABERGOLINE 2
CO-BENELDOPA 187
CO-CARELDOPA 180
ENTACAPONE 2
PRAMIPEXOLE 29
RASAGILINE 9
ROPINIROLE 41
ROTIGOTINE 31
SELEGILINE 4
STALEVO 24

Does your trust carry out response tests for apomorphine, if so how many in the last 12 months? No

FOI 3308 Staffing

Published/updated: 26/09/14 07:04

  Locum Doctors
1 Name of Key Person responsible for facilitating new agency/locum contracts

Simon Birley

2 The total amount spent on agency staff for the last financial tax year

£7,116,488.89

3 The name(s) of the Trust preferred agency supplier(s)

HTE Framework Agencies:-

A&E Agency

The Locum Consultancy

Total Assist

MyLocum

RIG Locums

Medilink Consulting

NISI Staffing

National Locums

HCL Doctors

Medacs

Fresh Medical

DRC

Doctors On-Call

ProMedical

Medsol Healthcare

Locum Placement Group

Merco Medical Staffing Limited

 

4 The minimum amount per hour (exclusive of commission) the Trust pays to the preferred supplier(s)

£0.  HEFT runs a direct engagement model so only pays suppliers a commission

5 The minimum amount per hour (inclusive of all agency charges i.e. commission) the Trust pays to the preferred supplier(s)

£1.54 per hour

6 The minimum agency commission (in percentage terms) charged by the preferred supplier(s).

We work on fixed fee commission basis rather than percentage terms.

 

  Nursing
1 Name of Key Person responsible for facilitating new agency/locum contracts

Simon Birley & Julie Nicholas

2 The total amount spent on agency staff for the last financial tax year

£4,037,447

3 The name(s) of the Trust preferred agency nurse supplier(s)

BNA, First Point, HCL, Mayday, Medacs, Medbank. Medical Professional, Meridan, Primera, Servocca

 

 

4 The minimum amount per hour (exclusive of commission) the Trust pays to the preferred supplier(s)

Info not available

5 The minimum amount per hour (inclusive of all agency charges i.e. commission) the Trust pays to the preferred supplier(s)

£27.50 inclusive for all tier one suppliers to the West Midlands Cluster.

 

6 The minimum agency commission (in percentage terms) charged by the preferred supplier(s).

Do not have the breakdown for each agency we agree an overall charge rate to the Cluster Trusts

 

FOI 3298 Bariatrics

Published/updated: 26/09/14 07:03

1) What are your trust’s criteria for qualifying for NHS funded weight-loss surgery?

2) How many patients from your trust’s area had gastric band surgery on the NHS in the past three years (August 2011-August 2014)?

– Please breakdown each case by year/ age/ gender/ pre-op weight.
3) How many patients from your trust’s area had gastric bypass surgery on the NHS during the same period?
– Please breakdown each case by year/ age/ gender/ pre-op weight.
4) In the last three years how many patients have received revision surgery on the NHS following a complication resulting from weight-loss surgery?
– Please breakdown by year/ age/ gender/ pre-op weight.
5) How many patients in question 4 had previously been treated privately in the UK or abroad?
– Please breakdown by year/ age/ gender/ pre-op weight.

Q1 We apply National (NICE) criteria as dictated by NHS England (NHSCB/A05/P/a) – below.

Eligibility for bariatric surgery

Surgery will only be considered as a treatment option for people with morbid obesity

providing all of the following criteria are fulfilled:

 The individual is considered morbidly obese. For the purpose of this policy bariatric surgery will be offered to adults with a BMI of 40kg/m2 or more, or between 35 kg/m2 and 40kg/m2 or greater in the presence of other significant diseases.

 There must be formalised MDT led processes for the screening of co-morbidities and the detection of other significant diseases. These should include identification, diagnosis, severity/complexity assessment, risk

stratification/scoring and appropriate specialist referral for medical management. Such medical evaluation is mandatory prior to entering a surgical pathway.

 Morbid/severe obesity has been present for at least five years.

 The individual has recently received and complied with a local specialist obesity service weight loss programme (non surgical Tier 3 / 4), described as follows:   This will have been for duration of 12-24 months. For patients with BMI > 50 attending a specialist bariatric service, this period may include the stabilisation and assessment period prior to bariatric surgery. The minimum acceptable period is six months. The specialist obesity weight loss programme and MDT should be decided locally. This will be led by a professional with a specialist interest in obesity and include a physician, specialist dietician, nurse, psychologist and physical exercise therapist, all of whom must also have a specialist interest in obesity. There are different models of local MDT structure. Important features are the multidisciplinary, structured and organised approach, lead professional, assessment of evidence that all suitable non invasive options have been explored and trialled and individualised patient focus and targets. In addition to offering a programme of care the service will select and refer appropriate patients for consideration for bariatric surgery.

The Bariatric Surgery Team will satisfy itself that:

 Bariatric surgery is in accordance with relevant guidelines

 There are no specific clinical or psychological contraindications to this type of

surgery

 The individual is aged 18 years or above.

 The patient has engaged with non-surgical Tier 3 / 4 Services.

 The anaesthetic and other peri-operative risks have been appropriately

minimised

 the patient has engaged in appropriate support or education groups/schemes to understand the benefits and risks of the intended surgical procedure

 the patient is likely to engage in the follow up programme that is required after any bariatric surgical procedure to ensure

 Safety of the patient,

 Best clinical outcome is obtained and then maintained.

 Change eating behaviour

 Change physical behaviour as advised

 The overall risk: benefit evaluation favours bariatric surgery

 

Questions 2-4 are answered on the attached. FOI 3,268  We do not hold the relevant information to be able to answer Q5.

FOI 3290 Breast Augmentation

Published/updated: 26/09/14 07:02

1) What are your trust’s criteria for qualifying for NHS funded breast augmentation?
2) How many women have have undergone NHS funded breast augmentation for cosmetic purposes in the past three years?(August 2011-August 2014)? Please breakdown each case by year/ age/ cup size.

3) In the last three years, how many patients have received revision surgery on the NHS following a complication resulting from breast augmentation for cosmetic purposes?

Please breakdown each case by year/ age/ cup size.
4) How many patients in question 3 had previously been treated privately in the UK or abroad?

Please see attached spreadsheet.Copy of FOI3290

Breast Augmentation – IFR

Normally funding for aesthetic procedures is seen as low priority, but treatment may be considered in exceptional circumstances.

Patient must meet the following criteria and yes to any of the other questions

 

  1. Changes are not post-partum
  2. She is over 18 years and post pubertal?*
  3. BMI between 20-25?*
  4. May not be entitled to future replacement

Plus one of

  1. Absence of breast tissue unilaterally or bilaterally?
  2. Gross Asymmetry >3 cup sizes difference between the breasts? (N.B. Needs to be professionally measured) and
  3. Previous mastectomy or substantial breast excision?
  4. Significant asymmetry – congenital or traumatic?
  5. Endocrine abnormalities


Revision of Breast Augmentation – IFR

Normally funding for aesthetic procedures is seen as low priority, but treatment may be considered in exceptional circumstances.

Patient must meet criteria for questions marked with * plus a yes to Q3 or Q4 for approval

Meets the Breast Augmentation criteria above

  1. Original augmentation commissioned by the NHS?
  2. Clinical need for implant replacement

We do not hold information for question 4.

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