An elderly care team has been recognised for going the extra mile to improve patient care for the second year running after receiving an award founded to ensure the legacy of a former patient.

Ward 11 at Good Hope, part of Heart of England NHS Foundation Trust, was this year’s recipient of the Jean Robinson Award which is judged by Jean’s family who have been working with the hospital to improve standards in elderly care since her death in 2009.

Jean’s daughters Di Collins and Jan Gill presented the award to ward manager Gareth Shaw and his team at a special presentation and spoke about how the award first started and why Ward 11 stood out as this year’s winner.

Di, from Tamworth, said: “After my mum died I got together with staff on the elderly care wards and have worked with them over the last five years to give a relatives point of view on how things can be improved. I come a few times a year to meet with the teams and find out about the changes that have been made and to see them in action.

“We have seen the great improvements that have been made. The award has been a way both to have a legacy for mum and to push the wards to keep making progress. It was a difficult decision as Ward 9 and 11 really mirror each other but Ward 11 just pipped it for me when I saw first-hand the great care being given to patients when I came to visit.”

Her sister Jan, who travels up from her home in Weston-super-Mare each year to present the award, said: “It was such a hard time when our mum died but we did not want her to be forgotten and for lessons not to be learned. That is why we suggested the award as it gives staff an extra incentive and something to work towards every year.

“The staff have been amazing over the last five years and it has been nice for us to see the changes being implemented and sustained – that’s the most important thing. Staff move on and there are new people coming in but we want to keep going with this legacy. I think it’s marvellous that the hospital has worked with us and people are now benefitting from it.”

It is an exciting time for elderly care at Good Hope with a number of developments in progress including the introduction of open visiting on the wards which has already had a positive impact.

Donna Woodings, Matron for Elderly Care at Good Hope, said: “We have come a long way in a few years, particularly in the care of patients with dementia. I must also praise the volunteers at Good Hope who have been excellent and do such great work with the patients.

“We have also just implemented the Trust’s policy of open visiting which has been very positive, particularly for patients with dementia, as just having someone familiar there with them can be of huge benefit.

“It has been a tough winter for everyone but all the wards have worked extremely hard in what can be challenging circumstances. Well done to Ward 11 and to Gareth who leads by example and is a good role model for his team.”

Ward manager Gareth Shaw said that winning the award was recognition of the hard work that the team has done over the last two years that they have now won the award.

He said: “We have seen a massive reduction in falls, pressure sores and written complaints, which is proof we are moving in the right direction. Having open visiting has also had a really positive impact as visitors can come when they want and partake and facilitate in the care of their loved ones.

“Working with Di and listening to her experience with her mother has fundamentally changed the way we work and having that constant feedback and a relatives viewpoint can only be of benefit.”

The amount Heart of England NHS Foundation Trust were fined for twelve hour breaches since 2010, and the accompanying  number of twelve hour  breaches, with the most detailed time period breakdown available.

1.     Number of Printers within the Trust https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

2.     Number of label printers included in the above answerThe trust does not keep a separate list of label printers as many of the printers are label capable and it is up to the user to decide whether they want to print labels.

3.     Who are the main printer supplier(s) https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

4.     Who are the main supplier(s) of print consumables (Toner, spares, etc) We do not separately pay for printers and consumables.   The price paid per copy is a combined cost of hardware, software, service and maintenance, additional specialist input, consumables and repairs.

5.     Does the Trust have a support contract(s) for Printers https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

6.     What is the length of the printer support contract https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

7.     What are the start and end dates for the print support contract(s) https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

8.     What is the approximate spend on printers and consumables during 2014/15 We do not separately pay for printers and consumables.   The price paid per copy is a combined cost of hardware, software, service and maintenance, additional specialist input, consumables and repairs.

9.     What is the number of MFD’s or Photocopiers within the Trust https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

10.  Who are the main MFD / Copier Suppliers(s) https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

11.  What is the length of the MFD contract(s) https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

12.  What are the start and end dates on the MFD contracts(s) https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

13.  Approximate spend on MFD’s and consumables during 2014/15We do not separately pay for printers and consumables.   The price paid per copy is a combined cost of hardware, software, service and maintenance, additional specialist input, consumables and repairs.

14.  Does the Trust have a managed print contract https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

15.  What are the start and end dates for this contract https://hgs.uhb.nhs.uk/foi-3218-printers-and-it/

16.  Which procurement route or framework was used to procure this service Tender process The agreement is via Buying Solutions A337223 terms and conditions

Q1. Do you look after your own IT or is it outsourced? We look after our own

Q2. How much did you pay in last financial year for software licenses? You can find the detail of this on p 277 of our annual report: https://hgs.uhb.nhs.uk/wp-content/uploads/annual-report-_lowres.pdf

Q3. How many computers users do you have? 11,047

Q4. When do you need to renew the contract with Microsoft for software licenses? What was the value of your last contract per year? There is no contract as such.

Q5. Do you currently measure software usage versus the number of licenses purchased? If so what is used for software usage metering? Yes, we do

Q6. Do you use a software asset management tool? SNOW

Q7. Please also provide details of IT Contracts Managers and any person(s) involved in IT Software procurement. All procurement enquires go through procurement@heartofengland.nhs.uk

• The number of babies, weighing more than 9lbs, when they were born at hospitals within the NHS trust, broken down by birth weight
• The number of children admitted to trust hospitals where obesity is mentioned as a factor, broken down by their age

FOI 3753 – birth weight greater than 4082g 2013 FOI 3753 – birth weight greater than 4082g 2014 Copy of FOI 3753 FOI 3753 – birth weight greater than 4082g 2010 FOI 3753 – birth weight greater than 4082g 2011 FOI 3753 – birth weight greater than 4082g 2012

The response to your query is attached.  Please note we have converted 9lbs into grams (4082g) and have supplied the information on that basis.

A) Can I have the name, contact e-mail address, telephone number and Job title of the person in your organisation that fulfils the role of Director responsible for IT.

Jon Rex, Jonathan.rex@heartofengland.nhs.uk, Director of ICT, 0121 424 2944

B) Approximately how long has the person fulfilling the role of Director responsible for IT been in post? Since January 2015

C) Do you operate an organisation-wide collaboration tool or system other than e-mail?  If so, what system or systems do you use? Sharepoint

D) Has your organisation implemented an organisation-wide EHR (Electronic Health Record) system? Yes.

Please provide figures for your Trust, for (i) 2011/12, (ii) 2012/13 and (iii) 2013/14:

1. No. of patients diagnosed with Barrett’s oesophagus (Specify time period)– i) 583 ii) 466 iii) 559
a. Of those diagnosed with Barrett’s oesophagus, the number with high grade dysplasia – Cannot separate high grade/low grade as coded under same code
b. Of those diagnosed with Barrett’s oesophagus, the number with low grade dysplasia – Same as above

2. No. of patients under surveillance with Barrett’s oesophagus – Cannot identify patients under surveillance
a. Of those under surveillance, the number with high grade dysplasia – Cannot identify patients ‘under surveillance’
b. Of those under surveillance, the number with low grade dysplasia – Cannot identify patients under surveillance

3. No. of patients diagnosed with oesophageal adenocarcinoma– i) 772 ii) 874 iii) 821

4. No. of patients diagnosed with Barrett’s oesophagus who had an endoscopic mucosal resection (EMR) – 0 for all periods

a. Of those who had EMR, the number for low grade dysplasia – Cannot identify high grade/low grade
b. Of those who had EMR, the number for high grade dysplasia – Cannot identify high grade/low grade
c. Of those who had EMR, the number for intramucosal cancer–  i) 1 ii) 0 iii) 0

5. No. of patients diagnosed with Barrett’s oesophagus who had radiofrequency ablation (RFA) without EMR – 0 for all periods

a. Of those who had RFA, the number for low grade dysplasia – Cannot identify high grade/low grade
b. Of those who had RFA, the number for high grade dysplasia- Cannot identify high grade/low grade
c.  Of those who had RFA, the number for intramucosal cancer – 0 for all periods

6. No. of patients diagnosed with Barrett’s oesophagus who had EMR followed by radiofrequency ablation (RFA) – 0 for all periods

a. Of those who had RFA, the number for low grade dysplasia – Cannot identify high grade/low grade
b. Of those who had RFA, the number for high grade dysplasia – Cannot identify high grade/low grade
c.  Of those who had RFA, the number for intramucosal cancer – 0 for all periods

7. No. of patients diagnosed with Barrett’s oesophagus treated with photodynamic therapy –  0 for all periods

8. No. of patients diagnosed with Barrett’s oesophagus treated with cryotherapy – 0 for all periods

9. No. of patients diagnosed with Barrett’s oesophagus who had an antireflux operation – i) 0 ii) 3 iii) 8

10. No. of patients diagnosed with Barrett’s oesophagus who had an Oesophagectomy – i) 0 ii) 1 iii) 1

11. Total no. of patients treated for oesophageal cancer – Same as answer to part 3 as coded under the same code
a. Adenocarcinoma– Same as answer to part 3 as coded under the same code
b. Squamous cell carcinoma – Same as answer to part 3 as coded under the same code

12. Total no. of patients treated for oesophageal cancer who had previously been diagnosed with Barrett’s oeosophagus – Cannot answer this

13. No. of patients with high grade dysplasia put back into surveillance without any other treatment – Cannot answer this

14. Number of patients with HGD in surveillance who developed adenocarcinoma – Cannot answer this

15. No. of people with adenocarcinoma treated with endoscopic therapies – Need to be more specific with ‘endoscopic therapies’

16. No. of people with stage T1A are treated with a) endoscopic therapies b) resection c) other treatments – Cannot identify ‘stage T1A’ patients

17. No. of people with stage T1B are treated with a) endoscopic therapies b) resection c) other treatments Cannot identify ‘stage T1B’ patients

18. How many people with stage T2 are treated with a) endoscopic therapies b) resection c) other treatment Same as above

Please note, Barretts Oesophagus diagnosis code (ICD10 K22.7) did not exist before year 2012/13, it was coded under ‘Ulcer of the Oesophagus’ (ICD K22.1).

FOI question no. 1 – please can you separately tell me the total amount spent by the Trust on agency nurses and locum doctors during the periods:

April 2013 to March 2014; https://hgs.uhb.nhs.uk/foi3166-medical-locum-spend/  and https://hgs.uhb.nhs.uk/foi-3491-staff-data-expenditure-and-time-to-recruit/
April 2014 to September 2014. Nurses £680,000.00 (take from the bottom entry on this spread sheet: https://hgs.uhb.nhs.uk/foi-3410-nursing-costs/  Locum expenditure is April 2014 – September 2014 Locum spend – £3.121m.

FOI question no. 2 – please can you tell me whether your Trust uses agencies who have been awarded a framework for their supply such as those provided by Crown Commercial Services. If yes, please can you tell me the name of the framework used. If no, can you please tell me the percentage spent with any non-framework agencies? Where this information is not readily available, please provide an estimate. We only use HTE framework agencies.

FOI question no. 3 – please can you tell me whether there is a member of your Trust’s Board who is accountable for overseeing the use of temporary staff and whether temporary staff usage is regularly discussed at Board meetings. If yes, can you please tell me whether the Board member is a non-executive or an employee of the Trust? If a Trust employee, please can you tell me the role that person has within the Trust.

The Director of Workforce has responsibility for staffing and staffing is regularly discussed at Board.  You can find our Public Board papers here. https://hgs.uhb.nhs.uk/trust-board-papers-and-meetings/

FOI question no. 4 – please can you tell me whether your Trust is considering recruiting nurses from overseas in the next 12 months? If yes, can you please confirm the number of nurses and roles your Trust is looking to recruit and the countries you are considering recruiting from. This is not something we have a record of.

Under the Freedom of Information Act 2000, I would like to request the following information from your trust:

How many patients have been admitted to hospital AND/OR required medical attention after taking:

i) Ritalin

ii)  Modafinil

I would like the figures for:

2011

2012

2013

2014

2015 (so far)

Please include how many of these patients were under 18 (broken down by age).

Please see below the answer to FOI 3,721, these figures are based on inpatient episodes:

35 of these patients were under the age of 18, see below for age breakdown:

Please note, It is difficult to pick out specific branded drugs as these both fall under ‘psychostimulants’ with abuse potential’ so cover a number of drugs. Therefore, we cannot identify the specific drugs mentioned for this FOI i.e. Ritalin and/or Modafinil.

The codes used in this FOI are:

Accidental Poisoning: (ICD10 T43.6 & X41.*)

Intentional Poisoning: (ICD10 T43.6 & X61.*)

Adverse effect in therapeutic use: (ICD10 Y49.7) in a secondary position

1. How many Negative Pressure Wound Therapy Devices did Heart of England NHS Foundation Trust use in 2014? 16 Long Term Rental Units, Ad hoc unit usage varied dependent upon requirement
2. Do you currently have a contract for Negative Pressure Wound Therapy Devices? Use KCI via the CPC Framework Agreement Ref: CLI00172/NHSCPC/PDJ
If the answer is yes for the above:
• Who is this contract with? Use KCI via the CPC Framework Agreement Ref: CLI00172/NHSCPC/PDJ
• What was the contract start date? Use KCI via the CPC Framework Agreement Ref: CLI00172/NHSCPC/PDJ Framework in place from 14.1.13 until 13.1.17
• What is the contract due to expire? Use KCI via the CPC Framework Agreement Ref: CLI00172/NHSCPC/PDJ Framework in place from 14.1.13 until 13.1.17
3. With reference to the above question, are these devices owned or rented? Rented
4. If rented, please specify the amount Heart of England NHS Foundation Trust spent on renting Negative Pressure Wound Therapy Devices in 2014?£73,000 on Long Term Rental Units (1^st April 2014- 1^st April 2015) £51,782.18 on Standby Units (1^st January 2014- 31^st December 2014)

5. What is the Heart of England NHS Foundation Trust spend on Negative Pressure Wound Therapy Consumables for the period of 2014? £64,084.94 direct with KCI (1^st January 2014- 31^st December 2014) £3954.41 via NHS SC (1^st April 2014- 31^st March 2015)
6. How much did Heart of England NHS Foundation Trust spend on replacing lost Negative Pressure Wound Therapy Devices in 2014?£13,000
7. How much did Heart of England NHS Foundation Trust spend on warranty and servicing of Negative Pressure Wound Therapy Devices in 2014?£0