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Trust becomes first accredited allergy service in the UK

Details with Manish Patel - commsHeart of England NHS Foundation Trust’s Allergy and Immunology team are celebrating after becoming the first NHS Trust in the UK to be awarded ‘Improving Quality in Allergy Services’ (IQAS) accreditation by the Royal College of Physicians.

The Trust was awarded accreditation following an assessment of its facilities, staff and working practices, to evidence its commitment to the delivery of high-quality patient care.

Launched by the Royal College of Physicians in November 2015, IQAS aims to improve the quality and outcomes of clinical allergy services through the achievement of best practice standards.

Dr Aarnoud Huissoon, head of Allergy and Immunology West Midlands at Heart of England NHS Foundation Trust, said: “We are thrilled to be the first IQAS accredited service, and that the Allergy Service has been recognised as providing an effective and patient-centred service.

“This is a deserved acknowledgement of the hard work that the allergy team has done to meet the IQAS standards.

“The whole accreditation process has helped us focus on how to make our service work for patients, and the assessment team provided helpful recommendations for further improvements that we can make.”

martin claridgeThe BBC’s popular current affairs programme Panorama has spent six months filming with Diabetes type 2 patients at Heart of England as they go through treatment – emergency operations to save lives, weight loss surgery, and the struggle to manage their diabetes through lifestyle changes. Keep an eye out for the programme which is to be broadcast on Monday 3 October at 8.30pm on BBC1.

Look out for details about this programme at: http://www.bbc.co.uk/programmes/b07yklv8

Photo caption: Clinical director for vascular surgery, Mr Martin Claridge features in the programme.

How many non insured foreign nationals that have been unable to cover their healthcare costs have you cared for in the last two years, and from what countries?

On average how many days have they been admitted for ?

The information you requested is below:

 

Country Sum of Days Admitted Total Patients Average Days
BANGLADESH 14 4 3.5
CANADA 11 3 3.7
CARIBBEAN 2 1 2.0
CHINA 4 1 4.0
DUBAI 1 1 1.0
EGYPT 10 2 5.0
GHANA 4 1 4.0
GUINEA BISSAU 1 1 1.0
INDIA 14 4 3.5
JAMAICA 22 4 5.5
NIGERIA 53 3 17.7
PAKISTAN 251 27 9.3
ROMANIA 6 2 3.0
USA 22 9 2.4
Grand Total 415 63 6.6

Structure Chart

Therapies Structure Chart

HSMR

The information you have requested is provided below

Unfortunately, HSMR data is only available from April 2001. The HSMR calculation was still in development in the early 2000’s and has changed in a variety of ways over the last 15 years. Individual Hospitals HSMRs in a Trust need to be treated with caution. One of the reasons is that patients may be transferred from one hospital to another, eg for Intensive Care, which may affect the HSMR calculations.

HSMR indicators are not calculated for specialties, eg Elderly Care. One reason is that specialties are recorded in different ways at Trusts. Consultants may be registered variably at Trusts as Elderly Care Consultants or General Medicine Consultants. However, we have shown the overall Hospital HSMR by quarter in the tables above. Also shown is the proportion of Hospital HSMR deaths who were aged 75 or older. Patients who are 75 or older might be expected at the Trust to be within the Elderly Care group. A large proportion of all HSMR deaths occurs for patients who are 75 or older.

 

 

  • How many occupational therapists were/are employed within your Trust in each of the following years 1) 2013; 2) 2014; 3) 2015; 4) 2016 i) to date ii) budgeted?
Year Month Full Time Equivalent Head Count
Mar-13 61.15 70
Mar-14 69.49 80
Mar-15 70.5 80
Mar-16 70.82 81
Aug-16 77.82 88
Funding 80.71

 

  • What was the total amount spent on occupational therapy services within your Trust in each of the following years 1) 2013; 2) 2014; 3) 2015; 4) 2016 to date i) to date ii) budgeted?
Budget / Expenditure 2012/13 2013/14 2014/15 2015/16 2016/17 – M1-4
Expenditure 2,930,619 3,077,342 3,234,636 3,220,007 1,217,548
Budget 1,252,586

 

  • Of these, how many occupational therapists work on acute medical awards? 9
  • Of these, how many occupational therapists do you employ in Accident & Emergency departments? 5
  • How many occupational therapists were/are employed within your Trust in each of the following financial years, in working time equivalent format: 1) 2011/12; and 5) 2016/17 budgeted?

 

Year Month Working  Time Equivalent
Mar-12 67.78
Current Budget 79.23

 

  • What was the total amount spent on occupational therapy services within your Trust in each of the following financial years: 1) 2011/12;

2011/12: £2,970,461.

Please note that this is the expenditure on substantive staffing only.  Any bank and agency expenditure is combined with the use of other therapy services and so it is not possible to split Occupational Therapist costs out on its own.

  • Of these, how many occupational therapists were/are working on acute medical wards in each of the following financial years, in working time equivalent format: 1) 2011/12; 2) 2012/13; 3) 2013/14; 4) 2014/15;

We do not hold this information

  • Of these, how many occupational therapists were/are working in Accident & Emergency departments in each of the following financial years, in working time equivalent format: : 1) 2011/12; 2) 2012/13; 3) 2013/14; 4) 2014/15;

We do not hold this information.

For the financial years 2012/13, 2013/14, 2014/15 and 2015/16, and to date in 2016/17,

1. What treatments, including procedures and surgery, were available privately at the Trust each year?

We do not have a list of treatments which were available privately.

 

2. How much income did the Trust receive from private patients each year?

 

2012/13 £531,979

2013/14 £628,009

2014/15 £589,217

2015/16 £676,367

2016/17 to date (Months 1 to 5) £229,374

 

3. What were the average waiting times for the first outpatient appointment for a) private patients and b) NHS patients each year for referrals for the following:

Knee replacement

Hip replacement

Cataract surgery

Vasectomy

Coronary artery bypass graft surgery

Angioplasty

 

We do not hold this information. The  Outpatient downloads (in terms of clinic purposes, schedules, or clinic numbers) do not provide  the amount of detail needed to be able to tie a general first outpatient attendance to the pathway for a procedure

 

4. What were the average waiting times from the first outpatient appointment to the date of treatment for a) private patients and b) NHS patients each year for the following:

Knee replacement

Hip replacement

Cataract surgery

Vasectomy

Coronary artery bypass graft surgery

Angioplasty

As above, we do not hold this information. The  Outpatient downloads (in terms of clinic purposes, schedules, or clinic numbers) do not provide  the amount of detail needed to be able to tie a general first outpatient attendance to the pathway for a procedure

 

1.       Does your Trust currently utilise a Direct Engagement (DE) model? – Yes

2.       If Yes, who currently provides the service; – 247 Time

3.       What proportion (in percentage) of your agency workers for the following staff groups are directly engaged:

a.       Medical Locums/Doctors (e.g. Acute,Emergency,General Surgery, Paediatrics, Gynaecology, Neurosurgery, Dermatology, Cardiology) – 100%

b.      Allied Health Professionals/Health Science Staff (e.g. Biomedical Science, Clinical Physiology (Cardiology), Dietician, Occupational Therapy, Pharmacy, Physiotherapy, Radiography, Talking Therapy, Speech & Language Therapy, Psychology, Anatomical Pathology)  – 0%.  We only currently operate DE for Medical Locums

4.       What percentage are you charged for the management of these services? – we are not charged a %.  We are charged a fixed fee per hour processed

5.       When was the DE contract awarded?           July 2013

6.       What is the contract duration?                       Until April 2018

7.       What was the motivation with engaging with these services?  To ensure full visibility of agency charge which enabled an overall reduction in  unit cost

The completed document is attached.

HR FOI 4741 Request

Non-mandatory Training FOI4741

 

 

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