Please can you provide the contact details, name, telephone number, email address, of the Head of Estates, Estates Managers and Capital Project Managers for your trust.

Head of Estates

Mike Taylor

0121 4242132

Mike.taylor@heartofengland.nhs.uk

Estates Manager, Heartlands Hospital

Tony Wright

0121 4242135

Tony.wright@heartofengland.nhs.uk

Estates Manager, Good Hope Hospital

Dave Smith

0121 4249902

Dave.smith@heartofengland.nhs.uk

Estates Manager, Solihull Hospital

Jim Fitzgerald

0121 4245512

Jim.fitzgerald@heartofengland.nhs.uk

Capital Project Managers

Mark Piggott

0121 4240998

Mark.piggott@heartofengland.nhs.uk

David Hughes

0121 4240116

David.m.hughes@heartofengland.nhs.uk

John Turnbull

0121 4249705

John.turnbull@heartofengland.nhs.uk

–         Please provide the number of clinical staff employed directly from overseas over the last three years. Please break the figures down by country of origin, the month and year they were employed (preferably when job accepted) and the rough job title/category (eg. Doctor/nurse/healthcare assistant).

Please see attached spreadsheet FOI5100

–          Please also provide the number of clinical staff employed during the last three years whose primary medical qualification is from outside the UK but were not employed directly from overseas. Please break the figures down by the month they were employed and the rough job title/category.

We do not hold this information

–          Please provide the overall number of clinical staff whose primary medical qualification is from outside the UK now. Please provide a comparative figure for 2014, 2015 and 2016 (please feel free  to measure from the financial year or calendar year, however records are kept)

We do not hold this information

1. What clinical trials the Heart of England NHS Foundation Trust (HEFT) has operated/ offered to patients in relation to treatment of prostatitis/ prostate cancer;

The request did not specify a time point so the following is a list of trials which have been undertake at HEFT in the past 3 years:

Still recruiting:

–          Stampede: Systematic Therapy in Advancing or Metastatic prostate Cancer: Evaluation of Drug Efficacy. A 5-stage 6-arm randomised controlled trial (SPONSOR: Medical Research Council)

–          UK Genetics Prostate Cancer Study (SPONSOR: Institute of Cancer Research)

Patients in follow-up (Closed to recruitment)

–          Pivotal: A randomised phase II trial of prostate and pelvis versus prostate alone treatment for locally advanced prostate cancer (SPONSOR: Institute of Cancer Research)

–          RADICALS: Radiotherapy and Androgen Deprivation in Combination After Local Surgery. A randomised controlled trial for patients with prostate cancer (SPONSOR: Medical Research Council)

–          Conventional or Hypofractionated high Dose Intensity Modulated Radiotherapy for Prostate Cancer (CHHIP) (SPONSOR: Institute of Cancer Research)

Study completed (2015)

–          Randomised, Double-blind, Phase 3 Trial to Compare the Efficacy of Ipilimumab vs Placebo in Asymptomatic or Minimally Symptomatic patients with Metastatic Chemotherapy-Naive Castration Resistance Prostate Cancer (SPONSOR Bristol Myers Squab)

1. Whether HEFT has ever operated clinical trials on either High Intensity Focused Ultrasound (HIFU) or Green Light Laser;

No

1. If clinical trials were authorised by HEFT, what qualifications/ experience/training HEFT was required from their employees carrying out such treatment and what the governance structure was (alongside all documents setting out that the governance structure was in place and followed).

At minimum, the study would firstly need to be approved by the NHS’ National Research Ethics Service and the Health Research Authority (HRA). However this would depend on the study protocol requirements, for example if this was a drug trial it would also require the approval of the Medicines and Healthcare Products Regulatory Agency.

The HRA would perform the governance and legal compliance review of the study at a national level and would advise whether what is being proposed is permissible under the relevant UK regulations.  The forms which are submitted to the HRA include a section on radiology assessment and what is being performed, with a sign off by a Medical Physics Expert.  If it is passes this stage, locally, the Trust would then need to review the capacity and capability assessment on the study. This request would initially come in via the Research and Development department who then review the protocol to identify which of our support services are involved.  The information would then be passed on to the relevant staff.  HEFT has a dedicated research radiology team where any study which involves a radiological procedure is passed on to them for their review and approval. This team would review the protocol to answer the following questions:

1)      Do we offer the radiology procedures being requested?

2)      Do we have staff trained on this procedure to perform the study?

3)      Do they have capacity to perform the scans at the time points specified in the protocol?

4)      Is an ARSAC licence required?

5)      Is there a cost implication to undertaking this procedure – ie if this is additional scanning, which is not part of routine care, who is covering these costs?

Depending on what is highlighted in the above, it may result in the study being turned away due to either lack of capacity, capability or funding.

* Please disclose the number of staff found to have falsified their CVs over the two years;

One

* In each case, please disclose the individual’s job grade and what action was taken.       

Band 3, Disciplinary Investigation undertaken.

* Separately, please provide a table showing all job grades and salary bands – with a key to any grade terminology used. 

Please see Attachment 1

NICE published the safe staffing guideline ‘Safe midwife staffing for maternity settings’ on 27^th February 2015. The guideline makes recommendations on supporting, determining and monitoring safe midwife staffing requirements for maternity care provided across all settings. The guideline includes recommendations which are aimed at Trust Boards, senior managers and commissioners, which brings me to the information that we are seeking with this request. In order to better understand how the guideline is being implemented at Trust level I would be grateful if you could provide the following information.

Information for the period 1^st July 2016 to 31^st December 2016

1. For the period 1st July 2016 to 31st December 2016, when did your Trust Board last review, as an agenda item, the midwifery staffing establishment for your Trust’s maternity services?

Unify return and Public Board of Director’s report on 24^th October 2016.

2. What were the main findings of this review?

Assurance that funded establishment met need:-

“The current position identifies that there is no shortfall of midwives to the funded establishment and that there are 13.44 wte midwives more than required for the current births and acuity. However there is a shortfall of 4.23 wte B3/4 Midwifery Assistants and 16.16 wte B2 Midwifery Support Workers. Detailed work needs to be undertaken across the service and any changes will be subject to a full Quality impact assessment.”

3. What if any recommendations did the review make about midwifery staffing?

That there were sufficient staffing levels:-

“The Divisional Team will:
• Review the workforce to ensure midwives are in the right place at the right time
• Ensure the skill mix is correct in each area
• Update rosters to reflect the outcome of the workforce analysis and budgetary adjustments undertaken
• Undertake a full and comprehensive review of the community midwifery service including skill mix and caseloads
• Review the impact of the change in the function of statutory supervision
• Ensure the planned increase in headroom is undertaken from 20% to 25% from 2017/18
• Ensure the establishment on the Delivery suites supports one B7 to be supernumerary to co-ordinate the shift and one B7 undertakes managerial responsibilities
• Continue the review of the triage system on BHH site and make it more effective
• Review skill mix of fetal medicine and antenatal screening midwifery teams
• Review skill mix in antenatal clinics”

4. What decisions did the Board make in relation to any recommendations arising from the review?

Nil – assurance taken.

5. Please specify the name of any workforce planning tool that was used to inform the review?

Birthrate Plus and professional judgement

6. Did the review include analysis of any midwifery red flag events that may have occurred in this period?
8. If so, how many and what type of midwifery red flag events were reported to the Board?

8. During this period how many red flag events were initially reported by service users and how many by maternity services staff?
10. What if any actions did the Board agree on in response to the reported midwifery red flag events?

Not applicable.

1. Did the Head of Midwifery or Director of Midwifery present to the Board in person as part of the review?

Information for the period 1st January 2016 to 30th June 2016

1. For the period 1st January 2016 to 30th June 2016, when did your Trust Board last review, as an agenda item, the midwifery staffing establishment for your Trust’s maternity services?

Monthly unify return.

2. What were the main findings of this review?

Assurance taken.

3. What if any recommendations did the review make about midwifery staffing?

Appropriate staffing levels.

4. What decisions did the Board make in relation to any recommendations arising from the review?

5. Please specify the name of any workforce planning tool that was used to inform the review?

Professional judgement.

6. Did the review include analysis of any midwifery red flag events that may have occurred in this period?
8. If so, how many and what type of midwifery red flag events were reported to the Board?

Not applicable.

8. During this period how many red flag events were initially reported by service users and how many by maternity services staff?
10. What if any actions did the Board agree on in response to the reported midwifery red flag events?

Not applicable.

1. Did the Head of Midwifery or Director of Midwifery present to the Board in person as part of the review?
   No – the Chief Nurse did.

•  Whether the organisation has paid any suppliers to deliver clinical ophthalmology services, which are, or have been, recorded as the organisations own NHS activity in 2015-16

No

• A list of any suppliers paid to deliver clinical ophthalmology services, which are, or have been, recorded as the organisations own NHS activity in 2015-16

Not applicable

• The current clinical ophthalmology contract(s) start and contract(s) end dates with each provider and the procurement method used to procure each contract

Not applicable

• The overall expenditure and associated activity levels of the clinical ophthalmology contract(s) in financial year 2015-16 (a) in total and (b) broken down by contract

Not applicable

•  The quality requirements associated with each clinical ophthalmology contract (and any performance data held on them) in the financial year 2015-16

Not applicable

1. For the most recent three financial years (14/15), (15/16) and (16/17) please state what the cost of providing food to patients was at your trust per patient per day?

Food Costs for Heart of England NHS Foundation Trust consisting of Heartlands, Good Hope & Solihull Hospitals

2014/2015 Patient Food Cost = £3.81 per head, per day (this figure does not include labour, non pay costs such as disposables, crockery and cutlery etc. or dietary supplements etc)

2015 /2016 Patient Food Costs = £4.03 per head per day (this figure does not include labour, non pay costs such as disposables, crockery  and cutlery etc. or dietary supplements etc)

2016 /2017 Patient Food Costs =  *£3.70 per head per day (this figure does not include labour, non pay costs such as disposables, crockery  and cutlery etc. or dietary supplements etc) *The last 3 months to the end of March 2017 have been estimated based on average figures  due to unavailability of data

2. If you have a figure please state what percentage of food in the most recent financial year (15/16) and (16/17) was returned untouched by patients?

We do not hold this information.

3. If you have an outside caterer that is responsible for supplying food to the Trust, please state the name of the company and how much it was paid by the Trust in (15/16) (16/17)? Also state what level of involvement these outside caterers have? For example do they just provide the hospital with ready meals that are then distributed by Trust staff or are the caterers responsible for providing and serving the food?

All patients feeding for the Trust is provided by in house Trust staff and cooked fresh at a central production unit based at Solihull Hospital and delivered to Heartlands and Good Hope Hospitals daily.

4. In the 2016 calendar year please state how many complaints you logged from patients, or their relatives or friends, or hospital staff where either the primary concern or a secondary concern related to the provision and/or quality of the patient food?

During the calendar year 2016 we have produced in excess of 609,000 meals we received a total of 11 complaints.

5. In relation to Q.4, which month saw you have the most complaints about food and how many complaints were logged?

There were 3 complaints received from patients in December 2016

6. For the month identified by Q.5 (if more than one month has the same number of complaints then take the most recent month) please provide me with redacted copies of the complaints so to not breach S.40 of the Freedom of Information Act, but include the name of the hospital involved. If the original correspondence has been destroyed then please provide me with a detailed (two sentence) summary explaining the specific nature of the complaint, including the name of the hospital.

See  Attachment 1

7. In the last full financial year (15/16) has the Trust paid compensation to a patient or their family following a complaint about the provision/quality of hospital food? If so how much was paid and why was it paid? Have any complaints about hospital food been referred to the NHSLA.

No compensation has been paid in relation to hospital food. Complaints are not referred to the NHSLA

• What does your acute Complex Regional Pain Care Syndrome (CRPS) pathway look like  for trauma and orthopaedic, rheumatology  and hand acute services? 

There is no formal pathway for this condition.   Patients may be seen within the pain service where they would be assessed by a multi disciplinary team. Patients may be y referred into physiotherapy from the pain service, Trauma & Orthopaedics, and occasionally via the GP.  Patients are assessed in  physiotherapy  and triaged as “urgent” ie within 2 weeks of receipt of referral and undergo a variety of treatments based on clinical need including mirror box therapy, ex rehab, hydro, de-sensitisation, advice and education.

The CRPS management – hand specific guidance is attached. CRPS guidelines

1.            How many consultants do you employ on a permanent basis?

443

2.            Of the consultants you employ on a permanent basis, how many of them do one or more session a week in the community?

We have Community Services connected with Solihull hospital and there are 7.65 (Whole time equivalent) consultants who have one or more sessions a week:

2.65 WTE consultants in Solihull Community Palliative Care Team

2 PAs in community in elderly care in Solihull.

Paediatrics have 3 consultants who work in the community

Please could you provide the following information relating to the amount, cost, methods and reporting of the disposal and treatment of municipal, healthcare and clinical waste.

Please see attached FOI5101