Heart of England NHS Foundation Trust (HEFT) is aware of the safety alert issued today by the Medicines and Healthcare products Regulatory Agency regarding patients who have been fitted with a ‘metal on metal’ hip device. HEFT stopped fitting ‘metal on metal’ hips in 2012 following concerns raised about the device. They recalled all 250 affected patients in May 2012.

There is no requirement for patients to have an immediate intervention. The Trust will be looking at the guidance once they receive it to ensure that the affected patients’ future care is in line with the new guidance.

If you do have any further concerns please contact PALS at: bhs-tr.Complaints-ConcernsandCompliments@nhs.net.

The Medicines and Healthcare products Regulatory Agency press release and medical device alert is available at:: https://www.gov.uk/government/news/all-types-of-metal-on-metal-hip-implants-need-regular-review / https://www.gov.uk/drug-device-alerts/all-metal-on-metal-mom-hip-replacements-updated-advice-for-follow-up-of-patients

Could I please be provided with the following data:
1. A database (in Excel-readable format ) of all cases in which patients were sent to private healthcare
facilities from NHS facilities covered by this FOI address from 1/1/2014 until 1/5/2017. This should
include:
a. Incident or record number as per your own system
b. The date of the referral
c. The department from which the patient was referred
d. The facility to which the patient was referred
e. The reason or explanation given for the referral
f. The cost of the referral

See attached FOI 5239

An emotional and inspirational talk by the wife of a well-loved local broadcasting legend on his battle with dementia was the highlight of a conference in Solihull which aimed to recognise the importance of carers.

The third annual Recognising the Carer event, held by Heart of England NHS Foundation Trust at the Renewal Centre in Solihull, brought together an audience of carers and healthcare professionals for the opportunity to recognise the vital work carers play in our hospitals and in the community.

Headlining the event was a moving appearance by legendary radio DJ Ed Doolan, whose wife Christine spoke about her husband’s courageous battle with dementia and her journey as a carer.

Joining the Doolan’s for the talk was Ed’s doctor Professor George Tadros, a consultant in old age liaison psychiatry and a clinical lead for the pioneering Rapid Assessment, Interface and Discharge (RAID) service based at Heartlands Hospital.

He talked about the importance of dignity and personhood in dementia care and also his experience treating Ed and how the popular broadcaster’s wit has never diminished despite his diagnosis.

The day was compered by a friend of the Doolan’s and one of Solihull’s best known entertainers, Don Maclean MBE, who kept the audience suitably entertained between the speakers, including some reminiscence of his past on the television show Crackerjack.

He also led a Q&A to end the event with all the speakers, which also included the Trust’s lead nurse for safeguarding adults Wendy Badger, who spoke about the importance of planning for the future and vital topics for many carers such as power of attorney and the Mental Capacity Act.

Sam Mountford from charity Swanswell also spoke about their HIV and TB services, particularly the great paediatric work they are doing with the Trust and in the community, while Solihull Hospital Charity, who supported this year’s event, had chief executive Mike Hammond presenting on how the charity can support patients.

The Trust’s Interim Chair, the Rt Hon Jacqui Smith, opened and closed proceedings.

Organiser Margaret Meixner said: “It was a truly moving event and the feedback we have had from those that attended has been really positive. Holding this year’s event during Carer’s Week really brought an extra focus on the wonderful work carers do.

“I would like to thank all the fantastic speakers, stallholders and all those who attended for making it such a special occasion. I would like to particularly thank Ed and Christine for being so open about their journey with dementia which I know everyone in attendance found so inspiring.”

More photos from the event are below. A video of the day is available here

1. The number of instances where salary overpayments were made to staff who left the Trust during 2016/17 149
2. The value of those overpayments £201,000
3. The value of those same overpayments that were subject to write off in 2016/17 Nil
4. The value of write offs made in 2016/17 relating to salary overpayments (regardless of when the overpayment occurred £53,000

Please can you provide the following information for the community dental service(s) provided by your organisation for 6^th April 2016 to 5^th April 2017 unless otherwise stated.

1. Did your organisation provide a community dental service*?

*By community dental service we mean a service that provides dental care in community settings to children and vulnerable adults, including elderly and housebound people, people with physical disabilities or mental illness.

Yes. Please see attached for responses to additional questions FOI 5283

1. Over the last 5 years, broken down by year, the total number of hours of work provided to the trust by non-substantive doctors, either via a locum agency or a bank staffing system, and the total cost to the trust of those hours.
2. The above information broken down by staff sourced through agency and those sourced through your bank staffing arrangement.
3. The figures (hours and spend for each of locum and bank) provided in answer to 2. broken down first by specialty and then grade of doctor.
4. The standard hospital hourly rate of pay for each of the specialties and grades listed in answer to 3.
5. The hospital and NHS capped rates for each of the specialties and grades listed in 3. if different to the rate listed in 4.
6. For each category created in response to 3. (i.e bank haematology registrars), the percentage of hours worked at standard rate, above the standard rate, and above the capped rate if different from the standard rate.
7. What penalties, if any, are levied against the trust if it exceeds the ‘capped’ rate.
8. What penalties were levied against the trust for breaking the cap in each of the years for which data has been provided.
9. If the trust utilises a Bank Partner, what is the cost of said Partner and how does this cost manifest e.g. lump sum, fee per position filled etc.

Please see attached FOI5276 FOI 5276

1)      Please state the number of attacks on staff at each hospital in your trust for each of the financial years (i) 2012-13 (ii) 2013-14 (iii) 2014-15 (iv) 2015-16 (v) 2016-17.

If possible within the FOI cost limit, please provide a breakdown of whether the attacks were verbal or physical AND if they involved someone with mental illness or severe learning difficulties.

2)      How many members of staff received medical treatment after being assaulted on trust premises in each of the following financial years: (i) 2012-13 (ii) 2013-14 (iii) 2014-15 (iv) 2015-16 (v) 2016-17?

3)      How many times were police called following attacks on staff members at your trust in each of the following financial years: (i) 2012-13 (ii) 2013-14 (iii) 2014-15 (iv) 2015-16 (v) 2016-17?

If possible within the FOI cost limit, please state the hospital, where the most police call outs took place – and provide us with a figure for each of the years above.

4)      How much has your trust spent on security staff (or sub-contractors) in each of the following financial years: (i) 2012-13 (ii) 2013-14 (iii) 2014-15 (iv) 2015-16 (v) 2016-17?

5)      Do any staff members within your trust (including security guards) currently use body worn video cameras in any form? If possible within the FOI cost limit, please state how many staff are currently using body worn video cameras.

 See attached FOI5280

I require the organisation’s to provide me with the following contract information relating to the following corporate software/enterprise applications

1. Enterprise Resource Planning Software Solution (ERP) -this is the organisation’s main ERP system and may include service support, maintenance and upgrades.
2. Human Resources (HR) and Payroll Software Solution-this is the organisation’s main HR/payroll system and may include service support, maintenance and upgrades. In some cases the HR contract maybe separate to the payroll contract please provide both types of contracts. Example of HR/Payroll systems the organisation may use could include iTrent, Resourcelink,
3. The organisation’s primary corporate Finance Software Solution-this is the organisation’s main Finance system and may include service support, maintenance and upgrades. Example of finance systems the organisation may use could include E-Business suite, Agresso (Unit4), eFinancials, Integra, SAP

In some cases you may come across contracts that provide service support maintenance and upgrades separate to the main software contract, please also provide this information in the response following the requested data below.

For each of the categories above can you please provide me with the relevant contact information listed below:

1. Software Category: ERP, CRM, HR, Payroll, Finance
2. Software Supplier: Can you please provide me with the software provider for each contract?
3. Software Brand: Can you please provide me with the actual name of the software. Please do not provide me with the supplier name again please provide me with the actual software name.
4. Contract Description: Please do not just state two to three words can you please provide me detail information about this contract and please state if upgrade, maintenance and support is included.

Please also include any modules included within the contract as this will support the categories you have selected in question 1.

5. Number of Users/Licenses: What is the total number of user/licenses for this contract?
6. Annual Spend: What is the annual average spending for each contract?
7. Contract Duration: What is the duration of the contract please include any available extensions within the contract.
8. Contract Start Date: What is the start date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY.
9. Contract Expiry: What is the expiry date of this contract? Please include month and year of the contract. DD-MM-YY or MM-YY.
10. Contract Review Date: What is the review date of this contract? Please include month and year of the contract. If this cannot be provided please provide me estimates of when the contract is likely to be reviewed. DD-MM-YY or MM-YY.
11. Contact Details: I require the full contact details of the person within the organisation responsible for this particular software contract (name, job title, email, contact number).

See attached spread sheet FOI 5294

Under the FOIA (2000) please would you supply the following information relating to your Trust’s (and its outsourced services’) practice of OUTPATIENT HYSTEROSCOPY/BIOPSY – PAIN CONTROL AND PATIENT CHOICE

1. The patient information leaflet/s: Yes, attached.  Hysteroscopy patient information leaflet
   Please note, this is taken from our Patient Advice and Information Database (PAID) system.  Use of this system ensures that each patient receives a newly printed, personalised copy of the trust approved patient information leaflet.  It also ensures that any information given to the patient to support their decisions around treatment and consent will be recorded against the patient’s electronic patient record, and allows staff to view a complete history of patient information leaflets issued to any patient. The attached leaflet has a watermark “View only do not issue to patients”. This watermark is automatically removed when the leaflet is correctly issued via the PAID system.

2. The consent form/s: It is verbal.

3. for each of the last 3 financial years:

1. all audits of OP hysteroscopy adverse events, (including infection, perforation, pain equal to or above 7/10 on VAS): A survey of pain in outpatient hysteroscopy in currently underway.
2. All surveys of patients’ outpatient hysteroscopy experiences. Are all your patients allowed to complete the satisfaction survey at home? Yes, attached. KDKPR PATIENT SURVEY 062016

• the number of your patients who had

1. a) GA: 0%
2. b) Spinal anaesthesia: 0%
3. C) Monitored procedural IV sedation: 0%
4. d) Local anaesthetic: We do not hold this information
5. e) No anaesthetic: We do not hold this information

4. the % of your
5. a) Diagnostic hysteroscopies: We do not hold this information
6. b) Operative hysteroscopies: 100%

that were done in outpatients

Did your Trust meet the Best Practice Target % Tariff for each of these years? Yes

5. Is local anaesthetic available in all your outpatient hysteroscopy clinics? Yes

6. Is Entonox available in all your outpatient hysteroscopy clinics? No

7. Are all your hysteroscopy patients (including See & Treat/One Stop Shop/Late Cancellations) offered:

1. Local anaesthetic? Yes
2. GA? Yes
3. Spinal anaesthesia? No
4. Safely monitored IV sedation? No

8. Do you use electro-surgery in any of your outpatient’s clinics? If so, do you always use the lowest power setting? Not applicable

9. What type and diameter of scopes do you use in
10. a) Outpatients: 5mm
11. b) For GA patients? Rigid, semi-rigid, flexible?        Rigid

10. What is the minimum training and accreditation (e.g. RCOG ATSM) that all your NEW hysteroscopists must have? ATSM

11. What % diagnostic outpatient hysteroscopy/biopsy patients had an incomplete procedure which was repeated with epidural, GA or sedation?                We do not hold this information

12. Does your Trust have a psychosexual counselling service for PTSD caused by severe procedural pain? We do not hold this information

1. For 2016, please give me the breakdown of how many children aged 15 and under attending the hospital’s A&E department for mental health related issues, were treated/seen by a doctor within four hours, and how many waited longer than four hours to be treated.

If possible, please give a breakdown of how long those waiting four+ hours were waiting, e.g. six, seven hours etc. (By treated/seen, I do not mean the initial assessment in triage)

2. For 2016, please give me the breakdown of how many children aged 16 and 17, attending the hospital’s A&E department for mental health related issues, were treated/seen by a doctor within four hours, and how many waited longer than four hours to be treated.

If possible, please give a breakdown of how long those waiting four+ hours were waiting, e.g. six, seven hours etc.

3. For 2016, please give me the breakdown of how many adults aged 18 and over, attending the hospital’s A&E department for mental health related issues, were treated/seen by a doctor within four hours, and how many waited longer than four hours to be treated.

If possible, please give a breakdown of how long those waiting four+ hours were waiting, e.g. six, seven hours etc.

Please see attached FOI 5284