1. How many transvaginal tape (TVT) implants were fitted in the past 12 months – up to August 2017? Please provide a month-by-month breakdown.
2. How many patients reported complications with their TVT implant in the past 12 months – up to August 2017? Please provide a month-by-month breakdown.
3. How many procedures were carried out to remove TVT implants in the past 12 months – up to August 2017? Please provide a month-by-month breakdown.
4. How much money was spent on procedures to partially or totally remove TVT implants in the past 12 months – up to August 2017? Please provide a month-by-month breakdown.

Please see attached document.

FOI5492

Our request relates to the calendar year, 1 January 2016 to 31 December 2016 and the recruitment of nurses that are directly employed by the Trust.

Please provide us with the following information.

1. Please provide the total number of nurses recruited:

768 nurses

2. Please provide the total cost of recruiting the nurses:

£213,348

3. Please provide the total number of nurses recruited using a recruitment agency:

46

4. Please provide the total cost of recruiting the nurses using recruitment agencies:

£92k in Placement Fees.

1. The total amount of agency spend on medical locums in the 2016/2017 tax year

£8,707,655 (The Trust contracted 65WTE Agency Medical Staff in March 17).

2. The total amount of spend on agency nurses in the 2016/2017 tax year

£9,502,030 (The Trust contracted 1645WTE Agency Nursing Staff in March 17).

3. The total amount of spend on agency AHPs in the 2016/2017 tax year

£1,655,972 (The Trust contracted 18WTE Agency Staff in March 17).

The percentage of substantive Doctor positions that are currently unfilled

Training Grade Medics = 14.65%

Non-Training Grade Medics = 18.33%

4. The percentage of substantive Nurse positions that are currently unfilled

Qualified Nurses = 12.74%

5. Do you have a managed service or master vendor arrangement, or an outsourced staff bank for any clinical staff groups and if so, who is/are the supplier(s)?

No

6. Do you have a Direct Engagement supplier and if so, who?

Yes, 247 Time

*The Trust employed 10,557 staff as of September 2017

Do you use a blood test for fybromyalgia please? If yes how much does that cost please? If no what method is used please?

There is no blood test to diagnose fibromyalgia.

Fibromyalgia is diagnosed based on clinical presentation and exclusion of any other pathology and is usually based on American College of Rheumatology published clinical criteria for diagnosis

VACANCIES

Request 1

a)         Please confirm how many whole time equivalent physiotherapist and physiotherapy support worker vacancies were held in Heart of England NHS Foundation Trust as at 31 March 2017.

b)         Please confirm how many of the posts in Request 1a had been vacant for 3 months or more as at 31 March 2017.

POSTS

Request 2: 

Please confirm how many whole time equivalent (WTE) physiotherapists and physiotherapy support workers were employed by Heart of England NHS Foundation Trust on the 31 March 2017. (This should include any generic assistant or technical instructor posts that support physiotherapy service provision).

PATIENT DEMAND

Request 3: 

Please confirm the number of new referrals (including patient self-referral) to physiotherapy services in Heart Of England NHS Foundation Trust, in the following financial years:

• 1 April 2016 to end of 31 March 2017
• 1 April 2015 to end of 31 March 2016
• 1 April 2014 to end of 31 March 2015

SPENDING

Request 4:

Please confirm how much was spent on physiotherapy agency/locum/temp staff in Heart Of England NHS Foundation Trust, in the following financial years:

• 1 April 2016 to end of 31 March 2017
• 1 April 2015 to end of 31 March 2016
• 1 April 2014 to end of 31 March 2015

PRACTICE BASED LEARNING  

Request 5:

Please identify the clinical areas within your physiotherapy services that provide placements for physiotherapy undergraduates in the last financial year (1 April 2016 to end of 31 March 2017).

MUSCULOSKELETAL (MSK) PATHWAY

Request 6:

a) Please confirm/deny whether Heart of England NHS Foundation Trust provides MSK services that include first contact physiotherapists in General Practice

b) Please confirm/deny whether patients can self-refer to physiotherapy services within the MSK services provided by Heart of England NHS Foundation Trust

Please see attached

FOI 5464 – 5469

I have attached a document to this email for ease of response; I would appreciate you completing the information requested regarding your internal Facilities and Estates department.

Please note, for percentage turnover, we do not hold this in the detail requested, however we have provided a summary on the spreadsheet. We do not hold information on whether leavers were replaced like for like.

The completed spreadsheet is attached.

FOI5446

In relation to the 2016-17 financial years please answer the following questions:

1. How many members of staff were absent for six-months or more due to (i) sickness and (ii) suspension?

(i)     111 members of staff

(ii)   1 member of staff

2. What was the cost of paying the wages of the people who were absent for six-months or more because of (i) sickness and (ii) suspension?

(i)                 £909,425

(ii)               £8,250

3. How many members of staff employed by the Trust that were absent from work for the entire financial year because of (i) sickness and (ii) suspension?

(i)                 15 members of Staff

(ii)               None

4. What was the cost of paying the wages of the people who were absent for the whole year because of (i) sickness and (ii) suspension?

(i)                 £245,707

(ii)               None

1A)  Are in-patients who are considered to be at risk of VTE in your Trust routinely checked for both proximal and distal DVT?

B) For in-patients diagnosed with VTE in your Trust between 1 April 2016 and 31 March 2017, what was the average time from first clinical suspicion of VTE to diagnosis?

C) For in-patients diagnosed with VTE in your Trust between 1 April 2016 and 31 March 2017, what was the average time from diagnosis to first treatment?

2A) How many cases of hospital-associated thrombosis (HAT) were recorded in your Trust in each of the following quarters?

B) How many Root Cause Analyses of confirmed cases of HAT were performed in each of the following quarters?

C) According to the Root Cause Analyses of confirmed HAT in your Trust between 1^st April 2016 and 31^st March 2017, in how many cases:

3A) How many patients were admitted to your Trust for VTE which occurred outside of a secondary care setting between 1 April 2016 and 31 March 2017?

B) Of these patients, how many:

C) Of the patients admitted to your Trust for VTE occurring between 1 April 2016 and 31 March 2017 who had a previous inpatient stay in your Trust up to 90 days prior to their admission, how many had their VTE risk status recorded in their discharge summary?

D) Please describe how your Trust displays a patient’s VTE risk status in its discharge summaries.

4A) Has your Trust received any sanctions, verbal or written warnings from your local commissioning body between 1 April 2016 and 31 March 2017 for failure to comply with the national obligation to perform Root Cause Analyses of all confirmed cases of HAT?

B) Between 1 April 2016 and 31 March 2017, has your Trust received any sanctions, verbal or written warnings from your local commissioning body for failing to deliver the minimal VTE risk assessment threshold?

5A) What steps does your Trust take to ensure patients are adequately informed about VTE prevention?

B) If your Trust provides written information on VTE prevention, does it provide information in languages other than English?

Please see attached

FOI 5463

Claire Johnson next to the organ donation lift wraps at Heartlands.

There are currently 166 people in Birmingham waiting for a transplant, who need people to say yes to organ donation so they can get the organ transplant they so desperately need.

The hospital is promoting organ donation in the hope that it will encourage people to think about it whilst waiting for the lift and then go on to register. This would hopefully open the door to more people getting the transplants they need.

Over the past year 82 people in Birmingham have had their lives saved or transformed thanks to deceased organ donors from across the UK. However, sadly three people a day still die whilst in need of a transplant due to the shortage of people willing to donate organs.

There is also a higher proportion of patients from Black, Asian and Minority Ethnic (BAME) communities on the waiting list for an organ transplant, but a lower proportion of organ donations from these communities. The process of organ donation involves extensive matching of tissue types, and a match is more likely in patients with a similar ethnicity. Hence the waiting time for patients from BAME backgrounds is longer than those from white British population. This is particularly relevant in Birmingham, where some communities have a higher incidence of kidney failure, often related to the complications of diabetes.

8 in 10 of us agree it’s important to tell those closest to us our views about organ donation after death, but only a third say their family knows their wishes about organ donation.* Surveys have also repeatedly shown that whilst over 75 percent of people agree to the idea of donating their organs after death, less than 30 percent have registered this on the national Organ Donation Register. There are many reasons for this, including that families may feel uncomfortable about discussing dying, or have just not got around to it. Often, when a loved one dies, their family do not know what their wishes might have been and it can be difficult for a family to consider this during their grief.
Claire Johnson, specialist nurse for organ donation at Heartlands Hospital, said: “Transplants save lives and are only possible if people are willing to donate. We hope this initiative will prompt our employees, patients and visitors to the hospital to think about organ donation and to commit to save lives as a donor by signing up to the NHS Organ Donor Register.”

Sign up today at www.organdonation.nhs.uk and let your friends and family know you want to help others after your death.

A breakdown of your suppliers of mobility – related products (wheelchairs, hoists etc.), including names, goods/services supplied and funds paid out to each supplier.

 Total Spend for period 2012-17 – Wheelchairs £59,273.21

Total Spend for period 2012-17 – Hoists £105,240.21