FOI 5704 Ovarian Cancer

Published/updated: 30/01/18 15:57

Please see attached PDF regarding questions on ovarian cancer:

FOI 5704

FOI 5713 Chair and Executives

Published/updated: 30/01/18 15:33

Under the freedom of information act could you please let me have details as listed below:

1) What are the criteria or qualifications required to be a member of the Voting Executive?
All directors are required to comply with Fit and Proper Person requirements implemented by the CQC.

2) Do the Chair or the Executives receive a payment for their services?
Yes, as employees of the Trust they receive remuneration as do all staff.

3) Are the Chair or Executives allowed to claim Expenses? –
Yes, reasonable expenses are paid.

4) Please forward a list of all payments made to the Chair and Voting Executives, during 2016 and 2017.
This information is available on the Trust’s website at https://hgs.uhb.nhs.uk/annual-reports/ .We are therefore withholding this information under Section 21 of the Freedom of Information Act 2000 “information already accessible “.

5) Do you provide or pay for Computers, Laptops or iPads.
Computers, laptops or iPads are provided where required.

6) Do you provide or pay for any communication equipment.
Communication equipment is provided where required.

7) Do you provide or pay for any transportation.
Reasonable transportation or travel expenses are provided where required.

8) Do you provide any credit cards which are paid for by the trust?
Yes in line with Trust policy and procedures

9) Please let me know any other benefits that the Chair and Voting Executive, to which they may have entitlement. –
This information is available on the Trust’s website at https://hgs.uhb.nhs.uk/annual-reports/ .We are therefore withholding this
information under Section 21 of the Freedom of Information Act 2000 “information already accessible “.

FOI 5746 ENT (Otolaryngology) Doctors

Published/updated: 29/01/18 12:10

1.Does your Trust employ ENT (Otolaryngology) Doctors?
Yes
If the answer to this question is No, there is no need to answer any further questions – please just confirm the answer to this question. If the answer is Yes, please proceed to Question 2.

2a) Do you employ any Specialty Registrars (StR’s) in ENT (Otolaryngology)? This means doctors at level StR3 to StR8 who are part of a recognised School of Surgery / LETB training scheme. If Yes, please answer ‘yes’ and proceed to Question 3. If No please answer Question 2b.
Yes

2b) Do you host any Specialty Registrars (StR’s) in ENT (Otolaryngology) employed by a LETB training scheme (in some rotations the StR’s have contracts with the LETB, instead of individual trusts). This means doctors at level StR3 to StR8 who are part of a recognised School of Surgery / LETB training scheme employed by the LETB. If Yes, please answer ‘yes’ and proceed to Question 3.
If the answer to Question 2a and 2b is No, there is no need to answer any further questions – please just confirm the answer to these questions.

3) How many Specialty Registrars (StR’s) in ENT (Otolaryngology) do you (or the LETB, in your Trust) employ?
3

4) For each of these Specialty Registrars (StR’s), please provide the following information:
Averaged per week over a rotational cycle for on call and daytime commitments, excluding any leave of any kind, or public holidays, or regional study days if they are not at least once per fortnight, for the registrar or any other member of the medical staff, including consultants, how many hours and (if applicable) how many half-day sessions does the Specialty Registrar spend in the following activities (E.g. If the Registrar spent from 9AM until 1PM as paid personal development time one day per week, the answer to that question would be 4 hours and 1 half day):

a) On Consultant supervised ward rounds?
6 hours

b) On other ward rounds (non supervised)?
5 hours

c) In Consultant supervised outpatient clinics?
12 hours

d) In other outpatient clinics (non supervised)?
0

e) In Consultant supervised operating sessions?
16 hours

f) In other operating sessions (non supervised)?
0

g) In paid personal development / Study / SPA time?
8 hours

h) Departmental teaching?
1 hour

i) Undertaking emergency on call work (excluding time when they are also undertaking one of the activities above)?
4 hours

j) Any other contracted regular activities – please give hours / sessions and specify the activity?
Not applicable

5) Is the Specialty Registrar (StR) compulsory resident when on call?
No

6) After weekday nights on call, does the Specialty Registrar (StR) routinely have time off the next day because they have been on call?
Yes, half a day.

FOI 5744 Spiritual and Pastoral Care

Published/updated: 29/01/18 11:07

1. Please provide information on whether your NHS Trust currently employ any individuals for the purpose of ‘spiritual care’ and/or, ‘pastoral care’ – if applicable, please indicate which denomination each employee belongs to.

Heart of England NHS Foundation Trust employs a multi-faith chaplaincy team that provides a full range of religious, spiritual and pastoral care to patients and staff. The denominations are;

 Church of England – 2
 Pentecostal – 1
 Roman Catholic – 3
 Muslim – 2

In addition the Trust has access to multi-faith Bank Chaplains who support the chaplaincy team in providing out of hours service as required.

2. Please list the specific job titles and, salary figures (per annum or pro rota) for each respective individual; detailing which are part-time and full-time roles.

 Generic Health Care Chaplain, Full- time, Band 6
 Generic Health Care Chaplain, Part –time, Band 6
 Generic Health Care Chaplain, Part- time, Band 6
 Roman Catholic Health Care Chaplain , Part –time, Band 6
 Roman Catholic Health Care Chaplain , Part –time, Band 6
 Roman Catholic Health Care Chaplain , Part –time, Band 5
 Muslim Cleric, Part- time, Band 6
 Muslim Cleric, Part- time, Band 5

3. Please provide details on whether NHS Trust have a specific budget for the purpose of ‘spiritual care’ or ‘pastoral care’ and, if so, please detail the total amount (£).

Heart of England NHS Foundation Trust Multi-faith Chaplaincy service has annual budget of £235,651

FOI 5722 ADT information

Published/updated: 26/01/18 12:37

– ADT performance for 2017 to date

Please see attached FOI 5722

– How the trust manages ADT performances including:

1. Responsibility for updating ADT patient transactions on a ward and organisational level e.g. ward staff/capacity team
At ward level it is part of the ward clerks role and is overseen by the Senior Sister or Senior Charge Nurse for the ward area. Both Registered Nurses and Healthcare Assistants are expected to be able to complete the ADT’s and training is in place to address this.

2. How the organisation monitors performance including reporting methods, managing variance in performance
Data attached is presented monthly on the ‘ward to board’ dashboard. This is reported and discussed through the Divisional Meeting and the Nursing and Midwifery Committee which is held monthly. We expect ADT to be completed within 2hours of admission to the ward or upon transfer from another ward.

3. Does the trust utilise the ‘temporary bed’ function on your patient administration system to support patients who ‘sit out’,
No

a) If so how does the trust maintain oversight of this to include which staff members have permission to add temporary beds?
Not Applicable

b) Do wards have a default allocation of temporary beds to support such circumstances?
No

4. Out of hours where there are issues or delays with timely ADTs what mechanisms does the trust have to manage this e.g. on call ‘ward clerk’
If a 24/7 hour ward clerk is available they will handle the issue, if they are not available the ward will allocate a Health Care assistant to undertake the role as long as it is not detrimental to care delivery.

FOI 5735 Data Quality

Published/updated: 26/01/18 12:14

Does your trust have a Data Quality (or similar) meeting? If the answer is yes I would be grateful if you could provide further information to include:
1. Terms of reference for meeting group
2. Copy of open risks
3. Copy of action log
4. Copy of meeting minutes for the last 12 months
However if the initial answer is no, how does the trust ensure its data complies with Information Guidelines whilst adhering to National data quality standards, Caldicott Guidelines and the Data Protection Act 1998

The Trust does not currently have a Data Quality, or similar meeting. However, assurance is provided on a regular basis to the Trust’s Information Governance Group with Data Quality reports, Secondary Use Assurance, and reports in relation to other specific IG Toolkit requirements.

Data Quality Key performance indicators (KPI) are included in Monthly Directorate & Budget reports. Timeliness of Admission, Discharges & transfers (ADT) are reported to Nursing Committee and data quality is included in the Trust Performance Board reports.

FOI 5724 Pest Control

Published/updated: 26/01/18 11:45

Could the Trust confirm the following:

How many times in each of the last five years it has engaged the services of a pest control company;

The Trust engage a Pest Control contract to provide a weekly service at all our hospitals and clinics. It is contracted for a 365 day 24/7 call out arrangement at no extra cost including weekends and Bank Holidays

For each occasion, please state:

(i) the type of pest reported; Pests reported over a 5 year period are covered within the contract specification and include cockroaches, mice, rats, wasps, pigeons, and crawling insects. We do not hold the information for each occasion for a five year period.

(ii) the location of the pest (please be as specific as possible e.g. cardiology ward/ITU/operating theatre/mortuary); We do not hold this information for a five year period, however services have been provided to clinical and non-clinical areas as well as external grounds.

(iii) the cost of the call out No Call-out fee as it is part of a service contract

FOI 5715 Assault Attendances to Emergency Department

Published/updated: 26/01/18 09:55

For the period of 1st January 2017 to 31st December 2017 (preferable format of excel file).
We require the:
 Gender of the patient (M or F),
 Date that they attended due to assault (dd/mm/yyyy)
 Age, this can either be numerical to the nearest year (preferred) or in age bands (“0-10”, “11-17”, “18-30”, “31-50”, “51+”), we can also accept date of birth.

Please see attached.  FOI 5715 The age has been provided in age bands as above. Please note, due to patient confidentiality, we have not provided the exact date of attendance and where fewer than 5 patients have attended we have not given the exact number.

We also require the total number of attendances for any reason in the year of interest, i.e. 2017.

The total number of attendances for any reason in 2017 is 321,924

FOI 5710 Caesarean sections

Published/updated: 26/01/18 08:45

Advise how many maternal request caesarean sections with no obstetric, medical or significant psychological reason were carried out by each obstetric unit within your Trust between April 2016 and April 2017.

Please see attached FOI 5710

 Provide a copy of any locally agreed guidelines, staff guidelines and patient information leaflets that explain how requests for maternal request caesarean sections will be handled by the Trust.

See attached guidelines and leaflets for patients:

Caesarean section checklist Elective

Caesarean Section

CSection1

CSection2

CSection3

Please note, the patient leaflets are 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.

 Please provide an explanation as to how you specifically meet NICE CG132 1.2.9.5 and if you are not, please provide the reason.

NICE CG132 1.2.9.5 states “For women requesting a CS, if after discussion and offer of support (including perinatal mental health support for women with anxiety about childbirth), a vaginal birth is still not an acceptable option, offer a planned CS. [new 2011]”
In line with this guidance, women are supported to have CS for maternal request following discussion with an obstetrician and a referral to perinatal mental health and/or consultant midwife as appropriate. Details of the maternal request would be documented within Trust systems.

FOI 5668 Systems used

Published/updated: 25/01/18 15:44

If any of the numbered systems below are used, can you please provide the information requested in the bullet points:

1. Personal health record/patient portal
Not applicable

2. TIE (Trust Integration Engine)
 Supplier name – Rhapsody (Orion)
 System name – Insight
 Current contract start date – 26/3/2017
 Current contract end date – 25/03/2018
 The procurement method that was used to obtain this system i.e. what framework? SCC Framework
 The current contract status and procurement intentions, are you in procurement or have you already procured? We do not hold this information at this time, the Trust is in the process of a merger and the procurement status is dependent on the outcome of the proposed merger.
 Are you looking to renew this system? As above, this is dependent on the outcome of the proposed merger
 The total contract Value? £193,287.00
 Do you have mobile access to this system yes or no – No

3. Health Information Exchange (HIE provides the capability to electronically move clinical information among disparate healthcare information systems, and maintain the meaning of the information being exchanged.)
 Supplier name – PCTI Solution LTd
 System name – Docman – used only for clinical letters to GP’s
 Current contract start date – 03/07/2017
 Current contract end date – 02/07/2018
 The procurement method that was used to obtain this system i.e. what framework? Local contract
 The current contract status and procurement intentions, are you in procurement or have you already procured? We do not hold this information at this time, the Trust is in the process of a merger and the procurement status is dependent on the outcome of the proposed merger.
 Are you looking to renew this system? As above, this is dependent on the outcome of the proposed merger
 The total contract Value? £30,000.00
 Do you have mobile access to this system – No

4. Clinical Portal (single organisation alternative to EPR)
iCare (Internal system) and Concerto (Internal systems)

5. E-Rostering (staffing) e.g. Clarity/HCL
 Supplier name – Allocate Software – Specialist Computer Centres PLC
 System name – Healthroster
 Current contract start date – 2015
 Current contract end date – 2020
 The procurement method that was used to obtain this system i.e. what framework OGC Framework
 The current contract status and procurement intentions, are you in procurement or have you already procured? – Procured
 Are you looking to renew this system? – Not currently
 The total contract Value? £500,000.00
 Do you have mobile access to this system yes or no – No

6. Corporate scheduling
None

7. Population health management system (example suppliers are EPR providers (Cerner, Allscripts, Epic etc), integration-led (Graphnet, Orion, ISC etc) and PHM specialists (e.g. MedeAnalytics)
None

8. Finance BI and analytics system
Internal system

9. Live operational dashboard system
Referral to treatment portal (RTT portal) internally developed

10. Genomics platform
Not applicable

11. Outcomes/performance benchmarking (the key suppliers are Dr Foster, CHKS and UHB.
These systems enable a trust to compare their key clinical outcomes indicators, such as mortality, length of stay and readmission rates, with other NHS trusts)
 Supplier name: University Hospitals Birmingham NHS
 System name: Healthcare Evaluation Data
 Current contract start date Authority to Authority agreement is in the process of being formulated

12. Transfers of care system including Electronic referral system, Electronic handover solution, Discharge summary solution, Discharge planning solution, Hospital to community pharmacy referral system

Internal systems
Please note, where we use internal systems the points below are not applicable
 Supplier name
 System name
 Current contract start date
 Current contract end date
 The procurement method that was used to obtain this system i.e. what framework?
 The current contract status and procurement intentions, are you in procurement or have you already procured?
 Are you looking to renew this system?
 The total contract Value?
 Do you have mobile access to this system yes or no

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