1.a. What was the average waiting time for patients referred to the Child and Mental Health Services at your trust during the financial year 2017-2018, and what was their age and gender?
1.b. What was the average waiting time for patients referred to the Child and Mental Health Services at your trust during the financial year 2016-2017, and what was their age and gender?
1.c. What was the average waiting time for patients referred to the Child and Mental Health Services at your trust during the financial year 2015-2016, and what was their age and gender?
2.a. What was the longest waiting time for a patient referred to the Child and Mental Health Services at your trust during the financial year 2017-2018, and what was their age and gender?
2.b. What was the longest waiting time for a patient referred to the Child and Mental Health Services at your trust during the financial year 2016-2017, and what was their age and gender?
2.c. What was the longest waiting time for a patient referred to the Child and Mental Health Services at your trust during the financial year 2015-2016, and what was their age and gender?
3.a. How often did limited capacity mean your trust had to decline access to services for patients referred to the Child and Mental Health Services during the financial year 2017-2018?
3.b. How often did limited capacity mean your trust had to decline access to services for patients referred to the Child and Mental Health Services during the financial year 2016-2017?
3.c. How often did limited capacity mean your trust had to decline access to services for patients referred to the Child and Mental Health Services during the financial year 2015-2016?
4.a. What’s the furthest distance a patient has had to travel from your trust to find adequate, available care from the Child and Mental Health Services during the financial year 2017-2018, having been turned away due to a lack of resources, and what was their age and gender?
4.b. What’s the furthest distance a patient has had to travel from your trust to find adequate, available care from the Child and Mental Health Services during the financial year 2016-2017, having been turned away due to a lack of resources, and what was their age and gender?
4.c. What’s the furthest distance a patient has had to travel from your trust to find adequate, available care from the Child and Mental Health Services during the financial year 2015-2016, having been turned away due to a lack of resources, and what was their age and gender?
5.a. What age was the youngest patient dealt with by the Child and Mental Health Services at your trust during the financial year 2017-2018?
5.b. What age was the youngest patient dealt with by the Child and Mental Health Services at your trust during the financial year 2016-2017?
5.c. What age was the youngest patient dealt with by the Child and Mental Health Services at your trust during the financial year 2015-2016?
The Trust has not had a CAMHS service since April 2015 when the service transferred to Birmingham and Solihull Mental Health Foundation trust. You may wish to contact their Freedom of Information team bsmhft.foioffice@nhs.net
Would be possible to please get the email address and contact details for your head of facilities or person responsible for sourcing of waste reduction equipment such as cardboard balers and smart bins in the trusts individual hospitals.
Tony Cressey
Acting Head of Facilities
Tel: 0121 424 1301
Email: tony.cressey@heartofengland.nhs.uk
Facilities
Estates Building
Heartlands Hospital
Bordesley Green East
Birmingham
B9 5SS
However, please note that we do not use cardboard balers in the Trust.
This inquiry relates to the NHS Digital ScanForSafety initiative ( https://www.scan4safety.nhs.uk/ ) and yours organisations directive towards….
– traceability of patients and employees
– traceability of shipments and deliveries of biological samples
– traceability and correctness of drug administration
– indoor navigation and user orientation within hospitals
– traceability of asset flows in hospital warehouses
– optimization of costs and logistics efficiency
– Stock reduction/one off stock holiday
– Reduction in wastage/obsolescence
– Non-clinical pay efficiencies
– A reduction of inventory averaging
– Ongoing operational efficiencies
Questions:
1) Has your organisation signed up to the ScanForSafety project ? https://www.scan4safety.nhs.uk/benefits/ No
1a) – YES (if yes, what hardware & software supplier have you used and who is project managing this internally)?
1b) – NO (if no, is this something you would be keen to be involved in should other demonstrator sites be announced)?
No
2) Has your Trust already enabled a “product to patient” tracking system, to trace what medical items are used with any given identified patient? This includes being able to track medical devices, objects, assets, people and pathways, and to enable the transmission of the right data through the recognition of a unique identifier. No
2a) – If yes, could you please detail the company you used to achieve this? (both hardware & software provider)
2b) – If no, is this something your organisation would be keen to explore within the next 18 months?
No
2c) – If this is something your organisation may consider exploring, who would be the Trust project lead?
3) Does your Trust already use an electronic inventory management solution to trace the movement of items into and out of the hospital warehouse/supplies department? This could also include the monitoring and movement of blood products, implants and patients’ records… Yes
3a) – If yes, could you please detail the company you use to achieve this? (both hardware & software provider)
We use the Genesis system to track all stock items in and out of the warehouse this includes using a Honeywell PDA / scanner.
3b) – If no, is this something your organisation would be keen to explore within the next 18 months?
3c) – If this is something your organisation may consider exploring, who would be the Trust project lead?
4) Does your Trust have a solution to trace goods and people flows in their logistic pathways – to identify their physical movements through the hospital or provide mobile readings of passive and/or active RFID’s? Yes
4a) – If yes, could you please detail the company you use to achieve this? (both hardware & software provider)
Scan file Software Support Agreement
4b) – If no, is this something your organisation would be keen to explore within the next 18 months?
4c) – If this is something your organisation may consider exploring, who would be the Trust project lead?
5) Does your Trust provide an electronic navigation system (an app) to support the patient, their visitors and other caregivers’ check-in at the hospital and assist them with their indoor navigation around the hospital site? No
5a) – If yes, could you please detail the company you use to achieve this? (both hardware & software provider)
5b) – If no, is this something your organisation would be keen to explore within the next 18 months?
No
5c) – If this is something your organisation may consider exploring, who would be the Trust project lead?
6) Does your operating theatres have an electronic stock management system, (which also monitors expiry dates)? Yes
6a) – If yes, could you please detail the company you use to achieve this? (both hardware & software provider)
We use the Genesis system to track lot & Expiry implants. We use the Honeywell P.D.A’s to perform the transaction and reorder the goods.
6b) – If no, is this something your organisation would be keen to explore within the next 18 months?
6c) – If this is something your organisation may consider exploring, who would be the Trust project lead?
1. What is the average length of time per patient to assist with a CAUTI?
We do not hold this information. There is no method to measure this as it depends on the patient’s condition, their ability to self-manage any aspect of their catheter managements and other relevant comorbidities.
2. How many nosocomial CAUTIs were there in your trust last year? What is your position on the safety thermometer for CAUTI?
We do not hold this information. We do however, have data on community and nosocomial Catheter Associated Urinary Tract Infections (CAUTI), which is provided below.
Please See attached PDF document
3. What 3 main actions have the trust deployed or is planning to deploy to reduce nosocomial CAUTIs?
There have been a number of interventions to limit the use of urinary catheters and to ensure that if a urinary catheter is inserted it is managed appropriately so as to reduce the risk and incidence of infection:
• A multi-disciplinary high impact action group was set up to address urinary catheter issues.
• A urinary catheter passport has been introduced. This is issued to patients who are discharged with urinary catheters. The aim is to involve patients more fully with the care and management of their urinary catheter and improve communication between health care professionals when patients are discharged into the community
• Urinary catheter products and equipment have been reviewed and standardised across the organisation.
• The saving lives high impact intervention catheter care bundle focuses on the best practice in relation to CAUTI. This is audited monthly by the ward and department areas. As a quality assurance measure the infection prevention and control team carry out random peer audits.
• A catheter review tool due to be introduced to empower nursing staff to remove urinary catheters in a timely way and to ensure that the use of urinary catheters is appropriately risk assessed.
4. What is the impact on increased length of stay for an average patient in your trust with a CAUTI – how many days on average?
We do not hold this information. There is no accurate way of determining increased length of stay for an average patient in the Trust with a CAUTI as ‘average’ cannot be defined in terms of diagnosis, comorbidities etc.
5. What is the increased per patient cost of a nosocomial CAUTI? (e.g. extended hospital stay, nursing time, drug treatment, bed blocking etc.)
As above, we do not hold this information.
1. Does your Trust have a plan or strategy in place to limit and discourage the use of consumer messaging apps (e.g. WhatsApp) within the Trust?
No, however the Trust’s Acceptable Use Policy refers to standards for the use of social media. Information Governance training includes reference to the appropriate use of messaging apps.
2. What instant messaging apps does the Trust currently provide to staff?
None
3. The name and email address of the person responsible within the Trust who is responsible for evaluating & purchasing instant messaging apps for staff to communicate.
Not applicable
I am writing to you to request information relating to Non-Oral Anti Coagulants (NOACs).
Please see attached for specific questions and the Trust’s response FOI 5891.
1. How many fixed (static) surveillance cameras are functional on the trust’s premises? 344
a) How many are focused outside buildings (for instance in grounds or car parks)? See note 1 below
b) How many are focused inside buildings? See note 1 below
2. How many moving surveillance cameras (those that zoom in, pan and tilt) are functional on the trust’s premises? 67
a) How many are focused outside buildings (for instance in grounds or car parks)? See note 1 below
b) How many are focused inside buildings? See note 1 below
3. Do you have any covert (hidden) cameras on your premises? If yes, please say: See note 1 below
a) How many are focused outside buildings (for instance in grounds or car parks)? See note 1 below
b) How many are focused inside buildings? See note 1 below
4. Do security officers employed by the trust use body worn video cameras? Yes
a) How many body worn cameras are in use by security guards on your premises? See note 1 below
b) When these are turned on See note 1 below
5. How much has the trust spent on surveillance equipment, in total for the past five financial years? Please break this down by:
YEARS (APR- MAR)
£
17/18 26,547
16/17 14,144
15/16 13,628
14/15 19,131
13/14 56,430
TOTAL 5 YEARS 129,880
a) fixed surveillance cameras See note 1 below
b) moving surveillance cameras See note 1 below
c) body worn video cameras See note 1 below
6. What is the make, model and manufacturer of the devices used by the trust?
a) fixed surveillance cameras
b) moving surveillance cameras
c) body worn video cameras
Manufacturer = Pelco. Make and model See note 1 below
7. Where is the footage from the devices stored? Please break this down by:
a) fixed surveillance cameras On networked video digital recorders
b) moving surveillance cameras On networked video digital recorders
c) body worn video cameras On networked video digital recorders
8. How long is the footage from the devices held? Please break this down for:
a) fixed surveillance cameras 31 days in line with ICO guidance
b) moving surveillance cameras 31 days in line with ICO guidance
c) body worn video cameras 31 days in line with ICO guidance
9. How many times has footage from devices been used in a successful or unsuccessful prosecution? Please break this down by device:
a) fixed surveillance cameras
b) moving surveillance cameras
c) body worn video camera
See note 1 below
9. Does your trust comply with the Surveillance Camera Commissioner’s code of conduct? (https://www.gov.uk/government/publications/surveillance-camera-code-of-practice)
Yes
Note 1
Where indicated above, the Trust does hold the information requested; however we are withholding it under Section 31 (3) of The Freedom of Information Act as the disclosure could prejudice the prevention or detection of crime. There is therefore significant public interest in not providing this information.
1. Please confirm whether you have a permanent guardian of safe working hours in place at the trust. Please confirm their length of service in the guardian role.
Yes.
The Guardian of Safe Working was first appointed in August 2016. He resigned in December 2016.
The Deputy Medical Director acted as interim Guardian from January 2017 – April 2018.
Substantive GOSW appointed April 2018.
2. Please detail the total number of exception reports submitted during 2016/17 and 2017/18.
Please find the attached PDF document.
3. Please detail the number of exception reports submitted during the time frame which focus on staff shortages/rota gaps.
We do not hold this information in a retrievable format.
4. Please provide anonymised text for all of the reports fulfilling the above criteria.
We do not hold this information in a retrievable format.
5. Please provide the total number of clinical vacancies currently at the trust, separated however trust figures are usually detailed.
Please find attached spreadsheet.
1. Where do you store your physical paper medical records? Please indicate all types relevant from below.
In house library √
Offsite storage √
We do not have any paper records
2. Have you already started to digitise your medical records?
YES However stopped Jan 2014
a. If yes, then which records have you digitised?
Legacy records:
Yes
b. If Yes: Is this being done in-house or is this outsourced (if outsourced, what is the name of the provider, and what is the length of this contract?)
Outsourced to EDM, contract is now expired
Day Forward Records: Yes/No
Not Applicable
If yes: Is this being done in-house or is this outsourced? (if outsourced, what is the name of the provider, and what is the length of this contract?)
Not Applicable
3. If you have already started to scan your records how do you host your images?
a. EDMS (Electronic Document Management System):
Yes As above has now expired
b. If yes: Which EDMS do you use and what is the length of the contract/licence for this service?
As above now expired
c. Shared drives:
Yes
d. If yes: Are the shared drives managed internally by the Trust or externally by an outside provider? (What is the name of the outside provider, and what is the length of this contract?)
Managed by Trust
e. Online portal:
Yes
f. If yes: What online portal does the Trust currently use and what is the length of the contract/licence for this service?
SRV (Documentum ) contract expired
g. Other not mentioned above: please provide details of the service used.
4. If you have not started to scan your medical records when do you expect to start this project?
No Plans to restart scanning at this moment in time
5. If you do plan to start scanning your medical records how will you manage the procurement?
No Plans at this time to start scanning
a. OJEU: Yes/No
Not Applicable
b. Framework: Yes/No
Not Applicable
c. If yes: Which framework will you use?
Not Applicable
LPP, ESPO, SBS, H.T.E (Health Trust Europe), NOE CPC
Not Applicable
d. Procurement stage already complete: Yes/No
Not Applicable
6. Who is the person responsible at your organisation for medical record digitisation projects?
If unable to provide individuals name, please provide full job title and name of the department in which the individual is based.
Not Applicable as no digitisation projects taking place.
1. In the last 5 years, how many walking frames (including zimmer frames, wheeled walkers, rollators and pick-up walkers) and how many walking sticks have been issued to patients by your Trust? Please include separate numbers for each category of walking aid.
See attached
2. What was the total spend by your Trust on the above for each of the last 5 years? (if possible, please break this down by year and item type).
See attached
3. How many of the above have been returned to your Trust by patients over the last 5 years? (if possible, please break this down by year and item type).
The Trust does not hold this information
4. Of those returned, how many were deemed fit for re-use and how many were classed as unfit for re-issue?
The Trust does not hold this information
