University Hospitals Birmingham NHS Foundation Trust | 2018

University Hospitals Birmingham NHS Foundation Trust (UHB) completed a merger by acquisition of Heart of England NHS Foundation Trust (HEFT) on 1^st April 2018. UHB includes Birmingham Heartlands Hospital, the Queen Elizabeth Hospital Birmingham, Solihull Hospital and Community Services, Good Hope Hospital in Sutton Coldfield and Birmingham Chest Clinic.

Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust some responses have been provided by hospital site.

Queen Elizabeth Hospital

I would like to know the following please:

1. How much does it cost your NHS trust to surgically remove a foreign object from a patient?

We are unable to provide this information as costs will be dependent on the setting, which grade of staff is involved in treatment and the length of time we spend with each patient to deliver appropriate treatment.

2. How many patients have had foreign objects surgically removed from their bodies across your NHS trust from July 2017 to July 2018?

153 patients with foreign objects were admitted to the hospital from an A&E attendance which would make it likely they required surgical removal.

NB: A foreign object could be anything that is not native to the human body, including a piece of glass, splinter etc and could be deliberate or intentional.

3. How many of those patients had sex toys surgically removed from their bodies between July 2017 and July 2018?

The Trust does hold the information you have requested, however we estimate that compliance with your request would exceed the appropriate costs limit under section 12 of the Freedom of information Act 2000. This is currently £450. The appropriate limit would be exceeded if it would require more than 18 hours work.

In order to obtain this information, a member of staff would need to review 153 patient files from QEHB and 46 from HGS making a total of 199 files. Considering that a member of staff would have to look in both paper and electronic records, we estimate that this would take approximately 1 hour per file to locate, retrieve and review all 199 patient files. This would equate to 99.5 hours which is over the appropriate limit as specified above. Should you wish to pay the fees notice the cost will be £2487.50. Alternatively, if you wish to narrow the scope of your request, please do so with the time limit of 18 hours in mind.

4. How many patients have attended A&E requiring medical assistance to remove a sex toy / sex instrument from their bodies between July 2017 and July 2018?

As above

Heartlands, Good Hope and Solihull Hospital

I would like to know the following please:

1. How much does it cost your NHS trust to surgically remove a foreign object from a patient?

2. How many patients have had foreign objects surgically removed from their bodies across your NHS trust from July 2017 to July 2018?

From July 2017 to July 2018, there were 46 procedures to remove a foreign object.

3. How many of those patients had sex toys surgically removed from their bodies between July 2017 and July 2018?

4. How many patients have attended A&E requiring medical assistance to remove a sex toy / sex instrument from their bodies between July 2017 and July 2018?

As above.

Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust some responses have been provided by hospital site.

Queen Elizabeth Hospital

I write under the terms of the Freedom of Information Act 2000 to request the following information:

1. How many hospital beds have been set aside across your Trust for private patients in each year from 2010/11 to 2017/18 inclusive? Please include beds set aside solely for private use and temporarily for private use.

2010/2011: 18

2011/2012: 18

2012/2013: 18

2013/2014: 18

2014/2015: 18

2015/2016: 18

2016/2017: 18

2017/2018: 18

2018/2019: 18

2. How many dedicated Private Patient Units have you had across your Trust in each year from 2010/11 to 2017/18 inclusive? Please provide details where possible around the activity within the units.

2010/2011: 0

2011/2012: 0

2012/2013: 0

2013/2014: 0

2014/2015: 0

2015/2016: 0

2016/2017: 0

2017/2018: 0

2018/2019: 0

3. How much has your Trust invested in Private Patient Units in each year from 2010/11 to 2017/18 inclusive? Please provide details where possible concerning what the Trust spent money on.

2010/2011: £0

2011/2012: £0

2012/2013: £0

2013/2014: £0

2014/2015: £0

2015/2016: £0

2016/2017: £0

2017/2018: £0

2018/2019: £0

4. On how many occasions have patients been transferred into NHS care from Private Patient Units in each year from 2010/11 to 2017/18 inclusive?

2010/2011: 14

2011/2012: 39

2012/2013: 28

2013/2014: 20

2014/2015: 20

2015/2016: 17

2016/2017: 15

2017/2018: 25

2018/2019: 6

Please note: The numbers provided are for patients who were admitted as private patients and then transferred to an NHS ward.

Heartlands, Good Hope and Solihull Hospital

I write under the terms of the Freedom of Information Act 2000 to request the following information on maternity unit closures.

We can confirm that there are no beds set aside solely for private patient use.

Please be advised that HGS do not have any private patient units.

3. How much has your Trust invested in Private Patient Units in each year from 2010/11 to 2017/18 inclusive? Please provide details where possible concerning what the Trust spent money on.

Please be advised that HGS do not have any private patient units.

4. On how many occasions have patients been transferred into NHS care from Private Patient Units in each year from 2010/11 to 2017/18 inclusive?

Please be advised that HGS do not have any private patient units.

Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust some responses have been provided by hospital site.

Queen Elizabeth Hospital

Under the Freedom of Information act I wish to request the following information:

1. Please provide a list of all contracts the trust has bid for under current tendering processes for the following financial years: 2017-18, 2016-17, 2015-16, 2014-15, 2013-14 and 2012-13. Please provide the stated value of the contract, the nature of the contract and whether the bid was successful or not.

Queen Elizabeth Hospital

Please see attached: FOI 0302

Heartlands, Good Hope and Solihull Hospital

Please see attached: FOI 0302

2. Please provide details of all occasions where external consultancy has been used to support the development of a contract bid or used during any stage of the process. Please break this information down by the name of the consultancy used, the cost of using the firm and the outcome of the bid.

Queen Elizabeth Hospital

Please see attached: FOI 0302

Heartlands, Good Hope and Solihull Hospital

Please see attached: FOI 0302

Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust some responses have been provided by hospital site.

Queen Elizabeth Hospital

Can we request the following information from the last 2 calendar years:

1. Total number of vacancies for doctors shifts

2. Of these how many were filled by bank staff, how many were escalated to agency and the spending of each (bank fill v locum/agency fill)

3. Can we get a breakdown of the internal and external rates paid?

4. Can we have this information broken down by department and grade?

Please see attachment: FOI0287Attachment1

Heartlands, Good Hope and Solihull Hospital

Can we request the following information from the last 2 calendar years:

1. Total number of vacancies for doctors shifts

69,410

2. Of these how many were filled by bank staff, how many were escalated to agency and the spending of each (bank fill v locum/agency fill)

Locum/Bank	34,775
Agency	29, 953
Total	64, 728

Locum/ Bank Spend	£13.7m
Agency Spend	£11.1m
Total	£24.8m

3. Can we get a breakdown of the internal and external rates paid?

The Trust does not hold this information in a retrievable format.

4. Can we have this information broken down by department and grade?

Please see attachment: FOI0287Attachment2

Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust some responses have been provided by hospital site.

Queen Elizabeth Hospital

We require information related to the Support of the Trust’s or CCG’s Integration Engine (TIE) – The IT team and/or Procurement should be able to assist with answers.

1. Can you confirm that your Trust uses the Rhapsody Integration Engine for integration and sharing of information between clinical systems EG: PAS ADT / Demographic messages to Radiology System / LIMS within the Hospital? Please state the specific IE used and the version number.

Rhapsody version 6.3.0

2. Are you planning an upgrade or replacement of the IE in the next 12 months?

Upgrade, not replacement.

3. Please provide an email address for the main IT point of contact that is in charge of overseeing and managing the Integration and Interfacing team(s)?

Paul.Fletcher@uhb.nhs.uk

4. How many licenses do you hold for your Integration Engine, and of what type?

We have the ability to connect as many comm points as we like.

5. Do you pay for support and maintenance of your integration engine as separate items?

We have a support and maintenance contract for Rhapsody, however we also have on-site support by the IT managing the engine provided on a 24/7 basis.

6. Do you currently have an annual 24/7-365 Rhapsody environment and bespoke interface (monitoring) support contract with a third party supplier?

We have a support and maintenance contract for Rhapsody, however we also have on-site support by the IT managing the engine provided on a 24/7 basis.

7. (If yes to 6), How much do you currently pay for your annual 24/7 Rhapsody environment and bespoke interface support?

£11,500 per annum + VAT

8. (If yes to 6), When will the 24/7 support contract be renewed next?

January 2019

9. (If No to 6), Is your Rhapsody environment and bespoke interface support provided in-house?

Yes

9.2. Does this cover OOH support?

We have a support and maintenance contract for Rhapsody, however we also have on-site support by the IT managing the engine provided on a 24/7 basis.

10. What is the procurement route for the above services should they be external to the Trust e.g. via tender? (Procurement)

We would undertake the normal tender process, but we have no plans to do so in next 5 years.

Heartlands, Good Hope and Solihull Hospital

We require information related to the Support of the Trust’s or CCG’s Integration Engine (TIE) – The IT team and/or Procurement should be able to assist with answers.

Rhapsody version 5.5

2. Are you planning an upgrade or replacement of the IE in the next 12 months?

3. Please provide an email address for the main IT point of contact that is in charge of overseeing and managing the Integration and Interfacing team(s)?

Iftakhar.zaman@heartofengland.nhs.uk

4. How many licenses do you hold for your Integration Engine, and of what type?

Unlimited

5. Do you pay for support and maintenance of your integration engine as separate items?

6. Do you currently have an annual 24/7-365 Rhapsody environment and bespoke interface (monitoring) support contract with a third party supplier?

We have a support and maintenance contract for Rhapsody, however we also have on-site support by the IT managing the engine provided on a 24/7 basis.

7. (If yes to 6), How much do you currently pay for your annual 24/7 Rhapsody environment and bespoke interface support?

Not applicable

8. (If yes to 6), When will the 24/7 support contract be renewed next?

Not renewing as moving to Queen Elizabeth Hospital environment

9. (If No to 6), Is your Rhapsody environment and bespoke interface support provided in-house? Does this cover OOH support?

We have a support and maintenance contract for Rhapsody, however we also have on-site support by the IT managing the engine provided on a 24/7 basis.

10. What is the procurement route for the above services should they be external to the Trust e.g. via tender?

If we were to tender it would go via the normal tender process however, we have no plans to do so because we have merged with University Hospitals Birmingham (UHB) and will be using their IE.

Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust some responses have been provided by hospital site.

Queen Elizabeth Hospital

I am writing to request the following information under the Freedom of Information Act.

This request is additional information relating to my request about staff vacancies on 11 May 2018.

1. Bank cover:

How many FTE equivalent posts at your trust were covered by bank staff on Tuesday 3 April 2018 for each of the following groups?

All staff (including below groups)
Hospital & Community Health Service Doctors
Registered nurses

Please see the table detailed in question 2.

2. Agency cover:

How many FTE equivalent posts were covered by agency staff on Tuesday 3 April 2018 for each of the following groups:

All staff (including below groups)
Hospital & Community Health Service Doctors
Registered nurses

Please see the table below:

Heartlands, Good Hope and Solihull Hospital

I am writing to request the following information under the Freedom of Information Act.

This request is additional information relating to my request about staff vacancies on 11 May 2018.

1. Bank cover:

How many FTE equivalent posts at your trust were covered by bank staff on Tuesday 3 April 2018 for each of the following groups:

All staff (including below groups)
Hospital & Community Health Service Doctors
Registered nurses

Please see the table detailed in question 2.

2. Agency cover:

How many FTE equivalent posts were covered by agency staff on Tuesday 3 April 2018 for each of the following groups:

All staff (including below groups)
Hospital & Community Health Service Doctors
Registered nurses

Please see table below:

Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust some responses have been provided by hospital site.

Queen Elizabeth Hospital

Please consider this request under the FOI Act for information generated in the last 12 months on the following topics:

1. Any planning by the trust for a no-deal Brexit.

2. Any planning by the trust for other Brexit scenarios.

3. Any impact assessments carried out by the trusts of different Brexit scenarios.

Please see attached documents:

UHB – 10 BAF Paper 2018 01 25

UHB – BAF Paper 2017 10 26

Heartlands, Good Hope and Solihull Hospital

Please consider this request under the FOI Act for information generated in the last 12 months on the following topics:

1. Any planning by the trust for a no-deal Brexit.

2. Any planning by the trust for other Brexit scenarios.

3. Any impact assessments carried out by the trusts of different Brexit scenarios.

Please see attached documents:

HGS – 010 BAF cover sheet Apr17

HGS – 013 BAF cover sheet Oct17 HGS –

BAF_Report_Q3_Jan18

Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust some responses have been provided by hospital site.

Queen Elizabeth Hospital

Under the Freedom of Information Act can you please provide me with the following information:

Any documents, reports or risk assessments produced by the Trust’s board or management executive since June 2016 relating to Brexit risk, or contingency planning in the event of Brexit.

Please see attached documents:

UHB – 10 BAF Paper 2018 01 25

UHB – 11 BAF PAPER 27 Oct 16

UHB – 11 BAF paper 2017 07 27

UHB – BAF Paper 2016 07 28

UHB – BAF Paper 2017 01 26

UHB – BAF Paper 2017 10 26

UHB – BAF report 27 Apr 17

Heartlands, Good Hope and Solihull Hospital

Under the Freedom of Information Act can you please provide me with the following information:

Any documents, reports or risk assessments produced by the Trust’s board or management executive since June 2016 relating to Brexit risk, or contingency planning in the event of Brexit.

Please see attached documents:

HGS – 010 BAF cover sheet Apr17

HGS – 013 BAF cover sheet Oct17

HGS – 013.1 App 1 BAF Oct17 Draft

HGS – BAF Board report cover sheet template updated jUL 16

HGS – BAF cover sheet Jan17

HGS – BAF cover sheet Jun17 logo(2)

HGS – BAF Jan17 Draft HGS – BAF_Report_App1_Jan18

HGS – BAFJun17 Draft

HGS – Board Assurance Framework – July16

HGS -BAF Apr17 Draft HGS -BAF cover sheet Oct16

HGS -BAF_Report_Q3_Jan18

Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust some responses have been provided by hospital site.

Queen Elizabeth Hospital

1. For each of the last three completed financial years, please provide:

1a. Your total revenue resulting from private patients

Financial Year	Amount (£)
2015/16	3,594,054
2016/17	4,104,898
2017/18	4,343,734

1b. The amount of private patient revenue derived from treating patients aged under 18 years old (or a similar age cut off which you use to define paediatric patients)

Financial Year	Amount (£)
2015/16	31,559
2016/17	2,725
2017/18	2,539

Please Note: The above figures are included in the total revenue resulting from private patients

2.For the paediatric private patient revenue, please provide the percentage paid for by:

The patients/ the patient’s family
UK based private medical insurers
Overseas based private medical insurers
Overseas embassies or governments
Other

We do not hold this information as we do not collate who payments are received from.

Heartlands, Good Hope and Solihull Hospital

1. For each of the last three completed financial years, please provide:

1a. Your total revenue resulting from private patients

Financial Year	Amount (£)
2015/16	676,000
2016/17	706,000
2017/18	772,000

1b. The amount of private patient revenue derived from treating patients aged under 18 years old (or a similar age cut off which you use to define paediatric patients)

Financial Year	Amount (£)
2015/16	4,028
2016/17	7,346
2017/18	4,524

2. For the paediatric private patient revenue, please provide the percentage paid for by:

The patients/ the patient’s family
UK based private medical insurers
Overseas based private medical insurers
Overseas embassies or governments
Other

We do not hold this information as we do not collate who payments are received from.

University Hospitals Birmingham NHS Foundation Trust (UHB) completed a merger by acquisition of Heart of England NHS Foundation Trust (HEFT) on 1st April 2018. UHB includes Birmingham Heartlands Hospital, the Queen Elizabeth Hospital Birmingham, Solihull Hospital and Community Services, Good Hope Hospital in Sutton Coldfield and Birmingham Chest Clinic.

For the purposes of this request we have answered on behalf of the whole Trust.

Please can you respond to the following under the Freedom of Information Act.

1. Please can you provide me information on the quantity of prescription medications, drugs and any other dispensed medical substances (“Drugs”) disposed of during the summer heat wave (from the start of June 2018 until the most recent possible date when the search is made.

The Trust has not disposed of any drugs due to exposure to high temperatures, since June 1^st.

2. If you have a register of Drugs being disposed of including dates of the disposal, type and name of Drug, quantities involved, and value of each batch to be disposed of, please provide me with such a register for the given period.

Not applicable.

3.Otherwise, please provide information as to the overall quantity and value of Drugs to be disposed, and provide as much of a breakdown into the fields given previously as is possible.

Not applicable.

4.Please can you tell me whether (i) all, (ii) some, or (iii) which of the hospitals or medical centres that come under the Trust, have the appropriate facilities to refrigerate Drugs.

All hospitals within the Trust have facilities to refrigerate drugs.

Coronavirus information

FOI 0304 – Surgical Removal Of a Foreign Object

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