FOI 0245 2019/20: DNA

Published/updated: 13/09/19 16:13

Freedom of Information Request: 0245 2019/20

Thank you for your response with regards to FOI request 0167.

Please could you clarify the data slightly to help with our understanding – and ensure we are collecting the same data across all NHS trusts?

It would be helpful to know:

I. For each time period, how many DNAs there were – but only among patients who were attending their first appointment

II. Could you also say how many of the DNA patients who were attending their first appointment (those in i) above) did the trust discharge?

 

Queen Elizabeth Hospital Birmingham

Year Missed appts Discharged
2015 17320 13016
2016 17070 12619
2017 19373 12532
2018 22096 12645

 

 

Heartlands, Good Hope, and Solihull Hospitals

i.

CalendarYear DNA_First_Appt
2018 42998
2014 27921
2015 36021
2017 40351
2016 39367

Please be aware that if the patient DNAs multiple times while waiting for their first appointment, it will count multiple times e.g.

Example Patient

DNA – 1st July 2019 – this will be counted

DNA – 10th July 2019 – this will be counted

Attendance – 15th July 2019 – this will not be counted

DNA – 23rd July 2019 – this will not be counted

iii. As stated in our previous response, we cannot identify these patients.

FOI 0243 2019/20: Incidents with Patients and Staff

Published/updated: 13/09/19 14:52

Freedom of Information Request: 0243 2019/20

  1. How many racist a.) verbal b.) physical incidents have been reported by NHS employees involving patients or visitors in each of the following years:  2013, 2014, 2015, 2016, 2017, 2018 and 2019

We do not hold this information as we align our incident coding to the National Reporting and Learning System (NRLS) categories and sub categories which do not identify the subject matter of verbal abuse or the motivations behind any physical abuse.

2. How many racist a.) verbal b.) physical incidents have been reported by NHS employees involving fellow NHS employees in each of the following years:  2013, 2014, 2015, 2016, 2017, 2018 and 2019? 

We do not hold this information as we align our incident coding to the National Reporting and Learning System (NRLS) categories and sub categories which do not identify the subject matter of verbal abuse or the motivations behind any physical abuse.

 

FOI 0241 2019/20: Medical Engineering

Published/updated: 13/09/19 14:31

Freedom of Information Request: 0241 2019/20

  1. Does the trust have an internal EBME/Clinical Engineering/Medical Engineering department who are responsible for maintenance, repairs and servicing of medical devices or is this outsourced to an external contractor or is it a combination of inhouse and outsourced?Internal Medical Engineering Department who are responsible for the maintenance, repairs and servicing of medical devices. Some equipment is on an external maintenance contract for the suppliers to carry out the full service requirements.
  2. If outsourced or a combination of inhouse and outsourced, who is the outsourced contract with?  Not Applicable
  3. What is the contract renewal date? Not Applicable

 

 

FOI 0238 2019/20: Maternity Electronic Records

Published/updated: 13/09/19 14:18

Freedom of Information Request: 0238 2019/20

  1. Do Maternity Services record antenatal care episodes in electronic systems or in hand held records (paper)? These are recorded electronically
  2. If you use an electronic system/s to record antenatal care, what is the name of the systems? BadgerNet Does this system talks to other maternity systems you may use? We do not use any other maternity system
  3. Do Maternity Services record intrapartum care episodes in electronic systems or in hand held records (paper)? If you use an electronic system/s which one is it?We have 3 sites that have a maternity unit and 1 of these fully records intrapartum care contemporaneously. The other 2 sites currently record in retrospect. They will be going live in September for contemporaneous documentation.

    If you use an electronic system/s to record intrapartum care, what are the names of those systems? BadgerNetDoes this system talk to other maternity systems you may use? We don’t use any other maternity system

  4. Do Maternity Services record postnatal care episodes in electronic systems or in hand held records (paper)? If you use an electronic system/s which one do you use? We have 3 sites that have a maternity unit and 1 of these fully records postnatal care contemporaneously electronically. The other 2 sites currently record on paper. They will be going live in September for contemporaneous electronic documentation.

    If you use an electronic system/s to record postnatal care, what are the names of the system(s)? BadgerNet
    Does this system talk to other maternity systems you may use? We don’t use any other maternity system

  5. Do Maternity Services record community care episodes in electronic systems or in hand held records (paper)? If you use an electronic system/s which one do you use? Only Community Midwife documents to the Maternity record electronically
    If you use an electronic system/s to record community care, what is the name of that system (s)?
    BadgerNetDo this system talks to other maternity systems you may use? We don’t use any other maternity system
  6. Do any systems used have full interface with your PAS system? Yes, we have a maternity system which interfaces with the PAS for patient demographic information, admissions and new baby registrations.
  7. Do you have a fully integrated NHS number retrieval system for a newborn? Yes
  8. Does it collect an NHS number and then create that child in your PAS? No, the NHS number is generated automatically but the Midwife has to electronically “push” the baby details from the Maternity system to create the baby in PAS
  9. Do you have an interface with their neonatal system – what system is this? Neonatal BadgerNet
  10. Do you have a full interface with your pathology system? Pathology reports are fed into BadgerNet (but no data fields are populated)
  11. If yes, how does it manage multiple results per woman and display most recent? Multiple results are displayed in a tab called “lab results” and the most recent is displayed at the top Can you order tests through the system? No
  12. How do you record your NIPE checks? Via NIPE Smart
  13. Does your maternity software link directly with and update your GROW package if you have it? Yes
  14. Does your maternity system record and store, antenatal and intrapartum CTGs? It has the functionality to do this – our Trust doesn’t use this.
  15. It has the functionality to do this – our Trust doesn’t use this. Not applicable.
  16. Did you have any issues with the recent MSDS v2 submissions? Yes – only because we a share a pregnancy record with another trust and this created issues with duplicate NHS numbers within the MSDS extract.
  17. Did you have any issues with the recent January MSDS v1.5 submissions? Any issues we did have the company were responsive in resolving them.
  18. Did you pass the threshold? Yes

FOI 0237 2019/20: Homozygous Familial Hypercholesterolaemia

Published/updated: 13/09/19 13:38

Freedom of Information Request: 0237 2019/20

Specifically, I am after the following information:

  1. Does University Hosp Birmingham NHS Foundation Trust diagnose patients with Homozygous Familial Hypercholesterolaemia (HoFH)? Yes
  2. If yes, does your trust diagnose adult patients, paediatric patients or both? Adult patients only
  3. How many patients in the last calendar year have you diagnosed with this condition? Please provide where available (and applicable) a breakdown by Adult and/or Paediatric Patients. Two

Which of the following tests/diagnostic procedures do you use at University Hosp Birmingham NHS Foundation Trust in relation to the diagnostics of HoFH?  For these tests, which ones are you able to carry out “in house”?  Of those carried out elsewhere, where are patients referred to have the testing carried out?  For answers please use table below.

I. Cascade Genetic/DNA Tests

ii. Dutch Lipid Clinic Network (DLCN) criteria

iii. Simon Broome diagnostic criteria

iv. Family History

v. Cholesterol/LDL Blood Testing

vi. Other (please specify details of name of test in the FOI return)

Test Name Test used for HoFH diagnosis at this trust Y/N Test carried out by trust In-house for diagnosis of HoFH Y/N Details of referral organisation/location for those tests that cannot be carried out by the trust.
Cascade Genetic/DNA Tests    Yes  Blood test taken ‘in house’ and sent to Southmead Hospital, Bristol for genetic analysis Regional genetics laboratory, Southmead Hospital, Bristol
Dutch Lipid Clinic Network (DLCN) criteria    No  This is only used to determine whether patient is eligible for genetic testing, not for diagnosis
Simon Broome Diagnostic Criteria    No
Family History    Yes  This is not a ‘diagnostic’ test, it is used to help determine whether further investigations are warranted
Cholesterol/LDL Blood Testing    Yes  In-house  
Other (please specify)      
  1. Does University Hosp Birmingham NHS Foundation Trust treat patients with Homozygous Familial Hypercholesterolaemia (HoFH)? Yes

a) If no, please specify where patients diagnosed with HoFH are referred to for treatment.  Please specify Trust/Organisation Name and Hospital Name where possible. Not Applicable

b) If yes, does your trust treat adult patients, paediatric patients or both? Adult only b) If your trust doesn’t treat a subgroup (Adult or Paediatric), to which organisation are this sub group referred to for treatment?  Please specify Trust/Organisation Name and Hospital Name where possible. Not Applicable

c) How many patients in the last calendar year have received treatment for HoFH at University Hosp Birmingham NHS Foundation Trust? Please provide where available (and applicable) a breakdown by Adult and/or Paediatric Patients. 9 adult patients

d) For HoFH patients requiring Apheresis, are you able to carry out this procedure at University Hosp Birmingham NHS Foundation Trust? Y/N Yes

I. If no, to which organisation(s) do you refer patients to for Apheresis treatment and how many patients are referred to these sites?  Please list by trust name and hospital site where available, and where possible/applicable please breakdown patient referrals by Adult and Paediatric Not Applicable

ii. If yes, how many HoFH patients in the past calendar year have been treated by Apheresis by University Hosp Birmingham NHS Foundation Trust?  Please where possible (and applicable) provide with break down by Adult and Paediatric Patients. 4 adult patients receive apheresis at UHB, the others are managed with medication only

FOI 0236 2019/20: Private Stem Cell Companies

Published/updated: 13/09/19 13:02

Freedom of Information Request: 0236 2019/20

  1. Do you allow private stem cell companies to promote their services on your sites, e.g. leaflets? No
  2. Do you allow representatives from stem cell companies on any of your sites to promote or collect cord blood, e.g. in delivery suites? Yes, if pre-arranged with the family and the service
  3. Does the Trust allow its staff to work for stem cell companies, e.g. collecting umbilical cord blood for private companies? No
  4. How long (how many minutes) does the Trust consider ‘optimal’ cord clamping? Our Trust guideline for Intrapartum care for healthy women and babies recommends that Timely delay in clamping and cutting of cord is between 1 and 3 minutes or until the cord has stopped pulsating, it can be delayed up to 5 mins however it should be assessed on an individual basis depending on clinical condition. This is based on recommendations from WHO and NICE.
  5. Please supply the following information for each of the individual calendar years: 2015, 2016, 2017, 2018 and 2019 to date.

    a) The number of babies born whose umbilical cord blood was collected for banking by a private company We do not hold this information b) The number of babies born whose umbilical cord blood was collected for banking by the NHS. The information cannot be obtained from Badgernet as Badgernet have not yet synched this data field to the server to enable this. However advised the data will be available for collection in November 2019. c) The income received from stem cell companies The Trust does not receive any income from stem cell collection companies.

FOI 0235 2019/20: Medicines Management Advisory Group for 2019

Published/updated: 13/09/19 12:10

Freedom of Information Request: 0235 2019/20

Under the Freedom of Information Act, could you please send me the minutes of the Medicines Management Advisory Group for 2019 , for University Hospitals Birmingham, and please advise me of the names of the group members.

Please see the attached PDF MMAG meeting minutes Jan – Jun 2019

FOI 0234 2019/20: Pre-Filled Syringes

Published/updated: 13/09/19 12:05

Freedom of Information Request: 0234 2019/20

I am writing to you under the Freedom of Information Act 2000 to request information from your NHS Trust.

I’m trying to understand the decision pathway for pre-filled syringes in analgesic, anaesthetic and emergency care in UK hospitals, and I was hoping you might be able to help.

I would like a list of employee job titles (not personal data) for those within your trust who decision-makers are regarding the decision to procure pre-filled syringes in analgesic, anaesthetic or emergency care.

This could include those employees involved with procurement and management of these products – although I’m not sure!
This information will be used to better understand the general process for the UK, and not reported at an institution level.

  • Director of Procurement
  • Deputy of Procurement
  • General Manager of Emergency Care
  • General Manager of Anaesthetics

 

FOI 0119 2019/20: Glaucoma Monitoring

Published/updated: 13/09/19 12:02

Freedom of Information Request: 0119 2019/20

  1. Can you please confirm the number of patients that you saw in 2016/2017, 2017/2018, and 2018/2019 for each of the following:
    Total Ophthalmology monitoring/follow-up appointments

2016/17- 48080

2017/18 – 44674

2018/19 – 51698

New glaucoma diagnosis appointments

2016/17- 3418

2017/18 – 3293

2018/19 – 4810

Routine glaucoma monitoring/follow-up appointments

2016/17 – 9214

2017/18 – 8158

2018/19 – 8352

Urgent glaucoma monitoring/follow-up appointments

2016/17 – 2537

2017/18 – 4372

2018/19 – 5862

2. Please confirm how many patients are currently under the care of the hospital trust for the monitoring of their glaucoma 11369

3. Please confirm how many of the glaucoma patients under your care are classified as:

Routine/Stable: 10433

Urgent/Non-Stable: 836

4. Of the patients seen for glaucoma within the last 12 months, can you please confirm how many patients:
Were seen on or within 2 weeks of their review date.
Were seen within 2-4 weeks of their review date.
Were seen within 1-3 months of their review date.
Were seen within 3-6 months of their review date.
Were seen within 6-12 months of their review date.
Were seen, but over 12 months of their review date.
Were not seen, and were over 12 months from their review date.
Were not seen, as they were not due their review appointment yet.

We do not hold this information

5. Please confirm how many glaucoma patients are currently outstanding their review appointment on the following basis: 6951
Currently between 0-1 month past their scheduled review date.
834
Currently between 1-3 months past their scheduled review date.
2344
Current between 3-6 months past their scheduled review date.
1701
Currently between 6-12 months past their scheduled review date.
1421
Currently over 12 months past their scheduled review date.
651
Are currently past their review date, but you are not certain of how far past their review date the patient is.
0

6. Please confirm where you are paid by your CCG(s) on a block contract, on a tariff payment per episode basis, or on an alternative payment method for glaucoma services.  If you are paid on an alternative method, please provide details. Payments by Results Tariff

7. Please confirm the patient pathway in your trust for Glaucoma Diagnosis and Glaucoma Monitoring within your service? UHB follows NICE guidance for the management of glaucoma patients.

8. Please confirm whether this service the patient pathway in your trust for Glaucoma Diagnosis and Glaucoma Monitoring is delivered wholly by staff employed by your hospital trust, or whether this is partially or wholly delivered by another provider.  If this is delivered by another provider, please also confirm:
What proportion is delivered by other providers.
Approximately 10-20%
Who is the provider delivering this service on your behalf?
18 Weeks Support
Where is this service delivered?
University Hospitals Birmingham
What elements of the service do they deliver?  Is this the diagnostics only, consultant oversight, treatment or all elements?
All elements except surgery.

9. Please confirm the address of all locations that service the patient pathway in your trust for Glaucoma Diagnosis and Glaucoma Monitoring is delivered from.

Queen Elizabeth Hospital Birmingham

Mindelsohn Way

Edgbaston

Birmingham

B15 2GW

Solihull Hospital

Lode Lane

Solihull

B91 2JL

Good Hope Hospital

Rectory Road

Sutton Coldfield

Birmingham

B75 7RR

Heartlands Hospital

Bordesley Green East,

Bordesley Green

Birmingham

B9 5SS

 

 

 

 

FOI 0230 2019/20: Mortuary

Published/updated: 13/09/19 11:13

Freedom of Information Request: 0230 2019/20

University Hospitals Birmingham NHS Foundation Trust (UHB) completed a merger by acquisition of Heart of England NHS Foundation Trust (HEFT) on 1st April 2018.  Due to historical differences in data collection/reporting across UHB and the former Heart of England NHS Foundation Trust this response has been provided by hospital site.

Queen Elizabeth Hospital Birmingham

  1. What is the most amount of post mortem cases that you are able to carry out in a single post mortem session? 3
  2. How many hospital post mortem examinations did you undertake between 1st April 2018 – 1st April 2019? 16
  3. How many coronial post mortem examinations did you undertaker between 1st April 2018 – 1st April 2019? 6
  4. What is the average number of hospital post mortem examinations that you have undertaken over the past 3 financial years? 13 per annum
  5. What is the average number of coronial post mortem examinations that you have undertaken over the past 3 financial years? 4 per annum
  6. How many brain & spinal cord donations have you carried out over within the mortuary over the past 3 financial years? 8
  7. How many members of staff do you employ within the mortuary? (This includes administration staff) 4
  8. What qualifications (In relation to mortuary activity) do your employees currently hold? Certificate in anatomical pathology technology diploma in anatomical pathology technology
  9. What NHS pay bands are your employees in? Band 6, Band 4, and Apprentice
  10. What is your capacity for the storage of deceased? 131
  11. Does your mortuary charge undertakers/service users for storage of deceased? (Assuming that the deceased would remain in your care for an extended period of time once they have been released to go.)  No
  12. If the answer to Q11, is yes, are the premises risk assessed and do they coincide with HTA regulations? Not Applicable
  13. Do you store deceased patients’ offsite with non NHS service users? Yes
  14. Do you actively undertake increased risk post mortem work? (Blood borne) Yes
  15. Do you actively undertake increased risk post mortem work? (Air borne) Yes

Heartlands, Good Hope and Solihull

  1. What is the most amount of post mortem cases that you are able to carry out in a single post mortem session? 3
  2. How many hospital post mortem examinations did you undertake between 1st April 2018 – 1st April 2019? 2
  3. How many coronial post mortem examinations did you undertaker between 1st April 2018 – 1st April 2019? 34
  4. What is the average number of hospital post mortem examinations that you have undertaken over the past 3 financial years? 2.33
  5. What is the average number of coronial post mortem examinations that you have undertaken over the past 3 financial years? 59.33
  6. How many brain & spinal cord donations have you carried out over within the mortuary over the past 3 financial years? Brain & S.C. = 0; Brain only = 3
  7. How many members of staff do you employ within the mortuary? (This includes administration staff) 6
  8. What qualifications (In relation to mortuary activity) do your employees currently hold? Certificate in anatomical pathology technology & diploma in anatomical pathology technology
  9. What NHS pay bands are your employees in?  3-6
  10. What is your capacity for the storage of deceased? 222
  11. Does your mortuary charge undertakers/service users for storage of deceased? (Assuming that the deceased would remain in your care for an extended period of time once they have been released to go.) No
  12. If the answer to Q11 is yes, are the premises risk assessed and do they coincide with HTA regulations? Not Applicable
  13. Do you store deceased patients’ offsite with non NHS service users? Yes
  14. Do you actively undertake increased risk post mortem work? (Blood borne) Yes
  15. Do you actively undertake increased risk post mortem work? (Air borne) Yes

 

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