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Disclosure Log

RFI ID Request Summary InformationDisclosed
587, 592, 594, 911, 890 Practice Based Commissioning
Requesting information regarding the PBC clusters.
All information was disclosed.
The PBC cluster document was disclosed and can be downloaded via the below link:
Information Link
1011 Contact details of Directors and the persons responsible for various departments The information was disclosed. Please select the below link for the list of Directors and Staff Members.

link to staff details
1014, 1045 Requesting a copy of the Trust''s Drug Formulary A copy of the Formulary Poster was disclosed. A copy can be obtained via the below link:

Formulary link
769, 1028 The name and address of all GP surgeries / health centres / practices in your PCT. A list of all GP practices was released. A copy can be obtained via the below link:

GP List

Further information regarding GP practices / Surgeries within Dudley is published on the NHS Choices website via the following link:

NHS Choices Link
964, 1064 Dudley Group of Hospitals NHS Foundation Trust

Please state how many bariatric (a) beds; (b) trolleys; (c) chairs; and (d) operating tables your trust possesses.
The Trust possesses the following items:

An operating table that will hold patients up to 450 Kg (70 stone) has been purchased by the Trust. It is based in general surgery theatre 2 and now makes our compliment of bariatric capable operating tables to:
§ 2 x Titan limit 450 Kg and 1 purchased current period
§ 1 x Mars limit 360 Kg ( 56 stone) – purchased current period
§ 4 x Saturn 230 Kg (35 stone)


Trays
28 trays at 750 mm wide
95 trays at 650 mm wide
Total trays 123

Trolleys
4 trolleys
Safe working load 350lb – 300lb body, 50lb tray

Fridges
Deep freeze units x 4 at 750 mm
3 bay general store with 12 trays
Isolation Store with 4 trays at 750 mm

Pass through store to isolation with 4 trays at 750 mm
Pass through store to general post mortem room with 4 trays at 750 mm
19 bays x 5 tiers – 95 trays at 650 mm

Beds
In 2005 we replaced around 350 beds with Huntleigh model 480 - 4 section electric profiling beds. Rational: minimise manual handling, to cater for increasing obese population, designed for heavier safe working load (267kg 42 stones) cost £388,000 2005 10 x Lifeguard 50 transfer trolleys (250kg 39 stones) cost £26,000
2006/07 another 143 beds replaced with Huntleigh model 5000 Enterprise electric beds ( 250kg 39 stones) cost £175,000
With the increasing obese population, companies are manufacturing (normal) beds to handle higher safe working loads. So, all the new beds in the trust will take 39 - 42 stone (260kg - 267kg). These make up about 90% of all beds in the Trust.

In addition to this 54 electrical beds were purchased in Jan 08 that are capable of taking patients weighing up to 250 KG (39 stone).

Other special equipment purchased:
Hoists
Liko Viking XL, safe working load 300 kg, March 2006
Liko Golvo, safe working load 200 kg, March 2006
Various hoists March 2007

Physiotherapy purchased the following in Oct 06:
§ 2 Bariatric walkers with max user weight of either 30st or 46.5st (have 2 types in stock, and not sure which order was which!) £336
§ 3 pairs heavy duty crutches with max user weight 30st. £139
1023 The Dudley Group of Hospitals NHS Foundation Trust

A variety of questions were asked regarding translation services regarding:
Costs
Names of Providers
Contract Agreement
All information held by the Trust was provided. For copies of documents please select the following links:

Financial Information

Information regarding providers and contracts
903, 757, 1180, 1202, 650 There have been multiple requests regarding the Structure Charts for various Departments within the Trust All information was disclosed. The structures are avaliable via the following link:

Dudley PCT Structures
1283 The Dudley Group of Hospitals NHS Foundation Trust received a request regarding Intensive Care Beds.

All information is avaliable within this Log.
1. How many intensive care beds you have at each hospital site within your trust.

The Trust has 9 beds. 6 staffed (we can sometimes take more patients dependant on their dependency)

2a. For each hospital site within your trust, in the 2008 calendar year, on how many days of the year all of the intensive care beds at that particular site were occupied.

For January 2008 to December 2008 inclusive, 88 days out of 366 (as this was a leap year) the ITU was occupied at 100% +, this is equal to 24%.

2b. When giving the total number of days, please include any day on which all beds were occupied at a particular point in the day, even if they were not fully occupied for the whole day.

This is not technically possible to achieve and cannot be reported. When we return the occupancy figure, the number and percentage of days for the calendar year will show where 100% occupancy is reported at midnight.

3. Please state for each hospital site within your trust, in the 2008 calendar year, how many patients had to be transferred to other hospitals because all available intensive care beds were occupied.

In the 2008 calendar year, no patients had to be transferred to other hospitals. The Trust does not transfer out as we can flex the beds e.g. close 2 High Dependence Unit beds to open up another Intensive Treatment Unit bed.

4. Please list the dates for each hospital site within your trust, in the 2008 calendar year, of all occasions on which one or more intensive care bed had to be temporarily closed because there were insufficient staff on duty to use the bed. Please list the length of the closure in each case.

The Trust does not collect that data but we have never refused an Intensive Treatment Unit patient due to lack of staff, we always accommodate. Also if someone goes off sick and we have more than 1 empty bed we don't replace that nurse unless we get another admission as the extra nurse would not have a patient to look after.
1406 The Dudley Group of Hospitals

For the 2007/08 and 2008-09 financial years, I would like to request the full expense claims of the following employees of the trust: Chief Executive, the Finance Director, the Clinical or Medical Director, the personnel director and the top three highest-paid employees who are not included on the above list.
For expense claims for the above listed posts, please see the document via the below link.

Information Link
1026, 1371 Dudley Group of Hospitals received a request regarding patient and staff meals.

Information was disclosed.

You can access further information via the below link:

Information Link
Meals for all inpatients are provided as part of a PFI contract with Summit Healthcare (Dudley) Ltd. Summit Healthcare (Dudley) Ltd are based on site at Russell’s Hall Hospital. Summit Healthcare (Dudley) ltd have a contract with Interserve (Facilities Management) Ltd to supply all catering services to the Trust. Interserve (Facilities Management) Ltd use a range of suppliers. All inpatient services are located at Russell’s Hall Hospital.

q) In the 08/09 financial year what was the most expensive restaurant bill claimed on expenses by any of the Trust’s directors? Please state the name and address of the restaurant, how many people were dining and the job title of the director who claimed the meal on expenses.

In 2008/09 the highest bill claimed was for £373.05 for Bertorelli, 44a Floral Street, London, WC2E 9DA. This related to the full Board of Directors being called to a scheduled early morning meeting at the offices of the Regulator of NHS Foundation Trusts in London and is equivalent to £31 per head.
12 Board Directors dined and the payment was reimbursed to the Director of Operations who settled the bill. The Trust does not use corporate credit or charge cards.

q) The total number of meals that were delivered to patients during the financial year 2007/08.

The total number of meals that were delivered to patients during the financial year 2007/08 was 798,264 (Please note this figure is based on available beds).

q) A breakdown for each hospital showing the cost of meal preparation during 2007/08.

All inpatient services are located at Russell’s Hall Hospital. The cost for meal preparation for 2007/2008 at Russell’s Hall Hospital was £2,719,000.

q) A breakdown for each hospital showing the cost of meal preparation during 2006/07.

All inpatient services are located at Russell’s Hall Hospital. The cost for meal preparation for 2006/2007 at Russell’s Hall Hospital was £2,631,000.

q) A breakdown for each hospital showing number of meals delivered during 2006/07.

All inpatient services are located at Russell’s Hall Hospital. The number of meals prepared at Russell’s Hall Hospital during 2006/07 was 793,845.

1596 Information relating to pest control in the Trust since 1 April 2008 to October 2008. All Information provided

The link below directs to the information provided. Please note that Prior to October 2008 the figures include Mental Health sites within Dudley.

Information Link
1610, 1633 Dudley Group of Hospitals NHS Foundation Trust

The request was regarding Agency Staff employed by the Trust

All Information was Disclosed.
1. How much did your hospital Trust spend on agency nursing care in the 08/09 financial year?

The Trust spent £953,495 (qualified and unqualified) on agency nursing care.

Unqualified agency nursing care relates to the use of unqualified nurses, i.e. health care assistants/support workers etc. The bulk of the spend is for qualified nurses but the Trust thought it useful to clarify the figure used as some organisations may report only qualified.

2. Please provide details of the single biggest payment for a single agency nursing shift. How much was paid? What was the grade of the nurse? What was the date, hours of work and position within the trust?

The biggest payment for a single agency nurse shift was £688.54. This nurse was grade RN, the nurse worked within the Emergency Department for 9.75 hours at night from 9.00pm to 7.15am (Night). This was on 31/7/09 to 01/08/09.

3. How much did your hospital trust spend on agency doctors in the 08/09 financial year?

The Trust spent £1,769,421 on agency doctors.

4. Please provide details of the single biggest payment for a single agency doctor shift. How much was paid? What area of medicine was the doctor employed in? What was the date and hours of work?

The biggest payment for an agency doctor was £742.42. The grade of the doctor was Senior House Officer, the doctor worked within the Emergency Department. The number of hours worked was 8.25, this was at night from 5.00pm to 1.15am (Night), the shift started on 04/05/09 and finished 05/05/09.

Agency staff are used due to a combination of reasons e.g. covering vacancies, sickness and maternity leave (not swine flu specifically as this is 08/09). A lot of the additional spend will have been directly attributable to the Trust performing a significant additional level of activity over and above plan.
683, 1618, 1430 The request received was regarding surgical operations to treat obesity - such as, gastric bypass, stomach stapling, stomach banding, and liposuction.

All Information was disclosed.
a) How many patients under the age of 18 undertook an operation listed above (or similar obesity procedure) at your Trust.

There have been no under 18 year olds that have undertook an operation to treat obesity.

b) The age and sex of the youngest person to have an operation listed above (or similar obesity procedure) at your Trust; and the name of the procedure undertaken.

2007-08 (from January 2008)
Gastric Bypass - age 32, male
Gastric Banding - age 40, male

2008-09
Gastric Bypass - age 30, female
Gastric Banding - age 33, female

2009-10
Gastric Bypass - age 35, female

Please be aware that these are only patients that have been approved for surgery, the Trust does not have the information concerning if the patient actually underwent surgery.
1550, The Dudley Group of Hospitals NHS Founation Trust

Please also supply the most recent available figures showing, within a 12-month period:

* The percentage of bills your trust settled in 10 days or less;

* The percentage of bills your trust settled in 30 days or less;

* The percentage of bills your trust took more than 30 days to settle.

Please also supply me with the mean average of the amount of time, in days, your trust took to settle bills, within the same 12 month period.
All Information Disclosed.

During 2008/09 the Trust has pursued a policy of paying local suppliers at the earliest opportunity to support the local economy during the recession. The Trust Board has adopted a policy of paying local suppliers within 10 days of receipt of goods or undisputed invoice. The Better Payment Practice Code requires the Trust to aim to pay all undisputed invoices by the due date or within 30 days of receipt of goods or valid invoice, whichever is the later.

For the period 1 April 2008 – 31 March 2009

Percentage of bills settled in 10 days or less 30%
Percentage of bills settled in 30 days or less 99.99%
Percentage of bills settled later than 30 days 0.01%

The mean average amount of time in days is answered by the credit terms and percentage performance.
1628 A request for information was received regarding how much the consultants are being paid to help find a new Chief Executive for NHS Dudley. The agreed cost for consultants involved in finding a new Chief Executive for the Trust is £19,888 plus expenses and advertising costs estimated at around £6,600.

There is no bonus scheme in this arrangement and so this is the maximum amount payable. This cost has been tested against standard rates for this type of work and clearly demonstrates good value for money.

The recruitment process required for a high profile position such as a Chief Executive is very specific. The use of consultants to undertake this process is common across the NHS to ensure the highest calibre of candidates are attracted to the role and the highest level of impartiality throughout the process. NHS Dudley has used an external consultancy to undertake the recruitment process for a new Chief Executive. The agreed amount for this service was £19,888 which includes the development of recruitment materials, managing applications, testing of candidates and impartial advice to the recruitment panel. We are confident that the service provided by the consultants used in the Chief Executive recruitment process will ensure we secure a leader who can continue to improve the health and well being of residents throughout the Dudley borough.
637, 1046 Dudley Group of Hospitals NHS Foundation Trust

A request was received regarding ward facilities for the Trust.
1. Does your Trust have any washing facilities for the use of patients that are not single sex (yes/no)?
2. Does your Trust have any toilet facilities for the use of patients that are not single sex (yes/no)?

Please see the document avaliable via the following link for the above questions

Ward Type Information

3. Does your Trust have any nightingale-style wards that are not single sex (yes/no)?

No the Trust does not have any nightingale-style wards that are not single sex.

4. Does your Trust have any wards that are not single sex where curtains are used to segregate bays (yes/no)?

Please see the document avaliable via the above link.

5. Does your Trust have any wards that are not single sex where partitions (i.e. anything less than three solid walls) are used to segregate bays (yes/no)?

Please see the document avaliable via the above link.

6. Does your Trust have any wards that are not single sex where patients are accommodated in bays with three solid walls (yes/no)?

Please see the document avaliable via the above link.

7. How many times have your procedures regarding the segregation of patients by sex been breached in the year from 1 October 2007 to 30 September 2008?

ITU/ HDU (surgical and medical) coronary care; stroke unit are not single sex accommodation in these specialised units therefore we would not note a breach .In all other areas we do segregate and do not breach. In paediatrics, the Trust does offer single sex facilities for adolescents (12-17yrs).

8. How many complaints has your trust received regarding patient privacy and dignity in the year from 1 October 2007 to 30 September 2008?

There were two complaints relating to privacy and dignity during the period 1.10.2007 to 30.9.2008

9. Please state the percentage of beds in your trust that are in single rooms. By ‘single room’ I mean a sleeping area for one person which is fully enclosed with solid walls and a door. Please provide an overall figure for the Trust, not a series of figures for different parts of the Trust.

Maternity Suite has 33 single en suite rooms and 3 x 4 bedded bays. The make up of most of the wards is 2x4 bedded bays with 4 single rooms.
1882 Summary Care Records

All information was disclosed
1) Summary implies a brief record. Is the information contained in a SCR sufficiently detailed to assist Doctors and other health care professions to make a proper diagnosis.

The purpose of the Summary Care record is to enhance what already exists in the NHS. It is a summary, that will include current medications, any allergies and adverse reactions to those medications. It will also contain 6 months worth of discontinued medications. Clinicians should still ask the pertinent questions they should already be asking, the details on the SCR will provide additional information i.e. medications, allergies, reactions, towards making a diagnosis. It is not intended to be used in isolation.

2) SCR implies that if I was admitted to hospital say in an emergency staff at the hospital could access SCR to check my medical history. I attend Bath Street Medical Centre (Dudley PCT) which appears to be closest to my home. My home however is in Wolverhampton and I have mostly attended New Cross Hospital Wolverhampton for treatment. Will New Cross staff have access to my SCR?

Once a Summary Care Record is created, it can be accessed by a clinician, with your permission, in New Cross, or if you are anywhere else in England, they will also be able to access your SCR, again with your permission. However, (in this case i.e. New Cross) the hospital must have the computer infrastructure to be able to view the SCR, and also the individual clinician must also have a smartcard with the appropriate security access and level to be able to access your SCR, again always with your permission to view.

3) Following on from 2) above could medical staff in the Republic of Ireland, the rest of the UK or in other countries be granted access to my SCR?

The SCR is only available to the NHS in England. It is possible for you as a patient to share your SCR information outside of England but only by utilising the Healthspace Advanced account that you can apply for (provided that you have an SCR created). Please use this link to go to the Healthspace website for further information: Healthspace Website

Please note that this is a rolling implementation and will therefore take some time before all emergency care providers have access.
1890 Request was received regarding training opportunities for staff regarding HIV awareness.

All information was disclosed
• I would to ask what training health service workers in Dudley receive around HIV awareness generally. For example, is it the case that employees are routinely trained in issues around HIV routes of transmission and ‘the need to know for example?

Employees within NHS Dudley and Dudley Community Services have access to an online modular programme designed by e-Learning for Healthcare (e-LfH). This is an award winning e-learning programme providing national quality assured online training content for the healthcare profession funded directly by the Department of Health. As part of this programme there is a section specifically on sexually transmitted diseases, which includes HIV modes of transmission, sexual behaviours and their associated risk factors, confidentiality and notifying partners.

In addition to the online training package employees also have access to face to face training provided by a local voluntary organisation, this is provided when the demand is indicated.

In Jan 2008 the Tuberculosis Service took part in a joint training afternoon with a Charitable HIV Support Service this was available for all Community Services staff and GP staff and other health and authority partners. This was about primarily how HIV and TB infections are linked.

Whenever the Trust’s Infection Control Team discusses inoculation injury during Trust Induction and mandatory training HIV is mentioned in the context of its transmission from staff to patient and visa versa.

• If training is not part of employee’s standard training, can I ask whether you think it could be incorporated in general training programmes?

The training is not part of the standard training for all health service workers as it is role specific i.e. dependant on their job role within the organisation which is determined by individual services; this is based on client need.
1881 Summary Care Records

The Trust received a request with various questions regarding the Summary Care Record regarding policies/procedures, time scales and security.
All Information was released. As there were a few questions the information has been added to the publication scheme as a document which you can access via the below link:

Information Provided
1928, 1887 Staff Salaries

Information was requetsed regarding staff employed by the Trust who was paid over £100,000.
All information Disclosed

Please use the below link for access to the questions and the information released.

Information Link
1939 A request was received regarding staff retirement and pensions. All information was disclosed. The information is avaliable via the following link:

Information Link regarding Pensions
2049 Dudley Group of Hospitals NHS Foundation Trust

The requester asked for information regarding staff who were receiving double pay for working on waiting lists.
1. Could you please inform me if there are any staff still involved with any ‘admin and clerical types’ of input into the extra clinics that have been put on after 17:00hrs for the waiting list initiative?

2. If the answer to question one is yes, could provide me with a) the number of staff and b) what their job titles are please?

In Response to questions 1 and 2, there will be staff involved in supporting extra clinics held at times currently considered ‘out of hours’. These will include job titles such as ward clerks; receptionist; admin support staff and obviously health records clerks. The job title will be dependent on the structure they work within e.g. ophthalmology; ENT; paediatrics; diabetes centre or main OPD areas. The number of staff available to be offered additional hours and the number actually participating in supporting these clinics will be different

3. Could you inform me which of these staff groups (as described in question 1) are still receiving double pay?

Currently health records clerks and outpatient administration staff who support extra clinics held at times considered ‘out of hours’ receive double time. When extra clinics are held in ‘normal’ hours no additional admin staff are on duty and no additional hourly rate is paid.

The summary data for the period April to June 2010 (pay periods not worked periods) is avaliable vis the following link; Information Link which shows the number of payments by area and job title.

4. Could you inform me which of these staff groups (as described in question 1) are not receiving double pay?

It is not possible to identify staff groups who are not receiving double pay as they will either receive no additional payments, or will receive extra basic pay, enhancements or overtime at time and a half. The payroll and ledger system can report on payment types, but not the underlying reasons for them.
2377 Dudley PCT

Requests have been received regarding the GP Consortia.

All Information was Disclosed.
Name of Pathfinder

Dudley PCT has been awarded Pathfinder status. The name of the consortia is Dudley Commissioning Consortium.

What Practices are Involved within the Consortia?

All Dudley GP practices will be included in the Consortium.

Who is the Lead Individual for the Consortia?

The lead individual for the consortia is Dr D Hegarty who is based at:

St Johns House
Union Street
Dudley
West Midlands
DY2 8PP

What are the Treatment Priorities for 2011-2014?

The priorities would be covered within the commissioning strategies which are available via the following link; Priorities Documents


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