FREEDOM OF INFORMATION REQUESTS JUNE 2014 Request FoI No: 76 – received 5 June 2014 1. Please give figures for the current annual remuneration of the chair and all GP members of the CCG board. Response FoI 76 response.doc 2. For each case above please state how many hours are currently worked per week (ie as according to terms of current contract). 3. Please also state if the money is paid directly to the individual or if it is given to their practice. 4. In the case of GPs paid to attend several CCG sessions a week, are the payments made to reimburse practice locum costs? FoI No: 77 – received 6 June 2014 1. Please advise me if NHS Barnsley have standardised or suggested blood glucose meters for use in Diabetes Patients? If so, which ones? 2. Please advise me if NHS Barnsley CCG have standardised or suggested pen needles for use in Diabetes Patients? If so, which ones? The Barnsley locality, through the Barnsley Diabetes Local Service Advisory Group, has issued Diabetes guidance which includes guidance on the rationalisation of blood glucose meters and pens. This has been published and available on the NHS Barnsley CCG Public Website. Equipment recommended within the guidance will be reviewed at intervals and the online document updated. I attach the link to this document. http://www.barnsleyccg.nhs.uk/Downloads/Members/Medicines %20management/Prescribing%20Guidelines/Barnsley%20Dia betes%20Guidelines%20-%20April%202014.pdf Pages 45 to 52 include the information which you request regarding recommendations for meters and pens. FoI No 78 – received 9 June 2014 1. Barnsley Clinical Commissioning Group 2. Does your CCG commission direct access audiology (yes or no) Yes 3. Does your CCG use AQP to contract ADULT HEARING SERVICES? (Yes or no). If no please go to question 6 No 4. Please can you state the date this service went ACTIVE? (i.e. the date the AQP service was available in your area – month and year are sufficient) n/a 5. Please list the NEW providers since AQP went active (include all providers that a patient in your CCG area can choose when being referred) n/a 6. Please state the number of providers in your CCG area that provide direct access audiology (this is to include ALL providers, including NHS, third sector, independent sector and other). Barnsley Hospital NHS Foundation Trust 7. Please list the names and addresses (locations) of ALL providers that deliver adult hearing services in your CCG area - Barnsley Hospital NHS Foundation Trust Gawber Road Barnsley S75 2EP 8. If you do not use AQP to commission adult hearing services, please can you list the number of new providers of this service since April 2012 (state 0 if no new providers introduced) - 0 FoI 79 - received 09 June 2014 Barnsley CCG received a Programme Baseline allocation of I would like to request information on the total budget allocated by NHS £339,802k and a Running Cost allocation of £6,100k for the England to the CCG for the financial year 2013-2014. financial year 2013/14. FoI 80 – received 10 June 2014 My wife and I are looking to have a self funded ICSI cycle and am wondering if you could email me the cost with your CCG for 1 full cycle including prescription/medication costs asap. We have had 2 free NHS cycles on the NHS with Liverpool CCG (1st cycle was unsuccessful and 2nd cycle was successful and Alex is now 3 years old) although we have had 2 failed attempts since with remaining eggs in storage. We are looking to start treatment in 1 months time (next period) and have been quoted approx £4200 total cost at the Dogus IVF Clinic in Cyprus but would prefer to have the treatment in the UK if possible for Barnsley CCG does not commission ICSI on private rate and pays the NHS agreed rate. The cost of this may differ to services accessed privately. For up to date prices for a private cycle of ICSI you would need to contact the providers of these services and not commissioners. a similar price. I know prices vary from £3000 - £8000 from CCG to CCG so would very much appreciate if you could reply with your price asap. If you need to know any more info then please don't hesitate to ask. FoI No: 81 received – 11 June 2014 Please provide a list of all contracts awarded by competitive procurement or tender by the CCG (or the predecessor PCT) during 2012/13 and 2013/14. A contract is considered to have been "awarded" at the point when the contract was signed For each contract, please state which CCGs it covers, which CCG led the procurement, or for PCT tenders, which PCT ran the tender procurement. Please note that NHS England have confirmed to me that CCGs *are* responsible for handling FOI requests relating to predecessor PCTs, where the service in question is one that CCGs are now responsible for. NHS England is only responsible for PCT legacy requests where responsibility for the service has transferred to NHS England since April 2013. Therefore, for question 1 please exclude any contracts for services that are now the responsibility of NHS England (or any other third party, such as local authorities), but include those that remain the responsibility of CCGs. Given NHS England's position on this, any blanket exemption applied to PCT-era tenders will be appealed. 2. For each contract listed in response to question 1, please state which bidder was awarded the contract, the contract start and end dates, and the full-term value of the contract (an estimate will suffice). 3. For each contract listed in response to question 1, please list all Barnsley PCT during 2012/13 and Barnsley CCG during 2013/14 did not award any contracts by comparative procurement or tendering. bidders for the contract and provide the tender evaluation and bid scoring information for each bidder. The bid scoring for the successful bidder should be disclosed in all circumstances. If the CCG regards the information requested in q3 regarding failed bidders as exempt under section 43 (please see discussion of section 43 further down), please adopt the following alternative approach: FOI 82 Rc’d 11/06/14 Under the Freedom of Information Act, please send me a copy of a report by the chief finance officer presented to the CCG's finance and performance committee meeting held on May 1 giving an update on progress relating to contract negotiations for 2014-15. FOI 83 UPDATE ON CONTRACTING CYCLE (REDACTED).pdf Rc’d 13/06/14 1. Software as a Service (SaaS) is a software distribution model in which applications are hosted by a vendor or service provider and made available to customers over a network, typically the Internet. 2. E-commerce hosting is a business that furnishes merchants with solutions for selling their merchandise online. The merchant is typically billed monthly for using space on the hosting company's server. Software is also leased for online order processing. E-commerce hosting businesses usuall manage all the technical facets of commercial website development and maintenance for their clients. E-commerce hosting can also include electronic data interchange (EDI). 3. Exchange Hosting is a service in the telecommunications industry whereby a provider makes a Microsoft e-mail box and space available on a serv so its clients can host their data on the server. The provider manages the hosted data of its clients on the server. 4. Web Hosting is the activity or business of providing storage space and access for websites. 5. VOIP Hosting is a methodology and group of technologies for the delivery of voice communications and multimedia sessions over Internet Protocol (IP) networks, such as the Internet. Other terms commonly associated with VoIP are IP telephony, Internet telephony, voice over broadband (VoBB), broadband telephony, IP communications, and broadband phone service. 6. Contact Centre: A hosted contact centre offers all the utilities associated with running a customer service outfit with a pay-as-you-go plan. This means that managers don’t need to buy prohibitively expensive hardware, instead they can add software as needed and get deeper in their involvement as they grow. 7. Unified communications is the integration of real-time communication services such as instant messaging, presence information, telephony, video conferencing, data sharing, call control and speech recognition with non-real-time communication services such as unified messaging. Please can you see the attached file and fill the information into the space provided (Contract1-8). If none of the contract above apply to the organisation please can you state the reasons why. If however the services i have request is hosted internally please can you state this within the response as well as providing me information on the annual average spend and the internal contact for that particular type of hosting. FOI 84 Rc’d 16/06/14 I would like to make the following request under the Freedom of Information Act 2000 1. what is your organisations policy on the use of social media? 2. do you provide guidance for employees regarding the use of social media outside of work? what is this guidance? 1. what is your organisations policy on the use of social media? See the Internet Policy on the CCG’s website http://www.barnsleyccg.nhs.uk/strategies-policies-andplans.htm 2. do you provide guidance for employees regarding the use of social media outside of work? what is this guidance? See especially Section 5.5 of the Internet Policy. 3. how many conduct issues did you have in 2011, 2012 and 2013 relating to the use of social media? The CCG only came into existence on 1 April 2013. As such we have no data for 2011 and 2012. There were no conduct issues relating to the 4. How many of these cases resulted in the employees dismissal? How use of social media in 2013. many received written warnings? 4. How many of these cases resulted in the employees Thank you for taking the time to respond to this request & I look dismissal? How many received written warnings? The CCG forward to hearing from you only came into existence on 1 April 2013. As such we have no data for 2011 and 2012. There were no dismissals or written warnings relating to the use of social media in 2013. 3. how many conduct issues did you have in 2011, 2012 and 2013 relating to the use of social media? FoI 85 – received 17 June 2014 Please could you provide data on the number of haemorrhoid surgeries commissioned by your trust in the period January 2013 to May 2014. If possible can this be broken down into: Copy of FOI 85.xls Number of Haemorrhoidectomies (OPCS Code H51.1) Number of Stapled Haemorrhoidectomies (OPCS Code H51.3) Number of Haemorrhoidal Artery Ligations (OPCS Code L70.3) [can be accompanied by an ICD10 code 184 and or OPCS Y53.2 & H53.8) FoI No 86 – received 19 June 2014 I would like any information held on how many GPs on the board of Barnsley CCG have financial interests in private GP practices. What percentage of the board does this make up if any? Of the 15 Members of Barnsley CCG’s Governing Body, 7 (46%) are GPs. All 7 are partners in local GP Practices and therefore have financial interests in those practices. FOI 87 - recd 20 June 2014 The CCG do not currently hold this information. We hold Provider information on the numbers of patients for services which we commission, but do not commission primary care services. Please confirm the total number of patients with rheumatoid arthritis in your CCG area 2. Please confirm the total spend of your CCG on (a) rheumatoid arthritis (b) musculoskeletal conditions and (c) long-term conditions 3. Please confirm which rheumatology units you are currently commissioning to deliver the Best Practice Tariff on Early Inflammatory Arthritis 4. Please confirm to what extent your CCG (a) is aware of Commissioning for Quality in Rheumatoid Arthritis (CQRA) guidance The Primary Care Quality and Outcomes Framework provides information on numbers of rheumatoid arthritis patients under RA001 indicator set. www.hscic.gov.uk The CCG additionally commission a local primary care service which currently manages 869 Barnsley patients taking DMARD's jointly with secondary care clinicians. We do not hold this information broken down under the conditions requested. and (b) utilises CQRA guidance, particularly in relation to: (i) remission, The HSCIC will hold information on medicines spend in these (ii) treatment within six weeks of referral (iii) and the percentage of clinical areas ( as in response 1). I would specify a patients receiving a monthly assessment timeframe if making a request. They may also hold information on Provider HRG codes broken down to clinical conditions. 5. Please outline what guidance you use when developing services for Barnsley Hospital National Foundation Trust, Leeds Teaching patients with rheumatoid arthritis within your CCG Hospital, Rotherham Foundation Trust, Doncaster & Bassetlaw Foundation Trust, Sheffield Teaching Hospitals and Mid Yorkshire. 6 Acute providers currently have contracts with Barnsley CCG. These contracts include the Best Practice Tariff on Early Inflammatory Arthritis The CCG is aware of CQC guidance. Current Providers report only their performance against the standard 18 week wait , however providers would undertake their own internal clinical audit and would hold this information. The CCG would take key national guidance into consideration when it develops RA services . It would currently focus on NICE pathways for RA and the CMG51 Commission Guidance, produced by NICE in June 2013. FOI 88 – Rec’d 20 June 2014 1. Please can you provide copies of the CCG's 'black' and 'grey' lists of medicines (or equivalent), which describe the medicines that locally should not be prescribed or are subject to restrictions. Please provide reasons in each instance why the CCG says the medicine in question should not be prescribed or is subject to restricted use. 2. Please can you indicate which medicines included on the CCG's 'black' or 'grey' lists have received a positive recommendation in The Barnsley CCG does not have any blacklisted medicines The Barnsley CCG has a "Grey" list of medicines ( none of these are medicines which have received a positive NICE TA recommendation). I attach the link to the current list below and I have also attached the latest Barnsley Traffic Light List. GREY LIST APC does not recommend for use or only in restricted circumstances. a NICE Technology Appraisal. Criteria for classification 1) Lack of data on effectiveness compared with standard therapy. 2) Lack of data on safety compared with standard therapy. 3) Known increase in risk of adverse events compared with standard therapy. 4) Lack of data on cost-effectiveness compared with standard therapy. 5) Less cost-effective than current standard therapy. 6) NICE (or other National) guidance does not recommend its use. http://www.barnsleyccg.nhs.uk/membersprofessionals/traffic-lights.htm Copy of Copy of 10 Traffic light list - 020714.xls FOI 89 – Rec’d 20 June 2014 Please provide: 1. 1. The CCG spend on mental health services in the financial years 2013/14 and 2014/15: 2. a) to the nearest £1000; and b) as a percentage of total CCG spend 3. Copy of FoI 89.xls 4. 2. The total CCG spend on acute services in the financial years 2013/14 and 2014/15: a) to the nearest £1000; and b) as a percentage of total CCG spend 5. 3. Any equality impact assessment carried out ahead of setting the mental health services budget for 2014/15. 4. In the 2014/15 National Tariff Payment System document from Monitor and NHS England, the following recommendation was made in regard to price adjustments for 2014/15 budgets. This refers to locally determined prices, negotiated by local commissioners (such as CCGs) and providers, for services where there is no national price i.e. mental health, ambulance and some acute services. FOI 90 – Rcd 23/06/14 1. HOW MUCH MONEY DID THE CCG SPEND ON HOMEOPATHIC TREATMENTS AND SERVICES IN THE FINANCIAL YEAR 2013-14? 2. PLEASE BREAK DOWN THIS FIGURE BY TYPE OF TREATMENT OR SERVICE. 3. DO YOU HAVE A WRITTEN POLICY ON THE FUNDING OF 1. BARNSLEY CCG DO NOT CONTRACT OR EXPEND ON ANY HOMEOPATHIC TREATMENTS. 2. BARNSLEY CCG DOES NOT HAVE A POLICY RELATING TO HOMEOPATHIC TREATMENTS. 3. THERE ARE CURRENTLY NO CONTRACTS WITH HOMEOPATHIC PROVIDERS. HOMEOPATHIC TREATMENTS OR SERVICES? IF SO, PLEASE PROVIDE A COPY. 4. DO YOU HAVE ANY CONTRACTS WITH HOMEOPATHY PROVIDERS TO WHOM YOU MAY REFER PATIENTS? IF SO, PLEASE (I) CONFIRM WITH WHOM YOU HAVE CONTRACTS AND (II) PROVIDE COPIES OF THE CONTRACTS. FoI No: 91 – received 24 June 2014 1) A list of current employees within your IT/IM & T Departments; including job titles, email address, contact details and structure chart. 2) The number of temporary staff from employment agencies have been employed by your organisation over the last 12 months, and a breakdown of this, by job title and rate banding (ie 5 x helpdesk analysts (band 4). As a Clinical Commissioning Group, Barnsley CCG do not direct employ IM+T staff. The lead commissioner for IM+T services within the CCG is Cheryl Hobson, contactable on 01226 433755, email [email protected] – PA to Cheryl Hobson. The CCG contracts with a 3rd party IM+T delivery partner for all its IM+T services. The CCG have not employed any IM+T agency staff over the last 12 months. FoI No: 92 – received 25 June 2014 Please see attached Barnsley CCG’s list for 14/15 CQUINS 1. Copies of the quality indicator scheme(s) covering community nursing services for 2014/2015. If you don't have indicators specifically for community nursing, it would nevertheless be extremely useful for us to have a copy of the community service quality indicators so that we can undertake a nationwide comparison, particularly details of any CQUINS which your providers of community services for adults are 2. Confirmation of the provider(s) of your community nursing services and indication of the nature of this provision, eg NHS, social enterprise, voluntary organisation or private; Barnsley CCG’s provider for these services is South West Yorkshire Partnership Foundation Trust (SWYPFT) expected to meet; 2. Confirmation of the provider(s) of your community nursing services and indication of the nature of this provision, eg NHS, social enterprise, voluntary organisation or private; 3. Details (names, job titles and contact details) of all those who commission community nursing services for your CCG (including any links with other CCGs/ CSU). I'm aware that this may be several people, depending on how your CCG operates this service. FoI No 93 – received 25 June 2016 Please provide the following information: CCG Commissioner responsible for commissioning services such as anticoagulation: Name: Position: Email: Tel: CCG Clinical lead: Name Position: Email: Tel: CCG Head of IT procurement: Name: Position: Email: 3. Details (names, job titles and contact details) of all those who commission community nursing services for your CCG (including any links with other CCGs/ CSU). The contact for Barnsley CCG would be Alison Salt, Head of Non-Acute Contracts CQUIN 2014-15 Final.docx CCG Commissioner responsible for commissioning services such as anticoagulation: Name: Barnsley CCG is the Commissioner Position: N/A Email: Tel: CCG Clinical lead: Name Dr Mehrban Ghani Position: Medical Director Email: Tel: Dr Ghani’s PA 01226 433742 CCG Head of IT procurement: Name: Patrick Otway Position: Deputy Chief Finance Office/Contracting Email: [email protected] Tel: 01226 433627 CCG Medicines Management Lead: Name: Christine Lawson Tel: CCG Medicines Management Lead: Name: Position: Email: Tel: Position: Email: Tel: Head of Medicines Management [email protected] 01226 433777 FoI No 94 – received 27 June 2014 FoI No: 95 – received 30 June 2014 1. How much funding did the CCG allocate for Improving Access to Psychological Therapies in total in 2013/14? 2. How much funding did the CCG allocate for IAPT per head of population in 2013/14? 3. How much funding did the CCG allocate for IAPT per head of the prevalence population in 2013/14? 4. How much funding has the CCG allocated for IAPT in total in 2014/15? 5. How much funding has the CCG allocated for IAPT per head of population in 2014/15? 6. How much funding has the CCG allocated for IAPT per head of the prevalence population in 2014/15? 1. How much funding did the CCG allocate for Improving Access to Psychological Therapies in total in 2013/14? £2,259,866.01 2. How much funding did the CCG allocate for IAPT per head of population in 2013/14? Barnsley CCG is unable to provide a breakdown to this level. 3. How much funding did the CCG allocate for IAPT per head of the prevalence population in 2013/14? Barnsley CCG is unable to provide a breakdown to this level. 4. How much funding has the CCG allocated for IAPT in total in 2014/15? £2,223,497 5. How much funding has the CCG allocated for IAPT per head of population in 2014/15? Barnsley CCG is unable to provide a breakdown to this level. 6. How much funding has the CCG allocated for IAPT per head of the prevalence population in 2014/15? Barnsley CCG is unable to provide a breakdown to this level. FoI No: 96 – received 30 June 2014 1. What are the current average waiting times from referral to the first treatment session for Step 2 therapies? 2. What are the current average waiting times from referral to the first treatment session for Step 3 therapies? 3. What are the current average waiting times from referral to the first treatment session for Step 4 therapies? 4. What was the average waiting time from referral to first treatment session in 2013/14 for Step 2 therapies? 5. What was the average waiting time from referral to first treatment session in 2013/14 for Step 3 therapies? 6. What was the average waiting time from referral to first treatment session in 2013/14 for Step 4 therapies? 7. What is the current average waiting times for children from referral to assessment in a Child and Adolescent Mental Health Services tier 2 service? 8. What is the current average waiting times for children from referral to assessment in a Child and Adolescent Mental Health Services tier 3 service? 9. What was the average waiting time in 2013/14 for children from referral to assessment in a CAMHS tier 2 service? 10. What was the average waiting time in 2013/14 for children from referral to assessment in a CAMHS tier 3 service? FoI No: 97 – received 30 June 2014 1. What funding did you allocate to your community mental health team in total in 2013/14? 2. What funding did you allocate to your community mental health team per head of population in 2013/14? 3. What funding did you allocate to your community mental health team per head of the prevalence population in 2013/14? 4. What funding have you allocated to your community Barnsley CCG does not hold this information 1. What funding did you allocate to your community mental health team in total in 2013/14? Barnsley CCG allocated £5,101,778 in 13/14 2. What funding did you allocate to your community mental health team per head of population in 2013/14? Based on 2011 census, Barnsley CCG allocated £2206.45 mental health team in total for 2014/15? 5. What funding have you allocated to your community mental health team per head of population for 2014/15? 6. What funding have you allocated to your community mental health team per head of the prevalence population for 2014/15? 7. What funding did you allocate to your mental health crisis resolution team in total in 2013/14? 8. What funding did you allocate to your mental health crisis resolution team per head of population in 2013/14? 9. What funding did you allocate to your mental health crisis resolution team per head of the prevalence population in 2013/14? 10. What funding have you allocated to your mental health crisis resolution team in total in 2013/14? 11. What funding have you allocated to your mental health crisis resolution team per head of population in 2013/14? 12. What funding have you allocated to your mental health crisis resolution team per head of the prevalence population in 2013/14? 13. What was the average waiting time from referral to assessment by the mental health crisis resolution team in 2013/14? 14. What is the current average waiting time from referral to assessment by the mental health crisis resolution team? 3. What funding did you allocate to your community mental health team per head of the prevalence population in 2013/14? The CCG are unable to provide this level of detail. 4. What funding have you allocated to your community mental health team in total for 2014/15? Allocated funding of £5,101,672 has been allocated for 14/15 5. What funding have you allocated to your community mental health team per head of population for 2014/15? Based on 2011 census the CCG have allocated £2170.94 6. What funding have you allocated to your community mental health team per head of the prevalence population for 2014/15? The CCG are unable to provide this level of detailed information. 7. What funding did you allocate to your mental health crisis resolution team in total in 2013/14? £1,660,557 was allocated in 13/14 8. What funding did you allocate to your mental health crisis resolution team per head of population in 2013/14? Based on 2011 census the CCG allocated £718.17 9. What funding did you allocate to your mental health crisis resolution team per head of the prevalence population in 2013/14? We are unable to provide this level of detailed information. 10. What funding have you allocated to your mental health crisis resolution team in total in 2013/14? We are unable to provide this level of detailed information. 11. What funding have you allocated to your mental health crisis resolution team per head of population in 2013/14? We are unable to provide this level of detailed information. 12. What funding have you allocated to your mental health crisis resolution team per head of the prevalence population in 2013/14? We are unable to provide this level of detailed information. 13. What was the average waiting time from referral to assessment by the mental health crisis resolution team in 2013/14? We are unable to provide this level of detailed information. 14. What is the current average waiting time from referral to assessment by the mental health crisis resolution team? We are unable to provide this level of detailed information FoI No: 98 – received 30 June 2014 1) The number of Sexual Assault Referral Centres (SARCs) in the CCG's geographical area, and the provider of each centre 2) The start and end date of the contract for each SARC 3) A list of losing bidders for each SARC the most recent time the SARC was procured (please provide the date the contract was signed 1) The number of Sexual Assault Referral Centres (SARCs) in the CCG's geographical area, and the provider of each centre – none in Barnsley . Rotherham Foundation Trust is the nearest which is commissioned by NHS England 2) The start and end date of the contract for each SARC N/A 3) A list of losing bidders for each SARC the most recent time the SARC was procured (please provide the date the with the winning bidder) contract was signed with the winning bidder) N/A 4) Details of whether any of the listed SARCs cover other CCGs' geographical areas 4) Details of whether any of the listed SARCs cover other CCGs' geographical areas N/A FoI No: 99 – received 30 June 2014 1. A list of Blood Glucose Meters and corresponding testing strips which are included in the formulary used by primary care prescribers in the CCG. 2. For each of the blood glucose monitors/ blood glucose testing strips listed under 1, please can you: a) Provide the date of formulary decision (month and year) b) Provide a date for formulary review if any has been set c) Confirm or deny the existence of a rebate agreement between the manufacturer and the CCG. 1. A list of Blood Glucose Meters and corresponding testing strips which are included in the formulary used by primary care prescribers in the CCG. Please see the link below to the Diabetes guidance BGT page 46 onwards http://www.barnsleyccg.nhs.uk/Downloads/Members/Medicines %20management/Prescribing%20Guidelines/Barnsley%20Dia betes%20Guidelines%20-%20April%202014.pdf 2. For each of the blood glucose monitors/ blood glucose testing strips listed under 1, please can you: a) Provide the date of formulary decision (month and year) Guidance date is in the document b) Provide a date for formulary review if any has been set Review of list will be around December 2014; but no date fixed as yet c) Confirm or deny the existence of a rebate agreement between the manufacturer and the CCG. We have no rebate agreement with any of the manufacturers of meters listed FoI No: 100 – received 30 June 2014 1. The planned CCG spend on mental health services for the This is a request for information about NHS Barnsley Clinical Commissioning Group's budget in 2013/14 and 2014/15. We wish to ensure we are using comparable data for 2013/14 and 2014/15 and therefore would request funding information from the planned budgets for 2013/14 and 2014/15, not details of actual spend. We anticipate these budgets will have been signed off in February/March 2013 and 2014 respectively and the information should be held by your Finance Department. Please provide the following: 1. The planned CCG spend on mental health services for the financial years 2013/14 and 2014/15: a) b) to the nearest £1000; and as a percentage of total CCG budget 2. The planned CCG spend on acute services for the financial years 2013/14 and 2014/15: a) b) to the nearest £1000; and as a percentage of total CCG budget 3. Documentation for any equality impact assessment carried out ahead of setting the mental health services budget for 2014/15. If an equality impact assessment was not done specifically for the budget, then please send through documentation for any equality impact assessment done ahead of developing the 2014/15 commissioning plan. 4. In the 2014/15 National Tariff Payment System document from Monitor and NHS England, the following recommendation was made in financial years 2013/14 and 2014/15: a) b) to the nearest £1000; and as a percentage of total CCG budget 2. The planned CCG spend on acute services for the financial years 2013/14 and 2014/15: a) b) to the nearest £1000; and as a percentage of total CCG budget 3. Documentation for any equality impact assessment carried out ahead of setting the mental health services budget for 2014/15. If an equality impact assessment was not done specifically for the budget, then please send through documentation for any equality impact assessment done ahead of developing the 2014/15 commissioning plan. 4. In the 2014/15 National Tariff Payment System document from Monitor and NHS England, the following recommendation was made in regard to price adjustments for 2014/15 budgets. This refers to locally determined prices, negotiated by local commissioners (such as CCGs) and providers, for services where there is no national price i.e. mental health, ambulance and some acute services. “This adjustment also has direct implications for locally determined prices. Under our rules for locally determined prices (described in Section 7), where local prices already exist for services without a national price, commissioners and providers should have regard to the cost uplift factors and efficiency requirements in the 2014/15 National Tariff Payment regard to price adjustments for 2014/15 budgets. This refers to locally determined prices, negotiated by local commissioners (such as CCGs) and providers, for services where there is no national price i.e. mental health, ambulance and some acute services. “This adjustment also has direct implications for locally determined prices. Under our rules for locally determined prices (described in Section 7), where local prices already exist for services without a national price, commissioners and providers should have regard to the cost uplift factors and efficiency requirements in the 2014/15 National Tariff Payment System when agreeing prices. These factors and requirements should therefore be used as the basis for local negotiation. Some costs uplifts however reflect costs which apply only in relation to certain parts of the sector (e.g. costs which apply to acute services but not community services). System when agreeing prices. These factors and requirements should therefore be used as the basis for local negotiation. Some costs uplifts however reflect costs which apply only in relation to certain parts of the sector (e.g. costs which apply to acute services but not community services). For the avoidance of doubt, the nominal price adjustments that should be used as the basis for local negotiation are: -1.5% for acute services; and -1.8% for non-acute services.” (page 93) c) Could you indicate whether the Clinical Commissioning Group: i. For the avoidance of doubt, the nominal price adjustments that should be used as the basis for local negotiation are: ii. -1.5% for acute services; and -1.8% for non-acute services.” (page 93) a) Could you indicate whether the Clinical Commissioning Group: d) If (ii), could you indicate whether the Clinical Commissioning Group: i. i. ii. Applied the price adjustments for acute services (1.5%) and non-acute services (-1.8%), as outlined in the guidance above; or Applied different price adjustments to those outlined in the guidance above b) If (ii), could you indicate whether the Clinical Applied the price adjustments for acute services (-1.5%) and non-acute services (1.8%), as outlined in the guidance above; or Applied different price adjustments to those outlined in the guidance above ii. iii. Applied the same price adjustment to both acute and non-acute services; or Applied a greater price reduction to nonacute services than acute service; or Applied a greater price reduction to acute than non-acute services Commissioning Group: i. ii. iii. Applied the same price adjustment to both acute and non-acute services; or Applied a greater price reduction to non-acute services than acute service; or Applied a greater price reduction to acute than nonacute services
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