Neuromodulation Clinic
Dear Essex Partnership University NHS Foundation Trust,
Since the revamp of the Eput TMS clinic at Brentwood to the renamed Essex Neuromodulation Clinic
There are now new treatments on offer including
Esketamine
Vagus Nerve Stimulation/VNS
The clinical evidence for both Esketamine and VNS for Treatment-Resistant Depression is not that robust, unlike rTMS for depression which has strong evidence.
Therefore regarding NHS funding
both these treatments only have NICE Interventional Procedure Approval. Therefore they do not have to be routinely funded to Essex NHS patients even if recommended by an NHS clinician. I am aware that rTMS also only has NICE Interventional Procedure Approval.
Unlike ECT which if recommended by a clinician is routinely funded on the NHS, as it has NICE Technology Appraisal approval.
Which kind of patients are going to be receiving esketamine and VNS treatment private only or private and Essex NHS?
If Essex NHS patients are going to receive Esketamine and VNS how is it going to be funded by the CCGs on the NHS as a routine treatment or via IFR?
Is the surgery to fit the VNS stimulator being carried out by Eput or is Eput referring patients on to example a clinical trial?
I believe there is a stronger evidence base for Ketamine infusion for TRD depression is this treatment to be offered by the Essex Neuromodulation Clinic?
Yours faithfully,
Iain Gordon
Thank you for your email.
Please note this is an automated response to confirm receipt of your
request and to advise that a member of the team will be in touch with you.
For new Freedom of Information Request we will be in contact within two
working days, for all other correspondence we will be in contact within
five working days.
Dear Iain Gordon
The Essex Partnership University NHS Foundation Trust Freedom of
Information Service received your request for information under the
Freedom of Information Act.
You requested information as outlined below.
Which kind of patients are going to be receiving Esketamine and VNS
treatment private only or private and Essex NHS?
If Essex NHS patients are going to receive Esketamine and VNS how is it
going to be funded by the CCGs on the NHS as a routine treatment or via
IFR?
Is the surgery to fit the VNS stimulator being carried out by EPUT or is
EPUT referring patients on to example a clinical trial?
I believe there is a stronger evidence base for Ketamine infusion for TRD
depression is this treatment to be offered by the Essex Neuromodulation
Clinic?
The Act allows 20 working days for us to respond to your request so you
can expect a response by 14^th July 2022.
You should be aware that the Act does allow, in certain cases, for the 20
working day time period to be extended. We will notify you as soon as
possible if there is a need to extend the time limit for responding to
your request.
The Trust has a statutory duty to provide advice and assistance to
applicants. If you have any questions now, or during the processing of
your request, please do not hesitate to contact us
Kind regards
Legal Services
Essex Partnership University NHS Foundation Trust (EPUT)
Legal Services | The Lodge | Lodge Approach | Wickford | Essex | SS11 7XX
Email: [1][email address]
Web: [2]www.eput.nhs.uk | Follow us on [3]Twitter and [4]Facebook
WHAT WE DO TOGETHER MATTERS.
Dear Ian
I am writing in response to your request for information made under the
Freedom of Information Act 2000.
Please find attached a response from EPUT.
If you are dissatisfied with the response you have received, you have the
right to request a review of our decision or make a complaint about how
your request has been handled. Your request should be made within 2
months of receipt of this letter and we will reply within 20 working days
of receipt. Any such request received after 2 months will only be
considered at the discretion of the organisation.
If our decision is unchanged following a review and you remain
dissatisfied with this, you then have the right to make a formal complaint
to the Information Commissioner who can be contacted at this link [1]ICO.
Kind regards
Legal Services
Essex Partnership University NHS Foundation Trust (EPUT)
Legal Services | The Lodge | Lodge Approach | Wickford | Essex | SS11 7XX
Email: [2][email address]
Web: [3]www.eput.nhs.uk | Follow us on [4]Twitter and [5]Facebook
WHAT WE DO TOGETHER MATTERS.
Stephanie Garnham
Freedom of Information Officer / Subject Access Lead
Essex Partnership University NHS Foundation Trust (EPUT)
The Lodge| Lodge Approach| Runwell| Essex | SS11 7XX
[mobile number] Email: [6][email address]
Web: [7]www.eput.nhs.uk | Follow us on [8]Twitter and [9]Facebook
WHAT WE DO TOGETHER MATTERS.
[10]cid:image001.png@01D87A73.45CED440
Dear FOI (ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST),
Thank you for answering my request
Could I please ask for more details on the following response?
"The treatments are available for patients within mid and south Essex, who won’t need an
individual request for funding. For all other areas an individual request for funding would be
required."
Will patients in the former West Essex CCG and North Essex CCG areas also not require IFR funding for NHS treatment at the Essex Neuromodulation Clinic?
Yours sincerely,
iain gordon
Dear
Thank you for your e-mail correspondence below dated 15.07.2022. May I take this opportunity to confirm that we will treat this as a review of the original information sent to you in response to your request for information.
EPUT will carry out an internal review, investigating the issues / questions you have raised and provide a detailed response. The Information Commissioner considers that a reasonable time for completing an internal review is 20 working days from the date of the request for review. Therefore you can expect a response no later than 12th August 2022.
In some cases, which involve exceptional circumstances, it may be reasonable to take longer. If this is the case EPUT will contact you again and provide a full explanation as to why more time is required. However, the Information Commissioner considers that the total time taken should not exceed 40 working days.
In the meantime should you have any questions, or require further information or advice, please do not hesitate to contact us.
Kind regards
Legal Services
Essex Partnership University NHS Foundation Trust (EPUT)
Legal Services | The Lodge | Lodge Approach | Wickford | Essex | SS11 7XX
Email: [email address]
Web: www.eput.nhs.uk | Follow us on Twitter and Facebook
WHAT WE DO TOGETHER MATTERS.
Dear Iain
I am writing in response to your request for information made under the Freedom of Information Act 2000.
Please find attached a response from EPUT.
If you are dissatisfied with the response you have received, you have the right to request a review of our decision or make a complaint about how your request has been handled. Your request should be made within 2 months of receipt of this letter and we will reply within 20 working days of receipt. Any such request received after 2 months will only be considered at the discretion of the organisation.
If our decision is unchanged following a review and you remain dissatisfied with this, you then have the right to make a formal complaint to the Information Commissioner who can be contacted at this link ICO.
Kind regards
Legal Services
Essex Partnership University NHS Foundation Trust (EPUT)
Legal Services | The Lodge | Lodge Approach | Wickford | Essex | SS11 7XX
Email: [email address]
Web: www.eput.nhs.uk | Follow us on Twitter and Facebook
WHAT WE DO TOGETHER MATTERS.
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