Request for a comprehensive list of planned and recent closures, downgrades and centralisation of NHS services in England.

Gwrthodwyd y cais gan NHS England.

Save Our NHS in Kent Campaign Group

Dear NHS England,

SONIK believe that the public have a right to a true picture of the extent of changes being proposed across the regions currently in the English NHS. We would like to acquire a comprehensive list of planned/proposed and recent closures, downgrades and centralisation of services in England.

We request a full list of ALL instances of:

1.) Centralisation of NHS services, by hospital (planned and those that have happened since 2015)
2.) losses of community beds, by county (planned and those that have happened since 2015)
losses of beds in district general hospitals (planned and those that have happened since 2015)
3.) closures of GP surgeries (planned and those that have happened since 2015)
instances where hospital units have been downgraded (planned and those that have happened since 2015)
4.) Closures of walk-in centre (planned and those that have happened since 2015)
A&E units that are facing closure or downgrade (planned and those that have happened since 2015)
5.) Maternity units that are facing closure, downgrade or will no longer be consultant-led (planned and those that have happened since 2015)
6.) Cancer wards or units that are to be closed, downgraded or relocated (planned and those that have happened since 2015)
7.) Stroke wards/units that are to be closed, downgraded or relocated (planned and those that have happened since 2015)
8.) Urgent Care Centres that are to be closed, downgraded or relocated (planned and those that have happened since 2015)
9.) Reductions in spend on Mental health or closures of NHS mental health facilities (planned and those that have happened since 2015)
10.) A list of any other reductions of service
We ask that you include all instances that are recent (since 2015) and planned (at the planning stage, due for a public consultation, planned but yet to be implemented, or at pre-consultation stage).

Kind Regards,
Save Our NHS in Kent

CONTACTUS, England (NHS ENGLAND), NHS England

Dear Customer,

Thank you for your email. **Please read the important information below**

Please refer to the information below on how the Customer Contact Centre
can help you.

Our normal working hours are 08:00 to 18:00 from Monday to Friday and we
regret the delay in reply over the non-working hours.
The Customer Contact Centre is experiencing a high volume of enquiries. We
aim to respond to all general enquiries within 10 working days. If you
have raised a new complaint, you will receive a separate acknowledgement
within 3 working days

In the meantime, you may find the following information helpful.

How can the Customer Contact Centre help me?
NHS England commissions or buys primary care services; for example, GPs,
dentists, opticians, and pharmacy services. We are also responsible for
prison healthcare, military health services, and some specialised
services. We can provide advice about accessing, giving feedback or making
a complaint about these services.
You may be able to find the answer you are looking for in our Frequently
Asked Questions<https://www.england.nhs.uk/contact-us/ho...>
and our website explains how to feedback or make a
complaint<https://www.england.nhs.uk/contact-us/co...>.

What if I have an enquiry or complaint about hospital care, NHS 111 or
out-of-hours GP services?
If your enquiry or complaint is about secondary care, this includes
hospital care, NHS 111 services, mental health services, out-of-hours
services and community services such as district nursing you’ll need to
contact your local Clinical Commissioning Group (CCG). You can find their
contact details using the NHS Choices service
finder.<https://www.nhs.uk/Service-Search/Clinic...>

Do you provide medical advice?
No. Our advisors and not clinically trained and are unable to provide
medical advice. If you require emergency medical attention, dial 999 or
attend your local Accident and Emergency department if you are able to do
so.
If you require non-urgent medical advice please contact your GP, local
walk-in or urgent healthcare centre, or call NHS 111. Calls are free from
landlines and mobile phones.

How do I report a change of name or address?
You should report a change of name or address to your GP practice so they
can update their records. If your new address is outside the practice’s
catchment area you may be asked to register with a new GP practice.
You should also advise your dentist or optician of a change of name or
address as they keep their own records.

Where can I find further information about NHS England?
You can find information about NHS England and our work on our
website.<https://www.england.nhs.uk/about/>

How we use your information: Our privacy notices explains how we use,
share and store your personal information. You can find this on the NHS
England website https://www.england.nhs.uk/privacy

dangos adrannau a ddyfynnir

FOI, England (NHS ENGLAND), NHS England

Dear Sir or Madam,

 

Thank you for your enquiry dated 16 October 2018, which you have labelled
as a request made under the Freedom of Information (FOI) Act.

 

NHS England is not, at this stage, able to take forward your request for
information under the (FOI) Act, as you have not provided us with your
full/real name.

 

Section 8(1) of the Freedom of Information Act outlines what constitutes a
valid request:

 

a)        is in writing

b)        states the name of the applicant and an address for
correspondence, and

c)         describes the information requested.

 

This information is also available on the NHS England website at the
following web link:

 

·                [1]https://www.england.nhs.uk/contact-us/foi/

 

The Information Commissioner’s Office (ICO) also advise that:

 

“Any variation of the requester’s title or first name combined with their
surname (e.g. Mr Smith or John Smith) will be sufficient to meet this
requirement. However, a first name or surname provided in isolation, or a
set of initials, will not.”

 

In order for NHS England to begin processing your request in line with the
FOI Act, please re-submit your enquiry, ensuring it complies with the
above requirements, to [2][NHS England request email]. Once received, NHS
England will write to acknowledge receipt of your request and to provide
you with a reference number. Please note that the 20 working day timeframe
for complying with an FOI request does not commence until such a time as
the above information is provided.

 

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [3][NHS England request email].

 

Yours sincerely,

 

Freedom of Information

Corporate Communications Team

Transformation and Corporate Operations Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [4][NHS England request email]

 

‘High quality care for all, now and for future generations’

dangos adrannau a ddyfynnir

Save Our NHS in Kent Campaign Group

Dear FOI, England (NHS ENGLAND),

My name is Carly Jeffrey.

Yours sincerely,

Carly Jeffrey
Save Our NHS in Kent Campaign Group

FOI, England (NHS ENGLAND), NHS England

Dear Carly Jeffrey,

 

Freedom of Information Request Acknowledgement (Our Ref: FOI-057684)

 

Thank you for your communication dated 24 October 2018.

 

NHS England has assessed your communication as a request under the Freedom
of Information (FOI) Act 2000. As such, please be assured that your
request is being dealt with under the terms of the FOI Act and will be
answered within twenty working days.

 

For further information regarding the FOI Act, please refer to the
Information Commissioner’s Office (ICO) website. For further information
regarding NHS England and the information it publishes please visit our
website here.

 

If you have any queries about this request or wish to contact us again,
please email [1][NHS England request email] and the message will be
forwarded appropriately. Please remember to quote the above reference
number in any future communications.

 

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [2][NHS England request email].

 

Yours sincerely,

 

Freedom of Information

Corporate Communications Team

Transformation and Corporate Operations Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [3][NHS England request email]

 

‘Health and High quality care for all, now and for future generations’

dangos adrannau a ddyfynnir

Gadawodd Sophie Hammond anodiad ()

Dear Carly,

I’m a fellow NHS campaigner from Banbury, Oxfordshire, and would be very interested to know the answers to your comprehensive FOI request. It’s disgraceful that you’ve not had an answer to your request yet; will you be requesting an internal review?

Best wishes for the SONIK campaign,

Sophie Hammond

Save Our NHS in Kent Campaign Group

Dear NHS England,

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request an internal review of NHS England's handling of my FOI request 'Request for a comprehensive list of planned and recent closures, downgrades and centralisation of NHS services in England.'.

A response is long overdue, and I have no response aside from an automated message.

There is no justification for this failure to respond, as the information I am requesting is within NHSE's purview, and it is very much in the public interest.

A full history of my FOI request and all correspondence is available on the Internet at this address: https://www.whatdotheyknow.com/request/r...

Yours faithfully,
Carly Jeffrey
Save Our NHS in Kent Campaign Group

CONTACTUS, England (NHS ENGLAND), NHS England

Dear Customer,

Thank you for your email. **Please read the important information below**

Please refer to the information below on how the Customer Contact Centre
can help you.

Our normal working hours are 08:00 to 18:00 from Monday to Friday and we
regret the delay in reply over the non-working hours.
The Customer Contact Centre is experiencing a high volume of enquiries. We
aim to respond to all general enquiries within 10 working days. If you
have raised a new complaint, you will receive a separate acknowledgement
within 3 working days

In the meantime, you may find the following information helpful.

How can the Customer Contact Centre help me?
NHS England commissions or buys primary care services; for example, GPs,
dentists, opticians, and pharmacy services. We are also responsible for
prison healthcare, military health services, and some specialised
services. We can provide advice about accessing, giving feedback or making
a complaint about these services.
You may be able to find the answer you are looking for in our Frequently
Asked Questions<https://www.england.nhs.uk/contact-us/ho...>
and our website explains how to feedback or make a
complaint<https://www.england.nhs.uk/contact-us/co...>.

What if I have an enquiry or complaint about hospital care, NHS 111 or
out-of-hours GP services?
If your enquiry or complaint is about secondary care, this includes
hospital care, NHS 111 services, mental health services, out-of-hours
services and community services such as district nursing you’ll need to
contact your local Clinical Commissioning Group (CCG). You can find their
contact details using the NHS Choices service
finder.<https://www.nhs.uk/Service-Search/Clinic...>

Do you provide medical advice?
No. Our advisors and not clinically trained and are unable to provide
medical advice. If you require emergency medical attention, dial 999 or
attend your local Accident and Emergency department if you are able to do
so.
If you require non-urgent medical advice please contact your GP, local
walk-in or urgent healthcare centre, or call NHS 111. Calls are free from
landlines and mobile phones.

How do I report a change of name or address?
You should report a change of name or address to your GP practice so they
can update their records. If your new address is outside the practice’s
catchment area you may be asked to register with a new GP practice.
You should also advise your dentist or optician of a change of name or
address as they keep their own records.

Where can I find further information about NHS England?
You can find information about NHS England and our work on our
website.<https://www.england.nhs.uk/about/>

How we use your information: Our privacy notices explains how we use,
share and store your personal information. You can find this on the NHS
England website https://www.england.nhs.uk/privacy

dangos adrannau a ddyfynnir

Save Our NHS in Kent Campaign Group

Dear NHS England,

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request an internal review of NHS England's handling of my FOI request 'Request for a comprehensive list of planned and recent closures, downgrades and centralisation of NHS services in England.'.

I have had no response other than an automated response.

This request is within NHSE's purview and information requested is very much in the public interest.

There should be no more delay on this.

A full history of my FOI request and all correspondence is available on the Internet at this address: https://www.whatdotheyknow.com/request/r...

Yours faithfully,
Carly Jeffrey
Save Our NHS in Kent Campaign Group

FOI, England (NHS ENGLAND), NHS England

Dear Carly Jeffrey,

 

Re: Freedom of Information request (Our Ref: FOI-057684)

 

Thank you for your Freedom of Information (FOI) request dated 16 October
2018 and your further correspondence dated 17 January 2019.

 

Your exact request was:

 

“SONIK believe that the public have a right to a true picture of the
extent of changes being proposed across the regions currently in the
English NHS. We would like to acquire a comprehensive list of
planned/proposed and recent closures, downgrades and centralisation of
services in England.

 

We request a full list of ALL instances of:

1.) Centralisation of NHS services, by hospital (planned and those that
have happened since 2015)

2.) losses of community beds, by county (planned and those that have
happened since 2015) losses of beds in district general hospitals (planned
and those that have happened since 2015)

3.) closures of GP surgeries (planned and those that have happened since
2015) instances where hospital units have been downgraded (planned and
those that have happened since 2015)

4.) Closures of walk-in centre (planned and those that have happened since
2015) A&E units that are facing closure or downgrade (planned and those
that have happened since 2015)

5.) Maternity units that are facing closure, downgrade or will no longer
be consultant-led (planned and those that have happened since 2015)

6.) Cancer wards or units that are to be closed, downgraded or relocated
(planned and those that have happened since 2015)

7.) Stroke wards/units that are to be closed, downgraded or relocated
(planned and those that have happened since 2015)

8.) Urgent Care Centres that are to be closed, downgraded or relocated
(planned and those that have happened since 2015)

9.) Reductions in spend on Mental health or closures of NHS mental health
facilities (planned and those that have happened since 2015)

10.) A list of any other reductions of service We ask that you include all
instances that are recent (since 2015) and planned (at the planning stage,
due for a public consultation, planned but yet to be implemented, or at
pre-consultation stage).”

 

Please can we advise that NHS England received a near-identical request
(the same questions but in a slightly different order) from you, which we
responded to under reference FOI-057611 on 9 November 2018. We therefore
consider that the above request is “substantially similar” to your earlier
enquiry. Your request was therefore closed as a duplicate enquiry.
However, we sincerely apologise that this was not communicated to you.

 

In the hope that it is helpful, we have reiterated our responses to your
queries below.

 

NHS England does not hold information in relation to your request.

It may help if we explain that the NHS in England is not a single
organisation but is made up of a range of organisations such as Hospitals,
Clinical Commissioning Groups (CCGs) and Ambulance Trusts.

 

NHS England is responsible for commissioning primary care services such as
GP and dental surgeries, as well as some specialised secondary care
services.

 

Therefore, any recorded information NHS England may be able to provide in
response to an FOI request will generally relate to the services NHS
England commissions. For information on commissioned services and the
types of information NHS England holds can be found on our [1]website and
[2]publication scheme.

 

For further information on the NHS, its structure and other NHS
organisations please refer to NHS Choices [3]here.

 

This information may be held by individual Clinical Commissioning Groups
(CCGs). As such, you may wish to redirect your enquiry to individual CCGs.
You can find CCG contact information on the NHS Choices website at the
following web link:

 

o [4]http://www.nhs.uk/ServiceDirectories/Pag...

 

We note that in your email of 17 January 2019 you requested an Internal
Review into the handling of request reference FOI-057684. We hope that the
additional information provided to you in this email is helpful, and sets
out how your request was processed. However, if in light of this
explanation you would still like NHS England to conduct an internal
review. This should be requested in writing within two months of the date
of this letter. Your correspondence should be labelled “Internal Review”
and should outline your concerns and/or the area(s) you would like the
review to consider. Internal Review requests should be sent to:

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Email: [5][NHS England request email]

 

Please quote the reference number FOI-057684 in any future communications.

 

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision. The Information Commissioner’s Office (ICO) can be contacted at:

 

The Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

Telephone: 0303 123 1113

Email: [6][email address]  

Website: [7]www.ico.org.uk

 

Please note there is no charge for making an appeal.

 

Please be aware that in line with the Information Commissioner’s directive
on the disclosure of information under the FOI Act, your request will be
anonymised and published on our website as part of our disclosure log.

 

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows: PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [8][NHS England request email].

 

 

Yours sincerely,

 

Freedom of Information

Corporate Communications Team

Transformation and Corporate Operations Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [NHS England request email]

 

dangos adrannau a ddyfynnir

Save Our NHS in Kent Campaign Group

Dear NHS England,

Request for an Internal review.

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request an internal review of NHS England's handling of my FOI request 'Request for a comprehensive list of planned and recent closures, downgrades and centralisation of NHS services in England.'.

You say you do not hold the information directly as NHSE is an umbrella organisation under which many other organisations operate, and therefore you don't have the data. This is not a good reason to decline to collate this data and make it public because:

- The fragmented nature of the current NHS structure is not a sufficient reason to avoid producing data at a national level. Nationwide statistics are necessary, and I believe that they can be produced when the right authorities are willing.
- The general public has a right to know what is happening across the NHS. The current government has no mandate for the changes that are being made, and did not float the idea of closing A&E departments at election time to allow the public to vote on it. It is a very dishonest system if data like this is withheld.
- It is not reasonable to defer this back to the requester, or to expect the requester to embark on FOI requests at lower levels, eg requesting info from every STP in the country (44 of them) and having to fight and chase up every one of those FOIs. Or indeed to have to do this at Trust level, which would involve over 100 FOI requests. This needs to be done at national level, and it is not unreasonable to request it. It is unreasonable for NHSE to defer this down the chain.
- You say you do not hold this information, but I suggest that is only true in the most literal sense. You have access to the information, even if you do not directly hold it.

A full history of my FOI request and all correspondence is available on the Internet at this address: https://www.whatdotheyknow.com/request/r...

Yours faithfully,
Carly Jeffrey
Save Our NHS in Kent Campaign Group

CONTACTUS, England (NHS ENGLAND), NHS England

Dear Customer,

Thank you for your email. **Please read the important information below**

Please refer to the information below on how the Customer Contact Centre
can help you.

Our normal working hours are 08:00 to 18:00 from Monday to Friday and we
regret the delay in reply over the non-working hours.
The Customer Contact Centre is experiencing a high volume of enquiries. We
aim to respond to all general enquiries within 10 working days. If you
have raised a new complaint, you will receive a separate acknowledgement
within 3 working days

In the meantime, you may find the following information helpful.

How can the Customer Contact Centre help me?
NHS England commissions or buys primary care services; for example, GPs,
dentists, opticians, and pharmacy services. We are also responsible for
prison healthcare, military health services, and some specialised
services. We can provide advice about accessing, giving feedback or making
a complaint about these services.
You may be able to find the answer you are looking for in our Frequently
Asked Questions<https://www.england.nhs.uk/contact-us/ho...>
and our website explains how to feedback or make a
complaint<https://www.england.nhs.uk/contact-us/co...>.

What if I have an enquiry or complaint about hospital care, NHS 111 or
out-of-hours GP services?
If your enquiry or complaint is about secondary care, this includes
hospital care, NHS 111 services, mental health services, out-of-hours
services and community services such as district nursing you’ll need to
contact your local Clinical Commissioning Group (CCG). You can find their
contact details using the NHS Choices service
finder.<https://www.nhs.uk/Service-Search/Clinic...>

Do you provide medical advice?
No. Our advisors and not clinically trained and are unable to provide
medical advice. If you require emergency medical attention, dial 999 or
attend your local Accident and Emergency department if you are able to do
so.
If you require non-urgent medical advice please contact your GP, local
walk-in or urgent healthcare centre, or call NHS 111. Calls are free from
landlines and mobile phones.

How do I report a change of name or address?
You should report a change of name or address to your GP practice so they
can update their records. If your new address is outside the practice’s
catchment area you may be asked to register with a new GP practice.
You should also advise your dentist or optician of a change of name or
address as they keep their own records.

Where can I find further information about NHS England?
You can find information about NHS England and our work on our
website.<https://www.england.nhs.uk/about/>

How we use your information: Our privacy notices explains how we use,
share and store your personal information. You can find this on the NHS
England website https://www.england.nhs.uk/privacy

dangos adrannau a ddyfynnir

FOI, England (NHS ENGLAND), NHS England

Dear Carly Jeffrey,

 

Thank you for your communication dated 21 January 2019. Please see this
email as acknowledgement of your Internal Review request.

 

We endeavour to respond to Internal Reviews within 20 working days.
However, please be aware that on some occasions this has been extended to
40 working days. An officer will be allocated to handle your Internal
Review and will update you accordingly where necessary.

 

If you have any queries about this request or wish to contact us again,
please email [1][NHS England request email] and the message will be
forwarded appropriately. Please remember to quote the above reference
number in any future communications.

 

To communicate with NHS England regarding Freedom of Information (FOI)
requests, enquiries or complaints we ask these are sent directly to NHS
England’s customer contact centre. This is to ensure all communications
are progressed correctly. Their postal address, telephone number and email
details are as follows:- PO Box 16738, Redditch, B97 9PT; 0300 3 11 22 33,
[2][NHS England request email].

 

Yours sincerely,

 

Freedom of Information

Corporate Communications Team

Transformation and Corporate Operations Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [3][NHS England request email]

 

‘Health and high quality care for all, now and for future generations’

 

dangos adrannau a ddyfynnir

FOI, England (NHS ENGLAND & NHS IMPROVEMENT - X24), NHS England

Dear Carly Jeffrey,

 

Re: Freedom of Information Internal Review outcome (Our Ref:
FOI-057684/057611 IR)

 

Thank you for your Freedom of Information (FOI) Internal Review request
dated 21 January 2019. Please accept our sincere apologies for the delay
in responding to your request.

 

Your original FOI request (FOI-057611) was received by NHS England on 16
October 2018, and read:-

 

SONIK believe that the public have a right to a true picture of the extent
of changes being proposed across the regions currently in the English NHS.
We would like to acquire a comprehensive list of planned/proposed and
recent closures, downgrades and centralisation of services in England.

 

We request a full list of ALL instances of:

 

1.) Centralisation of NHS services, by hospital (planned and those that
have happened since 2015)

2.) losses of community beds, by county (planned and those that have
happened since 2015) losses of beds in district general hospitals (planned
and those that have happened since 2015)

3.) closures of GP surgeries (planned and those that have happened since
2015) instances where hospital units have been downgraded (planned and
those that have happened since 2015)

4.) Closures of walk-in centre (planned and those that have happened since
2015) A&E units that are facing closure or downgrade (planned and those
that have happened since 2015)

5.) Maternity units that are facing closure, downgrade or will no longer
be consultant-led (planned and those that have happened since 2015)

6.) Cancer wards or units that are to be closed, downgraded or relocated
(planned and those that have happened since 2015)

7.) Stroke wards/units that are to be closed, downgraded or relocated
(planned and those that have happened since 2015)

8.) Urgent Care Centres that are to be closed, downgraded or relocated
(planned and those that have happened since 2015)

9.) Reductions in spend on Mental health or closures of NHS mental health
facilities (planned and those that have happened since 2015)

10.) A list of any other reductions of service We ask that you include all
instances that are recent (since 2015) and planned (at the planning stage,
due for a public consultation, planned but yet to be implemented, or at
pre-consultation stage).

 

A further FOI request (FOI-057684) was received on 24 October 2018.

 

This request was substantially similar to your previous request
(FOI-057611), but included your name. Each contained the same questions,
although in some cases the format or numbering varied slightly between
each version of your request.  NHS England responded to FOI-057684 on 21
January 2019 advising that no information relevant to your request was
held by NHS England.

 

Your Internal Review request was received by NHS England on 21 January
2019, and read:-

 

“Request for an Internal review.

Please pass this on to the person who conducts Freedom of Information
reviews.

I am writing to request an internal review of NHS England's handling of my
FOI request 'Request for a comprehensive list of planned and recent
closures, downgrades and centralisation of NHS services in England.'.

You say you do not hold the information directly as NHSE is an umbrella
organisation under which many other organisations operate, and therefore
you don't have the data. This is not a good reason to decline to collate
this data and make it public because:

- The fragmented nature of the current NHS structure is not a sufficient
reason to avoid producing data at a national level. Nationwide statistics
are necessary, and I believe that they can be produced when the right
authorities are willing.

- The general public has a right to know what is happening across the NHS.
The current government has no mandate for the changes that are being made,
and did not float the idea of closing A&E departments at election time to
allow the public to vote on it. It is a very dishonest system if data like
this is withheld.

- It is not reasonable to defer this back to the requester, or to expect
the requester to embark on FOI requests at lower levels, eg requesting
info from every STP in the country (44 of them) and having to fight and
chase up every one of those FOIs. Or indeed to have to do this at Trust
level, which would involve over 100 FOI requests. This needs to be done at
national level, and it is not

unreasonable to request it. It is unreasonable for NHSE to defer this down
the chain.

- You say you do not hold this information, but I suggest that is only
true in the most literal sense.

You have access to the information, even if you do not directly hold it.”

 

The FOI Management team have reviewed your request and this letter
provides the outcome of this review. It may be helpful if we first explain
that an Internal Review looks at the handling of, and response given to, a
Freedom of Information request which has previously been made. The scope
of an Internal Review is therefore limited to considering whether the
request(s) was appropriately handled and whether the response given was
accurate and appropriate. An Internal Review cannot consider any new
queries not originally included in the relevant FOI request(s); these
should be submitted as new FOI requests via our Contact Centre.

 

It is the conclusion of this review that NHS England’s original response
was partially accurate.

 

For your convenience, we have provided further information or explanation
(as appropriate) in relation to each of your questions in turn below.

 

Centralisation of NHS services, by hospital (planned and those that have
happened since 2015)

 

This was question one in both email one and email two.

 

It is the conclusion of this review that NHS England should have requested
a detailed clarification of this question. We are, in hindsight, not clear
what “centralisation” means in this context and what particular services
you are interested in. If you would like to submit a clarified version of
this question, you can do so by emailing [1][NHS England request email]..

 

It may help if we explain that the NHS in England is not a single
organisation but is made up of a range of organisations such as Hospitals,
Clinical Commissioning Groups (CCGs) and Ambulance Trusts. NHS England is
responsible for commissioning primary care services such as GP and dental
surgeries, as well as some specialised secondary care services. Therefore,
any recorded information NHS England may be able to provide in response to
an FOI request will generally relate to the services NHS England
commissions. For information on commissioned services and the types of
information NHS England holds can be found on our [2]website and
[3]publication scheme. For further information on the NHS, its structure
and other NHS organisations please refer to NHS Choices [4]here.

 

Please note, therefore, that even if NHS England does hold some
information, this will only be a partial picture. You may find it more
helpful to contact individual NHS Trusts and CCGs as outlined in our
original response, as we consider that this will be the most likely
approach to provide you with detailed and full answers.

 

Furthermore, should you wish to submit a clarified version of this
question to NHS England, you may wish to consider refining the geography
to a specific area, to reduce the likelihood that the request would engage
section 12 of the FOI Act (which allows organisations to refuse a request
which would take over 18 hours to complete).

 

Losses of community beds, by county (planned and those that have happened
since 2015)

losses of beds in district general hospitals (planned and those that have
happened since 2015)

 

This question was split across questions two and three in email one and
given as a single query as question two in email two.

 

NHS England’s response was that no information was held in regard to these
questions is upheld.

           

closures of GP surgeries (planned and those that have happened since 2015)

 

This was question four of email one. We address this in conjunction with
the next query.

 

closures of GP surgeries (planned and those that have happened since 2015)
instances where hospital units have been downgraded (planned and those
that have happened since 2015)

 

This was question three of email two.

 

NHS England originally advised that no information was held in relation to
these questions.

 

We now consider that NHS England may hold some information relevant to
these parts of your request. However, the information held by NHS England
is not collated by any team and we therefore estimate that locating it
would exceed the cost limit as set out in Section 12(1) of the FOI Act.

 

Section 12(1) states that a public authority can refuse a request if
complying with it would exceed the appropriate limit of £450 (which
represents 18 hours). This represents the estimated cost of one person
spending this time in determining whether the information is held, and
locating, retrieving and extracting the information. We have outlined
reasoning for invoking Section 12(1) below.

 

To locate and retrieve the information you have requested would require
NHS England to sift through every GP practices’ contract. We can estimate
there are around 7,000 contracts which would require locating and
reviewing in order to extract relevant information in relation to your
request. We have estimated under section 12(1) of the FOI Act that to
locate, retrieve, extract and collate the information requested may take
up to 35,000 minutes to conduct and therefore, potentially take up to and
over 583 hours to complete. As a result, this takes over the time and cost
threshold in considering an FOI request and any appropriate action to be
taken.

 

Section 12(1) is an absolute exemption therefore we are not required to
assess the public interest test in its application.

 

However, if you were to refine your request for information within more
specific margins, for example; specific meetings or over a particular time
period, then we may be able to continue processing your request. Please
note we cannot guarantee that Section 12(1) or any other exemptions will
not apply to any information requested.

 

95% of Clinical Commissioning Groups (CCGs) in England are delegated to
commission primary care services and now responsible for GP Practices
contracts. You may wish to redirect your enquiry to individual CCGs. You
can find CCG contact information on the NHS website at the following web
link:

 

o [5]http://www.nhs.uk/ServiceDirectories/Pag...

 

Closures of walk-in centre (planned and those that have happened since
2015) A&E units that are facing closure or downgrade (planned and those
that have happened since 2015)

 

This was question six in email one, and question four in email two.

 

NHS England does not hold this information. This information may be held
by Clinical Commissioning Groups (CCGs). As such, you may wish to redirect
your enquiry to individual CCGs.

 

You can find [6]CCG contact information on the NHS.uk website.

 

Maternity units that are facing closure, downgrade or will no longer be
consultant-led (planned and those that have happened since 2015)

 

This was question eight in email one, and question five in email two.

 

NHS England does not hold this information. This information may be held
by Clinical Commissioning Groups (CCGs). As such, you may wish to redirect
your enquiry to individual CCGs.

 

You can find [7]CCG contact information on the NHS.uk website.

 

Further information may be held by individual NHS Hospital Trusts. As
such, you may wish to redirect your enquiry to Trusts directly. You can
find [8]Trust contact information on the NHS.uk website.

 

Cancer wards or units that are to be closed, downgraded or relocated
(planned and those that have happened since 2015)

 

This was question nine of email one, and question six of email two.

 

NHS England does not hold this information. This information may be held
by Clinical Commissioning Groups (CCGs). As such, you may wish to redirect
your enquiry to individual CCGs.

 

You can find [9]CCG contact information on the NHS.uk website.

 

Further information may be held by individual NHS Hospital Trusts. As
such, you may wish to redirect your enquiry to Trusts directly. You can
find [10]Trust contact information on the NHS.uk website.

 

Stroke wards/units that are to be closed, downgraded or relocated (planned
and those that have happened since 2015)

 

This was question ten of email one, and question seven of email two.

 

NHS England does not hold this information. This information may be held
by Clinical Commissioning Groups (CCGs). As such, you may wish to redirect
your enquiry to individual CCGs.

 

You can find [11]CCG contact information on the NHS.uk website.

 

Further information may be held by individual NHS Hospital Trusts. As
such, you may wish to redirect your enquiry to Trusts directly. You can
find [12]Trust contact information on the NHS.uk website.

 

Urgent Care Centres that are to be closed, downgraded or relocated
(planned and those that have happened since 2015)

 

This was question eleven of email one, and question eight of email two.

 

NHS England does not hold this information. This information may be held
by Clinical Commissioning Groups (CCGs). As such, you may wish to redirect
your enquiry to individual CCGs.

 

You can find [13]CCG contact information on the NHS.uk website.

 

Reductions in spend on Mental health or closures of NHS mental health
facilities (planned and those that have happened since 2015)

 

This was question twelve of email one, and question nine of email two.

 

For Mental Health Services commissioned by NHS England, NHS England holds
this information. However, as the information held is in the public
domain, we will under Section 21 of the FOI Act (information accessible to
the applicant by other means) refer you to the published source. Please
see the Mental Health Dashboard which is available on the NHS England
website:

 

o [14]https://www.england.nhs.uk/mental-health...

 

The Mental Health Dashboard shows the NHS England funding and spend on
mental health and the Five Year Forward View.

 

Additional information may be held by CCGs. As such, you may wish to
redirect your enquiry to individual CCGs.

 

You can find [15]CCG contact information on the NHS.uk website.

 

A list of any other reductions of service

 

We ask that you include all instances that are recent (since 2015) and
planned (at the planning stage, due for a public consultation, planned but
yet to be implemented, or at pre-consultation stage).

 

This was question thirteen of email one (although this version only asked
for “a list of any other reductions of service” and did not include the
additional text) and question ten of email two.

 

NHS England should have requested a detailed clarification of this
question. We are not clear what “centralisation” means in this context and
what particular services you are interested in. Advice on how to submit a
clarified request to NHS England is provided at the beginning of this
response.

 

In line with the above, NHS England’s original response is partly upheld.
We hope that the updated information provided in this response is helpful.
Once again, please accept our sincere apologies for the delay in providing
this outcome.

 

We hope that this addresses your concerns. However, if you are not content
with the outcome of the internal review, you have the right to apply
directly to the Information Commissioner for a decision. The Information
Commissioner’s Office (ICO) can be contacted at:

 

The Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

Telephone: 0303 123 1113

Email: [16][email address]  

Website: [17]www.ico.org.uk

 

Please note there is no charge for making an appeal.

 

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [18][NHS England request email] .

   

Yours sincerely,

 

 

Freedom of Information

Corporate Communications Team

Transformation and Corporate Operations Directorate

 

NHS England

PO Box 16738

REDDITCH

B97 9PT

 

Tel: 0300 311 22 33

Email: [19][NHS England request email]

 

‘Health and high quality care for all, now and for future generations’

 

dangos adrannau a ddyfynnir

Gadawodd Save Our NHS in Kent Campaign Group anodiad ()

NHSE are not willing to answer this FOI, claiming they do not hold the information, and stating that I should ask all of the CCGs individually - this would mean making 211 separate requests, and chasing all of them up.
Replies from NHSE and from the Information Commissioner suggest that all information is held locally, and that no-one at a top level (a national level) has a clue what's going on terms of closures, downgrades, mergers etc of NHS services. Clearly, this can't be the case. But the only option seems to be to make a request t all CCGs - which unfortunately, I am unable to take on. Trying to get an answer to a single request is time-consuming enough, attempting 211 is beyond what I can manage.

Gadawodd Save Our NHS in Kent Campaign Group anodiad ()

Save Our NHS in Kent will be attempting to get an answer to this. With elections likely to be coming soon, we feel it is important that the public know the extent of cuts and of planned cuts to the NHS. It will be dfficult, as currently only 10 requests are permitted per day, and at the most recent count, there are 192 CCGs in England.

To follow the requests, please follow this account:
https://www.whatdotheyknow.com/user/save...