Specialised Vascular Services Assessment

The request was partially successful.

Dear University Hospitals Coventry and Warwickshire,

With regards to your vascular services and its annual self-assessment submission l request electronic copies of the following information.

1. The 2019/2020 annual self-assessment that was submitted via the Quality Surveillance Programme relating to the Specialised Vascular Services (Adult) Specification 170004/S.

2. If the Main Arterial centre declared a positive result (stated Yes)/compliance with indicator 170004S-001 - "There is an agreement outlining the network configuration", then l request copies of the evidence documents: operational policy (or part of) that supported this positive declaration.

3. If the Main Arterial centre declared a positive result (stated Yes)/compliance with indicator 170004S-017 - "There are patient pathways in place", then l request copies of the evidence documents: operational policy (or part of) including pathways that supported this positive declaration.

In order to reduce the scope of this part of the request, l include part of the indicator description that highlights my main interest:

Descriptor:
The AC should agree with the relevant service providers and relevant commissioners, network wide patient pathways for:

Peripheral Arterial Disease including:
- The management of acute limb ischaemia.

The pathway should include the following specifics;
- that emergency admissions should be reviewed by a consultant vascular surgeon within 12 hours

All the pathways should specify:
- the specific responsibilities of the involved providers, including the AC, the NAVCs and other providers;
- the indications for referral between providers (compatible with the levels of care model in the introduction to these indicators);
- the arrangements for transfer between providers for emergency surgery or interventions;
- any indications for case discussion at the weekly network MDT meeting;
- the relative responsibilities of the endovascular and open surgical specialists;
- referral pathways to other relevant specialties;
- the essential communications between professionals—what information should pass between which providers by which timelines;
- arrangements for patients who are turned down for vascular intervention and require palliative admission;
- locally relevant items including named providers and contact points.

Notes:
Pathways specify how the different Centres and groups of professionals should interact at defined stages of the patient journey, for diagnosis, assessment, management or follow up, as relevant.

4. If the Main Arterial centre declared a positive result (stated Yes)/compliance with indicator 170004S-021 - "There are clinical guidelines in place", then l request copies of the evidence documents: operational policy (or part of) including guidelines that supported this positive declaration.

In order to reduce the scope of this part of the request, l include part of the indicator description that highlights my main interest:

Descriptor:
The AC should agree with relevant service providers and relevant commissioners, network wide clinical guidelines for patients with:

- peripheral arterial disease including amputation;
- vascular injury

The guidelines should cover diagnosis, assessment, treatment and follow up.
Notes:
Clinical guidelines cover guidelines, protocols, ‘SOPs’ which describe how to manage a patient in a given clinical situation or specified point on the pathway. Examples include assessment checklists, surgical procedures, treatment protocols, key investigations at follow-up visits etc.
The Centre may wish to agree additional clinical guidelines to those specified in the indicators.
Network guidelines should be compliant with current national guidelines where relevant.

If any part of this request is unclear then please do not hesitate to contact me clarification.

Yours faithfully

Mr. Kent

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Requester

We acknowledge receipt of your email to UHCW:

Freedom of Information Request Form

If you have submitted a request under the Freedom of Information Act
(FOIA) your request will be considered and you will receive our response
within the statutory timescale of 20 working days.

The reference number for your email is FOI/1107.

Should you have any further inquiries concerning this matter, please reply
to this email leaving the subject line unchanged.

Yours sincerely,
UHCW

Dear University Hospitals Coventry and Warwickshire,

With regards to my freedom of information request entitled "Specialised Vascular Services Assessment" your Ref: FOI/1107 that was submitted to your Trust on the 18th June 2021, l have not yet received your response.

As your Trust has not advised of any delays with the processing this request, nor asked for any additional processing time then l can only assume that your silence is a signal that your Trust is refusing to do so.

If l do not have a response by Friday 30th July 2021 the ICO will be notified of your refusal to process this request.

Yours faithfully

Mr. Kent

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr. Kent

We acknowledge receipt of your email to UHCW.

We will pass your email on to the team handling your case FOI/1107 who
will be in touch in due course.

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr Kent

Please accept my apologies for the delay in responding to you.

The hospital is still under severe pressure due to Covid-19, however we
are chasing the relevant department for a response.

Thanking you for your patience.

Kind regards

FOI Team

 

Dear University Hospitals Coventry and Warwickshire,

Thank you for the update with regards to the processing of this FOI request, your Ref: FOI/1107 that was submitted to your Trust on the 18th June 2021.

I now expect a response no later than Friday 20th August 2021 to negate ICO involvement.

Please note that this FOI is extremely simple as it is just a matter of locating the documents that were used as supporting evidence in your 2019/2020 annual assessment/submission regarding the indicators questioned as well as a copy of the assessment its self.

At present l do not have your submission and as such do not know if your Trust gave a positive or negative response to the indicators in question.

A positive response to an indicator in the submission is affirmation as having implemented/meeting all of the requirements that the quality indicator measures. This includes the documentation as outlined in the indicator descriptor which dependant on the indicator also maps back to the Specialised Vascular Services Specification 170004/S (Adults) that your Trust is commissioned to provide.

A negative indicator on the other hand is a signal that your Trust has not fully implemented and/or meets all of the requirements that the indicator is measuring. This could be for any number of reasons numerous reasons, including documented procedures, pathways and clinical guidelines etc.

The reason l mention the above is due to the fact that if your Trust gave a negative response to any of the indicators in question then l would not expect you to release documents that you have not yet completed etc.

Yours faithfully,

Mr. Kent

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr. Kent

We acknowledge receipt of your email to UHCW.

We will pass your email on to the team handling your case FOI/1107 who
will be in touch in due course.

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr Kent

Thank you for your email.

Please accept our sincere apologies for the delay.  We continue to chase
the relevant Department for their input.

Be assured that we will disclose the requested information as soon as we
are able.

With kind regards

Heidi

Dear University Hospitals Coventry and Warwickshire,

I have not yet received your response regarding this FOI request, your Ref: FOI/1107 that was submitted to your Trust on the 18th June 2021.

If l do not have your response by the 31st August 2021 l will have no option but to contact the ICO for assistance.

Yours faithfully

Mr. Kent

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr. Kent

We acknowledge receipt of your email to UHCW.

We will pass your email on to the team handling your case FOI/1107 who
will be in touch in due course.

Dear University Hospitals Coventry and Warwickshire,

I have not yet received your response regarding this FOI request, your Ref: FOI/1107 that was submitted to your Trust on the 18th June 2021.

Please be advised that the ICO have now been notified.

I will of course withdraw my complaint on receipt of the requested information.

Regretfully yours

Mr. Kent

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr. Kent

We acknowledge receipt of your email to UHCW.

We will pass your email on to the team handling your case FOI/1107 who
will be in touch in due course.

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr Kent

Thank you for your email and patience regarding your Freedom of
Information request.

I did chase the relevant department by both email and telephone yesterday
and was assured that they would look at providing the relevant information
as soon as possible.

As soon as we receive the relevant information, this will be disclosed to
you as a matter of urgency.

Kind regards

Heidi

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

7 Attachments

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Our Ref: FOI/1107
Date: 29th September 2021

By email only

 

Dear Requester

We write further to your request for information under the Freedom of
Information Act received 18th June 2021.  We have set out your request,
together with our response below. 

1. The 2019/2020 annual self-assessment that was submitted via the Quality
Surveillance Programme relating to the Specialised Vascular Services
(Adult) Specification 170004/S.

Please see attachment

2. If the Main Arterial centre declared a positive result (stated
Yes)/compliance with indicator 170004S-001 - "There is an agreement
outlining the network configuration", then l request copies of the
evidence documents: operational policy (or part of) that supported this
positive declaration.

There is an agreement outlining the network configuration.  The agreement
is verbal and operational but is not documented.  University Hospitals
Coventry and Warwickshire NHS Trust employs all of the Consultant Surgeons
who provide Vascular Surgery Services across the network so as the Main
Arterial Centre and the employing organisation of all the Consultant
Surgeons within the network this agreement is well established within the
UHCW NHS team

3. If the Main Arterial centre declared a positive result (stated
Yes)/compliance with indicator 170004S-017 - "There are patient pathways
in place", then l request copies of the evidence documents: operational
policy (or part of) including pathways that supported this positive
declaration.

There are patient pathways in place.  The agreement is verbal and
operational but is not documented.  University Hospitals Coventry and
Warwickshire NHS Trust employs all of the Consultant Surgeons who provide
Vascular Surgery Services across the network so as the Main Arterial
Centre and the employing organisation of all the Consultant Surgeons
within the network these pathways are well established within the UHCW NHS
team.

In order to reduce the scope of this part of the request, l include part
of the indicator description that highlights my main interest:

Descriptor:
The AC should agree with the relevant service providers and relevant
commissioners, network wide patient pathways for:

Peripheral Arterial Disease including:
- The management of acute limb ischaemia.

The pathway should include the following specifics;
- that emergency admissions should be reviewed by a consultant vascular
surgeon within 12 hours

All the pathways should specify:
- the specific responsibilities of the involved providers, including the
AC, the NAVCs and other providers;
- the indications for referral between providers (compatible with the
levels of care model in the introduction to these indicators);
- the arrangements for transfer between providers for emergency surgery or
interventions;
- any indications for case discussion at the weekly network MDT meeting;
- the relative responsibilities of the endovascular and open surgical
specialists;
- referral pathways to other relevant specialties;
- the essential communications between professionals—what information
should pass between which providers by which timelines;
- arrangements for patients who are turned down for vascular intervention
and require palliative admission;
- locally relevant items including named providers and contact points.

Notes:
Pathways specify how the different Centres and groups of professionals
should interact at defined stages of the patient journey, for diagnosis,
assessment, management or follow up, as relevant.

4. If the Main Arterial centre declared a positive result (stated
Yes)/compliance with indicator 170004S-021 - "There are clinical
guidelines in place", then l request copies of the evidence documents:
operational policy (or part of) including guidelines that supported this
positive declaration.

There are clinical guidelines in place.  A range of clinical guidelines
are in place within the Vascular Service.  These guidelines are not
developed specifically with the network in place.  The guidelines for Leg
Amputation and Abdominal Aortic Aneurism have been attached to this
response as example guidelines.  Please specify any further guidelines
required as part of this request.

In order to reduce the scope of this part of the request, l include part
of the indicator description that highlights my main interest:

Descriptor:
The AC should agree with relevant service providers and relevant
commissioners, network wide clinical guidelines for patients with:

- peripheral arterial disease including amputation;
- vascular injury

The guidelines should cover diagnosis, assessment, treatment and follow
up.
Notes:
Clinical guidelines cover guidelines, protocols, ‘SOPs’ which describe how
to manage a patient in a given clinical situation or specified point on
the pathway. Examples include assessment checklists, surgical procedures,
treatment protocols, key investigations at follow-up visits etc.
The Centre may wish to agree additional clinical guidelines to those
specified in the indicators.
Network guidelines should be compliant with current national guidelines
where relevant.

As we have provided the information that we do hold your request is now
closed.  We trust that this is satisfactory but if you are dissatisfied
with the way that it has been handled you have the right to ask for an
internal review.  Internal review requests should be submitted within two
months of the date of receipt of the response to your original letter and
should be addressed to: Susan Rudd, Interim Director of Corporate Affairs,
UHCW, Clifford Bridge Road, Coventry CV2 2DX.

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 can be contacted at: Information
Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9
5AF.

Yours sincerely

 

 

 

Andrea Phillips
FOI & Access to Health Records Manager

Dear University Hospitals Coventry and Warwickshire,

Thank you for your response to my FOI entitled "Specialised Vascular Services Assessment" your ref: FOI/1107, however, l do have some issues with it and as such must ask you to perform an Internal Review in the hopes that you can rectify/clarify and/or process this request in full.

Please find below the questions asked, your responses to them along with my comments to help explain why I have requested this Internal Review.

This FOI requested information regarding your vascular annual assessment for 2019/2020.

The following information was requested:

1. The 2019/2020 annual self-assessment that was submitted via the Quality Surveillance Programme relating to the Specialised Vascular Services (Adult) Specification 170004/S.

Your response: Please see attachment.

My comments: Thank you for the attachment "Vascular QSP Submission 201920.pdf".

The attachment is missing the indicator/comments section for each of the quality indicators.

Although I do believe that each Trust was given the same assessment I would like a copy of the submission with the indicators and comments intact to be 100% sure. Without these descriptors it is not clear to the viewer what the Trust has given its declaration too.

Here is a link to an assessment submitted by the Worcestershire Royal Hospital with all of the indicators intact for comparison: https://www.whatdotheyknow.com/request/7...

If there is a technical issuer preventing the Trust from being able to provide a copy of the full submission then at this point l would consider acknowledgement that the indicator descriptors as of the Worcestershire Royal were the same as those that the Trust made its declarations against. Please advise?

Question marked as pending.

2. If the Main Arterial centre declared a positive result (statedYes)/compliance with indicator 170004S-001 - "There is an agreement outlining the network configuration", then l request copies of the evidence documents: operational policy (or part of) that supported this positive declaration.

Your response: "There is an agreement outlining the network configuration. The agreement is verbal and operational but is not documented. University Hospitals Coventry and Warwickshire NHS Trust employs all of the Consultant Surgeons who provide Vascular Surgery Services across the network so as the Main Arterial Centre and the employing organisation of all the Consultant Surgeons within the network this agreement is well established within the UHCW NHS team"

My comments: Although I appreciate you may have a verbal agreement, that is not what was requested. I requested what the Trust declared in its official declaration, a documented operational policy outlining the configuration.

Given your response then can you clarify that the Trust has made a mistake with its submission i.e. it should have declared NO or provide the declared document that was used to support the positive declaration.

3. If the Main Arterial centre declared a positive result (stated Yes)/compliance with indicator 170004S-017 - "There are patient pathways in place", then l request copies of the evidence documents: operational policy (or part of) including pathways that supported this positive declaration.

In order to reduce the scope of this part of the request, l include part of the indicator description that highlights my main interest:

Descriptor:
The AC should agree with the relevant service providers and relevant commissioners, network wide patient pathways for:

Peripheral Arterial Disease including:
- The management of acute limb ischaemia.

The pathway should include the following specifics;
- that emergency admissions should be reviewed by a consultant vascular surgeon within 12 hours

All the pathways should specify:
- the specific responsibilities of the involved providers, including the AC, the NAVCs and other providers;
- the indications for referral between providers (compatible with the levels of care model in the introduction to these indicators);
- the arrangements for transfer between providers for emergency surgery or interventions;
- any indications for case discussion at the weekly network MDT meeting;
- the relative responsibilities of the endovascular and open surgical specialists;
- referral pathways to other relevant specialties;
- the essential communications between professionals—what information should pass between which providers by which timelines;
- arrangements for patients who are turned down for vascular intervention and require palliative admission;
- locally relevant items including named providers and contact points.

Notes:
Pathways specify how the different Centres and groups of professionals should interact at defined stages of the patient journey, for diagnosis, assessment, management or follow up, as relevant.

Your response: "There are patient pathways in place. The agreement is verbal and operational but is not documented. University Hospitals Coventry and Warwickshire NHS Trust employs all of the Consultant Surgeons who provide Vascular Surgery Services across the network so as the Main Arterial Centre and the employing organisation of all the Consultant Surgeons within the network these pathways are well established within the UHCW NHS team."

My comments: Thank you for the "Abdominal aortic aneurysm AAA.pdf", "Leg Amputation.pdf", "ULCER PATHWAY.pptm.pptx", "vascular pathways.pptx", "CEPOD1 limb protocol V2.docx" and "CEA referral pathway.docx" attachments.

I am not a medical assessor/auditor, but I very much doubt / do not believe the attachments would warrant a positive declaration / fulfil the quality requirements being measured, but given what was requested l have to assume these are what your Trust used to support its declaration.

Question marked as answered in full.

4. If the Main Arterial centre declared a positive result (stated Yes)/compliance with indicator 170004S-021 - "There are clinical guidelines in place", then l request copies of the evidence documents: operational policy (or part of) including guidelines that supported this positive declaration.

Descriptor:
The AC should agree with relevant service providers and relevant commissioners, network wide clinical guidelines for patients with:

- peripheral arterial disease including amputation;
- vascular injury

The guidelines should cover diagnosis, assessment, treatment and follow up.
Notes:
Clinical guidelines cover guidelines, protocols, ‘SOPs’ which describe how to manage a patient in a given clinical situation or specified point on the pathway. Examples include assessment checklists, surgical procedures, treatment protocols, key investigations at follow-up visits etc.
The Centre may wish to agree additional clinical guidelines to those specified in the indicators.
Network guidelines should be compliant with current national guidelines where relevant.

Your response: "There are clinical guidelines in place. A range of clinical guidelines are in place within the Vascular Service. These guidelines are not developed specifically with the network in place. The guidelines for Leg Amputation and Abdominal Aortic Aneurism have been attached to this response as example guidelines. Please specify any further guidelines required as part of this request."

My comments: Please could you provide the clinical guidelines that I requested and those used to support your positive declaration.

You stated "The guidelines for Leg Amputation and Abdominal Aortic Aneurism have been attached to this response . . ."

First, neither of these are clinical guidelines, second a clinical guideline for AAA was not requested and third the Leg Amputation.pdf is a patient leaflet, not much help to clinical staff looking for evidence based research/best practices and/or what they should be using to aid decisions regarding management and treatment!

Please could you provide the requested documents, those that were used to support your positive declaration.

It may be that the Trust just uses external reference materials such as NICE CG147 for PAD for example, which is fine. If that is the case then l all l would expect to see is a document that lists all of the clinical guidelines that should be used by all network members/sites.

If you cannot provide the requested information can you please advise if this is because the Trust has found error with you official declaration i.e. may be the Trust should have simply declared NO to the indicator in question with an a appropriate comment to advise the Quality Surveillance Team (who monitor negative responses) that the Trust has not fully implemented all of the requirements listed by the descriptor etc.

Please note that presently NHS England (the last I checked) are of the belief that there is no error with the Trust submission i.e. not missing required documentation (as of the assessment) and given that these documents are not uploaded during the submission process then l should contact the Trust to obtain them.

I will update ICO caseworker with the current status of this request.

Yours faithfully

Mr Kent

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr. Kent

We acknowledge receipt of your email to UHCW.

We will pass your email on to the team handling your case FOI/1107 who
will be in touch in due course.

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr Kent

We acknowledge your request for Internal Review.

Kind regards

Heidi

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

3 Attachments

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr Kent

Further to your request for review of our response to your Freedom of
Information request, please now find attached.

Kind regards

Heidi

Dear University Hospitals Coventry and Warwickshire,

Thank you for the outcome of the Trusts Internal Review, however, the Trust has still not processed this request in full.

Please find below the questions/requested information that the Trust is yet to provide.
Questions one (thank you for the self-assessment inclusive of the descriptors) and three are complete.

2. If the Main Arterial centre declared a positive result (stated Yes)/compliance with indicator 170004S-001 - "There is an agreement outlining the network configuration", then l request copies of the evidence documents: operational policy (or part of) that supported this positive declaration.

Your response: "The response to this question remains the same. The submission of documents as
part of the process is not mandatory"

My Comments: The Trust appears to have totally misread my question as I have not asked to see any documents that were submitted/uploaded during the completion of the assessment via the Quality Surveillance Programme Portal.

The question clearly states that l would like to see the documents that supported the Trusts official declaration i.e. those that are listed in the quality descriptor (the requirements under review) that the Trust gave a positive response to. The Trust either has the documents that it declared as having or it does not which l suggest would be due to an error with its submission (the alternative is less palatable).

I am fully aware of the submission process, what is and is not required, hence I did not ask NHS England directly for these documents. There is a reason why the documents are termed evidence documents in the descriptors and these evidence documents should be available on request and clearly I have requested to see them.

Please either advise of the exemptions that your Trust is applying in order not to release the requested documents or advise if the Trust has found errors with its submission preventing the release of the requested documents?

4. If the Main Arterial centre declared a positive result (stated Yes)/compliance with indicator 170004S-021 - "There are clinical guidelines in place", then l request copies of the evidence documents: operational policy (or part of) including guidelines that supported this positive declaration.

In order to reduce the scope of this part of the request, l include part of the indicator description that highlights my main interest:

Descriptor:
The AC should agree with relevant service providers and relevant commissioners, network wide clinical guidelines for patients with:

- peripheral arterial disease including amputation;
- vascular injury

The guidelines should cover diagnosis, assessment, treatment and follow up.
Notes:
Clinical guidelines cover guidelines, protocols, ‘SOPs’ which describe how to manage a patient in a given clinical situation or specified point on the pathway. Examples include assessment checklists, surgical procedures, treatment protocols, key investigations at follow-up visits etc.
The Centre may wish to agree additional clinical guidelines to those specified in the indicators.
Network guidelines should be compliant with current national guidelines where relevant.

Your response: As requested please see the list below, links and attachment regarding external guidelines used.
AAA
https://www.nice.org.uk/guidance/ng156/r...
(the above guideline is following with the exception of an EVAR service for ruptured

AAA which is a service still in development)
Carotid Surgery
https://www.nice.org.uk/guidance/ng128/c...

Vascular Trauma
Please see attached guideline
Peripheral arterial disease including amputation
https://www.nice.org.uk/guidance/cg147/r...
Venous disease including leg ulcers

https://www.nice.org.uk/guidance/cg168/r...
(please note uncomplicated varicose veins surgery is not commissioned)

My Comments: The Trust has still not provided the requested information.

I have not asked for the Trust to provide links to the resources (or check if google still works), l have asked the Trust to provide the documentation that it declared as having, which may include such links. More importantly as of the descriptor/requirements there should be some sort of network/site wide document or documents in place that contains the information and/or contains links to the information that has been agreed with all parties/all sites that are to be used.

Please either advise of the exemptions that your Trust is applying in order not to release the requested documents or advise if the Trust has found errors with its submission preventing the release of the requested documents?

I include a link to Sheffield’s assessment, as you can see it is possible to give negative responses where all required documents are not in place.
https://www.whatdotheyknow.com/request/7...

Yours faithfully

Mr. Kent

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr. Kent

We acknowledge receipt of your email to UHCW.

We will pass your email on to the team handling your case FOI/1107 who
will be in touch in due course.

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Mr Kent

To confirm receipt of your latest correspondence.

Kind regards

Heidi