Freedom of Information Act 2000 – Request Reference FoI/15/260
I write to request the following information:
1. How much money did the LHB spend on homeopathic treatments and
services in the financial year 2014-15?
2. How much money did the LHB spend on homeopathic treatments and
services in each of the financial years since 2009?
3. Have there been any Individual Funding Requests for homeopathic
treatments and services. If so, how many were successful, and how much
money was spent on them?
4. Please break down these figures by type of treatment or service.
5. Do you have a written policy on the funding of homeopathic treatments or
services? If so, please provide a copy.
6. 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.
Information not held . Within Cardiff and Vale University Health Board (the
UHB) there is no dedicated funding for homeopathic treatments. Whilst there
are some limited complementary therapy modalities used by our registered
staff these would be provided as part of a package of care and not as stand
alone therapies. This being the case, the UHB does not record expenditure on
homeopathic treatments as a separate entity we therefore cannot provide
expenditure figures these treatments.
The UHB does record funding and expenditure information in circumstances
where there is allocated funding for the provision of specific services. We also
record average costs per patient for specific procedures. What we cannot
provide, as it is not recorded, is individual and isolated costs for each
separate element of a patient pathway, but are minded that the evidence base
for homeopathy would dissuade its use in core NHS care.
For example, in circumstances when a patient is admitted for surgery they
would be cared for on a ward following their procedure. During the
convalescence period it may be identified that physiotherapy or occupational
therapy is required as part of their pathway of care. These would then be
provided as needed by the patient. The UHB information recording systems
and our finance accounting systems have not been set up in a way that will
enable costs of these separate elements of the overall patient pathway to be
apportioned as isolated figures.
There are many elements involved within a pathway of care these will include
Anaesthetics, Surgery, Stay on ward, Medication, Nursing care,
Physiotherapy, Occupational therapy, etc. Each of these areas would incur an
element of cost but that cost would not be separately identified or isolated
from the overall pathway, of which it is unlikely that homeopathy will have
If complementary therapy is included as part of the whole patient pathway, as
detailed above cannot provide a cost specifically for the element of care that
related to the complementary therapy would not have been recorded. We are
therefore unable to identify the expenditure on homeopathic treatments on an
annual basis as requested.
I can confirm that the UHB has not received any Individual Patient Funding
Requests (IPFR) for homeopathic treatments and do not have contracts in
place for its provision.
The UHB does not have a policy on funding of homeopathic treatments
however please see detailed below links to the IPFR policy and the UHB
Policy for Interventions Not Normally Undertaken (INNU) which may be of