We don't know whether the most recent response to this request contains information or not – if you are Sarah James please sign in and let everyone know.

Dear Medway NHS Foundation Trust,

1. Do you insource any clinical services and which ones?
2. Do you have a contract with any company and who is that and for which insourcing services?
3. Did you procure this under any current framework and if so which one?
4. How is this charged for by the third party service provider per patient/per tariff
5. Are you currently being charged below, on or above NHS tariff?
6. Do you use substantively employed Trust staff to delivery all or part of the insourced service?
7. The total number of procedures completed by each supplier (named) in the following categories:
• Endoscopy
• Ophthalmology
• ENT
• Neurology
• Dermatology
• All Other
8. The total spend completed by each supplier (named) per service area
9. Please give an annual breakdown per annum of insourcing services per service area:
• 15/16
• 16/17
• 17/18
• 18/19

Yours faithfully,

Sarah James

Freedomofinformation (MEDWAY NHS FOUNDATION TRUST), Medway NHS Foundation Trust

4 Attachments

Dear Ms James,

 

Freedom of Information Request: reference 5910

 

Thank you for your email requesting information regarding Medway NHS
Foundation Trust. Your request is being dealt with under the terms of the
Freedom of Information Act 2000 and will be responded to within the
statutory 20 working day deadline.

 

Yours sincerely

 

Freedom of Information Team

[1][email address]

 

Medway NHS Foundation Trust
Windmill Road
Gillingham
Kent
ME7 5NY

Website: [2]www.medway.nhs.uk 

[3][IMG]    [4][IMG]    [5][IMG] 

 

For future reference, please note that the Trust’s FOI email address is: 
[6][email address]

 

 

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Freedomofinformation (MEDWAY NHS FOUNDATION TRUST), Medway NHS Foundation Trust

4 Attachments

Dear Ms James,

 

Freedom of Information Request: reference 5910

 

Thank you for your request under the Freedom of Information Act 2000 and
please accept our sincere apologies for the delay in responding. 
Unfortunately it has taken us longer than anticipated to collate the
information.

 

The information you have requested is as follows:

 

1.    Do you insource  any clinical services and which ones?  Yes,
endoscopy, orthopaedic theatre lists, ENT Outpatients and neurology. 

2.    Do you have a contract with any company and who is that  and for
which insourcing services? 

Endoscopy:  18 Week Support

Orthopaedic theatre lists:  HBS (Healthcare Business Solutions)

Neurology: 18 Week Support

ENT:  18 Week Support

3.    Did  you procure this under any current framework  and if so which
one?

Endoscopy:  Awarded off the framework SBS

Orthopaedic theatre lists:  The Trust regret we are unable to confirm

Neurology:  Awarded off framework

ENT:  Awarded off framework

4.    How is this charged for by the third party service provider per
patient/per tariff

Endoscopy:  Fixed price tariff

Orthopaedic theatre lists:  per tariff – 65% of the tariff for minor
procedure and 45% for major procedure

Neurology: Fixed Price Tariff

ENT:  Fixed Price Tariff

5.    Are you currently being charged below, on or above NHS tariff?

Endoscopy:  Fixed price per list under tariff

Orthopaedic theatre lists:  Below tariff

Neurology:  Fixed price per patient under tariff

ENT:  Fixed price per patient under tariff

6.    Do you use substantively employed Trust staff to delivery all or
part of the insourced service?

Endoscopy:  Yes - mixture

Orthopaedic theatre lists:  We do not specifically employ substantive
Trust staff for insourcing.  We do provide support to the overall services
i.e. anaesthetists, porters etc but too vast and variable to detail.

Neurology:  Yes – mixture

ENT:  Yes- administrative and outpatient nursing support on hand to
provide guidance. 

7.    The total number of procedures completed by each supplier (named) in
the following categories:

•          Endoscopy Approximately 100 units per week.

•           Ophthalmology I can confirm that Medway NHS Foundation Trust
does not provide ophthalmology services, although they are provided on the
Trust’s main hospital site at Medway Maritime Hospital.  These services
are provided by Maidstone and Tunbridge Wells NHS Trust, who you can
contact directly via their website:  [1]http://www.mtw.nhs.uk/

•           ENT Total 318 patients seen: of which 110 were discharged; 24
were currently sitting on the waiting list (although this could increase)
and 140 needing follow up, with approximately 45 referred to other
provider so unsure as to whether they will require another ENT follow
up). 

•           Neurology Since 01/02/2020 745 patients have been seen.

•           Dermatology Dermatology is now provided by North Kent
Dermatology Service which is run by DMC Healthcare.

•           All Other Orthopaedic theatre lists:  Approximately 800 since
2017/18 to 2019/20

8.    The total spend completed by each supplier (named) per service area

Please see below

9.    Please give an annual breakdown per annum of insourcing services per
service area:

•             15/16  Nil

•             16/17 The spend on Endoscopy insourcing to the supplier 18
Week Support for the financial year 2016/17 was £352,807.97 and for ENT
was £109,015

•             17/18  The spend on orthopaedic theatre lists was
£424,398.74 (for January to December 2018 and March 2019) and for ENT was
£53,879

•             18/19  Please see above.

 

Once again, please accept our apologies for the delay and I hope that this
gives you the answer you need.  If you are dissatisfied with the handling
of your request, 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 this email and should be addressed to:

 

Paul Mullane

Head of Corporate Governance & Legal

Medway NHS Foundation Trust

Windmill Road

Gillingham

Kent

ME7 5NY

 

Please remember to quote the reference number in any future
communications.

 

In line with our obligations under the Freedom of Information Act the
Trust publishes responses to Freedom of Information Act Requests on the
Trust’s Disclosure Log which can be accessed via our website at:
[2]https://www.medway.nhs.uk/patients-and-p...

 

Yours sincerely

 

Freedom of Information Team

[3][email address]

 

 

Medway NHS Foundation Trust
Windmill Road
Gillingham
Kent
ME7 5NY

Website: [4]www.medway.nhs.uk 

[5][IMG]    [6][IMG]    [7][IMG] 

 

 

 

 

 

 

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We don't know whether the most recent response to this request contains information or not – if you are Sarah James please sign in and let everyone know.