Kent & Medway NHS referrals to St Andrews Healthcare, Wickford, Essex

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Dear Kent and Medway NHS and Social Care Partnership Trust,
Under the Freedom of Information Act please could you provide statistics as follows regarding Kent & Medway (herafter called K&M) NHS referrals to St Andrews Healthcare, Wickford, Essex over the last 5 years.

For each of the years 2012 - 2016 please detail the following (qu 1 - 5):

1. Average Cost (to NHS) per patient referred to St Andrews Healthcare, Wickford, Essex

2. Total number of regarding K&M NHS referrals to St Andrews Healthcare Wickford, Essex?
Of this total how many fall into each of the following categories:
2i) Number who stayed at St Andrews < 6 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
2ii) Number who stayed at St Andrews 6-12 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
2iii) Number who stayed at St Andrews 12-24 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
2 iv) Number who stayed at St Andrews > 24 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section

3. Total number of K&M NHS referrals (< 18 yrs old) to St Andrews Healthcare Wickford, Essex?
Of this total how many fall into each of the following categories:
3i) Number who stayed at St Andrews < 6 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
3ii) Number who stayed at St Andrews 6-12 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
3iii) Number who stayed at St Andrews 12-24 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
3 iv) Number who stayed at St Andrews > 24 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section

4. Total number of K&M NHS referrals (18-25 yrs old) to St Andrews Healthcare Wickford, Essex?
Of this total how many fall into each of the following categories:
4i) Number who stayed at St Andrews < 6 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
4ii) Number who stayed at St Andrews 6-12 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
4iii) Number who stayed at St Andrews 12-24 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
4 iv) Number who stayed at St Andrews > 24 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section

5. Total number of K&M NHS referrals (>25 yrs old) to St Andrews Healthcare Wickford, Essex?
Of this total how many fall into each of the following categories:
5i) Number who stayed at St Andrews < 6 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
5ii) Number who stayed at St Andrews 6-12 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
5iii) Number who stayed at St Andrews 12-24 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section
5 iv) Number who stayed at St Andrews > 24 months who then were:
a) Considered well enough to return home
b) Community with CTO
c) Referred elsewhere under Section

and please supply some information regarding follow-up /
6. How often do Kent & Medway NHS team visit St Andrews to review a referred patient's progress and meet with the patient? eg. once a week, once a month ....
7. How often do Kent & Medway NHS team get involved with discussions with St Andrews to review a referred patient's progress?
8. How often do St Andrews update Kent & Medway NHS team re a referred patient's progress / issues? eg. is there a regular weekly / monthly process

Yours faithfully,
C Harrison

Dear Sir

Please accept this email as formal acknowledgement of your request for information under the Freedom of Information Act, having been received on 15.02.2017. In accordance with the Act, the Trust has 20 working days in which to respond, ending on 15.02.2017. An initial investigation is currently taking place into whether the Trust holds the information you have requested and, if so, whether the information can be released in accordance with the legislation.

Any fees applicable to this request will be detailed in writing as soon as they can be determined and, should any further clarification of your request be required we will advise accordingly.

If you require any further assistance, or would like to discuss your request any further, please do not hesitate to contact the undersigned quoting the reference number above.

Best Regards,
  
FOI Team
Kent and Medway NHS and Social Care Partnership Trust
Information Rights
St Michaels House
St Michaels Road
Sittingbourne
Kent, ME10 3DW

T: 01795 514 530
www.kmpt.nhs.uk

Twitter: kmptnhs
Facebook: kmpt.nhs

This message may contain confidential and privileged information. If you are not the intended recipient please accept our apologies. Please do not disclose copy or distribute information in this email or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Please inform us that this message has gone astray before deleting it. Thank you for your co-operation.

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Yours sincerely
FOI Team

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1 Attachment

Dear Sir

 

I write further to your request FOI ID 10971 under the Freedom of
Information Act 2000 regarding:-

 

St Andrews Referrals

 

Following an investigation and search of our records I can confirm the
following Kent and Medway NHS and Social Care Partnership Trust (KMPT)
information:-

 

Could you provide statistics as follows regarding Kent & Medway (herafter
called K&M) NHS referrals to St Andrews Healthcare, Wickford, Essex over
the last 5 years.

 

For each of the years 2012 - 2016 please detail the following  (qu 1 - 5):

 

1. Average Cost (to NHS) per patient referred to St Andrews Healthcare,
Wickford, Essex

2012 – It would be difficult to extract the data from the old system, but
we would not expect the average price to be significantly different to
below.

2013 – It would be difficult to extract the data from the old system, but
we would not expect the average price to be significantly different to
below.

2014 - £ 532

2015 - £ 589

2016 - £ 592

 

N.B. for questions 2-5, all of the patients referred to St Andrew’s were
discharged within 6 months

 

2. Total number of regarding K&M NHS referrals to St Andrews Healthcare
Wickford, Essex?

+------------------------------------------------------------------------+
| |Total |Returned Home <6|Community with CTO|Referred elsewhere |
|Year|Referrals|months |<6 months |under Section <6 |
| | | | |months |
|----+---------+----------------+------------------+---------------------|
|2012|0 | 0 | 0 |0 |
|----+---------+----------------+------------------+---------------------|
|2013|4 | 0 | 0 |3 |
|----+---------+----------------+------------------+---------------------|
|2014|5 | 0 | 0 |5 |
|----+---------+----------------+------------------+---------------------|
|2015|13 | 0 | 0 |9 |
|----+---------+----------------+------------------+---------------------|
|2016|48 | 0 | 0 |37 |
+------------------------------------------------------------------------+

 

2ii) Number who stayed at St Andrews 6-12 months who then were:

a) Considered well enough to return home

b) Community with CTO

c) Referred elsewhere under Section

2iii) Number who stayed at St Andrews 12-24 months who then were:

a) Considered well enough to return home

b) Community with CTO

c) Referred elsewhere under Section

2 iv) Number who stayed at St Andrews > 24 months who then were:

a) Considered well enough to return home

b) Community with CTO

c) Referred elsewhere under Section

 

3. Total number of K&M NHS referrals (< 18 yrs old) to St Andrews
Healthcare Wickford, Essex?  0

 

4. Total number of K&M NHS referrals (18-25 yrs old) to St Andrews
Healthcare Wickford, Essex? 

+------------------------------------------------------------------------+
| |Referrals|Returned Home <6|Community with CTO|Referred elsewhere |
|Year|18-25 yo |months |<6 months |under Section <6 |
| | | | |months |
|----+---------+----------------+------------------+---------------------|
|2012| 0 |0 |0 |0 |
|----+---------+----------------+------------------+---------------------|
|2013|1 |0 |0 |0 |
|----+---------+----------------+------------------+---------------------|
|2014|2 |0 |0 |2 |
|----+---------+----------------+------------------+---------------------|
|2015|1 |0 |0 |1 |
|----+---------+----------------+------------------+---------------------|
|2016|7 |0 |0 |5 |
+------------------------------------------------------------------------+

 

4ii) Number who stayed at St Andrews 6-12 months who then were:

a) Considered well enough to return home

b) Community with CTO

c) Referred elsewhere under Section

4iii) Number who stayed at St Andrews 12-24 months who then were:

a) Considered well enough to return home

b) Community with CTO

c) Referred elsewhere under Section

4 iv) Number who stayed at St Andrews > 24 months who then were:

a) Considered well enough to return home

b) Community with CTO

c) Referred elsewhere under Section

 

5. Total number of K&M NHS referrals (>25 yrs old) to St Andrews
Healthcare Wickford, Essex? 

+------------------------------------------------------------------------+
| |Referrals|Returned Home <6|Community with CTO|Referred elsewhere |
|Year|25+ yo |months |<6 months |under Section <6 |
| | | | |months |
|----+---------+----------------+------------------+---------------------|
|2012|0 |0 |0 |0 |
|----+---------+----------------+------------------+---------------------|
|2013|3 |0 |0 |3 |
|----+---------+----------------+------------------+---------------------|
|2014|3 |0 |0 |3 |
|----+---------+----------------+------------------+---------------------|
|2015|12 |0 |0 |8 |
|----+---------+----------------+------------------+---------------------|
|2016|41 |0 |1 |32 |
+------------------------------------------------------------------------+

 

5ii) Number who stayed at St Andrews 6-12 months who then were:

a) Considered well enough to return home

b) Community with CTO

c) Refer red elsewhere under Section

5iii) Number who stayed at St Andrews 12-24 months who then were:

a) Considered well enough to return home

b) Community with CTO

c) Referred elsewhere under Section

5 iv) Number who stayed at St Andrews > 24 months who then were:

a) Considered well enough to return home

b) Community with CTO

c) Referred elsewhere under Section

 

6. How often do Kent & Medway NHS team visit St Andrews to review a
referred patient's progress and meet with the patient? E.g. once a week,
once a month .... Care coordinators will visit as required for CPA review
but not necessarily more often

7.  How often do Kent & Medway NHS team get involved with discussions with
St Andrews to review a referred patient's progress? This would vary on a
case by case basis; there is no standing arrangement with St Andrews.

8.  How often do St Andrews update Kent & Medway NHS team re a referred
patient's progress / issues? E.g. is there a regular weekly / monthly
process This would vary on a case by case basis; there is no standing
arrangement with St Andrews.

 

I confirm the information above completes your request under the Freedom
of Information Act 2000. I am also pleased to confirm that no charge will
be made for this request.

 

If you have any queries about this response please contact me.  Please
remember to quote the reference number above in any future communication. 
If you are unhappy with the service you have received in relation to your
request, and wish to make a complaint or request a review of our decision,
you should write to the Patients Experience Team, St Martins Hospital,
Littlebourne Road, Canterbury, CT1 1TD

 

Yours Sincerely

FOI Team

 

 

Rachel Booker

Information Governance Officer

 

Kent and Medway NHS and Social Care Partnership Trust

St Michaels House

St Michaels Road

Sittingbourne, Kent

ME10 3DW

 

Tel: 01795 514525

Secure Email: [1][email address] – [2][email address]

 

[3]www.kmpt.nhs.uk

Twitter: kmptnhs

Facebook: kmpt.nhs

[4]cid:image009.png@01D27709.FBFCDEB0

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Dear FOI,

Following your response to my request for information please could you clarify some points for me.
My previous question about the Average Cost (to NHS) per patient referred to St Andrews Healthcare, Wickford, Essex you gave me some idea as follows:
2014 - £ 532
2015 - £ 589
2016 - £ 592
What do these figures relate to ? is this a one off referral cost or the on-going cost to the NHS per day/week etc?

You then say 'for questions 2-5, all of the patients referred to St Andrew’s were discharged within 6 months'
I take this to mean that all patients referred by the K&M NHS to St Andrew's were discharged within 6 months and none of these patients stayed there longer than 6 months. In order to ensure I understand this data set then please could you confirm the following statements and answer the related questions.

a) In 2016 the total number of K&M NHS referrals to St Andrews was 48 and 37 were referred elsewhere under section. What happened to the other 11 were they considered well enough to return home ?

b) In 2016 the total number of >25 yr olds K&M NHS referrals to St Andrews was 41, 1 was discharged into the community with a CTO and 32 were referred elsewhere under section. What happened to the other 8 were they considered well enough to return home ?

c) Are there other possible sources of referrals to St Andrews apart from NHS ?

Yours sincerely,

C Harrison

1 Attachment

Good Morning,

 

I can confirm that I have gone back to our teams to seek clarification for
you on these responses.  We will provide you with a response in due
course.

 

Kind regards,

 

Rachel Booker

Information Governance Officer

 

Kent and Medway NHS and Social Care Partnership Trust

St Michaels House

St Michaels Road

Sittingbourne, Kent

ME10 3DW

 

Tel: 01795 514525

Secure Email: [1][email address] – [2][email address]

 

[3]www.kmpt.nhs.uk

Twitter: kmptnhs

Facebook: kmpt.nhs

[4]cid:image009.png@01D27709.FBFCDEB0

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Good Morning,

 

Further to your request for clarification (attached), I can confirm the
following:

 

-          Figures provided for bed rates are average cost to the Trust
per night

-          Where figures for referral and discharge do not add up to the
same figure, the remainder of patients were discharged from St Andrews and
returned to their local area for treatment – they were not under section
but still under the care of a service within KMPT

-          Referrals to St Andrews can come from any healthcare provider,
NHS or private.

 

I hope this answers all of your queries.

 

Kind regards,

 

Rachel Booker

Information Governance Officer

 

Kent and Medway NHS and Social Care Partnership Trust

St Michaels House

St Michaels Road

Sittingbourne, Kent

ME10 3DW

 

Tel: 01795 514525

Secure Email: [1][email address] – [2][email address]

 

[3]www.kmpt.nhs.uk

Twitter: kmptnhs

Facebook: kmpt.nhs

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Dear FOI,
Further to you most recent reply then please could you confirm thay I am correct in saying that there are NO patients currently in St Andrews, Wickford who have been there longer than 6 months and who have been referred by Kent & Medway NHS or indeed by any other referring organisation ie. ALL current patients have been there less than 6 months?

Yours sincerely,

C Harrison

1 Attachment

Dear Mr Harrison,

 

The information that we have provided is data relating to Kent & Medway
NHS & Social Care Partnership Trust only.  We are unable to comment on
patients who have been referred either by another NHS Trust or by another
organisation.  If you wish to receive this data, you would need to request
it under a separate FOI request either from St Andrews or other
organisations.

 

Kind regards,

 

Rachel Williams

Information Governance Officer

 

Kent and Medway NHS and Social Care Partnership Trust

St Michaels House

St Michaels Road

Sittingbourne, Kent

ME10 3DW

 

Tel: 01795 514525

Secure Email: [1][email address] – [2][email address]

 

[3]www.kmpt.nhs.uk

Twitter: kmptnhs

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Dear FOI,
So please could you confirm then that there are NO patients currently in St Andrews, Wickford who have been there longer than 6 months who have been referred by Kent & Medway NHS ?
Yours sincerely,

C Harrison

2 Attachments

Dear Mr Harrison,

 

I refer you again to our initial response to your FOI Request, in which it
was stated that, for the dates specified under your FOI Request
(2012-2016):

 

N.B. for questions 2-5, all of the patients referred to St Andrew’s were
discharged within 6 months

 

I am unable to respond as to how long patients who are currently at St
Andrew’s have been there – this information was not requested by
yourself.  Should you require this information, please submit another FOI
Request.

 

Kind regards,

 

Rachel Williams

Information Governance Officer

 

Kent and Medway NHS and Social Care Partnership Trust

St Michaels House

St Michaels Road

Sittingbourne, Kent

ME10 3DW

 

Tel: 01795 514525

Secure Email: [1][email address] – [2][email address]

 

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Dear FOI,

I would like to know if there any patients who were referred to St Andrews by KMPT in 2012, 2013, 2014, 2015 or 2016 who have been there longer than 6 months - you appear to be saying no - they were all discharged within 6 months.
Which I take to mean that anyone referred before 28 September 2016 would have already been discharged by now.

Yours sincerely,

C Harrison

1 Attachment

Dear Mr Harrison,

 

As previously advised, all of the patients referred to St Andrews by KMPT
between 2012-2016 were discharged within 6 months.

 

Kind regards,

 

Rachel Williams

Information Governance Officer

 

Kent and Medway NHS and Social Care Partnership Trust

St Michaels House

St Michaels Road

Sittingbourne, Kent

ME10 3DW

 

Tel: 01795 514525

Secure Email: [1][email address] – [2][email address]

 

[3]www.kmpt.nhs.uk

Twitter: kmptnhs

Facebook: kmpt.nhs

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Dear FOI,
You have just stated :
'As previously advised, all of the patients referred to St Andrews by KMPT between 2012-2016 were discharged within 6 months.'

Please could you tell me then how can this possibly be true given my nephew was sent by Kent to St Andrews in April 2016 and remains there without even a plan for discharge in place ?

Please also advise if it is within statutory guidelines for someone to be a patient there for 11 months without a discharge plan in place ?

Yours sincerely,

C Harrison

1 Attachment

Dear Mr Harrison,

 

Please could you kindly provide us with your nephew's name and DOB, and I
will pass this on to the teams that provided the response to your FOI
request to look into.

 

Kind regards,

 

Rachel Williams

Information Governance Officer

 

Kent and Medway NHS and Social Care Partnership Trust

St Michaels House

St Michaels Road

Sittingbourne, Kent

ME10 3DW

 

Tel: 01795 514525

Secure Email: [1][email address] – [2][email address]

 

[3]www.kmpt.nhs.uk

Twitter: kmptnhs

Facebook: kmpt.nhs

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Dear FOI,

At this stage all I am trying to do is to clarify the information which looks to be inaccurate.
I can pass the patients name and dob to you but I do not wish to put it on public view so please could you provide me with a secure email address to use.
Also a reminder that you are bound by data protection and that his details can not be passed on further than the FOI officer.

Yours sincerely,
C Harrison

Dear Sirs,

As your request has been made under the Freedom Of Information Act we are unable to discuss individual cases as this would breach an individuals right to confidentiality. Under the Act we are required to provide statistical information as it is held, and this is what has been produced for you.

There is every possibility that the individual you discuss was self referred or was referred by someone other than this organisation e.g. GP / Primary care provider.

If you have concerns about an individual case I would suggest you discuss this with our Patient Liaison Team as FOI would not be the correct format to take this matter forward.

Kind regards,

Leanne Owen (CertHE-Law)
Deputy Information Governanace Manager
 
Kent and Medway NHS and Social Care Partnership Trust
St Michaels House
St Michaels Road
Sittingbourne, Kent
ME10 3DW

Tel: 01795 514507
[mobile number]
Fax: 01795 436345
Email: [email address] - [email address]

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