Dear Mrs Havercroft,
 
NHS Cornwall and Isles of Scilly acknowledge your request under FOIA,
received today, 18 June. We are due to respond by 16 July.
 
Yours sincerely
John Murphy
NHS Cornwall and Isles of Scilly
The Sedgemoor centre
St Austell
PL25 5AS
[1][email address]
>>> Mrs D Havercroft <[FOI #119348 email]>
17/06/2012 22:19 >>>
     Dear Cornwall and Isles of Scilly Primary Care Trust (PCT),
    
     In its June 2010 report, the Independent Reconfiguration Panel
     included the following recommendations:
    
     a. This service must develop and improve for patients and carers.
     By June 2011, the NHS, through the Peninsula Cancer Network Board,
     should ensure that improvements are made based on an evaluation of
     how the service is working in practice. This evaluation should
     address all elements of the care pathway and be informed by the
     experiences of patients and their carers. Particular attention
     should be paid to ensuring effective co-ordination across the whole
     care pathway for each patient, that every opportunity has been
     taken to maximise the delivery of appropriate elements of the care
     pathway closer to the patient’s home, and how the clinical benefits
     of a specialist service are exploited for all patients. The
     evaluation should also ensure that the critical contribution of the
     specialist cancer nurses is reviewed and properly resourced.
    
     FOI Request - please provide the documentary evidence from the June
     2011 evaluation of the service to prove that the service is being
     developed and measurable improvements are being delivered.
    
     b. The Plymouth Hospitals NHS Trust must ensure that minimally
     invasive surgery for oesophageal-gastric cancer is the subject of
     further research and is fully exploited for the benefit of
     patients.
    
     FOI Request - please provide the documentary evidence to prove that
     minimally invasive surgery has been the subject of further research
     and is fully exploited.
    
     c The organisation and cost of travel and subsistence should not be
     a source of unnecessary anxiety to patients and carers at a very
     difficult time. Cornwall and Isles of Scilly PCT must use the
     feedback of patients and carers to ensure that any potential issues
     are avoided with the right practical support from the specialist
     cancer nurses and others.
    
     FOI Request - please provide the documentary evidence that proves
     that feedback from patients and carers has been sought and
     potential issues avoided.
    
     d. Cornwall and Isles of Scilly PCT must engage patients and carers
     in a programme of work to identify and implement improvements to
     patient transport and subsistence arrangements within six months.
     This programme should include consideration of best practice
     elsewhere, options for dedicated transport between NHS facilities,a
     common policy and contract for the provision of patient transport
     services, and an inequalities impact assessment.
    
     FOI request - please provide documentary evidence to prove that a
     patient and carer engagement programme was implemented within six
     months of the Independent Reconfiguration Panel's report, that
     included consideration of best practice elsewhere and examined
     options for dedicated transport, common policy and contract for
     patient transport services, and that an inequalities impact
     assessment was conducted.
    
     e Cornwall and Isles of Scilly PCT should continue to engage the
     public and the Royal Cornwall Hospitals NHS Trust in implementing
     its strategic plan A Healthy Future for All, including the future
     role of the Royal Cornwall Hospital, West Cornwall Hospital and St
     Michael’s Hospital. The PCT and Trust must within six months
     produce a clear plan showing how facilities and capacity for
     delivering more services closer to the patient’s home will be taken
     forward.
    
     FOI request - please provide the documented plan that the
     Independent Reconfiguration Panel recommended be produced within
     six months of its report, and which shows how facilities and
     capacity for delivering care closer to home have been progressed.
    
     f. The Peninsula Cancer Network must complete the process of
     re-establishing an effective, functioning Partnership Group and
     review how the experiences of patients will be captured and used to
     design and deliver better cancer services. This process should be
     the subject of external assurance and changes made to meet national
     guidance and best practice. Changes should be made within six
     months.
    
     FOI Request - please provide documentary evidence to prove that an
     effective, functioning Partnership Group has been established, the
     documentary evidence that it was externally assured and the
     documentary evidence to prove that changes were made to meet
     national guidance and best practice within six months of the
     Independent Reconfiguration Panel report.
    
     g Cornwall and Isles of Scilly PCT, the Cornwall Health & Adults
     Overview Scrutiny Committee and local NHS organisations should
     together consider the lessons learnt from this experience and take
     action to ensure all service change proposals are developed in an
     environment in which there is an open and constructive relationship
     aimed at delivering improved services and better health outcomes
     for the people of Cornwall.
    
     FOI Request - please provide the documentary evidence to
     demonstrate that a lessons learned review was carried out by all
     the organisations listed, including NHS Cornwall and Isles of
     Scilly, and that the outcome was documented, including an action
     plan for open and constructive development of service change
     proposals.
    
     Yours faithfully,
    
     Mrs D Havercroft
    
     on behalf of South West Whistleblowers Health Action Group
    
     -------------------------------------------------------------------
    
     Please use this email address for all replies to this request:
     [FOI #119348 email]
    
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Dear Mrs Havercroft,
 
Attached is the response of NHS Cornwall and Isles of Scilly to your
request of 17 June under FOIA.
 

Please tell us what you think of the service we've given you by completing
this short survey [1]http://www.surveymonkey.com/s/H3PFCNT It should only
take a few moments but will really help us ensure we are dealing with
requests effectively.

Yours sincerely

John Murphy

NHS Cornwall and Isles of Scilly

The Sedgemoor Centre

St Austell

PL25 5AS

[2][email address]

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