Dear University Hospitals of Leicester NHS Trust,

Specialling/1-1/Bed watch
I am seeking the feedback from suitably qualified NHS professionals regarding the above service.
I would very much appreciate you taking a few minutes to complete this questionnaire.

Provision

1. Describe or provide location of policy regarding one to one/specialling/bedwatch services at your Trust.?

2. Are you satisfied with the current system?

3. Do you currently out source 1-1 care for patients displaying challenging behaviours?

4. If out-sourced which department would be responsible for deciding to call additional staff onto site?

4.b. Which department would be responsible for arranging the contract with the service provider?

5. How often does the Trust require assistance with patients displaying challenging behaviours?

6. What is the current average monthly spend on these services?

7. What training do staff providing these services receive?

7.b. What qualifications do they hold?

7.c. Is the training provided by the NHS or the Service Provider?

8. What are the limitations of the current service?

Contact Details
Who is the person or persons responsible for these services, please provide contact details of the budget holder and any other relevant staff.

Please provide any other relevant information

The information when completed will be treated as confidential.

Yours faithfully,

Lou Keeley

FOI - Freedom of Information, University Hospitals of Leicester NHS Trust

Corporate and Legal Affairs – Corporate and Committee Services

Our Reference: SE/FOI/36287

7 December 2017

Lou Keeley
[FOI #450624 email]

Dear Mr Keeley

Request for Information

Thank you for your request for information, as received by University Hospitals of Leicester NHS Trust on 5 December 2017. Within UHL NHS Trust, Freedom of Information Act requests are managed centrally by the Corporate and Committee Services Team.

The Trust will endeavour to provide a response within the required 20 working-day deadline. I will, of course, keep you informed should this not prove possible for any reason. If we require any clarification on your request, we will contact you as soon as possible.

All requesters are advised that the Trust may make a charge for providing the information to them, to cover the cost of photocopying, postage and packaging etc – I confirm that where these costs are below £5.00 in total, no charge will be made. All requesters are also advised that there may also be a charge payable to cover costs of locating the information they have requested, as laid down in the Freedom of Information Act Regulations published by the Government in December 2004. Naturally, if such a charge is to be applied to your request, you will be informed as soon as possible.

Yours sincerely,

Sarah Everatt
Interim Corporate and Committee Services Officer

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FOI - Freedom of Information, University Hospitals of Leicester NHS Trust

Corporate and Legal Affairs – Trust Administration

Our Reference: SE/FOI/36287

21 December 2017

Lou Keeley
request-450624-610b27cb@whatdotheyknow

Dear Mr Keeley

Further to your request for information, as received by University Hospitals of Leicester NHS Trust on 5 December 2017 and acknowledged on 7 December 2017, I am writing to seek further clarity regarding the nature of your request. When making reference to ‘suitably qualified NHS professional’ could you please define what role this is likely to be.

I look forward to receiving your response and I would advise you that upon receipt of this clarification, the Trust will continue to progress your FoI request within the statutory timeframe, making an allowance for the time elapsed between the Trust’s original request for clarification and its eventual receipt.

Many thanks for your attention to this matter.

Yours sincerely,

Mrs Sarah Everatt
Interim Corporate and Committee Services Officer

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Dear FOI - Freedom of Information,
Suitably qualified NHS Professional may refer to a Deputy Chief Nurse or Nursing Director.

Yours sincerely,

Lou Keeley

FOI - Freedom of Information, University Hospitals of Leicester NHS Trust

Corporate and Legal Affairs – Corporate and Committee Services

Our Reference: SE/FOI/36287

5 January 2018

Lou Keeley
[FOI #450624 email]

Dear Mr Keeley

Request for Information

Thank you for your Freedom of Information Act (FOI) request, as received on 5 December 2017 and acknowledged on 7 December 2017. For information, the University Hospitals of Leicester NHS Trust is one of the largest and busiest NHS teaching Trusts in the country incorporating Royal Infirmary, Glenfield and General hospitals. Our three hospitals have around 15,000 staff serving around 1.2 million people across Leicester, Leicestershire and Rutland, and a further two to three million people from the rest of the UK who come to us for treatment from one of our specialist services. During 2016/17 we treated 1,406,300 patients (that’s 3,852 patients each day) – 56,500 (or 4%) more patients than in 2015/16.

Following consultation with colleagues from the Nursing Directorate, I confirm that the University Hospitals of Leicester NHS Trust holds information covered by your FOI request. In your Freedom of Information Act request, you asked for the following information and the Trust’s response is provided below following each section of your request:-

Dear University Hospitals of Leicester NHS Trust,

Specialling/1-1/Bed watch
I am seeking the feedback from suitably qualified NHS professionals regarding the above service.
I would very much appreciate you taking a few minutes to complete this questionnaire.

Provision

1. Describe or provide location of policy regarding one to one/specialling/bedwatch services at your Trust? The Trust does not have a specific policy on this issue.

2. Are you satisfied with the current system? The Trust is not obliged to answer this question as it is based on personal opinion.

3. Do you currently outsource 1-1 care for patients displaying challenging behaviours? The Trust currently has some outsourcing to nursing agencies but this is mostly dealt with in house.

4. If out-sourced which department would be responsible for deciding to call additional staff onto site? The clinical area would undertake a risk assessment detailing the need for staff to undertake 1-1 care, and the staff bank service source these staff, if internal cover cannot be found.

4.b. Which department would be responsible for arranging the contract with the service provider? The Trust’s Procurement department.

5. How often does the Trust require assistance with patients displaying challenging behaviours? Daily

6. What is the current average monthly spend on these services? The Trust considers the request to be exempt under the commercial interest’s exemption of the FOI Act (Section 43). As this is a conditional exemption, the Trust has applied the public interests test as required and considers that the balance of public interest lies in withholding this information, given the impact that this could have on the service.

7. What training do staff providing these services receive? There are 2 types of patients at the Trust, we source HCAs with experience in the care of the patient with mental health needs, we use meaningful activity staff to work with our vulnerable patients with dementia and delirium. These staff are all fully trained in the care of these patients and disengagement training. Staff receive Safeguarding Adults training level 1 and 2 and SOVA/SOCA training.

7.b. What qualifications do they hold? See above.

7.c. Is the training provided by the NHS or the Service Provider? Agency staff are trained by their agency; NHS staff are trained by the NHS.

8. What are the limitations of the current service? The Trust is not obliged to answer this question as it is based on personal opinion.

Contact Details
Who is the person or persons responsible for these services, please provide contact details of the budget holder and any other relevant staff. This would be the individual heads of service for each CMG.

Please provide any other relevant information

The information when completed will be treated as confidential.

I hope that this response is satisfactory and provides you with the information requested (where available). If you require any further assistance please do not hesitate to contact me. If you are dissatisfied with the Trust’s response, you can contact the Director of Corporate and Legal Affairs on Tel. No. 0116 258 8615 to request a copy of UHL’s Freedom of Information Act complaints procedure.

We must advise you that where we have provided information we have done so subject to the provisions of the Re-use of Public Sector Information Regulations 2005. Accordingly you must not re-use this information without having the consent of the Trust. Where the Trust is prepared to provide its consent then it may levy a charge for doing so. Should you wish to re-use documents provided then you must make your request in writing stating your name and your address for correspondence together with the document that you wish to re-use and the purpose for which the information is to be re-used.

In the event that you remain dissatisfied with the way in which the Trust has handled any complaint that you may wish to make, we would advise you of your right to complain to the Information Commissioner at the Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF.

Yours sincerely,

Sarah Everatt
Interim Corporate and Committee Services Officer

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