nhs kernow - disclosure log freedom of information...

NHS Kernow - Disclosure log Freedom of Information requests October 2016

NHS Kernow FOI Disclosure Log - October 2016

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Contents Care homes ................................................................................................................ 3

FOI55620 - Morleigh Group .................................................................................... 3

Children’s health ........................................................................................................ 4

FOI55560 - Self-harm ............................................................................................. 4

Continuing healthcare ................................................................................................ 5

FOI55960 - Packages of care ................................................................................. 5

FOI56010 - Policies ................................................................................................ 7

Contracts .................................................................................................................... 7

FOI55540 - Patient transport .................................................................................. 7

FOI55740 - AQP ..................................................................................................... 8

FOI55870 - IT services ........................................................................................... 8

FOI56030 - Services ............................................................................................... 9

Individual funding requests ......................................................................................... 9

FOI55860 - Homeopathic treatment ....................................................................... 9

Long term conditions ................................................................................................ 10

FOI55430 - HIV support ........................................................................................ 10

FOI55820 – Bariatric surgery policies ................................................................... 10

FOI56020 - Type 1 diabetes ................................................................................. 11

Mental health & learning disabilities ......................................................................... 12

FOI55950 - Mental health funding ........................................................................ 12

FOI55970 - Rehabilitation ..................................................................................... 13

Organisation ............................................................................................................. 15

FOI55490 - STP supporting documents ............................................................... 15

FOI55770 - IT training ........................................................................................... 15

Prescribing & pharmacies ........................................................................................ 16

FOI55510 - Sip feeds / nutrition ............................................................................ 16

FOI55550 - Smoking medications ........................................................................ 16

FOI55750 - NICE recommendations ..................................................................... 17

Urgent care .............................................................................................................. 17

FOI55500 - NHS 111 and OOH ............................................................................ 17

FOI55630 - GP referrals ....................................................................................... 18

FOI55670 - Services ............................................................................................. 20

Appendix .................................................................................................................. 25

FOI55960 - Packages of care ............................................................................... 26


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Disclosure log for October 2016

Care homes

FOI55620 - Morleigh Group Date received: 10/10/2016 1. Please provide me with the following information in relation to the Morleigh

Group of homes. If possible, please provide each response with a breakdown by residence.

a) Please disclose (i) the amount of money paid by the CCG to the Morleigh Group of care homes in the last 12 months to the date of answering this request. If the data is not available for this period, please disclose data for the most recent 12 months that you have available.

A. £1.2 million (for the period up to 17 October 2016). b) Please disclose (i) the total number of residents funded wholly in or in part

by the CCG and resident at any of the Morleigh Group of care/nursing homes at any stage in the last 12 months to the date of answering this request. If the data is not available for this period, please disclose data for the most recent 12 months that you have available.

A. 116 (for the period up to 17 October 2016). 2. Please provide me with the following information in relation to the Morleigh

Group of homes for the period between January 2015 and the date of this request. Please provide each response to a question with a breakdown by residence. a) Please provide the following information in relation to deaths of

residents at Morleigh Group homes in the last 12 months. If the data is not available for this period, please disclose data for the most recent 12 months that you have available.

Expected deaths;

Unexpected deaths.


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A. NHS Kernow does not hold the information you have requested. Please redirect your request to Cornwall Council ([email protected]) to obtain this information.

3. Please disclose the number of Serious Incidents (or equivalent) at the

Morleigh Group of care homes in the last 12 months to the date of answering this request. If the data is not available for this period, please disclose data for the most recent 12 months that you have available.

A. Less than five. 4. I understand that the Morleigh Group of Care Homes were suspended from

receiving new NHS placements in 2015. Please provide an overview of the reasons for that suspension and

5. I also understand that the suspension was later lifted. Please provide (i) the date on which the suspension was lifted (ii) an overview of the reasons for the suspension being lifted.

6. I also request the rationale that was used to decide that the homes were unsuitable for new admissions but still considered safe and appropriate for the residents already living there?

A. Morleigh Group of Care Homes was suspended on approximately 15 January

2015 and Collamere, St Theresas and Tregurtha suspension was lifted on 27 February 2016. Once the homes were suspended, a full serious incident led investigation was implemented by NHS Kernow to look at quality of care in all the homes with CHC funded residents. The investigations produced individual reports and all actions were addressed.

7. Please disclose all internal emails, correspondence and documents relating

to that suspension. A. NHS Kernow has estimated that it will cost more than the appropriate limit to

provide this information. The appropriate limit, specified in regulations, is set at £450. We therefore exempt the release of this information under Section 12 of the Freedom of Information Act.

Children’s health

FOI55560 - Self-harm Date received: 10/10/2016 Please could you provide the following information to cover the Cornwall Partnership Trust:

mailto:[email protected]


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1. Details of how many individual admissions there have been for 12-18 year olds who have self- harmed in each of the last 5 financial years - i.e. 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.

2. Details of how many inpatient days stay have there been for 12-18 year olds who have self- harmed in in the same 5 financial years.

A. NHS Kernow does not hold the information you have requested. Child and

adolescent mental health services (CAMHS) are contained within the block contract with Cornwall Partnership NHS Foundation Trust and therefore the information you have requested on individual admissions cannot be identified. Please redirect your request to Cornwall Partnership Foundation Trust ([email protected]) to obtain this information.

Continuing healthcare

FOI55960 - Packages of care Date received: 27/10/2016 1. Please supply the name, job title, email address and telephone number of

the Commissioner with responsibility for commissioning Complex Care packages, for adults (aged 18-64) with complex physical or neurological disabilities.

A. Kathryn Hudson – Director of Integrated Commissioning

Telephone: 01726 627800 | Email: [email protected] 2. Please provide the total number of adults receiving Continuing Healthcare

(CHC) funded packages of care; a) At year-end 2014/15 and 2015/16

A. 2014/15: 1,954. 2015/16: 2,059

b) New placements during the year 2014/15 and 2015/16

A. 2014/15: 3,336. 2015/16: 3,240

3. Please provide the total number of adults with the following conditions

receiving CHC funded packages of care in 2015/16 – at year-end and new placements during the year. If data not available for 2015/16, please provide 2014/15 data;

A. The information below relates to diagnosis groups for patients with packages open any time between 01/04/2015 and 31/03/2016:




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Condition Active in year Of which new in year

ABI 13 8

Stroke 253 200

Huntington’s disease 14 9

Multiple sclerosis 66 50

Spinal injury 18 11

a) Other neurological conditions e.g. Pick’s disease, Korsakoff’s

syndrome, muscular dystrophy, Parkinson’s disease, motor neurone disease (MND) – please state which conditions are included in your response

A. The information below relates to diagnosis groups for patients with packages

open any time between 01/04/2015 and 31/03/2016. A list of conditions, which are included in this figure, is attached.

Active in year Of which new in year

1,311 978

4. How many of those adults (in question 3) are cared for in Care Home and

Hospital settings? a) Acquired brain injury (ABI) b) Stroke c) Huntington’s Disease d) Multiple sclerosis e) Spinal injury f) Other neurological conditions e.g. Pick’s disease, Korsakoff’s

syndrome, muscular dystrophy, Parkinson’s disease, motor neurone disease (MND) – please state which conditions are included in your response

A. Care homes: All of the above were cared for in a care home setting.

Hospital settings: None. 5. Please provide the total expenditure on CHC funded packages of care for

financial years 2014/15 and 2015/16, and the CHC expenditure on Care Home and Hospital placements over the same period. If expenditure for 2015/16 is not yet available, please provide projected expenditure.

A. 2014/15: £51m

2015/16: £58m 6. Please provide the list of providers that received this funding. A. A list of providers is attached. 7. What is the highest rate paid per week for a Complex Care (CHC funded)

placement?


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A. £7k. 8. What is the lowest rate paid per week for a Complex Care (CHC funded)

placement? A. £12.

FOI56010 - Policies Date received: 28/10/2016 1. Please could you send us a copy of your "Continuing Healthcare Choice &

Equity Policy", or any similar policy which sets out how decisions for Continuing Healthcare are made.

A. NHS Kernow’s continuing healthcare choice and equity policy is currently under review and will be published on our website once it has been ratified. We therefore exempt this information under section 22 of the Freedom of Information Act, information intended for future publication.

Our website provides information on our CHC process, such as the ‘Explaining the Continuing Healthcare process’ leaflet and the National Framework for CHC and FNC which we adhere to: https://www.kernowccg.nhs.uk/get-info/continuing-healthcare/who-is-eligible-for-continuing-healthcare/

Contracts

FOI55540 - Patient transport Date received: 04/10/2016 1. With regards to your patient transport service, please confirm if E-Zec are

meeting their KPIs since they took over the contract? Please provide a breakdown by month.

A. NHS Kernow is unable to provide the information you have requested at this time.

The information you have requested is currently being validated and a report on E-Zec’s KPI compliance will be published on our website in December 2016.

We therefore exempt the release of this information under Section 22 of the Freedom of Information Act, information intended for future publication.

https://www.kernowccg.nhs.uk/get-info/continuing-healthcare/who-is-eligible-for-continuing-healthcare/

https://www.kernowccg.nhs.uk/get-info/continuing-healthcare/who-is-eligible-for-continuing-healthcare/


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FOI55740 - AQP Date received: 12/10/2016 1. be grateful if you could kindly let me know the numbers of patients treated

in Cornwall under the AQP contract for back and neck pain, broken down by provider? Please could you supply this information for the year 2015/16 and the current year to date position.

A. The below table is based on the number of first appointments for AQP MSK

physiotherapy for 2015-2016 and 2016-2017 year to date (end September 2016). For 2015/16 RCHT, this is the number of first attendances, and for all other providers/years this is the total number of initial assessments only plus the number of full packages from which patients have been discharged during these timeframes.

Provider Count of first appointments

2015/16 2016/17 YTD

RCHT 866 342

PCH / CPFT 6,684 2,475

Judith Handley 85 38

Three Spires 519 131

Cathedral Chiropractic 669 362

Corbett Chiropractic 316 141

Falmouth Osteopaths 366 196

Lander 402 153

North Cornwall Physio 285 138

Plymouth Chiropractic 78 33

Sandy Hill 1,853 717

South Devon Osteopaths 759 442

TICCs 932 427

Walsingham Clinic 14 59

FOI55870 - IT services Date received: 25/10/2016 1. Which Web Filtering Solution do you currently have implemented at the

CCG? 2. Who was this purchased through? 3. How many users does your web filter support and which other institutions

do you support? 4. How much is the current contract value and how many years does this

cover? 5. When is the Web Filtering contract due to expire? 6. Which individual is currently in charge of evaluating and renewing web

filtering solutions?


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A. NHS Kernow does not hold the information you have requested. NHS Kernow utilises Cornwall IT Services, which is hosted by Royal Cornwall Hospital Trust. Please redirect your request to Royal Cornwall Hospital: [email protected] to request this information.

FOI56030 - Services Date received: 31/10/2016 1. Has your CCG introduced or planned limits to access or eligibility for

services during 2016/17 for financial, efficiency or value reasons? 2. If yes, please could you provide details about which services/treatments

will be affected where possible. A. NHS Kernow is responsible for securing value for money in all of its

commissioning decisions and has a range of mechanisms in place for doing so through re-procurement, policy change and referral criteria.

NHS Kernow publishes a list of treatments routinely and not routinely funded on our website: https://www.kernowccg.nhs.uk/get-info/individual-funding-requests/treatment-policies/

NHS Kernow also has a duty to consult on significant changes to services, which sometimes include access or eligibility. All such consultations are routinely published on our website: https://www.kernowccg.nhs.uk/get-involved/consultation/

In addition, any decisions to dis-invest or decommission services following review are published on our website, along with a copy of the criteria and process followed in reaching those decisions: https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-it/services-review-update/

We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means.

Individual funding requests

FOI55860 - Homeopathic treatment Date received: 25/10/2016 1. Does your clinical commissioning group fund homeopathic treatment? If

so, what kind of treatment(s) were offered? A. No, NHS Kernow does not fund homeopathy treatments. NHS Kernow’s policy on

homeopathy is available on our website: https://www.kernowccg.nhs.uk/get-info/individual-funding-requests/treatment-policies/



https://www.kernowccg.nhs.uk/get-info/individual-funding-requests/treatment-policies/


https://www.kernowccg.nhs.uk/get-involved/consultation/

https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-it/services-review-update/

https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-it/services-review-update/




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2. How much have you spent on those treatments in each of the last four

financial years? A. NHS Kernow was formed on 1 April 2013 and cannot provide information relating

to the former primary care trust (2012 to 2013). Please contact the Department of Health’s legacy team to request this information: reviews&[email protected].

NHS Kernow has not funded any homeopathy treatments between 1 April 2013 and 31 March 2016.

Long term conditions

FOI55430 - HIV support Date received: 03/10/2016 This request relates to CCG spending on support for people living with HIV in 2015/16 and plans for 2016/17: 1. Did you provide any funding through contracts or grants for services

specifically supporting people living with HIV? A. NHS Kernow does not fund, through contracts or grants, services specifically

supporting people living with HIV. 2. Is support for people living with HIV explicitly mentioned within the

contractual documentation for any generic services you funded? A. No, people living with HIV are not explicitly mentioned within contractual

documentation for generic services that are funded.

FOI55820 – Bariatric surgery policies Date received: 21/10/2016 1. I would like to request a copy of your clinical commissioning group’s policy

on the commissioning of Tier 3 weight management clinics and Tier 4 Bariatric Surgery.

A. NHS Kernow does not have a policy at this time on the commissioning of Tier 3

weight management clinics and Tier 4 bariatric surgery.

mailto:reviews&[email protected]


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FOI56020 - Type 1 diabetes Date received: 28/10/2016 1. The total direct spend by the CCG on treating Type 1 Diabetes in each of

the last five years. A. NHS Kernow was formed on 1 April 2013 and cannot provide information relating


For information relating to 1 April 2013 to date, NHS Kernow does not hold the information you have requested. We are unable to provide the total spend on diabetes or by type of diabetes. Diabetes care is provided across all areas of the health community eg primary care, acute hospitals and community services to over 28,000 people all of whom have different needs and use different services at different points in their lives. Therefore we are unable to extract specific costs for diabetic care.

2. The number of Continuous Glucose Monitors funded by the CCG for i)

adults, and ii) children with Type 1 Diabetes in each of the last five years, A. NHS Kernow was formed on 1 April 2013 and cannot provide information relating


2013/14 2014/15 2015/16

Adults None None None

Children None None Less than five.

3. The number of Flash Glucose Meters funded by the CCG for i) adults, and

ii) children with Type 1 Diabetes in each of the last five years. A. NHS Kernow was formed on 1 April 2013 and cannot provide information relating


NHS Kernow has not funded any flash glucose meters for adults or children with Type 1 Diabetes in 2013/14, 2014/15 or 2015/16.





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Mental health & learning disabilities

FOI55950 - Mental health funding Date received: 26/10/2016 1. I would like to know how much of the CCG’s budget has been allocated to

the main provider of adult mental health services in the CCG area (probably a mental health trust), and how much has been allocated to the main provider of child and adolescent mental health services (CAMHS) in the CCG area, over the last five years.

Please give the break down per financial year; 2011/12, 2012/13, 2013/14, 2014/15, 2015/16. would like a figure, and the figure as a percentage of the CCG’s overall budget, for each year.

A. NHS Kernow was formed on 1 April 2013 and cannot provide information relating


Adult and child mental health services are provided by Cornwall Partnership NHS Foundation Trust as part of a block contract. Please redirect your request to Cornwall Partnership NHS Foundation Trust ([email protected]) to obtain information for the period prior to the CCG inception.

Information on NHS Kernow’s total spend is routinely published on our website, including how much we commission CPFT to provide adult community services and mental health services: https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-it/ https://www.kernowccg.nhs.uk/about-us/annual-report/

We therefore exempt the release of this information under Section 21 of the Freedom of Information Act, information accessible by other means. Please be aware that NHS Kernow also commissions other providers to support people with mental health needs (requirements) such as IAPT, funding for CHC and joint funded placements with social care, which is not included in this figure. We have estimated that it will cost more than the appropriate limit to breakdown this information. The appropriate limit, specified in regulations, is set at £450. We therefore exempt the release of this information under Section 12 of the Freedom of Information Act. Tier four CAMHS are commissioned by NHS England. Please contact NHS England’s FOI team at [email protected] to obtain this information.


mailto:[email protected])

mailto:[email protected])

https://www.kernowccg.nhs.uk/about-us/what-we-spend-and-how-we-spend-it/

https://www.kernowccg.nhs.uk/about-us/annual-report/



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FOI55970 - Rehabilitation Date received: 27/10/2016 1. purchase mental health rehabilitation services on a block contract or as a

spot purchase? A. NHS Kernow purchases mental health rehabilitation services on a block contract

and as a spot purchase.

2. If services are bought on a block contract, please provide the number of bed days commissioned and £ spent on mental health rehabilitation services for 2012/13, 2013/14. 2014/15. 2015/16 financial years (FY), defined as April- March.


to the former primary care trust (2012 to 2013). Please contact the Department of Health’s legacy team to request this information: reviews&[email protected]. For information relating to 2013/14, 2014/15 and 2015/16 a total of 18 beds were commissioned to an NHS provider with 5,584 bed days at 85 per cent occupancy and 6,570 maximum occupancy allowing for flexibility.

3. If services are spot purchased on a sport contract, please provide the day

rates, in £, of the latest 20 service users you have placed in a mental health rehabilitation service; further please state if the provider in which the service was place an independent (private or charity) or NHS provider.

Service users

Year of placement

Day rate (£)

Type of provider (independent or NHS)

1 2015 365 Independent







8 2015 365.24 Independent













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Service users

Year of placement

Day rate (£)

Type of provider (independent or NHS)



a) If any of the service users above have received any further payments (in the

forms of top-ups/ additional observations/ specialising) please indicate the latest available weekly cost; please use the service user number above as a reference/index. Indicate if when a service user did not get further payments with “N/A”

A. Less than five of the above service users received further payments in the form of

top-ups / additional / observations / specialising. We exempt the release of this information under section 40 (2) of the Freedom of Information Act, personal information, as disclosing this information may lead to identification of the individuals concerned.

4. Do you purchase Learning Disability rehabilitation services on a block

contract or as a spot purchase? A. NHS Kernow does not commission specific learning disability rehabilitation

services. People with a learning disability would be supported to access mainstream services dependent upon their health need at the time.

5. If services are bought on a block contract, please provide the number of

bed days commissioned and £ spent on Learning Disability rehabilitation services for 2012/13, 2013/14. 2014/15. 2015/16 financial years (FY), defined as April- March.


to the former primary care trust (2012 to 2013). Please contact the Department of Health’s legacy team to request this information: reviews&[email protected]. For information relating to 2013/14, 2014/15 and 2015/16, NHS Kernow does not commission learning disability rehabilitation services as part of a block contract.

6. If services are spot purchased on a spot contract, please provide the day

rates, in £, of the latest 20 service users you have placed in a Learning Disability rehabilitation service; further please state if the provider in which the service was place an independent (private or charity) or NHS provider.

a) If any of the service users above have received any further payments (in the forms of top-ups/ additional observations/ specialising) please indicate the latest available weekly cost; please use the service user number above as a reference/index. Indicate if when a service user did not get further payments with “N/A”.

A. N/A. NHS Kernow has not spot purchased learning disability rehabilitation

services.



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Organisation

FOI55490 - STP supporting documents Date received: 04/10/2016 1. Your organisations, as leads in the STP process, were required to submit

full “Finance & Efficiency template” returns to NHS England/the national Five Year Forward View office by 5pm on 16 September. Please provide: The full template return as submitted.

A. Under section 1(1) of the Freedom of Information Act 2000, we confirm that we

do hold the above template however, we exempt the release of this information under Section 36 of the Freedom of Information Act, prejudice to the effective conduct of public affairs and Section 43 (2) of the Freedom of Information Act, commercial interests.

In reaching this conclusion we have carried out a public interest test and, whilst recognising the need for being open and transparent, we believe this is outweighed by concerns that these details are commercially sensitive and the CCG needs to be able to negotiate contractual arrangements to secure appropriate services for the best value for money.

We advise that NHS Kernow will be involved in an engagement programme overseen by the Transformation Board during November, December and January to gain the views of patients, the public, staff, providers and wider stakeholders about the STP. Whilst we recognise that this will not present all the data captured by the template that we have exempted, it might assist you to learn of the proposals covered by the STP. Details of the events will be published on our website once confirmed.

FOI55770 - IT training Date received: 17/10/2016 1. Have you purchased any IT / ICT technical training courses or any other

training Since April 2016 from QA training or QA Limited or any other of QA's offices?

A. No, NHS Kernow has not purchased any IT / ICT technical training courses or

any other training from QA Training, QA Limited or any other of QA’s offices.


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Prescribing & pharmacies

FOI55510 - Sip feeds / nutrition Date received: 06/10/2016 1. Does the CCG reference or work to any guidelines in relation to sip feeds

for adults and children? If so, please provide a copy or website link. 2. If yes, when is/are the document(s) expected to be reviewed? A. Yes. The guidelines for sip feeds for adults and children is available on our

Cornwall Joint Formulary website: https://www.eclipsesolutions.org/Cornwall/


3. What is the current referral time for patients to see a dietician? A. 10-12 weeks. 4. Is nutrition included in any incentive scheme or other programmes that are

being implemented? If so, what are they? A. Yes, we have an ONS audit/protocol, which has been included in our 2015/16 Q3

incentive scheme.

5. Does the CCG routinely ‘MUST’ screen / nutritionally screen patients? A. Yes, NHS Kernow will be running an audit in 2017 to confirm the number of

patients screened.

6. Please can you confirm whether we are permitted to reuse any information provided under the Open Government Licence?

A. NHS Kernow permits the reuse of this information.

FOI55550 - Smoking medications Date received: 07/10/2016 1. I am writing to request copies of the following for the period since 1st

January 2016: a) Any governing body minutes and papers concerning prescription of,

and funding for, any stop smoking medications including any minutes and papers distinguishing between practices for different products and different groups of smokers.

b) Any CCG communications with GP practices in the CCG area concerning decisions on the funding prescription of, and funding for any stop smoking medications.

https://www.eclipsesolutions.org/Cornwall/


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A. NHS Kernow does not hold the information you have requested. There have been no decisions concerning prescriptions or funding of stop smoking medications since 1 January 2016.

FOI55750 - NICE recommendations Date received: 13/10/2016 1. Does the CCG have a budget to fund new treatments/drugs approved by the

National Institute for Health and Care Excellence (NICE) each year? If so, please state what this budget was for the past three financial years (2013/14 – 2015/16). Please breakdown by year

A. NHS Kernow does not have a specific budget for each new treatment / drug

approved by NICE. The funding for these treatments / drugs is part of an uplift of the budget for prescribing, which is 5% for 2016/17.

2. Please list the NICE approved treatments/drugs which the CCG does not allow clinicians to prescribe

A. NHS Kernow does not disallow clinicians to prescribe NICE approved treatments

/ drugs. 3. To illustrate any trend, please provide this list for the past three financial

years (2013/14 – 2015/16). Please breakdown by year 4. Please give a brief and general explanation why the CCG does not allow

clinicians to prescribe these treatments/drugs A. N/A.

Urgent care

FOI55500 - NHS 111 and OOH Date received: 05/10/2016 1. For the financial year ending April 2016 can you please tell me what per

cent of cases the OOH provider achieved a face to face contact within two or six hours (Dx05, 85, 97 and Dx06, 80 are I understand the main dispositions from NHS Pathways respectively) and what percent of 'speak to' dispositions are contacted by the service within one or two hours (Dx11, 117 and Dx12).

A. During the time period you have requested, NHS Kernow had two providers for

out of hours services. The model commissioned from Serco was different to the model commissioned from Cornwall Health, with slightly different reporting arrangements and therefore we have provided the information separately for each provider.


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The ‘speak to’ dispositions are not reported within one or two hours within the out of hours service. For Serco, it was within one hour and Cornwall Health calls are prioritised as urgent within 20 minutes and routine within 60 minutes. Details are included in the table below.

Serco April 2015 - May 2015

Start definitive clinical assessment for urgent calls within 20 minutes Not reported against

Start definitive clinical assessment for all calls within 60 minutes 95.76%

Face to Face within two hours 93.94%

Face to Face within six hours 97.62%

Cornwall Health June 2015 - March 2016

Start definitive clinical assessment for urgent calls within 20 minutes 78.53%

Start definitive clinical assessment for all other calls within 60 minutes 83.77%

Face to Face within two hours 86.26%

Face to Face within six hours 94.26%

Please note that out of hours performance is now published on our website via the monthly Governing Body meeting papers (Appendix one - Quality and Performance report): https://www.kernowccg.nhs.uk/get-info/governing-body-meetings/

FOI55630 - GP referrals Date received: 11/10/2016 1. Non-urgent/unnecessary GP referrals for hospital treatment a) Does the CCG currently have any procedures in place to reduce non-

urgent/unnecessary GP referrals for hospital treatment? A. Yes.

b) If yes, please provide details: please state which areas/specialities the

policy covers, how long it has been in place and how long it will apply.

A. NHS Kernow’s referral guidelines can be found on our RMS website: http://rms.kernowccg.nhs.uk/primary_care_clinical_referral_criteria

NHS Kernow’s limited clinical priority policy is also available on our website: https://www.kernowccg.nhs.uk/get-info/individual-funding-requests/treatment-policies/


c) If there is no current policy, are there any plans to implement one within the next three months? If so, please give details as in 1a.

https://www.kernowccg.nhs.uk/get-info/governing-body-meetings/

http://rms.kernowccg.nhs.uk/primary_care_clinical_referral_criteria




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A. N/A. 2. Inappropriate GP referrals for diagnostic tests a) Does the CCG currently have any polices in place to reduce inappropriate

GP referrals for diagnostic tests? A. Yes.

b) If so, please give details stating which tests are included, how long this policy has been in place and how long it will apply.

A. NHS Kernow’s referral guidelines can be found on our RMS website:



c) If there is no current policy, are there any plans to implement one within the

next three months? If so, please give details as in 2a. A. N/A. 3. Inappropriate A&E attendances a) Does the CCG have any policies to reduce inappropriate A&E attendances?

If so, please specify. b) Does the CCG have any policies to redirect patients who have arrived at

A&E inappropriately – eg to primary care/pharmacy. If so, please provide details.

A. No, NHS Kernow does not have a policy on reducing inappropriate A&E

attendances however, we have developed a demand management work stream and the key priorities for this year include:

Project Description

MIDOS roll out Roll out access to MIDOS across the healthcare system and to the general public.

MIU resilience Deliver sustainable MIU services that are adequately resourced and operational.

Minor ailments and emergency supply services

Increase uptake of the minor ailments and emergency supply services.

111/OOH pathway redesign Identify and implement high impact opportunities to redesign 111 and out of hours operational pathways.

Reducing 999 conveyances Increase the use of Hear and Treat and See and Treat patient pathways where clinically appropriate.



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FOI55670 - Services Date received: 11/10/2016 1. Does the CCG operate or commission, a referral management centre that

assesses referrals by local GPs? If yes, when was this introduced? A. Yes, the referral management centres were was transferred from Cornwall and

the Isles of Scilly Primary Care Trust to NHS Kernow on 1 April 2013. 2. Which organisation(s) operates the referral management centre for the

CCG?

A. NHS Kernow has a RMS, which manages referrals from 53 GP practices, excluding those in East Cornwall. NHS Kernow commissions Devon Referral Support Services (DRSS) to manage referrals for the 11 practices in East Cornwall.

3. Please list the relevant branches of medicine that fall under the referral management centre’s remit e.g. cardiology, gastroenterology, palliative care etc.

A. Referral Management Service:

Allergy Cardiology Children’s and adolescent services

Dermatology Diabetic medicine Diagnostic endoscopy

Diagnostic imaging Diagnostic Physiological Measurement

Dietetics

Ear, nose & throat Endocrinology and metabolic medicine

Genetics

Geriatric medicine GI & liver (medicine and surgery)

Gynaecology

Haematology Immunology Nephrology

Neurology Neurosurgery Ophthalmology

Oral and maxillofacial surgery

Orthopaedics Pain management

Podiatry Rehabilitation Respiratory medicine

Rheumatology Sleep Medicine Surgery – Breast

Surgery – Not otherwise specified

Surgery – Plastic Surgery – Vascular

Urology

Devon Referral Support Services:

Audiology Breast CAMHS

Cardiology Dermatology Diagnostics


21

ENT Gastroenterology General medicine

Geriatric medicine Maxillo-facial Medicine

Neurology Neurophysiology Neurosurgery

Ophthalmology Orthopaedic Paediatric

Plastic surgery Respiratory Rheumatology 4. How much did the CCG spend on referral management centres for GP

referrals in the past three financial years (2013-14, 2014-15, 2015-16)? Please break down by month

A. NHS Kernow does not hold the information in the format you have requested. We

can however provide a breakdown by year and provide the details below: Referral Management Service:

2013-14: £811k

2014-15: £920k

2015-16: £960k

DRSS has had an annual contract in place from 2013/14 with NHS Kernow for £273k.

5. Does the CCG track or estimate savings made from using a referral

management scheme? If yes, please give actual (or estimated) savings for past three financial years (2013-14, 2014-15, 2015-16)

A. NHS Kernow does not hold the information you have requested for 2013/14. Information on the savings made for 2014/15 and 2015/16 are below: Referral Management Service:

2014-2015: £2.9 million

2015-2016: £2.9 million

These savings are calculated using the cost of appointment/treatment for referrals which were returned to the GP due to:

Incomplete workup

Duplicate referral

Procedure of limited clinical benefit

DRSS:

2014-2015 = £856k

2015-2016 = £1.3 million 6. How many GP referrals did the CCG process over the past three financial

years (2013-14, 2014-15, 2015-16)? Please break down by month


2013-2014 2014-2015 2015-2016

April 7,841 9,325 9,891


22

May 8,192 9,733 9,524

June 7,432 9,773 10,051

July 8,728 9,778 10,646

August 7,410 6,954 9,012

September 8,073 8,125 10,361

October 8,843 8,645 10,789

November 9,292 7,439 10,310

December 8,091 7,117 9,306

January 9,729 8,869 9,918

February 8,999 9,377 10,470

March 9,686 10,791 10,593

DRSS: NHS Kernow does not hold the information you have requested for 2013/14

2014-2015 2015-2016

April 2,387 2,629

May 2,488 2,416

June 2,586 2,439

July 2,822 2,914

August 2,330 2,299

September 2,602 2,724

October 2,851 2,842

November 2,315 2,528

December 2,476 2,507

January 2,333 2,426

February 2,399 2,598

March 2,893 2,801

7. Over the past three financial years (2013-14, 2014-15, 2015-16) how many

referrals from GPs were rejected? (approx. if necessary) Please break down by month


2013-2014 2014-2015 2015-2016

April 440 591 748

May 581 726 695

June 555 719 724

July 648 667 752

August 563 470 627

September 681 515 790

October 760 605 697

November 752 565 687

December 560 502 643

January 706 543 713

February 603 610 716

March 654 748 805


23


2014-2015 2015-2016

April 87 131

May 86 116

June 76 146

July 91 164

August 63 104

September 97 133

October 90 155

November 72 149

December 80 167

January 77 139

February 26 160

March 141 149

8. For this time period, please state how many referrals were returned for the

following reasons: a) Information missing in the referral b) Not meeting criteria for commissioning policies and clinical referral

guidelines c) A specialist has reviewed the referral and advised the GP on how to

treat the patient or has requested other investigations should be carried out ahead of a referral

d) Any other reason e) Please state any other reasons for rejecting a referral and say how many

rejections there were of each type A. Referral Management Service:

2013-2014 2014-2015 2015-2016

Not appropriate – Further Tests Required 414 70 0

Not appropriate – Incomplete Workup 0 2360 3333

Not appropriate – Insufficient Information 2588 202 0

Not appropriate – Missing Attachments 0 1797 2172

Not appropriate – No BMI/BP 952 794 1086

Not appropriate – Returned with Advice 1141 81 0

Rejected – Duplicate Referral 241 321 376

Rejected – Further Treatment in Primary Care 429 54 0

Rejected – Not Ready, Willing and Able 218 45 11

Rejected – Patient to be admitted 30 38 41

Rejected – Private Referral 10 20 33

Rejected – Procedure of Limited Clinical Benefit 750 827 798

Rejected – Request to Expedite 7 18 16


24

2013-2014 2014-2015 2015-2016

Rejected – Upgraded to 2WW 723 634 683


2014-2015 2015-2016

Returned with clinical advice 257 632

Returned as covered by clinical referral guidelines\commissioning policy

162 303

Returned as information incomplete 567 778

9. For the past three financial years (2013-14, 2014-15, 2015-16) how many

complaints has the CCG received about its referral process? A. NHS Kernow has received the following number of complaints regarding its

referral process:

2013/14: Less than five.




25

Appendix


26

FOI55960 - Packages of care

NHS Kernow FOI 55960

f) For other neurological conditions, please state which conditions are

included in your response.

HIV and AIDS Dementia - Picks Disease

Infectious Diseases – Other Dementia - Vascular

Cancer, Head and Neck Depression

Cancer, Upper GI Dermotomyositis

Cancer, Lower GI Diabetes

Cancer, Lung Diabetes - Type I

Cancer, Skin Diabetes - Type II

Cancer, Breast Displacement Of Hip Replacement

Cancer, Gynaecological Down's Syndrome

Cancer, Urological Dysphagia

Cancer, Haematological Dysphasia

Cancers and Tumours – Other Ehles-Danlos Syndrome

Disorders of Blood Emphysema

Diabetes Encephalitis

Endocrine Epilepsy

Endocrine, Nutritional and Metabolic problems – Other

Ewings Sarcoma

Substance Misuse Extra Skeletal Calcification

Dementia Falls

Vascular Dementia Familiar Spastic Peraparesis

Alzheimer’s Dementia Fracture - C2

Korsakoff’s Fracture - Femur

Psychotic Disorders Fracture - Humerus

Child and Adolescent Mental Health Disorders

Fracture - NoF

Mental Health Disorders – Other Fracture - pubic rami

Problems of Learning Disability Fracture - Rib(s)

Chronic Pain Fracture - Tibia

Parkinson’s Fracture - Tibia & Fibula

Multiple Sclerosis (MS) Frailty

Motor Neurone Disease (MND) Friedreichs Ataxia

Progressive Supranuclear Palsy (PSP) Frontal Lobe Dysfunction

Multiple System Atrophy (MSA) Gangrene

Acquired Brain Injury (ABI) Gangrene - Rt Foot

Encephalitis Genetic Disorder

Huntington’s Disease (HD) Glaucoma

Meningitis Gout

Subarachnoid Haemorrhage (SAH) Guillan Barre Syndrome

Guillain-Barré Syndrome (GBS) Haematemesis

Cerebral Palsy Haemorrhagic Gastritis

Epilepsy Hearing Loss

Other Neurological Conditions Hearing Loss - Profound

Problems of Vision Hemiparesis – Lt

Problems of Hearing Hemiparesis – Rt


Coronary Heart Disease Hiatus Hernia

Cerebrovascular disease Huntingtons

Problems of Rhythm Hydrocephalus

Problems of circulation – Other Hypertension

Obstructive Airways Disease Hypotension

Asthma Hypothyroidism

Problems of the respiratory system – Other

Ileostomy

Dental problems Immobility

Upper GI Incontinence

Lower GI Incontinence - Double

Hepatobiliary Incontinence - Faecal

Problems of the gastro intestinal system – Other

Incontinence - Urinary

Burns Intracerebral Haemorrhage

Problems of the Skin – Other Intraventricular Haemorrhage

Problems of the Musculo-skeletal system Ischaemic Bowel

Problems due to Trauma and Injuries Ischaemic Leg(s)

Genital tract problems Kidney Disease

Renal problems Korsakov's Psychosis

STD Learning Disability

Problems of Genito-urinary system – Other

Leg Ulcers

Maternity and Reproductive Health Leukaemia

Conditions of neonates Leukaemia - Acute Myeloid

Unintended consequences of treatment Leukaemia - Chronic Lymphocytic

Poisoning Linderbaun Syndrome

Violence Liver Cirrhosis

Poisoning and adverse effects – Other Liver Disease

NSF Prevention programme Liver Failure

NSF Mental health prevention Liver Sclerosis

Healthy Individuals – Other Lymphoedema - Legs

Social Care Needs Lymphoma

Other Macular Degeneration

Other - Multiple Conditions ME/Chronic Fatigue Sundrome

Alcohol Related Cognitive Impairment MELAS

Alcohol Related Disease - Other Memory Loss

Amnesia Memory Loss - Long Term

Amputee Bilateral Memory Loss - Short Term

Amputee Bilateral - Above Knee Menieres Disease

Amputee Bilateral - Below Knee Mesothelioma

Amputee Bilateral - Hind Quarter Motor Neurone Disease

Amputee Lt Leg Mrsa

Amputee Lt Leg - Above Knee Multi Organ Failure

Amputee Lt Leg - Below Knee Multi System Atrophy

Amputee Lt Leg - Hind Quarter Multipathology

Amputee Rt Leg Multiple Sclerosis

Amputee Rt Leg - Above Knee Multiple Sclerosis - Cerebral


Amputee Rt Leg - Below Knee Multiple Sclerosis - End Stage

Amputee Rt Leg - Hind Quarter Multiple System Atrophy

Anaemia Munchausens Disease

Anaemia - Pernicious Muscle Wasting Disease - Unknown Origin

Aneurysm Muscular Dystrophy

Angina Mute

Anorexia Myelodysplasia

Anxiety Myoedema

Aortic Aneurysm Nephrectomy - Left

Arachnoiditis Nephrectomy - Right

Arthritis Neurocardiogenic Syncope

Arthritis - Osteo Neurofibromatosis

Arthritis - Rheumatoid Non Hodgkins Lymphoma

Arthroplasty - Left Hip Obesity

Asthma Obsessive Compulsive Disorder

Astrocytoma Obstruction

Astrocytoma - Benign Oedema

Autism Oedema Legs

Bi Polar Disorder Oesophageal Pouch

Bilat Foot Drop Oesophageal Stricture

Blind Ogilvies

Brain Aneurysm Open Hip Wound - Non Healing

Brain Injury Osteoporosis

Brain Tumour Benign Pagets Disease

Bronchiectasis Pain - Acute Back

CA Abdomen Pain - Chronic Back

CA Adenocarcinoma Pain - Knee

CA Advanced Disseminated Malignancy Pancreatitis

CA Basal Cell Paranoia

CA Bladder Paraphrenia

CA Bone Paraplegia

CA Bowel Parkinsons Disease

CA Brain Tumour Parkinsons Disease - End Stage

CA Breast Pelvic Mass

CA Bronchus pemphagoid

CA CAchexia Perforated Colon

CA Cervix Peripheral Neuropathy

CA Colon Peripheral Vascular Disease

CA Face Peronis Disease

CA Gall Bladder Personality Disorder

CA Glioma Personality Disorder - Eccentric

CA Glioma - Right Occipital - Removed Pfeiffer Syndrome

CA Groin Plasmacytoma

CA Head Pleural Effusion

CA Kidney Polymyalgia

CA Larynx Polymyalgia Rheumatica

CA Liver Polyneuropathy


CA Lung Postural Osthostatic Tachycardia Syndrome

CA Lymph Gland Pressure Ulcer(s)

CA Mandible Prolapse Of Rectum

CA Melanoma Prostate Hypertrophy - Benign

CA Melanoma Vagina Pseudo Obstruction

CA Metastases Psoriasis

CA Metastases Adrenal Psychosis

CA Metastases Bone Pulba Palsy

CA Metastases Bowel Pulmonary Embolism

CA Metastases Cerebral Pulmonary Fibrosis

CA Metastases Liver Quadraplegia

CA Metastases Lung Rectal Bleeding

CA Metastases Spine Renal Failure

CA Metastatic Adenocarcinoma Renal Failure - End Stage

CA Mouth Respiratory - Copd

CA Myleoma Respiratory - Copd - End Stage

CA Neck Respiratory - Dyspnoea ?Cause

CA Non Hodgkins Lymphoma Respiratory - Infection

CA Oesophagus Respiratory - Lung Fibrosis

CA Ovary Respiratory - Pneumonia

CA Pancreas Rio Cerebral Meningioma

CA Pituitary Scheuermann'S Disease

CA Prostate Schizo Affective Disorder

CA Rectum Schizophrenia

CA Renal Scoliosis

CA Site Unknown Seminoma

CA Skin Septicaemia

CA Spine Sigmoid Volvulus - Recurrent

CA Stomach Soft Tissue Injury

CA Testicle(s) Spastic Paraplegia

CA Throat Spastic Quadraparesis

CA Thyroid Spina Bifida

CA Tonsil Spinal Cord Decompression

CA Trachea Spinal Injury

CA Uterus Spondylosis

Cardiac - Angina Spondylosis - Cervical

Cardiac - Atrial Fibrilation Spondylosis -Thoracic

Cardiac - CHD Stroke

Cardiac - Coronary Artery Bypass Stroke - Brain Stem

Cardiac - Myocardial Infarction Stroke - Left Sided Hemiplegia

Cardiac - Subacute Endocarditis Stroke - Right Sided Hemiplegia

Cardiac Failure Subarachnoid Haemorrhage

Cardiac Failure - CCF Subdural Haematoma

Cardiac Failure - End Stage Supranuclear Palsy

Cardiac Failure - LVF Tau Syndrome

Cellulitis TB Meningitis

Cerebral Atrophy Tetraplegia


Cerebral Palsy Thoracic Vertebral Collapse

Cerebral Palsy - Progressive Thromocytopenia

Cerebrotendinous Xanthomatosis Thyroid Disease

Cervical Myelopathy TIA(s)

Cervical Scoliosis Tracheotomy

Cervical Spondylitis Ulcerative Colitis

Cervical Spondylosis Upper Gastrointestinal Haemorrhage

Challenging Behaviour Urinary Tract Infection(s)

Challenging Behaviour - Sexual Vertebral Collapse

Charles Bonnet Syndrome Vertebral Collapse - Thoracic

Cholitis Visual Impairment

Chronic Lymphoid Leukemia Weight Loss

Chronic Pain - Back Wilson's Disease

Coeliac Disease Ischaemic heart disease

Cognitive Decline chronic kidney injury

Cognitive Impairment Metastatic ca

Cognitive Impairment - Severe Pelvic osteosarcoma with rt hind quarter amputation

Congenital Dislocation Of Both Hips Short term memory

Craniotomy paranoid, inappropriate behaviour (sexual)

Crest Syndrome Spinal Muscular Atro[hy

Creutzfeldt-Jakob disease (CJD) Confusion

Crohns Disease Brain Tumour

Debility Fractured left hip

Degenerative Neuropathy Heart failure

Delusional Lumbar spondylosis

Dementia behaviors which challenge

Dementia - Advanced Lewy Body Dementia

Dementia - Alzheimers UTI Confusion

Dementia - Binswanger Pneumonia

Dementia - Early Onset Postural Hypotension

Dementia - End Stage Dychenne Muscular Dsytrophy

Dementia - Lewy Body

6. Please provide the list of providers that received this funding. A. Supplier list:

16 Pendean Court Manor House Residential Home

A & D Community Care Marie Curie Cancer Care

A Caring Touch Meadbank Care Home

A2B Taxis (Truro) Ltd Meadowside & St Francis Care Centre

Able Care Agency Memory Matters Southwest CIC

Accora Mencap Support Service

Acorn Court Care Home Menwinnion Country House

Acorn Park Lodge Merafield View Nursing Home

Active Assistance (Suffolk) Merlin Ms Centre


Active Assistance Brain Injury Service Mid Cornwall Lifestyles

Adlington Manor Care Home Mihomecare

Advantage Healthcare Group Ltd Millaton Court Care Centre

Age Concern (Boscawen House) Millpond View Care Home

Age UK Falmouth Day Centre Mind Full Mark James

Age UK Newquay Day Centre Modus Care Limited

Albert House Nursing Home Moorecare Home Care Services

Alexander Chapel Healthcare Ltd Moorgate Residential Home

Alexandra House Nursing Home Moorvue Rural Centre

Alexandra's Community Care Morovahview Residential Home

Allied Healthcare Group Morwenna Nursing Home

Allington Court Morwenner Care Agency

Alveston Leys Nursing Home Motor Neurone Disease Association

Amberley House - Plymouth Mount Edgcumbe Hospice

Amberley House Care Home Mount Pleasant House (Camborne)

Amberwood Nursing Home Mount Pleasant Residential Home (St Agnes)

Amcare Mountford House

Angela Court Nursing Home Mrs Susan Coram (Private Carer)

Anley Hall Nursing Home Mss Care

Annette's Care Murdoch And Trevithick Centre

Ansom Home Care Ltd My Choice

Antron Manor Care Home Nazareth House Nursing Home

Appleby Lodge Network Healthcare Professionals Limited

Appledown Care Home Limited Neurological Physiotherapy Practice

Ar-Lyn Newcross Healthcare Solutions Ltd Domiciliary Care Agency

Asheborough House Care Centre Newquay Nursing & Residential Home

Athelstan Domiciliary Care Norma Elston

Athelstan Home North Hill Home Care

Atlantis Care Home North Hill House Nursing Home

Atlantis Domiciliary Care Nurse Plus And Carer Plus (Uk) Limited

Averlea Domiciliary Care Agency Nursefinders

Averlea Residential Home Oak Lodge Nursing Home

Backdated Payment - North Oakwood (Cheshire) Home

Backdated Payment - West Oasis Community Care Ltd

Beaconville Nursing Home Ocean Hill Lodge

Beaumont Court Old Roselyon Manor (Domiciliary Care)

Beech Lawn Nursing & Residential Home Old Roselyon Manor Nursing Home

Beechwood College Old Vicarage Care Home

Belmont House Origin

Benoni Nursing Home Paladin Life

Bickleigh Down Care Home Park House

Black Cab Company / Crownhill Taxi Services

Park House Healthcare

Blackdown Nursing Home Park House Nursing Care Centre

Blackwood House Parker Meadows


Blantyre Day Centre Parkwood Nursing Home

Bluebird Care (Bath) Parnells Taxis

Bluebird Care (Cornwall North) Pathfinders-Care (Ollerton) Limited

Bluebird Care (Mid Cornwall) - Starboard Tack Llp

Payroll Direct

Bna PCT - Anita Cornelius, Modern Matron, Bodmin Hospital

Bodmeyrick Residential Home Penberthy Residential Home

Boisdale House Penbownder House

Bonaer Nursing Home Pendarves Residential Care Home

Bornel Care Ltd Pendeen Community Care Ltd

Bourne Bridge House Pendine Park Nursing Home

Bowden Derra Park Pendrea Homecare

Brace Orthopaedic Pendruccombe Dom Care

Brandon Trust Pendruccombe House Nursing Home

Breage House Pengarth Day Centre

Bristol County Council Pengover House Residential Home

Broadgate House Nursing Home Penhellis Community Care Ltd

Brocastle Manor Care Home Penhellis Nursing Home

Brook House Care Centre Peninsula Care

Burdon Grange Peninsula Community Health

Burford House Nursing Home Penlee Residential Care Home

Calton House Ltd Penmeneth House

Calvert Trust (Exmoor) Penmount Grange Residential Care Home

Camille's Nest Nursing Home Penrice House Residential Home

Cann House Care Home Pentowan Home Care

Caprera Pentreath Ltd

Carers Break Penwith Care

Carers Break Service (Bodmin) Penwith Respite Care Ltd

Carers Break Service (Camborne) Perran Bay Home For The Elderly

Carewatch (Tamar) Philiphaugh Residential Home

Caritate Nursing Home Phoenix Care Cornwall Ltd

Carol Spinks Homecare Phoenix Health Care Services Ltd

Carrick Lodge Pine Trees Residential Care Home

Castle Hill House Domiciliary Care Ltd Plymouth Taxis Ltd

Castle Hill House Nursing Home Pol Community Care

Castle View Nursing Home & Residential Home

Poldhu Care Home

Cathedral View Nursing Home Polventon House

Cathedral View Residential Home Ponsandane Care Home

Caton House Nursing Home Porte Rouge Residential Home

Cedar Grange Porthgwara Nursing Home

Celtic Care Premier Care

Chelfam Senior School Premier Healthcare Solutions

Cherry Trees Nursing Home Pressure Care Management

Choice Prestige Nursing Ltd

Choice Care Services Prism Medical UK


Chollacott House Nursing Home Proper Care (Cornwall) Ltd

Chy Byghan Prospects

Chy Keres Pulse

Chy Koes Respite Unit Purple Balm

Chypons Queens Court Nursing Home

Chyvarhas Qumran Care Home

Clann House Red Gables

Clevedon Court Nursing Home Redannick House

Clinton House Reflections

Clovelly House Regal Care

Coastline Care Ltd Restgarth & Network Health & Social Care

Collamere Care Home Restgarth Domiciliary Care Ltd

Comfort Care Restgarth Residential Home

Compass Disability Services Retirement Villages Care Ltd

Complete Cleaning Services Right At Home Guildford & Farnham

Consultus Care & Nursing Agency Limited

Right Nurse Care Services

Cookham Riverside Nursing Home Riverview Care Home

Coombe House Riviera Ambulance Service

Copper Beeches Lodge Roborough House

Coppice Lea (Caring Homes Group) Roscarrack House

Cornwall Care Ltd Rosedale Nursing Home

Cornwall Care Respite Services Bungalow

Rosehill House Residential Home Ltd

Cornwall Council (Adult Social Care) Roseland Nursing Home

Cornwall Mobility Centre Rosewarne

Cornwall Partnership Foundation Trust Roslyn House

Cornwallis Nursing Home Rowan House Domiciliary Care Agency

Courtlands Residential Home Rowan House Residential Home

Cowbridge Nursing Home Rowans Domiciliary Care Agency

Crantock Lodge Rowans Lodge

Creative Workshop Royal National College For The Blind

Crick Care Home Scope Inc Domiciliary Care Agency

Crossroads House Care Home Scott Tomkinson

Dame Hannah Rogers School Seating Matters Ltd

Darren Williams Share Lives South West

Deer Park Nursing Home Sheldon House Nursing Home

Derriford Hospital Sidmouth Nursing Home

Derwen Residential College Somerleigh Court Nursing Home

Direct Payment - PHB South Western Homecare

Disability Cornwall Spectrum

Douglas House Springfield House Residential Home

Drym Valley Centre St Anthony's Care Home

Duchy Care Domiciliary Care Agency St Breock Residential Home

Dwaine Lattibeaudiere St Clair House Care Home

E2l Ltd St Erme House

Echo Day Centre St Hilary


Eirenikon Domiciliary Care St Johns Nursing Home

Eirenikon Residential Home St Margaret's Community Care Ltd

Eldon House Residential Home St Margaret's Nursing Home

Elmsleigh Care Home St Martin's House

Embrace (Formerly European Lifestyles) St Mary's Haven Respite Unit

Embrace Cornwall & Devon St Petrocs Care Home

Enham St Teresa's Cheshire Home

Enviva Care Limited St Theresa's Care Centre

Eshcol House Nursing Home Stayathome Ltd

Eventide (Bude) Stephen Richard Martin

Eventide (Liskeard) Steps Ahead Care & Support Limited

Fairfield Country Rest Home Sunningdale House

Fairholme Nursing Home Sunshine Care Ltd

Falcare Surecare Services (Wessex)

Fernleigh House Domiciliary Care Surrey County Council

Fernleigh House Residential Home Sutton Valance Nursing Home

First City Nursing Sutton Veny House Nursing Home

Fore Dore Nursing Home Swallowcourt Ltd

Forget Me Not Homecare Services Symmetrikit

Four Seasons Community Care Tamar Care Services

Four Seasons Nursing Home Tamar House Nursing Home

Foxleigh Grove Nursing Home Tamara Residential Home

Freshfields Tamarisk Care Agency

Furzehatt Court Nursing Home Tarrant House

Garsewednack Rh Ceased 20/4/2016 Tavy Care Services

Garsewednack Rh Trading WEF 21/4/2016

Taylors Of Grampound Ltd

Gifford House Care Home Telmenow.Com

Gladys Holman House Tender Loving Care

Glencoe Nursing Home The Beeches

Glenside Manor Healthcare Services Limited

The Brake Manor

Godolphin House The Complete Group

Gorfenna Day Centre The DOVE. Project

Grafton Manor The Donnington Residential And Nursing Home

Green Light PBS Ltd The Downes

Greenslades Nursing Home The Elms Care Centre

Guinness Care & Support The Green

Halwill Manor The Grove Residential Home

Harbour The Hollies

Harbour Home Care (T/A Anson Care Services)

The John Daniel Centre

Harbour House The Lawns Nursing Home

Harriet Nanscawen Nursing Home The Manse

Hartcare Nursing Home The Mellowes Nursing Home

Hartley Home Care The Merlin Centre

Hartley Park Nursing Home The Old Manor House


Hatchmoor Nursing Home The Old Rectory

Havencare (South West) Limited Supported Living

The Old Vicarage Care Home

Headlands The Pine Trees Nursing Home

Heart Of The South Care Agency The Regard Partnership

Help At Home Care Service The Reigate Beaumont

Helping Hands (Midshires Care Ltd) The Rowans

Herons Park Nursing Home The White House (Bodmin)

Highermead Care Home The White House (Falmouth)

Highpoint Lodge The Wingfield Care Home

Highwell House Nursing Home Thornbury Nursing Services

Hillcrest Care Ltd Thyme Care Limited

Hillcrest House Nursing Home Tolverth House

Hillsborough Domiciliary Care Torcare Ltd Domiciliary Care Agency

Hillsborough Residential Home Torpoint Nursing Centre

Hinwick Hall College Torr Home

Holifield Farm Project Total Community Care Ltd

Hollybush Travel 4000

Holywell Bay Nursing Home Trecarrel Residential Home

Home Farm Trust Trefula House Nursing Home

Home Instead Tregenna House Nursing Home

Hooklands Nursing Home Tregertha Court Residential Home

In Caring Hands Tregolls Manor

Independence House Tre-Heights

Independent Living Fund Trelana Nursing Home

Interserve Healthcare Trelawney Domiciliary Care Ltd

Ismeer Tremanse Nursing Home

Ivydeane Nursing Home Tremethick House

J & P Supplies Tremorvah Industries

Jacob Centre - Ramsay Neurological Services

Trengrouse House

Jobline Staffing Treseder House

Karrek Community CIC Tresillian

K-Care Nursing Agency Trevarna

Kehelland Trust Trevaylor Manor Care Home

Keith's Taxi Trevern

Kenwyn Trewartha House Nursing Home

Kernou Residential Home Trewcare Domiciliary Care Ltd

Kernow Home Care Ltd Trewiston Lodge Domiciliary Care

Kernow House Trewiston Lodge Nursing Home

Kerrier Homecare Truro And Penwith College

Kilmar House Ty Mair Care Home

Kimberley Court United Care Concepts Ltd

King Charles Court Nursing Home United Response

Kingston House Upminster Nursing Home

Kingswood Court Care Home Victoria Domiciliary Care Agency

Langholme Volunteer Cornwall

Lanhydrock Care Waters Park House


Larne Care Centre Wellcross Grange Care Home

Lavender Lodge Care Home Wentworth Residential Home

Lifestar Medical Ltd West Cornwall Care Ltd

Lifestyles Choices Care Westcountry Case Management Limited

Liskeard Care Limited Westcountry Home Care Ltd

Little Lotus Westlake Care

Little Trefewha White River Homecare

Live Life Care Ltd Windmill Court

Ll Pearce Wood View Short Breaks

Llanyravon Court Care Home Woodland House

Loan Store Woodmill Nursing Home

Longview Care Home Woodside Farmhouse

Lowena Wray Common Nursing & Residential Home

Lowenva Care Home Young Epilepsy

Lufton College Of Further Education Young Foundations Ltd (Mental Health Care Group (UK) Ltd)

Magdalen House Nursing Home Zion House

Malvern House Nursing Home Manor House Residential Home

nhs kernow - disclosure log freedom of information...

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