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East Midlands Strategic Health Authority
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Swine Flu

Request

I’d be grateful if you could help me with the following query please, and handle it as a request for information under the Freedom of Information Act.

Please could you tell me:

1/ What correspondence or discussions has the SHA had with the Department of Health since 30 April 2009 relating to the necessity of suspending the Quality and Outcomes Framework, or payments for other routine work in primary care (such as, for example, Local Enhanced Services) in order to allow primary care clinicians to focus on dealing with swine flu cases. Please list and date all such correspondence and discussions and provide copies where documents are available.

2/ What correspondence or discussions has the SHA had with PCTs in its area since 30 April 2009 relating to the necessity of suspending the Quality and Outcomes Framework, or payments for other routine work in primary care (such as, for example, Local Enhanced Services), in order to allow primary care clinicians to focus on dealing with swine flu cases. Please list and date all such correspondence and discussions and provide copies where documents are available.

Our Response

Thank you for your request for information.  In accordance with S.1(1)(a) of the Freedom of Information Act 2000 (FOIA) I can confirm that we hold information relevant to your request.  We are however of the view that the information concerned is exempted from disclosure at this time on the grounds of the engagement of S.36(2)(b) and (c) of the FOIA. As required when applying this exemption we have consulted our Chief Executive who has expressed the opinion that as the ‘qualified person’ identified in the Act, it is reasonable to apply this exemption.

This is a critical time for the NHS when wide ranging discussions are taking place about a whole range of issues which may be linked to or affected by the entirely necessary efforts being focused on dealing with this pandemic. At times such as this it is essential that discussions which take place are free from inhibition; that advice and guidance sought and given can be expressed freely and frankly and that the organisations concerned have the opportunity to ‘think in private’. It is also a time when all available resources need to be applied to the challenges at hand.  It has become quite clear that the NHS Communications Strategy, which quite properly focuses on informing the public about essential information for dealing with Swine Flu, is well developed but it does not and should not include preparing this kind of information for publication at a time when all efforts are concentrated on actually dealing with the pandemic. This is not to say that work is not being done on this area but it would be premature and to the prejudice of all concerned to put it in the public domain before discussions have been finalised and decisions taken.

Since S.36 FOIA is a qualified exemption we are not only required to consider whether the exemption applies but also whether this is overridden by the balance of the public interest test. It is our view in this case that while there is clearly a limited public interest in establishing what the procedural and financial arrangements are relating to Primary Care Clinicians, the greater public interest is in allowing essential discussions to take place, without prejudice, which can best inform decisions in this area.

Please note that if you are dissatisfied with the way in which we have dealt with your request you can complain in writing to:-

Mr Kevin Orford

Deputy Chief Executive and Director of Finance

NHS East Midlands

Octavia House

Interchange Business Park

Bostock's Lane

Sandiacre

Nottingham

NG10 5QG

If at the conclusion of any review you remain dissatisfied you may complain to the Information Commissioner who can be contacted at:-

The Office of the Information Commissioner

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF