Request
Have the PCTs in your region:
Commissioned comprehensive wellbeing and prevention services in partnership with local authorities to meet specific needs of your local population?
Commissioned wellbeing and prevention services
If they have not why not?
Support GPs to help families stay healthy?
Is the Quality and Outcomes Framework providing the incentives envisaged in primary care?
Do patients have a greater choice of GP practice
What information do PCTs provide to help the public choose a GP?
Have patients with long term conditions have a personalised care plan?
Are you piloting personal health budgets within your region?
Have all your PCTs delivered on their strategic plans?
How is the East Midlands SHA promoting innovation?
Do you have a quality Observatory for your region?
Have any of your PCTs set up enterprise organisations?
Our response
I refer to your request for information under the Freedom of Information Act 2000 (FOIA).
I can confirm in accordance with S.1 (1) of the FOIA that we do not hold all of the information that you have requested. However, I will address each of your queries in turn:
Have the PCTs in your region:
Commissioned comprehensive wellbeing and prevention services in partnership with local authorities to meet specific needs of your local population?
Commissioned wellbeing and prevention services
If they have not why not?
Support GPs to help families stay healthy?
Is the Quality and Outcomes Framework providing the incentives envisaged in primary care?
Do patients have a greater choice of GP practice
What information do PCTs provide to help the public choose a GP?
Have patients with long term conditions have a personalised care plan?
Are you piloting personal health budgets within your region?
Have all your PCTs delivered on their strategic plans?
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Each PCT has a 5 Year Strategic Plan which covers the period 2009/10 – 20/13/14. In each PCT Strategic Plan, PCTs have set 5 year health outcome aspirations focusing on those areas of greatest need which were informed by a Local Joint Needs Assessment and engagement of key stakeholders including local clinicians, local authorities, local populations and patients.
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PCT Strategic Plan Health Outcome Trajectories are routinely performance managed by PCTs and feature as a key part of their performance management reporting arrangements through to their Trust Board. The SHA routinely monitors those PCT Health Outcome Trajectories that are aligned to the national and regional performance indicators that form the basis of NHS vital signs reporting. These are subject to formal SHA/PCT confirm and challenge at quarterly intervals in addition to routine monthly performance management discussions and monthly reporting of vital signs delivery across the East Midlands to the SHA Board
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NHS East Midlands has considered your request and the information it holds. At present, the nature of this question is so wide that collating this information from each PCTs Strategic Plan would exceed the appropriate costs limit as laid out in section 12 of the FOIA. This limit is currently set at £450. We have estimated in order to locate, retrieve and extract it, would take in excess of 18 hours due to the complex nature and length of some of these plans. At the hourly rate of £25 per person per hour as set by regulation 4 of the Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004, this would exceed the costs limit. Therefore, we are unable to disclose information to you in this instance as this would place too high a burden on the resources of NHS East Midlands.
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In accordance with our duty under section 16 FOIA to provide advice and assistance, we would like to make you aware that you may resubmit a narrowed down request for information which can be handled within the 18 hours fees limit.
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Furthermore, there is some publicly available information that we consider would help address this part of your query. However, information that is reasonably accessible to an applicant already is exempt from provision under Section 21 of the FOIA. Each PCT is required to publish its Local operating plan which is an end of year performance report against key performance indicators, on an annual basis. You might therefore wish to have a look at our PCTs websites or contact the PCTs separately for this information. The relevant links have already been provided above.
How is the East Midlands SHA promoting innovation?
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We are very active on innovation, particularly since the legal duty to promote innovation was placed on SHAs in April 2009.
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There are two chief executive sponsors for innovation: the acute lead is Dr Peter Homa, Chief Executive of Nottingham University Hospitals NHS Trust and Andrew Kenworthy, Chief Executive of NHS Nottingham City and NHS Nottinghamshire County.
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We have an innovation leads stakeholder group of one director and one operational lead in each NHS Trust and organisation, totalling 70 people in all. This meets monthly and there is significant two-way information flow between these and the SHA.
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An Annual Innovation Report paper was taken to the SHA Board in May 2010 noting the activities and outcomes from the first year of the legal duty. This is being presented in an electronic report format and will be available before the end of November and will be loaded on our innovation website www.tin.nhs.uk.
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We have hosted innovation masterclasses both this year and last year on the culture for innovation and provided funding for Trusts to undertake a diagnostic of their culture for innovation. http://www.tin.nhs.uk/innovation-nhs-east-midlands/masterclass-making-innovation-happen/.
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We took part in an innovation masterclass with the Department of Health and other SHAs in March 2009, attended and participated in the DH Healthcare innovation EXPO in london in June 2009 where 20 local innovators shared their innovations, some of which are cited in the above document, and we hosted our own sharing Innovation EXPO in November 2009, http://www.tin.nhs.uk/innovation-nhs-east-midlands/east-midlands-innovation-expo-2010/east-midlands-innovation-expo-2009/, which is being followed by a repeat of this at the end of November, http://www.tin.nhs.uk/innovation-nhs-east-midlands/east-midlands-innovation-expo-2010/
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Please also see our Innovating for Excellence Brochure (2009)
Do you have a quality Observatory for your region?
Have any of your PCTs set up enterprise organisations?
The following PCTs are in the process of setting up social enterprises for some of their provider services:
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Derby City PCT
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Leicester City PCT
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Nottingham City PCT
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Northamptonshire PCT
I hope that this information is of use. If you are dissatisfied with the way in which we have dealt with your request you can ask us to review our decision by writing to:-
Mr Moosa Patel
Director of Corporate Affairs
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
