RESPONSE FOI Reference: OPTUM FOI SWL CCG

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Bernard Alexander
6 years ago
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September 2016. I can confirm on behalf of NHS South West Lincolnshire Clinical Commissioning Groups (CCG) supported by Optum Commissioning Support Services, and in accordance with S.

1 , FOI Team Optum Commissioning Support Services South Kesteven District Council Offices St. Peter s Hill, Grantham, Lincolnshire NG31 6PZ 5 th October 2016 Dear Requester FREEDOM OF INFORMATION REQUEST RESPONSE FOI Reference: OPTUM FOI SWL CCG I refer to your s received on 21st September I can confirm on behalf of NHS South West Lincolnshire Clinical Commissioning Groups (CCG) supported by Optum Commissioning Support Services, and in accordance with S.1 (1) of the Freedom of Information Act 2000 (FOIA) that we do hold the information you have requested. A response to each element of your request is detailed below: REQUEST Under the Freedom of Information Act, please could you fill out the following Freedom of Information request with the information for your CCG. Please note that the information provided in response to this request may be partly or wholly re-used unless specified otherwise by the response. 1. Please supply me with your most up to date wound care formulary (please indicate if you do not work from a formulary). 2. Please can you outline how compliance with your formulary is enforced? 3. Please indicate where possible what your average monthly usage of each product is. 4. Can you list the number of wound care products used that are not currently on the formulary? 5. Can you provide usage levels for non-formulary wound care products in each of the last twelve months? 6. How often do you review your wound care formulary and when was this last undertaken? 7. Can you provide an overview of the information you assess when reviewing your formulary? 8. Can you supply the number of tissue viability nurses employed in 2016, 2015, 2014, 2013 and 2012? 9. Can you supply the number of leg ulcer nurses employed in 2016, 2015, 2014, 2013 and 2012? 10. What percentage of your practice nurses received specialist training in wound management in: in 2016, 2015, 2014, 2013 and 2012?

2 11. Can you supply us with the figures for your total spend on wound care products in 2016, 2015, 2014, 2013 and 2012? 12. Can you supply us with the figures for your total spend on compression bandages in 2016, 2015, 2014, 2013 and 2012? 13. Can you supply us with the figures for your total spend on Anti-Microbial wound care products in 2016, 2015, 2014, 2013 and 2012? 14. Can you supply us with the figures for your totals spend hosiery products in 2016, 2015, 2014, 2013 and 2012? 15. Do you have a strategy in place to implement NICE Guideline 179- Pressure ulcers: prevention and management of pressure ulcers 16. Can you provide details on how the NICE Guidelines is implemented and how you monitor compliance? 17. Can you supply the total number of patients in each of the last five calendar years that had i. Level 1 pressure ulcers ii. Level 2 pressure ulcers iii. Level 3 pressure ulcers iv. Level 4 pressure ulcers RESPONSE 1. Wound Management Formulary please see Table Compliance is not enforced. 3. We do not hold this information. 4. We do not hold this information. 5. We do not hold this information. 6. Every 3 years.

3 7. We participate in a collaborative East Midlands Forum in which different groups of Tissue Viability Nurses lead on different new product evaluations and formulary reviews. 8. We do not hold this information. 9. We do not hold this information. 10. We do not hold this information. 11. We do not hold this information. 12. We do not hold this information. 13. We do not hold this information. 14. We do not hold this information. 15. No. 16. All NICE Guidelines are reviewed and implemented through our Prescribing & Clinical Effectiveness Forum. 17. We do not hold this information. I trust that this answers your queries with the information we currently hold, but if we can be of any further assistance please do not hesitate to contact the FOI Team. If you are dissatisfied with the handling of your request, you have the right to ask for an internal review. Internal review requests should be submitted within two months of the date of receipt of the response to your original letter and should be addressed to Optum Commissioning Support Service FOI TEAM South Kesteven District Council Offices St. Peter s Hill Grantham NG31 6PZ If you are not content with the outcome of your complaint, you may apply directly to the Information Commissioner for a decision. Generally, the ICO cannot make a decision unless you have exhausted the complaints procedure provided by the CCGs. The Information Commissioner can be contacted at: Information Commissioners Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF, telephone , mail@ico.gsi.gov.uk All information we have provided is subject to the provisions of the Re-use of Public Sector Information Regulations Accordingly, if the information has been made available for reuse under the Open Government Licence (OGL) a request to re-use is not required, but the licence conditions must be met. You must not re-use any previously unreleased information without having the consent from the CCG. Should you wish to re-use previously unreleased information then you must make your request in writing ( will suffice) to the FOI Lead. All requests for re-use will be responded to within 20 working days of receipt. Your initial request was directed to NHS Arden & GEMCSU to request information on behalf of the four CCGs in Lincolnshire. However, with effect from 1st February 2016, Optum Commissioning Support Services provide Freedom of Information Support to NHS Lincolnshire East, NHS Lincolnshire South and NHS Lincolnshire South West CCGs.

4 Therefore, should you wish to submit further FOI requests, to CCGs in Lincolnshire, please direct them as follows:- Yours faithfully South Lincolnshire Clinical Commissioning Group Lincolnshire East Clinical Commissioning Group South West Lincolnshire Clinical Commissioning Group Lincolnshire West Clinical Commissioning Group FOI Team On behalf of NHS South West Lincolnshire CCG

5 Table 1 7 th Edition May 2015 (Price updated from DT and C&D) WOUND MANAGEMENT FORMULARY S PRODUCT SIZE COST PER ADJUNCTIVE THERAPIES MAGGOTS Maggots (larve) Varying formulations and sizes. (Prices include delivery). * Dependent on product purchased *From CAPILLARY ACTION Advadraw (flat) 5 x 7 cm x 10 cm x 15 cm 1.19 Advadraw (spiral) 0.5 x 40 cm 0.82 SYNTHETIC ADHESIVE TAPE PERMEABLE ADHESIVE TAPE SKIN PROTECTANTS CLEANING SOLUTIONS TAPES Hypafix 5 cm x 5 m cm x 5 m 2.40 Clinipore 2.5 cm x 5 m cm x 10 m cm x 5 cm 0.99 OTHER Cavilon (with 1ml applicator) Tap Water Irripods 25 x 20 ml / box of 5 TRACHEO S Trachi - Dress 60 mm x 82 mm mm x 100 mm 0.74 Permafoam 8 cm x 8 cm 1.25 PACKS (NHS SUPPLY CHAIN) SOFTDRAPE Box of 20 SMALL EJA (43p each) Box of 20 MEDIUM EJA (43p each) Box of 20 EJA (43p STERILE SWABS (PREMIER) LARGE 10 x 10 cm 4 ply (5/pk) PACK SIZE=25 each) ENK Where appropriate, First Line choices are highlighted in bold Drug Tariff Prices May 2015 S PRODUCT SIZE COST PER PRIMARY ALGINATES / HYDROFIBRES ANTIMICROBIAL (see guidelines for use of antimicrobial wound products) HONEY SILVER S WOUND CONTACT LAYER SILVER ABSORBENT ODOUR ABSORBENT S HYDROGELS / HYDROGEL SHEETS Aquacel Extra 5 x 5 cm x 10 cm x 15 cm 4.48 Aquacel 1 x 45 cm (ribbon) 1.83 Sorbsan 5 x 5 cm x 10 cm x 20 cm 3.20 Sorbsan Plus 7.5 x 10 cm x 15 cm 3.10 Inadine (contains 5 x 5 cm 0.33 Iodine) 9.5 x 9.5 cm 0.49 Iodoflex (contains 5g 4.09 Iodine) Flamazine cream 50g 3.85 Medihoney Antibacterial 20g 3.96 medical honey Medihoney Antibacterial wound gel 20g 4.02 Medihoney Gel 5 x 5 cm 2.00 Sheet 10 x 10 cm 4.20 Medihoney Tulle 10 x 10 cm 2.98 Atrauman Ag 5 x 5 cm x 10 cm x 20 cm 2.43 Acticoat Flex 3 5 x 5 cm x 10 cm x 20 cm Silvercel Non Adherent 5 x 5 cm x 11 cm x 20 cm 7.25 Clinisorb 10 x 10 cm x 20 cm x 25 cm 4.03 Activheal 15g 1.41 Hydrosorb 5 x 7.5 cm x 10 cm 2.24 Intrasite Conformable 10 x 10 cm x 20 cm 2.42

6 S PRODUCT SIZE COST PER PRIMARY FABRIC ISLAND ADHERENT Primapore 6 x 8.3 cm x 15 cm x 20 cm x 35 cm 0.95 FILMS C - View 6 x 7 cm x 12 cm x 20 cm 2.36 NON-ADHERENT S LOW ADHERENT S ABSORBENT PAD SUPER ABSORBENTS FOAMS Standard Adhesive FOAMS Specialist Bordered FOAMS Specialist Non Bordered HYDROCOLLOIDS Bordered HYDROCOLLOIDS Thin Atrauman 5 x 5 cm x 10 cm x 20 cm x 30 cm 1.72 Urgotul 5 x 5 cm x 10 cm x 20 cm 8.66 Telfa 7.5 x 5 cm x 7.5 cm x 7.5 cm x 7.5 cm 0.29 SECONDARY Zetuvit E (Sterile) 10 x 10 cm x 20 cm x 20 cm x 40 cm 1.10 Kerramax Care 10 x 22 cm x 20 cm 3.37 Allevyn Adhesive 7.5 x 7.5 cm x 10 cm x 22.5 cm x 17 cm (shaped-sacral) 3.90 Tegaderm Foam 10 x 11 cm (oval) x 13.9 cm (heel) 4.22 Adhesive Tielle Plus 11 x 11 cm x 15 cm x 20 cm 5.39 Allevyn Gentle Border 7.5 x 7.5 cm x 10 cm x 12.5 cm 2.67 Allevyn Gentle 10 x 10 cm x 20 cm 4.01 Duoderm Signal 10 x 10 cm x 14 cm x 19 cm 3.22 Tegaderm Hydrocolloid 10 x 12 cm (oval) 2.33 Comfeel Plus Transparent 5 x 7 cm x 10 cm x 15 cm 3.30

7 S PRODUCT SIZE COST PER MEDICATED ZipZoc One Size 3.13 Viscopaste (PB7) 7.5 cm x 6 m 3.63 Ichthopaste 7.5 cm x 6 m 3.67 RETENTION SUPPORT COMPRESSION 2 LAYER MULTI-LAYER COMPRESSION BANDAGING NOTE: -K bandaging contains latex - Profore bandaging is latex free. **K Plus long for XX long legs COMPRESSION SHORT STRETCH Easifix K (first line) 5 cm x 4 m cm x 4 m cm x 4 m cm x 4m 0.32 Actiwrap (second line) 6 cm x 4 m cm x 4 m 0.80 Clinilite (4.5m unstretched) 5 cm cm cm cm 1.16 COMPRESSION THERAPY K Two (kit) 0 (short) 6.79 K Two (kit) cm (10cm) 8.05 K Two (kit) cm (10cm) 8.06 K-Soft#1 10 cm x 3.5 m (unstretched) 0.45 K-Soft Long #1 10 cm x 4.5 m (unstretched) 0.56 K-Lite#2 10 cm x 4.5 m (unstretched) 0.99 K-Lite Long #2 10 cm x 5.25 m (stretched) 1.14 K-Plus #3 10 cm x 8.7 m (stretched) 2.26 K-Plus Long #3 ** 10 cm x m (stretched) 2.61 Ko-Flex #4 10 cm x 6 m (stretched) 3.00 Ko-Flex Long 4# 10 cm x 7 m (stretched) 3.43 K-ThreeC 10 cm x 3 m (unstretched) 2.79 Profore #1 10 cm x 3.5 m (unstretched) 0.70 Profore #2 10 cm x 4.5 m (stretched) 1.34 Profore #3 10 cm x 8.7 m (stretched) 3.90 Profore L3 10 cm x 8.7 m (stretched) 4.24 Profore #4 10 cm x 2.5 m (unstretched) 3.23 Profore + 10 cm x 3 m (unstretched) 3.66 Actico (cohesive) 10 cm x 6 m 3.33 TUBULAR Clinifast 7.5 cm x 1 m (blue) cm x 3 m (blue) cm x 5 m (blue) cm x 1 m (yellow) cm x 3 m (yellow) cm x 5 m (yellow) cm x 1 m (beige) 1.83

GP Practice Woundcare Formulary

Agreed jointly by Ipswich and East Suffolk and West Suffolk Clinical Commissioning Groups GP Practice Woundcare Formulary Version 28 October 2017 Formulary items should be prescribed wherever possible.