Freedom of Information A

FOI 5988 Response

I wish to make a series of separate requests under the Freedom of Information Act. For convenience, I am including them in one email.

They are as follows:

1. Please confirm or deny whether the local authority holds a contract(s) for the fitting of intrauterine devices and intrauterine systems (IUD/IUS) in

a.General practice Yes/No

b. Contraception and sexual health (CaSH) clinics Yes/No

c.other settings in your local area Yes/No

a. General practice, if confirmed, please supply details of the contract(s)

i. please provide details of the number of practices/clinics signed up to the contract and what proportion this is of the total number of practices/clinics within the local authority area

73 Leicestershire GP practices from a total of 83 (proportion 88%)

ii. please confirm or deny if the contract(s) specifies that healthcare professionals should meet national standards of training in order to fit IUD/IUS

Confirm. The Contract requires that all healthcare professional delivering IUD/S fits hold the national standards of training by 1 October 2016.

iii. please confirm or deny if the contract includes a referral pathway for women wishing to have an IUS/IUD fitted, if it is not available in the practice/clinic where they first request or are prescribed this method of contraception

Confirm. The contracts include a referral pathway to the specialist sexual health service for specific criteria including patient choice for a female practitioner if unavailable at the provider, following a failed IUD/S insertion or concerns about patients’ long term medical conditions or other disorders. In addition providers have opportunity to subcontract for this service with written permission of the Local Authority.

iv. please confirm or deny whether the contract includes the funding of the unit cost for the IUS/IUD

Confirmed.

v. please confirm or deny whether the contract includes the funding of IUS for non-contraceptive purposes

Denied. The contract excludes IUS for non-contraceptive services.

b. Contraception and Sexual Health clinics, if confirmed

i. please confirm or deny if the contract(s) specifies that the service provides training for HCPs to fit IUS/IU Ds to national standards

Confirmed. The Specialist sexual health service contract for Leicestershire & Rutland includes provision of training for HCP to achieve FSRH LoC in IUD/S. A charge may be levied for this training.

c. Other settings in your local area

i. please confirm or deny if the contract(s) have been subcontracted and if so give details

Denied.

2. Please confirm or deny whether the local authority holds a list of practices and clinics which employ staff trained to fit IUD/IUS in the local authority area

a. If confirmed, please supply details of the list

The local authority has a list of General Practices that are approved to deliver IUD/S. These are attached below.

C82001 / Kibworth Health Centre
C82002 / Countesthorpe Health Centre
C82003 / Greengate Medical Centre
C82007 / Castle Donington Surgery
C82009 / Market Harborough Medical Centre
C82011 / Pinfold Medical Practice
C82012 / Ibstock House Surgery
C82013 / Bushloe End Surgery
C82014 / Ashby Health Centre
C82016 / Long Clawson Medical Practice
C82017 / Measham Medical Unit
C82021 / The Central Surgery
C82025 / The Wycliffe Medical Practice
C82026 / Bridge Street Medical Practice
C82027 / The Old School Surgery
C82028 / Markfield Medical Centre
C82032 / Anstey Surgery
C82034 / Quorn Medical Centre
C82035 / Park View Surgery
C82036 / Dr Kilpatrick & Partners, The Old School Surgery
C82038 / Latham House Medical Practice
C82039 / Kingsway Surgery
C82041 / Rosebery Medical Centre
C82042 / County Practice Syston
C82043 / Station View Health Centre
C82045 / Whitwick Road Surgery
C82047 / Maples Family Medical Practice
C82048 / The Rosemead Drive Surgery
C82051 / Newbold Verdon Medical Practice
C82052 / Whitwick Health Centre
C82054 / The Burbage Surgery
C82055 / The Limes Medical Centre
C82056 / Glenfield Surgery
C82062 / Barrow Health Centre
C82064 / Forest House Surgery
C82066 / Forest House Medical Centre
C82067 / The Croft Medical Centre
C82068 / Northfield Medical Centre
C82070 / Woodbrook Medical Centre
C82071 / Wigston Central Surgery
C82072 / Broom Leys Surgery
C82075 / Castle Mead Medical Centre
C82078 / The Jubilee Medical Practice
C82079 / South Wigston Health Centre
C82082 / The Centre Surgery, Hinckley Health Centre
C82091 / Birstall Medical Centre
C82093 / The Orchard Medical Practice
C82095 / Alpine House Surgery
C82096 / Hugglescote Surgery
C82098 / Hazelmere Medical Centre
C82102 / Manor House Surgery
C82103 / Dishley Grange Medical Practice
C82106 / The Family Practice
C82108 / Long Street Surgery
C82109 / The Husbands Bosworth Surgery
C82111 / Medical Centre, Loughborough University
C82112 / Severn Surgery
C82119 / Narborough Health Centre
C82120 / Hepplewhite & Virmani T/A Whitwick Health Centre
C82121 / Heath Lane Surgery
C82123 / Belvoir Vale Surgery
C82600 / The Banks Surgery
C82611 / The Masharani Practice, Lutterworth Health Centre
C82627 / Silverdale Medical Centre
C82631 / Enderby Medical Centre
C82644 / Highgate Medical Centre
C82650 / Desford Medical Centre
C82655 / Coalville Health Centre
C82663 / Dr Shepherd's Surgery
C82678 / The Leicester Medical Group, Thurmaston Health Centre
C83653 / The Stackyard Surgery
Y00252 / Cottage Surgery
CBS001 / Hinckley & Bosworth Medical Alliance

b. If confirmed, what proportion is this of the total number of practices/clinics in the local authority area

88%

3. Please confirm or deny whether the local authority has formal arrangements in place to fund training for healthcare professionals to fit IUD/IUS for 2014/15

Denied. The local authority does not have arrangements in place to fund training for HCP to fit IUD/S.

a. If confirmed, will these funding arrangements be continued for the financial year 2015/16?

Not applicable

b. If denied, what organisation is responsible for the commissioning of training for the fitting of IUD/IUS in your area?

The contracted providers are responsible for funding training for fitting of IUD/Ss.

4. Please confirm or deny whether the local authority monitors the number of healthcare professionals qualified to deliver training in the fitting and removal of IUD/IUS in the local area

The local authority does not have a formal process to monitor the number of HCP qualified to deliver training in the fitting of IUD/S in the local area.

a. If confirmed, please supply details of the monitoring arrangements

Not applicable

5. Please supply details on the proportion of IUD/IUS fitting in your local area which is carried out in (a) general practice, (b) CaSH clinics and (c) other settings

We hold the CaSH provision data for 2013 (from national SHRAD data 2013) however we do not hold a full calendar year data for GP provision for 2013; therefore we are unable to provide a proportion.

Public interest arguments

There is a clear public interest for disclosure of this information, in that disclosure will:

• Further the understanding of and participation in the public debate of issues of the day, and will allow a more informed debate of issues under consideration by public bodies

• Promote accountability and transparency by public authorities for decisions taken by them

• Promote accountability and transparency in the spending of public money

• Allow individuals to understand decisions made by public authorities affecting their lives and, in some cases, assisting individuals in challenging those decisions

Further to Section 16 of the Act (duty to provide advice and assistance), if you have any queries relating to these requests or need clarification on any issue, I would be grateful if you could contact me.

I observe the Ministry of Justice’s guidance on fees which states “if a request is particularly wide ranging, and therefore likely to be expensive to answer, the authority should consider discussing this with the applicant and see if the question could be refined to a more manageable level, or resubmitted in part, to bring it below the appropriate limit.”