Questions asked in 2008

January 2008

  • Plans for isolating patients in the event of a pandemic of virulent influenza
  • Details of hospital's contract with GPs and the performance indicators written into contract
  • How many employees were eligible to have their maternity pay recovered?
  • Have you capped the number of women booked to have babies in your maternity unit?
  • On how many occasions have you had to close your labout unit because they were full?
  • What alternative arrangements have been made for when your materity has been closed?
  • Have you seen your funding for maternoty services reduced over the last five years?
  • List the number of midwives and other support staff employed (last five years)
  • On average, how much time do midwies spend with women during and after labour?
  • Are you satisfied that you have sufficient capacity for the expected level of births?
  • What % of births are by caesarean section and by home birth?
  • Questionnaire covering customer satisfaction
  • How many urine cultures were performed (Q1 to Q3 2007/08)?
  • How many urine cultures were ante-natal (Q1 to Q3 2007/08)?
  • How many non ante-natal urine cultures were from men (Q1 to Q3 2007/08)?
  • How many female non ante-natal cultures grew a bug / mixed growth / NG / NSG?
  • How many urine samples were taken from catheterised women?
  • How many catheterised female samples grew a bug / mixed growth / NG / NSG?
  • How many male samples grew a bug / mixed growth / NG / NSG?
  • How many wards does the Trust have?
  • How many of the wards are considered to be mixed sex wards?
  • How many of the wards are considered to be single sex wards?
  • How many wards did the hospital have at the end of the financial year 2001/02?
  • How many wards at the end of 2001/02 were considered mixed sex wards?
  • How many wards at the end of 2001/02 were considered single sex wards?
  • How many wards did the hospital have at the end of the financial year 2005/06?
  • How many wards at the end of 2005/06 were considered mixed sex wards?
  • How many wards at the end of 2005/06 were considered single sex wards?
  • Name of IT manager
  • Name and contact details of ICT / IT lead


February 2008

  • Number of occasions the maternity unit was closed to admissions due to capacity
  • Which patients are routinely screened for MRSA and C Diff in the Trust?
  • What is the Trust policy for dealing with patients infected with MRSA and C Diff?
  • Which wards / units are deemed low, moderate or high risk in relation to HAIs?
  • Is there a written antibiotic policy or guidelines for the Trust? Is compliance monitored?
  • Is training provided for staff on antibiotic use and measures to prevent infection outbreaks?
  • Does your Trust follow up / investigate deaths associated with HAIs?
  • How many cases of MRSA and C Diff been found in staff (last five years)?
  • Does your Trust routinely screen staff for MRSA and C Diff?
  • Does your Trust have a dedicated isolation wards for patient for a MRSA / C Diff outbreak?
  • How many times have you closed wards due to outbreaks of HAIs (last five years)?
  • Please list all HAIs which are covered by a voluntary reporting scheme
  • Do you record data on incidents of HAIs outside of hospitals?
  • Copies of Estates and Facilities management strategies
  • Are patients undergoing surgery tested for MRSA if they had stayed in the hospital before?
  • Copy of the prescribing formulary for the Trust and PCTs as well as other corporate documents
  • Number and details of any date protection breaches reported by staff or public (2007)
  • Are PALS staff in the hospital given free tea and coffee during their working day?
  • Details of equipment recorded lost or stolen (2005/06 to 2007/08)
  • Details of the most recent patient record availability audit (OP, elective and A&E)
  • Copy of IM&T strategy, ICT structure and IM&T business plan
  • How many cases of foetal alcohol syndrome have been diagnosed (last five years)
  • Name and contact details for records, office and service managers
  • Patient information during antenatal admissions to Joan Booker ward
  • Details of organisations that the Trust has purchased goods and services (last three years)
  • Copy of clinical governance / quality monitoring reports on independent mental health providers


March 2008

  • How many patient places do you have in admission units and average occupancy rate?
  • How many patients were taken to admission units per year (last five years)?
  • What is the length of time per stay of patients in admission (last five years)?
  • What recent advice have you received from the DoH on optimum stay in admission units?
  • How many patients have spent more than 4 hours in A&E each year (last five years)?
  • List of all equipment with costs purchased by the Trust (2005/06 and 2006/07)
  • Number of wards in which single sex accommodation are bays within mixed sex wards
  • Do all of the bays have three solid walls?
  • Are curtains or partitions used to divide bays on any wards?
  • Would a patient in a bay have to walk past a bay of the opposite sex for toilet / washing?
  • Are there any toilet or washing facilities which you designate as either male / female?
  • Estimate of the number of privately-funded cosmetic surgery with remedial NHS treatment
  • Number of patients contracting MRSA and C Diff (2007)
  • Average hospital bed occupancy for general and acute beds (last year)
  • What is the ratio of isolation beds to total beds within the Trust?
  • What % of these isolation beds are located in single rooms / single with en suite facilities?
  • What % of the isolation bedsare used for isolated infected patients?
  • Will all the wards in the Trust have been deep cleaned by the end of March 2008?
  • Have you bid for extra funding from the DoH to combat HAIs (last year)?
  • Have you received extra funding from the DoH to combat HAIs (last year)?
  • Do you routinely test your staff with diarrhoea for C Diff?
  • If they test positive, are they advised not to work?
  • Do you have a policy on the isolation of infected patients?
  • Is the operation of the isolation policy audited and who by?
  • Do you have the capability for diagnosis of C Diff infection 24/7?
  • Do you have specialist staff to tackle infection control? How many and what are they?
  • What is provided at the entrance to your infection wards for hand sterilisation?
  • Do you use hydrogen peroxide vapour generators or steam cleaning to tackle C Diff?
  • What constitutes an outbreak of C Diff that you would report? Number of cases / timescale
  • How many claims of a public liability nature were received by the Trust (2005 to 2007)?
  • How many claims of a employers liability nature were received by the Trust (2005 to 2007)?
  • Detail the level of insurance excess set on each policy
  • List all the site locations for maternity (consultant and nurse-led) and neonatal care
  • Number of deliveries at each maternity site (2006/07)
  • List any new maternity and neonatal units opened since 2000
  • List any maternity and neonatal units closed since 2000
  • List any maternity and neonatal units the Trust is planning to close in the future
  • For each maternity and neonatal unit, how many cases of MRSA and C Diff (2001/02 to 2006/07)
  • Number of women have had alcohol detoxification during pregnancy (last five years)
  • What % GP referrals for first outpatient appointments are made through Choose and Book
  • Has your Trust phased our paper releated referrals? For which specialties?
  • Does you Trust plan to phase out paper referrals in the future? If so when?
  • Has the phasing out of paper referrals been discussed and agreed with LMC?
  • Which of your services available through Choose and Book allow referral to named consultants
  • List of the diagnostic and therapeutic committee members and meeting dates


April 2008

  • Do you a system in place to ensure ongoing physiotherapy for muscular dystrophy?
  • Do you have physiotherapists for children and adults trained in muscular dystrophy?
  • Do you provide financial support for physiotherapists who would like training in MD?
  • Do you have a system in place to ensure rapid physio response for adults with MD?
  • What is the current waiting time for children and adults from referral to physio clinic?
  • Contact details for CEO, chairman and Director of Nursing
  • Membership of the DTC and a copy of the Trust's drugs formulary
  • Bank details of the Trust for payment of an invoice
  • Copy of IM&T strategy and IM&T plan
  • Total number of calendar days during which the hospital was place on highest alert level
  • Name and contact details of person responsible for mechanical and electrical engineering
  • Number of bed days lost due to delayed transfer of care (2006/07 and 2007/08)
  • Number of people employed who were later found to be illegal immigrants
  • Monthly hospital admissions for ST and non ST segment elevation myocardial infarctions
  • Copy of the Trust's annual turnaround report
  • Contact details of Head of ICT, Chief Technical Officer, Application Manager, Hardware Manager
  • Do you follow the DoH guidance in advertising the hospital travel costs scheme in clinic areas?
  • Do you follow the guidance advertising in A&E?
  • Name of person responsible for paying cash out of hours for travel costs
  • Do you pay all the car parking costs in accordance with the guidelines?
  • What do you pay per mile for reimbursement of car mileage?
  • If no, what is your current policy and why do you not confirm to national guidelines?
  • How many items of property reported stolen by patients during their stay (2007/08)?
  • How many of the stolen items were recovered and the outcome of each case?
  • Number of items reported stolen (2006/07)
  • Are many patients from Woking now required to travel to Ashford for treatment / clinics?
  • How many admissions were there to the neonatal unit (April to Sept 2007)?
  • How many admissions at 27 weeks and under were there to neonatal (April to Sept 2007)?
  • Is your neonatal unit designated at level 1, 2 or 3?
  • How many admissions to the neonatal unit by weight?
  • How many cots is your neonatal unit designed for?
  • How many admissions to neonatal intensive care (April to September 2007)?
  • How many full time equivalent neonatal nurses were employed (2006 and 2007)?
  • How many full time equivalent neonatal consultants were employed (2006 and 2007)?
  • As a % of 2001 BAPM standards, what were the neonatal nursing levels (2006 and 2007)?
  • How many in-utero transfers out of hospital inside and outside neonatal network?
  • How many ex-utero transfers out of hospital inside and outside neonatal network?
  • How many babies that were transferred out were for clinical, repatriation or capacity issues?
  • How many babies that were transferred in were for clinical, repatriation or capacity issues?
  • What was the average neonatal unit occupancy rate for each month (2006 and 2007)?
  • For how many days was the neonatal unit closed to new admissions (Apr to Sep 2007)?
  • How many neonatal cot days were provided in 2006 and 2007?
  • Cost to provide medication on prescription that goes unused (last five years)?
  • Number of significant event audits recorded where patient incorrectly declared dead
  • Explanation for incorrect death diagnosis
  • Brief details of what happened to patient following incorrect death diagnosis
  • Brief details of any remedial action taken following the incident
  • Total number of days that your hospital was on black / red alert (last five years)
  • What was the duration of each alert?
  • What were the reasons for you going on black and red alert?
  • What procedure does your hospital when going into black alert mode?
  • What is the impact on patient services of going into black alert mode?
  • What recent advice have you received from the DoH on optimum health occupancy?
  • Who is your Director of Nursing? Head of Midwifery? International Recruitment Manager?
  • Number of occasions on which you have had to call pest controllers (since 2006)
  • For each occasion state type of insect or animal that had to be removed
  • How many inpatients suffered deep vein thrombosis (2007/08)?
  • How may inpatients died from deep vein thrombosis (2007/08)?
  • Is your Trust aware of the CMO's recommendations on prevention of VTE?
  • Is your Trust aware of NICE guidelines on avoiding DVT?
  • Does your Trust undertake a documented mandatory risk assessment on patient admission?
  • Does your Trust have in place a multi-disciplinary thrombosis committee for VTE?
  • How many full and part time radiotherapy staff do you have currently?
  • How much funding has your radiotherapy received and from which sources (last five years)
  • Do you currently have a waiting list for radiotherapy treatment?
  • If patients are required to wait longer that four weeks, can they choose an alt venue?
  • What consideration is given to the effects of prolonged waiting times for radiotherapy?
  • Is the patient made aware of the effects extended waiting may have on their condition?
  • Do you currently have a waiting list for MRI scans?
  • If patients are waiting for longer than 13 weeks for MRI, can they choose and alt venue?
  • What consideration is given to the effects of prolonged waiting times for a MRI scan?
  • Information relating to staff sharing log-in indentifications and passwords
  • How many neonatal deaths (birth to 28 days) have been recorded (2002 to 2007)?
  • For each neonatal death, provide all documentation
  • In how many neonatal deaths were staff shortages during labour a contributing factor?
  • How many maternal deaths were recorded (2002/03 to 2006/07)?
  • For each maternal death, provide all documentation
  • How many full time midwives has the Trust employed (200/03 to 2006/07)?
  • In how many maternal deaths were staff shortages cited as a contributing factor?
  • Does your Trust use onsite / offsite decontamination services for surgical instruments?
  • Does your Trust use a private company for the decontamination of instruments?
  • Expenditure on decontamination services for surgical instruments (2007/08)
  • Number of operations in 2007 that were cancelled due to unsuitably cleaned instruments
  • Number of occasions in 2007 where instruments were broken by decontamination service
  • Number of occasions in 2007 where instruments were not properly cleaned by service
  • Number of occasions in 2007 where instruments were returned late by service


May 2008

  • What do you currently pay per minute for telephonic translation?
  • Who is your current telephonic translation service provider?
  • Would you be interested in a collaborative face to face service contract?
  • Total number of non-commercial R&D projects ongoing (2002/03 to 2006/07)
  • Total number of research publications (2002/03 to 2006/07)
  • Total amount of external, non-commercial R&D funding (2002/03 to 2006/07)
  • Copy of the financial services team structure charts
  • Number of staff within the Trust
  • Structure of the Trust
  • Chief executive contact details
  • Chief finance officer / head of finance contact details
  • Head of ICT contact details
  • Head of Estates contact details
  • List of doctors and other staff that make up the DTC
  • Does the Trust have a policy for venepuncture?
  • How many patients were given radiotherapy treatment for cancer (what % of all cancer patients)?
  • What was the average waiting time for adjuvant radiotherapy treatment (2007/08)?
  • How many linear accelerators (linacs) does your Trust have and what is their age?
  • How many radiotherapy fractions did each linac deliver (2007/08)?
  • Have you awarded a Trust-wide bonus for staff members this year?
  • How much was awarded and what was the criteria?
  • Has the Trust acheived a surplus / deficit in the most recent year?
  • Have any clinical or diagnostic services been closed in each of the last two years?
  • Quantity, manufacturer and supplier of desktop PCs in the Trust
  • Quantity, manufacturer and supplier of laptop PCs in the Trust
  • Quantity, manufacturer and supplier of servers in the Trust
  • Quantity, manufacturer and supplier of printers in the Trust
  • Quantity, manufacturer and supplier of thin client PCs in the Trust
  • Did you use a chlorine containing agent during the deep clean?
  • Did you use hydrogen peroxide vapour during the deep clean?
  • Does your Trust clean the rooms or bed spaces of C Diff patients at least daily with chlorine?
  • Does your Trust clean commodes and bathroom areas of C Diff patient each day?
  • Does your Trust terminally clean a bed space after the discharge of a C Diff patient?
  • Does your Trust pay bonuses in connection with performance against targets?
  • What type of bonus is given (cash or in kind) and how much was paid out for each target?
  • How many staff were given bonuses (2007/08 to date)?
  • What was the highest amount that was paid out as a bonus to an individual?
  • List all site locations at which you have an A&E department and state the type
  • Number of attendances at each A&E department (2007/08)
  • New A&E departments that have opened (since 2000)
  • A&E departments that have closed (since 2000)
  • A&E departments that are planned to close in the future
  • Contact details for the Head of Estates
  • MRSA and C Diff figures (2007 and 2007/08)
  • Current MRSA statistics at Ashford Hospital
  • List all the hospital services which patients, staff and visitors are charged to access
  • How much does the Trust charge for these services (and any changes in last three years)
  • Gross income received from the services (last three years)
  • List all categories of patient, staff and visitor which are exempt from charging for these services
  • Do charges cover all the cost of a particular service or do they provide a profit for the Trust?
  • What have any profits from services in the last year been used for?
  • Have the number of hospital services being charged for increased / decreased (last three years)?
  • How are patients informed about the hospital charges which they can expect?
  • What guidance have you received from the DoH about the number and level of charging?
  • Do other organisations charge for services on the hospital site?
  • List any additional ways in which the Trust raises revenue and how much is raised?


June 2008

  • Does the Trust have a formal policy governing the laundering of nurses' uniforms?
  • Are nurses' uniforms laundered on site?
  • If so, at what temperature are they washed?
  • If not, are they sent to an outside laundry to be processed?
  • Are nurses allowed to wash their uniforms at home?
  • If uniforms are laundered by an outside contractor, what guidance does the Trust give?
  • If uniforms are laundered by nurses at home, what guidance does the Trust give?
  • Name of external law firms who advised on the Trust's energy management scheme
  • List all the non-medical reasons for which operations were cancelled (2007/08)
  • For each cancellation reason, how many operations were cancelled (2007/08)?
  • How many patients had their operation cancelled more than once (2007/08)?
  • What was the highest number of times a patient had their operation cancelled (2007/08)?
  • How many A&E admissions were alcohol related (last three years)?
  • How many alcohol related admissions resulted in physical / verbal assaults?
  • How many alcohol related admissions resulted in damage to hospital property?
  • How many alcohol related admissions to A&E had a subsequent ward admission?
  • Expenditure on agency nursing (2007/08)
  • Single biggest payment for a single agency nursing shift and grade of nurse
  • Expediture on agency doctors (2007/08)
  • Single biggest payment for a single agency doctor shift and area of medicine
  • How many hours to lose and junior doctor posts are needed to meet 48 hour per week target
  • Copy of strategy on haematological cancer
  • Development of new services or treatments offered (or existing service development)
  • What care pathways are currently in place or being implemented next year?
  • What cancer networks are currently available through the SCT?
  • Name of your SCT cancer lead or senior staff for cancer
  • Expenditure on ICT contracts in excess of £20,000
  • Copy of corporate business plan 2008/09 and ICT strategy 2008/09
  • How many complaints against named consultant and ongoing proceedings?
  • Information on the tender process for applying for registration to preferred supplier list
  • Key contact information
  • How many eligible patients access revascularisation within 30 minutes of arrival?
  • Details of drug submission to the Trust's drug formulary
  • Number of children (<18) with cancer from Addlestone admitted to Trust (last 10 years)
  • Number of adults with cancer from Addlestone admitted to Trust (last 10 years)
  • Number of cancer patients from named streets in Addlestone
  • Copy of the Trust's drug formulary and last minutes of DTC
  • Contact for aural rehabilitation / hearing therapy
  • Contact for literature on litho and digital printing services
  • Copies of capital and estates plans / strategies
  • For how many days was the Trust place done on black alert (2006 to 2008)?
  • For each black alert, indicate the dates and reason for the alert
  • When the hospital is placed on black alert, what information is sent to local PCTs?
  • When the hospital is placed on black alert, what information is sent to local GPs?
  • Copy of discharge policy
  • How many serious untoward incidents (SUIs) (2007)?
  • Details of each SUI that took place (MRSA, C Diff, wrong treatment, equipment failure)
  • How many SUIs resulted in death (2007)


July 2008

  • What rheumatology services do you provide?
  • Do you have anuy nurse-led clinics for rheumatology?
  • Names of senior rheumatology staff (consultants or lead nurses)
  • Where do your rheumatology referrals come from?
  • Do you have any current planned service developments for rheumatology?
  • Do you have any strategy documents for rheumatology or action plans?
  • SUI details (2007)
  • SUI details (2008 to date)
  • Is there a turnaround plan produced by the Trust? Was a consultancy firm involved?
  • Please state how many patient changing rooms in total you have in your Trust
  • Please state how many changing rooms are single or mixed sex
  • Does your Trust have any mixed sex changing rooms without individual cubicles?
  • Does your Trust have any single sex changing rooms without individual cubicles?
  • Has your Trust received any complaints regarding patient changing rooms (last year)?
  • Does your Trust ever require patients to change clothes behind curtains by their bed?
  • Names of A&E department with / without a paediatric unit
  • Capacity of A&E departments without a paediatric unit
  • Details of a ward refurbishment which has led to an increase in single rooms on a ward
  • Details of a ward refurbishment which will lead to an increase in single rooms on a ward
  • Expenditure on private taxi for staff journeys (2006/07 and 2007/08)
  • Expenditure on private taxi for patient journeys (2006/07 and 2007/08)
  • Three most expensive private taxi journeys for staff and patients
  • Does that Trust have a contract with private taxi companies?
  • Number of patients treated with knife injuries (2006 to 2008)
  • Details of pest infestation (2005 to date)
  • Number of patients recorded as homeless on admission to hospital (last five years)
  • Trust protocol on patient pathways when the patient is identified with no fixed abode
  • Number of patients with no fixed adobe on discharge (last five years)
  • Number of patients with no fixed adobe as well as no relative or carer
  • Names of key people in the Trust
  • How many bariatric beds, trolleys, chairs, operating tables in the Trust?
  • Cost of bariatric beds, trolleys, chairs, operating tables in the Trust
  • Expenditure on the hire of bariatric equipment (2006/07 and 2007/08)
  • Contact details for the Chief Executive
  • Number of patients under 18 admitted / treated for stab wounds inflicted by another person
  • Contact details for the Head of Communications
  • Number of clinical and medical staff formally disciplined for alcohol / drugs offences
  • Trust guidance on how long staff should refrain from alcohol / drugs before returning to work
  • Copy of Trust turnaround plan (2006/07)


August 2008

  • Contact details for Chief Executive, Head of Finance, Head of IT, Head of Procurement
  • Does your hospital have a car park for patients?
  • Does your hospital have any plans to build / create a car park for patients in the future?
  • Is the car park managed by an outside contractor?
  • When is the contract up for renewal?
  • If you have an hourly rate for parking, how much is it?
  • Is there a cap / maximum parking charge?
  • Do some or all of the cancer patients visiting the hospital qualify for free parking?
  • Which cancer patients visiting the hospital qualify for free parking?
  • How does the free parking scheme operate?
  • Do some or all of the cancer patients visiting qualify for discounted parking / exemptions?
  • Which cancer patients qualify for discounted parking / exemptions?
  • How does the discount / exemption scheme operate?
  • How are cancer patients informed of the free / discounted parking schemes?
  • Does one person have specific responsibility for informing patients about the scheme?
  • Who has responsibility for telling patients about the scheme?
  • Who generally tells patients about the scheme?
  • Is the patient parking scheme official or discretionary?
  • Do some or all of the relatives / prime visitors to the hospital qualify for free parking?
  • Which relative / visitors to the hospital qualify for free parking?
  • How does the scheme operate? How do visitors claim the free parking?
  • Do some or all of the relatives / prime visitors qualify for discounted parking / exemptions?
  • Which relatives / prime visitors to the hospital qualify for discounted parking / exemptions?
  • How does the discount / exemption scheme operate?
  • How are relatives / prime visitors informed of free / discounted parking scheme?
  • Is the visitor parking scheme official or discretionary?
  • Do you collect feedback on your parking costs and free / discount schemes you offer?
  • Does you plan to introduce free parking and discount / exemption scheme for cancer patients?
  • Does your hospital inform patients about the Hospital Transport Costs Scheme (HTCS)?
  • Which patients are informed about the HTCS?
  • How are cancer patients informed of the HTCS?
  • Do you have a senior manaer or board level director responsible for managing HTCS?
  • Do you have reserved car parking spaces for cancer patients?
  • Did you consult disabled people in the development of you car parking policy?
  • Did your hospital review its parking charges after DoH guidance issued in 2006?
  • Total number of violent incidents recorded on hospital grounds (2006 and 2007)
  • Of the total violent incidents, how many were reported to police?
  • Of the total violent incidents, how many were recorded as involving a weapon?
  • Of the total violent incidents, how many were recorded as causing injury?
  • Number of patient falls in hospital by age, gender, hospital, ward (July 2007 to date)
  • How many staff found to be breaking data privacy rules / laws (last five years)?
  • How many staff reprimanded for breaking data privacy rules (last five years)?
  • Guidelines on undertaking disciplinary action against staff who break data privacy rules
  • What action is the Trust taking to guard against future breaches of data privacy rules?
  • How many women that have been subject of genital cutting were treated at the Trust?
  • Do you have any management schemes for GP referrals?
  • What services fo you operate referrals for chronic kidney disease, dermatology, minor surgery?
  • What % of referrals from GPs were considered inappropriate (last year)
  • Are you reviewing your referral management schemes?
  • Do you plan to implement any new referral management schemes in the next year?
  • The legal spend for named projects (external law firms advising the Trust)
  • Capital value of named project
  • Cancer patients from Chertsey
  • Cancer patients from Byfleet
  • Cancer patients from Weybridge
  • Expenditure on communications and PR (since 2000)
  • Name of external agencies to handle Trust communications / PR
  • Start date of use of external agencies to handle Trust communications / PR
  • Contract value of external agencies to handle Trust communications / PR
  • Number and WTE neurologists, neuropsychiatrists, neuropsychologists, paeds and elderly
  • How many epilepsy nurse specialists (number and WTE)?
  • How many general neurology clinics are held each week?
  • How many specific epilepsy clinics are held each week?
  • Do you have any transistion services for children with epilepsy?
  • Average waiting times for standard EEG, ambulatory EEG, MRI, CT, videotelemetry
  • Average waiting time for patients with suspected epilepsy to see neurologist / specialist
  • % of people with epilepsy that have a written care management plan
  • % of patients referred to neurologist presenting with seizure symptoms to A&E
  • Contact details of epilepsy lead
  • Number of babies born affected by maternal use of drugs / addiction (last five years)
  • Number of neonate withdrawal symptom from maternal use of drugs / addiction (last five years)
  • Expenditure on interpreting services (last two financial years)
  • Names and amounts paid to contractors that provide interpreting services to the Trust
  • Population covered by Trust
  • Historical records held by Ashford Hospital for Staines Boys Home (1900s to 1920s)
  • Number of babies born with foetal alcohol syndrome
  • Job descriptions for band 4, 5 or 6 clinical audit positions
  • Were any of the clinical audit posts matched under Agenda for Change?
  • What was the Whitley grade for each clinical audit post prior to matching?
  • What national profile were the clinical audit posts matched to?
  • Current contracts for cleaning or housekeeping (since 2000)
  • Previous contracts for cleaning or housekeeping (since 2000)
  • Contract details for window and doors
  • Do you have a diabetic department?
  • Do you fit insulin pumps (CSII) for adults and children?
  • How many new pumps have you fitted (last three years)?
  • What training do patients receive after starting insulin pump therapy?
  • On how many occasions has the Trust lost personal data (since 2007)?
  • On how many occasions has the Trust received reports of data breaches (since 2007)?
  • What disciplinary actions was taken against staff following data breaches?
  • Planned expenditure on electricity and gas (2007/08)
  • Expenditure on electricity and gas (2007/08)
  • From which budget was any overspend on electricity / gas taken from?


September 2008

  • Details of the proposed mortuary in Addlestone
  • Local population broken down by ethnicity (2007/08)
  • % and number of workforce by ethnicity (2007/08)
  • % and number of workforce who are BME (2007/08)
  • % and number of workforce who are white (2007/08)
  • % of medical consultants who are BME (2007/08)
  • % of Trust board members who are BME (2007/08)
  • % of those on Agenda for Change who are BME by payband (2007/08)
  • Number and % of total workforce who are subject to disciplinary procedure
  • Number and % of total workforce who are involved with grievance procedure
  • Number and % of total workforce who are involved with bullying and harassment procedure
  • Number and % of total workforce who are subject to capability procedure
  • Number and % of total workforce who are lodging employment tribunal claims
  • Number and % of total workforce who are made redundant
  • Number and % of total job applicants, shortlisted and successful who were BME
  • % of BME and white staff promoted and receiving training and development
  • Evidence of assessment and monitoring of all policies for race equality
  • Evidence of monitoring BME staff in post, training and promotion
  • Evidence of monitoring BME staffwho benefit / suffer through performance assessment
  • Evidence of monitoring BME staff subject to grievance / disciplinary procedure
  • Evidence of the number of BME staff that cease employment annually
  • Evidence of BME staff provided with opportunities for professional training / secondments
  • Evidence of under-representation of the uptake of professional training by BME
  • Evidence of mentoring scheme provided by senior leaders for BME staff
  • Evidence of processes to track career progression of BME staff
  • Evidence of BME population accessing services equitably
  • Evidence of action taken where services not equitably accessed by BME staff
  • Evidence of consultation with BME communities regarding service provision / change
  • Evidence of provision of interpreting services for BME patients
  • Evidence of ethnic monitoring data collected for all patients
  • Evidence of health needs assessments of BME communities
  • Copy of Race Equality Scheme
  • Number of mental illness patients that were registered on Care Programme Approach
  • Number of patients moved from Care Programme Approach (2007/08)
  • How many patients went though Care Programme Approach change (April 2008 to date)
  • Expenditure for electricity (2005/06 to date)
  • Expenditure for gas (2005/06 to date)
  • Expenditure for petrol (2005/06 to date)
  • Expenditure for oil (2005/06 to date)
  • Overall budget for energy bills (last three years)
  • Energy budget for 2008/09 and is it expected to be exceeded?
  • Value of invoices raised to overseas visitors (last three years)
  • Value paid for invoices raised to overseas visitors (last three years)
  • Value written off for invoices raised to overseas visitors (last three years)
  • Value outstanding for invoices raised to overseas visitors (last three years)
  • How much bad debt provision has been put aside for invoices raised to overseas visitors
  • Value outstanding for invoices raised to overseas visitors by country
  • Value written off for invoices raised to overseas visitors by country
  • How many overseas patients were invoiced by the Trust (last three years)?
  • How many overseas patients have sums outstanding (last three years)?
  • How many overseas patients have sums written off (last three years)?
  • Value of A&E activity of overseas visitors costed at National Tariff (last two years)
  • Cost of interpreting services (last three years)
  • How many births did the Trust deliver (last three years)?
  • How many births a year was the Trust's maternity unit designed for?
  • Expenditure on cancer drugs (2005/06 to 2007/08)
  • Number of cancer patients treated (2005/06 to 2007/08)
  • Number of FCEs for cancer treatment (2005/06 to 2007/08)
  • Expenditure on each cancer drug (2007/08)
  • Total volume of cancer drugs purchased (2005/06 to 2007/08)
  • Expenditure on salary overpayments to staff (last three years)
  • How much money has been recovered from salary overpayments (last three years)?
  • How much money is outstanding from salary overpayments (last three years)?
  • How much money has been written off from salary overpayments (last three years)?
  • How much bad debt provision has been put aside for salary overpayments?
  • How many staff have received salary overpayments (last three years)?
  • Copy of policy covering newborn and 6-8 week physical exams for hip dysplacia
  • Copy of 2007/08 annual report
  • Name of the education centre manager
  • Copy of 2007/08 annual report
  • Copy of Clinical Governance report 2007/08
  • Name of Chief Executive
  • Name and title of person responsible for Corporate Social Responsibility (CSR)
  • Name and title of person responsible for Local Area Agreement (LAA)
  • Name and title of person responsible for data security and governance (plus copy of policy)
  • Name and title of person responsible for shared services
  • Name and title of person responsible for power consumption
  • Copy of current corporate plan
  • Name of your childcare voucher supplier
  • Commission fee paid to current childcare voucher supplier
  • Number of employees using childcare voucher scheme
  • Contract end date and date to review the childcare voucher scheme
  • Contact details for Executive and Non-Executive Directors (also IM&T, HR and compliance)
  • Contact details for ICT
  • Details of contracts awarded to Humana (last three years)
  • Details of other contracts awarded following recommedations from Humana
  • Costs of other contracts awarded following recommedations from Humana
  • Brief description of the work following recommendations / involvement from Humana
  • Do you currently offer childcare vouchers to your staff?
  • Which childcare voucher do you use?
  • When did your childcare voucher scheme start?
  • When was your contract with your voucher provided last renewed?
  • Are you tied in to your existing provider? Would you be free to move to a different provider?
  • When do you expect to review your scheme?
  • What administration fee are you paying your current provider (as % of face value)?
  • How many active members are in your childcare voucher scheme?
  • Does your voucher provider offer any additional services or benefits?
  • Do you operate your own payroll services or use an external payroll provider?
  • How would you grade the customer service provided by your voucher provider?
  • Contact details for the person responsible for your voucher scheme
  • Contact details for the person responsible for employee benefits
  • How many employees are on your payroll?
  • Have you got any plans to introduce a childcare voucher scheme (if you do not do so)?
  • Copy of a detailed structure chart of the Marketing / Communications function
  • Copy of a detailed structure chart of the HR function
  • Details of the structure of your HR department
  • Expenditure on interpretation services for the treatment of foreign-language patients (2007/08)
  • Names and head office details of the interpretation services used by the Trust (2007/08)
  • Copy of the contract / agreement documents between Trust and interpretation service (2007/08)
  • List of languages that have needed interpretation (2007/08)
  • Expenditure by facility / department of the use of interpretation services (2007/08)
  • Expenditure on interpretation services (2006/07)
  • Names and head office details of the interpretation services used by the Trust (2006/07)
  • Copy of the contract / agreement documents between Trust and interpretation service (2006/07)
  • List of languages that have needed interpretation (2006/07)
  • Expenditure by facility / department of the use of interpretation services (2006/07)
  • Copies of any documents distributed to staff on the treatment of foreign-language patients
  • Details of payouts to patients following claims for compensation (2008 to date)
  • Details of each individual complaint / claim (date, age, gender, result, amount - 2008)
  • Total sum paid out to patients following compaints / claims (2007)
  • Details of each individual complaint / claim (date, age, gender, result, amount - 2007)
  • Provision of the morning-after pill / emergency contraception to pupils on school premises
  • How many schools do you provide the emergency contraception service?
  • List of schools where the Trust provides emergency contraception service?
  • Total number of morning-after pills / doses provided 2006/07 school year
  • Breakdown of morning-after pills / doses by school year group (2006/07)
  • Total number of morning-after pills / doses provided 2007/08 school year
  • Breakdown of morning-after pills / doses by school year group (2007/08)
  • Details of meals provided for hospital inpatients (provider and preparation location)
  • Total cost of meal preparation and provider (2007/08)
  • Total number of meals delivered to patients (2007/08)
  • Breakdown for each hospital showing cost of meal preparation (2007/08)
  • Breakdown for each hospital showing number of meals delivered (2007/08)
  • Copy of contracts / agreement documents with provider of inpatient hospital meals (2007/08)
  • Total cost of meal preparation and provider (2006/07)
  • Total number of meals delivered to patients (2006/07)
  • Breakdown for each hospital showing cost of meal preparation (2006/07)
  • Breakdown for each hospital showing number of meals delivered (2006/07)
  • Copy of contracts / agreement documents with provider of inpatient hospital meals (2006/07)
  • Copies of menus, food sheets, nutritional information used patients


October 2008

  • Names and job titles for all consultants, junior doctors, senior nurses, managers
  • Are cleaning services within your Trust contracted out or delivered in-house?
  • Expenditure on cleaning (2003/04 to 2007/08)
  • Full time equivalent cleaners working at the Trust (contract or in-house)
  • Does your Trust have a system for staff to report where cleaning has been sub-standard?
  • Copy of NICE implementation plans relevant to 2008/09
  • Copy of the process you use to implement NICE guidance
  • Names of members of your NICE implementation committee / group
  • What criteria and testing is applied during the prescription of Ritalin (<>16 year olds)?
  • Are there any other courses of treatment in conjunction with a course of Ritalin?
  • Are there any other courses of treatment instead of a course of Ritalin?
  • What are the costs of extra treatment in conjunction with Ritalin?
  • What are the costs of extra treatment instead of Ritalin?
  • Number of patients who have been prescribed an alternative course to Ritalin
  • How long is the average period of Ritalin prescription / treatment (<>16 years olds)?
  • Number of patients that continue a prescription of Ritalin after 16 years old
  • Number of requests for patient information from the local council (last three years)
  • Number of times the Caldicott Guardian approved the transfer of information to councils
  • What was the council's stated purpose for the request and details of the information sent?
  • Details of instances where services provided by the council were withdrawn as a result
  • Which antibiotic do you use for routine prophylaxis in trauma orthopaedic surgery?
  • Which antibiotic do you use for routine prophylaxis in elective orthopaedic surgery?
  • Has there been any change in antibiotic used / regimen (last three years)?
  • Which antibiotic do you use if the patient is allergic to penicillin and specify the doses?
  • Number of Clostridium Difficile cases and number of admissions (last three years)
  • Contracts awarded to United Health (last three years)
  • Amount of the contract(s) awarded to United Health (last three years)
  • Brief description of the work under contracts awarded to United Health (last three years)
  • Copy of all RIDDOR reports compiled by the Trust and submitted to HSE (2008 to date)
  • Job title of the most senior communications professional
  • The remit of the most senior communications professional
  • Current salary of the most senior communications professional
  • Number of staff under the responsibility of the most senior communications professional
  • Total budget under the responsibility of the most senior communications professional
  • Job title of the line manager of the most senior communications professional
  • Number of staff in the organisation
  • Annual turnover of the organisation
  • Copy of the 2008 Healthcare Commission ratings for quality of care and use of resources
  • Name of person responsible for IT network infrastructure
  • Name of person responsible for introducing IT solutions (ICT department)
  • Name of person responsible for introducing IT solutions (clinical department)
  • Name of person responsible for clinical productivity related to patient care
  • Name of person responsible for blood traceability and quality control
  • Name of person responsible for NPSA compliance notice number 24
  • Name of person responsible for document management
  • Name of preferred manufacturer - fixed network infrastructure equipment
  • Name of preferred manufacturer - wireless network equipment
  • Name of preferred manufacturer - telephony systems equipment
  • Name of preferred manufacturer - mobile computing equipment
  • Name of preferred manufacturer - patient identification equipment
  • Name of preferred manufacturer - electronic document management solution
  • Name of preferred manufacturer - blood traceability equipment 
  • Does your Trust have any washing facilities for patients that are not single sex?
  • Does your Trust have any toilet facilities for patients that are not single sex?
  • Does your Trust have any nightingale-style wards for patients that are not single sex?
  • Does your Trust have any wards that are not single sex with curtains used to segregate bays?
  • Does your Trust have any wards that are not single sex with partitions used to segregate bays?
  • Does your Trust have any wards that are not single sex with bays with three solid walls?
  • How many times have your procedures on patient segregation been breached (2007/08)?
  • How many complaints have your Trust received regarding patient privacy and dignity?
  • % of beds that are in single rooms
  • Have you agreed a C Diff target with your PCT (2008/09)?
  • C Diff year end target and 2007/08 baseline figure
  • How many cases of C Diff have been recorded (as at 30/09/08)?
  • If the Q3 C Diff figure was doubled, what would be the financial penalty for the full year?
  • Number of Lap Cholecystectomies (last two years)
  • Contact details of Head of Estates
  • How much was recovered for overseas visitors and Surrey PCT contribution?


November 2008

  • Do you have prescribing guidelines for the treatment of chronic pain?
  • Could I have a copy of the prescribing guidelines?
  • Are the prescribing guidelines joint with any other PCTs, hospitals or Trusts?
  • Do you use guidelines from other Trusts? Name the Trust
  • Do you have a general prescribing formulary? Could I have a copy?
  • Highest hourly rate paid to an agency staff worker (last six months)
  • How much the agency worker received and how much was retained by the agency?
  • Expenditure on bariatric trolleys, beds, fridges and other equipment for obese patients (2008)
  • Exact costs and details of Trust spending on bariatric equipment (2007)
  • Exact costs and details of Trust spending on bariatric equipment (2006)
  • Are there any special arrangements made by the Trust for obese patients?
  • How many chaplains (full and part-time) are employed by the Trust?
  • Expenditure on chaplains annually
  • How many operations were cancelled on the day of admission (last three years)?
  • Breakdown of the reasons for operation cancellations (beds, equipment, theatre time)
  • Location and number of maternity units, capacity and births (2007/08), FTE midwives
  • Current number of vacant posts for midwives and maternity support workers
  • Expenditure on interpreter services (2007/08) and most requested language
  • Annual income from NHS salary (plus overtime and awards) for highest paid doctor
  • Annual income from NHS salary (plus overtime and awards) for highest paid nurse
  • Are bank nurses who only work as bank nurses entitled to statutory maternity leave?
  • Copies of any guidance to staff in order to respect the religious priniciples of muslims
  • All budgets that are lower in 2008/09 than outturn spending in 2007/08


December 2008

  • Total number of medical records either lost, stolen, inappropriately disposed (last three years)
  • How many times did the Trust use the Regulation and Investigatory Powers Act?
  • Name of lead contacts in ICT / I&MT, radiology and cardiology
  • How many GP referrals have you had for orthopaedics, derm, cardio, ENT, minor ops?
  • Number of times the Trust has released a patient's details to any external public body?
  • Copies of all the prescribing formularies in use in your organisation
  • Complete list of all contractors and consultants for new builds and refurbishments
  • Copy of organisational charts for non-clinical areas of the Trust
  • Do A&E staff routinely check whether a child is subject to a child protection plan?
  • Copy of the structure chart for finance teams with job titles
  • Are cleaning services contracted out or delivered in-house?