Salisbury Foundation Trust

FOI_7578

Internal Reference Number: FOI_7578

Date Request Received: 30/11/2023 00:00:00

Date Request Replied To: 08/01/2024 00:00:00

This response was sent via: By Email

Request Summary: Diabetes services for Type 2 diabetes

Request Category: Private Individuals

 
Question Number 1:
1. Does your Trust offer diabetes services/support for Type 2 diabetes patients with obesity?

a. If yes, please confirm the name and type of each service

b. What healthcare professionals are delivering this service and how many (FTE)?

c. If not, which organisation commissions these services for your population?

d. Please list the relevant services provided to your population.

e. How many places were commissioned for each service for FY 2023/34?

f. How many referrals have been received so far for each service in FY 2023/24?

g. How many patients are currently waiting for their first appointment for each of these services?

h. Which funding pot(s) is used to deliver these services?

i. What was the value of the budget for each service in FY 23/24?

j. Do you anticipate expanding, maintaining or decreasing the current service provision in the next financial year?

k. Are there currently staffing vacancies in these services, if so please provide the title, grade and FTE for each vacancy.

l. Who is the senior person in the Trust who is responsible for commissioning this service?

m. Who is the senior person in the Trust who is responsible for the delivery of this service?

n. If this service is outsourced, who is your provider, and what is the duration and end date of their contract?
 
Answer To Question 1:
Q.

1. Yes

a.

• Diabetes foot ulcer clinic service
• Diabetes and renal outpatient clinic
• Antenatal diabetes clinic which includes seeing pregnant women and women planning pregnancy with type 2 diabetes and obesity
• Type 2 diabetes outpatient clinic
• Diabetes inpatient service
• Diabetes Outpatient team consisting of 3 diabetes specialist nurses and 1 diabetes specialist dietitian to support patients with diabetes attending the hospital diabetes outpatient clinics.

b.

3 Diabetes and Endocrinology Consultants 3.0 FTE
Diabetes Specialist Dietitian, band 7 1.0 WTE
7 Diabetes Specialist Nurses - some staff are part time and others full time - Check
1 Advanced Podiatrist and Podiatry assistant - Check

c.

NHS Dorset
Hampshire and Isle of Wight Integrated Care Board
Bath & Northeast Somerset Swindon and Wiltshire Integrated Care Board


d.

Dorset
Tier 2 obesity management service: Livewell Dorset (Dorset Council public health service)
Tier 3 obesity management service: The Weigh Ahead Service (Spire Healthcare , Southampton)
Tier 4 bariatric surgery service: Royal Bournemouth Hospital bariatric surgery service, (University Hospitals Dorset NHS Foundation Trust)
Type 2 structured education: Dorset Community Diabetes and Dietetic Services (Dorset Healthcare University NHS Foundation Trust)

Hampshire
Tier 2 obesity management services: Weight watchers UK
Tier 3 obesity management service: The Weigh Ahead Service (Spire Healthcare, Southampton)
Tier 4 bariatric surgery service: Portsmouth (Portsmouth Hospital University NHS Foundation Trust)
Type 2 structured education programmes: New to Type 2 Diabetes , WISER education, carbohydrate and insulin workshops, North and West Hampshire Community Diabetes Service (Southern Health NHS Foundation Trust)

Wiltshire
Tier 2 obesity management services: Healthy Us (Wiltshire Council public health service)
Wiltshire Tier 3 and Tier 4 obesity management and bariatric surgery services: Weight Assessment and Management Service (North Bristol NHS Foundation Trust
Type 2 structured education programme: XPERT Diabetes course, Wiltshire Community Diabetes and Dietetic Services (Wiltshire Health & CarNHS Type 2 Diabetes Path to Remission Programme (formerly known as the NHS very low calorie diet programme) : Momenta Newcastle

e. No information held on this.

f. 723

g. 18

h. Services are funded by commissioners following the 2023/24 NHS Payment Scheme guidance.

i. The expenditure budget for all Diabetes and Endocrinology patients (not just type 2 patients with obesity) is £3.6m in 2023/24

j. No plans have been discussed regarding expanding, maintaining or decreasing the current service provision.

k. Consultant Physician post 1.0 FTE.

l. Jessica Barrett, Medicine Division Manager, Salisbury NHS Foundation Trust

m. Ardeshir Nasarwanji Service Manager.

n. No information is held on the duration of these contracts.

 
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