In your query, you requested the following information for which corresponding responses have been provided.

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369 Fulham Road London SW10 9NH 5th February 2015 Our Ref: FOI 2015/033

Following your request for information under the Freedom of Information Act 2000 which we received on 19th January 2015, we are providing you information as held by Chelsea and Westminster Hospital NHS Foundation Trust.

In your query, you requested the following information for which corresponding responses have been provided.

1. The number of chaplains currently at the Trust

The budget for chaplaincy is for 3.3 whole –time equivalents (WTE). The three WTE ensure 24 hour on-call cover 365 days per annum to facilitate spiritual care for people of all faiths and those who do not belong to a religious tradition, with the 0.3 WTE Muslim chaplain and his weekend cover (see below) providing out-of-hours cover for his community.

2. The number of staff are employed as part of the chaplaincy service, and their job roles Two of the whole-time posts – the Head of Multi-faith Chaplaincy & Deputy Head of Chaplaincy – have been held for the past three years by Church of England priests who were appointed competitively for their skill sets for these roles from an ecumenical field of candidates, though in fact the current patient ratio of Church of England patients to those from other faith communities supports that allocation. The third whole-time post is a job share, and has been for the last three years a Roman Catholic Priest (0.6) and a Roman Catholic Sister (0.4). Again this reflects the number of Roman Catholic patients in the Trust. There was a vacancy in this shared post from the end of July 2012 for the 0.6 post and from the end of November 2012 for the 0.4 post. The new team took up their posts at the end of January 2013. During this vacancy this post was covered by Bank chaplains, one of whom was Roman Catholic, the other Church of England, both doing generic work and with other Roman Catholic Bank chaplains covering the emergency call out for Roman Catholic patients. The 0.3 whole time equivalent Muslim chaplain has been in post for the past three years and reflects the number of Muslim patients and staff in the Trust. He has a deputy who covers emergency Muslim call out at the weekend and who is paid for this service.

The Hindu priest has been in post for the past three years and is paid for emergency call out. The numbers of call outs is small.

All other members of the team are voluntary, mainly at their request. This includes the volunteer chaplains from the Sikh, Jewish, Buddhist, Russian & Greek Orthodox, Humanist, Christian Science, Quaker communities, and other smaller religious traditions. The number of patients, relatives and staff from these traditions is relatively small but we endeavour to respect and respond appropriately to all of them.

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In addition the department currently has 16 volunteers from various traditions – Church of England, Muslim, Pentecostal, and Roman Catholic who undertake general visiting or support (e.g. cakes and coffee for neo-natal parents) on the wards.

3. The number of people used the chaplaincy service over the last three years

Please note that these figures do not include our client contact at the Kensington & Chelsea Mental Health Unit nor do they include the many brief encounters that take place with outpatients, staff and visitors at the chaplaincy spaces.

2012 2013 2014 Referrals by Pager 363 369 275 Other Referrals 722 549 597 Patient contact – numbers

of people the chaplaincy is on follow on contact with on the wards

7,193 average 6,084 average 6,500 average

People in the Chapel Daily average of to the chapel is 200 people visits

Services in the Chapel 1157 1408 1458 ( not all memorial service attendance noted)

Muslim Friday Prayers Weekly average attending Friday Prayers 30 Multi-disciplinary Team

meetings

The Team attends the End of Life Care, Neo-Natal and HIV Directorate Multi-Disciplinary Team meetings each week; the monthly Friends Committee; bi-monthly End of Life Committee; Organ Donation Committee Quality Sub-Committee; End of Life Care Steering Committee Teaching & Research The Team contributes to the Training of Nursing Staff

on a regular basis – ICU; NNU; Band 5 Nurses; Paediatric EOLC. The team undertook action research published January 2014 and is represented in the Multi-Professional Research Network.

Hospitality Twice monthly coffee& cakes on NNU

Staff Support Regular 1-2-1 for staff; Group sessions support and Debrief for staff after traumatic episodes

Muslim Patient contact Weekly ward visiting averages 12 patients per week Here is a snapshot from the above contact figures that records Chaplaincy End Of Life Care encounters January – December 2014 (NB this is only a fraction of our End of Life Care interactions but is a record of specific responses to patients’ or families requests:

Pager calls

-

Total - 69

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2) Anointed and prayers after death – 1 3) Anointing and commendation – 2 4) Laying on of hands an anointing- 3 5) Prayers of commendation - 2 6) Prayers after death - 18 7) Prayers for the dying - 3 8) Rites -11

9) Sacrament of the sick – 13

10) Support and prayer after death - 4 11) Viewing and support- 1

12) Prayer at death - 3 13) Prayers for the dead- 2

14) Prayer before and after death - 1 15) Prayers EOLC- 1

16) Prayer after death and meet relatives - 1 17) Follow up following bereavement -1 18) Anointing EOLC- 1

Referrals (Sacrament of the Sick may not be EOLC)-Total - 40 1) Sacrament of the Sick - 21

2) Rites - 6

3) Prayer after death( and support) -4 4) Laying of hands/Anointing -2 5) Prayer for the deceased - 1 6) Prayers EOLC - 1

7) Visit EOLC - 1

8) Prayers for the dying - 1 9) Prayers at death - 4

Funerals – 2012, 2013, & 2014: 24 No Next-of-Kin funerals Contract funerals

Hospital Contract Baby Funerals (over 12 weeks) average of 4 babies each month and (less than 12 weeks) average of 10 babies.

4. The annual cost of chaplaincy services (pay and non-pay), broken down by year for the last three financial years.

Please see the table below.

Please note that the multi-faith chaplaincy team also generates income for the Trust via a Service Level Agreement (SLA) with CNWL NHS Foundation Trust to provide chaplaincy to its units on the Kensington & Chelsea Mental Health Unit, adjacent to the Chelsea & Westminster Hospital.

In addition the fees from the Head of Chaplaincy’s teaching on the Chaplaincy Foundation Course at St Mary’s University, Twickenham are assigned to the chaplaincy budget, as are non-hospital contract funeral fees.

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Banding Name 2011-12 2012-13 2013 -14 April 2014 - Jan 15

Band 6 Muslim chaplain 17,285 23,238 22,345 18,704

Band 6 RC 0.4 8,076 12,468

Band 6 RC 0.6 0 4,825

Band 6 RC 0.6 22,048 9,166 27,991 24,022

Band 6 RC 0.4 0 3,874 20,577 17,225

Band 6 Deputy Head 54,112 57,082 57,615 48,313

Band 7 Head 56,854 60,209 63,600 54,447

Band 4 Bank 305 850

Band 5 Bank Generic 10,286 31

Band 6 Bank -196

Band 5 Bank 78

Band 6 Bank Muslim cover 360 120 200

Band 6 Generic on call 1,090

Band 6 Hindu 190

Band6 RC cover 774 795 455

Band 6 Jewish 50

Pay 159,629 182,394 194,270 163,166

Non- Pay 1,120 1,080 1,750 2,195

5. Money allocated to external bodies, such as the Roman Catholic Church, broken down by year over the last three financial years

None, apart from during the vacancy in 2012/13 when emergency and out-of-hours Roman Catholic cover was provided by local Roman Catholic clergy and remuneration was made which is included in the figures in the attached spreadsheet £774 + £795.

We trust the above information is satisfactory to you.

If you are not happy with the way in which your request has been dealt with or are dissatisfied with this response and wish to appeal, please write to Information Governance Manager at information.governance@chelwest.nhs.uk. Your complaint will be dealt with through our internal review process.

If you are still not satisfied following the Internal Review, you have a right to complain to the Information Commissioner’s Office. You can contact them at casework@ico.org.uk.

Re-use of Public Sector Information

All information supplied by the Trust in answering a request for information under the Freedom of Information Act 2000 will be subject to the terms of the Re-use of Public Sector Information Regulations 2005, Statutory Instrument 2005 No.1515 which came into force on 1st July 2005.

Under the terms of the Regulations, the Trust will license the re-use of any or all information supplied if being used in a form and for a purpose other than which it was originally supplied. However, The Trust reserves the right, in certain circumstances, to charge a fee for the re-use of some information which it deems to be of commercial value.

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Yours sincerely

Aung Tun

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