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East Midlands Strategic Health Authority
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Fluoridated water

Request

1. Does your SHA have areas that are receive fluoridated tap water?

2. If not, is (or has the SHA in the past 3 years) the SHA considering fluoridisation of tap water. If the answer is yes, please provide:

a. Agenda and minutes of all meetings where this has been discussed

b. Copies of all correspondance relating to this consideration

c. Copies of all reports relating to this consideration

3. Has the SHA been offered financial incentives to fluoridate water. If so please provide details of the value of the incentive and from which organisation the incentive was offered.

This information should be supplied by email, unless the total size is greater than 10MB, in which case a CD-ROM is preferable. If you are not able to provide the information in this format then please explain why not, when you provide the information in another format.

If you decide to withhold any of the information requested, please explain clearly why you have done so in your response, by reference to the legislation. If your decision to withhold is based upon an evaluation of the public interest then please clearly explain which public interests you have considered and why you have decided that the public interest in maintaining the exception(s) outweighs the public interest in releasing the information.

If you are proposing to make a charge for providing the information requested then please provide full details in advance together with an explanation of any proposed charge.

The email address for your SHA was found on www.nhs.uk - if this is not the correct email for FOI requests within your organisation please forward as appropriate and inform me of the correct email address.

We look forward to hearing from you promptly, as required by the legislation, and in any case within 20 working days. We would be grateful if you could acknowledge safe receipt of this request by email.

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Our Response

I refer to your email of 18 January asking for information in respect of fluoridated water.

I can confirm in accordance with S.1(1) of the Freedom of Information Act 2000, that we do hold some of the information that you have requested.

At present there are several longstanding water fluoridation schemes in operation in the East Midlands. These are managed by Severn Trent water and Anglian Water and serve parts of Lincolnshire, Derbyshire and Nottinghamshire. All of the schemes have been in operation for at least 20 years.

NHS East Midlands is not currently considering either to extend fluoridation schemes or to establish new schemes.

The SHA has a duty under NHS guidance to conduct a consultation on fluoridation schemes if requested by Primary Care Trusts (PCTs) and to determine, following consultation, whether a scheme should be introduced.

The PCTs in the East Midlands are presently examining whether the scientific evidence would support new schemes, whether such schemes are feasible and whether a cost benefit analysis would support such schemes. This work is at an early stage. When it is complete, one or more PCTs in the East Midlands may request a consultation.

The view of the SHA concerning fluoridation is neutral. We will discharge our duty as required and will consult if requested.

This issue has been discussed at our public board meetings under the corporate report section and I have attached a pdf copy for your information.

(NB - the relevant document can be found via the link below)

http://www.eastmidlands.nhs.uk/sys_upl/templates/AssetBrowser/AssetBrowser_disp.asp?ItemID=2364&basketPage=&basketItem=&CategoryID=193&pgid=5881&tid=165&page=1

Also attached are pdf copies of the East Midlands Directors of Public Health meetings.  You will note that we have redacted some sections of these minutes that do not refer to water fluoridation and are therefore not considered relevant to your request. 

(NB - please contact NHS East Midlands separately for sight of these documents)

You will also note that I have redacted the names of some of the more junior members of staff under section 40 of the Freedom of Information Act.  This is an absolute exemption relating to Personal Information.  I would point out that the redaction of these names does not have any bearing on the information contained within the documents.   The purpose of section 40 of the Act is to protect personally identifiable information and the privacy of living persons.

I hope that this information is of use to you.  However, if you are unhappy about the way we have addressed your request you can complain in writing to:-

Mr Kevin Orford

Deputy Chief Executive and Director of Finance

Octavia House
Interchange Business Park

Bostock's Lane
Sandiacre
Nottingham
NG10 5QG

If at the conclusion of any review you remain dissatisfied you may complain to the Information Commissioner who may be contacted at

The Office of the Information Commissioner

Wycliffe House

Water Lane

Wilmslow

Cheshire