Reference 2016-424

REF:            2016-424

Subject:        Imaging Services

 

Request:

  1. Total number of and the manufacturer and model number(s) of each individual:

o   MRI scanner

o   CT scanner

o   PET scanner

o   SPECT scanner

o   Ultrasound scanner

o   Flexible Endoscope [An estimate of the number and predominant manufacturer brand will suffice]

o   Catheter Lab X-ray machines

 

Data may be available from radiology or purchasing/contracting departments. You did provide MRI and CT scanner manufacturers in a previous request, but we did not request model numbers.

Might be difficult for flexible endoscopes, an estimate and the predominant brand/supplier will suffice.

  1. The year each individual scanner was purchased, the purchase method, cost and the scheduled replacement year for each individual:

o   MRI scanner*

o   CT scanner*

o   PET scanner

o   SPECT scanner

 

Purchase methods include:

o   Trust Purchase – trust outright bought the machine and is sole owner.

o   Lease – trust pays an annual rental fee to the supplier.

o   Managed Equipment Services (MES) – Single contract with an MES provider including leasing and maintenance.

o   Charity Purchase – donated by an associated charity.

o   Private Finance Initiative (PFI) – purchase is financed by a PFI scheme.

Please state the total cost for trust purchases and annual payments if lease or MES.

*You have provided this for CT and MRI in a previous request so you may ignore this, if there have been no changes since January 2016.

Please indicate if equipment was purchased through a group purchasing organisation (e.g. NHS Supply Chain, East England Procurement Hub), a procurement framework or procured by the trust’s own framework.

  1. How each of the following equipment has been purchased (e.g. contract with OEM, NHS Supply Chain catalogue) and how often they are replaced on average:

o   Ultrasound scanner

o   Sets of Flexible Endoscopes

o   Catheter Lab CT machines

Data may be available from purchasing/contracting department.

See above for purchase methods.

An estimate of how often the trust aims to replace the listed equipment would be useful (e.g. once every 2 years).

  1. The maintenance provider (e.g. the OEM or a third party) and the annual maintenance cost (if applicable) for each individual:

o   MRI scanner*

o   CT scanner*

o   PET scanner

o   SPECT scanner

o   Ultrasound scanner

o   Catheter Lab CT machines

 

Data may be available from purchasing/contracting department.

*You have provided this for CT and MRI in a previous request so you may ignore this, if there have been no changes since January 2016.

Might be done by the Original Equipment Manufacturer (OEM) (e.g. Siemens maintenance for a Siemens MRI machine) or a third party. If so, please state the provider name.

If no listed maintenance provider, please state – possibly the case for ultrasound.

  1. Staffed hours for each individual: (Please note which of the individual scanners are available 24/7 for A&E purposes.)

o   MRI scanner*

o   CT scanner*

o   PET scanner

o   SPECT scanner

 

Data may be available from radiology department.

Please state hours each scanner is manned. (e.g. 9am – 6pm, Mon-Fri). Scanners used by A&E departments presumably must be 24/7, so please indicate these where relevant.

  1. Number of scans/procedures performed annually in period financial year 2005/06 – 2015/16 for the following: [See the attachment for the relevant OPCS and modality ID codes].

o   MRI scans*

o   CT scans*

o   PET scans*

o   SPECT scans*

o   Ultrasound scans

o   Endoscopy procedures (Upper GI, Lower GI and Urological)

o   Cardiac Angiography and Angioplasty procedures

o   Cardiac Electrophysiology procedures

Data may be available from Radiology Information System (RIS), possibly obtainable from head of radiology.

*For MRI, CT, PET and SPECT these may be covered by submissions to HSICIC for the Diagnostic Imaging Dataset (DID) (http://www.hscic.gov.uk/did), but we are looking for more granular data by individual machine if possible.

  1. Number of scans/procedures performed by external providers on behalf of the trust in this same period. How much was paid per scan/procedures on average? Please list by external provider name. For the following:

o   MRI scans

o   CT scans

o   PET scans

o   SPECT scans

o   Ultrasound scans

o   Endoscopy procedures (Upper GI, Lower GI and Urological)

o   Cardiac Angiography and Angioplasty procedures

o   Cardiac Electrophysiology procedures

 Number of activities performed by an external provider (NHS or Non-NHS), data may be collected by CCGs.

  1. Average cost per scan from by year for the period 2005/06 – 2015/16 for the following:

o   MRI scans

o   CT scans

o   PET scans

o   SPECT scans

Data may be available from person responsible for collecting NHS reference cost data.

 

  1. The provider of tracers for PET (e.g. FDG) and annual spend on tracers.

Data may be available from purchasing/contracting department.

Preferably, could you provide answers in excel format.

 

 

Response:

From our preliminary assessment, it is clear that we will not be able to answer your request without further clarification.

 

We estimate that it will take us in excess of 2.5 working days to determine appropriate material and locate, retrieve and extract the information in reference to your request. Therefore, your request will not be processed further.

 

Section 12 of the Act makes provision for public authorities to refuse requests for information where the cost of dealing with them would exceed the appropriate limit, which for Bolton NHS Foundation Trust is set at £450. This represents the estimated cost of one person spending 2.5 working days in determining whether the department holds the information, locating, retrieving and extracting the information.

 

 

You may wish to refine your request by narrowing its scope by being more specific about what information you particularly wish to obtain, including any dates or period of time relevant to the information required.

 

If you are dissatisfied with the handling of your request, you have the right to ask for an internal review. Internal review requests should be submitted within two months of the date of receipt of the response to your original letter and should be addressed to: Chief Executive, Bolton NHS Foundation Trust, The Royal Bolton Hospital, Minerva Road, Farnworth, Bolton. BL4 0JR

 

Please remember to quote the reference number above in any future communications.

 

If you are not content with the outcome of the internal review, you have the right to apply directly to the Information Commissioner for a decision. The Information Commissioner can be contacted at: Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF.

 

The information supplied to you continues to be protected by the Copyright Design and Patents Act 1998. You are free to use it for your own purposes, including any non-commercial research you are doing and for the purposes of news reporting. Any other reuse, for example commercial publication requires the permission of the Trust. You must ensure you gain the Trust permission before reproducing any third party information.

 

 

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