Reference 2017-258

REF:            2017-258

Subject:        Lipid clinic

 

 

Request:

  1. Please confirm the total number of referrals to the Trust’s lipid clinic during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
  2. Please confirm the total number of referrals to the Trust’s lipid clinics from (a) general practice and (b) secondary care during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
  3. Please confirm the average waiting time between patient referral and appointment to the Trust’s lipid clinic during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
  4. Please confirm the proportion of patients accessing the Trust’s lipid clinic that are meeting their lipid targets during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
  5. Please confirm the proportion of high risk cardiovascular disease patients* accessing the Trust’s lipid clinic that are routinely offered a structured annual review during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
  6. Please confirm or deny whether the Trust has in place an integrated care pathway or clinical management strategy for the management of high risk cardiovascular disease patients. If confirmed, please provide details.
  7. Please state the budget allocated by the Trust to its lipid clinic during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.

*High risk of cardiovascular disease is defined as a history of any of the following: acute coronary syndrome (such as myocardial infarction or unstable angina requiring hospitalisation), coronary or other arterial revascularisation procedures, chronic heart disease, ischaemic stroke, peripheral arterial disease.[1]

 

 

Response:

1.       Please confirm the total number of referrals to the Trust’s lipid clinic during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16. Refused under section 12 of the Act because will take more than 2.5 days to collect the information.

 

We think this is a very difficult set of questions for the Trust to answer, for the simple reason that we do not have a stand-alone Lipid Clinic; the lipid service is provided from within the Endocrine Clinic, and the patients may be seen by any of the consultants involved in that service. To answer these questions, we would therefore have to look at all the Endocrinology referrals received (or a reasonable sample thereof) for each of the 6 financial years requested, assess which of those had been made for a lipid-related reason, and then analyse those referrals manually. I suspect, therefore, that it may be complex and time-consuming to provide any sort of answer.

2.       Please confirm the total number of referrals to the Trust’s lipid clinics from (a) general practice and (b) secondary care during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
3.       Please confirm the average waiting time between patient referral and appointment to the Trust’s lipid clinic during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
4.       Please confirm the proportion of patients accessing the Trust’s lipid clinic that are meeting their lipid targets during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
 5.       Please confirm the proportion of high risk cardiovascular disease patients* accessing the Trust’s lipid clinic that are routinely offered a structured annual review during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.
 6.       Please confirm or deny whether the Trust has in place an integrated care pathway or clinical management strategy for the management of high risk cardiovascular disease patients. If confirmed, please provide details.
 7.       Please state the budget allocated by the Trust to its lipid clinic during the financial years: 2010/11, 2011/12, 2012/13, 2013/14, 2014/15 and 2015/16.