Reference 2017-467

REF:            2017-467

Subject:        Anti-microbial resistance




under the Freedom of Information Act 2000 please could you provide me with the number of cases between 2010-2017:

– in which patients were unable to be treated with anti-biotics due to anti-microbial resistance.

– in which patients had to undergo an operation to remove the site of resistance due to anti-microbial resistance.

– in which patients had amputations due to anti-microbial resistance.

I would prefer to receive the information  electronically. If some parts of this request are easier to answer than others, I would ask that you release the available information as soon as possible.

Under Section 16 it is your duty to provide advice and assistance and so I would expect you to contact me if you find this request difficult in any way.




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.

We won’t be able to verify whether this resistance led to operations / amputations / or whether it led to patients being unable to be treated with anti-biotics, because will involve a case review.



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.