Reference 2017-669

REF:            2017-669

Subject:        Elective surgical procedures



I request the following information:


  • Number of RBC units utilised by ward and/ or department in a) 2015 and b) 2016
  • Number of elective surgical procedures cancelled in 2016 due to the patient being identified as anaemic
  • Number of elective surgical procedures occurring for patients who were anaemic on the day of surgery
  • Of the above, the number of these procedures that required a blood transfusion
  • Following the NICE Quality Standards published in December 2016 on blood transfusion, is able to meet Quality Standard 1?




Thank you for your email dated 30 November 2017 where you requested information about Elective surgical procedures.


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.


The reason is because will involve a case note review manually.


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.