Reference 2019-175

Ref No:      2019-175

Date:         ECG monitoring



Under the Freedom of Information Act 2000, I would like you to provide answers to the questions below.

If you cover more than one hospital, please provide the following information for each of the hospitals covered under your trust broken down individually

The questions are in relation to ECG monitoring which is carried out only in the hospital setting.

Please supply details of:

  1. How many tests in the following categories do you perform each year?
  • 24hr Holter
  • 48hr Holter
  • 72hr Holter
  • 7 day Holter
  • 7 day event recorder
  • Other please specify
  1. Which monitoring modality do you use for the following, specify make and model?
  • 24hr Holter
  • 48hr Holter
  • 72hr Holter
  • 7 day Holter
  • 7 day event recorder
  • Other please specify
  1. How many monitors do you have of each make/model?
  1. How much is the service contract for each modality per year?
  1. How many of these are in repair/lost?
  1. What is the cost of repair if the device is not under a service contract?
  1. What was the price paid per unit for each of the monitoring modalities above?
  1. How much was the analysis software package (if purchased)?
  1. What is the cost of the service contract on the analysis software?
  1. What is your annual spend on consumables for monitoring?
  • Batteries
  • Electrodes
  • Alcohol wipes
  • Razors
  • Cleaning materials for monitors
  • Replacement leads
  1. What is the average salary band of staff analysing ambulatory ECG monitor data?
  1. How many of the staff employed to analyse ambulatory ECG data are working through a locum agency?
  1. What is the current waiting time from referral to monitor fitting? Please specify if waiting times vary for each modality.
  1. What is the current waiting time from monitor return to result availability? Please specify if waiting times vary for each modality.
  1. How many ambulatory monitoring patients require hospital transport per year?
    • Is transport also used to return the monitor?
    • What is the average cost per return?
  1. Does the patient also need to be transported back to hospital for removal?
  1. What is the annual cost of transport services for ambulatory monitoring patients?
  1. Is outpatient monitoring capacity limited by inpatient demand for monitoring?
  1. Are you meeting monitoring demand for?
  • Routine monitoring referrals
  • Urgent monitoring referrals
  1. If not, what was your annual spend on breaching fines in the last financial year?




From our preliminary assessment, it is clear that your request will not proceed further.

We believe that this request has an impact on the Trust and cannot be justified. The Freedom of Information Act states:

Under Section 14(2) of the Act, a public authority does not have to comply with a request which is identical, or substantially similar to a previous request submitted by the same individual, unless a reasonable period has elapsed between those requests.

You have submitted two request to the Trust within one week, dealing with unreasonable requests can place a strain on resources and get in the way of delivering mainstream services or answering legitimate requests.

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.