Reference 2019-201

REF:            2019-201

Subject:       Orthotic Services and Products 

 

Request:

  1. Which of the following Orthotic Services do you have locally?
  2. a)    NHS run Orthotic Service in secondary care
  3. b)    NHS run Orthotic Service in primary care
  4. c)    The NHS run Orthotic Services in both primary and secondary care
  5. d)    A 3rd party run Orthotic Service in secondary care
  6. e)    A 3rd party run Orthotic Service in primary care
  7. f)     A 3rd party run Orthotic Service in both primary and secondary care
  8. g)    Other? Please specify

 

  1. If your service is run by a 3rd party:
  2. a)    Who is your current provider?
  3. b)    When did the current agreement start?
  4. c)    When is your current agreement up for renewal?
  5. d)    What was the total value of the contract?
  6. e)    Is there an allowance for increasing patient numbers and activity each year?
  7. f)     Is the contract a lump sum / block contract or pay / BPR for activity basis?
  8. g)    What is the current cost per Orthotist session in your trust?

 

  1. Do you:
  2. a)    Run your tender in-house
  3. b)    Procure direct from a framework
  4. c)    Run a mini competition with the framework

 

  1. Which frameworks are you able to buy from currently:
  2. a)    For Orthotic Clinical Service
  3. b)    For Orthotic Stock Product
  4. c)    For Orthotic bespoke products

 

  1. Are you considering a tender at the moment? (Y/N)
  2. a)    If yes does it cover both service and product
  3. b)    When do you anticipate this will happen?

 

  1. What orthotics services are provided by the NHS in your jurisdiction?

 

  1. How many sessions do you run per week:
  2. a)    Orthotist
  3. b)    LOP
  4. c)    Footwear technicians

 

  1. How many Full Time equivalent Orthotists work in your Trust?

 

  1. How many appliance officers/administrators do you employ in the Orthotics Service?
  2. Over the past five financial years how many orthotics patients were treated (please breakdown by year)?

–       April 2013 – March 2014
–       April 2014 – March 2015
–       April 2015 – March 2016
–       April 2016 – March 2017
–       April 2017 – March 2018

 

  1. For orthotic products:
  2. a)    Which companies do you currently order Orthotic footwear from or do you make these in house?
  3. b)    Which companies do you currently order insoles from or do you make these in house?
  4. c)    Please provide annual volumes of prescriptions/orders and total spend for the last 12 months (April 2017 – March 2018) and the lead times for:
  5. Stock Orthotic Footwear orders
  6. Modular Orthotic Footwear orders
  7. Bespoke Orthotic Footwear orders
  8. Orthotic Footwear repairs
  9. Moulded EVA Insoles
  10. Plastic Heel cups
  11. Carbon Fibre Insoles
  12. Bespoke AFOs

 

  1. Have you overspent on your Orthotic budget in the last 5 years?

 

  1. Is your Trust currently in special measure or has as it been in the last 3 years?
  2. What is the breakdown of performance vs budget for the last 5 financial years, broken down year by year?

–       April 2013 – March 2014
–       April 2014 – March 2015
–       April 2015 – March 2016
–       April 2016 – March 2017
–       April 2017 – March 2018

 

  1. How many open complaints do you currently have in your Orthotic Service?
  2. How many complaints have you had regarding your Orthotic Service in the last 5 financial years, broken down by year?

–       April 2013 – March 2014

–       April 2014 – March 2015

–       April 2015 – March 2016

–       April 2016 – March 2017

–       April 2017 – March 2018

 

  1. What patient administration IT system do you use for your Orthotic Services? (appointment booking, patient database etc)

 

  1. What IT system do you use to manage the general administration in your Orthotic Service? (i.e. Ordering system, stock control, workshop management etc)

 

  1. What is your average waiting time from referral to assessment?

 

  1. What is your average waiting time from assessment to supply?

 

  1. What is your average referral to treatment time?

 

  1. Is your contract awarded jointly with prosthetics?

 

  1. Are there any planned changes to the structure of your orthotic service?

 

  1. Is your trust linked to or planning to merge with any other trusts?
  2. Have you implemented GS1 yet?

 

 

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.