FOI:2022/289

1. The name and email address of:

The General Manager that is responsible for each of the following clinical areas:

1. 1. Endoscopy / Gastroenterology
   2. Dermatology
   3. Urology
   4. Ophthalmology
   5. ENT
   6. Surgery
   7. Rheumatology
   8. Neurology – N/A – Service not provided at ELHT.

The Trust do not supply details of members of staff unless they are already in the public domain.  Contact details are also not provided unless these are public.

Structures for divisions are located on the Corporate Governance page of the Trust website

https://elht.nhs.uk/about-us/corporate-publications-annual-reports-and-accounts

Information relating to the board, including email address is on the Trust board page

https://elht.nhs.uk/about-us/trust-board

The Trust does not supply contact details of staff, such as names, email addresses and telephone numbers, unless these are routinely published on our website or already in the public domain.  Such information is classed as personal identifiable information and, therefore, is considered exempt from disclosure under Section 40 of the Freedom of Information Act.  Direct email addresses are not disclosed in line with Regulation 22 of the Privacy and Electronic Communications (EC Directive) Regulations 2003 which states that:

“A person shall neither transmit, nor instigate the transmission of, unsolicited communications for the purposes of direct marketing by means of electronic mail unless the recipient of the electronic mail has previously notified the sender that he consents for the time being to such communications being sent by, or at the instigation of, the sender.”

Should you wish to contact these members of staff, please contact the Trust switchboard on 01254 263555 and ask to be directed to them

1. In the last 12 months, which external Insourcing providers have you used for the above services?
   1. Endoscopy / Gastroenterology – Olympus.
   2. Dermatology – None.
   3. Urology – None.
   4. Ophthalmology – None.
   5. ENT – OPA ENT – Medinet.
   6. Surgery – None.
   7. Rheumatology – None.
   8. Neurology – N/A

1. Do you have a contract with an external Insourcing provider of the above services and, if so, which company is the contract with?
   1. Endoscopy / Gastroenterology – Olympus.
   2. Dermatology –  N/A
   3. Urology – N/A
   4. Ophthalmology – N/A
   5. ENT – Medinet.
   6. Surgery – N/A
   7. Rheumatology – N/A
   8. Neurology – N/A

1. If you have a contract with an Insourcing provider for any of the above services, for which service is it? When does it currently expire and when will it be reviewed?
   1. Endoscopy / Gastroenterology – Contract ends 31^st March 2023.
   2. Dermatology – N/A
   3. Urology – N/A
   4. Ophthalmology – N/A
   5. ENT – Contract ends 31^st October 2022, and will not be renewed.
   6. Surgery – N/A
   7. Rheumatology – N/A
   8. Neurology – N/A

1. If you have a contract with an Insourcing provider for Endoscopy Services, how much are you being charged per fully staffed room, per day?

The Trust is unable to provide this information as it is commercial in confidence.  This information is exempt under section 43 (commercial interests) of the Freedom of Information Act (FOIA), as the information would be likely to prejudice the commercial interests of those involved.

Section 43 (2) is a qualified exemption which means the Trust must undertake a public interest test. The Trust has considered the public interest in disclosing this information and while it is in the public interest to disclose information that informs the public of how we spend our money, especially where this relates to the provision of public services, we have determined that the prejudice arising from disclosure outweighs the benefit to the public in this instance.

1. If you have a contract with an Insourcing provider for Endoscopy Services, what days of the week do they operate and how many rooms do they staff?

The Trust is unable to provide this information as it is commercial in confidence.  This information is exempt under section 43 (commercial interests) of the Freedom of Information Act (FOIA), as the information would be likely to prejudice the commercial interests of those involved.

Section 43 (2) is a qualified exemption which means the Trust must undertake a public interest test. The Trust has considered the public interest in disclosing this information and while it is in the public interest to disclose information that informs the public of how we spend our money, especially where this relates to the provision of public services, we have determined that the prejudice arising from disclosure outweighs the benefit to the public in this instance.

1. What has been the spend by the Trust/Health Board in the last 12 months on Insourced Endoscopy Services?

£4,189,987 for the 12 months September 2021 – August 2022.

1. Does the Trust/Health Board currently require insourced services (Full teams or Consultant / Nursing only) for any of the following clinical areas:
   1. Endoscopy / Gastroenterology – No.
   2. Dermatology – No
   3. Urology – No
   4. Ophthalmology – No
   5. ENT – No
   6. Surgery – No
   7. Rheumatology – No
   8. Neurology – N/A

1. Does the Trust/Health Board currently require specific insourced BCS (Bowel Cancer Screening) Services?

Yes, Medinet is used adhoc when there are gaps in rota.  Medinet, however are paid by Blackpool to deliver this service.

1. Does the Trust/Health Board currently require additional Endoscopy capacity (to purchase or rent) via a suitable external premises or JAG accredited Mobile / Modular Endoscopy Unit?

Not at present, the Trust is ongoing with creating extra capacity within current Trust footprint.

1. Does the Trust/Health Board wish to discuss a collaboration in respect of the construction of a new Endoscopy facility with Decontamination?

Not at present.