Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywBEN HOLDSWORTH mewngofnodwch a gadael i bawb wybod.

Screening and Treatment of Iron Deficiency anaemia

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Dear Basildon and Thurrock University Hospitals NHS Foundation Trust,

I would like to request information regarding the screening and treatment of iron deficiency anaemia in patients listed for major elective blood loss surgery.

In the last 12 months available data, how many patients listed for major elective blood loss surgery were screened 6 weeks prior to the procedure for iron deficiency anaemia? How many patients were not?

Of the patients who were screened and anaemia was present had serum ferritin levels tested?

Of those patients diagnosed with iron-deficiency anaemia, how many were offered appropriate iron treatment?

Below are the OPCS codes to be considered when reviewing major elective blood loss surgery:
K453 W373 M022
K262 W383 L294
K255 W384 L601
H072 W374 L593
H333 Q074 L194
H071 Q075 L295
H336 W403 W371
H073 W402 W381
H074 M025 W941
M341 M021 W401
M343 M039

If at all possible, could you provide a break down for each answer by what CCG the patients came from?

Yours faithfully,

BEN HOLDSWORTH

FOI, Basildon and Thurrock University Hospitals NHS Foundation Trust

Dear Mr Holdsworth,

Freedom of Information Act Request Acknowledgment

Thank you for contacting the Freedom of Information Office at Basildon and Thurrock University Hospitals NHS Foundation Trust. We confirm that we have received your correspondence.

Your request below is being considered and you will receive a response within the statutory timescale of 20 working days following the date on which the request was received, as defined by the Act, subject to the information not being covered by an exemption or containing reference to a third party.

For your information, the Act defines a number of exemptions which may prevent release of some or all of the information you have requested. There will be an assessment and if any of the exemption categories apply then the information will not be released. You will be informed if this is the case, including your rights of appeal.

If the information you request contains reference to a third party then they may be consulted prior to a decision being taken on whether or not to release some or all of the information to you. You will be informed if this is the case.

There may be a fee payable for this information. This will be considered and you will be informed if as fee is payable. In this event the fee must be paid before the information is processed and released. The 20 working day time limit for responses is suspended until receipt of payment. You will be informed if this is the case.
If you have made a request for information held by the Trust - we will contact you as soon as possible if we need any further information to enable us to answer your request. If we don't need any further information we will respond to you within the statutory timescale of 20 working days following the date on which the request was received.

If you have any further queries or concerns then please do not hesitate to contact us.

With best regards,

Alan Larn.

Alan Larn | Freedom of Information Officer | Corporate Secretariat |
Mid and South Essex University Hospitals Group
Basildon University Hospital, Nethermayne, Basildon, SS16 5NL
Tel: 01268 524900 ext 2992

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Larn, Alan, Basildon and Thurrock University Hospitals NHS Foundation Trust

1 Atodiad

Dear Mr Holdsworth,

We have been checking our files and have found that we do not appear to have sent our response to your request below.  Please accept our sincere apologies if this is the case.

The trust’s formal response is as follows:

Thank you for your Freedom of Information request dated 16 March 2020, which has been handled under the Freedom of Information Act 2000 (FOIA).

Your request and our responses are as follows:

Your request:

I would like to request information regarding the screening and treatment of iron deficiency anaemia in patients listed for major elective blood loss surgery.

In the last 12 months available data, how many patients listed for major elective blood loss surgery were screened 6 weeks prior to the procedure for iron deficiency anaemia? How many patients were not?

Of the patients who were screened and anaemia was present had serum ferritin levels tested?

Of those patients diagnosed with iron-deficiency anaemia, how many were offered appropriate iron treatment?

Our response:

This trust has been involved in a Quality Improvement for Surgical Teams (QIST) Patient Safety Collaborative, supported by NHS Improvement, the British Orthopaedic Association, Northumbria Healthcare NHS Foundation Trust. The programme was designed to improve patient care and reduce costs in joint replacement surgery through implementing a pre-operative anaemia screening service. All patients added on to the waiting list for primary total hip replacement and primary total knee replacement surgery were given a blood test form to screen for mild Anaemia (including serum ferritin). Based on the results, the patients who fit criteria were treated with either oral or intravenous iron, according to the attached protocol [19-668 -QIST Anaemia BTUH protocol (Redd).docx].

I am advised that the trust holds records of hip and knee replacement patients who were screened and treated from November 2018 until October 2019 within the programme described above. I don't know if this would cover your request completely, and I have not been able to get hold of a copy of the numbers involved. Please contact me to let me know if you would like to receive these records.

Your request:

If at all possible, could you provide a break down for each answer by what CCG the patients came from?

Our response:

This information was not collected by the trust. For further details we recommend that you contact CCGs direct.

I hope that the response that the Trust has provided is satisfactory.  However, if you are dissatisfied with the way in which your Freedom of Information request has been dealt with you can request an internal review. Please email [email address] within 40 working days with clarification of what you would like to be reviewed. We will aim to provide a review response within 20 working days.

If you remain dissatisfied, you have the right under section 50 of the Act to apply to the Information Commissioner to seek resolution to the matter. Further details can be found on their website: https://ico.org.uk/make-a-complaint/.

Re-use of Public Sector Information Regulations 2015 – General statement of compliance

The Trust for its part is happy for you to reuse any of the information supplied to you in compliance with the Open Government Licence (OGL) terms:  Please click here for further details http://nationalarchives.gov.uk/documents... .  We do not permit the forwarding or sale of staff/departmental contact details and a specific Re-use of Information Regulations request is required for such purposes.

If relevant, you will need the permission of other information owners.  This can occur when you receive a document which is co-authored or where the ownership lies with another organisation.  Provision under both the Freedom of Information Act 2000 and Environmental Information Regulations 2004 does not entitle you to re-use the information without appropriate permissions.  Use must be in compliance with an Open Government Licence or other agreed terms.

We ask that you take a couple of minutes and complete a short survey in relation to your FOI request. The questions relate to your request and how it was handled and the response received. Click here.

Kind regards,

Alan Larn.

Alan Larn
Corporate Governance Administrator
Freedom of Information
Corporate Governance & Membership Services Mid and South Essex NHS Foundation Trust Basildon University Hospital, Nethermayne, Basildon, SS16 5NL
Tel: 01268 524900

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FOI, Basildon and Thurrock University Hospitals NHS Foundation Trust

1 Atodiad

Dear Mr Holdsworth,

I have been provided with the following update:

From Nov 2018 up to Dec 2019, 501 patients underwent primary total hip replacement and primary total knee replacement surgery.

All 501 patients had Haemoglobin (Hb) levels screened for anaemia pre-op. 367 of these patients also had serum ferritin levels checked. 8 patients had low Hb, however, the serum ferritin levels were not tested.

29 patients had Mild anaemia who fit our criteria for treatment: Hb level Males 115-129, Female 105-114, and serum ferritin level 12-100. Of these patients, 20 patients had oral iron treatment and 7 patients had IV iron treatment before their surgery. A further 2 patients should have had oral iron treatment.

16 patients had Hb and serum ferritin outside of the range above and thus were referred to either GP or haematology for further investigation and optimisation pre-op.

I trust this information is of use to you.

With best regards and our apologies once more for the delay,

Alan Larn.

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Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywBEN HOLDSWORTH mewngofnodwch a gadael i bawb wybod.