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Income, Activity & Waiting times for Ophthalmology services

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The Centre for Health and the Public Interest (CHPI)

Dear Nottingham University Hospitals NHS Trust,

We are writing from the Centre for Health and the Public Interest, a charitable think-tank which produces evidence-based research on the health and social care sectors.

Our current project is quantifying and examining the impact of the shift in provision of eye-care services, in particular cataract surgeries, from NHS Trusts towards independent providers.

A survey of all ICBs for a breakdown of spending and activity recorded against each HRG coded procedure has provided a consistent dataset showing patterns of delivery & spend over the previous six years, we have looked at the growth of the independent sector, but what we would like to understand is the impact of the loss of cataract surgery income on NHS Trusts.

We have sent this request to the 90 NHS Trusts providing a significant amount of ophthalmology services to build a dataset which covers a wide breadth of sizes, scopes and operating models of different NHS Trust eye-care departments.
Could you therefore please provide:

1. Income
For each of the financial years between 2017/18 and 2022/23, the annual income, including both inpatient and outpatient care, from:
A. All ophthalmology services in total
B. Care for Cataracts
C. Care for Glaucoma
D. Care for Age Related Macular Degeneration
E. Care for Diabetic Retinopathy

2. Activity
For each of the financial years between 2017/18 and 2022/23, the annual activity, including both inpatient and outpatient care, for cataract care.

3. Waiting times
For each of the financial years between 2017/18 and 2022/23, the average time that a patient would have to wait between referral and first appointment for the following conditions:
A. Cataracts
B. Glaucoma
C. Age Related Macular Degeneration
D. Diabetic Retinopathy

==Responding to this request==

//Format
We would strongly prefer data to be provided in an Excel compatible file-format, especially if there is a large quantity of data. Tables in PDF files cannot be reliably copied and risks errors and mis-transcriptions.

While there are risks around inadvertently sharing personal data through disclosures of spreadsheets, these can be adequately mitigated by copying data out of original spreadsheets and to ensure any underlying data in hidden columns, tabs or pivot tables is excised from the disclosure.

//Coding
Our previous analysis of ICB activity and spend data was significantly enhanced by obtaining data broken down by HRG code, with the majority of activity falling under the HRG code BZ--- for ophthalmology procedures, or HRG Code WF--- for outpatient attendances. This level of detail lets us explore to what extent the complexity of the case-mix is changing as well as absolute numbers.

We don’t want to over-complicate this request and generate further processing for the Trust so have requested yearly data for the limited number of categories of care as above: Care for Cataracts, Care for Glaucoma, Care for Age Related Macular Degeneration etc

But if in the course of compiling the answers officers are going through the process of summing the few dozen HRG codes falling under each category, we would appreciate that level of detail if it is not troublesome to provide.

//COVID & Block contracts
We understand that COVID caused significant disruption to the payment regimes NHS Trusts had access to and that block funding contracts have made analysis of income from different types of activity challenging to assess.
If the Trust is able to provide a consistent dataset across the six years that would be greatly appreciated.

Yours faithfully,

The Centre for Health and the Public Interest (CHPI)

I am currently on AL and will return Tuesday 28th November 2023.

Dear CHPI,

Thank you for sending your request over ,

Please is it possible you could provide your name for us to attach your name to your request.

Kind Regards,

FOI Team
Information Governance
Digital Services

show quoted sections

 

 

Thank you for your request for information about  Income, Activity &
Waiting times for Ophthalmology services.  Your request was received on
27/11/2023 and we are dealing with it under the terms of the Freedom of
Information Act 2000.

 

Nottingham University Hospitals NHS Trust (NUH) came into being on 1st
April 2006 and assumed responsibility for the services provided by both
the Queen's Medical Centre (QMC) and Nottingham City Hospital NHS Trust
(NCH).

 

In some circumstances a fee may be payable and if that is the case I will
let you know. A fees notice will be issued to you, and you will be
required to pay before I will proceed to deal with your request.

 

You will receive the information requested within 20 working days allowed
under the Act unless the Trust does not hold the information or there is a
reason for it to be withheld. I will write to you in any event.

 

If you have any requirements regarding the format any information should
be supplied in, e.g. the language to be used, audio, large print and so
on, then please let me know.

 

If you have any queries or concerns then please do not hesitate to contact
me. Please remember to quote the reference number above in any future
communications.

 

Further information about your rights is also available from the
Information Commissioner at:

 

Information Commissioner's Office
Wycliffe House 
Water Lane 
Wilmslow 
Cheshire 
SK9 5AF 
Telephone: 0303 123 1113
[1]www.ico.gov.uk

 

Yours sincerely,

 

Information Governance Officer

Information Governance Team

[2][Nottingham University Hospitals NHS Trust request email]

 

 

The information contained in this email may be the subject of public disclosure under the
Freedom of Information Act 2000 - unless legally exempt from disclosure, the
confidentiality of this email and your reply cannot be guaranteed.

Copyright of this email and any attachments created by us remains vested in the
Nottingham University Hospitals NHS Trust.

This email and any files transmitted with it are confidential and intended solely for 
the use of the individual or entity to whom they are addressed. 

This footnote also confirms that this email message has been swept by 
anti-virus software for the presence of known computer viruses.

Nottingham University Hospitals NHS Trust
City Hospital campus | Hucknall Road | Nottingham | NG5 1PB | Tel: 0115 969 1169
QMC campus | Derby Road | Nottingham | NG7 2UH | Tel: 0115 924 9924

If you have received this email in error please notify the sender. 

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Tracking ID: ed0a5242-e43f-408a-841b-593e28f22f57

Date and Time : Tue Nov 28 12:07:28 2023

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2. mailto:[Nottingham University Hospitals NHS Trust request email]

The Centre for Health and the Public Interest (CHPI)

Dear FOI,

The person who is requesting this information is Mr Sid Ryan, Researcher at the CHPI

Yours sincerely,

The Centre for Health and the Public Interest (CHPI)

1 Attachment

Dear CHPI

 

I am writing in response to your correspondence dated 24/11/2023
requesting information under the Freedom of Information Act 2000.

 

Nottingham University Hospitals NHS Trust (NUH) came into being on 1st
April 2006 and assumed responsibility for the services provided by both
the Queen's Medical Centre (QMC) and Nottingham City Hospital NHS Trust
(NCH).

 

Your request for information has now been considered. The Trust's response
is provided in the attached document.

 

You are advised that this information is provided in accordance with the
Freedom of Information Act 2000 and is for your personal use.  Any re-use
of this information will be subject to copyright and the Re-Use of Public
Sector Information Regulations (18th July 2015).  In the event of any
re-use, the information must be reproduced accurately and not used in a
misleading manner.

 

If you have any queries or concerns then please contact me. Please
remember to quote the reference number above in any future communications.

 

If you are unhappy with the response you have received and wish to make an
appeal against our decision, you should write to

 

Head of Information Governance/Data Protection Officer

Nottingham University Hospitals NHS Trust

ICT Services, Heathfield House

City Campus

Hucknall Road

Nottingham NG5 1PB

Or by email [1][email address]

 

If you are unhappy with the overall service you have received and wish to
discuss your concerns or obtain details on how to complain, please
contact:

 

Patient Advice & Liaison Service

Telephone 0800 183 0204

[2][email address]

 

If, after exhausting our internal process, you are still unhappy with the
information received, you may write to:

 

The Information Commissioner’s Office

Wycliffe House

Water Lane

Cheshire, SK9 5AF

Telephone: 0303 123 1113

[3]www.ico.gov.uk

 

Kind regards,

 

Information Governance Officer

Information Governance Team

[4][email address]

 

 

The information contained in this email may be the subject of public disclosure under the
Freedom of Information Act 2000 - unless legally exempt from disclosure, the
confidentiality of this email and your reply cannot be guaranteed.

Copyright of this email and any attachments created by us remains vested in the
Nottingham University Hospitals NHS Trust.

This email and any files transmitted with it are confidential and intended solely for 
the use of the individual or entity to whom they are addressed. 

This footnote also confirms that this email message has been swept by 
anti-virus software for the presence of known computer viruses.

Nottingham University Hospitals NHS Trust
City Hospital campus | Hucknall Road | Nottingham | NG5 1PB | Tel: 0115 969 1169
QMC campus | Derby Road | Nottingham | NG7 2UH | Tel: 0115 924 9924

If you have received this email in error please notify the sender. 

--------------------------------------------------------------------------------

Tracking ID: 44e7432c-e613-4829-b58d-53e79bf52588

Date and Time : Tue Dec 12 09:06:08 2023

References

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2. mailto:[email address]
3. http://www.ico.gov.uk/
4. mailto:[email address]

We don't know whether the most recent response to this request contains information or not – if you are The Centre for Health and the Public Interest (CHPI) please sign in and let everyone know.