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30 Jan 2008 : Column 478W—continued


Total contracted procedures broken down by health resource group (HRG) chapter
Contract Location Total contracted procedures General surgery Orthopaedics Nervous system Ophthalmology ENT

LP2

Bradford

28,564

4,703

4,530

—

407

1,015

LP3

Burton

64,814

6,673

11,908

6,168

16,477

3,590

LP4

Trent and South Yorkshire

21,449

—

21,449

—

—

—

LP5

Daventry

5,155

144

392

319

3,841

217

LP7

Shepton Mallet

56,242

2,000

22,242

—

12,000

—

LP8

Greater Manchester

44,863

5,782

20,667

—

—

14,351

LP9

Plymouth

16,512

—

16,512

—

—

—

GC4*

East Cornwall

26,495

215

40

—

7,148

—

GC4

East Lincolnshire

6,955

572

—

—

3,401

—

GC4

North East Yorkshire and North Lincolnshire

8,638

581

7,621

—

—

—

GC4

Northumberland, Tyne and Wear

9,551

2,221

—

—

—

—

GC4

West Lincolnshire

5,647

447

996

—

1,574

-

GC4

Southampton

13,737

—

13,737

—

—

—

GC4*

North Oxford

15,970

—

15,970

—

—

—

GC4*

Thames Valley (Milton Keynes)

8,292

260

4,185

—

—

—

GC4

Thames Valley (Reading)

5,935

28

3,024

—

—

—

GC5E

Nottingham

110,683

29,556

10,481

10,634

704

4,452

GC5W

Cheshire and Merseyside

24,817

—

24,817

—

—

—

GC5W

Kidderminster

9,000

—

8,355

645

—

—

GC6

Maidstone

55,117

4,356

3,560

—

—

—

GC7

North East London

56,030

1,580

15,495

—

8,040

9,415

GC8

Brighton

26,438

141

26,297

—

—

—

GC8

Havant

—

—

—

—

—

—

GC8*

Medway

19,770

400

6,235

—

—

—

GC8

Portsmouth

34,218

4,243

4,854

—

8,265

—

GC8

Wycombe

—

—

—

—

—

—

OC123

Ophthalmic Chain

44,735

—

—

—

44,735

—

Contractual total

719,627

63,900

243,367

17,766

106,592

33,040

ISTC utilisation to date

—

—

—

—

—

—


30 Jan 2008 : Column 479W

30 Jan 2008 : Column 480W

Total contracted procedures broken down by health resource group (HRG) chapter
Contract Location Thoracic procedures Digestive system Urology Gynaecology

LP2

Bradford

—

10,567

4,168

3,175

LP3

Burton

109

5,405

11,631

2,853

LP4

Trent and South Yorkshire

—

—

—

—

LP5

Daventry

—

242

—

—

LP7

Shepton Mallet

—

20,000

—

—

LP8

Greater Manchester

—

3,267

796

—

LP9

Plymouth

—

—

—

—

GC4*

East Cornwall

—

14,984

182

3,926

GC4

East Lincolnshire

—

2,392

590

-

GC4

North East Yorkshire and North Lincolnshire

—

436

—

—

GC4

Northumberland, Tyne and Wear

—

7,330

—

—

GC4

West Lincolnshire

—

1,464

1,166

—

GC4

Southampton

—

—

—

—

GC4*

North Oxford

—

—

—

—

GC4*

Thames Valley (Milton Keynes)

—

3,384

321

142

GC4

Thames Valley (Reading)

—

2,141

271

471

GC5E

Nottingham

1,274

40,332

203

13,048

GC5W

Cheshire and Merseyside

—

—

—

—

GC5W

Kidderminster

—

—

—

—

GC6

Maidstone

689

36,862

248

9,402

GC7

North East London

—

5,590

15,910

—

GC8

Brighton

—

—

—

—

GC8

Havant

—

—

—

—

GC8*

Medway

—

6,065

7,070

—

GC8

Portsmouth

—

16,856

—

—

GC8

Wycombe

—

—

—

—

OC123

Ophthalmic Chain

—

—

—

—

Contractual total

2,072

177,317

42,555

33,017

ISTC utilisation to date

—

—

—

—

Notes:
1. The total contract value represents the estimated nominal value at the time of signing, calculated in accordance with an estimate of the inflation index as specified in each contract.
2. The contracted activity is indicative only and can vary significantly from actual activity through substitution of higher or lower value procedures across the contract term.
3. Utilisation represents the per cent. value of the contract which has been utilised from contract commencement to the end of September 2007-08.
4. Utilisation per cent. may change following contract reconciliation which occurs at the end of each contract quarter and year.
5. All information provided has been based on the most up to date information at the time of submission.
6. The specialties are referenced to HRG Chapter. “General Surgery” includes HRG chapters E, G, J, K, P, Q and S. HRG information is available at:
www.ic.nhs.uk/casemix.
7. This information is expected to be updated on an annual basis.
8. The Department works with sponsors and providers to ensure optimum utilisation of the contracts. This includes changing the case mix to respond to local need and working with providers and primary care trusts to recover previous under-utilised activity where possible. * In addition to the work we are doing across all ISTCs to improve utilisation we are also taking the following action:
Bodmin NHS Treatment Centre
DH is agreeing a contract change to allow the ISTC to treat patients needing diagnostic endoscopies to achieve a two week wait in cancer referrals
The provider (Capio) is targeting GPs with a marketing campaign to improve direct referrals
Norton
DH is negotiating with the provider to relax the additionality clause so that local NHS surgeons can work in the ISTC "out of hours"
Introducing outreach clinics in nearby towns to improve direct referrals from GPs
DH is negotiating to sell unused activity to neighbouring PCTs and adjacent SHA
Blakelands
There have been referrals issues in this ISTC but DH agreed a recovery plan and this is now resolved. Utilisation has been averaging 95 per cent. since February 2007
Medway
This contract suffered from the turbulence of structural changes in the PCTs, but these are now resolved and utilisation is showing improvement
The provider (Mercury) was taken over by Care UK recently and has been negotiating a range of new services which will improve utilisation in the new year
The sponsor PCT is negotiating to sell unused activity to neighbouring PCTs
9. If you have any questions relating to this release of information please contact the Department of Health Newsdesk on 0207 210 5221 or for general enquiries phone 0207 210 4850.
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