Number of Hip Replacements carried out

Summary

The request sought monthly breakdowns of hip replacement surgeries and waiting list removal statistics for 2019 and 2020 at Nobles Hospital. The authority disclosed aggregate surgery counts and detailed waiting list removal reasons but could not provide monthly breakdowns due to incomplete clinical coding.

Key Facts

• Monthly breakdowns for hip arthroplasty surgeries (2019-2020) were not provided due to incomplete and unaudited clinical coding.
• A total of 16 prosthetic replacements of the head of femur were recorded between January 2019 and December 2020.
• All 16 recorded hip replacement procedures were classified as emergency admissions.
• 113 orthopaedic waiting list entries were removed due to consultant decision between 2019 and 2020.
• 6 orthopaedic waiting list entries were removed due to patient death between 2019 and 2020.

Data Disclosed

• 16 Prosthetic replacements of head of femur procedures
• 01/01/2019 to 31/12/2020
• 113 Consultant Decision removals
• 71 Patient's decision removals
• 31 Procedure provided by other provider removals
• 9 Entered in Error/Admin Error removals
• 2 Outpatient Attendance removals
• 2 Patient admitted as an emergency removals
• 1 Did Not Attend removal
• 1 Removed/Attend no treatment removal
• 6 Patient died removals

Original Request

Please provide us with: a) The number of non-emergency/elective hip arthroplasty surgeries carried out in Nobles Hospital in 2019, broken down by month b) The number of non-emergency/elective hip arthroplasty surgeries carried out in Nobles Hospital in 2020, broken down by month c) The number of emergency hip arthroplasty surgeries carried out in Nobles Hospital in 2019, broken down by month d) The number of emergency hip arthroplasty surgeries carried out in Nobles Hospital in 2020, broken down by month e) Total number of people removed from the waiting list for orthopaedic surgeries on the Isle of Man in 2019 and 2020 prior to receiving surgery f) Total number of people removed from the waiting list for orthopaedic surgeries on the Isle of Man in 2019 and 2020 due to their death prior to receiving a surgery

Data Tables (2)

Full Response Text

Chief Executive: Kathryn Magson Freedom of Information Team Crookall House Demesne Road Douglas Isle of Man IM1 3QA

(01624) 642621 dhsc@foi.gov.im Website: www.gov.im/dhsc

Our ref: 1690513 25 March 2021

Dear ###

We write further to your request which was received on 2 March 2021 and which states:

"Please provide us with: a) The number of non-emergency/elective hip arthroplasty surgeries carried out in Nobles Hospital in 2019, broken down by month b) The number of non-emergency/elective hip arthroplasty surgeries carried out in Nobles Hospital in 2020, broken down by month c) The number of emergency hip arthroplasty surgeries carried out in Nobles Hospital in 2019, broken down by month d) The number of emergency hip arthroplasty surgeries carried out in Nobles Hospital in 2020, broken down by month e) Total number of people removed from the waiting list for orthopaedic surgeries on the Isle of Man in 2019 and 2020 prior to receiving surgery f) Total number of people removed from the waiting list for orthopaedic surgeries on the Isle of Man in 2019 and 2020 due to their death prior to receiving a surgery" Our Response: Questions (a)-(d) a) The number of non-emergency/elective hip arthroplasty surgeries carried out in Nobles Hospital in 2019, broken down by month b) The number of non-emergency/elective hip arthroplasty surgeries carried out in Nobles Hospital in 2020, broken down by month c) The number of emergency hip arthroplasty surgeries carried out in Nobles Hospital in 2019, broken down by month d) The number of emergency hip arthroplasty surgeries carried out in Nobles Hospital in 2020, broken down by month

We are unable to answer questions A – D individually due to the clinical coding of finished consultant episodes not being complete and the coding that has been done has not been audited to check validity. However, to comply with providing the data held in response to this FOI request there have been 16 Prosthetic replacements of head of femur procedures recorded between 01/01/2019 and 31/12/2020. All of these were marked as being emergency admissions. The accurate and timely clinical coding of finished consultant episodes is in the process of being addressed but this is a significant project and will take time. Question (e) Total number of people removed from the waiting list for orthopaedic surgeries on the Isle of Man in 2019 and 2020 prior to receiving surgery. Please see below the number of waiting list entry removals (not necessarily patients) from trauma and orthopaedic waiting lists between 01/01/2019 and 31/12/2020 by removal reason (excluding those that died). Removal reason Count of waiting list entries Consultant Decision 113 Patient's decision 71 Procedure provided by other provider 31 Entered in Error/Admin Error 9 Outpatient Attendance 2 Patient admitted as an emergency for the same condition 2 Did Not Attend 1 Removed/Attend no treatment 1 Question (f) Total number of people removed from the waiting list for orthopaedic surgeries on the Isle of Man in 2019 and 2020 due to their death prior to receiving a surgery. Please see below the number of waiting list entry removals (not necessarily patients) from trauma and orthopaedic waiting lists between 01/01/2019 and 31/12/2020 where the removal reason is “Patent died”). Removal reason Count of waiting list entries Patient died 6

Please quote the reference number 1690513 in any future communications.

Your right to request a review

If you are unhappy with this response to your freedom of information request, you may ask us to carry out an internal review of the response, by completing a complaint form and submitting it electronically or by delivery/post.

An electronic version of our complaint form can be found by going to our website at https://services.gov.im/freedom-of-information/Review . If you would like a paper version of our complaint form to be sent to you by post, please contact me and I will be happy to arrange for this. Your review request should explain why you are dissatisfied with this response, and should be made as soon as practicable. We will respond as soon as the review has been concluded.

If you are not satisfied with the result of the review, you then have the right to appeal to the Information Commissioner for a decision on; 1. Whether we have responded to your request for information in accordance with Part 2 of the Freedom of Information Act 2015; or 2. Whether we are justified in refusing to give you the information requested.
In response to an application for review, the Information Commissioner may, at any time, attempt to resolve a matter by negotiation, conciliation, mediation or another form of alternative dispute resolution and will have regard to any outcome of this in making any subsequent decision. More detailed information on your right to a review can be found on the Information Commissioner’s website at www.inforights.im. Should you have any queries concerning this letter, please do not hesitate to contact me. Further information about freedom of information requests can be found at www.gov.im/foi.

I will now close your request as of this date.

Yours sincerely