Endoscopy 2

Summary

The Department of Health and Social Care provided endoscopy procedure statistics for Noble's Hospital and Ramsey, along with costs for UK-based procedures, but refused to disclose the specific usage count of transferred equipment due to practical limitations.

Key Facts

• Endoscopy procedure data was provided monthly from April 2016 to April 2017 and weekly thereafter.
• 56 endoscopy procedures were carried out on Manx residents in the UK during the 2016-17 financial year.
• The cost of UK-based procedures to the Department was £22,067.
• Equipment from Ramsey was transferred to Noble's Hospital on 08 June 2017 and became available for use on 14 June 2017.
• The specific number of times the transferred equipment has been used could not be provided as it is now in general circulation.

Data Disclosed

• 56
• £22,067
• 08 June 2017
• 14 June 2017
• 244
• 202
• 267
• 2016-17
• 2-3 times per day

Exemptions Cited

• Section 11 of the Freedom of Information Act 2015 (Practical refusal reason: information not held or cannot be found after reasonable steps)

Data Tables (2)

Full Response Text

Department of Health and Social Care

Rheynn Slaynt as Kiarail y Theay

Page 1 of 3 FOIA/DHSC/rvsd/01

Chief Executive: Malcolm Couch Freedom of Information Team Department of Health & Social Care Chief Executive’s Office Crookall House Demesne Road Douglas Isle of Man, IM1 3QA Tel: Email: Website: Date: FOI Reference: (01624) 642621 foi.dhsc@gov.im www.gov.im/dhsc 02 August 2017 IM94-122i

Dear
REQUEST UNDER THE FREEDOM OF INFORMATION ACT 2015 (“the Act”) Thank you for your request to the Department of Health and Social Care, dated 05 July 2017

Your request You asked for: Question 01: “For each of the last 12 months how many operations using the endoscopy equipment have been used in Noble’s Hospital and Ramsey, answers in months until April 2017 and then weekly from then to now?” Question 02: “How many such operations have been carried out on Manx residents in the United Kingdom with the same time periods as above?”
Question 03: “What has been the costs of the operations in Question 02?” Question 04: “When was the equipment from Ramsey set up ready for use in Noble’s Hospital; what date was it first used on a patient at Noble’s; how many times has it been used since?”

Response to your request We are pleased to be able to provide a response to your request with answers to some of your questions; while our aim is to provide information whenever possible, in this instance we are unable to provide some of the information you have requested; the reasons are shown as part of the corresponding answers below.

Page 2 of 3 FOIA/DHSC/rvsd/01 Question 01: For each of the last 12 months how many operations using the endoscopy equipment have been used in Noble’s Hospital and Ramsey and District Cottage Hospital, answers in months until April 2017 and then weekly from then to now? Please find the Department’s response to Question 01 in the following tables: Month Endoscopy Procedures at Noble’s Hospital Endoscopy Procedures at Ramsey and District April 2016 244 56 May 2016 202 100 June 2016 242 34 July 2016 214 56 August 2016 235 28 September 2016 241 56 October 2016 217 39 November 2016 267 37 December 2016 195 42 January 2017 208 47 February 2017 220 56 March 2017 212 55 April 2017 218 52

Week Commencing Endoscopy Procedures at Noble’s Hospital Endoscopy Procedures at Ramsey and District 01 May 2017 50 11 08 May 2017 52 12 15 May 2017 49 10 22 May 2017 48 9 29 May 2017 50 0 05 June 2017 50 0 12 June 2017 60 0 19 June 2017 62 0 26 June 2017 57 0 03 July 2017 60 0 *week included a bank holiday Question 02: How many such operations have been carried out on Manx residents in the United Kingdom with the same time periods as above? In response to Question 02, there have been 56 endoscopy procedures carried out in the UK during financial year 2016-17. Question 03: What has been the costs of the operations in Question 02? In response to Question 03, the cost of the procedures to the Department was £22,067. Question 04a: When was the equipment from Ramsey and District Cottage Hospital set up ready for use in Noble’s Hospital? What date was it first used on a patient at Noble’s Hospital; How many times has it been used since?

Page 3 of 3 FOIA/DHSC/rvsd/01 In response to the first part of Question 04, the endoscopy equipment was transferred to Noble’s Hospital on Thursday 08 June 2017. The equipment required calibration and decontamination upon its arrival. The equipment also required relabeling to be included in the Noble’s Hospital endoscope traceability system. In response to the second part of Question 04, the equipment was available for use from Wednesday 14 June 2017 and is now part of the general circulation of scopes used within the unit, with each endoscope being used 2-3 times per day based on activity. The scope guide is now in use within Room 2 for all cases and the capsule endoscopy system is also now in use.
In response to the third part of Question 04, while our aim is to provide information whenever possible, in this instance we are unable to provide the information you have requested, in line with section 11 of the Act on the grounds that a practical refusal reason applies, namely we do not hold or cannot, after taking reasonable steps, find the information that you request. This is because unfortunately it is not possible to list how many times each piece of equipment has been used as there was so much equipment transferred and it is now in general circulation. On behalf of the Department, the FOI Team apologises that on this occasion we have not been able to be of more assistance. 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 to the FOI Co-ordinator, Department of Health & Social Care, Chief Executive’s Officer, Crookall House, Demesne Road, Douglas, Isle of Man, IM1 3QA. An electronic version and paper version of our complaint form can be found by going to our website www.gov.im/about-the-government/freedom-of-information/how-to- make-a-freedom-of-information-request/ . 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; 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.
   Further information about Freedom of Information requests can be found on the Information Commissioner’s website at: www.inforights.im/information-centre/freedom-of-information. Should you have any queries concerning this letter, please do not hesitate to contact us. Yours Sincerely

Freedom of Information Team Department of Health and Social Care