Salisbury Foundation Trust


Internal Reference Number: FOI_4932

Date Request Received: 04/03/2019 09:04:48

Date Request Replied To: 12/04/2019 12:51:10

This response was sent via: By Email

Request Summary: ECG monitoring carried out in the hospital setting

Request Category: Companies

Question Number 1:
The following questions are in relation to ECG monitoring which is carried out only in the hospital setting.

How many tests in the following categories do you perform each year?
• 24hr Holter
• 48hr Holter
• 72hr Holter
• 7 day Holter
• 7 day event recorder
• Other please specify
Answer To Question 1:
24hr Holter - 2094
. 48hr Holter - 50
. 72hr Holter - 12
. 7 day Holter - 364
. 7 day event recorder - 260
. Other please specify
Question Number 2:
Which monitoring modality do you use for the following, specify make and model?
• 24hr Holter
• 48hr Holter
• 72hr Holter
• 7 day Holter
• 7 day event recorder
• Other please specify
Answer To Question 2:
24hr Holter - Lifecard CF Spacelabs LTD
. 48hr Holter - as above
. 72hr Holter - as above
. 7 day Holter - as above
. 7 day event recorder - Novacor R Test 4 Novacor LTD
. Other please specify
Question Number 3:
How many monitors do you have of each make/model?
Answer To Question 3:
21 x Lifecards 5 x Novacors
Question Number 4:
How much is the service contract for each modality per year?
Answer To Question 4:
We pay a fixed sum per year for a parts & telephone support contract for our entire patient monitoring portfolio and as such don’t hold the detail of the costs per modality for the service contract.
Question Number 5:
How many of these are in repair/lost?
Answer To Question 5:
Question Number 6:
What is the cost of repair if the device is not under a service contract?
Answer To Question 6:
Repairs are carried out in house with telephone support from the supplier
Question Number 7:
What was the price paid per unit for each of the monitoring modalities above?
Answer To Question 7:
This information is considered to be commercially sensitive, as such we apply exemption 43. Please see attached Refusal Notice.
Question Number 8:
How much was the analysis software package (if purchased)?
Answer To Question 8:
Question Number 9:
What is the cost of the service contract on the analysis software?
Answer To Question 9:
As question 4, this forms part of a larger contract
Question Number 10:
What is your annual spend on consumables for monitoring?
• Batteries
• Electrodes
• Alcohol wipes
• Razors
• Cleaning materials for monitors
• Replacement leads
Answer To Question 10:
We do not hold this level of detail of spend.
Question Number 11:
What is the average salary band of staff analysing ambulatory ECG monitor data?
Answer To Question 11:
We would use a Band 5 or a Band 6 at present.
Question Number 12:
How many of the staff employed to analyse ambulatory ECG data are working through a locum agency?
Answer To Question 12:
Question Number 13:
What is the current waiting time from referral to monitor fitting? Please specify if waiting times vary for each modality.
Answer To Question 13:
24hr/48hr/72hr Holter – 28 days 7 day Holter – 5 months Event Recorders – 2 months

Question Number 14:
What is the current waiting time from monitor return to result availability? Please specify if waiting times vary for each modality.
Answer To Question 14:
At present 14 weeks for 24hr/48hr/72hr and 7 day Holter. 4 weeks for Novacor. We do have a locum on this now so the waiting time will reduce.

Question Number 15:
How many ambulatory monitoring patients require hospital transport per year?
• Is transport also used to return the monitor?
• What is the average cost per return?
Answer To Question 15:
It is very rare that patients require this, less than 3% of patients require hospital transport.
No, transport is not also used to return the monitor.
We are unable to calculate how much it costs per journey
Question Number 16:
Does the patient also need to be transported back to hospital for removal?
Answer To Question 16:
Question Number 17:
What is the annual cost of transport services for ambulatory monitoring patients?
Answer To Question 17:
We are unable to isolate the costs for transport services for ambulatory monitoring patients
Question Number 18:
Is outpatient monitoring capacity limited by inpatient demand for monitoring?
Answer To Question 18:
Question Number 19:
Are you meeting monitoring demand for?
• Routine monitoring referrals
• Urgent monitoring referrals
Answer To Question 19:
. Routine monitoring referrals - To both urgent and routine monitor fitting – Yes.
. Urgent monitoring referrals - Urgents are analysed asap, 14 week wait for analysis on routine.
Question Number 20:
If not, what was your annual spend on breaching fines in the last financial year?
Answer To Question 20:
To return to the list of all the FOI requests please click here

Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.

Salisbury NHS Foundation Trust, Salisbury District Hospital, Salisbury, Wiltshire, SP2 8BJ
T: 01722 336262 E:
© 2021 Salisbury NHS Foundation Trust
Trust Values