Salisbury Foundation Trust

FOI_6859

Internal Reference Number: FOI_6859

Date Request Received: 09/11/2022 00:00:00

Date Request Replied To: 08/12/2022 00:00:00

This response was sent via: By Email

Request Summary: Clinical Insourcing at Salisbury NHS Foundation Trust

Request Category: Companies

 
Question Number 1:
Insourcing is a term used to describe a range of medical and clinical services, which are deployed to utilise spare, out-of-hours capacity, typically at weekends, within a trust, in addition to the trusts existing provisions, with the intention to bolster service outputs and improve efficiency (full definition https://www.england.nhs.uk/wp-content/uploads/2022/01/guidance-for-trusts-on-the-use-of-insourcing.pdf). The largest providers are Medinet and 18 Week Support.

Where possible, could this please be provided in a spreadsheet.

1. Have you used insourced providers this current financial year? (April 2022 – March 2023)

a. Which insourcing companies have you used this current financial year?
 
Answer To Question 1:
Yes we have used insourcing providers

a. ID-Medical – Managed Service (Gastroenterology)
 
Question Number 2:
Have you ever used insource providers in the past?

a. If you have stopped using insourced providers, why?
 
Answer To Question 2:
yes
 
Question Number 3:
Which clinical activities have been insourced and from which insourcing company from FY17 to FY22 (financial year ending March)? Please detail your spend on insourced activities from FY17 to FY22 by company, specialty or procedure, and year

a. E.g. Company X, Endoscopy, £10000, FY22
 
Answer To Question 3:
18 weeks – Weekend endoscopy – 19/20 - £21k
ID-Medical – Weekend endoscopy – 20/21 - £50k
ID-Medical – Managed Service (Gastroenterology) – 20/21 - £1.3mil & 22/23 - £1.8mil
 
Question Number 4:
Please provide a breakdown of the total number of procedures completed by each insourcing company per year from FY17 to FY22 (financial year ending March) in:

a. Endoscopy

b. Ophthalmology

c. ENT

d. Dermatology

e. All other
 
Answer To Question 4:
a) Total Endoscopy Procedures completed by each insourcing company:
18wks
2017 964
2018 1205
2019 1175
2020 925
2021 0
2022 0

ID Medical
2017 0
2018 77
2019 551
2020 3037
2021 2574
2022 609

Please note that this information is based on total number of procedures performed by the clinicians employed through the insourcing company which has been split evenly across the years they have worked for us. To get specific numbers for each year per clinician, rather than this average, would take longer than the 18 hour time limit for FOI questions.

Totals for the whole time period:
18 Weeks 4269
ID Medical 6848
Not Insourced 1172
Total 12289

b) N/A
c) N/A
d) N/A
e) N/A
 
Question Number 5:
Were any services terminated or discontinued early and if so, please detail the reason(s).
 
Answer To Question 5:
No contracts have been terminated or discounted within this time
 
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