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FOI Request 2226 - Operating Theatres
Written by FOI Lead   

Case Number 2226
Request Date 11/12/2010

Details of the Request


  1. In the financial year 2009/20010 how many operating theatres were functioning in your Trust?
  2. How many of these theatres are located in the Trust’s dedicated Day Surgery (Centre)?
  3. What percent of the Trust's whole annual budget 2009/2010 do theatres (excluding Day Surgery Centre) comprise?
  4. In real terms how much was the Trust’s annual budget 2009/2010?
  5. Does the Trust have a dedicated NCEPOD theatre 24/7? a. If no, how do theatres deal with emergency cases?
  6. Does the Trust have a separate dedicated Trauma theatre 24/7?
  7. Which healthcare information technology (HIT) solution does the Trust use in theatres (eg PICIS, Galaxy, etc)?
  8. Net total cost per hour of threatre time (empty theatre including all staff n it: HCA, nurses, ODA/P, anaesthetist, surgeons)?
  9. Theatre cost of the procedures performed in the Trust?

Completion Date 07/03/2011


Details of the Response

Thank you for your request to Ashford and St. Peter’s Hospitals NHS Trust regarding theatre operations. We apologise for the delay and our response is as follows:


General Aspects
  1. In the financial year 2009/20010 how many operating theatres were functioning in your Trust?

    16
     
  2. How many of these theatres are located in the Trust’s dedicated Day Surgery (Centre)?

    6
     
  3. What percent of the Trust’s whole annual budget 2009/2010 do theatres (excluding Day Surgery Centre) comprise?

      Theatre
    £k    		 Trust
    £k    		 Overall
    £k
    Pay 13347 133120 10.03%
    Non Pay 3936 78396 4.33%
    Total 17283 211516 8.17%

     
  4. In real terms how much was the Trust’s annual budget 2009/2010?

    The Trust annual budget for 2009/10 was £212m
     
  5. Does the Trust have a dedicated NCEPOD theatre 24/7?

    Yes
     
  6. Does the Trust have a separate dedicated Trauma theatre 24/7?

    No not 24/7
     
  7. Based on the data entered into the HIT, does the Trust have the following information available?
     
  8. Which healthcare information technology (HIT) solution does the Trust use in theatres (eg PICIS, Galaxy, etc)?
     

Bluespier: Financial Aspects
  1. Net total cost per hour of theatre time (empty theatre including all staff in it: HCA, nurses, ODA/P, anaesthetist, surgeons)? If yes, how much is it?


    This data is not available
     
  2. Theatre cost of the procedures performed in the Trust?

    This data is not available
     
  3. Average surgical duration for each of the procedures performed in the Trust? If yes, is the data available for each procedure per surgeon performing it?

    This data is not available
     
  4. In financial terms gross ‘profit’ or loss of each procedure (money Trust is paid for a procedure per patient, less the theatre costs (staffing, equipment, utilities etc) and inpatient stay (ward staff, different examinations, etc)? If yes, which procedure is:

    a. The most cost effective
    b). The least cost effective?

    This data is not available
     
  5. Based on the data entered into the HIT, does the Trust have the following information available?
     
  6. Delays in starting at beginning of each session per theatre, including reason and amount of delay?

    Reason for Delay Minutes
    None recorded 25
    None recorded 25
    None recorded 75
    Patient not consented 25
    Portering difficulties 60
    None recorded 115
    Patient not seen by anaesthetist 35
    Patient not consented 25
    None recorded 40
    Patient not seen by anaesthetist 41
    None recorded 55
    Waiting for bed clearance 74
    Patient not consented 56
    None recorded 35
    None recorded 60
    None recorded 45
    None recorded 30
    None recorded 161
    None recorded 60
    None recorded 45
    Patient not seen by anaesthetist 110

     
  7. Early finished at the end of each session per theatre, including reason and amount of unused time?

    Analysis spreadsheet sent to requester.
     
  8. Overruns at the end of each session per theatre, including reason(s) necessitating overrun and amount of time overran?

    Analysis spreadsheet sent to requester.
     
  9. Any other time period during a session, where time is not spent operating on or anaesthetising of a patient?

    Analysis spreadsheet sent to requester.
     
  10. What is the overall utilisation (time patients(s) in theatre as a percentage of session (4 hours) in the month of March 2010?

    Utilisation for March 2010:

    Total session time (min) Total Operating time (min) Overall Utilisation
    110670 86043 77.7%

     
  11. Does the Trust have a dedicated permanent member of staff responsible for theatre efficiency overall?

    a. Is it one person or more?
    b. If more, how many?
    c. If more, for what consecutive period of time are they responsible (day, week, month etc)?

    There isn’t one person responsible. Responsibility lies with the Team Leaders and the matrons who report to the Anaesthetics/Theatres/Critical Care Divisional Director who, in turn, reports to the Deputy Chief Executive.
     


Last Updated ( Thursday, 09 June 2011 10:17 )