Case Number 4629
Request Date 12/02/2016
Completion Date 01/03/2016

 

Details of the Request

How many elective procedures (or admissions) that were due to be carried out by your NHS trust were instead carried out by a private provider in 2011-12, 2012-13, 2013-14, 2014-15 and 2015-16 to date?

For the financial years stated above, what percentage of all elective procedures at your trust had to instead be carried out by a private provider?

For the financial years stated above, what were the most common reasons given for a procedure to be carried out by a private provider – even though it was initially scheduled to be carried out in your hospital trust?

For question 1 – and whether this is possible to reveal within the cost limits – which procedures were carried out by private providers?

 

Details of the Response

1. How many elective procedures (or admissions) that were due to be carried out by your NHS trust were instead carried out by a private provider in 2011-12, 2012-13, 2013-14, 2014-15 and 2015-16 to date?

2011-12: 415
2012-13: 452
2013-14: 195
2014-15: 648
2015-16 to date: 2

The marked difference in numbers from 2014/15 to 2015/16 relates to a backlog clearance in 2014/15 and not having the need to use private providers in 2015/16.

 

1a) For question 1 – and whether this is possible to reveal within the cost limits – which procedures were carried out by private providers?

CODE Description 2011-12 2012-13 2013-14 2014-15 2015-16
W401 Primary total prosthetic replacement of knee joint using cement 10 1 27 79 0
G451 Fibreoptic endoscopic examination of upper gastrointestinal tract and biopsy of lesion of upper gastrointestinal tract 19 84 0 0 0
H221 Diagnostic fibreoptic endoscopic examination of colon and biopsy of lesion of colon 28 74 0 0 0
W822 Endoscopic resection of semilunar cartilage NEC 4 13 6 71 0
H229 Unspecified diagnostic endoscopic examination of colon 42 49 0 0 0
J183 Total cholecystectomy NEC 23 0 19 47 0
C751 Insertion of prosthetic replacement for lens NEC 0 36 0 52 0
O291 Subacromial decompression 14 2 9 39 0
W742 Reconstruction of intra-articular ligament NEC 5 4 11 42 0
W381 Primary total prosthetic replacement of hip joint not using cement 8 2 8 42 0
H259 Unspecified diagnostic endoscopic examination of lower bowel using fibreoptic sigmoidoscope 13 40 0 0 0
T202 Primary repair of inguinal hernia using insert of prosthetic material 10 0 14 12 0
H251 Diagnostic endoscopic examination of lower bowel and biopsy of lesion of lower bowel using fibreoptic sigmoidoscope 5 28 0 0 0
H201 Fibreoptic endoscopic snare resection of lesion of colon 8 21 0 0 0
W581 Primary resurfacing arthroplasty of joint 2 0 7 16 0
H524 Rubber band ligation of haemorrhoid 4 19 0 0 0
W411 Primary total prosthetic replacement of knee joint not using cement 6 1 4 11 0
H206 Fibreoptic endoscopic resection of lesion of colon NEC 5 12 0 0 0
L665 Percutaneous transluminal balloon angioplasty of artery 14 0 0 0 0
H202 Fibreoptic endoscopic cauterisation of lesion of colon 5 8 0 0 0
W371 Primary total prosthetic replacement of hip joint using cement 0 0 6 6 0
G459 Unspecified diagnostic fibreoptic endoscopic examination of upper gastrointestinal tract 2 10 0 0 0
W879 Unspecified diagnostic endoscopic examination of knee joint 1 2 3 4 0
W743 Reconstruction of extra-articular ligament NEC 1 0 1 7 1
W836 Endoscopic excision of articular cartilage NEC 4 0 0 6 0
W283 Removal of internal fixation from bone NEC 4 1 0 5 0
W421 Primary total prosthetic replacement of knee joint NEC 2 0 2 6 0
T242 Repair of umbilical hernia using insert of prosthetic material 2 0 2 5 0
T791 Plastic repair of rotator cuff of shoulder NEC 2 0 3 4 0
W891 Endoscopic chondroplasty NEC 0 1 2 6 0
V337 Primary microdiscectomy of lumbar intervertebral disc 9 0 0 0 0
A522 Therapeutic sacral epidural injection 0 0 0 9 0
A651 Carpal tunnel release 1 5 0 2 0
E036 Septoplasty of nose NEC 0 0 1 6 0
G243 Antireflux fundoplication using abdominal approach 2 0 1 4 0
L634 Arteriography of femoral artery 7 0 0 0 0
W833 Endoscopic shaving of articular cartilage 1 0 1 5 0
L882 Radiofrequency ablation of varicose vein of leg 0 0 0 7 0
M533 Introduction of tension-free vaginal tape 7 0 0 0 0
W161 Multiple osteotomy and internal fixation HFQ 5 2 0 0 0
L544 Percutaneous transluminal insertion of stent into iliac artery 6 0 0 0 0
W791 Soft tissue correction of hallux valgus 1 0 2 3 0
W712 Open excision of intra-articular osteophyte 1 1 0 4 0
T212 Repair of recurrent inguinal hernia using insert of prosthetic material 2 0 3 1 0
W941 Primary hybrid prosthetic replacement of hip joint using cemented femoral component 1 0 0 5 0
T243 Repair of umbilical hernia using sutures 1 0 1 4 0
W391 Primary total prosthetic replacement of hip joint NEC 1 0 1 4 0
W903 Injection of therapeutic substance into joint 0 0 1 4 0
P233 Posterior colporrhaphy NEC 5 0 0 0 0
W693 Partial synovectomy 1 0 2 2 0
W403 Revision of total prosthetic replacement of knee joint using cement 0 0 4 1 0
L635 Percutaneous transluminal insertion of stent into femoral artery 5 0 0 0 0
Q074 Total abdominal hysterectomy NEC 5 0 0 0 0
W621 Primary arthrodesis and internal fixation of joint NEC 1 1 0 3 0
W965 Primary reverse polarity total prosthetic replacement of shoulder joint using cement 3 0 0 2 0
T439 Unspecified diagnostic endoscopic examination of peritoneum 1 0 1 2 0
W846 Endoscopic excision of synovial plica 0 0 0 4 0
W823 Endoscopic repair of semilunar cartilage 0 0 0 4 0
C444 Photorefractive keratectomy 0 3 1 0 0
W068 Other specified total excision of bone 0 1 1 2 0
H236 Endoscopic resection of lesion of lower bowel using fibreoptic sigmoidoscope NEC 0 4 0 0 0
W802 Open debridement of joint NEC 1 0 2 1 0
W593 Fusion of first metatarsophalangeal joint NEC 1 0 0 3 0
V255 Primary posterior decompression of lumbar spine NEC 2 0 0 2 0
O271 Extra-articular ligament reconstruction for stabilisation of joint 1 0 0 3 0
W971 Primary total prosthetic replacement of shoulder joint not using cement 0 0 2 2 0
T252 Primary repair of incisional hernia using insert of prosthetic material 2 0 0 2 0
W741 Reconstruction of multiple ligaments NEC 2 0 0 2 0
Q491 Endoscopic extirpation of lesion of ovary NEC 4 0 0 0 0
W441 Primary total prosthetic replacement of joint not using cement NEC 0 0 2 2 0
H232 Endoscopic cauterisation of lesion of lower bowel using fibreoptic sigmoidoscope 1 2 0 0 0
W781 Release of contracture of shoulder joint 0 0 2 1 0
P231 Anterior and posterior colporrhaphy NEC 3 0 0 0 0
S065 Excision of lesion of skin of head or neck NEC 0 3 0 0 0
W303 Removal of external fixation from bone NEC 3 0 0 0 0
O273 Repair of capsule and anterior labrum for stabilisation of glenohumeral joint 2 0 1 0 0
M271 Ureteroscopic laser fragmentation of calculus of ureter 2 0 1 0 0
W572 Primary excision arthroplasty of joint NEC 0 0 0 3 0
H231 Endoscopic snare resection of lesion of lower bowel using fibreoptic sigmoidoscope 0 3 0 0 0
W157 Osteotomy of bone of foot and fixation HFQ 0 0 0 3 0
W845 Endoscopic drilling of epiphysis for repair of articular cartilage 0 1 0 2 0
V485 Radiofrequency controlled thermal denervation of spinal facet joint of lumbar vertebra 0 0 3 0 0
V347 Revisional microdiscectomy of lumbar intervertebral disc 3 0 0 0 0
W834 Endoscopic articular abrasion chondroplasty 0 0 0 2 0
W595 Fusion of interphalangeal joint of toe NEC 0 0 1 1 0
W601 Primary arthrodesis and extra-articular bone graft NEC 1 0 0 1 0
M563 Endoscopic injection of inert substance into outlet of female bladder 2 0 0 0 0
M093 Endoscopic laser fragmentation of calculus of kidney 2 0 0 0 0
M653 Endoscopic resection of prostate NEC 2 0 0 0 0
A611 Excision of lesion of peripheral nerve 0 1 0 1 0
N302 Freeing of adhesions of prepuce 0 0 0 2 0
W424 Attention to total prosthetic replacement of knee joint NEC 0 1 0 1 0
O272 Repair of capsule and anterior and posterior labrum for stabilisation of glenohumeral joint 2 0 0 0 0
W773 Blocking operations on joint using prosthesis for stabilisation of joint 0 0 1 1 0
C121 Excision of lesion of eyelid NEC 0 2 0 0 0
W828 Other specified therapeutic endoscopic operations on semilunar cartilage 0 0 1 1 0
Q089 Unspecified vaginal excision of uterus 2 0 0 0 0
W844 Endoscopic decompression of joint 0 0 1 1 0
Q092 Open myomectomy 1 0 0 1 0
M421 Endoscopic resection of lesion of bladder 2 0 0 0 0
Q231 Unilateral salpingoophorectomy NEC 2 0 0 0 0
W402 Conversion to total prosthetic replacement of knee joint using cement 0 1 0 1 0
S069 Unspecified other excision of lesion of skin 0 0 1 1 0
W501 Primary prosthetic replacement of head of humerus not using cement 1 0 1 0 0
T594 Excision of ganglion of foot 1 0 0 1 0
E259 Unspecified diagnostic endoscopic examination of pharynx 2 0 0 0 0
T645 Tenodesis 0 0 1 1 0
W775 Periarticular osteotomy for stabilisation of joint 1 0 0 1 0
T676 Primary simple repair of tendon 1 0 0 1 0
W811 Excision of lesion of joint NEC 0 0 1 1 0
T691 Primary tenolysis 0 0 1 1 0
A752 Excision of thoracic sympathetic nerve 2 0 0 0 0
T973 Repair of recurrent umbilical hernia using sutures 0 0 0 2 0
W838 Other specified therapeutic endoscopic operations on other articular cartilage 0 0 0 1 1
J212 Drainage of gall bladder 0 0 1 1 0
W871 Diagnostic endoscopic examination of knee joint and biopsy of lesion of knee joint 0 0 1 1 0
V544 Injection around spinal facet of spine 0 0 2 0 0
W901 Aspiration of joint 0 0 0 2 0
W036 Osteotomy of multiple metatarsals and fixation HFQ 0 0 0 2 0
W972 Conversion to total prosthetic replacement of shoulder joint not using cement 1 0 0 1 0
W083 Excision of excrescence of bone 1 0 0 1 0
W963 Revision of total prosthetic replacement of shoulder joint using cement 1 0 0 1 0
W232 Secondary open reduction of fracture of bone and extramedullary fixation HFQ 2 0 0 0 0
M459 Unspecified diagnostic endoscopic examination of bladder 2 0 0 0 0
L842 Combined operations on primary short saphenous vein 0 0 0 1 0
W835 Endoscopic articular thermal chondroplasty 0 0 0 1 0
H368 Other specified other abdominal operations for prolapse of rectum 1 0 0 0 0
T525 Digital fasciectomy 0 0 1 0 0
M295 Endoscopic renewal of tubal prosthesis into ureter 1 0 0 0 0
T591 Excision of ganglion of wrist 0 1 0 0 0
L881 Percutaneous transluminal laser ablation of long saphenous vein 0 0 0 1 0
T592 Excision of ganglion of hand NEC 0 0 0 1 0
O192 Endoscopic excision of infrapatellar fat pad 0 0 1 0 0
O211 Primary total prosthetic replacement of elbow joint using cement 0 0 1 0 0
W851 Endoscopic removal of loose body from knee joint 0 0 0 1 0
T601 Re-excision of ganglion of wrist 0 0 0 1 0
X501 Direct current cardioversion 0 0 0 1 0
T554 Release fasciotomy of anterior compartment of lower leg 1 0 0 0 0
W429 Unspecified other total prosthetic replacement of knee joint 0 0 0 1 0
G753 Closure of ileostomy 0 0 1 0 0
Q413 Dye test of fallopian tube 1 0 0 0 0
T652 Excision of lesion of tendon 0 0 1 0 0
W784 Limited release of contracture of capsule of joint 0 0 1 0 0
M763 Optical urethrotomy 0 1 0 0 0
M113 Diagnostic endoscopic retrograde examination of kidney NEC 1 0 0 0 0
T688 Other specified secondary repair of tendon 0 0 0 1 0
C445 Laser subepithelial keratomileusis 0 0 1 0 0
H234 Endoscopic destruction of lesion of lower bowel using fibreoptic sigmoidoscope NEC 1 0 0 0 0
T244 Removal of prosthetic material from previous repair of umbilical hernia 1 0 0 0 0
T723 Release of constriction of sheath of tendon 0 1 0 0 0
M422 Endoscopic cauterisation of lesion of bladder 1 0 0 0 0
T746 Autologous blood injection into tendon 0 0 1 0 0
O062 Conversion to hybrid prosthetic replacement of shoulder joint using cemented humeral component 0 0 0 1 0
T748 Other specified other operations on tendon 1 0 0 0 0
W733 Primary prosthetic reinforcement of intra-articular ligament NEC 0 0 0 1 0
C451 Superficial keratectomy 1 0 0 0 0
O071 Primary hybrid prosthetic replacement of shoulder joint using cemented glenoid component 1 0 0 0 0
T962 Excision of lesion of soft tissue NEC 0 1 0 0 0
L883 Percutaneous transluminal laser ablation of varicose vein of leg NEC 0 0 0 1 0
N111 Excision of hydrocele sac 1 0 0 0 0
W753 Open repair of extra-articular ligament NEC 0 0 0 1 0
H598 Other specified excision of pilonidal sinus 0 0 0 1 0
L908 Other specified open removal of thrombus from vein 0 0 1 0 0
V259 Unspecified primary decompression operations on lumbar spine 1 0 0 0 0
L914 Removal of central venous catheter 0 0 0 1 0
V265 Revisional posterior decompression of lumbar spine NEC 1 0 0 0 0
W821 Endoscopic total excision of semilunar cartilage 0 0 0 1 0
C468 Other specified plastic operations on cornea 0 1 0 0 0
H511 Haemorrhoidectomy 0 0 0 1 0
B287 Wire guided excision of lesion of breast 0 0 0 1 0
H523 Injection of sclerosing substance into haemorrhoid 1 0 0 0 0
V481 Radiofrequency controlled thermal denervation of spinal facet joint of cervical vertebra 0 0 1 0 0
M278 Other specified therapeutic ureteroscopic operations on ureter 1 0 0 0 0
P063 Cauterisation of lesion of vulva 1 0 0 0 0
B278 Other specified total excision of breast 1 0 0 0 0
V487 Radiofrequency controlled thermal denervation of spinal facet joint of vertebra NEC 0 0 1 0 0
M293 Endoscopic removal of tubal prosthesis from ureter 1 0 0 0 0
A681 Primary neurolysis of peripheral nerve and transposition of peripheral nerve 0 0 0 1 0
W962 Conversion to total prosthetic replacement of shoulder joint using cement 1 0 0 0 0
W032 Osteotomy of multiple metatarsals 0 0 0 1 0
W975 Primary reverse polarity total prosthetic replacement of shoulder joint not using cement 0 0 0 1 0
W035 Localised fusion of joints of midfoot and forefoot 1 0 0 0 0
T856 Block dissection of pelvic lymph nodes 1 0 0 0 0
P232 Anterior colporrhaphy NEC 1 0 0 0 0
T808 Other specified release of contracture of muscle 0 0 0 1 0
W041 Localised fusion of joints of hindfoot 1 0 0 0 0
T317 Exploration of groin NEC 0 0 1 0 0
W043 Subtalar fusion of joints of hindfoot 0 0 1 0 0
M455 Diagnostic endoscopic examination of bladder using rigid cystoscope 1 0 0 0 0
J382 Endoscopic sphincterotomy of sphincter of Oddi and insertion of tubal prosthesis into bile duct 0 0 0 1 0
W594 Fusion of interphalangeal joint of great toe 0 0 1 0 0
B274 Total mastectomy NEC 1 0 0 0 0
L841 Combined operations on primary long saphenous vein 0 0 0 1 0
W085 Partial excision of bone NEC 0 0 0 1 0
A733 Decompression of peripheral nerve NEC 0 1 0 0 0
W087 Excision of accessory ossicle 0 0 0 1 0
E172 Excision of lesion of nasal sinus NEC 0 0 0 1 0
W089 Unspecified other excision of bone 1 0 0 0 0
W752 Open repair of intra-articular ligament NEC 0 0 1 0 0
W091 Excision of lesion of bone NEC 0 1 0 0 0
W768 Other specified other operations on ligament 1 0 0 0 0
W141 Angulation diaphyseal osteotomy and internal fixation HFQ 0 0 0 1 0
Q545 Sacrohysteropexy 0 0 0 1 0
K606 Implantation of intravenous dual chamber cardiac pacemaker system 0 0 1 0 0
W783 Release of contracture of knee joint 0 0 0 1 0
W158 Other specified division of bone of foot 1 0 0 0 0
W785 Release of contracture of elbow joint 0 0 0 1 0
W201 Primary open reduction of fracture of long bone and extramedullary fixation using plate NEC 1 0 0 0 0
H425 Excision of mucosal prolapse of rectum NEC 0 0 0 1 0
B276 Skin sparing mastectomy 1 0 0 0 0
W818 Other specified other open operations on joint 0 0 0 1 0
C712 Phacoemulsification of lens 0 1 0 0 0
E851 Invasive ventilation 0 0 0 1 0
L264 Aortography 1 0 0 0 0
S578 Other specified exploration of other skin of other site 1 0 0 0 0
A604 Radiofrequency controlled thermal destruction of peripheral nerve 0 0 1 0 0
T209 Unspecified primary repair of inguinal hernia 0 0 1 0 0
W373 Revision of total prosthetic replacement of hip joint using cement 0 0 0 1 0
E852 Non-invasive ventilation NEC 0 0 0 1 0
C464 Insertion of prosthesis into cornea 0 1 0 0 0
W841 Endoscopic repair of intra-articular ligament 0 0 0 1 0
W382 Conversion to total prosthetic replacement of hip joint not using cement 0 0 0 1 0
M274 Ureteroscopic insertion of ureteric stent 1 0 0 0 0
W389 Unspecified total prosthetic replacement of hip joint not using cement 0 0 0 1 0
W848 Other specified therapeutic endoscopic operations on other joint structure 1 0 0 0 0
A684 Primary neurolysis of peripheral nerve NEC 1 0 0 0 0
W858 Other specified therapeutic endoscopic operations on cavity of knee joint 0 0 0 1 0
W395 Revision of one component of total prosthetic replacement of hip joint NEC 0 0 1 0 0
M292 Endoscopic insertion of tubal prosthesis into ureter NEC 1 0 0 0 0
L631 Percutaneous transluminal angioplasty of femoral artery 1 0 0 0 0
H554 Insertion of seton into high anal fistula and partial laying open of track HFQ 0 0 1 0 0
N201 Excision of lesion of spermatic cord 1 0 0 0 0
W913 Manipulation of prosthetic joint NEC 0 0 0 1 0
A685 Secondary neurolysis of peripheral nerve NEC 0 0 1 0 0
W942 Conversion to hybrid prosthetic replacement of hip joint using cemented femoral component 1 0 0 0 0
W404 Revision of one component of total prosthetic replacement of knee joint using cement 0 0 1 0 0
T262 Repair of recurrent incisional hernia using insert of prosthetic material 1 0 0 0 0
E091 Excision of lesion of external nose 0 1 0 0 0
T272 Repair of ventral hernia using insert of prosthetic material 0 0 0 1 0
E133 Intranasal antrostomy 0 0 1 0 0
W986 Primary reverse polarity total prosthetic replacement of shoulder joint NEC 1 0 0 0 0
G728 Other specified other connection of ileum 0 0 1 0 0
X724 Delivery of subsequent element of cycle of chemotherapy for neoplasm 1 0 0 0 0
H209 Unspecified endoscopic extirpation of lesion of colon 1 0 0 0 0
G809 Unspecified diagnostic endoscopic examination of ileum 0 1 0 0 0
W471 Primary prosthetic replacement of head of femur not using cement 0 0 0 1 0
W203 Primary open reduction of fracture of long bone and extramedullary fixation using suture 1 0 0 0 0
Q221 Bilateral salpingoophorectomy 1 0 0 0 0
T288 Other specified other repair of anterior abdominal wall 0 0 0 1 0
W504 Resurfacing hemiarthroplasty of head of humerus not using cement 1 0 0 0 0
M523 Colposuspension of neck of bladder 1 0 0 0 0
W531 Primary prosthetic replacement of articulation of bone not using cement NEC 0 1 0 0 0
W422 Conversion to total prosthetic replacement of knee joint NEC 0 0 0 1 0
C111 Excision of lesion of canthus 0 1 0 0 0
E044 Division of adhesions of turbinate of nose 0 0 0 1 0
E148 Other specified operations on frontal sinus 0 0 0 1 0
E023 Septorhinoplasty using implant 0 0 0 1 0
W592 Fusion of first metatarsophalangeal joint and excision of lesser metatarsophalangeal joint 0 0 1 0 0
H556 Probing of perineal fistula 0 0 0 1 0
L703 Ligation of artery NEC 0 0 0 1 0
D141 Tympanoplasty using graft 0 0 0 1 0
T622 Excision of bursa NEC 0 0 0 1 0
Grand Total   415 452 195 648 2

 

2. For the financial years stated above, what percentage of all elective procedures at your trust had to instead be carried out by a private provider?

2011-12: 1.2%
2012-13: 1.4%
2013-14: 0.5%
2014-15: 1.7%
2015-16 to date: 0.0%

 

3. For the financial years stated above, what were the most common reasons given for a procedure to be carried out by a private provider – even though it was initially scheduled to be carried out in your hospital trust?

They were all for capacity support to ensure that the Trust met national waiting times targets.