Case Number 6601
Request Date 05/03/2019
Completion Date 23/04/2019

 

Details of the Request

The questions are in relation to ambulatory cardiac monitoring which is carried out only in the hospital setting to include any of the following day case, elective tariff, outpatients

If you cover more than one hospital, please provide the following information for each of the hospitals covered under your trust broken down individually

 

Please supply details of:

  1. Can you confirm which modalities the hospital has at its disposal for ambulatory cardiac monitoring ie how many Holter Monitors does the hospital own etc.
  2. Can you provide the costs of each modality i.e. for Holter Monitoring please provide the number of Holter Monitors at the Hospital, the purchase cost of each Holter Device, any costs associated with maintenance of the monitor such as, battery replacement, servicing etc.?
  3. In the financial year 2017/2018 how, many patients were monitored using each modality i.e. ECG, Holters, Reynolds Lifecard, Cardiomemo Loop, etc.
  4. How many patients had Implantable Loop Recorders fitted in the financial year 2017/18?
  5. Is the ambulatory cardiac monitoring in the hospital provided on a National Tariff or Block Contract
  6. In the financial year 2017/18 how many palpitation patients underwent cardiac rhythm monitoring in the hospital
  7. In the financial year 2017/18 how many syncope patients underwent cardiac rhythm monitoring in the hospital
  8. In the financial year 2017/18 how many cryptogenic stroke patients underwent cardiac rhythm monitoring in the hospital
  9. In the financial year 2017/18 what was the total spend per modality for cardiac rhythm management – to include acquisition costs and maintenance / running costs
  10. In the financial year 2017/18 how many referrals from primary care were received for cardiac rhythm monitoring

 

Details of the Response

1. Can you confirm which modalities the hospital has at its disposal for ambulatory cardiac monitoring ie how many Holter Monitors does the hospital own etc

Holter Monitors Total for both Ashford Hospital (AH) and St Peter’s Hospital (SPH) 29
BPMonitors for AH and SPH 18
R-Tests for ASPH and Woking Community Hospital 22

 

2. Can you provide the costs of each modality i.e. for Holter Monitoring please provide the number of Holter Monitors at the Hospital, the purchase cost of each Holter Device, any costs associated with maintenance of the monitor such as, battery replacement, servicing etc?

Device costs

  • R-test £ 1885 each exc VAT,
  • Holter monitor (bundle of 3) 4,306 exc VAT,
  • BP monitors approximately £1000 each exc VAT

 

Service contracts

  • BP and Holter - £ 37,774 ;
  • Novacor £ 11,898

 

3. In the financial year 2017/2018 how, many patients were monitored using each modality i.e. ECG, Holters, Reynolds Lifecard, Cardiomemo Loop, etc

ECG 15764
HOLTER (24, 48, 72 HOUR) 3434
LIFECARD (7 DAY) 3
CARDIOMEMO (OMRON) 58
EVENT MONITOR 12
BP MONITOR 464
EXERCISE TEST 934
R-TEST EVENT RECORDER 543
IMPLANTABLE LOOP RECORDER FOLLOW UP 652
VIRTUAL REVEAL CLINIC (LOOP RECORDER) 1372

 

4. How many patients had Implantable Loop Recorders fitted in the financial year 2017/18?

112

 

5. Is the ambulatory cardiac monitoring in the hospital provided on a National Tariff or Block Contract

National Tariff

 

6. In the financial year 2017/18 how many palpitation patients underwent cardiac rhythm monitoring in the hospital

*

 

7. In the financial year 2017/18 how many syncope patients underwent cardiac rhythm monitoring in the hospital

*

 

8. In the financial year 2017/18 how many cryptogenic stroke patients underwent cardiac rhythm monitoring in the hospital

*

 

9. In the financial year 2017/18 what was the total spend per modality for cardiac rhythm management – to include acquisition costs and maintenance / running costs

*

 

10. In the financial year 2017/18 how many referrals from primary care were received for cardiac rhythm monitoring

*

 

* The Trust holds the requested information, but considers it is exempt under section 12 of the Act, as the cost of compliance is estimated to exceed the appropriate limit.

This would be a lengthy and resource intensive process as it involves manually extracting the data from individual patient records.