The Department published information as shown in the following tables on each wave 1 independent-sector treatment centre (ISTC) scheme, including the contract value, volume of activity, case mix by volume and utilisation rates on 15 November. This is also available on the Departments website at
www.dh.gov.uk/en/Policyandguidance/Organisationpolicy/Secondarycare/Treatmentcentres/index.htm
Contract Location Hospital name Interim site commencement Full service commencement Total nominal contract value (£ million) Contract utilisation to date (30-09-07) (Percentage) Total contracted diagnostics LP2 Bradford Eccleshill NHS Treatment Centre — 1 April 2005 37.3 81 88,583 LP3 Burton Midlands NHS Treatment Centre — 10 July 2006 77.4 74 — LP4 Trent and South Yorkshire Barlborough NHS Treatment Centre — 1 April 2005 96.7 89 — LP5 Daventry The Birkdale Clinic — 1 October 2003 4.9 97 — LP7 Shepton Mallet Shepton Mallet NHS Treatment Centre — 1 July 2005 110.3 95 — LP8 Greater Manchester Greater Manchester Surgical Centre — 19 May 2005 89.5 67 — LP9 Plymouth Peninsula NHS Treatment Centre — 3 May 2005 58.3 102 — GC4* East Cornwall Bodmin NHS Treatment Centre 1 October 2005 1 January 2006 24.9 56 — GC4 East Lincolnshire Boston NHS Treatment Centre — 20 April 2005 9.1 79 2,259 GC4 North East Yorkshire and North Lincolnshire Clifton Park NHS Treatment Centre 1 April 2005 25 January 2006 41.3 81 — GC4 Northumberland, Tyne and Wear The Cobalt NHS Treatment Centre — 25 May 2005 10.3 81 — GC4 West Lincolnshire Gainsborough NHS Treatment Centre — 1 April 2005 6.1 80 200 GC4 Southampton Capio New Hall Hospital NHS Treatment Centre — 1 April 2005 41.8 72 — GC4* North Oxford Horton NHS Treatment Centre — 1 August 2006 79.2 51 — GC4* Thames Valley (Milton Keynes) Blakelands NHS Treatment Centre 1 April 2005 3 July 2006 12.1 58 — GC4 Thames Valley (Reading) Capio Reading Hospital NHS Treatment Centre — 1 April 2005 14.5 92 — GC5E Nottingham Nottingham NHS Treatment Centre at QMC — Site in Mobilisation 201.5 n/a — GC5W Cheshire and Merseyside Cheshire and Merseyside NHS Treatment Centre — 1 June 2006 111.0 100 — GC5W Kidderminster Kidderminster NHS Treatment Centre — 1 February 2005 26.9 87 — GC6 Maidstone Mid Kent NHS Treatment Centre — 6 November 2006 36.5 101 — GC7 North East London North East London NHS Treatment Centre — 1 January 2007 107.9 80 — GC8 Brighton Sussex Orthopaedic NHS Treatment Centre — 1 June 2006 100.9 101 — GC8 Havant TBC — Site in Mobilisation 6.4 n/a 78,600 GC8* Medway Will Adams NHS — 1 October 2005 26.6 48 — GC8 Portsmouth St. Mary’s NHS Treatment Centre — 19 December 2005 65.3 60 48,546 GC8 Wycombe Mid and South Buckinghamshire NHS — 1 August 2005 10.6 82 74,880 OC123 Ophthalmic Chain — — 25 January 2004 41.6 79 — Contractual total — — — 1,448.9 — 293,068 ISTC utilisation to date — — — — 84 —
Contract Location Total contracted procedures General surgery Orthopaedics Nervous system Ophthalmology ENT LP2 Bradford 28,564 4,703 4,530 — 407 1,015 LP3 Burton 64,814 6,673 11,908 6,168 16,477 3,590 LP4 Trent and South Yorkshire 21,449 — 21,449 — — — LP5 Daventry 5,155 144 392 319 3,841 217 LP7 Shepton Mallet 56,242 2,000 22,242 — 12,000 — LP8 Greater Manchester 44,863 5,782 20,667 — — 14,351 LP9 Plymouth 16,512 — 16,512 — — — GC4* East Cornwall 26,495 215 40 — 7,148 — GC4 East Lincolnshire 6,955 572 — — 3,401 — GC4 North East Yorkshire and North Lincolnshire 8,638 581 7,621 — — — GC4 Northumberland, Tyne and Wear 9,551 2,221 — — — — GC4 West Lincolnshire 5,647 447 996 — 1,574 - GC4 Southampton 13,737 — 13,737 — — — GC4* North Oxford 15,970 — 15,970 — — — GC4* Thames Valley (Milton Keynes) 8,292 260 4,185 — — — GC4 Thames Valley (Reading) 5,935 28 3,024 — — — GC5E Nottingham 110,683 29,556 10,481 10,634 704 4,452 GC5W Cheshire and Merseyside 24,817 — 24,817 — — — GC5W Kidderminster 9,000 — 8,355 645 — — GC6 Maidstone 55,117 4,356 3,560 — — — GC7 North East London 56,030 1,580 15,495 — 8,040 9,415 GC8 Brighton 26,438 141 26,297 — — — GC8 Havant — — — — — — GC8* Medway 19,770 400 6,235 — — — GC8 Portsmouth 34,218 4,243 4,854 — 8,265 — GC8 Wycombe — — — — — — OC123 Ophthalmic Chain 44,735 — — — 44,735 — Contractual total 719,627 63,900 243,367 17,766 106,592 33,040 ISTC utilisation to date — — — — — —
Contract Location Thoracic procedures Digestive system Urology Gynaecology LP2 Bradford — 10,567 4,168 3,175 LP3 Burton 109 5,405 11,631 2,853 LP4 Trent and South Yorkshire — — — — LP5 Daventry — 242 — — LP7 Shepton Mallet — 20,000 — — LP8 Greater Manchester — 3,267 796 — LP9 Plymouth — — — — GC4* East Cornwall — 14,984 182 3,926 GC4 East Lincolnshire — 2,392 590 - GC4 North East Yorkshire and North Lincolnshire — 436 — — GC4 Northumberland, Tyne and Wear — 7,330 — — GC4 West Lincolnshire — 1,464 1,166 — GC4 Southampton — — — — GC4* North Oxford — — — — GC4* Thames Valley (Milton Keynes) — 3,384 321 142 GC4 Thames Valley (Reading) — 2,141 271 471 GC5E Nottingham 1,274 40,332 203 13,048 GC5W Cheshire and Merseyside — — — — GC5W Kidderminster — — — — GC6 Maidstone 689 36,862 248 9,402 GC7 North East London — 5,590 15,910 — GC8 Brighton — — — — GC8 Havant — — — — GC8* Medway — 6,065 7,070 — GC8 Portsmouth — 16,856 — — GC8 Wycombe — — — — OC123 Ophthalmic Chain — — — — Contractual total 2,072 177,317 42,555 33,017 ISTC utilisation to date — — — — Notes: 1. The total contract value represents the estimated nominal value at the time of signing, calculated in accordance with an estimate of the inflation index as specified in each contract. 2. The contracted activity is indicative only and can vary significantly from actual activity through substitution of higher or lower value procedures across the contract term. 3. Utilisation represents the per cent. value of the contract which has been utilised from contract commencement to the end of September 2007-08. 4. Utilisation per cent. may change following contract reconciliation which occurs at the end of each contract quarter and year. 5. All information provided has been based on the most up to date information at the time of submission. 6. The specialties are referenced to HRG Chapter. “General Surgery” includes HRG chapters E, G, J, K, P, Q and S. HRG information is available at: www.ic.nhs.uk/casemix. 7. This information is expected to be updated on an annual basis. 8. The Department works with sponsors and providers to ensure optimum utilisation of the contracts. This includes changing the case mix to respond to local need and working with providers and primary care trusts to recover previous under-utilised activity where possible. * In addition to the work we are doing across all ISTCs to improve utilisation we are also taking the following action: Bodmin NHS Treatment Centre DH is agreeing a contract change to allow the ISTC to treat patients needing diagnostic endoscopies to achieve a two week wait in cancer referrals The provider (Capio) is targeting GPs with a marketing campaign to improve direct referrals Norton DH is negotiating with the provider to relax the additionality clause so that local NHS surgeons can work in the ISTC "out of hours" Introducing outreach clinics in nearby towns to improve direct referrals from GPs DH is negotiating to sell unused activity to neighbouring PCTs and adjacent SHA Blakelands There have been referrals issues in this ISTC but DH agreed a recovery plan and this is now resolved. Utilisation has been averaging 95 per cent. since February 2007 Medway This contract suffered from the turbulence of structural changes in the PCTs, but these are now resolved and utilisation is showing improvement The provider (Mercury) was taken over by Care UK recently and has been negotiating a range of new services which will improve utilisation in the new year The sponsor PCT is negotiating to sell unused activity to neighbouring PCTs 9. If you have any questions relating to this release of information please contact the Department of Health Newsdesk on 0207 210 5221 or for general enquiries phone 0207 210 4850.