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Treatment Centres

Volume 471: debated on Wednesday 30 January 2008

To ask the Secretary of State for Health if he will publish performance information for each operational independent sector treatment centre. (180031)

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

ISTC Phase 1 contractual information (as at end of September 2007-08)

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

Total contracted procedures broken down by health resource group (HRG) chapter

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

Total contracted procedures broken down by health resource group (HRG) chapter

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.