Clinical Activities - FOI Response Register

1. Have you insourced any clinical activities between January 2022 and October 2023?

Yes

2. Which clinical activities have been insourced and from which companies?

Orthopaedics- outpatient and surgical activity - Synaptik

Ophthalmology- outpatient and surgical activity - Synaptik

ENT- outpatient activity - Medinet

Dermatology – outpatient activity - Synaptik

3. Were these clinical activities procured under any current framework and if so, which one?

Orthopaedics (outpatients and surgical activity) and Ophthalmology (outpatient and surgical activity undertaken in 2022 only) were under Managed Equipment and Clinical Service Solutions (MECSS) framework.

4. For insourcing of clinical activity pertaining to surgical procedures:

1. Were these charges below, on, or greater than the NHS tariff?

NHS tariff for England does not apply outside England. There is no national tariff active in Scotland.

b) Where a cost per day was used, what was the cost paid per day? Please provide information for different environments or subspecialties where applicable.

£2,250 – Synaptik 

c) Where a cost per day was used, how was this cost calculated?

Set by the Agency

d) Were any services terminated or discontinued early and if so, what was the reason why?

No

5. For insourcing of clinical activity pertaining to clinics:

1. Were these charges below, on, or greater than the NHS tariff?

NHS tariff for England does not apply outside England. There is no national tariff active in Scotland.

b) Was this charged per patient, per tariff or per day?

Per day

c) Where a cost per day was used, what was the cost per day?

£2,250 – Synaptik

£3,095 – Medinet

6. Was the financial information pertaining to insourcing presented to the Trust Board, and if so, can this information be provided?

No paper concerning these insourcing services has been submitted to the Board. Please note Board papers are publicly available on our website at: https://www.nhsshetland.scot/board/board-meetings

7. Please provider the total spends on clinical insourcing per year for the past 3 financial years.

8. What are you current waiting lists on

All Colonoscopies = 25,

Endoscopies – Cystoscopy = 7,

Glaucoma – there is not a specific waiting list for glaucoma, only for ophthalmology = 160

Medical Retina = no specific waiting list, will be included within the ophthalmology waiting list

Upper and Lower GI – UpperEndoscopy = 23 & Lower Endoscopy (Other than colonoscopy) = 10,

Dermatology – Outpatients Waiting List 69,

Haematology – No specific waiting list.

Note – Waiting List figures as at 29/10/2023