Elective Insourcing Services - FOI Response Register

I am writing to request information under the Freedom of Information Act 2000 regarding expenditure on elective insourcing services within your organisation. I am specifically interested in understanding the financial expenditure in these services, broken down by specialty and procurement framework.

In accordance with FOISA s 16(1), NHS Shetland confirms that it holds the information requested but that it is exempt from disclosure under FOISA s 25(1) as the information requested is accessible without submitting a request under FOISA s 1(1). The information you have requested is available here:

See published Information on NHS Shetland’s website – NHS Shetland: Procurement Information (scot.nhs.uk)

1. Expenditure on Elective Insourcing Services: Please provide the total amount spent on elective insourcing services, for the financial years 2022-23, 2023-24, and financial year (2024-2025) to date.
2. Breakdown by Specialty: Please provide the expenditure by medical specialty (e.g., Orthopaedics, Dermatology, Ophthalmology, etc.).
3. Breakdown by clinical setting: Please specify whether this was for outpatients, day case procedures or diagnostic tests.
4. Procurement Framework: Please specify the procurement framework(s) under which these services were purchased (e.g., NHS SBS, NHS Workforce Alliance, or any other relevant frameworks).
5. Providers: If possible, please indicate the providers contracted for these services, per specialty.

Clarification of Terms:

For the purpose of this request, "elective insourcing services" refers to services provided by an external organisation within your facilities, typically aimed at reducing waiting lists and improving patient access to elective care.