Information Governance

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1 Information Governance Medical Directorate NHS Grampian Rosehill House Foresterhill Site Cornhill Road Aberdeen AB25 2ZG Date 5 September 2016 Our Ref FOI/2016/401 Enquiries to Information Governance Team Extension Direct Line nhsg.foi@nhs.net Dear Freedom of Information (Scotland) Act 2002 I refer to your dated 12 August 2016, requesting: 1a. How many paediatric and adult Tonsillectomy and Adenoidectomy procedures were performed in the period 1st January 2014 to 31st December 2014 and 1st January 2015 to 31st December 2015 respectively within the Trust? 1b. Of the total procedures (referred to in 1a) how many were performed by cold steel, diathermy and Harmonics? 1c. Of the total procedures (referred to in 1a) how many were performed using another method and what was that method? 1d. Of the total procedures (referred to in 1a) how many were performed in each of your trust s hospitals? Eg. Name of hospital 1 treated 100, 50, 20 and 5 respectively. 1e. A figure for the number of consultant surgeons who treated tonsillectomies and/or adenoidectomies in your trust in (a) 2014/15 and (b) 2015/16? 1f. Figures for the number of tonsillectomies and/or adenoidectomies each consultant surgeon treated in (a) 2014/15 and (b) 2015/16? Eg. 1 consultant surgeon treated 100, 50, 20 and 5 tonsillectomies respectively. 1g. Figures for the number of readmissions due to secondary bleeding following tonsillectomy/adenoidectomy procedures in (a) 2014/15 and (b) 2015/16? 1h. Of the figures referred to in 1f what procedure type referred to in 1b-1e did these correspond? Eg. cold steel resulted in # readmissions, diathermy resulted in # readmissions. 2a. How many Functional Endoscopic Sinus Surgery (F.E.S.S) and Sinus procedures were performed in the period 1st January 2014 to 31st December 2014 and 1st January 2015 to 31st December 2015 within the Trust? 2b. Of the total procedures (referred to in 2a) how many were performed using Balloon Sinoplasty? 2c. Of the total procedures (referred to in 2a) how many were performed using (a) an Endoscope (b) Navigation equipment? 2d. Of the total procedures (referred to in 2a) how many were performed (a) with another form of visual assistance (b) without any visual/navigation assistance?

2 2e. Of the total procedures (referred to in 2a) how many were performed as a day case procedure? 2f. A figure for the number of consultant surgeons who performed FESS in your trust in (a) 2014/15 and (b) 2015/16? 2g. Figures for the number of Functional Endoscopic Sinus Surgeries each consultant surgeon treated in (a) 2014/15 and (b) 2015/16? Eg. 1 consultant surgeon performed 100, 50, 20 and 5 FESS respectively. 3a. How many Septoplasty and Rhinoplasty procedures were performed in the period 1st January 2014 to 31st December 2014 and 1st January 2015 to 31st December 2015 respectively within the Trust? 3b. Figures for the number of Septoplasty and Rhinoplasty procedures each consultant surgeon treated in (a) 2014/15 and (b) 2015/16? Eg. 1 consultant surgeon performed 100, 50, 20 and 5 Septoplasty procedures respectively. 3c. Of the total procedures (referred to in 3a) how many were performed by an open surgical procedure? 3d. Of the total procedures (referred to in 3a) how many were performed as a day case procedure? I can now respond as follows: In relation to all of the questions below please note the following: NHS Grampian can advise that we use the Datix Risk Management Information System to record the data provided below. A search was carried out on 1 April March 2016 under the code of Acute Hospital In-Patient and Day Case Episodes. Small numbers have been presented as <5, as to provide the actual figure would identify the individuals concerned; s.38(1)(b) of the Act refers Personal information. All data has been supplied for the financial years 2014/15 and 2015/16 as to provide the information by calendar years and financial years as requested would exceed the prescribed cost limit as set out in the Act; s.12 of the Act refers Excessive cost of compliance. How many paediatric and adult Tonsillectomy and Adenoidectomy procedures were performed in the period 1 January 2014 to 31 December 2014 and 1 January 2015 to 31 December 2015 respectively within the Trust? Age Group 2014/ /2016 Paediatrics (aged under 16) Adults (aged 16 and over) Total Of the total procedures above how many were performed by cold steel, diathermy and Harmonics? NHS Grampian are unable to provide this information as our Datix system does not identify whether the procedure was carried out by cold steel, diathermy or harmonics; s.17 of the Act refers Information not held. Of the total procedures above how many were performed using another method and what was that method? 2

3 Please see the tables below in relation to the above questions. Paediatrics (aged under 16): Total Adenoidectomy Suction Diathermy Adenoidectomy 0 <5 Other Specified Operations On Adenoid <5 <5 Unspecified Operations On Adenoid 0 <5 Bilateral Dissection Tonsillectomy Bilateral Excision Of Tonsil Nec <5 11 Excision Of Remnant Of Tonsil <5 0 Unspecified Excision Of Tonsil Adults (aged 16 and over): Total Adenoidectomy 7 10 Suction Diathermy Adenoidectomy 0 <5 Unspecified Operations On Adenoid <5 0 Bilateral Dissection Tonsillectomy Bilateral Laser Tonsillectomy <5 <5 Bilateral Excision Of Tonsil Nec Excision Of Remnant Of Tonsil <5 <5 Excision Of Lingual Tonsil 0 <5 Bilateral Coblation Tonsillectomy <5 <5 Other Specified Excision Of Tonsil <5 <5 Unspecified Excision Of Tonsil 22 8 Of the total procedures above how many were performed in each of your trust s hospitals? Please see table below: Hospital 2014/ /2016 Aberdeen Royal Infirmary Royal Aberdeen Children s Hospital Dr Gray s Hospital Total A figure for the number of consultant surgeons who treated tonsillectomies and/or adenoidectomies in your trust in (a) 2014/15 and (b) 2015/16? AND Figures for the number of tonsillectomies and/or adenoidectomies each consultant surgeon treated in (a) 2014/15 and (b) 2015/16? Please see the table below in relation to the above questions: Consultant 2014/ /2016 Consultant A <5 <5 Consultant B Consultant C <5 <5 Consultant D Consultant E Consultant F Consultant G <5 0 Consultant H Consultant I <5 0 Consultant J Consultant K Consultant L Consultant M 0 13 Consultant N <5 0 Consultant O 0 <5 3

4 Consultant P <5 0 Consultant not recorded on system <5 <5 Figures for the number of readmissions due to secondary bleeding following tonsillectomy/adenoidectomy procedures in (a) 2014/15 and (b) 2015/16? Please note readmission is based on patients admitted to hospital with a Main Diagnosis of Haemorrhage and haematomoa complicating a procedure, necessarily paired with a secondary diagnosis of Removal of Other Organ Partial or Total. Readmited 2014/ /16 Total Average Number of Days between Discharge No Yes 9 < Days Of the figures referred to above what procedure type did these correspond? E.g. cold steel resulted in # readmissions, diathermy resulted in # readmissions NHS Grampian are unable to provide this information as our recording system does not identify whether the procedure was carried out by cold steel, diathermy or harmonics; s.17 of the Act refers Information not held. How many Functional Endoscopic Sinus Surgery (F.E.S.S) and Sinus procedures were performed in the period 1 January 2014 to 31 December 2014 and 1 January 2015 to 31 December 2015 within the Trust? Sinus Procedure paired with Functional Endoscopic Sinus Surgery Sinus Procedure paired with Other Code or Unpaired Total Of the total procedures above how many were performed using Balloon Sinoplasty? AND, How many were performed using (a) an Endoscope (b) Navigation equipment? AND, How many were performed (a) with another form of visual assistance (b) without any visual/navigation assistance? Please see the attached spreadsheet in relation to the above questions. Of the total procedures above how many were performed as a day case procedure? Procedure Patient Type 2014/ /2016 Sinus Procedure paired with Functional In-Patient Endoscopic Sinus Surgery Day Case Sinus Procedure paired with Other Code or In-Patient Unpaired Day Case Total In-Patient Day Case A figure for the number of consultant surgeons who performed FESS in your trust in (a) 2014/15 and (b) 2015/16? AND, Figures for the number of Functional Endoscopic Sinus Surgeries each consultant surgeon treated in (a) 2014/15 and (b) 2015/16? Please see the table below in relation to the above questions. 4

5 Consultant 2014/ /2016 Consultant A Consultant B <5 <5 Consultant C <5 8 Consultant D <5 <5 Consultant E <5 <5 Consultant F 8 <5 Consultant G <5 <5 Consultant H Consultant I Consultant J <5 <5 Consultant K <5 <5 Consultant L 0 <5 Consultant M 0 <5 Consultant N 0 <5 Consultant O 0 <5 Consultant P 0 <5 Consultant Q <5 0 Consultant not recorded on system <5 0 How many Septoplasty and Rhinoplasty procedures were performed in the period 1 January 2014 to 31 December 2014 and 1 January 2015 to 31 December 2015 respectively within the Trust? 5 Septoplasty and Rhinoplasty Figures for the number of Septoplasty and Rhinoplasty procedures each consultant surgeon treated in (a) 2014/15 and (b) 2015/16? Consultant 2014/ /2016 Consultant A <5 7 Consultant B Consultant C Consultant D Consultant E 10 9 Consultant F <5 0 Consultant G Consultant H Consultant I <5 0 Consultant J <5 0 Consultant K Consultant L 9 6 Consultant M <5 <5 Consultant N 0 <5 Consultant not recorded on system 0 <5 Total

6 Of the total procedures above how many were performed by an open surgical procedure? Rhinoplasty Nec 5 <5 Rhinoplasty Nec - Revisional Operations Noc <5 0 Septoplasty Of Nose Nec Septoplasty Of Nose Nec - Revisional Operations Noc <5 0 Septoplasty Of Nose Nec - Extracorporeal Circulation Nec 0 <5 Septoplasty Of Nose Nec - Functional Endoscopic Sinus Surgery <5 <5 Septoplasty Of Nose Nec - Functional Endoscopic Nasal Surgery <5 <5 Septoplasty Of Nose Nec - Bilateral Operation 0 <5 Septoplasty Of Nose Nec - Right Sided Operation <5 0 Septoplasty Of Nose Nec - Left Sided Operation <5 <5 Total Of the total procedures above how many were performed as a day case procedure? Patient Type 2014/ /2016 In-Patient Day Case Total Under section 20 (1) of the Act, if you are dissatisfied with the way NHS Grampian has dealt with your request, you have a right to request a review of our actions and decisions in relation to your request, and you have a right to appeal to the Scottish Information Commissioner. A request for review must be made within 40 working days and should, in the first instance, be in writing to: Directorate of Corporate Communications, Foresterhill House, Foresterhill, Aberdeen, AB25 2ZB or by to grampian@nhs.net. Requests for appeal should be made in writing to: Scottish Information Commissioner, Kinburn Castle, Doubledykes Road, St Andrews, Fife, KY16 9DS Telephone: , Fax: enquiries@itspublicknowledge.info. Yours sincerely 6

7 Chris Morrice Information Governance Manager NHS Grampian 7