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Arthroplasty Services (1617082)

1. Does the CCG Commission NHS Arthroplasty services?

NHS Calderdale CCG does commission Arthroplasty services.

 

2. Please note that NHS Calderdale Clinical Commissioning Group came into being on 1st April 2013, following the abolition of Primary Care Trusts. The CCG does not hold information relating to the activities of the former Primary Care Trust. Information provided relates to NHS Calderdale CCG’s commissioning responsibility from 1st April 2013.

a) What is the total number of hip replacement operations your Trust has commissioned over the following years: 2011, 2012, 2013, 2014, 2015. Please provide 5 answers, in calendar years.

NHS Calderdale CCG does not hold the above information in calendar years.  The following is provided in contractual years which run April to March.

2011 2012 2013 2014 2015
Not held Not Held 263 271 361

 

b. What is the total number of hip replacement revision operations your Trust has commissioned over the following years: 2011, 2012, 2013, 2014, 2015. Please provide 5 answers, in calendar years?

NHS Calderdale CCG does not hold the above information in calendar years.  The following is provided in contractual years which run April to March.

2011 2012 2013 2014 2015
Not held Not Held 27 43 35

 

c. What is the total number of knee replacements your Trust has commissioned over the following years: 2011, 2012, 2013, 2014, 2015. Please provide 5 answers, in calendar years?

NHS Calderdale CCG does not hold the above information in calendar years.  The following is provided in contractual years which run April to March.

2011 2012 2013 2014 2015
Not held Not Held 351 316 399

 

d. What is the total number of knee replacement revisions your Trust has commissioned over the following years: 2011, 2012, 2013, 2014, 2015?  Please provide 5 answers, in calendar years.

NHS Calderdale CCG does not hold the above information in calendar years.  The following is provided in contractual years which run April to March.

2011 2012 2013 2014 2015
Not held Not Held 30 24 14

 

3. With regard to the below questions/responses, please note that the method of measure and the basis for the information available relates to the pathway from the point of referral for treatment rather than subsequent diagnosis.

a) What is the average length of time patients wait for a hip replacement procedure from diagnosis to treatment?

NHS Calderdale CCG does not hold this information to this level of detail? Please see publicly available information published by NHS England at the following site: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

b) What is the average length of time patients wait for a hip replacement revision from diagnosis to treatment?

NHS Calderdale CCG does not hold this information to this level of detail. Please see publicly available information published by NHS England at the following site: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

c) What is the average length of time patients wait for a knee replacement from diagnosis to treatment?

NHS Calderdale CCG does not hold this information to this level of detail. Please see publicly available information published by NHS England at the following site: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

d) What is the average length of time patients wait for a knee replacement revision from diagnosis to treatment?

NHS Calderdale CCG does not hold this information to this level of detail. Please see publicly available information published by NHS England at the following site: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

e) What is the maximum length of time patients wait for a hip replacement from diagnosis?

NHS Calderdale CCG does not hold this information to this level of detail. Please see publicly available information published by NHS England at the following site: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

 

4.)

a) What is the maximum length of time patients wait for a hip replacement revision from diagnosis?

NHS Calderdale CCG does not hold this information to this level of detail. Please see publicly available information published by NHS England at the following site: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

b) What is the maximum length of time patients wait for a knee replacement from diagnosis?

NHS Calderdale CCG does not hold this information to this level of detail. Please see publicly available information published by NHS England at the following site: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

c) What is the maximum length of time patients wait for a knee replacement revision from diagnosis?NHS Calderdale CCG does not hold this information to this level of detail.

Please see publicly available information published by NHS England at the following site: www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/

 

5.)

a) Have you amended your commissioning guidelines on the commissioning of hip and knee replacements in the last 5 years?

NHS Calderdale CCG has not amended its commissioning guidelines regarding hip and knee replacements in the last 5 calendar years

b) Have you introduced any new polices on access to hip and knee replacement in the last 5 calendar years?

NHS Calderdale CCG has not introduced any new polices on access to hip and knee replacement in the last 5 calendar years.

c) Are you considering any additional restrictions to hip and knee replacement – e.g. any discussions at board level?

NHS Calderdale CCG has received the Right Care Commissioning for Value pack for Musculoskeletal, trauma and injuries and is currently making an assessment of current service provisions in the NHS Calderdale CCG area. The CCG has not made any decisions at this point in time. The CCG will use it to inform its commissioning Intentions from 2017/18 going forward.

 

6) What is your total spend on hip and knee replacements and hip and knee revisions:

a) In cash terms?

Total Spend on hip and knee replacements and hip and knee revisions for the years 2013, 2014, and 2015 was £12,691,948.

b) As a percentage of total spend?

The percentage total spend for the following years: 13/14, 14/15, 15/16 was 1.9%.

 

 

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