You requested information regarding the waiting times for surgeries. Specifically you asked for:

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1 Eecutive Corridor Darlington Memorial Hospital Hollyhurst Road Darlington DL3 6H Switchboard Tel: Foundation Trust Office: Corporate Records Office: Request for Information Reference: Direct line: only 18 May 2016 Freedom of Information Act 2000 Request for Information Thank you for your request for information received on 23 March 2016 in relation to the County Durham and Darlington NHS Foundation Trust (Trust). We are dealing with your request under the provisions of the Freedom of Information Act You requested information regarding the waiting times for surgeries. Specifically you asked for: Name of Trust County Durham and Darlington NHS Foundation Trust Name of Trust s CCG Darlington, rth Durham, Durham Dales Elective Surgery 1. Which Regional/Area Team does your hospital belong to? Please tick ONE of the following options: rth East rth West West Midlands East Midlands Yorkshire and the Humber East of England South West South East London 2. Please set out the number of individual elective procedures that took place in your Trust in 2015 for the following categories

2 3. Number 535 Knee Replacement 656 Hernia Operations 970 Adenoid Operations Tonsillectomies 419 Cataract Operations 3064 Bariatric Surgery 25 Gender Reassignment Surgery N/A 4. Please set out the mean average waiting time (in days), within your Trust, for each of the following procedures in 2015 Please also include referral to treatment (RTT) waiting time Average Waiting Time (Days) Referral to Treatment Knee Replacement Hernia Operations Adenoid Operations Tonsillectomies Cataract Operations Bariatric Surgery Gender Reassignment Surgery N/A N/A 5. Please set out the number of patients who waited over 18 weeks, within your Trust, for each of the following procedures in 2015

3 Number of people who waited over 18 weeks 167 Knee Replacement 181 Hernia Operations 157 Adenoid Operations Tonsillectomies 31 Cataract Operations 252 Bariatric Surgery 2 Gender Reassignment Surgery N/A 6. If a patients needs were to change while on the Trust s waiting list is there a process to recognise this? 7. What number of patient s surgeries were cancelled on the day in the calendar year of 2015? Please tick the most common reasons surgery is cancelled on the day? Scheduling errors i.e. lack of theatre time, surgeon unavailable Patient not prepped i.e. not fasted Equipment shortages and/or lack of beds Cancellation due to inadequate preoperative evaluation Patient failing to attend or operation no longer necessary Emergency case superseding the elective schedule Medical reasons on-going infection, illness of family member Low Staffing levels 9. Have you implemented any improvement programs to improve access to meeting the (recommended) waiting time? Theatre Improvements Admin / booking projects

4 Pre-op assessment Diagnostic improvement Separation of elective and emergency beds Communication with patients Other, please specify 10. Have you implemented any bans on out of area referrals for any types of elective procedures? If yes, for which procedures? 11. Do you notify patients of their rights under the NHS Constitution when the 18 week limit has been missed? If yes, how When they book their new patient appointment through ERS at the GP, it is written in the correspondence that they receive. 12. On average how many etra days or weeks did patients wait for surgery beyond the 18 week limit? Number 54 Knee Replacement 49 Hernia Operations 55 Adenoid Operations Tonsillectomies 21.6 Cataract Operations 57.4 Bariatric Surgery 7 Gender Reassignment Surgery N/A

5 In line with the Information Commissioner s directive on the disclosure of information under the Freedom of Information Act 2000 your request will form part of our disclosure log. Therefore, a version of our response which will protect your anonymity will be posted on the County Durham and Darlington NHS Foundation Trust website. If you have any queries or wish to discuss the information supplied, please do not hesitate to contact me on the above telephone number or at the above address. If you are unhappy with the way your request for information has been handled, you can request a review by writing to: The Chief Eecutive County Durham & Darlington NHS Foundation Trust Darlington Memorial Hospital Hollyhurst Road Darlington DL3 6H If, you remain dissatisfied with the handling of your request or complaint, you have a right to appeal to the Information Commissioner at: The Information Commissioner s Office Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF Telephone: Website: There is no charge for making an appeal. Yours sincerely Joanna Tyrrell Freedom of Information Officer