Internal Reference Number: FOI_8773
Date Request Received: 15/07/2025 00:00:00
Date Request Replied To: 31/07/2025 00:00:00
This response was sent via: By Email
Request Summary: Orthopaedic Procedures
Request Category: Private Individuals
| Question Number 1: Please provide the number of Trauma & Orthopaedics (T&O) surgical procedures performed at your Trust for each of the last three financial years, broken down by procedure type (e.g. hip replacement, knee arthroscopy, spinal fusion, etc). | |
| Answer To Question 1: Please see a list in the spreadsheet attached, broken down by calendar year and OPCS procedure code and name. Please note that this list is not necessarily exhaustive but was based on the number of coded procedures for patients admitted under the specialty of Trauma and Orthopaedics in the years requested. Therefore some procedures on this list are not specifically surgical. To accompany this answer to question 1 please also see the documents listed below:  FOI_8773 - Q1 Orthopaedic Procedures - FOR ISSUE .xlsx | |
| Question Number 2: Please provide the total annual spend on orthopaedic medical devices (including implants, instrumentation, and related consumables) for each of the last three financial years. | |
| Answer To Question 2: 2022/2023: 拢1,995,654 2023/2024: 拢2,332,238 2024/2025: 拢3,144,204 | |
| Question Number 3: Please provide the number of individual orthopaedic surgeons actively performing procedures at your Trust. | |
| Answer To Question 3: 17 | |
| Question Number 4: Please provide a list of job titles of those clinicians involved in decision making for the procurement or evaluation of orthopaedic medical devices. | |
| Answer To Question 4: Consultants: 15 Associate specialists 2 | |
| Question Number 5: Please provide the name of any current procurement frameworks or contracts used for orthopaedic implants and devices. | |
| Answer To Question 5: Total Orthopaedic Solutions 2 & 3 | |
| Question Number 6: Please confirm whether your Trust uses a standardised formulary or approved supplier list for orthopaedic devices. If so, please provide a copy or summary. | |
| Answer To Question 6: The Trust does not operate under an approved supplier list for Orthopaedic devices. However where possible we look to solely use suppliers listed under the NHS Supply Chain Total Orthopaedic Solutions (TOS3) framework, and any suppliers listed on there. The Trust will explore using non-framework suppliers where there is a need which the framework cannot offer, however this is explored on an ad-hoc basis. | |
| Question Number 7: . Please provide an estimated average spend per procedure for the below: (if you have them) - Ankle Replacement - Ankle Arthroscopy - Revision Surgery - Anatomic Total Shoulder Replacement - Reverse Total Shoulder Replacement - ORIF Distal Radius - ORIF Distal Ulna - ORIF Proximal Humerus - Forefoot Deformity including Bunion arthritis (Hallux Vagus and Hallux Rigidus)and toe corrections - Flatfoot Deformity - Midfoot Deformity and Arthritis - Lapidus procedure - Hindfoot Deformity and Arthritis Osteochondral defects of the Talus - Subtalar joint arthrodesis - Tibialis Posterior Reconstruction - Neuromuscular Feet (surgical management of conditions like Charcot-Marie Tooth surgery - Sports and Dance injuries that need surgical intervention - Trauma | |
| Answer To Question 7: For Q7 the information is not held at this level of detail and would take in excess of 18 hours to complete This would require the following: patient examples from the clinical /operational teams, manual search for patients including length of stay and theatre time, identification of all resources required and patient stay, costing and review by clinical /operational teams As this is not held in a reportable format please find exemption notice applied. | |
| Question Number 8: Please confirm if your trust is able to contract with suppliers directly outside of the Total orthopaedic framework, where there is value in doing so. Such as innovative products, please provide a full range of situations where you can do this. | |
| Answer To Question 8: Yes, Procurement would be able to engage directly by exception where the framework was unable to meet the needs of the Trust. | |
| Question Number 9: Please confirm the names of any supplier organisations currently providing orthopaedic implants or systems to your Trust and what they are providing. | |
| Answer To Question 9: See attached. To accompany this answer to question 9 please also see the documents listed below: FOI_8773 - Question 9.xlsx | |
| Question Number 10: Please provide a summary of any clinical innovation or pilot programmes undertaken in the last three years relating to orthopaedic surgery or medical devices. | |
| Answer To Question 10: Brief comments to the trials relating to orthopaedic surgery or medical devices are in the attached. To accompany this answer to question 10 please also see the documents listed below:  FOI 8773.pdf | |
| Question Number 11: Are you planning to continue using implants that are part of a set and sterilised jointly *Yes/NO* and if no, please advise when this will change to single wrapped only. | |
| Answer To Question 11: We don鈥檛 sterilise implants ourselves. Implants are supplied pre sterilised and securely packaged by the provider. | |
| Question Number 12: Please confirm if you require a QMS to be in place for all suppliers, at either a device level or supplier level. | |
| Answer To Question 12: Comments from T&O Consultant, assumption QMS stands for Quality Management System: There is such a huge variety of implants and devices we use that it's hard to say, but I would be confident we have a route to escalate quality concerns with the suppliers of all the devices we use. | |
| Question Number 13: Do you require devices to have an ODEP score or will you consider non ODEP scored devices. | |
| Answer To Question 13: We do need an ODEP score for arthroplasty implants, but not other devices. | |
| Please see Attachments: | |
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