91Ó°ÊÓ

Thursday 22 January 2026
91Ó°ÊÓ Foundation Trust

FOI_8949

Internal Reference Number: FOI_8949

Date Request Received: 07/10/2025 00:00:00

Date Request Replied To: 26/11/2025 00:00:00

This response was sent via: By Email

Request Summary: Insourcing Spend

Request Category: Private Individuals

 
Question Number 1:
Please can I request the below information on the utilisation of Insourcing for the following period 01/07/2025-30/09/2025

Total spend during the period for insourcing

Total spend during the period for Insourcing for the below specialties:

1. Neurology

2. Neurophysiology

3. Dermatology

4. Gastroenterology

5. Endoscopy

6. Cardiology

7. Respiratory

8. Orthodontics

9. Dental

10. OMFS

11. ENT

12. Rheumatology

13. Gynaecology

14. Ophthalmology

15. Surgery- including all subspecialties
 
Answer To Question 1:
1. Neurology - None

2. Neurophysiology- None

3. Dermatology - £385,178

4. Gastroenterology - The spend for this category cannot be split specifically for Insourcing, as the same supplier also manages our Direct Engagement programme.

5. Endoscopy- The spend for this category cannot be split specifically for Insourcing, as the same supplier also manages our Direct Engagement programme.

6. Cardiology - £36k

7. Respiratory - none

8. Orthodontics - none

9. Dental - none

10. OMFS - none

11. ENT - none

12. Rheumatology - none

13. Gynaecology- none

14. Ophthalmology - none

15. Surgery- including all subspecialties - none
 
Question Number 2:
Please break the spend down by insourcing company
 
Answer To Question 2:
1. Neurology N/A

2. Neurophysiology N/A

3. Dermatology - Healthcare Business Solutions (HBS) - £385,178

4. Gastroenterology - The spend for this category cannot be split specifically for Insourcing, as the same supplier also manages our Direct Engagement programme.

5. Endoscopy - The spend for this category cannot be split specifically for Insourcing, as the same supplier also manages our Direct Engagement programme.


6. Cardiology - All Xyla

7. Respiratory - N/A

8. Orthodontics - N/A

9. Dental - N/A

10. OMFS - N/A

11. ENT - N/A

12. Rheumatology - N/A

13. Gynaecology- N/A

14. Ophthalmology - N/A

15. Surgery- including all subspecialties - N/A
 
Question Number 3:
Please confirm if there was a budget and how much budget for insourcing for the specialties outlined during the same period
 
Answer To Question 3:
We pool the budget for insourcing and outsourcing work and so are unable to isolate the insourcing only budget.
 
Question Number 4:
What was the service type relating to the specialties outlined, for example, outpatient, diagnostic or theatres.

Was it a fully managed service or Team provision for each specialty outlined
 
Answer To Question 4:
1. Neurology N/A

2. Neurophysiology - N/A

3. Dermatology - Managed Service

4. Gastroenterology - Managed Service

5. Endoscopy - Managed Service

6. Cardiology - All diagnostic - NHSSBS - Insourcing of Clinical Services

7. Respiratory - N/A

8. Orthodontics - N/A

9. Dental - N/A

10. OMFS - N/A

11. ENT - N/A

12. Rheumatology - N/A

13. Gynaecology- N/A

14. Ophthalmology - N/A

15. Surgery- including all subspecialties - N/A
 
Question Number 5:
Please can you confirm the Frameworks utilised for each specialty
 
Answer To Question 5:
1. Neurology N/A

2. Neurophysiology N/A

3. Dermatology - NHS Shared Business Services (SBS) Insourcing of Clinical Support Services Framework

4. Gastroenterology - NHS Shared Business Services (SBS) Insourcing of Clinical Support Services Framework

5. Endoscopy - NHS Shared Business Services (SBS) Insourcing of Clinical Support Services Framework

6. Cardiology - Direct Award

7. Respiratory N/A

8. Orthodontics - N/A

9. Dental - N/A

10. OMFS - N/A

11. ENT - N/A

12. Rheumatology N/A

13. Gynaecology- N/A

14. Ophthalmology - N/A

15. Surgery- including all subspecialties - N/A
 
Question Number 6:
Please confirm any direct awards or mini competitions which are being utilised for each specialty
 
Answer To Question 6:
1. Neurology N/A

2. Neurophysiology N/A

3. Dermatology - Direct Award

4. Gastroenterology - Direct Award

5. Endoscopy - Direct Award

6. Cardiology Direct Award

7. Respiratory N/A

8. Orthodontics - N/A

9. Dental - N/A

10. OMFS - N/A

11. ENT - N/A

12. Rheumatology N/A

13. Gynaecology- N/A

14. Ophthalmology - N/A

15. Surgery- including all subspecialties - N/A
 
Question Number 7:
Total procedures/tests/patients seen completed by insourcing companies for the specialties outlined during the same period
 
Answer To Question 7:
1. Neurology N/A

2. Neurophysiology N/A

3. Dermatology - unable to determine

4. Gastroenterology - total procedures = 828

5. Endoscopy - see row above as these will be included in Gastro numbers

6. Cardiology - 730 echos

7. Respiratory - N/A

8. Orthodontics - N/A

9. Dental - N/A

10. OMFS - N/A

11. ENT - N/A

12. Rheumatology - N/A

13. Gynaecology- N/A

14. Ophthalmology - N/A

15. Surgery- including all subspecialties - N/A
 
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