Case Number 3520
Request Date 06/03/2014
Completion Date 06/03/2014

 

Details of the Request

Under the Freedom of Information Act, please provide for the years (a) 2008/09, (b) 2009/10, (c) 2010/11, (d) 2011/12 and (e) 2012/13:

  1. Your Trust’s total surgical site infection rate (all cause)
     
  2. The total number of cases where each of the following were mentioned as either a cause or a contributory factor in a death certificate at your Trust:-
     
  3. The total number of patients who stayed in hospital longer (extended stay) owing to the infections listed below
     
  4. The total number of cases of the infections acquired listed below
     
  5. The total number of cases of the infections treated listed below
     
  6. The aggregate number of nights patients stayed in hospital longer, beyond the trim point, owing to the infections listed below
     
  7. The aggregate number of nights patients stayed in hospital longer, not just days beyond the trim point, owing to the infections listed below
     
  • MRSA (health care acquired)
  • Escherichia coli (health care acquired)
  • MSSA (health care acquired)
  • CDIF (health care acquired)
  • Septicemia (health care acquired)
  • Sepsis (health care acquired)
  • Catheter-associated urinary tract infections (health care acquired)
  • Catheter-related bloodstream infections (health care acquired)
  • Central line-associated bloodstream infections (health care acquired)
  • Ventilator-associated pneumonia (health care acquired)
  • Norovirus (health care acquired)

 

The total revenue from excess bed days caused by patients with an SSI (a) by procedural type and (b) by speciality?

 

Please also explain:

  1. Did your Trust receive instructions in (a) 2008/09, (b) 2009/10, (c) 2010/11, (d) 2011/12 or (e) 2012/13 to reduce expenditure on infection, prevention and control?
     
  2. What strategy does your Trust have in place for the surveillance and minimisation of harm caused by infections not covered in the mandatory surveillance programme?
     
  3. Does the Trust carry out any surgical site infection surveillance that it does not report to Public Health England? ? If yes, please specify the protocol, the types of surgeries included and results.
     
  4. Does the Trust carry out any post discharge surgical site surveillance on any category? ? If yes, what are the numbers of readmission linked to surgical site infection at your Trust?
     
  5. Does the Trust carry out any financial analysis on the cost or operational impact of infections locally? ? If yes, please share this. ? If not, please could you give reasons why
     
  6. Does the Trust carry out any post discharge surgical site surveillance on any category? ? If yes, what are the numbers of readmission linked to surgical site infection at your Trust?
     
  7. What surveillance systems and processes did you have for active infection control in 2012/13?
     
  8. How many staff were dedicated to the surveillance of infections and/or the analysis of that data in 2012/13?
     
  9. How many staff were on your infection prevention and control team in (a) 2008/09, (b) 2009/2010, (c) 2010/11, (d) 2011/12 and (e) 2012/13?
     
  10. What was the ratio of infection control staff (ie infection control doctors, infection control nurses, dedicated infection control surveillance auditors) to beds in Acute care at your Trust in 2012/13?
     
  11. On how many wards did you do device surveillance in 2012/13?
     
  12. On how many wards did you not do device surveillance in 2012/13?
     
  13. How many times in (a) 2008/09, (b) 2009/2010, (c) 2010/11, (d) 2011/12 and (e) 2012/13 was a member of the Board present at an infection prevention and control committee meeting?
     
  14. How many business cases were submitted by Infection Control in (a) 2008/09, (b) 2009/2010, (c) 2010/11, (d) 2011/12 and (e) 2012/13? ? For each year, how many of the above business cases were successful?
     
  15. What was your budget for infection prevention and control in (a) 2008/09, (b) 2009/2010, (c) 2010/11, (d) 2011/12 and (e) 2012/13?
     
  16. Do you have standardised infection control protocols and technology utilisation across all wards of the Trust?

 

This is in the public interest because it involves the use of public money to fight infections which affect a large number of people.

 

Details of the Response

The Trust holds some of the requested information, but considers that your request is exempt under section 12 of the Act, as the cost of compliance is estimated to exceed the appropriate limit.

We may be able to provide some of the requested information if you can narrow the scope or focus of your questions.

Please note in particular that your questions relating to the cause of death, even if submitted in isolation, would be considered in excess of the appropriate cost limit, due to the manual form in which the data is held. In addition, the Trust does not hold data with regard to whether infections are Trust-acquired or community-acquired.

If you choose to narrow the scope or focus of your questions, we will consider your questions as a new FOI request. You may find it helpful to review previous FOI requests answered by the Trust, to refine your own request.

 

The request was closed as the requester did not respond further.