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Gender Clinic Statistics Since 2019

Reference: 24-25279

Date response sent: 05/12/2024

Details of enquiry

For the sake of clarity we have condensed your 78 questions into 13 main questions, with each question requiring data for September in each of 6 years from 2019 to 2024 as follows below:

 

  1. Average Waiting times for 1st Appt 2019-24 (Q1-6)
  2. Longest Waiting Times for 1st Appts 2019-24 (Q7-12)
  3. No of 2nd Appts offered 2019-24 (Q13-18)
  4. Waiting Times, Avge no of days, between 1st and 2nd Appts 2019-24 (Q19-24)
  5. Time (Avge Days) between 1st Appt and Discharge (Q25-30)
  6. Rejection of Referrals Received in Year 2019-24 (Q31-36)
  7. Deaths of Waiting List Patients 2019-24 (Q37-42)
  8. Deaths within Gender Dysphoria Clinic 2019-24 (Q43-48)
  9. MH Treatment offered to how many Waiting List patients at Gender Dysphoria Clinic 2019-24 (Q49-54)
  10. Subsequent Referrals of Waiting List patients to which other services from 2019-24 (just GD clinic) (Q55-60)
  11. Provision of Hormone Therapy from 2019-24 (Q61-66)
  12. Number of Referrals for Gender Surgery 2019-24, (Q67-72)
  13. Waiting Times for Surgery, the average number of weeks waited between surgical referral and surgery 2019-24 (Q73-78)

Response sent

  1. Average Waiting times for 1st Appt 2019-24 (Q1-6)
  2. Longest Waiting Times for 1st Appts 2019-24 (Q7-12)
  3. No of 2nd Appts offered 2019-24 (Q13-18)
  4. Waiting Times, Avge no of days, between 1st and 2nd Appts 2019-24 (Q19-24)
  5. Time (Avge Days) between 1st Appt and Discharge (Q25-30)
  6. Rejection of Referrals Received in Year 2019-24 (Q31-36)

Response to Questions 1-6: The Trust confirms that it holds the data you have requested in Questions 1-6 above.. We have engaged s22 of the Freedom of Information Act 2000, (Information is held with a view to publication at a future date), as we plan to publish GIC performance data sets around April 2025, once the current financial year has closed, and will not be issuing more performance data for any new requests until this time. This is explained further below the following tables.

In the meantime, please be assured that the Trust is not withholding this data where it is already publicly available and has been published by other means, such as previous responses to applicants, and past requests and responses contained within the Trust’s FOI Disclosure Log, which can be reached via this link: FOI Disclosure Log from April 2016 to present – Tavistock and Portman

Since April 2020, the Trust has responded 57 FOI requests for data, specifically related to GIC Performance Data, (ie the data contained in your Questions 1-6 above,) so in order to be helpful to you between now and the April publication date, we have prepared below an extract from the Trust’s disclosure log. It is in tabular form, summarising the categories of GIC performance data requested, and below that another table with reference details and links for relevant individual requests and answers. We hope that you will find these helpful, whilst awaiting our planned publication of the data sets.

 

GIC Performance-Related FOI Requests

Financial Year 2020/21 to 2024/25 (to November 2024)
Category of GIC Performance Data Requested No of Responses Provided, from the Trust’s FOI Disclosure Log
Appointments/Assessments 2
Discharges 2
Income/Funding 2
Referrals in/out 21
Service Provision 3
Staffing 1
Waiting Lists/Times 26

 

Item Date Request Received FOI Reference No FOI Case File Allocated Name Category of Data Requested Date Response Sent Link to Q&A
1 22/12/2022 22-23294 GIC: Attendences: 1st & 2nd Appointments Aug21-Aug22 Appts/

Assessments

 13/01/2023 22-23294-GIC-1st-2nd-ApptsAug21-22
2 18/01/2022 21-22243 GIC Appointments/referrals Appts/

Assessments

 30/03/2022 FOI_21-22243_GIC_Appointments__Referrals
3 09/04/2021 21-22016 GIC new patient/referral/discharge Discharges 14/05/2021 21-22016-GIC-new-patient-referral-discharge
4 08/03/2021 20-21244 Figures on GIC patients discharges 2017/18-2020/21 Discharges 29/04/2021 FOI_20-21244_GIC_Service_Particulars
5 14/12/2023 23-24384 GIC: 5 Years of Budget Allocations and other transgender care services Income/

Funding

 17/01/2024 23-24384 GIC & GIDS 5 Years Budgetary Information – Tavistock and Portman
6 10/05/2022 22-23033 GIDS & GIC: Staffing & Funding 2016-21 Income/

Funding

 14/10/2022 22-23033-GIDSGIC-Staffing-Funding2016-21-1
7 05/08/2024 24-25192 GIC Referral Refusals (no of pts sent reject letter) Referrals in/out 23/08/2024 24-25192 GIC Referral Refusals – Tavistock and Portman
8 10/07/2024 24-25149 GIC: 1st Appts , Referrals, Discharges, Shortest Wait (2018-2024) Referrals in/out 01/08/2024 24-25151 (149) GIC: 1st Appts , Referrals, Discharges, Shortest Wait – Tavistock and Portman
9 12/06/2024 24-25114 GIC Referrals, Appts, Budgets, Staffing 2023/24 Referrals in/out 11/07/2024 24-25114 GIC Referrals, Appts, Budgets, Staffing 2023/24 – Tavistock and Portman
10 08/01/2024 23-24407 GIDS & GIC Referral, Waiting Times, First/Second Appts Referrals in/out 05/02/2024 23-24407 GIC: Referrals, Waiting Times, First/Second Appointments – Tavistock and Portman
11 25/10/2023 23-24315 GIC: Referrals Received/ Transferred Out/Remaining 2017/18 to Sept 23. Referrals in/out 22/11/2023 23-24315 GIC Referrals April 2017 to Sept 2023 – Tavistock and Portman
12 30/09/2023 23-24275 GIC Referrals Breakdown 2017/18 to 2022/23 Referrals in/out 19/10/2024 23-24275 GIC Referrals & Endo 2017-18 to 2022-23
13 22/08/2023 23-24208 GIC Referrals, Appts, Budgets, Staffing 2017/18 to Date Referrals in/out 14/09/2023 23-24208-GIC-Referrals_Appts_Budgets_Staff_-2017-18
14 05/04/2023 23-24003 GIC: Referrals 2021/22 2022/23 by Age & Assigned Gender at Birth (update to 20-21148) Referrals in/out 24/04/2023 23-24003-GIC-Referrals-2021-22-2022-23
15 16/01/2023 22-23321 GIC Referrals 2020/21 by age and gender assigned at birth. Referrals in/out 27/01/2023 22-23321-GIC-Referrals-2020-21-AgeGender-1
16 11/10/2022 22-23205 GIC: Monthly Caseload & All Referrals Feb18-March19 Referrals in/out 18/10/2022 22-23205-GIC-CaseloadsReferrals-1
17 18/07/2022 22-23088 GIC Referral Data and Service User’s titles Referrals in/out 03/10/2022 22-23088-GIC-Referrals-Service-Users-Titles
18 29/04/2022 22-23025 GIC: Referrals, Appts, Discharges 2015 to present Referrals in/out 20/06/2022 FOI_22-23025_GIC_ReferralsApptsDischarges_2015
19 08/04/2021 21-22012 GIC data 2011-2020 (Referrals, Appts,Waiters, Budget) Referrals in/out 11/06/2021 FOI 21-22020 GIC Waiting List Data
20 06/04/2021 21-22002 GIC referral and appointment 1st Jan to 31st Mar 2021 Referrals in/out 11/05/2021 FOI 21-22002 GIC referral and appointment 1st Jan to 31st Mar 2021
21 26/03/2021 20-21261 GIC Referrals, Waiting Times, Procedures, Benchmarking and regulatory inspections Referrals in/out 28/05/2021 FOI 20-21261 GIC Referrals-Waiting-Procedures-Inspections
22 09/03/2021 20-21246 GIC Referral and Waiting List Data Jan-Dec 2020 and Jan 21 to date (Mar 21) Referrals in/out 28/05/2021 FOI 20-21246 GIC Referrals 19-20 by year, age & assigned gender at birth
23 19/11/2020 20-21160 Referral Data Definition and Progression Timeline 2017

(referrals and first appointments from April 2017 to September 2020 inclusive)

 Referrals in/out 08/03/2021 FOI_20-21160_GIC_Referral_Data_Definition_Progression_Timeline_2017-20
24 28/10/2020 20-21151 Referrals (from October 2017 to June 2018 inclusive) Referrals in/out 08/12/2020 FOI 20-21151 GIC referrals
25 26/10/2020 20-21148 GIC: Referrals 19/20 by year, age and assigned gender at birth Referrals in/out 22/01/2021 20-21148 GIC Referrals 2019-20
26 19/08/2020 20-21084 GIC: Referrals Received and Referrals Made for Surgery Referrals in/out 23/10/2020 FOI_20-21084_GIC__Referrals_Received_and_Referrals_Made_for_Surgery
27 28/06/2020 20-21042 GIC Referral Data Referrals in/out 24/07/2020 FOI_20-21042_GIC_Referral_Data
28 11/09/2023 23-24240 Gender Clinic Discharges Service Provision 14/09/2023 23-24240-Gender-Clinic-Discharges-Reasons-2018-23YTD
29 18/05/2020 20-21020 GICS and Gids appointments Cancelled/Postponed Service Provision 23/07/2020 FOI_20-21020_GICS_and_Gids_appointments_Cancelled_and_Postponed
30 18/06/24 24-25125 GIC: Patient Load, Spend, Staff, Waiting Times, 1st Appts 2017/18 to 2023/24 Service Provision 11/07/24 24-25125 Patient Load_Spend_Staff_WaitingTimes_1st Appts_ 2017-18 to 2023-24 – Tavistock and Portman
31 21/11/2023 23-24350 GIC Clinical Staff Roles and Bandings Staffing 12/12/2023 23-24350 GIC Clinical Staff Roles – Tavistock and Portman
32 11/03/2024 23-24521 GIC Waiting Times monthly stats July 2022 to March 2024 Waiting lists/times 10/04/2024 23-24521 GIC Waiting Times and 1st/2nd Appts. – Tavistock and Portman
33 24/01/2024 23-24442 GIC Waiting Times and first second appointments Waiting lists/times 19/02/2024 23-24442 GIC Waiting Times and 1st/2nd Appts. – Tavistock and Portman
34 10/01/2024 23-24412 GIC Waiting Times and first second appointments (2018 & 2023) Waiting lists/times 05/02/2024 23-24412 GIC Waiting Times and First/Second Appointments – Tavistock and Portman
35 23/10/2023 23-24309 GIC: Waiting Times & Funding Waiting lists/times 03/11/2023 23-24309 GIC: Waiting Times & Funding – Tavistock and Portman
36 17/09/2023 23-24251 GIC: Waiting Times Average Wait between 1st/2nd Appts Waiting lists/times 02/10/2023 23-24251-GIC-Waiting-Times-Average-Wait-1st-to-2nd-Appts.docx
37 15/09/2023 23-24250 GIC: 18-25yrs referrals, waiting list, 1st appts (at present time) Waiting lists/times 03/10/2023 23-24250-GIC18-25yrs-Referrals-Waiting-list-1st-appts
38 17/08/2023 23-24202 GIDS to GIC Transfers and Waiting Times (within last 28 days). Waiting lists/times 14/09/2023 23-24202-GIDS-to-GIC-Transfers-Waiting-Times
39 10/08/2023 23-24189 GIC: Waiting List and First Appointment Timescales Waiting lists/times 29/08/2023 23-24189-GIC-WaitList-1st-Appt-Timescales
40 24/07/2023 23-24153 GIC: Waiting List Data 2021-2023 Waiting lists/times 11/08/2023 23-24153-GIC-Waiting-List-2021-23
41 28/06/2023 23-24052/3 GIC:Discharges with no Appts attended (Waiting List Data) Waiting lists/times 13/07/2023 23-24052-2-GIC-Waiting-List-Data-2000-2022

23-24052-3-GIC-Waiting-List-Data-2000-2022
42 15/06/2023 23-24096 GIC: Waiting, Referrals, DNAs and Budget Data Waiting lists/times 06/07/2023 23-24096-GIC-Waiting_-Referrals_DNAs_Budget
43 10/05/2023 23-24052 GIC: Waiting List Data 2020-2022 Waiting lists/times 08/06/2023 23-24052-GIC-Waiting-List-2000-2022
44 23/02/2023 22-23422 GIC Waiting Times currently, Waiting List Support Waiting lists/times 16/03/2023 22-23422-GIC-Waiting-TimesSupport-1
45 03/01/2023 22-23295 GIC: Waiting Times 1st & 2nd Appointments Aug21-Aug22 Waiting lists/times 13/01/2023 22-23295-GIC-WaitTime-Aug21-Aug22
46 24/11/2022 22-23254 GIDS & GIC: (current – 2022) Waiting Times Waiting lists/times 13/12/2022 22-23254-GIDSGIC-WaitingTimes
47 15/06/2022 22-23020 GIC Appointments/referrals & Querying FOI 21-22243

Applicant questioning data provided

 Waiting lists/times 16/06/2022 FOI_22-23020_GIC_ApptsReffrals
48 25/05/2022 22-23046 GIC Waiting List Data Waiting lists/times 16/06/2022 22-23046-GIC-WaitingListData-1
49 11/02/2022 21-22264 GIC waiting times 2021/22 Waiting lists/times 28/04/2022 FOI_21-22264_GIC_Waiting_Times_2021-22
50 29/06/2021 21-22104 GIC Waiting Times 2019-21 Waiting lists/times 21/08/2021 21-22104-GIC-Waiting-Times-2019-21
51 29/06/2021 21-22105 GIC Waiting Times 2017-21 Waiting lists/times 03/11/2021 21-22105-GIC-Waiting-Times-2017-2
52 03/06/2021 21-22075 GIC Waiting List, Complaints, Referrals, Caseload Data Waiting lists/times 23/06/2021 FOI_21-22075_GIC_WtgListComplaintsRefersCaseload
53 13/04/2021 21-22020 GIC Waiting List Data Currently. (size of list, average wait, longest/shortest) Waiting lists/times 22/06/2021 FOI 21-22020 GIC Waiting List Data
54 08/04/2021 21-22013 GIC Waiting and appointment times 2017-21) Waiting lists/times 03/06/2021 21-22013-GIC-Wait1stAppts-2017-21
55 06/04/2021 21-22001 GIC waiting times (current) Waiting lists/times 13/05/2021 FOI 21-22001 GIC waiting times
56 22/01/2021 20-21209 Waiting list times for the GIC (current & longest waiters) Waiting lists/times 16/03/2021 FOI_20-21209_Waiting_list_-_Gender_Identity_Clinic
57 22/01/2021 20-21210 Waiting list and processing times for the GIC Waiting lists/times 10/03/2021 20-21210-Waiting-list-Processing-Times-for-the-GIC

 

Under section 22 of FOIA 2000 the Trust is not obliged to provide information intended for future publication, subject to the outcome of a public interest test, which weighs up whether the public interest in disclosing the information now, outweighs the public interest in withholding it until its publication date. (NB: Public interest is defined here as the public good, and not what is of interest to the public, nor the private interests of the requester.)

In line with the terms of this exemption, we weighed up whether it would be in the public interest for us to provide or withhold the requested monthly submissions

We took into account the following factors:

Public interest considerations favouring disclosure:

  • Disclosure would provide increased transparency via release upon request of any incremental GIC past performance data
  • Disclosure of the information under FOIA would be consistent with the Trust’s intentions to proactively release data on matters of a wider public interest.

 

Public interest considerations favouring withholding the information:

  • It is in the public interest that the Trust’s new publication schedule for GIC performance data plan allows the Trust time to plan and publish this data alongside any new explanatory notes detailing if/how future performance might be impacted by any new developments .
  • It is in the wider interest that information is accessible to the public domain by adhering to the Trust’s publication schedule, to ensure that it has adequate time to complete all planned related activity prior to final publication
  • Whilst there is a public interest in providing information within scope of an FOI request as quickly as possible, this needs to be balanced with the public interest in ensuring the data can be accessed simultaneously by the general public rather than piecemeal by disclosure to a small number of applicants under FOIA.

We have concluded that, on balance, the public interest is in withholding this information until the planned publication data.

  1. Deaths of Waiting List Patients 2019-24 (Q37-42).
  2. Deaths within Gender Dysphoria Clinic 2019-24 (Q43-48)
    1. how many patients died in each calendar year 2019 to 2024.
    2. Age and Cause of Death for each of the deceased.

 

Response to Questions 7-8:

  1. The number of GIC patient and waiting list deaths by year as follows
Calendar Year of Death GIC Waiting List Patients GIC Active Patients
2019 13 16
2020 11 14
2021 14 13
2022 26 15
2023 16 17
2024 (to Oct). 17 9
  1. Causes of Death –It is important to note here the deaths reported above indicate the number of patient files closed due to their death. They were not all necessarily related to care provided or omitted by the Trust, and where they are, they are managed through the Trust’s mortality review process.

The Trust is withholding data on individuals’ ages, dates and causes of death for each of the deceased as this could lead to identification of individuals through triangulation of publicly available data from other sources.

Furthermore we would like you to know that the Trust did consider grouping ages for each of the years requested and releasing the results to you, but this still resulted in the band numbers being equal to or less than 5 in all but one age band. (Initially we looked at the age bands 17-24, 35-44, 45-54, 55-64 and 65+, and then at a wider band of ages 17-44, 45-64, and 65+)

It is the NHS Digital standard not to provide data where the numbers are smaller than 6 as this may lead to identification of individuals. For this reason and in accordance with The Common Law Duty of Confidentiality, which restricts the identification of individuals who may have received services from the Trust. This it is fundamental to the way the NHS operates, and extends beyond the death of individuals:

The data in question may already be publicly available under other legal regimes

  • Whilst there is no equivalent statutory provision in relation to social care records, local authorities generally provide access to social care records through the Freedom of Information Act.
  • Whenever inquests are held, linked to a Prevention of Future Deaths report (Regulation 28 Report to Prevent Future Deaths), the name of the deceased is published and placed into the public domain by a coroner, though this does not cover every death in the country.
  • The data you seek might be reachable via either of the following publicly available links; one shows data by name of the deceased, and the other shows a listing by Trust.
  • Reports to Prevent Future Deaths – Courts and Tribunals Judiciary searchable by deceased’s name, and includes where an organisation may have responded
  • Reg 28 Reports Tracker Database – Preventable Deaths Tracker searchable by any of the fields which can be sorted into alphabetical order, by clicking on any column header. Also available for reuse as a purchase.

The Trust recognises a high level of interest from public in how the public purse is spent on services, and must balance this against disclosure of small numbers and the years in which the deaths occurred, which – whilst not directly identifying individuals, would nevertheless give rise to a disclosure of personal data, as follows:

  • As we are a small Trust there is a high chance of recognition/identification of particular individuals/patients from the low numbers.
  • This masking of low numbers is not a just a question of considering the means reasonably likely to be used by general public, but also the means likely to be used by a determined person with a particular reason to want to identify individuals from data in the public domain now or in the future, and/or gained from other sources.

Furthermore, the Common Law Duty Of Confidentiality restricts the identification of individuals who may have received services from the Trust, and extends after the death of individuals. For more details on this please click on this link: Section 2: The Common Law of Confidentiality and Consent . This means that when an individual has died, information relating to that individual remains confidential under the Common Law, by which all NHS Trusts abide.. The key principle is that information confided should not be used or disclosed further, except, as originally understood by the confider, or with their subsequent permission.

The Trust fully recognises that the information you have requested might already be in the public domain, published under different legal framework/regimes. This does not affect the Trust’s adherence to the principles of confidentiality after death, as set our above. Indeed, there are other Acts which permit certain authorities (but not the NHS) to reveal personal data of deceased persons under certain criteria, eg The Public Records Act 1958, confirms that an ethical obligation to the relatives of the deceased exists, and that health records of the deceased are public records and governed by the provisions of the Public Records Act 1958. The Access to Health Records Act 1990 permits the use and disclosure of the information within them in only limited circumstances, and permits access to the records of a deceased person by those with a claim arising out of that individual’s death, which is negated, however, if the deceased requested that a note denying access be included within the record.

In order to be helpful to you, we have provided below examples of potentially alternative sources where you might obtain the data for the year, age and cause of death details:

  1. There is no equivalent statutory provision in relation to social care records. Local authorities generally provide access to social care records through the Freedom of Information Act. However, the guidance issued by the Information Commissioner’s Office (ICO) on s.41 of the Freedom of Information Act (FOIA) means that relatives could pursue a case for breach of confidence ICO: Practical guidance: Information about the deceased).
  2. Another example could be that whenever Inquests are held, linked to a Prevention of Future Deaths report (Regulation 28 Report to Prevent Future Deaths), the name of the deceased will be published and placed into the public domain by a coroner. This does not cover every death in the country.

It might be that the data you seek could be reached via either of the following publicly available links; one shows data by name of the deceased, and the other shows a listing by Trust.

  1. Reports to Prevent Future Deaths – Courts and Tribunals Judiciary searchable by deceased’s name, and includes where an organisation may have responded
  2. Reg 28 Reports Tracker Database – Preventable Deaths Tracker

Searchable by any of the fields which sort into alphabetical order, by clicking on any column header. Also available for reuse as a purchase.

 

Response to Questions 9-10:

  1. MH Treatment offered to how many Waiting List patients at Gender Dysphoria Clinic 2019-24? (Q49-54)

The GIC is not commissioned to provide Mental Health care to patients on its waiting list. Patients who call or who contact the service indicating Mental Health crises are referred to an appropriate Mental Health provider in primary or secondary care, and a note would usually be made to this effect on their file to record this contact.

  1. Subsequent Referrals of Waiting List patients to which other services from 2019-24 (just GD clinic) (Q55-60)

Please refer to the Trust’s response to Question 9 above.

We confirm that this data is held by the Tavistock and Portman NHS Foundation Trust and would be located in freetext notes sections within the waiting list patient’s electronic records.  These are not currently in an electronic retrievable format, (ie there is no automated mechanism for the collation of the required data), and would require manual review and processing of a large volume of data, considerably exceeding the limit to time and resource provisioned under the Freedom of Information Act 2000 (FOIA).

The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 has set the appropriate limit as £450 based on a generic charge of £25 per hour to determine whether the Trust holds the information, to locate, and then to extract it). Section 12 of FOIA further states that the authority (ie this Trust) is not obligated to comply with a request for information if the authority estimates that the costs of complying with the request would exceed the appropriate limit.

We have estimated that to obtain the requested information, where held, would therefore require a manual search of all waiting list patient records amounting to over 15,000 electronic patient records, which, at an estimated 10 minutes per record would take approximately 2,500 hours. This means that as the time required to process this question falls outside the cost limit, this question is refused and exemption from disclosure has been engaged under s12 of FOIA.

Should you wish to narrow the scope of this question, the Trust would treat the submission as a new FOI request.

  1. Provision of Hormone Therapy from 2019-24: how many patients receiving psychological support from The Tavistock and Portman NHS Foundation were subsequently provided with cross-sex hormone therapy?

We have taken this question as a request for the number of GIC patients who were provided with cross-sex hormone therapy. The Trust does not hold this data.

The Endocrinology Team at the Trust’s GIC do not issue prescriptions for hormone therapy. Where assessed as appropriate, the endocrinologist would write to the patient’s GP recommending that they prescribe hormone therapy for the patient, but the Trust does not routinely receive information that patients have received these prescriptions.

Please note that the Freedom of Information Act 2000 applies only to recorded information that exists at the time of the request. It does not require an authority to answer questions where this would involve the creation of new information, and this could only be answered by seeking out and creating new information

  1. Number of Referrals for Gender Surgery 2019-24, (Q67-72)

The Tavistock and Portman NHS Foundation Trust is not an acute hospital, and has no surgical departments, nor provision of in-patient care. Our GIC is commissioned to deliver the non-surgical pathway, focussing on assessment, psychosocial interventions and endocrinology consultation.

This data is held by Arden and GEM CSU who are the National Surgical Hub commissioned by NHS England to process referrals and outcome of surgical interventions for gender care. Their contact details are provided via a web form on their website at. NHS Commissioning Support Unit (CSU) & Healthcare System Support – NHS Arden & GEM CSU.

We confirm that at this Trust, the Tavistock and Portman NHS Foundation Trust, the GIC holds surgery referral data only in the form of referral letters, which once sent, are filed within the notes section of the patient’s electronic record. These are not held in an electronically retrievable format, so we cannot generate reports to provide the annual referral numbers for surgery that you require without conducting a manual search of thousands of electronic patient records. At an estimated 20 minutes per record this would take approximately 333 hours per thousand records. This would mean that the time required to process this question alone would fall outside the Freedom of Information Act 2000 cost limit of £450, so your request is refused and exemption from disclosure has been engaged under s12 of FOIA.

The Freedom of Information and Data Protection (Appropriate Limit and Fees) Regulations 2004 has set the appropriate limit as £450 based on a generic charge of £25 per hour to determine whether the Trust holds the information, to locate, and then to extract it). Section 12 of FOIA further states that the authority (ie this Trust) is not obligated to comply with a request for information if the authority estimates that the costs of complying with the request would exceed the appropriate limit.

  1. Waiting Times for Surgery, the average number of weeks waited between surgical referral and surgery 2019-24 (Q73-78)

The Trust does not hold this data, as we are not always informed when the surgery has taken place.

 

 

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