ABS survey on the use of outsourcing in UK breast services provision

The ABS would like to gauge the extent to which breast services are being provided by way of outsourcing arrangements. We would be grateful if members could complete this short survey to enable us to get an idea of how widespread this is in the UK currently.

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* 1. Unit Name

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* 2. Unit Region

Eastern

East Midlands

London

Merseyside

Northern

Northern Ireland

North West

Scotland

South East Central

South East Coast

South West

Wales

West Midlands

Yorkshire & Humberside

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* 3. How many new cancers does your unit treat per year?

0-50

51-100

101-150

151-200

201-250

251-300

Over 300

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* 4. In your unit what is the average number of new patient referrals seen per week

0-50

51-100

101-150

151-200

More than 200

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* 5. How many other clinic appointments does your unit offer each week? (i.e. for abscesses, symptomatic follow up/ patient initiated follow up etc)

	0-25	26-50	51-75	76-100	More than 100
Medical personnel appointments	Medical personnel appointments 0-25	Medical personnel appointments 26-50	Medical personnel appointments 51-75	Medical personnel appointments 76-100	Medical personnel appointments More than 100
Nursing/ AHP/ Other specialist personnel appointments	Nursing/ AHP/ Other specialist personnel appointments 0-25	Nursing/ AHP/ Other specialist personnel appointments 26-50	Nursing/ AHP/ Other specialist personnel appointments 51-75	Nursing/ AHP/ Other specialist personnel appointments 76-100	Nursing/ AHP/ Other specialist personnel appointments More than 100

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* 6. In your unit how many NHS new patient/ One Stop Breast Clinic appointments are there each week?

0-25

26-50

51-75

76-100

101-125

126-150

More than 150

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* 7. Does your unit use out of hours clinics or outsourced breast clinics?

Never

Occasionally

Each week

Each month

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* 8. How many in hour NHS OSBC appointments does your unit have per week?

None

Up to 10

Up to 25

Up to 50

Up to 75

Up to 100

Over 100

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* 9. Who provides out of hours OSBC (can select more than one)

In House WLI

External provider but within NHS estate

External provider using external estate

Other (please specify)

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* 10. Approximately how many OSBC appointments are provided outside of routine NHS in hour service per year?

Up to 50

Up to 100

Up to 200

up to 300

Up to 400

Up to 500

Over 500

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* 11. Do patients seen outside of routine clinic hour still get triple assessment?

Yes

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* 12. What are the clinical governance arrangements in place for an external provider if used?

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* 13. If seen outside of NHS in hour service who provides the MDT discussion?

In house NHS service

External provider

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* 14. What is driving outsourcing in your unit?

Radiology capacity

Clinical capacity

Clinic capacity

Other (please specify)

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* 15. If outsourced do these services follow your NHS unit diagnostic and management protocol, or is there a different protocol?

Yes

Please specify the details of any different protocols used

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* 16. Is there any formal quality assurance monitoring for outsourced clinics, and if so, what form does it take?

Yes - please specify

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* 17. If patients are seem by an external contractor, are appointments conducted or overseen by a fully qualified consultant or a different grade of staff?

Fully qualified consultant

Other (please specify)

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* 18. If extra clinics are required, what level of pay is offered?

BMA Rate Card

PA Rate

Other (please specify)

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* 19. Do you provide additional clinic capacity in your SPA time?

Yes - remunerated

Yes - non remunerated

Yes - paid in time owing

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* 20. Has activity delivered outside of routine one stop/ new patient/ rapid access provision led to any clinical concerns/ patient concerns?

Yes - clinical concerns

Yes - patient concerns

ABS survey on the use of outsourcing in UK breast services provision

Question Title

* 1. Unit Name

Question Title

* 2. Unit Region

Question Title

* 3. How many new cancers does your unit treat per year?

Question Title

* 4. In your unit what is the average number of new patient referrals seen per week

Question Title

* 5. How many other clinic appointments does your unit offer each week? (i.e. for abscesses, symptomatic follow up/ patient initiated follow up etc)

Question Title

* 6. In your unit how many NHS new patient/ One Stop Breast Clinic appointments are there each week?

Question Title

* 7. Does your unit use out of hours clinics or outsourced breast clinics?

Question Title

* 8. How many in hour NHS OSBC appointments does your unit have per week?

Question Title

* 9. Who provides out of hours OSBC (can select more than one)

Question Title

* 10. Approximately how many OSBC appointments are provided outside of routine NHS in hour service per year?

Question Title

* 11. Do patients seen outside of routine clinic hour still get triple assessment?

Question Title

* 12. What are the clinical governance arrangements in place for an external provider if used?

Question Title

* 13. If seen outside of NHS in hour service who provides the MDT discussion?

Question Title

* 14. What is driving outsourcing in your unit?

Question Title

* 15. If outsourced do these services follow your NHS unit diagnostic and management protocol, or is there a different protocol?

Question Title

* 16. Is there any formal quality assurance monitoring for outsourced clinics, and if so, what form does it take?

Question Title

* 17. If patients are seem by an external contractor, are appointments conducted or overseen by a fully qualified consultant or a different grade of staff?

Question Title

* 18. If extra clinics are required, what level of pay is offered?

Question Title

* 19. Do you provide additional clinic capacity in your SPA time?

Question Title

* 20. Has activity delivered outside of routine one stop/ new patient/ rapid access provision led to any clinical concerns/ patient concerns?

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* 21. Do you have any other comments in relation to outsourcing of NHS OSBC service?