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Responses > Surgical Delays Caused by Missing/Late/Unsterilised Instruments

Freedom of Information request Surgical Delays Caused by Missing/Late/Unsterilised Instruments

Response published: 21 October 2025

FOI Request

(20 October 2025) I am writing under the Freedom of Information Act 2000 to request information relating to surgical delays caused by equipment or instrument availability within your Trust. This request aims to understand how logistical and operational factors — rather than clinical causes — may contribute to surgery scheduling challenges across the NHS. Please provide data for 2024, and any available for 2025 to date for the following: 1️⃣ Surgical delays • The number of operations delayed or cancelled where the recorded cause included: o Missing or incomplete surgical instrument sets o Late arrival of loan sets or consignment trays from suppliers o Equipment or instrument sterilisation or cleaning faults o Missing documentation, instructions for use (IFUs), or traceability records If your Trust does not record these categories specifically, please provide the nearest equivalent data (e.g. “equipment failure,” “instrument availability,” or “theatre preparation delays”). 2️⃣ Delay duration • Where available, please provide the average or total delay time (e.g. hours or days) attributed to these causes. 3️⃣ Reporting system • If available, please confirm which system(s) your Trust uses to record and categorise surgical delays (e.g. Datix, ORMIS, Bluespier, or another). 4️⃣ Internal reports • If available, please share any summaries, reports, or audits produced since 2023 that discuss equipment-related surgical delays, loan set management, or theatre efficiency If it is not possible to provide all of this data within the cost or time limits set by Section 12 of the Act, please provide as much of the information as possible and advise how I may refine my request to bring it within scope. If certain data is unavailable or not centrally recorded, please confirm this and provide any partial or relevant information held.

FOI Response

Freedom of Information Request – Ref: FOI 284-2025

Thank you for your recent Freedom of Information request. Please find our response below.

You asked:

1️⃣ Surgical delays
• The number of operations delayed or cancelled where the recorded cause included:
o Missing or incomplete surgical instrument sets
o Late arrival of loan sets or consignment trays from suppliers
o Equipment or instrument sterilisation or cleaning faults
o Missing documentation, instructions for use (IFUs), or traceability records
If your Trust does not record these categories specifically, please provide the nearest equivalent data (e.g. “equipment failure,” “instrument availability,” or “theatre preparation delays”).

2️⃣ Delay duration
• Where available, please provide the average or total delay time (e.g. hours or days) attributed to these causes.

3️⃣ Reporting system
• If available, please confirm which system(s) your Trust uses to record and categorise surgical delays (e.g. Datix, ORMIS, Bluespier, or another).

4️⃣ Internal reports
• If available, please share any summaries, reports, or audits produced since 2023 that discuss equipment-related surgical delays, loan set management, or theatre efficiency.

Our response:

The Trust does not provide the service mentioned in your request. Please re-direct your request to Gloucestershire Hospitals NHS Foundation Trust at ghn-tr.foi@nhs.net.

Next steps:

Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:

Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk

If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.