FOI_9382

Internal Reference Number: FOI_9382

Date Request Received: 05/05/2026 00:00:00

Date Request Replied To: 26/05/2026 00:00:00

This response was sent via: By Email

Request Summary: Urology Theatre Productivity and Adult Male Circumcision

Request Category: Private Individuals


Question Number 1: FOI Request – Urology Theatre Productivity and Adult Male Circumcision I am writing to request information under the Freedom of Information Act 2000 regarding urology surgical productivity at Salisbury NHS Foundation Trust. In light of the recent NHS England South West report (Feb 2026) regarding the million-operation milestone driven by productivity gains, and the Trust’s own urology backlog of 2,500+ patients, please provide the following for the 2025/26 period: Adoption of Innovations Does the Trust currently utilize stapler-assisted devices (e.g., ZSR/CircCurer) for adult therapeutic circumcision?

Answer To Question 1: No.

Question Number 2: Has the Trust’s surgical productivity team formally evaluated this technology to support the regional goal of maximizing elective throughput?

Answer To Question 2: No as we don’t have a Surgical Productivity Team.

Question Number 3: Theatre Productivity What is the average "Entry to Exit" theatre time currently allocated for an adult circumcision performed via traditional suture methods?

Answer To Question 3: 48 minutes

Question Number 4: What percentage of these procedures are performed under Local Anaesthetic (LA) in an outpatient setting (e.g., the Urology Centre, Level 3 SDH North), versus General Anaesthetic (GA) in a main theatre suite?

Answer To Question 4: 100% in a main theatre suite under GA

Question Number 5: Waiting List Performance What is the current median waiting time (in weeks) for an adult medically indicated circumcision from "Decision to Treat"?

Answer To Question 5: Current median waiting time is 24.1 weeks.

Question Number 6: How many patients are currently on the urology elective list for this specific procedure?

Answer To Question 6: At the end of April there are 62 patients waiting for circumcision.

Question Number 7: Efficiency Metrics Has the Trust calculated the potential theatre capacity gains if routine adult circumcisions were moved from General Anaesthetic to a 10-minute Local Anaesthetic stapler-assisted model?

Answer To Question 7: No.

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Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.