FOI request into treatment and prevention of deep vein thrombosis and pulmonary embolism

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1 FREEDOM OF INFORMATION REQUEST FOI request into treatment and prevention of deep vein thrombosis and pulmonary embolism Name: Sarah Hughes Position: Anticoagulation/Thrombosis Clinical Nurse Specialist Acute Trust: Dudley Group Of Hospitals Please return your completed response to: Jan Maly Insight Public Affairs 52 Grosvenor Gardens London SW1W 0AU Tel: Fa: Under the Freedom of Information Act 2000, Lifeblood: The Thrombosis Charity writes to request the following information: Page 1 of 4

2 QUESTION ONE (a) Does your Trust have a written protocol in place for the management of venous thromboembolic diseases in accordance with NICE clinical guideline 144? (Place an X in one bo) (b) If yes, has this protocol been updated to take account of the NICE technology appraisal guidance 261 (Rivaroaban for the treatment of deep vein thrombosis and prevention of recurrent deep vein thrombosis and pulmonary embolism) published in July 2012? (Place an X in one bo) (c) If yes, please attach a copy of the protocol to this FoI response. QUESTION TWO (a) Has your Trust issued any prescribing advice to your staff on the use of rivaroaban for the pulmonary embolism? (b) If yes, please provide the details of this advice: Page 2 of 4

3 QUESTION THREE (a) Does your Trust have a procedure whereby an onward agreement is established with the PCT (or the new local commissioning body) for the onward management of patients on etended thrombo-prophylais with rivaroaban once they have been transferred into primary care? (b) If yes, please provide details of this onward agreement and attach a copy of the template agreement to your FoI response: QUESTION FOUR (c) Has your Trust had eperience of CCGs and/or PCTs refusing to prescribe rivaroaban for the pulmonary embolism? Page 3 of 4

4 QUESTION FIVE (a) Please provide any prescribing data held by your Trust for the use of rivaroaban for the pulmonary embolism since July Month July 2012 August 2012 September 2012 October 2012 vember 2012 December 2012 January 2013 February 2013 Total units of rivaroaban prescribed of patients treated for deep vein thrombosis and prevention of recurrent deep vein thrombosis and pulmonary embolism Please note that as a trust we have not yet agreed a pathway with our commissioners in the treatment of VTE with Rivaroaban as we are awaiting publication of the NICE guidance in respect of Rivaroabans treatment of PE epected in Summer We have introduced in partnership with our Commissioners Rivaroaban (and Dabigatran) for the use of n-valvular AF, more than 6 months ago. There is etensive guidance for the use of the NOACs for this indication within our trust and local area. The trusts intention is to have a robust pathway later this year with agreement of our commissioners and clinicians, for the use of Rivaroaban in the setting of DVT/PE. Page 4 of 4

5 Trust Headquarters Russells Hall Hospital Dudley West Midlands DY1 2HQ Date: 01/05/2013 FREEDOM OF INFORMATION ACT Ref: FOI/ With reference to your FOI request that was received on 12/04/2013 in connection with 'Deep vein thrombosis'. Your request for information has now been considered and the completed questionnaire is attached. Further information about your rights is also available from the Information Commissioner at: Information Commissioner Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF Tel: Fa: Yours sincerely Information Governance Manager Room 34a, First Floor, Esk House, Russells Hall Hospital, Dudley, DY1 2HQ FOI@dgh.nhs.uk

Trust Headquarters Russells Hall Hospital Dudley West Midlands DY1 2HQ

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