FOI 2025/1466

I am submitting this request under the Freedom of Information Act 2000 regarding specific cardiac procedures.
Additionally, if certain data points are not recorded in the exact format requested, I would welcome any alternative figures or insights.
Please could you provide the following?
Commissioned Services
1.Which NHS Trust(s) are commissioned to provide these services, and is there a limitation to the number of procedures they are allowed to perform? By way of services, I mean:
• Transcatheter Aortic Valve Implantation (TAVI)
• Transcatheter Edge-to-Edge Repair for Mitral Valves (TEER)
Reimbursement and Activity
2. How are non-elective structural heart procedures (such as TAVI or TEER) reimbursed within your commissioning framework?
3. Do you hold or collect any data on utilisation of these services (e.g. capacity, activity, waiting times, or referrals)?
Future Planning
4. What are your current plans or priorities for future investment in structural heart services over the next three years?
By way of “plans” I mean those covering areas such as expansion of cath lab capacity, new commissioning arrangements, workforce planning, or service reconfiguration.

1. NHS Trusts commissioned to provide Transcatheter Aortic Valve Implantation (TAVI) and Transcatheter Edge-to-Edge Repair for Mitral Valves (TEER) for the Greater Manchester population is Manchester University NHS Foundation Trust. Activity at providers is commissioned in accordance with the NHS Standard contract; an activity plan has been agreed, and variation will be managed according to this and the NHS Payment Scheme.
2. Activity at providers is commissioned in accordance with the NHS Standard contract, with an activity plan agreed and funded in accordance with the NHS Payment Scheme.
3. NHS Greater Manchester (NHS GM) does not hold information on capacity it is for each commissioned centre to ensure that they have the adequate workforce infrastructure and available equipment to complete the treatments safely and to ensure the best possible outcomes; as well as using theatre resources collectively with all other medical specialities on site. We are able to identify activity. Waiting list data is limited and dependent on the recording of the procedure accurately by the provider. Referral data is not available at procedure level.
4. Commissioning intentions are set yearly and there have been identified opportunities for cardiac reconfiguration across the Greater Manchester Integrated Care Board System. These are at early stages and will require a formal process to be undertaken to determine possible options.