Information Governance Manager

Information Governance Manager Room 2.03 De La Court House Queen Alexandra Hospital Southwick Hill Road Portsmouth Hampshire PO6 3LY

Tel: 023 9228 6000 Ref: 12-13 207 Date: 02 January 2013

Dear Mr Griffin

Request for information under the Freedom of Information Act 2000

Please find below the Trust’s response to your request.

The following questions concern patients undergoing radiological investigations or procedures involving iodinated contrast media (this would involve the departments of radiology, vascular, MAU and renal):

1) Does your institution have specific guidelines/policy for the recognition and management of patients at risk of contrast induced acute kidney injury (CI-AKI) for the following procedures: a. contrast enhanced CT scans Yes b. angiogram, angioplasty and stenting Yes c. c. endovascular aneurysm repair (EVAR) Yes

2) If available please send the guidelines/policy by email.

G:\Governance - IG G:\Governance - IG Mgr\IG - Freedom of Information\FOIMgr\IG - Freedom - Requests\FOIof Information\FOI Requests - Requests\FOI 2012-13\12-13 Requests 207\12-13 2012-13\12-13 207 - Use of207\12-13 Contrast 207 Media - Use Policy.doc of Visipaque Policy.doc

3) When was this guideline last reviewed and / or revised? Please see front cover of attached policies

4) What strategies does your institution use to manage patients at risk of CI-AKI? . Identify e-GFR from request form, patient records and hospital records . Use lower risk contrast or avoid contrast according to policy, discuss with supervising Radiologist or referring clinician . Ensure adequate hydration. . Seek advice from renal physicians in difficult cases

5) Do you routinely involve a renal physician in the pre and post procedure management of patients at risk of CI-AKI who are having a contrast enhanced investigation or interventional procedure? No

6) Do patients at risk of CI-AKI routinely have post procedure serum urea, creatinine, eGFR and electrolytes measured? If so, at what time post procedure does this happen? No

This letter also confirms completion of the request. Please note that copies of this request will be held on file for three years before being confidentially destroyed.

If you have any concerns regarding the response you have received, you may ask the Trust to conduct an internal review. For further information on the Freedom of Information Act, including details of appeals and complaints, please contact the Information Commissioner’s Office at the following address:

Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF Tel: 08456 30 60 60

Re-use of Public Sector Information Regulations 2005

The supply of information under Freedom of Information is intended to be for personal use only and does not automatically give the recipient the right to commercially re-use it, for example, the right to publish it or make it available to a wider audience [SI 2005 No: 1515 4(1)].

Therefore, if this information is not for your personal use only you must apply in writing to this Trust. A licence may be issued as the information is under copyright and the issue of a licence may constitute a charge depending upon the information released and proposed re-use.

We do not permit the commercial re-use of any staff personal information

Failure to comply with the Regulations may result in legal proceedings being taken against you.

Applicant Satisfaction Survey

It is important to the Trust that you are satisfied with the way in which your request was handled. There is an Applicant Satisfaction Survey available on our website and we would be grateful if you could spend a short time to comment on your request.

If you have any queries, please do not hesitate to contact this office.

Yours sincerely

James Taylor Information Governance Manager