Urology Theatre Productivity and Adult Male Circumcision (Innovation Gap)
Case reference FOI2026/03755
Received 1 May 2026
Published 21 August 2026
Request
In light of the NHS 'Further Faster' elective recovery targets and the successful regional adoption of stapler-assisted circumcision (ZSR/CircCurer) at trusts such as Liverpool and Wigan, please provide the following data for the period 2024/25 and 2025/26 to date:
Adoption of Innovations
1. Does the Trust currently utilize stapler-assisted devices (e.g., ZSR/CircCurer) for adult therapeutic circumcision?
2. If not, has the Trust conducted a formal productivity review of this technology in the last 12 months to meet elective recovery throughput targets?
Theatre Productivity
3. What is the average "Entry to Exit" theatre time currently allocated for an adult circumcision performed via traditional suture methods?
4. What percentage of these procedures are performed under Local Anaesthetic (LA) in an outpatient/procedure room setting, versus General Anaesthetic (GA) in a main theatre suite?
Waiting List Performance
5. What is the current median waiting time (in weeks) for an adult medically indicated circumcision from "Decision to Treat"?
6. How many patients are currently on the urology elective list for this specific procedure?
Efficiency Metrics
7. Has the Trust calculated the potential theatre capacity gains if adult circumcisions were moved from General Anaesthetic to a 10-minute Local Anaesthetic stapler-assisted model?
Response
In light of the NHS 'Further Faster' elective recovery targets and the successful regional adoption of stapler-assisted circumcision (ZSR/CircCurer) at trusts such as Liverpool and Wigan, please provide the following data for the period 2024/25 and 2025/26 to date:
Adoption of Innovations
1. Does the Trust currently utilize stapler-assisted devices (e.g., ZSR/CircCurer) for adult therapeutic circumcision?
No
2. If not, has the Trust conducted a formal productivity review of this technology in the last 12 months to meet elective recovery throughput targets?
No
Theatre Productivity
3. What is the average "Entry to Exit" theatre time currently allocated for an adult circumcision performed via traditional suture methods?
60mins
4. What percentage of these procedures are performed under Local Anaesthetic (LA) in an outpatient/procedure room setting, versus General Anaesthetic (GA) in a main theatre suite?
0%
Waiting List Performance
5. What is the current median waiting time (in weeks) for an adult medically indicated circumcision from "Decision to Treat"?
50 weeks
6. How many patients are currently on the urology elective list for this specific procedure?
95
Efficiency Metrics
7. Has the Trust calculated the potential theatre capacity gains if adult circumcisions were moved from General Anaesthetic to a 10-minute Local Anaesthetic stapler-assisted model?
No
Documents
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