Arrowe Park Hospital, Wirral

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 177 161 @Arrowe Park & 16 @Clatterbridge

• Of these how many have an ensuite toilet: 85 81 @Arrowe Park & 4 @Clatterbridge

• Of these how many have an ensuite toilet and shower or bath: 85 81 @Arrowe Park & 4 @Clatterbridge

• Does this hospital operate an accident and emergency unit:

• How many specialist palliative care beds are available at this hospital: 0 We don't have specific specialist palliative care beds

• Does this hospital have a named private unit/service:

• What is the name of the private unit/service: Park Suite

• How many beds are available within the private unit/service: 8

• How many single rooms are available within the private unit/service: 8

• Of these, how many have an ensuite toilet: 8

• Of these, how many have an ensuite toilet and shower or bath: 8

• Direct telephone number for the private unit: 0151-604-7007

Trust Questions

• Does the Trust treat private patients:

Patient Safety

Trust Questions

• Is there a system for recording operations that resulted in a foreign body being left post surgery:

• What is the reporting system for a foreign body being left post surgery: All incidents are reported into the risk management database used within the Trust. Incidents are scored and the score determines the severity and level of investigation required in line with the incident reporting policy. Incidents and serious incidents are reported internally and to external agencies and stakeholders as per policy.

• Is there a system for recording operations that were cancelled due to missing notes:

• What is the reporting system for operations that were cancelled due to missing notes: All incidents are reported into the risk management database used within the Trust. Incidents are scored and the score determines the severity and level of investigation required in line with the incident reporting policy. Incidents and serious incidents are reported internally and to external agencies and stakeholders as per policy.

• Is there a system for recording operations that resulted in wrong site surgery taking place:

• What is the reporting system for operations that resulted in wrong site surgery taking place: All incidents are reported into the risk management database used within the Trust. Incidents are scored and the score determines the severity and level of investigation required in line with the incident reporting policy. Incidents and serious incidents are reported internally and to external agencies and stakeholders as per policy.

• During the period 01 April 2010 - 31 March 2011, how many operations resulted in a foreign body being left post surgery: 0

• During the period 01 April 2010 - 31 March 2011, how many operations were cancelled due to missing notes: 0

• During the period 01 April 2010 - 31 March 2011, how many operations resulted in wrong site surgery taking place: 0

• How many incident investigations using a full Root Cause Analysis did were carried out in 2010/11: 144

• What percentage of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed: 100%

• What percentage of acute inpatients have a track and trigger warning system in place for the duration of the admission: 61-90% Every patient admitted to the trust has a MEWS assessment as per policy. However they may meet exclusion criteria which means they will not have the scoring for the duration of their stay. Q1 audit for 2011/12 shows compliance of 86%.

• What percentage of patients are risk assessed for venous thromboembolism on admission: 91-99%

• Compliant with all relevant NPSA safety alerts issues in 2010/11 (you can find a full list of alerts issued at http://www.nrls.npsa.nhs.uk/resources/?p=3). :

• Does the Trust have a policy for providing educational programmes on using and interpreting clinical indicators: No Policy - Active use of Information in the Trust with relevant clinical indicators on public display in the hospital. CHKS available internally. Training and support provided to staff as required.

• Does the Trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support): Director of Information in place.

• Is safety and quality data available on a central platform and actively disseminated to users: Active use of information in the Trust with relevant quality and safety indicators on public display in the hospital. Safety and quality data is also provided to each division in the form of regular and ad hoc reports generated from the risk management system.

Infection Control

Trust Questions

• Does the Trust employ an antibiotic pharmacist:

• Does the Trust operate a pre-admission assessment clinic or equivalent system where patients are screened and results returned in advance of the day of admission:

• Elective patient groups screened at the pre-op assessment clinic: All elective surgical and medical

• Are all oncology patients screened at the pre-op assessment clinic: Not Applicable

• Are all chemotherapy patients screened at the pre-op assessment clinic: Not Applicable

• Are all elective neurosurgery patients screened at the pre-op assessment clinic: Not Applicable

• Are all patients with past history of MRSA screened at the pre-op assessment clinic:

• What method of MRSA screening is used when screening at admission: Culture based in 48-72hrs

• On admission, does topical suppression take place immediately:

• Does the Trust have at least one accident and emergency unit:

• Are all patients admitted through A&E screened:

• Is screening done according to individual risk assessment: Not Applicable

• Does the Trust have a dedicated isolation ward:

• How many beds does it contain: 8

• Does the Trust have an isolation policy:

• Where medically appropriate, are patients with C Diff isolated in single rooms as a matter of priority:

• Does the Trust have a policy to guide the use of metronidazole and vancomycin for C.difficile infected patients:

• Does the Trust routinely isolate all patients with diarrhoea:

Stroke Medicine

Hospital Questions

• Does the hsopital have a specialist stroke unit:

• What type of stroke unit does the hospital have: Other Arrowe Park has a 12 bedded hyperacute stroke unit and 14 bedded subacute / early rehab beds. Clatterbridge Hospital has a 20 bedded stroke rehabilitation unit.

• Number of beds in the unit: 46 Please see comment above.

Trust Questions

• Does the Trust have a specialist stroke unit or units:

• Is the Trust part of a stroke care network:

• Details: Cheshire & Mersey Stroke Network.

• How many emergency admissions with a primary diagnosis of stroke (ICD10 codes I60 - I64) did the Trust receive in the financial year (period 01 April 2010 - 31 March 2011): 642

• Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 597

• Is thrombolysis for stroke patients provided 24 hours per day and 7 days a week :

• Are there any formal arrangements with neighbouring hospitals for the emergency transfer of stroke patients who would benefit from thrombolytic treatment: N/A

Trauma & Orthopaedics

Trust Questions

• Does the Trust offer a trauma service:

• Does the Trust have a dedicated trauma list available 24 hours a day for the duration of the week, (Sunday to Sunday):

• Does the Trust offer an orthopaedics service:

• Do all the Trust's orthopaedic ward/team have a linked geriatric team with whom they have regular meetings at least once a week:

• Does the Trust run a pre-operative patient education session/class for patients to attend prior to Total Knee Replacement (TKR) and Total Hip Replacement (THR)? :

• Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients: This is under development.It should be in place October 2011.

• Estimated percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery: 95

• Does the Trust have a specialist orthopaedic physiotherapy service which is available 7 days a week:

• Not able to put a figure Patients' discharge delayed due to lack of physiotherapy services at weekends:

• Are patients for total knee replacement (TKR) and total hip replacement (THR) admitted prior to the day of surgery:

• What is the principle reason for patients not being admitted on the day of surgery: Medical Comorbidity often dictates day before admission at Arrowe Park.

• Are patient records routinely recorded using a specific multi-disciplinary team THR/TKR pathway document:

• Is this data used to monitor compliance with the agreed pathway:

• Is criteria-based discharge used:

• Are patients routinely phoned in the first 48 hours after discharge to check on their progress:

Paediatrics

Hospital Questions

• Does the hospital have a paediatrics service: There are also Outpatient clinics held at Clatterbridge.

Trust Questions

• Is the Trust's elective paediatric surgery carried out only by designated surgeons with at least six months training in a specialist unit:

• Do the Trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week:

• Is a paediatrician on site (SpR or higher) 24 hours per day, 7 days per week:

• Are at least two registered children's nurses on duty 24hours per day in each children's ward:

• Is there a designated facility on site for parents or guardians to stay overnight:

Palliative Care

Trust Questions

• Does the Trust provide a palliative care service: Consultant service only provided by Wirral University Teaching Hospital NHSFT

• How is specialist palliative care delivered at the hospital: Other (please specify) The rest of the multi-disciplinary Palliative Care Team sits within the Community Trust and 'inreaches' into the hospital 7 days per week.

• Does the hospital's specialist palliative team includes: A consultant in palliative medicine

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: A Wirral wide Health Economy Service is available 24/7.

• Are facilities provided to support relatives and carers who wish to stay with a patient in hospital:

• Does the Trust routinely survey and evaluate the views of patients and bereaved relatives and carers regarding the delivery of care on the end of life programme: Not at the moment but we have a plan to start this work.

Maternity Care

Maternity Sites

• Arrowe Park Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 3544

• How many babies were born in the unit during the year? (not including home births): 3596

• How many women were booked for a home birth: 55

• How many women had a home birth? (not including births at home by accident): 34

• Number of antenatal rooms: 26

• Total antenatal beds: 32 We have a ward with 26 single bed rooms and one 6 bed bay.Rooms and beds are used for whichever patients need them and are not reserved for particular types of patient.

• Number of assessment area rooms (for monitoring and / or induction): 26

• Total assessment area beds: 32 We have a ward with 26 single bed rooms and one 6 bed bay.Rooms and beds are used for whichever patients need them and are not reserved for particular types of patient.

• Number of delivery rooms: 16

• Total delivery beds: 16

• Number of postnatal rooms: 26

• Total postnatal beds: 32 We have a ward with 26 single bed rooms and one 6 bed bay.Rooms and beds are used for whichever patients need them and are not reserved for particular types of patient.

• Number of rooms in obstetric high dependency unit: 26

• Total obstetric high dependency beds: 32 We have a ward with 26 single bed rooms and one 6 bed bay.Rooms and beds are used for whichever patients need them and are not reserved for particular types of patient.

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 5

• Amenity rooms; Are women able to book a single room in advance of their birth:

• If women can pay for a single room what is the average cost per night (GBP): 38

• Does the maternity unit have a neonatal intensive care unit:

• Does the maternity unit have a neonatal high dependency unit:

• Does the maternity unit have a special care baby unit:

• Security measures - ankle bands for the baby:

• Security measures - cot alarms:

• Security measures - CCTV:

• Security measures - restricted access:

• Pain relief available - bath or shower: Provided by unit

• Pain relief available - birthing pool: Provided by unit

• Pain relief available - birth ball: Provided by unit

• Pain relief available - Massage: Provided by women

• Pain relief available - Aromatherapy: Provided by women

• Pain relief available - TENS: Provided by unit

• Pain relief available - Epidural: Provided by unit

• Pain relief available - Mobile epidural: Not available

• Pain relief available - Entonox (gas and air): Provided by unit

• Pain relief available - Intramuscular injection: Provided by unit

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 119.2

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 119.2

• Does the unit have midwives available to provide one-to-one care available 24 hours a day, 7 days a week: On site

• Does the unit have midwives available for home births available 24 hours a day, 7 days a week: On call

• Does the unit have midwives trained and experienced in water birth available 24 hours a day, 7 days a week: On site

• Does the unit have a paediatrician available 24 hours a day, 7 days a week: On site On site during the daytime, on call out of hours.

• Does the unit have an obstetrician available 24 hours a day, 7 days a week: On site On site during the daytime and some of the weekend. On call overnight and weekend.

• Does the unit have an anaesthetist available 24 hours a day, 7 days a week: On site

• Does the unit have a dedicated obstetric anaesthetist available 24 hours a day, 7 days a week: On site

Trust Questions

• Do all women have a choice about where they receive their antenatal appointments (i.e. at hospital or local health centre):

• Are NHS antenatal classes available (e.g. Parentcraft):

• Available during the daytime (until 5pm):

• Available in the evenings (after 5pm):

• Available at weekends (Saturday and/or Sunday):

• Available for women only groups:

• Available for other groups:

• Also available for: Teenage pregnancy

• Are all women routinely offered ultrasound scans:

• Scan 1 available between: 9 & 10 weeks gestation

• Scan 2 available between: 20 weeks gestation

Trust Statistics

Trust Questions

• You can view various measures relating to the Trust's performance by clicking the following link: Wirral University Teaching Hospital NHS Foundation Trust