Bradford Royal Infirmary, Bradford

General hospital information

  • Number of beds: 804
  • % of single rooms: 15%
  • Total parking spaces: 288
  • Average parking fee per hour: £0.67

Address & description

Bradford Royal Infirmary,
Duckworth Lane, Bradford, England, BD9 6RJ
Tel: Work 01274 542 200
Bradford Royal Infirmary

The past 12 months have seen patient care accelerate into a new era of quality across Bradford Teaching Hospitals NHS Foundation Trust. Our two hospitals - Bradford Royal Infirmary and St Luke's Hospital - benefited from the biggest programme of modernisation in our history. This investment has been spearheaded by the January 2009 opening of our new £10m ward block - believed to be the fastest build of its scale in the NHS. The development provides facilities for two elderly care and medical wards, each caring for patients in 24-single rooms with en-suite facilities, and four-bed bays each with its own bathroom.

Plans are well advanced to build on this success by further exploring additional capacity through a second ward block of similar design during 2010. This will complement further developments under way, including a £1.8m workplace health and well-being centre, a modern new hospital entrance, and improved privacy and dignity for patients by eliminating open-plan Nightingale-style wards.

Other key achievements completed in 2008/09 included a £3m lecture theatre, with hi-tech teaching facilities to help all our staff stay at the forefront of healthcare innovation; a new pain management centre; a new macular unit providing treatments to help slow down vision loss; and the launch of improved imaging facilities, particularly in ultrasound.

Our specialist cochlear implant service marked its 500th patient by moving into a state-of-the-art new home, the Listening for Life Centre. The past 12 months have also been a year of success in a number of other ways - we recruited our 50,000 member as we marked our fifth anniversary as one of the NHS's inaugural Foundation Trusts; research income soared to a record level of more than £3m; healthcare acquired infections, such as MRSA, have halved; and we consolidated our position among the ten safest hospitals in the NHS.

* this profile text was provided by Bradford Teaching Hospitals NHS Foundation Trust

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Patient Safety at Bradford Royal Infirmary

Does the Trust have a publicly named person at Board level responsible for patient safety: Yes
What position do they hold with the organisation: Medical Director
Does the Trust Board have a monthly standing item on patient safety: No
Does the Trust Board have definitions for healthcare associated infections data: Yes
Does the Trust Board have definitions for implementation of safety alerts and other safety critical information received HCAI data: Yes
Does the Trust Board have definitions for incident investigations carried out and changes resulting from these: Yes
Does the Trust Board have definitions for never events: Yes
Does the Trust Board have definitions for numbers and type of patient safety incidents: Yes
Does the Trust Board have definitions for serious untoward incidents: Yes
Does the Trust Board routinely receive reporting at Board meetings on the implementation of safety alerts and other safety critical information received HCAI data: quarterly
Does the Trust Board routinely receive reporting at Board meetings on incident investigations carried out and changes resulting from these: as appropriate
Does the Trust Board routinely receive reporting at Board meetings on never events: as appropriate
Does the Trust Board routinely receive reporting at Board meetings on numbers and type of patient safety incidents: quarterly
Does the Trust Board routinely receive reporting at Board meetings on other safety items: n/a
Does the Trust Board routinely receive reporting at Board meetings on serious untoward incidents: as appropriate
Do the Trust have a policy for being open with patients and their families when things go wrong: Yes
IF yes, name of policy and date approved by the Board: Being Open When Patients are Harmed (Currently under Review)
What elements in the organisation support being open with patients and their families when things go wrong - ACCESS TO COUNSELLING: Yes
What elements in the organisation support being open with patients and their families when things go wrong - ACCESS TO DEBRIEFING: Yes
What elements in the organisation support being open with patients and their families when things go wrong - ACCESS TO TRAINING: No
What elements in the organisation support being open with patients and their families when things go wrong - BOARD UNDERSTANDING/SUPPORT: Yes
What elements in the organisation support being open with patients and their families when things go wrong - HUMAN RESOURCES UNDERSTANDING/SUPPORT: Yes
What elements in the organisation support being open with patients and their families when things go wrong - OTHER: No
What elements in the organisation support being open with patients and their families when things go wrong - SENIOR CLINICIAN UNDERSTANDING/SUPPORT: Yes
What percent of staff have been trained in using a being open policy: 0%
When an error occurs, does the Trust have clear criteria for deciding whether disciplinary action should be taken against an individual staff member: Yes
Does the Trust have a strategy for assuring the quality, completeness and follow-up of incident investigations: Yes
IF Yes, name of strategy and date approved by the Board (if approved): Serious Untoward Policy (Review Date Sept 2009)
Who is the person within the Trust responsible for ensuring NPSA alerts are implemented: Medical Director
How many incident investigations using a full Root Cause Analysis did the Trust carry out in 2008/9: 16
What percent of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed?: 100%
What mechanisms does the Trust use to assess their level of compliance for these- ASKING STAFF: No
What mechanisms does the Trust use to assess their level of compliance for these- AUDIT OF IMPLEMENTATION: Yes
What mechanisms does the Trust use to assess their level of compliance for these- MONITORING OF INCIDENT DATA: Yes
What mechanisms does the Trust use to assess their level of compliance for these- OTHER (PLEASE SPECIFY): No
What mechanisms does the Trust use to assess their level of compliance for these- PATIENT FEEDBACK: No
What mechanisms does the Trust use to assess their level of compliance for these- PHARMACY DATA: Yes
What mechanisms does the Trust use to assess their level of compliance for these- PROCESS AND OUTCOME MEASURES DESIGNED SPECIALLY: No
What mechanisms does the Trust use to assess their level of compliance for these- SAFETY WALKAROUNDS: No
What mechanisms does the Trust use to assess their level of compliance for these- TRACKING RELEVANT INVESTIGATIONS CARRIED OUT: No
Has the Trust identified a lead clinician to provide training of all staff involved in chest drain insertion: Yes
Has the Trust audited its procedures around chest drain insertion: No
Has the Trust reviewed its local guidelines around sampling from arterial lines: No
Has the Trust audited its procedures around arterial infusion lines: No
If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, what is believed to be the reason: NOT APPLICABLE TO THIS ORGANISATION: Yes
If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, what is believed to be the reason: OTHER (PLEASE SPECIFY): Yes
If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, why do you think the Trust is not yet fully compliant MULTI STILL TO CARRY OUT AUDIT: Yes
If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, what is believed to be the reason: STILL TO GET BOARD AGREEMENT: No
If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, what is believed to be the reason: STILL TO GET CLINICIAN AGREEMENT: Yes
Other: On Going Training
If the Trust is not yet fully compliant with any of the eight NPSA alerts, when does it expect to be compliant with these: In the next 6 months
Does the Trust currently meet regularly with commissioners to discuss patient safety issues?: Yes
Does the Trust regularly discuss HCAI data with commissioners: Yes
Does the Trust regularly discuss the implementation of safety alerts and other safety critical information with commissioners: Yes
Does the Trust regularly discuss incident investigations carried out and changes resulting from these with commissioners: Yes
Does the Trust regularly discuss never events with commissioners: Yes
Does the Trust regularly discuss the numbers and types of patient safety incidents with commissioners: Yes
Does the Trust regularly discuss other areas of safety with commissioners: No
Does the Trust regulalry discuss serious untoward incidents with commissioners: Yes
Do commissioners work with the Trust to improve safety in the organisation: Yes
Do commissioners work with the Trust on providing assurance: Yes
Do commissioners work with the Trust on setting priorities: Yes
Do commissioners provide any other work with the Trust: No
Do commissioners work with the Trust on performance management: Yes
Do commissioners with with the Trust on sharing learning from external bodies and research: No
Do ommissioners work with the Trust on sharing learning from other events: No
Do commissioners work with the Trust to share learning from other organisations: No
Do commissioners work with the Trust on support with handling major incidents: Yes
What percent of acute inpatients have a track and trigger warning system in place for the duration of the admission: 31-60%
Does the Trust audit all cardiac arrests that occur outside the Intensive Care Unit: Yes
What was the date of the last audit and main findings : 2006-07
What percent of patients are risk assessed for venous thromboembolism on admission: 100%
Does the Trust have a system for recording operations that resulted in a foreign body being left post surgery : Yes
Does the Trust have a system for recording operations that resulted in wrong site surgery taking place: Yes
Does the Trust have a system for recording operations that were cancelled due to missing notes: Yes
What is the Trust's reporting system for operations that resulted in a foreign body being left in post surgery: Incident Reporting System
What is the Trust's reporting system for operations that resulted in wrong site surgery taking place: Incident Reporting System
What is the Trust's reporting system for operations that were cancelled due to missing notes: Performance Management System
During the period 01 April 2008 - 31 March 20009, how many operations resulted in a foreign body being left post surgery : 1
During the period 01 April 2008 - 31 March 20009, how many operations resulted in wrong site surgery taking place: 3
During the period 01 April 2008 - 31 March 20009, how many operations were cancelled due to missing notes: 6
What percentage of eligible AMI patients received ACEI or ARB for LVSD: 100
What percentage of eligible AMI patients received adult smoking cessation advice/counselling: 100
What percentage of eligible AMI patients received aspirin at arrival: 100
What percentage of eligible AMI patients received aspirin prescribed at discharge: 100
What percetange of eligible AMI patients received beta blocker at discharge: 99.7
What percentage of eligible pneumonia patients received adult smoking cessation advice/counselling: 100
What percentage of eligible pneumonia patients had blood culture performed within 24 hours prior to or 24 hours after hospital arrival: 0 commentsNot known
What percentage of eligible pneumonia patients received an influenza vaccination: 0 commentsN/A
What percentage of eligible pneumonia patients received an initial antibiotic within 6 hours of hospital arrival: 0 commentsNot Known
What percentage of eligible pneumonia patients received the pneumococcal vaccination: 0 commentsN/A

Services at Bradford Royal Infirmary

Cancer Services

Trust Questions

  • Does the trust provide a service for colorectal cancer: Yes explanatory textYou can see if this NHS Trust provides a service for colorectal cancer (cancer of the large intestine), which is the third commonest cancer in the UK.
  • Does the colorectal cancer MDT treat 60 or more new cases each financial year: Yes
  • Does each named surgical member of the colorectal cancer MDT perform 20 or more operations with curative intent each financial year: Yes explanatory textIt is recommended that a surgeon in a colorectal MDT should carry out a minimum of 20 colorectal resections, where the intention is to remove all the cancer that is present, in any given calendar year. There is some evidence that the more operations a surgeon does, the better the outcomes are for patients.
  • How many patients were referred to the trust with early prostate cancer (not locally advanced or metastatic) in the financial year: 0 commentsData Not Available
  • Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received brachytherapy: 0 commentsData Not Available
  • Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received hormonal therapy: 0 commentsData Not Available
  • Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received readical prostatectomy: 0 commentsData Not Available
  • Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received radiotherapy: 0 commentsData Not Available
  • Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received surveillance: 0 commentsData Not Available
  • How many palliative beds does the trust have: 0

Cardiac Services

Trust Questions

  • Do all the Trust’s patients have access to specialist heart failure nurses: Yes explanatory textSpecialist heart failure nurses can assess patients with heart failure, provide patients with information on managing their condition, provide patients with emotional support, and provide some counselling services. They can monitor treatment and act as a point of contact for the patient and their family.
  • Does the Trust perform primary angioplasty: No

Critical Care

Hospital Questions

  • What Level of critical care is provided at the hospital: Level 3 explanatory textYou will be able to find out what level of critical care is available at the hospital you searched for. Level 0: Care is available for patients whose needs can be met through normal ward care in hospital, Level 1: Care is available for patients at risk of their condition deteriorating, or those recently relocated from higher levels of care, whose needs can be met on an acute ward with some support from the critical care team, Level 2: Care is available for patients requiring more detailed observation or intervention, including support for a single failing organ system such as the lungs, post-operative care, as well as care for those patients 'stepping down' from higher levels of care, Level 3: Care is available for patients requiring advanced respiratory support or monitoring and patients requiring support for two or more organ systems. This level includes all complex patients requiring support for multi-organ failure.
  • Where a hospital offers Level 3 services is a consultant-led team allocated to occupied Level 3 beds: Yes
  • Where such a team exists, does the consultant leading the team have a GMC registered specialty or sub-specialty in: respiratory/ intensive care medicine: Yes
  • Where a hospital offers Level 3 services, how many sessions a week is a consultant dedicated to cover of Level 3 beds: 22
  • Is the medical registrar required to undertake a nightly ward round for all occupied Level 3 beds: Yes
  • Do those hospitals that do provide Level 3 have an anaesthetist / intensivist on site and available 24 hours per day: Yes

Diagnostics

Hospital Questions

  • How many fixed on-site Magnetic Resonance Imaging (MRI) scanners are located on site at the hospital?: 2 explanatory textYou can find out how many MRI scanners the hospital you searched for has available to diagnose conditions, such as cancer or brain injury.
  • Does the hospital have a MRI scanner available 24 hours a day, including at weekends, with radiographers and radiologists available?: No explanatory textPatients admitted as emergency cases will benefit from having an MRI scanner and staff available 24 hours a day to operate the scanner and interpret the scans. Rapid access to MRI scans allows doctors to quickly assess conditions such as a stroke or internal injuries after a car crash.
  • How many fixed on-site Computerised Tomography (CT) scanners are located on site at the hospital?: 2 explanatory textYou can find out how many CT scanners the hospital you searched for has on site available to assess the condition of internal organs such as the brain, heart or lungs.
  • Does the hospital have a CT scanner available 24 hours a day, including at weekends, with radiographers and radiologists available?: Yes explanatory textPatients admitted as emergency cases will benefit from having a CT scanner and staff available 24 hours a day to operate the scanner and interpret the scans. CT scans allow doctors to assess levels of damage or disease to internal organs.

Trust Questions

  • Do any of the trust's sites have MRI scanners?: Yes
  • For the financial year 2008/2009 what was the trust's average waiting time between a routine request for an MRI scan being received and the scan being done? : 20
  • Do any of the trust's sites have CT scanners?: Yes
  • For financial year (April 01 2008 to March 31 2009), what was the trust's average waiting time (weekdays, excluding bank holidays) between a routine request for a CT scan being received and the scan being done: 16 explanatory textA routine request for a CT scan is for cases that follow the usual patient pathway (from the GP or consultant onwards), which do not denote seriousness. Long waits for routine CT scans can inconvenience and worry patients.
  • For financial year (April 01 2008 to March 31 2009) what was the trust’s average waiting time (weekdays, excluding bank holidays) between a routine request for a non-obstetric utra-sound being received and the scan being done: 25 explanatory textA routine request for a non-obstetric ultrasound scan is for cases that follow the usual patient pathway (from the GP or consultant onwards), which do not denote seriousness. An ultrasound scan is used to investigate internal organs such as the heart, liver, kidneys and blood vessels. Long waits for ultrasound scans can cause inconvenience and worry.
  • For financial year (April 01 2008 to March 31 2009) what was the trust’s average waiting time (weekdays, excluding bank holidays) between a routine request for a radionuclide (Isotope) scan being received and the scan being given: 23 explanatory textA routine request for a radionuclide scan is for cases that are less urgent and where the diagnosis is likely to be less serious. A radionuclide scan is used to investigate medical conditions, such as: infection or injury to bones, kidney disease, cancer, blood clots in the lungs, and poor blood flow to the heart. Long waits for radionuclide scans can cause inconvenience and worry.
  • For financial year (April 01 2008 to March 31 2009) what was the trust’s average waiting time (weekdays, excluding bank holidays) between a routine request for a fluroscopy being received and the test being done: 13
  • For financial year (April 01 2008 to March 31 2009) what was the trust’s average waiting time (weekdays, excluding bank holidays) between a routine request for an x-ray (radiograph - no fluoro-scopy) being received and the test being done: 0 commentsGP & OP referrals - walk in service (No Wait) Inpatients < 24hrs

General Service Information

Hospital Questions

  • How many single rooms are available to NHS patients: 163
  • Of these single rooms, how many have an ensuite toilet: 92
  • Of these single rooms with ensuite toilet, how many have a shower or bath: 74
  • Does the hopital have an A&E department: Yes
  • How many specilialist palliative care beds does the hospital have: 0
  • Does the hospital treat private patients: Yes
  • Please indicate the sites that have a named private unit/service: Yes
  • What is the name of the private unit/ service: The York Suite
  • How many beds are available within the private unit/ service: 12
  • How many single rooms are available within the private unit/ service: 12
  • Of these single rooms, how many have an ensuite toilet: 12
  • Of these single rooms with ensuite toilet, how many have a shower or bath: 12
  • What is the direct telephone number for the private unit: : 01274 364643

Trust Questions

  • Does the Trust use the World Health Organisation safer surgery checklist: Yes
  • Does the Trust collect systematic patient feedback (not including suggestion boxes and ad hoc comments): Yes
  • How frequently is the patient feedback collected: Annually x 2 (Patient Experience & Patient Survey - Projects throughout a number of areas
  • Does the Trust board regularly review the patient feedback: Yes
  • Does the Trust board receive regular monthly reports on clinical outcomes: Yes
  • Do the monthly reports include measurements on length of stay: Yes
  • Do the monthly reports include measurements on mortality: Yes
  • Do the monthly reports include measurements on other areas of clinical outcomes: No
  • Do the monthly reports include measurements on mreadmissions: No
  • Does the trust have a policy that ensures discharge letters are sent to GPs on death?: Yes

Infection Control

Trust Questions

  • Does the trust employ an antibiotic pharmacist: Yes explanatory textAn antibiotic pharmacist advises staff on how they can prescribe antibiotics in a way that will reduce the chances of bacterial resistance to antibiotics. The antibiotic pharmacists will ensure that an adequate dose of antibiotics is given and that the choice and length of time the drug should be taken are consistent with the hospital antibiotic policy.
  • Does the trust currently screen all elective admissions for MRSA: Yes
  • 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: Yes
  • Does the Trust screen all chemotherapy patients at pre-op assessment clinic : Yes
  • Does the Trust screen all elective neurosurgery patients at pre-op assessment clinic: Not applicable
  • Does the Trust screen all hospital transfers at pre-op assessment clinic: Not applicable
  • Does the Trust screen all incoming transfers from nursing or care homes at pre-op assessment clinic: Yes
  • Does the Trust screen all oncology patients at pre-op assessment clinic: Yes
  • Does the Trust screen all patients with a past history of MRSA at pre-op assessment clinic: Yes
  • Which elective patients does the Trust screen at pre-op assessment clinic: All elective surgical and medical commentsAll elective patients are screened at Pre-Op
  • Do all patients identified as MRSA carriers through pre-assessment screening enter into a decolonisation routine in the 5 days immediately prior to the date of admission/operation: Yes
  • Does the Trust screen all chemotherapy patients for MRSA on admission: Not applicable
  • Does the Trust screen all elective neurosurgery patients for MRSA on admission: Not applicable
  • Does the Trust screen all hospital transfer patients for MRSA on admission: Yes
  • Does the Trust screen all incoming transfers from nursing or care homes for MRSA on admission: Yes
  • Does the Trust screen all oncology patients for MRSA on admission: Yes
  • Does the Trust screen all patients with a past history of MRSA for MRSA on admission: Yes
  • Which elective patients does the Trust screen for MRSA on admission: All elective other commentsElectives are screened prior to admissions
  • What method of MRSA screening does the Trust use when screening at admission: Molecular or other method result in less than 24 hours commentsThese are done by PCR 24/7
  • On admission, does the Trust begin immediate topical suppression: Yes
  • Does the trust have an accident and emergency unit: Yes
  • Does the Trust screen all emergency admissions for MRSA: Yes
  • Does the Trust screen: According to individual risk assessment
  • What method of MRSA of screening does the Trust use when admitting patients through A&E: Molecular or other method result in less than 24 hours
  • Does the Trust begin all patients screened on a decolonisation routine until such time that their screening results are returned: Yes
  • Does the Trust segregate (accommodate on separate wards) all elective orthopaedic patients from all emergency orthopaedic or any other patients: No
  • Does the Trust have a ring-fenced elective ward that serves cardiothoracic surgery only: Not applicable
  • Does the Trust have a ring-fenced elective ward that serves neurosurgery only: Not applicable
  • Does the Trust have a ring-fenced elective ward that serves orthopaedic surgery only: No
  • Does the Trust have a ring-fenced elective ward that only serves another type of patients: No
  • Does the Trust have a ring-fenced elective ward servicing orthopaedic surgery, is joint replacement treated as a priority admission: Not applicable
  • Does the trust have a dedicated isolation ward: No
  • Does the trust have an isolation policy: Yes explanatory textKeeping potentially infectious patients in separate wards or rooms will reduce the risk that a disease will spread to uninfected patients. An isolation policy will outline the precautions and control measures needed to reduce the spread of infectious diseases in the hospital. Infections can be spread by direct contact with staff, equipment or other patients/visitors. All hospitals should have an isolation policy. The number of available single rooms may determine whether all infectious patients can all be put in single rooms to reduce the risk of infection.
  • Please specify the isolation policy: Source Isolation Policy commentsUnder Infection Control Policy
  • Where medically appropriate, are patients with C Diff isolated in single rooms as a matter of priority: Yes
  • Does the Trust prescribe probiotics to any patient groups as a prophylactic measure to reduce C.difficile infections: No explanatory textProbiotics are live micro-organisms, such as yeast and bacteria, which are believed to restore the balance of bacteria in the gastrointestinal tract, which may reduce the risk of infection with Clostridium difficile. Clinical evidence supporting the usefulness of probiotics in the treatment of Clostridium difficile is inconclusive, however.
  • Does the Trust have a policy to guide the use of metronidazole and vancomycin for C.difficile infected patients: Yes

Ophthalmology

Hospital Questions

  • Does the hospital provide a cataract service: Yes

Trust Questions

  • Does the trust offer a cataract service: Yes explanatory textCataracts mainly affect older people and can adversely affect the quality of a person’s life. The procedure involves removing the lens that has developed a cataract and replacing the lens with an artificial one.
  • As standard, on how many days following the initial diagnosis of cataract in primary care (optometrist or GP) does the Trust see the patient before the day of surgery: : More than Two
  • Does the Trust routinely ask patients to specify their vision priorities (e.g. reading, long vision), record this information and use it to customise the treatment for cataract: Yes explanatory textThe aim of cataract surgery is to remove the clouded lens of the eye to improve vision. Every patient's eye is unique and surgery must be tailored to the individual. Find out whether the hospital you searched for routinely asks patients to specify their visual priorities before surgery. Surgery can then be customised and planned beforehand in consultation with the patient to reduce dependence on glasses for either distance vision or for reading.
  • Does the Trust routinely customise the surgical approach to minimise surgically induced astigmatism: Yes
  • Does the Trust routinely customise the surgical approach to reduce existing astigmatism or correct astigmatism: Yes
  • Does the Trust have designated surgeons who specialise in more complex cases to whom relevant patients are referred: Yes

Paediatrics

Hospital Questions

  • Does this hospital provide paediatrics services: Yes commentsInpatients - BRI & Outpatients & CDC - SLH
  • Is there a designated facility on site for parents or guardians to stay overnight: Yes

Trust Questions

  • Does the Trust provide a paediatrics service: Yes
  • Is the Trust’s paediatric surgery carried out only by designated surgeons with at least six months training in a specialist unit: No
  • Do the Trust’s anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week: No explanatory textFind out if a hospital you searched for has anaesthetists that participate in at least one paediatric operation a week. This means that the hospital’s anaesthetists are regularly involved in paediatric anaesthesia and ensures that children and adolescents receive safe anaesthesia during surgery, as well as effective pain control afterwards.
  • Does the Trust have at least two registered children's nurses on duty 24 hours per day, 7 days a week in each children's ward: Yes
  • Does the Trust have a paediatrician on site 24 hours per day, 7 days per week: Yes

Palliative Care

Hospital Questions

  • How is specialist palliative care delivered at the hospital: A multi-disciplinary specialist palliative care team
  • Does the hospital’s specialist palliative team include: A consultant in palliative medicine!A palliative care nurse commentsConsultant - Part Time - Nurse x 3 & ethnic worker
  • Are the hospital’s specialist palliative care team available 24 hrs a day seven days a week: Yes
  • Are facilities provided to support relatives and carers who wish to stay with a patient in hospital: Yes commentsTerms of privacy & dignity

Trust Questions

  • Has the Trust adopted an integrated care pathway approach for management of the last days of life: Yes
  • Is this based upon the Liverpool Care Pathway: Yes
  • Does the Trust employ a Liverpool Care Pathway facilitator or a designated person who specifically teaches ward staff on the use of the Liverpool Care Pathway or Integrated Care Pathways (ICP): Yes commentsFixed Term 1 year
  • During the financial year, April 01 2008 - March 31 2009, how many patients where managed on the Trust's end of life care pathway: 0 commentsData not available
  • Of these, how many patients who had stated a preference to die at home where able to do so: 0 commentsData not available
  • 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: No

Stroke Medicine

Hospital Questions

  • What type of stroke unit does the hospital have: Combined acute and rehabilitation stroke unit commentsAcute unit available at BRI - Rehabilitation Unit at SLH
  • Please specify the number of beds in the unit: 10 explanatory textFind out how many stroke beds the stroke unit at the hospital you searched for has.

Trust Questions

  • Does the Trust have a specialist stroke unit or units: Yes explanatory textIf the hospital has a stroke unit, it can treat patients on site, rather than transfer them to another hospital.
  • How many emergency admissions with a primary diagnosis of stroke did the trust receive in the financial year: 393
  • Of these, how many patients were given a Computerised Tomography (CT) scan within 24 hrs of admission: 189 explanatory textA CT scan accurately locates the area of injury in the patient’s brain and how much damage has been done. It is now recommended that patients should be scanned, whenever possible, within 24 hours of a stroke. Thrombolysis can then be undertaken on some of these patients.

Trauma & Orthopaedics

Trust Questions

  • Does the Trust offer a trauma and/or orthopaedics service: Yes
  • Does the Trust offer a trauma service: Yes
  • Does the Trust offer a orthopaedics service: Yes
  • Does the Trust have nurse specialists in trauma and orthopaedics: No explanatory textA nurse specialist will have specialist knowledge, skills and experience, in trauma and orthopaedics. Such nurses may, for example, offer a telephone support service to address any concerns, or answer queries that patients may have while awaiting admission or following surgery
  • Does the Trust make an assessment on discharge of all orthopaedic patients: Yes explanatory textFind out if the trust assesses all orthopaedic patients prior to discharge: reviewing mobility; hospital and care home transfers; washing and dressing; meal preparation; and ability to manage domestic tasks. For example, to ensure safe discharge from hospital, patients may need adaptive equipment for the home, or further rehabilitation in a community facility or at home.
  • Do all the Trust's orthopaedic ward/team have a linked geriatric team with whom they have regular formal meetings at least once a week: Yes
  • Does the Trust have a dedicated trauma list available 24 hours a day for the duration of the week, (Sunday to Sunday): No explanatory textVictims of trauma may be best treated by a team dedicated to the treatment of the many different injuries that can be caused by trauma. The team generally consists of a lead consultant, a team of doctors, nurses, operating department assistants, radiographers and other support personnel who have no other commitment than to receive and treat trauma patients.
  • How many patients underwent elective total hip replacement surgery at the trust last financial year (April 01 2008 to March 31 2009): 253
  • Of these, how many required treatment with antibiotics during their admission for pneumonia: 0 commentsUnknown
  • Of these, how many required treatment with antibiotics during their admission for urinary tract infections: 0 commentsUnknown
  • Of these, how many required treatment with antibiotics during their admission for wound infections: 0 commentsUnknown
  • Do all the Trust’s elective orthopaedic operations take place in laminar air-flow theatres: Yes
  • Do all the Trust’s patients who undergo elective total hip replacement have a pre-operative assessment by non-surgical medical staff either prior to or after admission: Yes
  • Do all the Trust’s patients who undergo elective total hip replacement have a pre-operative outpatient anaesthetic assessment prior to admission: No
  • Are all the Trust’s patients who have had elective total hip replacement surgery assessed by an occupational therapist: Yes explanatory textAn occupational therapist will give instructions to the patient on how to undertake some of the basic activities of daily living after they have total hip replacement (THR) surgery.
  • Are aids provided by the Trust to such patients to assist them with motility and recovery: Yes explanatory textFind out if a hospital you searched for has an occupational therapist (OT) available to advise a patient what aids they need to help them in their recovery at home. Aids can include ramps, wheelchairs, raised toilet seats, raised baths, etc. Social services support many people and help them to maintain a high quality of life in their own homes. This may include the provision of aids and adaptations or care packages. Eligibility criteria and charging policies vary from one local authority to another, and the types of services that are available locally may also vary.
  • Ae these always provided prior to discharge: Yes
  • Do all the Trust’s surgeons use only the joint replacements recommended in NICE guidelines: Yes
  • Does the Trust provide all post-operative patients with devices to reduce their risks of developing a blood clot in line with NICE guidelines for elective hip surgery: No
  • Does the Trust provide all post-operative patients with devices to reduce their risks of developing a blood clot in line with NICE guidelines for surgery for hip fracture and elective knee surgery: No