Chelsea and Westminster Hospital, London

General hospital information

  • Number of beds: N/A
  • % of single rooms: N/A
  • Total parking spaces: N/A
  • Average parking fee per hour: N/A

Address & description

Chelsea and Westminster Hospital,
369 Fulham Road, London, England, SW10 9NH
Tel: Work 020 8746 8000
Chelsea and Westminster Hospital

Chelsea and Westminster Hospital NHS Foundation Trust is a leading London teaching hospital that provides specialist services for patients from a wide catchment area as well as local services for people living in the boroughs of Kensington and Chelsea, Hammersmith and Fulham, Westminster and Wandsworth.

The Trust is consistently assessed among the best in the country by independent regulators of healthcare and by patients:

  • Rated ‘Excellent’ for both quality of care and financial management in the Care Quality Commission’s NHS annual performance ratings 2009 – in the top 9% of NHS trusts nationally
  • Named 4th best NHS trust in England for patient safety by the Dr Foster Hospital Guide 2009
  • Rated ‘Excellent’, ‘Very good’ or ‘Good’ by 94% of patients in the latest NHS annual patient survey

Services are mainly based on the main Chelsea and Westminster Hospital site which is renowned for its modern design and use of art to provide a holistic patient experience – the site is currently being redeveloped to improve the environment for patients being cared for by the Trust’s specialist Paediatrics and HIV services.

The Trust also has Sexual Health and HIV centres at Charing Cross Hospital and at 56 Dean Street in Soho and is increasingly providing its expert services in the community.

Specialist services that attract patients from London, the south east of England and beyond include a Level 3 Neonatal Intensive Care Unit, Paediatric and Neonatal Surgery (for which the Trust was recently designated as a lead centre), Assisted Conception Unit, Sexual Health and HIV, a Burns Unit and Dermatology.

* this profile text was provided by Chelsea and Westminster Hospital NHS Foundation Trust

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Services at Chelsea and Westminster Hospital

General Services Information

Hospital Questions

  • How many single rooms are available to NHS patients at this hospital: 74
  • Of these how many have an ensuite toilet: 37
  • Of these how many have an ensuite toilet and shower or bath: 37
  • Does this hospital operate an accident and emergency unit: Yes
  • How many specialist palliative care beds are available at this hospital: 0 commentsThe Trust has identified clinical environments for patients who require end of life care, but there are no specific designated beds
  • Does this hospital have a named private unit/service: Yes
  • What is the name of the private unit/service: Chelsea Wing commentsThe Trust also has a private maternity service, called The Kensington Wing
  • How many beds are available within the private unit/service: 15
  • How many single rooms are available within the private unit/service: 15
  • Of these, how many have an ensuite toilet: 15
  • Of these, how many have an ensuite toilet and shower or bath: 15
  • Direct telephone number for the private unit: 020 3315 8484

Trust Questions

  • Does the Trust treat private patients: Yes

Patient Safety

Trust Questions

  • Is there a system for recording operations that resulted in a foreign body being left post surgery: Yes
  • What is the reporting system for a foreign body being left post surgery: Incident Reporting System in place - see note commentsIncident Reporting System in place for all adverse events and near misses, including rapid escalation to CEO and Executives for 'orange' and 'red' incidents
  • Is there a system for recording operations that were cancelled due to missing notes: Yes
  • What is the reporting system for operations that were cancelled due to missing notes: System in place - see note commentsIncident Reporting System in place for all adverse events and near misses, including rapid escalation to CEO and Executives for 'orange' and 'red' incidents
  • Is there a system for recording operations that resulted in wrong site surgery taking place: Yes
  • What is the reporting system for operations that resulted in wrong site surgery taking place: System in place - see note commentsIncident Reporting System in place for all adverse events and near misses, including rapid escalation to CEO and Executives for 'orange' and 'red' incidents
  • During the period 01 April 2010 - 31 March 2011, how many operations resulted in a foreign body being left post surgery: 2 commentsIn both cases the objects (drill bits) were discovered prior to the completion of surgery and a decision was made to leave them in place. Patients were informed.
  • During the period 01 April 2010 - 31 March 2011, how many operations were cancelled due to missing notes: 8 commentsThe Trust Board has approved a business case for the procurement of an electronic document management system
  • 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: 74
  • 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: 100%
  • 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). : No
  • Alerts where not expected to be compliant by 1st December 2011 and when expected to be compliant. : We will be fully compliant with the two outstanding alerts (laparoscopic surgery and falls) by the end of September at the latest
  • Does the Trust have a policy for providing educational programmes on using and interpreting clinical indicators: Yes
  • Does the Trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support): Yes
  • Is safety and quality data available on a central platform and actively disseminated to users: Yes

Infection Control

Trust Questions

  • Does the Trust employ an antibiotic pharmacist: 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
  • 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: NO
  • Are all chemotherapy patients screened at the pre-op assessment clinic: NO
  • 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: Yes
  • What method of MRSA screening is used when screening at admission: Culture based in 24-48hrs
  • On admission, does topical suppression take place immediately: No commentsIf a patient is found to be MRSA positive and has had less than 2 decolonisation protocols we will advise that they are decolonised. MRSA positive patients who have central lines inserted (or Hickman / PICC lines) will be prescribed suppression therapy until the line is removed or they are discharged
  • Does the Trust have at least one accident and emergency unit: Yes
  • Are all patients admitted through A&E screened: Yes
  • Is screening done according to individual risk assessment: Yes
  • Does the Trust have a dedicated isolation ward: No
  • Protocol for isolating patients with infections: Patients with alert infections are nursed in side rooms
  • Does the Trust have an isolation policy: Yes
  • Where medically appropriate, are patients with C Diff isolated in single rooms as a matter of priority: Yes
  • Does the Trust have a policy to guide the use of metronidazole and vancomycin for C.difficile infected patients: Yes
  • Does the Trust routinely isolate all patients with diarrhoea: Yes

Stroke Medicine

Hospital Questions

  • Does the hsopital have a specialist stroke unit: Yes
  • What type of stroke unit does the hospital have: combined acute and rehabilitation stroke unit
  • Number of beds in the unit: 20

Trust Questions

  • Does the Trust have a specialist stroke unit or units: Yes
  • Is the Trust part of a stroke care network: Yes
  • Details: The Trust is part of the North West London Cardiovascular and 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): 92 commentsThere has been a reduction in the number of admissions as a result of the Hyper Acute Stroke Units and Stroke Network
  • Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 83 commentsThe patients who did not have a CT within 24 hours were those whose initial clinical presentation was not consistent with entry onto the Stroke Pathway
  • Is thrombolysis for stroke patients provided 24 hours per day and 7 days a week : No commentsService provided by the Hyper Acute Stroke Units only
  • Are there any formal arrangements with neighbouring hospitals for the emergency transfer of stroke patients who would benefit from thrombolytic treatment: Yes
  • These arrangements are with: Imperial College Healthcare NHS Trust (Charing Cross Hospital)

Trauma & Orthopaedics

Trust Questions

  • Does the Trust offer a trauma service: Yes
  • Does the Trust have a dedicated trauma list available 24 hours a day for the duration of the week, (Sunday to Sunday): Yes commentsThe Trust has a dedicated 24/7 emergency theatre list and additional dedicated orthopaedic trauma lists 6 days per week
  • Does the Trust offer an orthopaedics service: Yes
  • Do all the Trust's orthopaedic ward/team have a linked geriatric team with whom they have regular meetings at least once a week: Yes
  • 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)? : Yes
  • What is the audited Percentage of all patients that attend the class prior to surgery: 55 commentsSince this audit the capacity of the classes has been increased and attendance has been made mandatory
  • Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients: Yes
  • Not able to put a figure on the percentage compliance to this protocol: Yes commentsPolicy was only recently introduced
  • Not able to put a figure on the percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery: Yes commentsAll patients walk within 24 hours unless there is a medical reason to prevent this
  • Does the Trust have a specialist orthopaedic physiotherapy service which is available 7 days a week: Yes
  • How many patients' discharge's delayed due to lack of physiotherapy services at weekends - estimated figure: 0 commentsThe Trust has a 7 day physiotherapy service and one of the criteria to be seen by a physio is that if seen they would be able to be discharged
  • Are patients for total knee replacement (TKR) and total hip replacement (THR) admitted prior to the day of surgery: Yes
  • What is the principle reason for patients not being admitted on the day of surgery: Patients are only admitted prior to the day of surgery if clinically indicated e.g. insulin dependent diabetic
  • Are patient records routinely recorded using a specific multi-disciplinary team THR/TKR pathway document: No commentsThere is a multi-disciplinary pre-assessment record, an electronic Integrated Care Pathway for THR and TKR and we also use the enhanced recovery programme information. A patient diary for use by the multi-disciplinary team is being developed. However, this is not yet tied up into a single document.
  • Is this data used to monitor compliance with the agreed pathway: Yes
  • Is criteria-based discharge used: Yes commentsEnhanced Recovery Programme
  • Are patients routinely phoned in the first 48 hours after discharge to check on their progress: No

Paediatrics

Hospital Questions

  • Does the hospital have a paediatrics service: Yes

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: Yes
  • Do the Trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week: Yes
  • Is a paediatrician on site (SpR or higher) 24 hours per day, 7 days per week: Yes
  • Are at least two registered children's nurses on duty 24hours per day in each children's ward: Yes
  • Is there a designated facility on site for parents or guardians to stay overnight: Yes

Palliative Care

Trust Questions

  • Does the Trust provide a palliative care service: Yes
  • How is specialist palliative care delivered at the hospital: A multi-disciplinary specialist palliative care team
  • Does the hospital's specialist palliative team includes: A consultant in palliative medicine,A palliative care nurse,Counsellor(s),Other (please specify) commentsThere is a specific Palliative Care therapy team
  • Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: No commentsThe Trust has access to 24 hour, 7 day telephone advice from the local hospice
  • Are facilities provided to support relatives and carers who wish to stay with a patient in hospital: Yes
  • 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: Yes

Maternity Care

Maternity Sites

  • Chelsea and Westminster Hospital - Consultant Led
  • How many women gave birth in the unit during the year? (not including home births): 4828
  • How many babies were born in the unit during the year? (not including home births): 4927
  • How many women were booked for a home birth: 47
  • How many women had a home birth? (not including births at home by accident): 24
  • Number of antenatal rooms: 7
  • Total antenatal beds: 15
  • Number of assessment area rooms (for monitoring and / or induction): 1
  • Total assessment area beds: 3
  • Number of delivery rooms: 12
  • Total delivery beds: 12
  • Number of postnatal rooms: 7
  • Total postnatal beds: 27
  • Number of rooms in obstetric high dependency unit: 1
  • Total obstetric high dependency beds: 5
  • Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 9
  • Amenity rooms; Are women able to book a single room in advance of their birth: Yes
  • If women can pay for a single room what is the average cost per night (GBP): 250
  • Does the maternity unit have a neonatal intensive care unit: Yes
  • Does the maternity unit have a neonatal high dependency unit: Yes
  • Does the maternity unit have a special care baby unit: Yes
  • Security measures - ankle bands for the baby: No
  • Security measures - cot alarms: No
  • Security measures - CCTV: Yes
  • Security measures - restricted access: Yes
  • Other security measures: Electronic Baby Tagging to be installed within the next few months
  • 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 unit
  • Pain relief available - Aromatherapy: Provided by unit
  • Pain relief available - TENS: Provided by unit
  • Pain relief available - Epidural: Provided by unit
  • Pain relief available - Mobile epidural: Provided by unit
  • Pain relief available - Entonox (gas and air): Provided by unit
  • Pain relief available - Intramuscular injection: Provided by unit
  • Other pain relief: Hypno birthing encouraged
  • Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 160.85
  • Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 159.82
  • 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
  • Does the unit have an obstetrician available 24 hours a day, 7 days a week: On site
  • 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): Yes
  • Are NHS antenatal classes available (e.g. Parentcraft): Yes
  • Available during the daytime (until 5pm): Yes
  • Available in the evenings (after 5pm): Yes
  • Available at weekends (Saturday and/or Sunday): Yes
  • Available for women only groups: Yes
  • Available for other groups: Yes commentsWe also provide groups for Dads only
  • Also available for: Families
  • Are all women routinely offered ultrasound scans: Yes
  • Scan 1 available between: 11-13
  • Scan 2 available between: 18-21

Trust Statistics

Trust Questions

Consultants at Chelsea and Westminster Hospital

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