Churchill Hospital, The, Headington

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 117

• Of these how many have an ensuite toilet: 117

• Of these how many have an ensuite toilet and shower or bath: 117

• Does this hospital operate an accident and emergency unit:

• How many specialist palliative care beds are available at this hospital: 18

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

• What is the name of the private unit/service: The Wytham Wing

• How many beds are available within the private unit/service: 10

• How many single rooms are available within the private unit/service: 10

• Of these, how many have an ensuite toilet: 10

• Of these, how many have an ensuite toilet and shower or bath: 10

• Direct telephone number for the private unit: 01865221146/01865235700

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: Incident forms

• 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: Incident forms

• 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: Incident forms

• During the period 01 April 2010 - 31 March 2011, how many operations resulted in a foreign body being left post surgery: 1

• 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: 94

• 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: 61-90% July 2011-75.2%

• 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: Proactive training provided as per individual need, standard operating procedures and guidance in use for Dr Foster.

• Does the Trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support): The Trust has an information team

• Is safety and quality data available on a central platform and actively disseminated to users: By the Trust Information Team

Infection Control

Trust Questions

• Does the Trust employ an antibiotic pharmacist: 2.0WTE

• 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: The only exceptions are those who require surgery with 48hrs notice and we do not know the result of the screen in advance of admission.

• Elective patient groups screened at the pre-op assessment clinic: All elective surgical and medical The exemptions are day case dental, optholomogy and day case endoscopy

• Are all oncology patients screened at the pre-op assessment clinic: YES

• Are all chemotherapy patients screened at the pre-op assessment clinic: YES

• Are all elective neurosurgery patients screened at the pre-op assessment clinic: YES

• 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: Other (please specify) Direct plating result witihin 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:

• Does the Trust have a dedicated isolation ward: the Trust has a dedicated Infectious diseases ward

• Protocol for isolating patients with infections: Patients are isolated with suspected or known infectious conditions. When this is not achievable a risk assessment is made of the best place for the patient on the ward.

• 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:

Trust Questions

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

• Is the Trust part of a stroke care network:

• Details: South Central Clinical Stroke Network (part of cardiovascular 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): 650 "Please note that total number of ICD10 160–164) includes 'neurovascular' stroke patients transferred into the tertiary neurosurgical services Working figure for 'acute stroke' is 650. Approximately 650 'acute stroke' patients managed within stroke units (as indicated in 31 above); further number of ICD10 codes 160–164 patients with subdural and extradural haemorrhage are cared for within our tertiary neurosurgical service.

• Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 637 Please note that total number of ICD10 160–164) includes 'neurovascular' stroke patients transferred into the tertiary neurosurgical services Working figure for 'acute stroke' is 650. Approximately 637 (98% of the 650 patients outlined above) ** Note appropriate denominator 650 and not 1231 **

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

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: No elective orthopaedic cases performed

Paediatrics

Hospital Questions

• Does the hospital have a paediatrics service:

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:

• How is specialist palliative care delivered at the hospital: Other (please specify) Inpatient unit - 18 beds; Hospital team delivering specialist palliative care and LCP; Community team covering the majority of Oxfordshire; Day services; Outpatients; Lymphoedema service; Bereavement service; Triage and telephone support service

• Does the hospital's specialist palliative team includes: A consultant in palliative medicine,A palliative care nurse,Other (please specify) Consultant in palliative medicine 0.3 WTE; CNS team 5.5 WTE and chaplaincy input

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: No. Medical team available 24 hours per day. CNS cover 9 - 5, 7 days per week

• 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: No - nutrition survey completed and planned patient survey planned summer 2011

Maternity Care

Maternity Sites

• The Cotswold Maternity Unit - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 80

• How many babies were born in the unit during the year? (not including home births): 80

• How many women were booked for a home birth: 24

• How many women had a home birth? (not including births at home by accident): 20

• Number of antenatal rooms: 2

• Total antenatal beds: 3 Mixed antenatal and postnatal beds on ward

• Number of assessment area rooms (for monitoring and / or induction): 0 Delivery rooms act as assessment rooms

• Total assessment area beds: 0 Delivery rooms act as assessment rooms

• Number of postnatal rooms: 4

• Number of rooms in obstetric high dependency unit: 0

• Total obstetric high dependency beds: 0

• 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:

• 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: ACCESS CONTROLLED

• 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: Not available Individual midwives may facililtate

• Pain relief available - Aromatherapy: Provided by unit Midwives will facilitate and mothers may provide their own oils

• Pain relief available - TENS: Provided by unit and provided by women

• Pain relief available - Epidural: Not available

• 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: 4.76

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 4.76

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

• 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: TRANSFER SICK BABIES TO JOHN RADCLIFFE

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

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

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

• John Radcliffe Hospital - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 790

• Number of delivery rooms: 3

• Total delivery beds: 3

• Wallingford Midwifery unit - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 223

• How many babies were born in the unit during the year? (not including home births): 223

• How many women were booked for a home birth: 50

• How many women had a home birth? (not including births at home by accident): 44

• Number of antenatal rooms: 2

• Total antenatal beds: 5 Mixed antenatal and postnatal beds on ward

• Number of assessment area rooms (for monitoring and / or induction): 0 Delivery rooms act as assessment rooms

• Total assessment area beds: 0 Delivery rooms act as assessment rooms

• Number of postnatal rooms: 1

• Total postnatal beds: 4

• Number of rooms in obstetric high dependency unit: 0

• Total obstetric high dependency beds: 0

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 0

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

• 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: ACCESS CONTROLLED

• 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: Not available Individual midwives may facililtate

• Pain relief available - Aromatherapy: Provided by unit Midwives will facilitate and mothers may provide their own oils

• Pain relief available - TENS: Provided by unit and provided by women

• Pain relief available - Epidural: Not available

• 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: 11.47

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 11

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

• 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: TRANSFER SICK BABIES TO JOHN RADCLIFFE

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

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

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

• Wantage Midwifery unit - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 98

• How many babies were born in the unit during the year? (not including home births): 98

• How many women were booked for a home birth: 39

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

• Number of antenatal rooms: 2

• Total antenatal beds: 3 Mixed antenatal and postnatal beds on ward

• Number of assessment area rooms (for monitoring and / or induction): 0 Delivery rooms act as assessment rooms

• Total assessment area beds: 0 Delivery rooms act as assessment rooms

• Number of postnatal rooms: 1

• Total postnatal beds: 3

• Number of rooms in obstetric high dependency unit: 0

• Total obstetric high dependency beds: 0

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 0

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

• 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: ACCESS CONTROLLED

• 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: Not available Individual midwives may facililtate

• Pain relief available - Aromatherapy: Provided by unit Midwives will facilitate and mothers may provide their own oils

• Pain relief available - TENS: Provided by unit and provided by women

• Pain relief available - Epidural: Not available

• 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: 9.15

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 9.15

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

• 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: TRANSFER SICK BABIES TO JOHN RADCLIFFE

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

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

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

• Horton General Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 1694

• How many babies were born in the unit during the year? (not including home births): 1719

• How many women were booked for a home birth: 13

• How many women had a home birth? (not including births at home by accident): 11

• Number of antenatal rooms: 20 Mixed antenatal and postnatal beds on ward

• Total antenatal beds: 20 Total beds 21 excluding delivery beds. Mixed antenatal and postnatal beds on ward

• Number of assessment area rooms (for monitoring and / or induction): 1

• Total assessment area beds: 3

• Number of delivery rooms: 5

• Total delivery beds: 5

• Number of postnatal rooms: 8

• Total postnatal beds: 21 Mixed antenatal and postnatal beds on ward

• Number of rooms in obstetric high dependency unit: 0

• Total obstetric high dependency beds: 0

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 0

• 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): 112 BASIC AMENITY BED

• 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: ACCESS CONTROLLED

• 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 unit

• Pain relief available - Aromatherapy: Provided by unit

• Pain relief available - TENS: Provided by women

• 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

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 42.15

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 40.15

• 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

• John Radcliffe Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 5916

• How many babies were born in the unit during the year? (not including home births): 6079

• How many women were booked for a home birth: 190

• How many women had a home birth? (not including births at home by accident): 114

• Number of antenatal rooms: 92 Mixed antenatal and postnatal beds on ward

• Total antenatal beds: 92 Total beds 92 excluding delivery beds. Mixed antenatal and postnatal beds on ward

• Number of assessment area rooms (for monitoring and / or induction): 2

• Total assessment area beds: 10

• Number of delivery rooms: 13

• Total delivery beds: 13

• Number of postnatal rooms: 47

• Total postnatal beds: 92 Mixed antenatal and postnatal beds on ward

• Number of rooms in obstetric high dependency unit: 3

• Total obstetric high dependency beds: 9

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 0

• 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): 112 £112 - £255 COST DEPENDANT ON FACILITIES

• 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: ACCESS CONTROLLED

• 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: Not available Individual midwives may facililtate

• Pain relief available - Aromatherapy: Provided by unit Midwives will facilitate and mothers may provide their own oils

• Pain relief available - TENS: Provided by unit and provided by women

• 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

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 203.47

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 200

• 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):

• 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: TEENAGERS, PHYSIOTHERAPY GROUPS AND PELVIC PARTNERSHIP

• Are all women routinely offered ultrasound scans:

• Scan 1 available between: 11 - 13

• Scan 2 available between: 19 - 21

Trust Statistics

Trust Questions

• You can view various measures relating to the Trust's performance by clicking the following link: Oxford Radcliffe Hospitals NHS Trust