Great Western Hospital, The, Swindon

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 165

• Of these how many have an ensuite toilet: 160

• Of these how many have an ensuite toilet and shower or bath: 160

• Does this hospital operate an accident and emergency unit:

• How many specialist palliative care beds are available at this hospital: 0 However, two beds funded at Prospect Hospice

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

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

• 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: 01793 646061/62

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: Local Risk Management Reporting System - Safeguard

• 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: Local Risk Management Reporting System - Safeguard

• 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: Local Risk Management Reporting System - Safeguard

• 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: 44

• 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% 100% of patients who have observations taken have a track and trace trigger in place for the duration of their stay

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

• 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:

• Does the Trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support): A member of the Informatics Team carries out this task

• Is safety and quality data available on a central platform and actively disseminated to users: Dashboard presented to Executive Committee and Trust Board

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 and all elective orthopaedics

• Are all oncology patients screened at the pre-op assessment clinic: NO

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

• 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: Only elective surgical and medical

• What method of MRSA screening is used when screening at admission: Culture based in 24-48hrs

• On admission, does topical suppression take place immediately: Because we screen every patient and have result in 24 hours

• 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:

• Protocol for isolating patients with infections: Isolated in a side room with ensuite facilities. A designated Flu ward Isolated in a sideroom with ensuite facilities and a designated Flu 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: All unexplained diarrhoea as per Policies and Procedures

Stroke Medicine

Hospital Questions

• Does the hsopital have a specialist stroke unit:

• What type of stroke unit does the hospital have: Hyperacute stroke unit (HASU)

• Number of beds in the unit: 18

Trust Questions

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

• Is the Trust part of a stroke care network:

• Details: GWH FT is part of the Avon, Gloucestershire, Wiltshire and Somerset Cardiac and Stroke Network (AGWS)

• 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): 529

• Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 435

• 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: No, but procedure carried out in Emergency Department additionally

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): Dedicated Trauma List Monday to Friday 08:00 to 18:00, Saturday and Sunday 08:00-13:30 and access to dedicated emergency list 24 hours per day 7 days per week

• 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)? :

• What is the estimated percentage of all patients that attend the class prior to surgery: 100 100% of elective patients having primary replacements attend class prior to surgery. Those undergoing secondary surgery attend the class if their primary was longer than 2 years prior to the current surgery

• Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients: The standardised anaesthetic protocol for these patients has been drafted and is awaiting ratification through the Enhanced Recovery Group

• Estimated percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery: 85

• 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: Estimated at 1%

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

• 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: Working towards this

Paediatrics

Hospital Questions

• Does the hospital have a paediatrics service: And a range of childrens' centres and schools within the Swindon area, Tidworth and Luggershall for Community Paediatrics

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: For Orthopaedics, Opthalmology, General Surgery and ENT - Yes. Urology - No

• Do the Trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week: We run a limited number of dedicated paediatric lists and as such the volume of list means that it would not be possible for each Anaesthetist with Paediatric responsibility to carry out one 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: Yes in SCBU, in the Childrens' Unit there are single overnight folding beds available

Palliative Care

Trust Questions

• Does the Trust provide a palliative care service:

• How is specialist palliative care delivered at the hospital: Referral to community based hospice(s) In-reach Palliative Care Service funded by GWH FT and delivered by Prospect Hospice for Adults

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

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: However, telephone advice is available 24 hours a day 7 days per week

• Are facilities provided to support relatives and carers who wish to stay with a patient in hospital: Open visiting is given to families of patients' approaching the end of their life and recliner chairs are next to the patient. A quiet relatives room is also available within the 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: Data is currently being collected

Maternity Care

Maternity Sites

• Trowbridge Birthing Centre - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 347

• How many babies were born in the unit during the year? (not including home births): 347

• How many women were booked for a home birth: 63

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

• Number of antenatal rooms: 4 Including one multi-function room

• Total antenatal beds: 3 Three delivery beds in addition to couches

• Number of assessment area rooms (for monitoring and / or induction): 1 Multiple monitors are available to provide flexibility in use of rooms

• Total assessment area beds: 1 Couch only

• Number of delivery rooms: 3

• Total delivery beds: 3

• Number of postnatal rooms: 1 Flexible use of room and multi-function room can also be used for overnight stay

• Total postnatal beds: 1

• 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): 1 Multi-function room

• 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): 0 Not available/offered

• 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 unit Provided by Midwives on request

• Pain relief available - Aromatherapy: Provided by unit Also provided by women. 2 qualified aromatherapists are available and more due to be trained shortly. Additionally provision of hypnotherapy is under consideration

• Pain relief available - TENS: 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

• Other pain relief: NIL

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 160.14 This is a combined figure for all units excluding Great Western Hospital

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 161.95 This is a combined figure for all units excluding Great Western Hospital

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

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

• 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:

• 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:

• The Princess Anne Wing Maternity Unit, Royal United Hospital - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 3825

• How many babies were born in the unit during the year? (not including home births): 3918

• How many women were booked for a home birth: 147

• How many women had a home birth? (not including births at home by accident): 49

• Number of antenatal rooms: 8 Plus 8 multi-function rooms. A total of 40 beds in mixed capacity rooms that can be used flexibly

• Total antenatal beds: 40 A total of 40 beds in mixed capacity rooms that can be used flexibly

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

• Total assessment area beds: 4

• Number of delivery rooms: 9

• Total delivery beds: 9

• Number of postnatal rooms: 8 Plus 8 multi-function rooms. A total of 40 beds in mixed capacity rooms

• Total postnatal beds: 40 Mixed capacity rooms can be used flexibly

• Number of rooms in obstetric high dependency unit: 0 Utilise delivery rooms as required

• 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): 8 Plus use of delivery rooms as required

• Amenity rooms; Are women able to book a single room in advance of their birth: 2 - can be booked in advance of delivery admission

• If women can pay for a single room what is the average cost per night (GBP): 130 Normal Delivery £120 per stay. Caesarian delivery £150 per stay

• Does the maternity unit have a neonatal intensive care unit: Within the Royal United Hospital Trust

• Does the maternity unit have a neonatal high dependency unit: Within the Royal United Hospital Trust

• Does the maternity unit have a special care baby unit: Within the Royal United Hospital Trust

• 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 Provided by Midwives on request

• Pain relief available - Aromatherapy: Provided by women

• Pain relief available - TENS: Provided by unit Also by women

• 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

• Other pain relief: NIL

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 160.14 This is a combined figure for all units excluding Great Western Hospital

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 161.95 This is a combined figure for all units excluding Great Western Hospital

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

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

• 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 Plus on call

• Does the unit have an obstetrician available 24 hours a day, 7 days a week: On site Also on call

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

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

• Paulton Birthing Centre - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 155

• How many babies were born in the unit during the year? (not including home births): 155

• How many women were booked for a home birth: 16

• How many women had a home birth? (not including births at home by accident): 0

• Number of antenatal rooms: 0

• Total antenatal beds: 0 Antenatal admissions not offered at this site

• Number of assessment area rooms (for monitoring and / or induction): 1 Flexible, other rooms can be used. No induction facilities

• Total assessment area beds: 5

• Number of delivery rooms: 2

• Total delivery beds: 5

• Number of postnatal rooms: 5

• Total postnatal beds: 5

• 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): 2

• 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): 0 Not available/offered

• 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: Not available

• Pain relief available - Massage: Provided by women

• Pain relief available - Aromatherapy: Provided by women

• Pain relief available - TENS: 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

• Other pain relief: NIL

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 160.14 This is a combined figure for all units excluding Great Western Hospital

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 161.95 This is a combined figure for all units excluding Great Western Hospital

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

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

• 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:

• 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:

• Frome Birthing Centre - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 208

• How many babies were born in the unit during the year? (not including home births): 208

• How many women were booked for a home birth: 27

• How many women had a home birth? (not including births at home by accident): 14

• Number of antenatal rooms: 0

• Total antenatal beds: 0 Antenatal admissions not offered at this site

• Number of assessment area rooms (for monitoring and / or induction): 1 Flexible, other rooms can be used. No induction facilities

• Total assessment area beds: 0 Couch only

• Number of delivery rooms: 3 4 available with use of multi-function room

• Total delivery beds: 3 4 available with use of multi-function room

• Number of postnatal rooms: 0 Discharge post delivery

• Total postnatal beds: 0 Couch only

• 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): 3 4 with the use of the multi-function room

• 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): 0 Not available/offered

• 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 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

• Other pain relief: NIL

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 160.14 This is a combined figure for all units excluding Great Western Hospital

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 161.95 This is a combined figure for all units excluding Great Western Hospital

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

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

• 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:

• 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:

• Shepton Mallet Birthing Centre - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 0 Site is a base for Community Midwives only currently

• How many babies were born in the unit during the year? (not including home births): 0 Site is a base for Community Midwives only currently

• How many women were booked for a home birth: 3

• How many women had a home birth? (not including births at home by accident): 1

• Number of antenatal rooms: 0 Site is a base for Community Midwives only currently

• Total antenatal beds: 0 Antenatal admissions not offered at this site

• Number of assessment area rooms (for monitoring and / or induction): 0 1xRoom available currently not used as base for Community Midwives only

• Total assessment area beds: 0 Couch only-not currently utilised as site is a base only

• Number of delivery rooms: 0 Not currently used-Community Midwife base only

• Total delivery beds: 0 Not currently used as base only for Community Midwives

• Number of postnatal rooms: 0 Not currently used-Community Midwife base only

• Total postnatal beds: 0 Not in use

• 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): 0 Not available/offered

• 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: n/a

• Security measures - cot alarms: n/a

• Security measures - CCTV:

• Security measures - restricted access:

• Pain relief available - bath or shower: Not available Not in use currently

• Pain relief available - birthing pool: Not available Not in use currently

• Pain relief available - birth ball: Provided by women

• Pain relief available - Massage: Provided by women

• Pain relief available - Aromatherapy: Provided by women

• Pain relief available - TENS: 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 Community team

• Pain relief available - Intramuscular injection: Provided by unit Community team

• Other pain relief: NIL

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 160.14 This is a combined figure for all units excluding Great Western Hospital

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 161.95 This is a combined figure for all units excluding Great Western Hospital

• 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 Community based only

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

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

• 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:

• Chippenham Birthing Centre - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 322

• How many babies were born in the unit during the year? (not including home births): 322

• How many women were booked for a home birth: 79

• How many women had a home birth? (not including births at home by accident): 31

• Number of antenatal rooms: 0

• Total antenatal beds: 0 Antenatal admissions not offered at this site

• Number of assessment area rooms (for monitoring and / or induction): 1 Flexible, other rooms can be used. No induction facilities

• Total assessment area beds: 1 Flexibile, other rooms can be used as needed

• Number of delivery rooms: 4

• Total delivery beds: 4

• Number of postnatal rooms: 5

• Total postnatal beds: 10

• 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): 4 Flexible dependent on use of labour rooms

• 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): 0 Not available/offered

• 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 May be provided by Midwives on request

• Pain relief available - Aromatherapy: Provided by women Provided by Midwives on request

• Pain relief available - TENS: 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

• Other pain relief: NIL

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 160.14 This is a combined figure for all units excluding Great Western Hospital

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 161.95 This is a combined figure for all units excluding Great Western Hospital

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

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

• 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:

• 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:

• Great Western Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 4403

• How many babies were born in the unit during the year? (not including home births): 4475

• How many women were booked for a home birth: 80

• How many women had a home birth? (not including births at home by accident): 38

• Number of antenatal rooms: 7 7 single rooms and 1 four bedded bay

• Total antenatal beds: 11

• Number of assessment area rooms (for monitoring and / or induction): 1 Can use single rooms as required

• Total assessment area beds: 4

• Number of delivery rooms: 17 13 rooms in Delivery Suite and 4 rooms in the Birthing Centre

• Total delivery beds: 13 Birthing Centre has 4 delivery couches

• Number of postnatal rooms: 13 11 single rooms and 2 four bedded bays

• Total postnatal beds: 19

• Number of rooms in obstetric high dependency unit: 0 Delivery rooms are used as required

• Total obstetric high dependency beds: 0 Delivery rooms are used as required

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 4 Flexible dependent on need

• 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): 130 Normal Delivery £120 per stay. Caesarian delivery £150 per stay

• 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: Baby tags also used

• 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 Also provided by Women

• Pain relief available - Aromatherapy: Provided by unit Also provided by Women

• Pain relief available - TENS: Provided by unit Also provided Women

• 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

• Other pain relief: NIL

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 109.74 WTE 4 WTE midwives - management roles including community midwifery

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 114

• Does the unit have midwives available to provide one-to-one care available 24 hours a day, 7 days a week: On site Also on call, not on site cover

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

• Does the unit have midwives trained and experienced in water birth available 24 hours a day, 7 days a week: On site Also on call, not on site cover

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

• Does the unit have an obstetrician available 24 hours a day, 7 days a week: On site Registrar. Consultant on call out of hours

• Does the unit have an anaesthetist available 24 hours a day, 7 days a week: On site Consultant on call out of hours

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

Trust Questions

• Do all women have a choice about where they receive their antenatal appointments (i.e. at hospital or local health centre): Also Childrens' Centres and GP Practices

• Are NHS antenatal classes available (e.g. Parentcraft): On individual basis but also now have interactive video available. Midwives provide drop in sessions at Childrens' Centres

• Available during the daytime (until 5pm):

• Available in the evenings (after 5pm): On individual basis

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

• Available for women only groups: On individual basis

• Available for other groups: On individual basis

• Also available for: Black Minority Ethnic groups

• Are all women routinely offered ultrasound scans:

• Scan 1 available between: 11+2 to 13+6 weeks

• Scan 2 available between: 18 to 20 weeks

Trust Statistics

Trust Questions

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