Hinchingbrooke Hospital, Huntingdon

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 58

• Of these how many have an ensuite toilet: 58

• Of these how many have an ensuite toilet and shower or bath: 32

• Does this hospital operate an accident and emergency unit:

• How many specialist palliative care beds are available at this hospital: 0

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

• What is the name of the private unit/service: Mulberry Private Healthcare

• How many beds are available within the private unit/service: 7

• How many single rooms are available within the private unit/service: 7

• Of these, how many have an ensuite toilet: 7

• Of these, how many have an ensuite toilet and shower or bath: 7

• Direct telephone number for the private unit: 01480 496493

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: 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: 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: SAFEGUARD

• During the period 01 April 2010 - 31 March 2011, how many operations resulted in a foreign body being left post surgery: 2 The Trust has had 2 never events SIRI incidents

• During the period 01 April 2010 - 31 March 2011, how many operations were cancelled due to missing notes: 1

• 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: 29

• 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). :

• 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):

• Is safety and quality data available on a central platform and actively disseminated to users:

Infection Control

Trust Questions

• Does the Trust employ an antibiotic pharmacist:

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

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

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

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

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

• On admission, does topical suppression take place immediately: Nursing and residential home patients and patients admitted to ITU are treated blindly with topical suppression, all other cases wait until a positive result is known.

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

• Are all patients admitted through A&E screened: If >23 hour stay.

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

• Does the Trust have a dedicated isolation ward:

• How many beds does it contain: 7 All rooms with separate ensuite facilities.

• Does the Trust have an isolation policy:

• Where medically appropriate, are patients with C Diff isolated in single rooms as a matter of priority: Positive cases are moved to the Isolation ward.

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

• Does the Trust routinely isolate all patients with diarrhoea:

Stroke Medicine

Hospital Questions

• Does the hsopital have a specialist stroke unit:

• What type of stroke unit does the hospital have: combined acute and rehabilitation stroke unit 12 Hyperacute combined with 13 Rehab

• Number of beds in the unit: 25

Trust Questions

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

• Is the Trust part of a stroke care network:

• Details: East of England 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): 161

• Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 119

• 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:

• These arrangements are with: Cambridge University Hospitals NHS Foundation Trust

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): There are dedicated trauma lists Monday to Friday. On Saturday and Sunday the emergency list is available.

• 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 audited Percentage of all patients that attend the class prior to surgery: 65 The split of this was 53% of Total Hip Replacement patients attended and 73% of Total Knee Replacement patients.

• Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients:

• Audited percentage compliance to this protocol: 100

• Estimated percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery: 80

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

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

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

• 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: Our pathway links closely with Cambridgeshire Community Services' Intermediate Care Team, who support almost all of our patients immediately post-discharge.

Palliative Care

Trust Questions

• Does the Trust provide a palliative care service:

• How is specialist palliative care delivered at the hospital: A multi-disciplinary specialist palliative care team The Trust has adult inpatient specialist palliative care across the trust provided by a multi disciplinary team (including community) and referral to community based hospices: St John's, Arthur Rank and Thorpe Hall

• Does the hospital's specialist palliative team includes: A consultant in palliative medicine,A palliative care nurse We have 1 full-time Consultant, 2 full-time hospital based nurses and 5 full-time community nurses.

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: A palliative care consultant is on call 24/7

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

• Does the Trust routinely survey and evaluate the views of patients and bereaved relatives and carers regarding the delivery of care on the end of life programme:

Maternity Care

Maternity Sites

• Hinchingbrooke Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 2485

• How many babies were born in the unit during the year? (not including home births): 2526

• How many women were booked for a home birth: 0 Figure not recorded

• How many women had a home birth? (not including births at home by accident): 62

• Number of antenatal rooms: 0

• Total antenatal beds: 23 These are Antenatal / Post-natal beds and can be flexed according to requirements. These beds also allow the delivery of midwife led care to both ante-natal and post-natal women.

• Number of assessment area rooms (for monitoring and / or induction): 1 These is one assessment room on the labour ward. We also have a Maternity Day Assessment Unit with 4 beds/chairs.

• Total assessment area beds: 5 Split between labour ward assessment room and Maternity Day Assessment Unit. These can be utilised for both consultant led care and midwife led care.

• Number of delivery rooms: 10 This comprises of 8 beds on labour ward and 2 beds in the Midwife led birthing unit.

• Total delivery beds: 8 These 8 beds can also be utilised for midwifery led care if the woman choses to be in the labour ward environment.

• Number of postnatal rooms: 7 Four rooms with five beds and 3 individual side rooms. Again, these can be used flexibly between midwifery led care and consultant led care. These rooms can also be flexed for ante-natal and post-natal care.

• Total postnatal beds: 23 Antenatal / Post-natal beds can be flexed according to requirements

• 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: Amenity rooms are available to women under midwifery led care also.

• If women can pay for a single room what is the average cost per night (GBP): 150 £150.00 (12+ hrs), £80.00 (6-12 hrs), £40.00 (fewer than 6 hrs). Prices increased marginally on 1st July 2011. These costs are the same for women under midwifery led care.

• Does the maternity unit have a neonatal intensive care unit: 1 Neonatal intensive care cot is available within the Special Care Baby Unit on site, provided by Cambridge Community Services.

• Does the maternity unit have a neonatal high dependency unit: 2 Neonatal high dependency cots are available within the Special Care Baby Unit on site, provided by Cambridge Community Services.

• Does the maternity unit have a special care baby unit: This unit is provided on site by Cambridge Community Services. The unit includes 2 HDU Cots & 1 NNU cot

• 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 This is available to women under midwifery led care as well as consultant led care.

• Pain relief available - birthing pool: Provided by unit This is available to women under midwifery led care as well as consultant led care.

• Pain relief available - birth ball: Provided by unit This is available to women under midwifery led care as well as consultant led care.

• Pain relief available - Massage: Provided by women

• Pain relief available - Aromatherapy: Provided by women

• Pain relief available - TENS: Provided by unit Or provided by women. This is available to women under midwifery led care as well as consultant led care.

• Pain relief available - Epidural: Provided by unit Epidurals are only available to women under consultant led care.

• Pain relief available - Mobile epidural: Provided by unit Mobile epidurals are only available to women under consultant led care.

• Pain relief available - Entonox (gas and air): Provided by unit This is available to women under midwifery led care as well as consultant led care.

• Pain relief available - Intramuscular injection: Provided by unit This is available to women under midwifery led care as well as consultant led care.

• Other pain relief: Hypnosis - provided by women.

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 78.23

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 76.62

• Does the unit have midwives available to provide one-to-one care available 24 hours a day, 7 days a week: On site Midwives for one-to-one care are available to women under the care of consultants and for women under midwifery led care.

• Does the unit have midwives available for home births available 24 hours a day, 7 days a week: On site Home births are available for low-risk women who are cared for under midwifery led care.

• Does the unit have midwives trained and experienced in water birth available 24 hours a day, 7 days a week: On site Midwives trained in water birth are available to women under the care of consultants and for women under midwifery led care.

• Does the unit have a paediatrician available 24 hours a day, 7 days a week: On site Paediatricians are available to women under the care of consultants and for women under midwifery led care.

• Does the unit have an obstetrician available 24 hours a day, 7 days a week: On site Obstetricians are available to women under the care of consultants and for women under midwifery led care.

• Does the unit have an anaesthetist available 24 hours a day, 7 days a week: On site Anaesthetists are available to women under the care of consultants and for women under midwifery led care.

• Does the unit have a dedicated obstetric anaesthetist available 24 hours a day, 7 days a week: On site A dedicated obstetric anaesthetist is available to women under the care of consultants and for women under midwifery led care.

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: Polish Mothers to be and twin pregnancies

• Are all women routinely offered ultrasound scans:

• Scan 1 available between: 8-13

• Scan 2 available between: 20

Trust Statistics

Trust Questions

• You can view various measures relating to the Trust's performance by clicking the following link: Hinchingbrooke Health Care NHS Trust