Hospital of St Cross, Rugby

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 22

• Of these how many have an ensuite toilet: 3

• Of these how many have an ensuite toilet and shower or bath: 1

• Does this hospital operate an accident and emergency unit: Type 3 A&E.

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

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

Trust Questions

• Does the Trust treat private patients: Independent Private Patient Hospital on site.

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: CAE reporting

• 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: CAE reporting

• 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: CAE reporting

• 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: 31-60% 17 full RCAs were conducted, 5 "mini-RCAs" were conducted for C Diff associated death, MRSA-associated death & Pulmonary Embolus. The remaining 16 cases were reviewed/discussed at specialty meetings.

• 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). : We are awaiting purchase of specialist equipment for the alert "Essential Care after an inpatient fall". It is expected that this will be available for use by September 2011. A compliant Trust policy has been updated and approved.

• Does the Trust have a policy for providing educational programmes on using and interpreting clinical indicators: The trust has processes in place to manage and monitor all key statistical indicators and staff are trained where relevant.

• 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: 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: Culture based in 24-48hrs

• On admission, does topical suppression take place immediately: Yes - but only for previously positive MRSA patients

• 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: All patients are screened through A+E

• Does the Trust have a dedicated isolation ward: See question 24

• Protocol for isolating patients with infections: The Trust has adequate isolation facilities. The Trust has 30% side rooms and rarely is unable to isolate infected patients. However a risk assessment tool exists should there be a shortage. There are 113 pressure rooms in total.

• 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: REHABILITATION BEDS ONLY

• What type of stroke unit does the hospital have: rehabilitation stroke unit

• Number of beds in the unit: 6 VARIABLE AS INTEGRATED INTO A GENERIC REHAB UNIT

Trust Questions

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

• Is the Trust part of a stroke care network:

• Details: COVENTRY & WARWICKSHIRE 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): 757 BASED ON DISCHARGED PATIENTS WITH STROKE ICD CODES ( I61,I63 & I64) VITAL SIGNS GUIDANCE

• Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 681 90%

• 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: UHCW IS THE LOCAL THROMBOLISING CENTRE. UHCW ACCEPTS PATIENTS FROM GEORGE ELIOT HOSPITAL (NUNEATON) & SOUTH WARWICKSHIRE FOUNDATION TRUST.

• These arrangements are with: UHCW IS THE LOCAL THROMBOLISING CENTRE. UHCW ACCEPTS PATIENTS FROM GEORGE ELIOT HOSPITAL (NUNEATON) & SOUTH WARWICKSHIRE 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): In addition we have daily 12 hr orthopaedic trauma lists plus 2nd trauma lists on 3 days per week plus 3 dedicated upper limb trauma lists.

• 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: 95

• What is the estimated percentage of all patients that attend the class prior to surgery: 0

• Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients: The trust uses a number of safe methods by which these patients can be anaesthetised, the choice of which is dependent on the clinical co-morbidities of the individual patient. There is, however, a recommended analgesic guideline for all patients who have had these forms of surgery.

• Not able to put a figure on the percentage compliance to this protocol: As the audit is currently underway and the results are not yet available.

• Estimated percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery: 75

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

• How many patients' discharge's delayed due to lack of physiotherapy services at weekends - estimated figure: 0

• Are patients for total knee replacement (TKR) and total hip replacement (THR) admitted prior to the day of surgery: Occasional patients would require admission on day before for medical or transport reasons.

• 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: Currently being extended to incorporate nurse led discharge.

• Are patients routinely phoned in the first 48 hours after discharge to check on their progress:

Paediatrics

Hospital Questions

• Does the hospital have a paediatrics service: Outpatients and also minor injuries for children in the Urgent Care Centre.

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: All those appointed since the introduction of this requirement have spent at least 6 months in a paediatric surgical unit

• Do the Trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week: Almost all Anaesthetists who have responsibility now have at least one paediatric list per week, and the remainder are having this need addressed within the current re-allocation of lists associated with this year’s Job Plan Reviews

• 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: A multi-disciplinary specialist palliative care team Core team comprises 2 part time consultants, 4 specialist palliative care nurses and a dedicated pharmacist

• Does the hospital's specialist palliative team includes: A consultant in palliative medicine,A palliative care nurse,Counsellor(s),Other (please specify) Consultant: 0.9 WTE (2 part time consultants; 1 is also an oncologist). Nurse: 3.6 WTE. Counsellor: Primarily service remit for Oncology. Other: Macmillan network pharmacist; Chaplaincy support

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: However out of hours specialist palliative care service led by Consultants in Palliative Medicine available via local hospice

• 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

• University Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 5876

• How many babies were born in the unit during the year? (not including home births): 6006

• How many women were booked for a home birth: 84

• How many women had a home birth? (not including births at home by accident): 43

• Number of antenatal rooms: 16

• Total antenatal beds: 34

• Number of assessment area rooms (for monitoring and / or induction): 6

• Total assessment area beds: 8 8 beds and 6 chairs

• Number of delivery rooms: 12

• Total delivery beds: 13

• Number of postnatal rooms: 16

• Total postnatal beds: 34

• Number of rooms in obstetric high dependency unit: 2

• Total obstetric high dependency beds: 2

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 12 13 BEDS

• 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): 50

• 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:

• Other security measures: Baby Tagging System and ankle alarms

• 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: Not available

• Pain relief available - TENS: Provided by unit

• 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

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 163

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 179

• 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

• Hospital of St Cross - Consultant Led

• How many women were booked for a home birth: 81

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

• Number of antenatal rooms: 4

• Total antenatal beds: 4

• Pain relief available - bath or shower: Not available Not applicable

• Pain relief available - birthing pool: Not available Not applicable

• Pain relief available - birth ball: Not available Not applicable

• Pain relief available - Massage: Not available Not applicable

• Pain relief available - Aromatherapy: Not available Not applicable

• Pain relief available - TENS: Not available Not applicable

• Pain relief available - Epidural: Not available Not applicable

• Pain relief available - Mobile epidural: Not available Not applicable

• Pain relief available - Entonox (gas and air): Not available Not applicable

• Pain relief available - Intramuscular injection: Not available Not applicable

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 0 N/A - Hospital of St Cross, Antenatal Care only

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 0 N/A - Hospital of St Cross, Antenatal Care only

• Does the unit have midwives available to provide one-to-one care available 24 hours a day, 7 days a week: Not applicable

• Does the unit have midwives available for home births available 24 hours a day, 7 days a week: Not applicable

• Does the unit have midwives trained and experienced in water birth available 24 hours a day, 7 days a week: Not applicable

• Does the unit have a paediatrician available 24 hours a day, 7 days a week: Not applicable

• Does the unit have an obstetrician available 24 hours a day, 7 days a week: Not applicable

• Does the unit have an anaesthetist available 24 hours a day, 7 days a week: Not applicable

• Does the unit have a dedicated obstetric anaesthetist available 24 hours a day, 7 days a week: Not applicable

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: Non English Speaking

• Are all women routinely offered ultrasound scans:

• Scan 1 available between: 11 - 14 + 2 weeks Booking Scan

• Scan 2 available between: 19 - 21 weeks Anomally Scan

Trust Statistics

Trust Questions

• You can view various measures relating to the Trust's performance by clicking the following link: University Hospitals Coventry and Warwickshire NHS Trust