Ipswich Hospital, The, Ipswich

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 140

• Of these how many have an ensuite toilet: 74

• Of these how many have an ensuite toilet and shower or bath: 39

• 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:

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: Datix

• 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: Datix

• 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: Datix

• 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:

• 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:

• How many beds does it contain: 12

• 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:

• What type of stroke unit does the hospital have: combined acute and rehabilitation stroke unit 4 Bed HASU

• Number of beds in the unit: 36

Trust Questions

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

• Is the Trust part of a stroke care network:

• Details: Anglia Stroke and Heart Network

• 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: The Trust Provide this service.

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 lists Mon to Sat. Emegenrncy list on Sunday only

• 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

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

• Not able to put a figure on the percentage compliance to this protocol:

• Estimated percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery: 95

• 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:

• What is the principle reason for patients not being admitted on the day of surgery: Social

• 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:

Paediatrics

Hospital Questions

• Does the hospital have a paediatrics service: Outreach Paediatric outpatient clinics at Felixstowe, Hadleigh, Stowmarket, Thomas Wolsey school, Thurlston High school site.

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: A multi-disciplinary specialist palliative care team

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

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: The Trust's specialist palliative care team is available from 9am to 5pm 5 days a week.

• Are facilities provided to support relatives and carers who wish to stay with a patient in hospital: Available on Somersham Ward, however, the availability of these facilities vary from ward to ward.

• 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: Routinely suurveyed and evaluated through the National Voices questionnaire and Meridian survey, however, Meridian doesn't focus on end of life.

Maternity Care

Maternity Sites

• Ipswich Hospital - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 762

• How many babies were born in the unit during the year? (not including home births): 762

• How many women were booked for a home birth: 0 This data item isn't recorded by our maternity system

• How many women had a home birth? (not including births at home by accident): 157

• Number of antenatal rooms: 0

• Total antenatal beds: 0

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

• Total assessment area beds: 2

• Number of delivery rooms: 4 3 in co-located MLBU and 1 in standalone MLBU

• Total delivery beds: 4 3 in co-located MLBU and 1 in standalone MLBU

• Number of postnatal rooms: 3

• 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): 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 applicable

• Does the maternity unit have a neonatal intensive care unit: Babies born on either MLBU should not need to go to the NNU, however, in the case of an emergency there is access to a Paediatrician and NNU immediately on the co-located birthing unit. Babies born at the standalone MLBU requiring on-going neonatal care would need transfer by emergency ambulance.

• Does the maternity unit have a neonatal high dependency unit: Please see comments above.

• Does the maternity unit have a special care baby unit: Please see comments above.

• 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 Birthing bath

• Pain relief available - birth ball: Provided by unit

• Pain relief available - Massage: Provided by unit

• Pain relief available - Aromatherapy: Provided by unit

• Pain relief available - TENS: Provided by unit

• Pain relief available - Epidural: 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 Pethidine

• 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 At co-located MLBU, but not the standalone MLBU.

• Does the unit have an obstetrician available 24 hours a day, 7 days a week: On call Access to Obstetrician in case of emergency on the MLBU. If emergency arises at the standalone MLBU, transfer to the hospital by ambulance would be required.

• Does the unit have an anaesthetist available 24 hours a day, 7 days a week: On call Access to Anaesthetist in case of emergency on the MLBU. If emergency arises at the standalone MLBU, transfer to the hospital by ambulance would be required.

• Does the unit have a dedicated obstetric anaesthetist available 24 hours a day, 7 days a week: On call Access to Dedicated Obstetric Anaesthetist in case of emergency on the MLBU. If emergency arises at the standalone MLBU, transfer to the hospital by ambulance would be required.

• Ipswich Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 2868

• How many babies were born in the unit during the year? (not including home births): 2924

• How many women were booked for a home birth: 0

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

• Number of antenatal rooms: 2

• Total antenatal beds: 4

• Number of assessment area rooms (for monitoring and / or induction): 3 for assessment - not induction

• Total assessment area beds: 3 for assessment - not induction

• Number of delivery rooms: 6 • The service at Ipswich Hospital has two midwife-led birthing units, (MLBU) one co-located in the hospital, the other a standalone unit at Eye in North Suffolk. For the purposes of this questionnaire, the midwife-led responses reflect both birthing units and where possible we have split the answers to reflect this.

• Total delivery beds: 4

• Number of postnatal rooms: 10

• Total postnatal beds: 22

• Number of rooms in obstetric high dependency unit: 1 A delivery room is converted when demand necessitates it

• Total obstetric high dependency beds: 2 Delivery beds are converted to 2 HD beds when demand necessitates it

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 1 Used a Bereavement Suite

• 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 applicable

• 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 Birthing bath

• Pain relief available - birth ball: Provided by unit

• Pain relief available - Massage: Provided by unit

• Pain relief available - Aromatherapy: Provided by unit

• Pain relief available - TENS: Provided by unit

• Pain relief available - Epidural: Provided by unit

• Pain relief available - Mobile epidural: Provided by unit

• Pain relief available - Entonox (gas and air): Provided by unit

• Pain relief available - Intramuscular injection: Provided by unit Pethidine

• 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: Not a consultant-led service.

• 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: Breast feeding workshop only

• Available for other groups:

• Also available for: Breast feeding workshops

• Are all women routinely offered ultrasound scans:

• Scan 1 available between: 11 weeks - 13 weeks 6 days

• Scan 2 available between: 18 weeks - 20 weeks 6 days

Trust Statistics

Trust Questions

• You can view various measures relating to the Trust's performance by clicking the following link: Ipswich Hospital NHS Trust