James Cook University Hospital, The, Middlesbrough

General hospital information

  • Number of beds: 932
  • % of single rooms: 25%
  • Total parking spaces: 832
  • Average parking fee per hour: £1.50

Address & description

James Cook University Hospital, The,
Marton Rd, Middlesbrough, England, TS4 3BW
Tel: Work 01642 850850
James Cook University Hospital, The

South Tees Hospitals NHS Foundation Trust is the largest hospital trust in the Tees Valley serving the people of Middlesbrough, Redcar and Cleveland, Hambleton and Richmondshire and beyond. We pride ourselves on patients receiving high quality, safe and efficient healthcare thanks to the hard work and dedication of our staff. Some recent achievements include:

  • Being named one of the best performing trusts in the country for the 11th consecutive year (CHKS Top 40 Hospital)
  • Being rated highly for patient experience in the National Cancer Patient Experience Survey and the national inpatient survey
  • Ensuring patient safety is at the heart of everything we do by reducing healthcare associated infections, mortality rates and patient falls – all key patient safety indicators
  • Investing in new developments, including the opening of a Tomotheapy suite which offers advanced radiotherapy treatment for patients, as part of a £35million cancer development
  • Being recommended as one of two regional trauma centres for the north east
  • National acclaim for making children's services more 'friendly'

We also have a growing reputation for our commitment to training, life-long learning and research and are continuing to build on our links with the Universities of Teesside, Durham and Newcastle, with a purpose-built academic centre with medical students doing their clinical placements on site. The trust is the host site for the County Durham and Tees Valley CLRN - Comprehensive Local NHS Research Network – to support high quality research for all diseases and areas of patient need. It is also the host site for a new network of Research Design Services, set up by the National Institute for Health Research, which supports investigators in the North East in preparing proposals for research to improve patients' health and care.

One of Europe's most modern hospitals, The James Cook University site in Middlesbrough is the largest of its type with a wide range of district general hospital services and specialist (tertiary) services including neurosurgery, renal medicine, spinal injuries, major trauma, vascular surgery and cancer services. Work is currently underway on a £35million cancer redevelopment to provide the very best facilities and leading-edge treatment for patients, including building a new 'stand-alone' radiotherapy centre housing three linear accelerators, a CT scanner and outpatient clinic suite. The scheme has also included extending the current chemotherapy day unit to provide additional capacity and refurbishing existing waiting room and reception areas and renovating the existing department which now houses a new £2.5m TomoTherapy machine – an advanced CT scanner with a high energy x-ray treatment beam that more accurately targets tumours Other service developments include a new treatment for elderly heart patients known as a TAVI – Transcatheter Aortic Valve Implantation – which is a new way of replacing narrowed heart arteries and to help meet the growing demand for heart services, a fourth cardiac catheter laboratory is being built. Plans are also underway to create a 16-bed centralised HDU – high dependency unit – which will help the hospital meet increasing demand, improve quality of patient care, increase patient safety and make better use of ward beds.

* this profile text was provided by South Tees Hospitals NHS Foundation Trust

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Services at James Cook University Hospital, The

General Services Information

Hospital Questions

  • How many single rooms are available to NHS patients at this hospital: 229
  • Of these how many have an ensuite toilet: 140
  • Of these how many have an ensuite toilet and shower or bath: 131
  • Does this hospital operate an accident and emergency unit: Yes
  • How many specialist palliative care beds are available at this hospital: 0 commentsNo dedicated palliative care beds all beds are used
  • Does this hospital have a named private unit/service: No

Trust Questions

  • Does the Trust treat private patients: Yes

Patient Safety

Trust Questions

  • Is there a system for recording operations that resulted in a foreign body being left post surgery: Yes
  • 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: Yes
  • What is the reporting system for operations that were cancelled due to missing notes: DATIX/CaMIS
  • Is there a system for recording operations that resulted in wrong site surgery taking place: Yes
  • What is the reporting system for operations that resulted in wrong site surgery taking place: DATIX
  • 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: 4
  • 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: 466
  • 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: 91-99%
  • 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). : Yes
  • Does the Trust have a policy for providing educational programmes on using and interpreting clinical indicators: No commentsTrust training policy states that all staff shall have all relevant training for their needs
  • Does the Trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support): Yes
  • Is safety and quality data available on a central platform and actively disseminated to users: Yes

Infection Control

Trust Questions

  • Does the Trust employ an antibiotic pharmacist: Yes
  • 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: Yes
  • 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: Yes
  • What method of MRSA screening is used when screening at admission: Culture based in 24-48hrs commentsCulture based in 24-48hours AND Molecular or other method result in less than 24 hours
  • On admission, does topical suppression take place immediately: Yes
  • Does the Trust have at least one accident and emergency unit: Yes
  • Are all patients admitted through A&E screened: Yes
  • Is screening done according to individual risk assessment: No
  • Does the Trust have a dedicated isolation ward: No
  • Protocol for isolating patients with infections: Isolate patients in side rooms, the trust has over 250
  • Does the Trust have an isolation policy: Yes
  • Where medically appropriate, are patients with C Diff isolated in single rooms as a matter of priority: Yes
  • Does the Trust have a policy to guide the use of metronidazole and vancomycin for C.difficile infected patients: Yes
  • Does the Trust routinely isolate all patients with diarrhoea: Yes

Stroke Medicine

Hospital Questions

  • Does the hsopital have a specialist stroke unit: Yes
  • What type of stroke unit does the hospital have: Hyperacute stroke unit (HASU) commentsand Acute Stroke Unit. Patients for 2010/11 go to our satelite rehabilitation unit
  • Number of beds in the unit: 26 comments6 hyperacute, 20 acute

Trust Questions

  • Does the Trust have a specialist stroke unit or units: Yes
  • Is the Trust part of a stroke care network: Yes
  • Details: North of England 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): 759
  • Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 706
  • Is thrombolysis for stroke patients provided 24 hours per day and 7 days a week : Yes
  • Are there any formal arrangements with neighbouring hospitals for the emergency transfer of stroke patients who would benefit from thrombolytic treatment: No

Trauma & Orthopaedics

Trust Questions

  • Does the Trust offer a trauma service: Yes commentsMajor Trauma Centre
  • Does the Trust have a dedicated trauma list available 24 hours a day for the duration of the week, (Sunday to Sunday): No commentsMonday - Friday 9-7, Saturday and Sunday 10-2pm and Overnight according to NCEPOD
  • Does the Trust offer an orthopaedics service: Yes
  • Do all the Trust's orthopaedic ward/team have a linked geriatric team with whom they have regular meetings at least once a week: Yes
  • 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)? : Yes
  • What is the estimated percentage of all patients that attend the class prior to surgery: 100 commentsPatients who have second side do not always attend class
  • Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients: Yes
  • Estimated percentage compliance to this protocol: 100
  • Audited percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery: 100
  • Does the Trust have a specialist orthopaedic physiotherapy service which is available 7 days a week: Yes
  • 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: No commentsDistance from hospital on occasion but not usual
  • Are patient records routinely recorded using a specific multi-disciplinary team THR/TKR pathway document: Yes
  • Is this data used to monitor compliance with the agreed pathway: No
  • Is criteria-based discharge used: Yes
  • Are patients routinely phoned in the first 48 hours after discharge to check on their progress: Yes

Paediatrics

Hospital Questions

  • Does the hospital have a paediatrics service: Yes

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: Yes
  • Do the Trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week: Yes
  • Is a paediatrician on site (SpR or higher) 24 hours per day, 7 days per week: Yes commentsAt FHN out of hours is covered by consultant on call system
  • Are at least two registered children's nurses on duty 24hours per day in each children's ward: Yes
  • Is there a designated facility on site for parents or guardians to stay overnight: Yes

Palliative Care

Trust Questions

  • Does the Trust provide a palliative care service: Yes
  • How is specialist palliative care delivered at the hospital: A multi-disciplinary specialist palliative care team commentsA multi-disciplinary specialist palliative care team operates at the James Cook University Hospital. At the Friarage Hospital there is a hospital based Macmillan specialist nurse linked to the community palliative care team. Medical palliative care support to the Friarage Hospital site is soon to be increased.
  • Does the hospital's specialist palliative team includes: A consultant in palliative medicine,A palliative care nurse,Other (please specify) comments(Taking both sites into account, although personnel not distributed across both sites) Consultant in palliative medicine, 4 Macmillan Specialist Nurses, OT and OT discharge facilitator, Macmillan Discharge Sister (part of a two year pilot project), clerical support, links to Clinical Psychologist
  • Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: No commentsNo, currently 8.30 - 4.30 Monday-Friday though expansion to 7 day service approved by Management Group and Trust Board of Directors
  • Are facilities provided to support relatives and carers who wish to stay with a patient in hospital: Yes
  • 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 commentsNot routinely - the intention is to do this in future once the Trust's bereavement office is established.

Maternity Care

Maternity Sites

  • Friarage Hospital - Consultant Led
  • How many women gave birth in the unit during the year? (not including home births): 1263
  • How many babies were born in the unit during the year? (not including home births): 1277
  • How many women were booked for a home birth: 0 commentsNot available as can be requested any any stage of pregnancy
  • How many women had a home birth? (not including births at home by accident): 22
  • Number of antenatal rooms: 0 commentsrooms used interchangeably
  • Total antenatal beds: 0
  • Number of assessment area rooms (for monitoring and / or induction): 0 commentsPatients assessed in labour / available rooms
  • Total assessment area beds: 0
  • Number of delivery rooms: 5
  • Total delivery beds: 5
  • Number of postnatal rooms: 18
  • Total postnatal beds: 18
  • 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
  • Amenity rooms; Are women able to book a single room in advance of their birth: No
  • If women can pay for a single room what is the average cost per night (GBP): 0 commentsNot applicable
  • Does the maternity unit have a neonatal intensive care unit: No
  • Does the maternity unit have a neonatal high dependency unit: No
  • Does the maternity unit have a special care baby unit: Yes
  • Security measures - ankle bands for the baby: No
  • Security measures - cot alarms: No
  • Security measures - CCTV: No
  • Security measures - restricted access: Yes commentsSecurity doors
  • Other security measures: Name bands only
  • 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 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: 42.9
  • Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 42.67
  • 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: No
  • James Cook University Hospital - Consultant Led
  • How many women gave birth in the unit during the year? (not including home births): 4254
  • How many babies were born in the unit during the year? (not including home births): 4276
  • How many women were booked for a home birth: 0 commentsNot available as can be requested at any stage of pregnancy
  • How many women had a home birth? (not including births at home by accident): 20
  • Number of antenatal rooms: 0 commentsrooms used interchangeably
  • Total antenatal beds: 0
  • Number of assessment area rooms (for monitoring and / or induction): 6
  • Total assessment area beds: 6
  • Number of delivery rooms: 15
  • Total delivery beds: 15
  • Number of postnatal rooms: 31
  • Total postnatal beds: 31
  • Number of rooms in obstetric high dependency unit: 1
  • Total obstetric high dependency beds: 1
  • Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 7
  • Amenity rooms; Are women able to book a single room in advance of their birth: No
  • If women can pay for a single room what is the average cost per night (GBP): 0 commentsNot applicable
  • Does the maternity unit have a neonatal intensive care unit: Yes
  • Does the maternity unit have a neonatal high dependency unit: Yes
  • Does the maternity unit have a special care baby unit: Yes
  • Security measures - ankle bands for the baby: No
  • Security measures - cot alarms: No
  • Security measures - CCTV: No
  • Security measures - restricted access: Yes commentsSecurity doors
  • Other security measures: Name bands only
  • 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 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: 125.13
  • Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 134.33
  • 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): No commentsPlans to introduce AN care in childrens centres in 2012
  • Are NHS antenatal classes available (e.g. Parentcraft): Yes
  • Available during the daytime (until 5pm): Yes
  • Available in the evenings (after 5pm): Yes
  • Available at weekends (Saturday and/or Sunday): No
  • Available for women only groups: No
  • Available for other groups: Yes
  • Also available for: Teenage pregnancy
  • Are all women routinely offered ultrasound scans: Yes
  • Scan 1 available between: 12
  • Scan 2 available between: 20

Trust Statistics

Trust Questions

Consultants at James Cook University Hospital, The

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