Moorfields Eye Hospital, London

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 9 7 at Moorfields City Road and 2 at Moorfields, St Georges Hospital

• Of these how many have an ensuite toilet: 2

• Of these how many have an ensuite toilet and shower or bath: 2

• 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: Moorfields Private

• How many beds are available within the private unit/service: 12 plus 8 chairs

• How many single rooms are available within the private unit/service: 12

• Of these, how many have an ensuite toilet: 9

• Of these, how many have an ensuite toilet and shower or bath: 9

• Direct telephone number for the private unit: 020 7566 2803

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: Routine incident reporting procedure (completion of a paper form which is then transcribed onto the Ulysses database) All incidents are reported in accordance with the routine incident reporting procedure in the first instance (completion of a paper form which is then transcribed onto the Ulysses database). Serious incidents (SIs) and never events are managed in accordance with the processes and timescales specified in the ‘National Framework for Reporting and Learning from Serious Incidents Requiring Investigation’ and (where appropriate) the NPSA NRLS ‘Never Events Framework’. This typically means that the incident will be graded as a ‘grade 0’ SI and notified to NHS London (via STEIS) and NCL cluster until such time that the SI/never event status can be confirmed and declared (either as grade 1 or grade 2) and investigation commences.

• 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: Routine incident reporting procedure (completion of a paper form which is then transcribed onto the Ulysses database)

• 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: Routine incident reporting procedure (completion of a paper form which is then transcribed onto the Ulysses database) All incidents are reported in accordance with the routine incident reporting procedure in the first instance (completion of a paper form which is then transcribed onto the Ulysses database). Serious incidents (SIs) and never events are managed in accordance with the processes and timescales specified in the ‘National Framework for Reporting and Learning from Serious Incidents Requiring Investigation’ and (where appropriate) the NPSA NRLS ‘Never Events Framework’. This typically means that the incident will be graded as a ‘grade 0’ SI and notified to NHS London (via STEIS) and NCL cluster until such time that the SI/never event status can be confirmed and declared (either as grade 1 or grade 2) and investigation commences.

• 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: 5

• 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: 10 This reflects the number of serious incidents (either declared during the given time period or on-going from Q3 2009/10) that were investigated during the given time period. This number is the minimum, there may have been others

• What percentage of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed: 100%

• 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 other

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

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

• 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:

• Protocol for isolating patients with infections: Patients identified as having an infection are placed in dedicated isolation rooms.

• 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

Trust Questions

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

• Is the Trust part of a stroke care 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): 0

• Is thrombolysis for stroke patients provided 24 hours per day and 7 days a week : Moorfields does not care for stroke patients

• Are there any formal arrangements with neighbouring hospitals for the emergency transfer of stroke patients who would benefit from thrombolytic treatment:

Trauma & Orthopaedics

Trust Questions

• Does the Trust offer a trauma service:

• Does the Trust offer an orthopaedics service:

Paediatrics

Hospital Questions

• Does the hospital have a paediatrics service: Moorfields Eye Hospital and satellite locations

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: The paediatric service runs from 07:30 - 20:00 - The answer is YES in this time period

• Are at least two registered children's nurses on duty 24hours per day in each children's ward: The paediatric service runs from 07:30 - 20:00 - The answer is YES in this time period

• Is there a designated facility on site for parents or guardians to stay overnight: There is a facility run by a charitable organisation based in our dedicated children's centre

Palliative Care

Trust Questions

• Does the Trust provide a palliative care service:

• Details of the transfer arrangements currently in place for patients requiring palliative care services: Not applicable

Trust Statistics

Trust Questions

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