Musgrove Park Hospital, Taunton

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 116

• Of these how many have an ensuite toilet: 44

• 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:

• What is the name of the private unit/service: Parkside

• How many beds are available within the private unit/service: 11

• How many single rooms are available within the private unit/service: 11

• Of these, how many have an ensuite toilet: 11

• Of these, how many have an ensuite toilet and shower or bath: 11

• Direct telephone number for the private unit: 01823 342019

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: Incident Reporting System (Ulysses)

• 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: In-house Clinical Information System

• 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: Incident Reporting System (Ulysses)

• 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: 11

• 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: 35 All serious incidents require a full root cause analysis

• What percentage of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed: 100% All incidents meeting the NPSA definition of severe harm or death are reported via STEIS and have a full root cause analysis

• What percentage of acute inpatients have a track and trigger warning system in place for the duration of the admission: 91-99% Measured via nursing metrics

• 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: Through the Trust's Improvement Network

• Does the Trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support): Patient Safety Data Analyst in post

• Is safety and quality data available on a central platform and actively disseminated to users: A wide range of central data available on in-house clinical informaton system - disseminated as appropriate.Key data from a wide range of monthly ward measures and in-house monthly patient feedback surveys displayed on all wards.Clinical dashoards available for specific specialties (with roll out ongoing to all specialties)

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 All adult elective inpatient admissions are screened. Paediatric elective admissions are excluded unless they fulfil the criteria for high risk for MRSA criteria

• Are all oncology patients screened at the pre-op assessment clinic: YES Screened at the beginning of their treatment programme and then at 28 day intervals

• Are all chemotherapy patients screened at the pre-op assessment clinic: YES Screened at the beginning of chemotherapy programme and then at 28 day intervals

• 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: commenced before admission.Topical suppression is commenced 5 days immediately prior to admisson with the exception of elective orthopaedic and vascular implants who are decolonised and 3 negative screens obtained prior to admission

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

• Are all patients admitted through A&E screened: Exception of paediatrics who are screened according to individual risk assessment

• Is screening done according to individual risk assessment: not applicable

• Does the Trust have a dedicated isolation ward:

• Protocol for isolating patients with infections: Single siderooms for patients requiring source isolation

• 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

• 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: Avon, Gloucester, Wiltshire and Somerset Cardiac and 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): 533

• Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 386

• Is thrombolysis for stroke patients provided 24 hours per day and 7 days a week : Plan for 24/7 delivery from end Sept 2011. Current provision = 40 hrs per week (Mon-Fri, 9am to 5pm)

• Are there any formal arrangements with neighbouring hospitals for the emergency transfer of stroke patients who would benefit from thrombolytic treatment: Plan for 24/7 delivery from end Sept 2011

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):

• 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)? :

• Not able to put a figure on the percentage of all patients that attend the class prior to surgery:

• Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients: Enhanced Recovery has just been piloted and is now being rolled out across the whole dept from Sept11

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

• Not able to put a figure on the percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery:

• 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: This is being piloted at present.

Paediatrics

Hospital Questions

• Does the hospital have a paediatrics service:

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: Other (please specify) Adult Inpatient/outpatient and Beacon Day unit Specialist palliative care is provided by the Palliative Care Nurse Specilaist team with support from Palliative Medicine Consultant & SpR from St.Margaret's Hospice 1-2 sessions weekly

• Does the hospital's specialist palliative team includes: Other (please specify) Adult Inpatient/outpatient and Beacon Day unit Specialist palliative care is provided by the Palliative Care Nurse Specilaist team with support from Palliative Medicine Consultant & SpR from St.Margaret's Hospice 1-2 sessions weekly

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: No. 24 hour advice is available from Hospice helpline

• Are facilities provided to support relatives and carers who wish to stay with a patient in hospital: League of Friends bungalow, Beacon ward and some other wards

• 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: not specifically End of Life care patients but all bereaved relatives/carers through bereavement support office.

Maternity Care

Maternity Sites

• Bridgwater Community Hospital - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 51

• How many babies were born in the unit during the year? (not including home births): 51

• Number of antenatal rooms: 0

• Total antenatal beds: 0

• Number of assessment area rooms (for monitoring and / or induction): 1

• Total assessment area beds: 1

• Number of delivery rooms: 1

• Total delivery beds: 1

• Number of postnatal rooms: 1

• Total postnatal beds: 1

• 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:

• If women can pay for a single room what is the average cost per night (GBP): 99999999

• 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: Not available

• 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 women

• 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

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 40.10 funding for community midwifery service included

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 47 Community midwifery staff included

• Does the unit have midwives available to provide one-to-one care available 24 hours a day, 7 days a week: On call

• 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 call

• Does the unit have a paediatrician available 24 hours a day, 7 days a week:

• Does the unit have an obstetrician available 24 hours a day, 7 days a week:

• Does the unit have an anaesthetist available 24 hours a day, 7 days a week:

• Does the unit have a dedicated obstetric anaesthetist available 24 hours a day, 7 days a week:

• Musgrove Park Hospital - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 345

• How many babies were born in the unit during the year? (not including home births): 345

• Number of antenatal rooms: 0

• Total antenatal beds: 0

• Number of assessment area rooms (for monitoring and / or induction): 1

• Total assessment area beds: 1

• Number of delivery rooms: 2

• Total delivery beds: 2

• Number of postnatal rooms: 1

• Total postnatal beds: 4

• 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): 99999999

• 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

• 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

• Total number of WTE midwives at the unit in your funded establishment, including vacant posts: 7.4

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 8

• 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 call

• Does the unit have an obstetrician available 24 hours a day, 7 days a week: On call

• Does the unit have an anaesthetist available 24 hours a day, 7 days a week: On call

• Does the unit have a dedicated obstetric anaesthetist available 24 hours a day, 7 days a week: On call

• Musgrove Park Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 2902 including 11 born in transit

• How many babies were born in the unit during the year? (not including home births): 2961 including 11 born in transit

• How many women were booked for a home birth: 96 These are the number of women who at initial time of booking booked for a home birth. Our 2010/11 data shows approximately a 5% data completeness position of where the intended place of delivery has not recorded

• How many women had a home birth? (not including births at home by accident): 150 Unable to split out. There are a number of women who opt for a home birth subsequent to their initial booking

• Number of antenatal rooms: 1

• Total antenatal beds: 6

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

• Total assessment area beds: 7

• Number of delivery rooms: 10

• Total delivery beds: 11

• Number of postnatal rooms: 3

• Total postnatal beds: 17

• 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): 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): 99999999

• 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

• 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: 61.4

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 88

• 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 Community midwives provide the homebirths 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:

• Available for other groups:

• Also available for: Teenagers

• Are all women routinely offered ultrasound scans:

• Scan 1 available between: 11-14

• Scan 2 available between: 18-21

Trust Statistics

Trust Questions

• You can view various measures relating to the Trust's performance by clicking the following link: Taunton and Somerset NHS Foundation Trust