Peterborough City Hospital, Peterborough

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 311

• Of these how many have an ensuite toilet: 311

• Of these how many have an ensuite toilet and shower or bath: 311

• Does this hospital operate an accident and emergency unit:

• How many specialist palliative care beds are available at this hospital: 4

• 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 Web

• 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 Web

• 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 Web

• 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: 13

• 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: 14 RCA is also carried out for all patient falls and hospital associated pressure ulcers

• 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: 100%

• What percentage of patients are risk assessed for venous thromboembolism on admission: 61-90% Data for April 2010 was not available in required format.

• 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). :

• Alerts where not expected to be compliant by 1st December 2011 and when expected to be compliant. : 1. Preventing fatalities from medication loading doses 2. The adult patient’s passport to safer use of insulin 3. Reducing the harm caused by misplaced nasogastric feeding tubes in adults,... 4. Safer spinal (intrathecal), epidural and regional devices 5. Safer ambulatory syringe drivers Teams are putting these in place, we anticipate all will be in place by 1st Dec 2011

• 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 There are a small number of local and national exclusions

• 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 or molecular or other method result in less than 24 hours

• On admission, does topical suppression take place immediately: we do in high riskgroups e.g. critical care, haem/onc and past positives

• 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: 14

• 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: 28

Trust Questions

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

• Is the Trust part of a stroke care network:

• Details: Anglia 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): 496

• Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 347

• 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: N/A

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: Multidisiplinary Team meetings are held 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)? : joint school

• What is the estimated percentage of all patients that attend the class prior to surgery: 50 Running for 2 months to date

• Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients: Yes for enhanced recovery patients which is undertaken by some consultants

• Estimated percentage compliance to this protocol: 90

• Estimated percentage of the Trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery: 90

• 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: very rarely, usually for patients with underlying co-morbity

• What is the principle reason for patients not being admitted on the day of surgery: Very rarely for transport isssues if the patient needs to attend at 0645 and unable to get to hospital

• 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:

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: A hospital specialist palliative care service and community service provided by the trust

• How is specialist palliative care delivered at the hospital: A multi-disciplinary specialist palliative care team We are piloting a 4 bedded specialist palliative care department in the haematology oncology department led by a Consultant in palliative medicine. Patients with a PPC (preferred place of care) of a hospice are referred to the local Sue Ryder Hospice. All other patients with specialist palliative care needs not appropriate for the 4 bedded department or not wanting Hospice care are visited by the Hospital team.

• Does the hospital's specialist palliative team includes: A consultant in palliative medicine,A palliative care nurse,Other (please specify) a point 6 psychologist will start in November 2011

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: 9-5 Monday to Friday with 24 telephone advice from the Sue Ryder Thorpe Hall Hospice

• Are facilities provided to support relatives and carers who wish to stay with a patient in hospital: yes, within the CCU department

• 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: There is a two yearly patient/carer satisfaction survey carried, currently one in progress. Nursing staff do provide bereavement care.

Maternity Care

Maternity Sites

• Peterborough City Hospital - Midwife Led

• How many women gave birth in the unit during the year? (not including home births): 4273 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• How many babies were born in the unit during the year? (not including home births): 4334 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• How many women were booked for a home birth: 45 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• How many women had a home birth? (not including births at home by accident): 40 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of antenatal rooms: 2 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total antenatal beds: 6 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of assessment area rooms (for monitoring and / or induction): 2 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total assessment area beds: 6 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of delivery rooms: 14 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total delivery beds: 14 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of postnatal rooms: 18 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total postnatal beds: 39 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of rooms in obstetric high dependency unit: 1 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total obstetric high dependency beds: 2 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 4 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• 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): 150

• 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 in the process of being implemented

• 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 women

• Pain relief available - Aromatherapy: Provided by women

• Pain relief available - TENS: Provided by unit

• Pain relief available - Epidural: Provided by unit

• Pain relief available - Mobile epidural: Provided by unit limited availability

• 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: 141.52 This figure is over the 2 units (Midwife and Consultant led)

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 134.4

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

• Does the unit have a paediatrician available 24 hours a day, 7 days a week: On site and on call

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

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

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

• Peterborough City Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 4273 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• How many babies were born in the unit during the year? (not including home births): 4334 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• How many women were booked for a home birth: 45 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• How many women had a home birth? (not including births at home by accident): 40 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of antenatal rooms: 2 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total antenatal beds: 6 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of assessment area rooms (for monitoring and / or induction): 2 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total assessment area beds: 6 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of delivery rooms: 14 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total delivery beds: 14 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of postnatal rooms: 18 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total postnatal beds: 39 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of rooms in obstetric high dependency unit: 1 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Total obstetric high dependency beds: 2 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 4 No breakdown, this is a combined figure over the 2 units (Midwife and Consultant led)

• 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): 150

• 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 in the process of being implemented

• 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 women

• Pain relief available - Aromatherapy: Provided by women

• Pain relief available - TENS: Provided by unit

• Pain relief available - Epidural: Provided by unit

• Pain relief available - Mobile epidural: Provided by unit limited availability

• 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: 141.52 This figure is over the 2 units (Midwife and Consultant led)

• Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 134.4

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

• Does the unit have a paediatrician available 24 hours a day, 7 days a week: On site and on call

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

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

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

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: Daddynatal, VBAC, Young Parents to be, Multiple Births, Breastfeeding

• Are all women routinely offered ultrasound scans:

• Scan 1 available between: 11-13 +6 Weeks

• Scan 2 available between: 19-21 Weeks

Trust Statistics

Trust Questions

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