Princess Royal University Hospital, The, Orpington

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 160

• Of these how many have an ensuite toilet: 160

• Of these how many have an ensuite toilet and shower or bath: 160

• Does this hospital operate an accident and emergency unit:

• How many specialist palliative care beds are available at this hospital: 0 Chartwell Unit provides in-patient care for patients, predominantly with cancer

• 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: Trust risk management system

• 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: Trust risk management system and via Performance Indiators

• 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: Trust risk managemet system

• 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 resulted in wrong site surgery taking place: 1 Did not result in loss of limb or incision to wrong site

• How many incident investigations using a full Root Cause Analysis did were carried out in 2010/11: 135

• What percentage of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed: 91-99%

• What percentage of acute inpatients have a track and trigger warning system in place for the duration of the admission: 61-90%

• What percentage of patients are risk assessed for venous thromboembolism on admission: 61-90%

• 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. : Expect to be compliant with all alerts issued during this time frame

• Does the Trust have a policy for providing educational programmes on using and interpreting clinical indicators: Through Dr Foster training

• Does the Trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support): Through performance and information team

• Is safety and quality data available on a central platform and actively disseminated to users: Via information published on both the Trust internet site and intranet and via shared reports

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: An attempt at decolonisation is made for all patients as required by DH.

• 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: The Trust has dedicated isolation facilities on each ward. This would extend to a ward as necessary, for example, an outbreak situation

• Protocol for isolating patients with infections: The Trust has dedicated isolation facilities on each ward. This would extend to a ward as necessary, for example, an outbreak situation

• 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 During 2010/11, just a combined acute and rehabilitation Stroke Unit. Since May 2011, a HASU, and Acute/Rehab Stroke unit

• Number of beds in the unit: 39 Current: 8 HASU, 31 Acute Stroke Unit. HASU opened May 2011 therefore in 2010/11 there were 39 Acute Stroke Unit beds, 0 HASU

Trust Questions

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

• Is the Trust part of a stroke care network:

• Details: South London 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): 457 259 PRUH, 178 QE, 20 QMS

• Is thrombolysis for stroke patients provided 24 hours per day and 7 days a week : Since May 2011 (when HASU was opened, yes) . In 2010/11, no

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

• These arrangements are with: The London Model for stroke care provides for stroke patients to be transferred to the nearest available HASU bed. During 2010/11 this was normally, but not always, Kings or St Thomas. Since May 2011, this includes PRUH.

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)? :

• 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 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 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: General paediatric surgery is undertaken within the SLHT paediatric sites. All paediatric specialist surgery is facilitated through the Evelina Children's Hospital. All surgeons undertakingmeet the appropriate training requirements.

• Do the Trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week: There are a combination of dedicated paed lists with non paediatric dedicated lists across the sites undertaking surgery.

• 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: Parents are resident with children overnight in their rooms. A parent bed is provided for overnight stays. Only one parent is allowed to stay overnight. There are designated parent facilites ( parent room) on the inpatient wards.

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 Consultants-all sites sessional. CNS all sites/ access to counselling @QEW & limited access at Pruh/ referral pathway to hospices counselling services

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: OOH a 24/7Consultant led service provided by combined Hospices/Trust

• Are facilities provided to support relatives and carers who wish to stay with a patient in hospital: Provided on Specialist Oncology/Haematology 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: Patient survey undertaken

Maternity Care

Maternity Sites

• Princess Royal University Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 4452

• How many babies were born in the unit during the year? (not including home births): 4496

• How many women were booked for a home birth: 134

• How many women had a home birth? (not including births at home by accident): 140

• Number of antenatal rooms: 6 6 bedded induction bay

• Total antenatal beds: 6

• Total assessment area beds: 3

• Number of delivery rooms: 10

• Total delivery beds: 10

• Number of postnatal rooms: 13

• Total postnatal beds: 28

• Number of rooms in obstetric high dependency unit: 1

• Total obstetric high dependency beds: 4

• Number of single rooms used for both delivery and postnatal care (labour, delivery, recovery and postnatal, or LDRP, rooms): 5

• 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): 125

• 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

• 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

• Queen Mary's Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 1945

• How many babies were born in the unit during the year? (not including home births): 1978

• How many women were booked for a home birth: 23

• How many women had a home birth? (not including births at home by accident): 23

• Queen Elizabeth Hospital - Consultant Led

• How many women gave birth in the unit during the year? (not including home births): 4194

• How many babies were born in the unit during the year? (not including home births): 4250

• How many women were booked for a home birth: 113

• How many women had a home birth? (not including births at home by accident): 113

• Number of antenatal rooms: 7 3 side rooms and 4 4 bedded bays

• Total antenatal beds: 19

• Total assessment area beds: 10

• Number of delivery rooms: 10

• Total delivery beds: 19

• Number of postnatal rooms: 10 3 side rooms and 7 4 bedded bays

• 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): 3

• Amenity rooms; Are women able to book a single room in advance of their birth:

• 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: Dedicated maternity security guard

• 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: Not available

• 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

• 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):

• 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:

• Are all women routinely offered ultrasound scans:

• Scan 1 available between: 13+5 Weeks

• Scan 2 available between: Up to 20 weeks

Trust Statistics

Trust Questions

• You can view various measures relating to the Trust's performance by clicking the following link: South London Healthcare NHS Trust