Queen Elizabeth Hospital, London

This hospital is part of South London Healthcare NHS Trust

General hospital information

  • Number of beds: 484
  • % of single rooms: 32%
  • Total parking spaces: 385
  • Average parking fee per hour: £1.50

Address & description

Queen Elizabeth Hospital,
Stadium Road, Woolwich, London, England, SE18 4QH
Tel: Work 020 8836 6000
Queen Elizabeth Hospital

Queen Elizabeth Hospital NHS Trust (QEH) was formed in March 2001 when services relocated to a new hospital in Woolwich in the London Borough of Greenwich. QEH was developed via the government's Private Finance Initiative (PFI) and is located on the site previously occupied by the Queen Elizabeth Military Hospital. The 500 bed hospital provides a range of acute hospital services mainly to the residents of Greenwich as well as to a natural catchment from our neighbouring borough of Bexley and, increasingly, from further afield.

The hospital is well located in the centre of the borough with excellent road transport and bus service links. A total of seven bus routes serve the hospital and also link the hospital to London and into Kent via rail services from Woolwich Arsenal and Woolwich Dockyard stations, and via the excellent Jubilee line underground service into London from North Greenwich station.

A full range of clinical services is provided at Queen Elizabeth Hospital, providing both emergency and elective (planned) care to patients. The majority of these are provided by staff employed by QEH; however some specialities, including ophthalmology, oral surgery and ENT (ear, nose and throat) surgery are provided on an outpatient basis only by staff from neighbouring trusts. QEH also provides some services, such as urology and dermatology, to other local trusts. The full list of services available at QEH is set out below.

Services provided at Queen Elizabeth Hospital

Accident & Emergency, Adult Medicine, Anaesthetics, Anti-coagulation Services, Bereavement Services, Biochemistry, Blood tests (phlebotomy), Blood transfusion, Breast Services, Cancer Services (Oncology), Care of the Elderly, Cardiology, Chemotherapy, Clinical Haematology, Colorectal Surgery, Community paediatric nursing, Coronary Care Unit, CT scanning, Cytology, Cardiac Catheter Laboratory and Coronary Angioplasty, Dermatology, DEXA Scanning, Diabetic Medicine, Dietetics and Nutrition, Ear, Nose and Throat Clinics, Endocrinology, Endoscopy, Fertility, Fracture Clinic, Gastroenterology, General Medicine, General Radiology, General Surgery, Genitourinary Medicine, Gynaecology, Haematology, Histopathology, Imaging, Immunology, Infection Control, Intensive Care, Lipid Clinic, Medical Diagnostic Centre, Metabolism Clinic, Microbiology, Mortuary, MRI Scanning, Neurology, Nuclear Medicine, Obstetrics, Occupational Therapy, Oncology (Cancer Services), Ophthalmology Clinics, Oral Surgery Clinics, Orthopaedics, Paediatric Medicine, Pain Management, Palliative Care, Pathology, Pharmacy, Phlebotomy (blood tests), Physiotherapy, Plastic Surgery, Podiatry, Radiology, Respiratory Medicine, Rheumatology, Sexual Health, Sleep Studies, Social Services, Special Care Baby Unit, Speech and Language Therapy, Stroke Unit, Surgical Appliances, Trauma Surgery, Ultrasound, Upper Gastrointestinal Surgery, Urology, Virology, Women's Services, X-ray

* this profile text was provided by The South London Healthcare NHS Trust

Gallbladder surgery

Choose from the tabs above to view information on this procedure at your selected hospital. You can also view information on other procedures performed at this hospital.

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Waiting times

How long am I likely to have to wait for my operation?

For this procedure, this graph shows the average time in days that patients waited for their first outpatient appointment and their subsequent admission to hospital.

When referred to hospital by their GP, a patient's first appointment will be as an outpatient.definition of outpatient The days between referral and attending a first outpatient appointment are known as an outpatient wait (the yellow block in the graph). Outpatient appointments give doctors the opportunity to examine the patient. If a doctor decides that surgery is necessary, they will recommend that the patient is given a date to attend hospital as an inpatient - they make a decision to admit.

The elapsed time (in days) between the date of the decision to admit and the patient's admission to hospital is called an inpatient wait (the blue block in the graph) The red line across the graph shows the average total wait (both outpatient and inpatient) for this operation in the NHS in England.

Compare your chosen hospital provider with the five nearest providers performing this procedure. Read more about this indicator.

The Department of Health measures waiting time using a different methodology, 18 Weeks.

National average: 92.0

Length of stay

How long can I expect to stay in hospital?

Length of stay is the number of days between a patient's admission to hospital and the time they are discharged.

The bar shows the average length of stay of all the patients that had this operation at this trust. The red line across the graph shows the English average length of stay for this operation.

Your length of stay in hospital will be determined by a number of factors including your age and general health.

Compare your chosen hospital provider with the five nearest providers performing this procedure. Read more about this indicator.

National average: 1.0000

Readmission rate

What's the risk of me having to return to hospital urgently?

  • Less than expected
  • As expected
  • More than expected

A readmission occurs when a patient is admitted to hospital as an emergency within one month of being sent home. While the factors involved can be varied and complex, readmission is widely accepted as an indicator of the quality of hospital care.

For a given operation, statistical models enable us to estimate the number of readmissions at a given NHS Trust. By dividing the number of observed readmissions by the actual number we create a ratio (shown on the graph with a coloured circle).

A confidence interval more information on confidence intervals (the vertical blue box) allows us to measure the trust's performance in relation to a national standard. If the confidence interval straddles the red horizontal line on the graph (100), the Trust is in line with national performance - it is performing as expected. But where the confidence interval is wholly above or below the red horizontal line, the trust experienced significantly more or less readmissions than expected.

Compare your chosen hospital provider with the five nearest providers performing this procedure. Read more about this indicator.

100

111.07

low: 83.4307, high: 144.9215

South London Healthcare NHS Trust

106.97

low: 56.9003, high: 182.9318

The Lewisham Healthcare NHS Trust

106.89

low: 79.0697, high: 141.3156

Barts Health NHS Trust

124.02

low: 73.4632, high: 196.0150

Croydon Health Services NHS Trust

87.34

low: 41.8111, high: 160.6254

King's College Hospital NHS Foundation Trust

74.09

low: 38.2373, high: 129.4226

Dartford and Gravesham NHS Trust

Infection control

Tackling MRSA More information on MRSA and Clostridium Difficile (C. Difficile) Clostridium Difficile is a major issue. The steps that hospitals take to contain these infections are known as Infection Control.

The incidence of these infections is measured with a rate. For MRSA, the number of cases of MRSA blood infection reported by the trust is counted per 100,000 bed days (a bed day is defined as one patient occupying a hospital bed for one night), for C. Difficile, the number of cases of C. Difficile infection reported by the trust, is counted per 100,000 bed days. Cases in patients less than two years of age are not reported. These figures include both emergency and elective patients (patients who planned their treatment in advance).

Compare your chosen hospital provider with the five nearest providers performing your chosen procedure by selecting an infection type below.

For more information about how this hospital is approaching Infection Control, including their screening More information on MRSA screening and isolation policies, open the Services bar below and select Infection Control.

National average: 1.30

Data not available

Barts Health NHS Trust

C. Difficile

Tackling MRSA and Clostridium Difficile (C. Difficile) is a major issue. The steps that hospitals take to contain these infections are known as Infection Control.

The incidence of these infections is measured with a rate. For C. Difficile it is the number of cases of C. Difficile infection reported per 100,000 bed days for cases apportioned to the trust; a bed day is defined as one patient occupying a hospital bed for one night. This figure includes both emergency and elective patients (patients who planned their treatment in advance).

Compare your chosen hospital provider with the five nearest providers performing your chosen procedure by selecting an infection type below.

To learn more about how this hospital is approaching Infection Control, including their screening More information on MRSA screening and isolation policies, open the Services bar below and select Infection Control.

National average: 21.80

Data not available

Barts Health NHS Trust

Hospital Mortality Ratio

What is this trust's overall level of mortality?

  • Less than expected
  • As expected
  • More than expected

For those diagnoses that account for the majority (80%) of deaths in hospital, the Hospital Standardised Mortality Ratio (HSMR) measures the number of patients dying at a trust compared with a national benchmark.

Statistical models enable us to estimate the number of deaths at a trust. By dividing the number of actual deaths by the expected number, our modelled number, we create a ratio (shown on the graph with a coloured circle). Our model accounts for factors that can affect mortality but are beyond the control of the trust, for example, a patient's age.

Control limits (the vertical blue box) More information on control limits measure a trust's performance in relation to a national standard. If the ratio is within the vertical blue box it is consistent with national performance ­ the trust is performing as expected. A ratio outside the blue box is inconsistent with national performance.

We used data from the last financial year for the one year HSMR; the three year HSMR is calculated with data from the last three financial years. HSMR trend shows the HSMR for each of the last seven financial years, benchmarked against the 2002/03 model. Compare your chosen hospital provider with the five nearest providers performing this procedure. Read more about this indicator.

100

99.00

low: 93.5043, high: 106.7897

South London Healthcare NHS Trust

92.13

low: 87.8322, high: 113.1794

The Lewisham Healthcare NHS Trust

91.81

low: 94.2229, high: 105.9901

Barts Health NHS Trust

98.00

low: 89.6829, high: 111.0534

Croydon Health Services NHS Trust

76.46

low: 91.5036, high: 108.9659

King's College Hospital NHS Foundation Trust

86.41

low: 90.6922, high: 110.0124

Dartford and Gravesham NHS Trust

HSMR (3 year)

Control limits (the vertical blue box) More information on control limits measure a trust's performance in relation to a national standard. If the ratio is within the vertical blue box it is consistent with national performance - the trust is performing as expected. A ratio outside the blue box is inconsistent with national performance.

The three year HSMR is calculated with data from the last three financial years (2007/08, 2008/09, 2009/10). This wider pool of data, three years, gives a broader picture of a trust's performance over time.

Compare your chosen hospital provider with the five nearest providers performing this procedure. Read more about this indicator.

100

98.53

low: 96.2784, high: 103.8212

South London Healthcare NHS Trust

93.18

low: 93.3204, high: 106.9615

The Lewisham Healthcare NHS Trust

90.43

low: 96.6293, high: 103.4516

Barts Health NHS Trust

104.56

low: 93.8959, high: 106.3533

Croydon Health Services NHS Trust

84.41

low: 94.7393, high: 105.4831

King's College Hospital NHS Foundation Trust

105.03

low: 94.1910, high: 106.0294

Dartford and Gravesham NHS Trust

Services at Queen Elizabeth Hospital

General Services Information

Hospital Questions

  • How many single rooms are available to NHS patients? 69
  • Of these how many have an ensuite toilet? 69
  • Of these how many have an ensuite toilet and shower or bath? 69
  • Does this hospital site operate an accident and emergency unit? Yes
  • How many specialist palliative care beds do you have available at this site? 0
  • Are staff scheduled to be on site for a rostered session or full shift every saturday to carry out: Imaging - Magnetic Resonance Imaging: No
  • If No, are staff scheduled to be on call at home available to come in and perform this test? No
  • Are staff scheduled to be on site for a rostered session or full shift every saturday to carry out: Imaging - Computed Tomography: Yes
  • Are staff scheduled to be on site for a rostered session or full shift every saturday to carry out: Imaging - Non-obstetric ultrasound: No
  • If No, are staff scheduled to be on call at home available to come in and perform this test? Yes
  • Are staff scheduled to be on site for a rostered session or full shift every saturday to carry out: Imaging - DEXA Scan: No
  • If No, are staff scheduled to be on call at home available to come in and perform this test? No
  • Are staff scheduled to be on site for a rostered session or full shift every sunday to carry out: Imaging - Magnetic Resonance Imaging: No
  • If No, are staff scheduled to be on call at home available to come in and perform this test? No
  • Are staff scheduled to be on site for a rostered session or full shift every sunday to carry out: Imaging - Computed Tomography: Yes
  • Are staff scheduled to be on site for a rostered session or full shift every sunday to carry out: Imaging - Non-obstetric ultrasound: No
  • If No, are staff scheduled to be on call at home available to come in and perform this test? Yes
  • Are staff scheduled to be on site for a rostered session or full shift every sunday to carry out: Imaging - DEXA Scan: No
  • If No, are staff scheduled to be on call at home available to come in and perform this test? No

Trust Questions

  • Do you have a process/policy for identifying patients for early supported discharge (ESD)? Yes
  • Is there currently an ESD programme for Trauma and Orthopaedics? Yes
  • Is there currently an ESD programme for Nose & Throat (ENT)? Yes
  • Is there currently an ESD programme for Paediatric Surgery? NA
  • Is there currently an ESD programme for Urology? Yes
  • Is there currently an ESD programme for Plastic & Resconstructive? NA
  • Is there currently an ESD programme for Neurosurgery? NA
  • Is there currently an ESD programme for Cardiac surgery? NA
  • Is there currently an ESD programme for Throacic surgery? NA
  • Is there currently an ESD programme for Oral & Maxillofacial surgery? No
  • Is there currently an ESD programme for Cardiothoracic Surgery? NA
  • Is there currently an ESD programme for GI surgery? Yes
  • Is there currently an ESD programme for Stroke Medicine? Yes
  • Is there currently an ESD programme for Care of the Elderly? Yes
  • Other specialties: General Surgery
  • During the period 01 April 2011 - 31 March 2012, the total number of patients within the trust who were eligible for an ESD programme? Data not available
  • During the period 01 April 2011 - 31 March 2012, the total number of patients within the trust who were put on an ESD programme? 1606
  • Does the trust treat private patients? Yes

Patient Safety

Trust Questions

  • Do you have 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? Risk management system
  • Do you have 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? Weekly reporting and escalation of any cancelled surgery also via the Trust Risk Management System
  • Do you have 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? Risk management system
  • During the period 01 April 2011 - 31 March 2012, how many operations resulted in a foreign body being left post surgery: 0
  • During the period 01 April 2011 - 31 March 2012, how many operations were cancelled due to missing notes? 48
  • During the period 01 April 2011 - 31 March 2012, how many operations resulted in wrong site surgery taking place? 0
  • How many incident investigations using a full Root Cause Analysis were carried out in 2011/12? 129
  • What percent of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed? 61-90%
  • What percent of acute inpatients have a track and trigger warning system in place for the duration of the admission? 91-99%
  • During the period 01 April 2011 - 31 March 2012, the total number of patients who were transferred from a general ward to critical care because they had been coded to the 'high score group' according to the track and trigger system: 449 commentsThis number is for admissions to critical care from general wards
  • What percent of patients are risk assessed for venous thromboembolism on admission? 91-99%
  • Is the Trust compliant with all relevant NPSA safety alerts issues in 2011/12? (you can find a full list of alerts issued at http://www.nrls.npsa.nhs.uk/resources/?p=3).: Yes
  • Do the trust have a policy for providing educational programmes on using and interpreting clinical indicators? (training): Yes
  • 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

Trust Board Activity and Patient Safety

Trust Questions

  • How many board members are there in the trust? 10 commentsFrom 16th July 2012 the functions of the Trust Board are undertaken by the Trust Special Administrator
  • Over the course of the last year, what percentage of board meeting time has been devoted specifically to discussing patient safety issues? 31-60%
  • Over the past year, have board members received formal training in relation to patient safety? Yes
  • What training and development programmes have been attended? Board development programme and individual development programmes
  • Have the board set explicit measurable goals for improving performance in relation to patient safety? Yes
  • Measurable goals: Targets have been set for reductions in pressure ulcers and falls, MRSA and Clostridium difficile cases, VTE risk assessment, Patient at Risk (PAR) scoring.
  • Have strategic goals and objectives related to patient safety been distributed to staff groups within the last 12 months? Yes
  • Ambulance staff groups have received these goals and objectives: No commentsNot applicable
  • Allied Health Professionals staff groups have received these goals and objectives: Yes
  • Doctors staff groups have received these goals and objectives: Yes
  • Health Informatics staff groups have received these goals and objectives: Yes
  • Management staff groups have received these goals and objectives: Yes
  • Nursing staff groups have received these goals and objectives: Yes
  • Healthcare Science staff groups have received these goals and objectives: Yes
  • Wider Healthcare team staff groups have received these goals and objectives: Yes
  • Does the board have formal procedures for reporting inappropriate behaviours in relation to patient safety on a regular basis? Yes
  • What are these procedures? Safeguarding procedures, incident reporting procedures, disciplinary procedures, complaints procedures
  • Are there procedures for proactively responding to the reporting of staff concerns (e.g. 'whistle blowing') about patient safety? Yes
  • What are these procedures? Trust whistle-blowing policy
  • Executive walk-arounds are reported at all board meetings: Yes
  • Patient stories are reported at all board meetings: Yes
  • Board members shadow clinicians to better understand patient safety issues are reported at all board meetings: Yes
  • Board members engaged clinicians to better understand patient safety issues are reported at all board meetings: Yes
  • Infection rates are reported at all board meetings: Yes
  • Mortality rates are reported at all board meetings: Yes
  • Morbidity rates are reported at all board meetings: Yes commentsKey indicators of harm e.g. pressure ulcers, falls, infections are reported to each Board meeting.
  • Readmission rates are reported at all board meetings: Yes
  • Incident rates and levels of harm are reported at all board meetings: Yes
  • Patient Safety Surveys are reported at all board meetings: Yes
  • Formal Complaints processes are reported at all board meetings: Yes
  • Medication errors are reported at all board meetings: Yes commentsContained within report on patient safety incidents
  • CQC Quality and Risk Profiles (QRPs) are reported at all board meetings: Yes commentsTrust Board Committees
  • Staff safety (injuries and/or sickness) are reported at all board meetings: Yes
  • Implementation of safety alerts are reported at all board meetings: Yes
  • Formal written reports about safety performance are reported at all board meetings: Yes
  • Other quantitative ('hard') data sources related to patient safety that are reported at all board meetings: Safeguarding training and alerts, never events, VTE risk assessment
  • How many members of the board have clinical backgrounds? 3
  • Does the board have a formal subcommittee that discusses patient safety issues? Yes
  • How many times a year does this subcommittee meet? 6
  • Are patient safety measures included in the Chief Executive Officer's performance review? Yes
  • Details: An extensive range of patient safety measures are incorporated in the monthly performance review programme, including national and local data sets concerning mortality and harm
  • Does the board use any national reporting measures of patient safety? Yes
  • Details: Hospital Standardised Mortality Ratio (HSMR), Summary Hospital Mortality Index (SHMI), Dr Foster patient safety indicators, MRSA and C diff cases, VTE risk assessment
  • Financial performance: importance within the organistaion (with '1' being the most important and '6' being the least important): 2
  • Clininical effectiveness: importance within the organistaion (with '1' being the most important and '6' being the least important): 2
  • Patient Safety: importance within the organistaion (with '1' being the most important and '6' being the least important): 1
  • Patient Experience: importance within the organistaion (with '1' being the most important and '6' being the least important): 2
  • Achieving waiting time targets: importance within the organistaion (with '1' being the most important and '6' being the least important): 2
  • Staff satisfaction: importance within the organistaion (with '1' being the most important and '6' being the least important): 2

Stroke Medicine

Hospital Questions

  • Does this hospital have a specialist stroke unit? Yes
  • What type of unit does the hospital have? combined acute and rehabilitation stroke unit
  • The number of beds in the Stroke unit: 28
  • Is a trained thrombolysis stroke nurse available 24/7? No
  • Is a consultant stroke physician/neurologist available 24/7? Yes on site
  • Is an ST3 physician with training in thrombolysis available 24/7? No
  • Does the hospital have consultant led ward rounds for stroke wards seven days a week? No comments5 ward rounds for stroke unit

Trust Questions

  • Does the trust have a specialist stroke unit or units? Yes
  • Is the Trust part of a stroke care network? Yes
  • 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 2011 - 31 March 2012)? 806
  • Of these, what is the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission? The majority of the stroke patients coming to the Trust receive care first at the HASU, where the CT would always be carried out within 24 hours in line with the agreed London model for stroke care. The exact data is not available.
  • Does the hospital have a team permanently onsite which is able to provide thrombolysis for stroke patients 24 hours per day and 7 days a week? Yes

Trauma & Orthopaedics

Trust Questions

  • Does the trust offer a trauma service? Yes
  • Does the trust have a dedicated trauma list available 24 hours a day for the duration of the week, (Sunday to Sunday)? No commentsNo – day lists Monday to Saturday only
  • Does the trust offer an orthopaedics service? 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 commentsAt Queen Mary's Hospital Sidcup, a knee school is in place with a hip school to commence September 2012
  • Percentage of all patients attend the class prior to surgery (estimate): 98
  • Does the trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients? No commentsA standardised anaesthetic protocol is being developed
  • percentage of the trusts total knee replacement (TKR) and total hip replacement (THR) patients walk within 24 hours of surgery (estimate): 95
  • Does the trust provide an equivalent physiotherapy service to both elective and trauma patients at the weekend? (i.e. is the service staffed on the weekend with the same skill mix, and numbers of staff): Yes
  • Does the Trust admit patients for total knee replacement (TKR) and total hip replacement (THR) prior to the day of surgery? No
  • Does the Trust routinely record patient records using a specific multi-disciplinary team THR/TKR pathway document? No commentsIntegrated care pathway in development
  • Is criteria-based discharge used? Yes
  • Are patients routinely phoned in the first 48 hours after discharge to check on their progress? Yes commentsAt Queen Mary's Hospital Sidcup
  • Do 100% of hip and knee replacements follow an enhanced recovery pathway? No
  • Unable to put a figure on how many hip and knee replacement patients follow an enhanced recovery pathway: Yes
  • Explanantion of why some patients do not follow the pathway: We are in the process of agreeing the use of preload on the QMS and then all patients will be on the pathway.
  • Are there daily goals for hip and knee patients to achieve? Yes
  • What day does the Trust aim to have patients ready for home? i.e. what are patients told in their information booklets and at the pre-op class: Patients at QMS for knee replacements are informed of their expected goals and that the expected stay is 2 -3 days and hip replacements 3 – 4 days
  • Apart from hip and knee replacement, what other procedures have enhanced recovery pathways? Colorectal Surgery, Breast
  • For what percentage of hip fracture patients is the time to theatre within 36 hours of arrival to Emergency Department (or time of diagnosis (if an inpatient) to the start of anaesthesia)(%): 72%
  • What percentage of hip fracture patients are admitted under the joint care of a Consultant Geriatrician & a Consultant Orthopaedic Surgeon: Not applicable
  • What percentage of hip fracture patients are admitted using an assessment tool agreed by geriatric medicine, orthopaedic surgery and anaesthesia: Not applicable
  • What percentage of hip fracture patients are assessed by a geriatrician in perioperative period (defined as 72hrs from admission) (Geriatrician defined as Consultant; SAS or ST3+): Not applicable
  • What percentage of hip fracture patients receive a postoperative Geriatrician-directed Multi-professional rehabilitation team: Data not available
  • What percentage of hip fracture patients receive postoperative Geriatrician-directed Fracture prevention assessments (falls and bone health): Data not available
  • What percentage of hip fracture patients have a Pre and post op abbreviated mental test score (AMTS): Data not available

Paediatrics

Hospital Questions

  • Does this hospital offer a paeditrics service? Yes

Trust Questions

  • Does the trust provide a paediatrics service? Yes
  • Is the trust's elective paediatric surgery carried out only by designated surgeons with at least six months training in a specialist unit? No
  • Do the trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week? Yes
  • Paediatrician on site (SpR or higher) available 24 hours per day, 7 days per week: Yes
  • At least two registered children's nurses on duty 24hours per day in each children's ward available 24 hours per day, 7 days per week: Yes
  • Is there a designated facility on site for parents or guardians to stay overnight? Yes
  • What percentage of children who are admitted to a paediatric department with an acute medical problem are seen by a paediatrician on the middle grade or consultant rota within four hours of admission? 100%
  • What percentage of children who are admitted to a paediatric department with an acute medical problem are seen by a consultant paediatrician (or equivalent staff, speciality and associate specialist grade doctor who is trained and assessed as competent in acute paediatric care), within the first 24 hours? 100%
  • Do All SSPAUs (Short Stay Paediatric Assessment Units) have access to a paediatric consultant (or equivalent) opinion throughout all the hours they are open? Yes
  • Is at least one medical handover in every 24 hour period led by a paediatric consultant (or equivalent)? Yes
  • Are specialist paediatricians available for immediate telephone advice for acute problems for all specialties, and for all paediatricians? Yes
  • Do all children's social care, police and health teams have access to a paediatrician with child protection experience and skills (of at least Level 3 safeguarding competencies) available to provide immediate advice and subsequent assessment, if necessary , for children under 18 years of age where there are child protection concerns. (The requirement is for advice, clinical assessment and the timely provision of an appropriate medical opinion, supported with a written report)? Yes

Palliative Care

Trust Questions

  • Does the trust provide a palliative care service? Yes
  • How is specialist palliative care is delivered at this hospital? A multi-disciplinary specialist palliative care team commentsAt Princess Royal site - The trust buys Palliative care consultant sessions from St Christophers Hospice split between 2 consultants 4 (Pas) 2 (Pas) .1 CNS trust funded, 1.1wte funded by Greenwich and Bexley hospice.
  • Does the hospital's specialist palliative team include: A consultant in palliative medicine,A palliative care nurse
  • Is the Trust's specialist palliative care team available 24 hrs a day seven days a week? Yes commentsPruh - 5 days a week, 9 – 5 cns cover, 24 hour telephone advice from consultant purchased from hospice.QE – 7 day visiting service from CNS purchased through and 24 hour consultant advice purchased from Greenwich and Bexley hospice.QMS – 24 hr telephone advice from consultant, CNS cover, Mon, Wed, Friday. Consultant will visit if needed outside of (pas
  • 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? Yes commentsThe trust participates every 2 years on the National Care of the Dying Audit Hospitals.

Care of the Elderly

Trust Questions

  • Does the trust have a named senior clinician who takes the lead for quality improvement in dementia in the trust? Yes
  • Name and job title: Each acute site has a lead consultant physician for Dementia
  • Does the trust have an explicit care pathway for the management and care of people with dementia in hospital? Yes
  • Are all appropriate nurses trained to recognise the signs of dementia and identify patients for this care pathway? Yes
  • During the period 01 April 2011 - 31 March 2012, the total number of patients who were referred to this care pathway: Data not available
  • Is there a process for identifying patients who are at risk of dehydration an malnutrition? Yes
  • During the period 01 April 2011 - 31 March 2012, the total number of patients recorded as malnourished or dehydrated according to the trust's incident reporting system: 9 comments9 incidents were reported. 7 patients admitted via ED in malnourished state, 1 admitted at risk due to PEG management issues following failed discharge, and 1 in-patient due to excessive vomiting and stoma discharge
  • Does the trust currently audit the number of "slips, trips and falls" using a risk management system? Yes
  • Is this information submitted to the NPSA's National Reporting and Learning System (NRLS) via the local risk management systems or e-forms? Yes
  • The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: No harm: 1507
  • The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: Low harm - harm requiring first-aid level treatment, or extra observation only (e.g. bruises, grazes): 893
  • The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: Moderate harm - harm requiring hospital treatment or a prolonged length of stay but from which a full recovery is expected (e.g. fractured clavicle, laceration requiring suturing): 89
  • The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: Severe harm - harm causing permanent disability (e.g. brain injury, hip fractures where the patient is unlikely to regain their former level of independence): 23
  • The total number of incidents during the period 01 April 2011 - 31 March 2012 for the category: Death - where death is directly attributable to the fall: 3

Staffing

Hospital Questions

  • Foundation Doctors, Year 1 & 2 Scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 4
  • Foundation Doctors, Year 1 & 2 On call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 4
  • Foundation Doctors, Year 1 & 2 on call from home on Sunday June 17th at 11:00am: 0
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 11
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 11
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post on call from home on Sunday June 17th at 11:00am: 0
  • ST3 or higher (specialist training) scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 6
  • ST3 or higher (specialist training) on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 6
  • ST3 or higher (specialist training) on call from home on Sunday June 17th at 11:00am: 2
  • Staff grade post equivalent to ST3 or higher scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 2
  • Staff grade post equivalent to ST3 or higher on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 2
  • Staff grade post equivalent to ST3 or higher on call from home on Sunday June 17th at 11:00am: 0
  • Consultants scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 1
  • Consultants on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 1
  • Consultants on call from home on Sunday June 17th at 11:00am: 12
  • Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 4
  • Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round, on Sunday June 17th at 11:00am: 4
  • Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 0
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 11
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice: 11
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 0
  • ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 6
  • ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 6
  • ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 2
  • Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 2
  • Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 1: 2
  • Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 0
  • Consultants responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00am: 1
  • Consultants responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00am: 1
  • Consultants responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00am: 12
  • Foundation Doctors, Year 1 & 2 scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 1
  • Foundation Doctors, Year 1 & 2 on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 1
  • Foundation Doctors, Year 1 & 2 on call from home on Sunday June 17th at 11:00pm: 0
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 11
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 11
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post on call from home on Sunday June 17th at 11:00pm: 0
  • ST3 or higher (specialist training) scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 7
  • ST3 or higher (specialist training) on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 7
  • ST3 or higher (specialist training) on call from home on Sunday June 17th at 11:00pm: 2
  • Staff grade post equivalent to ST3 or higher scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 2
  • Staff grade post equivalent to ST3 or higher on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 2
  • Staff grade post equivalent to ST3 or higher on call from home on Sunday June 17th at 11:00pm: 0
  • Consultants scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 0
  • Consultants on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 0
  • Consultants on call from home on Sunday June 17th at 11:00am: 12
  • Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 1
  • Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 1
  • Foundation Doctors, Year 1 & 2 responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 0
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 11
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice: 11
  • ST1/ST2 or CT1/CT2 (core training/specialist training ) or equivalent non-deanery post responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 0
  • ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions Scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 7
  • ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 7
  • ST3 or higher (specialist training) responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 2
  • Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions Scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 2
  • Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 1: 2
  • Staff grade post equivalent to ST3 or higher responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 0
  • Consultants responsible for current medical inpatients and new medical admissions scheduled to be on site for rostered session or full shift on Sunday June 17th at 11:00pm: 0
  • Consultants responsible for current medical inpatients and new medical admissions on call, but physically on site either as a requirement of terms of on call or as routine practice, e.g. Ward round on Sunday June 17th at 11:00pm: 0
  • Consultants responsible for current medical inpatients and new medical admissions on call from home on Sunday June 17th at 11:00pm: 11
  • Does the hospital have a formal "hospital at night" system? Yes
  • Night Nurse Practitioners in the "hospital at night" team: 1 commentsclinical site practitioner
  • Other nursing staff in the "hospital at night" team: 1
  • ST3 or higher (specialist training) in the "hospital at night" team: 4
  • Staff grade post equivalent to ST3 or higher in the "hospital at night" team: 4 comments2 Med SHO’s 1 surg SHO 1 ortho SHO
  • Consultants in the "hospital at night" team: On call for all teams

Consultants at Queen Elizabeth Hospital

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