Queen's Medical Centre, Nottingham

General hospital information

  • Number of beds: N/A
  • % of single rooms: N/A
  • Total parking spaces: N/A
  • Average parking fee per hour: N/A

Address & description

Queen's Medical Centre,
University Hospital, Nottingham, England, NG7 2UH
Tel: Work 0115 924 9924
Queen's Medical Centre

Formed in 2006, Nottingham University Hospitals is now one of the biggest and busiest acute Trusts in England, employing 13,000 staff. NUH provides services to over 2.5 million residents of Nottingham and its surrounding communities. We also provide specialist services to a further 3-4 million people from neighbouring counties each year. The Trust is made up of Queen's Medical Centre, Nottingham City Hospital and Ropewalk House.

Queen's Medical Centre – our emergency care site (where the Emergency Department is located) - Nottingham City Hospital – where the Cancer Centre, Heart Centre and stroke services are based and where we focus on planned care and the care of patients with long-term conditions - Ropewalk House – where a range of outpatient services, including hearing services, is provided The Trust, which has 87 wards and circa 1,700 beds, has achieved a national and international reputation for a number of specialist services, including stroke, renal, neurosciences, cancer services and trauma. QMC is home to the Nottingham Children's Hospital.

NUH Maternity Services came into being in April 2006 and brought together two large maternity units based at QMC and City Hospital. Each unit provides a range of complex maternal and fetal medicine services together with midwife led care. Both units receive tertiary referrals for fetomaternal medicine, neonatal surgery/ extreme prematurity and are currently supported by two level 3 neonatal units. The birth-rate in 2010 was 10,316 which is an increase of 200 on the previous year. Both units serve a diverse population but are particularly challenged by high levels of social deprivation including teenage pregnancy and drug and alcohol misuse. During 2011 Community Midwifery services became part of NUH Maternity services. This has enabled the service to begin to review pathways of care and to integrate the delivery of maternity care in a more meaningful way. For example newly qualified midwives include community practice as part of their development programme.

NUH is at the forefront of many research programmes and new surgical procedures. Nottingham (NHS trust and university partnership) has been awarded two successful bids for Biomedical Research Units in hearing and digestive diseases. As a teaching trust NUH has strong relationships with colleagues at the University of Nottingham and other universities across the East Midlands, including Loughborough University. The Trust plays a vital role in the education and training of doctors, nurses and other healthcare professionals. Our Annual Report and Accounts and Quality Account for 2010/11 are available on the NUH website at www.nuh.nhs.uk

* this profile text was provided by Nottingham University Hospitals NHS Trust

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Services at Queen's Medical Centre

General Services Information

Hospital Questions

  • How many single rooms are available to NHS patients at this hospital: 267
  • Of these how many have an ensuite toilet: 42
  • Of these how many have an ensuite toilet and shower or bath: 91
  • Does this hospital operate an accident and emergency unit: Yes
  • How many specialist palliative care beds are available at this hospital: 0
  • Does this hospital have a named private unit/service: No

Trust Questions

  • Does the Trust treat private patients: Yes

Patient Safety

Trust Questions

  • Is there 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: Datix System and escalation to medical director as 'Never Event'
  • Is there 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: Datix and ORMIS [electronic theatre system]
  • Is there 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: Datix System and escalation to medical director as 'Never Event'
  • During the period 01 April 2010 - 31 March 2011, how many operations resulted in a foreign body being left post surgery: 4
  • During the period 01 April 2010 - 31 March 2011, how many operations were cancelled due to missing notes: 1
  • During the period 01 April 2010 - 31 March 2011, how many operations resulted in wrong site surgery taking place: 1
  • How many incident investigations using a full Root Cause Analysis did were carried out in 2010/11: 264
  • What percentage of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed: 91-99% commentsThis number relates to those RCAs monitored at corporate level. Local investigations [by directorates] are not included.
  • 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%
  • 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). : Yes
  • Does the Trust have a policy for providing educational programmes on using and interpreting clinical indicators: Yes
  • Does the Trust have a designated member of staff who supports teams in locating and analysing safety and quality data? (support): Yes commentsThe Trust has several members of staff who support teams in locating and analysing safety and quality data. The Deputy Director of Information (and team) provides support on locating data, whether it is through Dr Foster, Hospital Episode Statistics, the East midlands Quality Observatory, etc. In addition this team also helps teams with the analysis, including developing tools or answer queries. In addition, the Head of Intelligence works with teams on very specific projects as part of the whole hospital change programme. To further support this, the Trust has an Information Users Group, which consists of analysts from all Directorates, ICT, Data Quality and the Corporate Information Team and this meets on a monthly basis. In addition, specific alerts, such as mortality are monitored at the Clinical Effectiveness Committee and the Quality Risk and Safety Committee.
  • Is safety and quality data available on a central platform and actively disseminated to users: Yes commentsSafety and Quality data, where appropriate, is available on the Trust’s Intranet. When a report is updated, users receive an email to let them know the content has changed. In addition, several dashboards are also available, including the Nursing Metrics dashboard, which provides information on quality metrics for nursing staff. In addition, specific alerts, such as mortality are monitored at the Clinical Effectiveness Committee and the Quality Risk and Safety Committee, and where further action is needed the data are disseminated to the individuals or teams responsible to produce an action plan.

Infection Control

Trust Questions

  • Does the Trust employ an antibiotic pharmacist: Yes
  • 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: Yes
  • Elective patient groups screened at the pre-op assessment clinic: All elective surgical
  • Are all oncology patients screened at the pre-op assessment clinic: NO
  • Are all chemotherapy patients screened at the pre-op assessment clinic: NO
  • Are all elective neurosurgery patients screened at the pre-op assessment clinic: YES
  • Are all patients with past history of MRSA screened at the pre-op assessment clinic: Yes
  • What method of MRSA screening is used when screening at admission: Other (please specify) commentsculture for majority, rapid screening on critical care areas
  • On admission, does topical suppression take place immediately: No commentsTopical supressions for all previous MRSA carriers
  • Does the Trust have at least one accident and emergency unit: Yes
  • Are all patients admitted through A&E screened: No
  • Is screening done according to individual risk assessment: Yes
  • Does the Trust have a dedicated isolation ward: Yes
  • How many beds does it contain: 13
  • Does the Trust have an isolation policy: Yes
  • Where medically appropriate, are patients with C Diff isolated in single rooms as a matter of priority: Yes
  • Does the Trust have a policy to guide the use of metronidazole and vancomycin for C.difficile infected patients: Yes
  • Does the Trust routinely isolate all patients with diarrhoea: Yes

Stroke Medicine

Hospital Questions

  • Does the hsopital have a specialist stroke unit: No

Trust Questions

  • Does the Trust have a specialist stroke unit or units: Yes
  • Is the Trust part of a stroke care network: Yes
  • Details: East Mids 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): 1500 commentsapprox
  • Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 1350 commentsapprox
  • Is thrombolysis for stroke patients provided 24 hours per day and 7 days a week : Yes
  • Are there any formal arrangements with neighbouring hospitals for the emergency transfer of stroke patients who would benefit from thrombolytic treatment: Yes
  • These arrangements are with: SFHT

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): Yes
  • Does the Trust offer an orthopaedics service: Yes
  • Do all the Trust's orthopaedic ward/team have a linked geriatric team with whom they have regular meetings at least once a week: 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)? : No
  • Does the Trust have a standardised anaesthetic protocol for Total Knee Replacement (TKR) and Total Hip Replacement (THR) patients: Yes
  • Estimated percentage compliance to this protocol: 95
  • 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: Yes
  • Not able to put a figure Patients' discharge delayed due to lack of physiotherapy services at weekends: Yes
  • Are patients for total knee replacement (TKR) and total hip replacement (THR) admitted prior to the day of surgery: No
  • Are patient records routinely recorded using a specific multi-disciplinary team THR/TKR pathway document: No
  • Is criteria-based discharge used: Yes
  • Are patients routinely phoned in the first 48 hours after discharge to check on their progress: No

Paediatrics

Hospital Questions

  • Does the hospital have a paediatrics service: Yes

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: Yes
  • Do the Trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week: Yes
  • Is a paediatrician on site (SpR or higher) 24 hours per day, 7 days per week: Yes
  • Are at least two registered children's nurses on duty 24hours per day in each children's ward: Yes
  • Is there a designated facility on site for parents or guardians to stay overnight: Yes

Palliative Care

Trust Questions

  • Does the Trust provide a palliative care service: Yes
  • How is specialist palliative care delivered at the hospital: Adult inpatient specialist palliative care unit commentsand HPCTeam
  • Does the hospital's specialist palliative team includes: A consultant in palliative medicine,A palliative care nurse,Other (please specify) commentsother= Last Days of Life Pathway Facilitator
  • Is the Trust's specialist palliative care team available 24 hrs a day seven days a week: Yes
  • 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: No

Maternity Care

Maternity Sites

  • Queen's Medical Centre - Consultant Led
  • How many women were booked for a home birth: 0 commentsas above
  • How many women had a home birth? (not including births at home by accident): 0 commentsplease note that I was unable to proceed without inserting a number. 0 is not the correct number
  • Number of antenatal rooms: 16 commentsas above- flexible use of rooms
  • Total antenatal beds: 16
  • Number of assessment area rooms (for monitoring and / or induction): 3 commentsassessment beds
  • Total assessment area beds: 3
  • Number of delivery rooms: 14
  • Total delivery beds: 14
  • Number of postnatal rooms: 32 commentsflexible use
  • Total postnatal beds: 32
  • Number of rooms in obstetric high dependency unit: 2
  • Total obstetric high dependency beds: 2
  • 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: No
  • If women can pay for a single room what is the average cost per night (GBP): 0
  • Does the maternity unit have a neonatal intensive care unit: Yes
  • Does the maternity unit have a neonatal high dependency unit: Yes
  • Does the maternity unit have a special care baby unit: Yes
  • Security measures - ankle bands for the baby: Yes
  • Security measures - cot alarms: No
  • Security measures - CCTV: Yes
  • Security measures - restricted access: Yes
  • 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: Not available
  • 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: Provided by unit
  • 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: 112
  • Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 105
  • 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
  • Nottingham City Hospital - Consultant Led
  • How many women gave birth in the unit during the year? (not including home births): 10173 commentsNUH had a total of 10319 births in 2010/11. This is a combined figure and is the one that we report to LSA and NHSLA
  • How many babies were born in the unit during the year? (not including home births): 10319 commentsplease see comment above
  • How many women were booked for a home birth: 0 commentsNUH was not responsible for the delivery of the home birth service in 2010/11. we cannot therefore report on numbers of home births for this period but we will be able to do so next year 11/12 as the TCS process means that NUH are now responsible for this service
  • How many women had a home birth? (not including births at home by accident): 0 commentssee above for comment please
  • Number of antenatal rooms: 20 commentsrooms are used flexibly as demand requires
  • Total antenatal beds: 20
  • Number of assessment area rooms (for monitoring and / or induction): 3 commentsthis represents beds used for assessment
  • Total assessment area beds: 3
  • Number of delivery rooms: 17
  • Total delivery beds: 17
  • Number of postnatal rooms: 43 comments8 beds on patient hotel
  • Total postnatal beds: 43
  • Number of rooms in obstetric high dependency unit: 0 commentsdelivery rooms are flexibly used to accomodate HDU care if required
  • 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: No
  • If women can pay for a single room what is the average cost per night (GBP): 0 commentswe do not provide this facility on either campus
  • Does the maternity unit have a neonatal intensive care unit: Yes
  • Does the maternity unit have a neonatal high dependency unit: Yes
  • Does the maternity unit have a special care baby unit: Yes
  • Security measures - ankle bands for the baby: Yes
  • Security measures - cot alarms: No
  • Security measures - CCTV: Yes
  • Security measures - restricted access: Yes
  • 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: Not available
  • 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: Provided by unit
  • 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
  • Total number of WTE midwives at the unit as staff in post, including agency and bank staff: 136
  • 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 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): No commentsMidwifery Led care women will recieve all care by their community midwife
  • Are NHS antenatal classes available (e.g. Parentcraft): Yes
  • Available during the daytime (until 5pm): Yes
  • Available in the evenings (after 5pm): Yes
  • Available at weekends (Saturday and/or Sunday): Yes
  • Available for women only groups: Yes
  • Available for other groups: Yes
  • Also available for: active birth workshops
  • Are all women routinely offered ultrasound scans: Yes
  • Scan 1 available between: 10-12+6
  • Scan 2 available between: 20-21

Trust Statistics

Trust Questions

Consultants at Queen's Medical Centre

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