Royal Marsden Hospital, The, Sutton

General Services Information

Hospital Questions

• How many single rooms are available to NHS patients at this hospital: 30

• Of these how many have an ensuite toilet: 30

• Of these how many have an ensuite toilet and shower or bath: 30

• Does this hospital operate an accident and emergency unit:

• How many specialist palliative care beds are available at this hospital: 8

• Does this hospital have a named private unit/service:

• What is the name of the private unit/service: Granard House Wing

• How many beds are available within the private unit/service: 21 21 beds and 22 day care chairs. We also have 10 day care chairs in The William Rous Unit at Kingston Hospital

• How many single rooms are available within the private unit/service: 21

• Of these, how many have an ensuite toilet: 21

• Of these, how many have an ensuite toilet and shower or bath: 21

• Direct telephone number for the private unit: 0207 352 8171 Ask for private ward, OP department or day unit at Chelsea via switchboard

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 code

• 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 code

• 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 code

• 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: 0

• 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: 34

• 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% 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). :

• 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

• 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 48-72hrs

• On admission, does topical suppression take place immediately:

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

• Does the Trust have a dedicated isolation ward:

• How many beds does it contain: 16 We have one dedicated isolation ward with 16 beds. We also have 16 other isolation rooms spread over six wards which are suitable for isolation patients.

• Does the Trust have an isolation policy:

• Where medically appropriate, are patients with C Diff isolated in single rooms as a matter of priority: It is Trust policy for isolation to take place within two hours and this is monitored by a clinical indicator

• 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: This is monitored by a clinical indicator

Stroke Medicine

Trust Questions

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

• Is the Trust part of a stroke care 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): 0

• Of these, what was the number of patients given a Computerised Tomography (CT) scan within 24 hrs of admission: 0

• 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:

Trauma & Orthopaedics

Trust Questions

• Does the Trust offer a trauma service:

• Does the Trust offer an orthopaedics service:

Paediatrics

Hospital Questions

• Does the hospital have a paediatrics service:

Trust Questions

• Is the Trust's elective paediatric surgery carried out only by designated surgeons with at least six months training in a specialist unit:

• Do the Trust's anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week:

• Is a paediatrician on site (SpR or higher) 24 hours per day, 7 days per week:

• Are at least two registered children's nurses on duty 24hours per day in each children's ward:

• Is there a designated facility on site for parents or guardians to stay overnight:

Palliative Care

Trust Questions

• Does the Trust provide a palliative care service:

• How is specialist palliative care delivered at the hospital: Adult inpatient specialist palliative care unit Care is delivered by an adult inpatient specialist palliative care unit and a multi disciplinary specialist palliative care hospital support team

• Does the hospital's specialist palliative team includes: A consultant in palliative medicine,A palliative care nurse,Other (please specify) Care is delivered with Consultants in Palliative Medicine, Macmillan Nurse Consultant Palliative Care, Matron in Palliative Care, Clinical Nurse Specialists Palliative Care, Specialist registrars in palliative care in training. We also have access to the wider multidisciplinary team.

• Is the Trust's specialist palliative care team available 24 hrs a day seven days a week:

• Are facilities provided to support relatives and carers who wish to stay with a patient in hospital:

• 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:

Maternity Care

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):

• Are all women routinely offered ultrasound scans:

Trust Statistics

Trust Questions

• You can view various measures relating to the Trust's performance by clicking the following link: The Royal Marsden NHS Foundation Trust