St Bartholomew's Hospital, London
- Useful links:
- Quality Account
This hospital is part of Barts and The London NHS Trust
General hospital information
- Number of beds: 248
- % of single rooms: 26%
- Total parking spaces: N/A
- Average parking fee per hour: N/A
Address & description
St Bartholomew's Hospital,
West Smithfield,
London,
England,
EC1A 7BE
Tel: Work 020 7377 7000
Barts and The London hospitals are world-renowned for our clinical excellence. We see a high concentration of complex cases, which means that we have some of Britain's leading specialists on our teams. Their expertise benefits all of our patients, including those coming in for more routine procedures.
As well as maintaining one of the best survival rate records in the UK, our clinical quality has been rated as 'excellent' by independent health watchdog, the Healthcare Commission, for the second year running.
Working closely with our academic partners, our specialists align world class research with clinical practice to ensure that our patients benefit from new cures and treatments as quickly as possible.
St Bartholomew's Hospital, known as Barts, is a leading, internationally renowned teaching hospital based in the City of London. We offer a full range of local and specialist services, which includes centres for the treatment of cancer, heart conditions, fertility problems and sexual health conditions.
Our mission is to bring excellence to life - to give patients the best possible care so that they can live better, fuller, longer lives.
* this profile text was provided by Barts and The London NHS Trust
Patient Safety at St Bartholomew's Hospital
| Does the Trust have a publicly named person at Board level responsible for patient safety: |
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| What position do they hold with the organisation: |
Medical Director
 And Chief Nurse
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| Does the Trust Board have a monthly standing item on patient safety: |
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| Does the Trust Board have definitions for healthcare associated infections data: |
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| Does the Trust Board have definitions for implementation of safety alerts and other safety critical information received HCAI data: |
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| Does the Trust Board have definitions for incident investigations carried out and changes resulting from these: |
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| Does the Trust Board have definitions for never events: |
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| Does the Trust Board have definitions for numbers and type of patient safety incidents: |
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| Does the Trust Board have definitions for serious untoward incidents: |
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| Does the Trust Board routinely receive reporting at Board meetings on the implementation of safety alerts and other safety critical information received HCAI data: | every meeting |
| Does the Trust Board routinely receive reporting at Board meetings on incident investigations carried out and changes resulting from these: | every meeting |
| Does the Trust Board routinely receive reporting at Board meetings on never events: | every meeting |
| Does the Trust Board routinely receive reporting at Board meetings on numbers and type of patient safety incidents: |
quarterly
Via Quality Assurance Committee which receives the Quarterly Adverse Events Report
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| Does the Trust Board routinely receive reporting at Board meetings on other safety items: |
n/a
Bi Monthly (See info in other field below)
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| Does the Trust Board routinely receive reporting at Board meetings on serious untoward incidents: | every meeting |
| If yes what are they: | HCAI are reported at every Board. Safety alerts are monitored through the Quality and Safety Committee; Completion of incident investigations, lessons learnt and actions completed are monitored through the Q&SC |
| Do the Trust have a policy for being open with patients and their families when things go wrong: |
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| IF yes, name of policy and date approved by the Board: | Being Open, 14th July 2009 (second revision) |
| What elements in the organisation support being open with patients and their families when things go wrong - ACCESS TO COUNSELLING: |
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| What elements in the organisation support being open with patients and their families when things go wrong - ACCESS TO DEBRIEFING: |
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| What elements in the organisation support being open with patients and their families when things go wrong - ACCESS TO TRAINING: |
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| What elements in the organisation support being open with patients and their families when things go wrong - BOARD UNDERSTANDING/SUPPORT: |
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| What elements in the organisation support being open with patients and their families when things go wrong - HUMAN RESOURCES UNDERSTANDING/SUPPORT: |
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| What elements in the organisation support being open with patients and their families when things go wrong - OTHER: |
Discussion of being open included in standard agenda for all SUI 24 hour review meetings, held whenever a potential SUI is reported
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| What elements in the organisation support being open with patients and their families when things go wrong - SENIOR CLINICIAN UNDERSTANDING/SUPPORT: |
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| Other : | Discussion of being open included in standard agenda for all SUI 24 hour review meetings, held whenever a potential SUI is reported |
| What percent of staff have been trained in using a being open policy: |
11-30%
17% currently. Staff are offered support directly with this if the incident is an SUI
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| When an error occurs, does the Trust have clear criteria for deciding whether disciplinary action should be taken against an individual staff member: |
Use of the NPSA Incident Decision Tree
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| Does the Trust have a strategy for assuring the quality, completeness and follow-up of incident investigations: |
Strategy applies to Serious Untoward Incidents primarily. Moderate untoward incidents are reviewed by the Division. Incident database is reviewed to ensure managers take action on less serious incidents.
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| IF Yes, name of strategy and date approved by the Board (if approved): | Incident Reporting and Management Policy, approved 04.12.07 |
| Who is the person within the Trust responsible for ensuring NPSA alerts are implemented: | Other |
| Other (please specify): | Chief Nurse |
| How many incident investigations using a full Root Cause Analysis did the Trust carry out in 2008/9: |
58
not all clinical and not all for severe harm/death incidents
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| What percent of patient safety incidents resulting in severe harm or death had a full RCA initiated/completed?: | 31-60% |
| What mechanisms does the Trust use to assess their level of compliance for these- ASKING STAFF: |
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| What mechanisms does the Trust use to assess their level of compliance for these- AUDIT OF IMPLEMENTATION: |
Partial completion
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| What mechanisms does the Trust use to assess their level of compliance for these- MONITORING OF INCIDENT DATA: |
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| What mechanisms does the Trust use to assess their level of compliance for these- PATIENT FEEDBACK: |
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| What mechanisms does the Trust use to assess their level of compliance for these- PHARMACY DATA: |
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| What mechanisms does the Trust use to assess their level of compliance for these- PROCESS AND OUTCOME MEASURES DESIGNED SPECIALLY: |
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| What mechanisms does the Trust use to assess their level of compliance for these- SAFETY WALKAROUNDS: |
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| What mechanisms does the Trust use to assess their level of compliance for these- TRACKING RELEVANT INVESTIGATIONS CARRIED OUT: |
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| Has the Trust identified a lead clinician to provide training of all staff involved in chest drain insertion: |
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| Has the Trust audited its procedures around chest drain insertion: |
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| Has the Trust reviewed its local guidelines around sampling from arterial lines: |
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| Has the Trust audited its procedures around arterial infusion lines: |
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| If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, what is believed to be the reason: NOT APPLICABLE TO THIS ORGANISATION: |
Difficulty completing audit data due to poor clinician response to enquiries
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| If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, what is believed to be the reason: OTHER (PLEASE SPECIFY): |
Difficulty completing audit data due to poor clinician response to enquiries
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| If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, why do you think the Trust is not yet fully compliant MULTI STILL TO CARRY OUT AUDIT: |
Difficulty completing audit data due to poor clinician response to enquiries
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| If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, what is believed to be the reason: STILL TO GET BOARD AGREEMENT: |
Difficulty completing audit data due to poor clinician response to enquiries
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| If the Trust is not yet fully compliant with any of the eight alerts listed by Dr Foster, what is believed to be the reason: STILL TO GET CLINICIAN AGREEMENT: |
Difficulty completing audit data due to poor clinician response to enquiries
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| Other: | Audit not yet complete |
| If the Trust is not yet fully compliant with any of the eight NPSA alerts, when does it expect to be compliant with these: | In the next 6 months |
| Does the Trust currently meet regularly with commissioners to discuss patient safety issues?: |
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| Does the Trust regularly discuss HCAI data with commissioners: |
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| Does the Trust regularly discuss the implementation of safety alerts and other safety critical information with commissioners: |
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| Does the Trust regularly discuss incident investigations carried out and changes resulting from these with commissioners: |
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| Does the Trust regularly discuss never events with commissioners: |
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| Does the Trust regularly discuss the numbers and types of patient safety incidents with commissioners: |
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| Does the Trust regulalry discuss serious untoward incidents with commissioners: |
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| Do commissioners work with the Trust to improve safety in the organisation: |
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| Do commissioners work with the Trust on providing assurance: |
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| Do commissioners work with the Trust on setting priorities: |
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| Do commissioners work with the Trust on performance management: |
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| Do commissioners with with the Trust on sharing learning from external bodies and research: |
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| Do ommissioners work with the Trust on sharing learning from other events: |
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| Do commissioners work with the Trust to share learning from other organisations: |
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| Do commissioners work with the Trust on support with handling major incidents: |
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| What percent of acute inpatients have a track and trigger warning system in place for the duration of the admission: | 0% |
| Does the Trust audit all cardiac arrests that occur outside the Intensive Care Unit: |
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| What was the date of the last audit and main findings : | __08/09 audit completed, report in preparation. 07/08 report _This audit highlights some of the major topics concerned with cardiac arrest calls within the Trust. The survival rate for this audit period is 29% from all cardiac arrest calls across the whole Trust. The highest number of cardiac arrest calls were in the Cardiac & Renal Directorate (231 calls) and Medical & Emergency Directorate (112 calls) which could be predicted due to the nature of the patients and their presenting conditions when admitted to these Directorates. Of those audit forms that included data regarding primary presenting rhythms, 64% were non-shockable rhythms of which 23% of patients survived to discharge. This is compared to a 40% survival rate from those presenting in a shockable rhythm. The findings for survival rates from shockable rhythms are slightly higher than national findings of 36% (Cooper&Evans, 2003). This may have been affected by the development of the PCI service at the London Chest Hospital and the increase to 24 hours a day. To be able to gain more detailed information regarding cardiac arrests, it is vital that an audit form is completed following each event. This should include not only true cardiac arrests, but also peri-arrest events and medical emergencies i.e.: every time a 2222 call is put out for a cardiac arrest team. In this year, 64% of forms returned were completed by nursing staff and 26% by resuscitation officers. This contrasts with 77% by nurses and 17% by resuscitation officers for last year. Resuscitation officers are completing more forms in an effort to increase the return rate and therefore the information received back about cardiac arrest calls. |
| Does the Trust have a system for recording operations that resulted in a foreign body being left post surgery : |
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| Does the Trust have a system for recording operations that resulted in wrong site surgery taking place: |
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| Does the Trust have a system for recording operations that were cancelled due to missing notes: |
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| What is the Trust's reporting system for operations that resulted in a foreign body being left in post surgery: | Incident reporting system |
| What is the Trust's reporting system for operations that resulted in wrong site surgery taking place: | incident reporting system |
| What is the Trust's reporting system for operations that were cancelled due to missing notes: | incident reporting system/performance reports |
| During the period 01 April 2008 - 31 March 20009, how many operations resulted in a foreign body being left post surgery : | 1 |
| During the period 01 April 2008 - 31 March 20009, how many operations resulted in wrong site surgery taking place: | 2 |
| During the period 01 April 2008 - 31 March 20009, how many operations were cancelled due to missing notes: |
17
Not known within the incident reporting database. (17 according to BIU)
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Services at St Bartholomew's Hospital
Cancer Services
Trust Questions
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Does the trust provide a service for colorectal cancer:
You can see if this NHS Trust provides a service for colorectal cancer (cancer of the large intestine), which is the third commonest cancer in the UK.
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Does the colorectal cancer MDT treat 60 or more new cases each financial year:
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Does each named surgical member of the colorectal cancer MDT perform 20 or more operations with curative intent each financial year:
It is recommended that a surgeon in a colorectal MDT should carry out a minimum of 20 colorectal resections, where the intention is to remove all the cancer that is present, in any given calendar year. There is some evidence that the more operations a surgeon does, the better the outcomes are for patients.
- How many patients were referred to the trust with early prostate cancer (not locally advanced or metastatic) in the financial year: 94
- Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received brachytherapy: 14
- Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received hormonal therapy: 53
- Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received readical prostatectomy: 12
- Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received radiotherapy: 2
- Of those patients were referred to the trust with early prostate cancer referred to the trust with early prostate cancer how many received surveillance: 13
- How many palliative beds does the trust have: 0
Cardiac Services
Trust Questions
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Do all the Trust’s patients have access to specialist heart failure nurses:
Specialist heart failure nurses can assess patients with heart failure, provide patients with information on managing their condition, provide patients with emotional support, and provide some counselling services. They can monitor treatment and act as a point of contact for the patient and their family.
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Does the Trust perform primary angioplasty:
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Is this a 24 hour service:
- What percentage of eligible patients having reperfusion treatment for a heart attack had a primary angioplasty: 100
Critical Care
Hospital Questions
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What Level of critical care is provided at the hospital:
Level 3
You will be able to find out what level of critical care is available at the hospital you searched for. Level 0: Care is available for patients whose needs can be met through normal ward care in hospital, Level 1: Care is available for patients at risk of their condition deteriorating, or those recently relocated from higher levels of care, whose needs can be met on an acute ward with some support from the critical care team, Level 2: Care is available for patients requiring more detailed observation or intervention, including support for a single failing organ system such as the lungs, post-operative care, as well as care for those patients 'stepping down' from higher levels of care, Level 3: Care is available for patients requiring advanced respiratory support or monitoring and patients requiring support for two or more organ systems. This level includes all complex patients requiring support for multi-organ failure.
level 2/level 3
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Where a hospital offers Level 3 services is a consultant-led team allocated to occupied Level 3 beds:
Allocated to all level 3; plus general beds level 2; level 2 cardiothoracic beds run by CT team
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Where such a team exists, does the consultant leading the team have a GMC registered specialty or sub-specialty in: respiratory/ intensive care medicine:
For those whose training allowed accreditation in Intensive Care Medicine (i.e. recent appointments)
- Where a hospital offers Level 3 services, how many sessions a week is a consultant dedicated to cover of Level 3 beds: 4 sessions per day Monday to Friday and 3 sessions per day on the weekend plus on-call
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Is the medical registrar required to undertake a nightly ward round for all occupied Level 3 beds:
ITU registrar conducts WR with nurse in charge and patients are discussed in detail with on call consultant by phone sometime between 22.30 and 23.59 and anytime concerns arise
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Do those hospitals that do provide Level 3 have an anaesthetist / intensivist on site and available 24 hours per day:
SpR anaesthetist providing 24 on site cover, consultant Intensivist on Site 07.30-19.00 and then oncall from home
Diagnostics
Hospital Questions
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How many fixed on-site Magnetic Resonance Imaging (MRI) scanners are located on site at the hospital?:
1
You can find out how many MRI scanners the hospital you searched for has available to diagnose conditions, such as cancer or brain injury.
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Does the hospital have a MRI scanner available 24 hours a day, including at weekends, with radiographers and radiologists available?:
Patients admitted as emergency cases will benefit from having an MRI scanner and staff available 24 hours a day to operate the scanner and interpret the scans. Rapid access to MRI scans allows doctors to quickly assess conditions such as a stroke or internal injuries after a car crash.
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How many fixed on-site Computerised Tomography (CT) scanners are located on site at the hospital?:
2
You can find out how many CT scanners the hospital you searched for has on site available to assess the condition of internal organs such as the brain, heart or lungs.
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Does the hospital have a CT scanner available 24 hours a day, including at weekends, with radiographers and radiologists available?:
Patients admitted as emergency cases will benefit from having a CT scanner and staff available 24 hours a day to operate the scanner and interpret the scans. CT scans allow doctors to assess levels of damage or disease to internal organs.
Trust Questions
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Do any of the trust's sites have MRI scanners?:
- For the financial year 2008/2009 what was the trust's average waiting time between a routine request for an MRI scan being received and the scan being done? : 20
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Do any of the trust's sites have CT scanners?:
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For financial year (April 01 2008 to March 31 2009), what was the trust's average waiting time (weekdays, excluding bank holidays) between a routine request for a CT scan being received and the scan being done:
10
A routine request for a CT scan is for cases that follow the usual patient pathway (from the GP or consultant onwards), which do not denote seriousness. Long waits for routine CT scans can inconvenience and worry patients.
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For financial year (April 01 2008 to March 31 2009) what was the trust’s average waiting time (weekdays, excluding bank holidays) between a routine request for a non-obstetric utra-sound being received and the scan being done:
10
A routine request for a non-obstetric ultrasound scan is for cases that follow the usual patient pathway (from the GP or consultant onwards), which do not denote seriousness. An ultrasound scan is used to investigate internal organs such as the heart, liver, kidneys and blood vessels. Long waits for ultrasound scans can cause inconvenience and worry.
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For financial year (April 01 2008 to March 31 2009) what was the trust’s average waiting time (weekdays, excluding bank holidays) between a routine request for a radionuclide (Isotope) scan being received and the scan being given:
10
A routine request for a radionuclide scan is for cases that are less urgent and where the diagnosis is likely to be less serious. A radionuclide scan is used to investigate medical conditions, such as: infection or injury to bones, kidney disease, cancer, blood clots in the lungs, and poor blood flow to the heart. Long waits for radionuclide scans can cause inconvenience and worry.
- For financial year (April 01 2008 to March 31 2009) what was the trust’s average waiting time (weekdays, excluding bank holidays) between a routine request for a fluroscopy being received and the test being done: 5
- For financial year (April 01 2008 to March 31 2009) what was the trust’s average waiting time (weekdays, excluding bank holidays) between a routine request for an x-ray (radiograph - no fluoro-scopy) being received and the test being done: 0.5
General Service Information
Hospital Questions
- How many single rooms are available to NHS patients: 76
- Of these single rooms, how many have an ensuite toilet: 48
- Of these single rooms with ensuite toilet, how many have a shower or bath: 48
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Does the hopital have an A&E department:
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How many specilialist palliative care beds does the hospital have:
0
The Trust works closely with the community specialist care teams and hospice care providers.
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Does the hospital treat private patients:
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Please indicate the sites that have a named private unit/service:
Trust Questions
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Does the Trust use the World Health Organisation safer surgery checklist:
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Does the Trust collect systematic patient feedback (not including suggestion boxes and ad hoc comments):
- How frequently is the patient feedback collected: varies
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Does the Trust board regularly review the patient feedback:
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Does the Trust board receive regular monthly reports on clinical outcomes:
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Do the monthly reports include measurements on length of stay:
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Do the monthly reports include measurements on mortality:
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Do the monthly reports include measurements on other areas of clinical outcomes:
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Do the monthly reports include measurements on mreadmissions:
- What are the other areas of clinical outcomes measured: HAI Falls (#), medication errors, tissue ulcers,
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Does the trust have a policy that ensures discharge letters are sent to GPs on death?:
Infection Control
Trust Questions
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Does the trust employ an antibiotic pharmacist:
An antibiotic pharmacist advises staff on how they can prescribe antibiotics in a way that will reduce the chances of bacterial resistance to antibiotics. The antibiotic pharmacists will ensure that an adequate dose of antibiotics is given and that the choice and length of time the drug should be taken are consistent with the hospital antibiotic policy.
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Does the trust currently screen all elective admissions for MRSA:
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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:
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Does the Trust screen all chemotherapy patients at pre-op assessment clinic :
Plans to start later in the year
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Does the Trust screen all elective neurosurgery patients at pre-op assessment clinic:
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Does the Trust screen all hospital transfers at pre-op assessment clinic:
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Does the Trust screen all incoming transfers from nursing or care homes at pre-op assessment clinic:
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Does the Trust screen all oncology patients at pre-op assessment clinic:
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Does the Trust screen all patients with a past history of MRSA at pre-op assessment clinic:
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Which elective patients does the Trust screen at pre-op assessment clinic:
All elective surgical
All elective orthopaedics and cardiothoracic, All elective, Renal
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Do all patients identified as MRSA carriers through pre-assessment screening enter into a decolonisation routine in the 5 days immediately prior to the date of admission/operation:
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Does the Trust screen all chemotherapy patients for MRSA on admission:
3 monthly rolling programme for day cases
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Does the Trust screen all elective neurosurgery patients for MRSA on admission:
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Does the Trust screen all hospital transfer patients for MRSA on admission:
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Does the Trust screen all incoming transfers from nursing or care homes for MRSA on admission:
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Does the Trust screen all oncology patients for MRSA on admission:
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Does the Trust screen all patients with a past history of MRSA for MRSA on admission:
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Which elective patients does the Trust screen for MRSA on admission:
All elective surgical
All elective orthopaedics and cardiothoracic, all elective other, Renal
- What method of MRSA screening does the Trust use when screening at admission: Culture based in 24-48hours
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On admission, does the Trust begin immediate topical suppression:
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Does the trust have an accident and emergency unit:
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Does the Trust screen all emergency admissions for MRSA:
- Does the Trust screen: According to individual risk assessment
- What method of MRSA of screening does the Trust use when admitting patients through A&E: Culture based result in 24-48hours
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Does the Trust begin all patients screened on a decolonisation routine until such time that their screening results are returned:
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Does the Trust segregate (accommodate on separate wards) all elective orthopaedic patients from all emergency orthopaedic or any other patients:
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Does the Trust have a ring-fenced elective ward that serves cardiothoracic surgery only:
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Does the Trust have a ring-fenced elective ward that serves neurosurgery only:
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Does the Trust have a ring-fenced elective ward that serves orthopaedic surgery only:
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Does the Trust have a ring-fenced elective ward that only serves another type of patients:
- If so, what type does it serve: Opthamology beds, Infection Control isolation wards x 2 and cohort bays x 2
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Does the Trust have a ring-fenced elective ward servicing orthopaedic surgery, is joint replacement treated as a priority admission:
The orthopaedic unit treat joint replacements as a priority admission
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Does the trust have a dedicated isolation ward:
We have two dedicated isolation wards.
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IF YES, how many beds does it contain:
22
10 beds plus 12 beds, total beds 22
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Does the trust have an isolation policy:
Keeping potentially infectious patients in separate wards or rooms will reduce the risk that a disease will spread to uninfected patients. An isolation policy will outline the precautions and control measures needed to reduce the spread of infectious diseases in the hospital. Infections can be spread by direct contact with staff, equipment or other patients/visitors. All hospitals should have an isolation policy. The number of available single rooms may determine whether all infectious patients can all be put in single rooms to reduce the risk of infection.
- Please specify the isolation policy: Isolation and notification and Management of Infectious Diseases|
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Where medically appropriate, are patients with C Diff isolated in single rooms as a matter of priority:
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Does the Trust prescribe probiotics to any patient groups as a prophylactic measure to reduce C.difficile infections:
Probiotics are live micro-organisms, such as yeast and bacteria, which are believed to restore the balance of bacteria in the gastrointestinal tract, which may reduce the risk of infection with Clostridium difficile. Clinical evidence supporting the usefulness of probiotics in the treatment of Clostridium difficile is inconclusive, however.
Due to poor evidence base
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Does the Trust have a policy to guide the use of metronidazole and vancomycin for C.difficile infected patients:
Ophthalmology
Hospital Questions
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Does the hospital provide a cataract service:
Trust Questions
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Does the trust offer a cataract service:
Cataracts mainly affect older people and can adversely affect the quality of a person’s life. The procedure involves removing the lens that has developed a cataract and replacing the lens with an artificial one.
- As standard, on how many days following the initial diagnosis of cataract in primary care (optometrist or GP) does the Trust see the patient before the day of surgery: : More than Two
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Does the Trust routinely ask patients to specify their vision priorities (e.g. reading, long vision), record this information and use it to customise the treatment for cataract:
The aim of cataract surgery is to remove the clouded lens of the eye to improve vision. Every patient's eye is unique and surgery must be tailored to the individual. Find out whether the hospital you searched for routinely asks patients to specify their visual priorities before surgery. Surgery can then be customised and planned beforehand in consultation with the patient to reduce dependence on glasses for either distance vision or for reading.
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Does the Trust routinely customise the surgical approach to minimise surgically induced astigmatism:
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Does the Trust routinely customise the surgical approach to reduce existing astigmatism or correct astigmatism:
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Does the Trust have designated surgeons who specialise in more complex cases to whom relevant patients are referred:
Paediatrics
Hospital Questions
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Does this hospital provide paediatrics services:
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Is there a designated facility on site for parents or guardians to stay overnight:
Trust Questions
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Does the Trust provide a paediatrics service:
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Is the Trust’s paediatric surgery carried out only by designated surgeons with at least six months training in a specialist unit:
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Do the Trust’s anaesthetists with responsibility for paediatric anaesthesia participate in at least one paediatric list per week:
Find out if a hospital you searched for has anaesthetists that participate in at least one paediatric operation a week. This means that the hospital’s anaesthetists are regularly involved in paediatric anaesthesia and ensures that children and adolescents receive safe anaesthesia during surgery, as well as effective pain control afterwards.
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Does the Trust have at least two registered children's nurses on duty 24 hours per day, 7 days a week in each children's ward:
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Does the Trust have a paediatrician on site 24 hours per day, 7 days per week:
Palliative Care
Hospital Questions
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How is specialist palliative care delivered at the hospital:
A multi-disciplinary specialist palliative care team
Referral to community based hospice(s) as appropriate
- Does the hospital’s specialist palliative team include: A consultant in palliative medicine,A palliative care nurse,Counsellor(s)
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Are the hospital’s specialist palliative care team available 24 hrs a day seven days a week:
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Are facilities provided to support relatives and carers who wish to stay with a patient in hospital:
Trust Questions
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Has the Trust adopted an integrated care pathway approach for management of the last days of life:
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Is this based upon the Liverpool Care Pathway:
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Does the Trust employ a Liverpool Care Pathway facilitator or a designated person who specifically teaches ward staff on the use of the Liverpool Care Pathway or Integrated Care Pathways (ICP):
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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:
Stroke Medicine
Hospital Questions
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What type of stroke unit does the hospital have:
N/A
Mile End Hospital - rehabilitation stroke unit
Trust Questions
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Does the Trust have a specialist stroke unit or units:
If the hospital has a stroke unit, it can treat patients on site, rather than transfer them to another hospital.
- How many emergency admissions with a primary diagnosis of stroke did the trust receive in the financial year: 209
Trauma & Orthopaedics
Trust Questions
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Does the Trust offer a trauma and/or orthopaedics service:
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Does the Trust offer a trauma service:
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Does the Trust offer a orthopaedics service:
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Does the Trust have nurse specialists in trauma and orthopaedics:
A nurse specialist will have specialist knowledge, skills and experience, in trauma and orthopaedics. Such nurses may, for example, offer a telephone support service to address any concerns, or answer queries that patients may have while awaiting admission or following surgery
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Does the Trust make an assessment on discharge of all orthopaedic patients:
Find out if the trust assesses all orthopaedic patients prior to discharge: reviewing mobility; hospital and care home transfers; washing and dressing; meal preparation; and ability to manage domestic tasks. For example, to ensure safe discharge from hospital, patients may need adaptive equipment for the home, or further rehabilitation in a community facility or at home.
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Do all the Trust's orthopaedic ward/team have a linked geriatric team with whom they have regular formal meetings at least once a week:
Have a very good referral service onwards
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Does the Trust have a dedicated trauma list available 24 hours a day for the duration of the week, (Sunday to Sunday):
Victims of trauma may be best treated by a team dedicated to the treatment of the many different injuries that can be caused by trauma. The team generally consists of a lead consultant, a team of doctors, nurses, operating department assistants, radiographers and other support personnel who have no other commitment than to receive and treat trauma patients.
Dedicated trauma sessions during weekdays and protected trauma time during weekends and Bank Holidays
- How many patients underwent elective total hip replacement surgery at the trust last financial year (April 01 2008 to March 31 2009): 145
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Do all the Trust’s elective orthopaedic operations take place in laminar air-flow theatres:
For the majority ( exception being some spinal surgery in another theatre )
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Do all the Trust’s patients who undergo elective total hip replacement have a pre-operative assessment by non-surgical medical staff either prior to or after admission:
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Do all the Trust’s patients who undergo elective total hip replacement have a pre-operative outpatient anaesthetic assessment prior to admission:
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Are all the Trust’s patients who have had elective total hip replacement surgery assessed by an occupational therapist:
An occupational therapist will give instructions to the patient on how to undertake some of the basic activities of daily living after they have total hip replacement (THR) surgery.
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Are aids provided by the Trust to such patients to assist them with motility and recovery:
Find out if a hospital you searched for has an occupational therapist (OT) available to advise a patient what aids they need to help them in their recovery at home. Aids can include ramps, wheelchairs, raised toilet seats, raised baths, etc. Social services support many people and help them to maintain a high quality of life in their own homes. This may include the provision of aids and adaptations or care packages. Eligibility criteria and charging policies vary from one local authority to another, and the types of services that are available locally may also vary.
Applicable to Tower Hamlet residents otherwise referred to local services for aids on discharge
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Ae these always provided prior to discharge:
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Do all the Trust’s surgeons use only the joint replacements recommended in NICE guidelines:
The only exceptions are being followed up as part of a multi centre study
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Does the Trust provide all post-operative patients with devices to reduce their risks of developing a blood clot in line with NICE guidelines for elective hip surgery:
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Does the Trust provide all post-operative patients with devices to reduce their risks of developing a blood clot in line with NICE guidelines for surgery for hip fracture and elective knee surgery:
Accident & Emergency services at St Bartholomew's Hospital
cardiac services (heart attack) |
National average | |
|---|---|---|
| Patients having thrombolytic treatment within 30 minutes of arriving at hospital |
N/A
 The National Service Framework (NSF) for coronary heart disease (CHD) states that 75% of eligible heart attack patients in England should receive thrombolytic drugs within 30 minutes of arriving at hospital. Read more about this indicator.
|
83% |
| Patients having thrombolytic treatment within 60 minutes of calling for help |
N/A
This standard reflects the combined performance of the ambulance service, general practitioners (GPs) and hospitals and is the most relevant overall indicator of care of heart attack patients. It encourages collaborative working across all relevant NHS organisations, particularly between ambulance services and hospitals to reduce delays to thrombolytic treatment. The call for professional help will usually be direct to the ambulance service but may be to a GP or NHS Direct. The Department of Health has set NHS organisations in England the target of 68% of patients receiving thrombolytic treatment within 60 minutes of calling for professional help. Read more about this indicator
|
72% |
| Primary angioplasty within 90 minutes of arrival at interventional centre door |
83%
An interim good practice standard of 90 minutes from arrival at an interventional hospital to the time when the blocked artery is reopened (door to balloon time) has been established for provision of primary angioplasty, based on international guidelines.
|
84% |
| Patients discharged from hospital on secondary prevention medication | ||
| Asprin | 99% | 98% |
| Beta blocker | 97% | 93% |
| Statins | 99% | 97% |
| ACE inhibitor | 97% | 92% |
| Clopidogrel | 97% | 94% |
Abdominal Aortic Aneurysm Overall mortality rate (3 year)
Expected level 100
actual: 131.7857
Fractured neck of femur
| What percentage of patients receiving an operation to repair fractured neck of femur operated on within 48 hours? | 70.15% |
|---|
Fractured neck of femur Overall mortality rate (3 year)
Expected level 100
actual:
125.0923