Healthcare Commission's Survey Results for
Wiltshire PCT

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Survey Results

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Women's views	Trust Average	English Average
Women's satisfaction with their care during pregnancy	78.3%	73.2%
% women always treated with understanding and respect during antenatal care	78.3%	73.2%
Women's satisfaction with their care during labour and birth	80.4%	76.8%
% women who were always treated with understanding and respect during labour and birth	76.0%	73.4%
% women who considered they were treated with understanding and respect after the birth	64.7%	60.2%
Women's satisfaction with their care after birth	66.2%	64.2%

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Antenatal, access and booking	Trust Average	English Average
% women whose first contact with a healthcare professional is a midwife	19.7%	18.8%
% of women who first see a GP	77.2%	78.3%
% women given a choice of where check ups took place	23.5%	23.5%
% antenatal appointments offered outside the main maternity unit	56.8%	66.5%
Target date (weeks gestation) for booking	12 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	12 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	9.3%	6.1%
% women receiving a copy of 'The Pregnancy Book'	75.0%	74.6%
Items covered in booking appointment	17 (Score out of 17)	16.0 (Score out of 17)
% of clinic locations with appointments outside weekdays 9 to 5 (consultant)	0.0%	1.5%
% of clinic locations with appointments outside weekdays 9 to 5 (midwife led)	0.0%	12.7%
% of clinic locations with appointments outside weekdays 9 to 5	0.0%	4.5%

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Antenatal appointments	Trust Average	English Average
% women seeing only midwives for check ups	64.9%	34.1%
% women seeing only midwives / GPs for check ups	66.1%	40.4%
Time allocated for booking appointment(s)	750 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	15 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	19	11.6
Average number of antenatal checks for primips	8	7.6
Planned number of antenatal checks for multip	15	9.2
Average number of antenatal checks for multips	7	6.9

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Continuity of care	Trust Average	English Average
% women reporting they mostly saw the same midwife for check-ups	44.7%	57.3%
% women reporting they mostly saw the same doctor for check-ups	38.5%	38.9%
Percent midwives sharing caseload	92.4%	30.4%
Percent midwives carrying own caseload	0.0%	23.7%

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Antenatal classes	Trust Average	English Average
% women attending NHS antenatal classes who wanted to	56.6%	58.3%
% women who did not attend antenatal classes due to lack of space	2.1%	3.4%
% women having first baby attending antenatal classes	77.9%	78.9%
% women whose partners were allowed to attend antenatal classes	100%	94.6%
% women who considered classes were at convenient location	97.5%	93.7%
% women who considered classes were at convenient time	80.2%	85.1%
% who considered content of classes appropriate	75.3%	79.6%
Length of antenatal classes (sessions)	4 (Hours)	4.2 (Hours)
% who considered classes were about right number	61.7%	71.0%
Proportion of primips offered classes	5.0%	5.7%
Proportion of multips offered classes	4.0%	5.2%

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Care for women with high risk pregnancies	Trust Average	English Average	Bath Teams	Chippenham / Malmesbury Maternity Unit	Devizes Maternity Unit	Frome Maternity Unit	Paulton Birthing centre	Princess Anne Wing-RUH-Bath	Shepton Mallett	Trowbridge Maternity Unit
% of women getting 20+ antenatal checks	1.9%	2.9%
Antenatal day attendances per delivery	2	1.3						3
% conditions where there is a specialist midwife	10.5%	22.7%
Average number of consultant attendances per booked women	1	2.3
% women referred to consultants in pregnancy (survey)	33.9%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	13.0%	18.9%
Places per 1000 deliveries pa in nearest mother and baby unit	0.1 (Places per 1000 deliveries)	0.2 (Places per 1000 deliveries)
% women referred to consultants during pregnancy	32.1%	70.2%
% women referred for specialist psychiatric care		3.9%
Ratio of antenatal attendances to antenatal admissions	28.2 (Ratio)	2.5 (Ratio)						28.2 (Ratio)
Minimum referral waits for a psychiatrist	1 (Time interval)	1.6 (Time interval)
Maximum referral waits for a psychiatrist	3 (Time interval)	2.8 (Time interval)

Tests and screening

No results for this category.

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Dating scans	Trust Average	English Average
% eligible women offered dating scan	100%	98.0%
% women given a choice on whether to have a dating scan	69.6%	70.4%
% women with reasons for dating scan clearly explained	81.7%	88.0%
% eligible women having dating scan	100%	93.2%

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Testing procedures	Trust Average	English Average
% women offered an informed choice for screening tests	83.2%	83.6%
% of tests where written information is provided	100%	98.1%
% of tests where written information is provided at least 24 hours prior to procedure	100%	79.5%
% women with reasons for 20 week scan clearly explained	88.0%	91.7%
% women given a choice on whether to have a 20 week scan	77.4%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	90.0%	87.9%
% women with reasons for Downs syndrome screening clearly explained	87.4%	89.2%
% women eligible for amniocentesis or CVS who were tested		63.3%
% women having CVS of those having amniocentesis or CVS	33.5%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	100%	93.1%
% eligible women offered Rubella testing		98.6%
% eligible women tested for Rubella	97.2%	95.0%
% eligible woman offered fetal anomaly scan	100%	97.1%
% eligible woman having fetal anomaly scan	104.8%	94.8%
Attributes checked in fetal anomaly scan (max 11)	9	10.5
% women having both NT and blood test (survey)	39.1%	24.9%
% women having blood test only (survey)	54.3%	58.8%
% women having NT test only (survey)	6.5%	16.3%
% eligible women offered Hepatitis B testing		98.6%
% eligible women tested for Hepatitis B	94.1%	95.4%
% eligible women offered HIV testing		98.3%
% eligible women tested for HIV	94.1%	92.3%
% eligible women offered Syphilis testing		98.6%
% eligible women tested for Syphilis	94.1%	96.7%

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Birth location and choice	Trust Average	English Average	Bath Teams	Chippenham / Malmesbury Maternity Unit	Devizes Maternity Unit	Frome Maternity Unit	Paulton Birthing centre	Princess Anne Wing-RUH-Bath	Shepton Mallett	Trowbridge Maternity Unit
% women given a choice of where to have their baby at the start of the pregnancy	82.4%	74.7%
% women having vaginal birth	80.2%	76.1%	96.9%	100%	100%	100%	100%	69.4%	100%	74.4%
% women reporting they got enough information about where to have you baby	50.0%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	5.5%	41.7%			100%
% women given the choice of a home birth	51.1%	47.6%
% women with vaginal birth without instruments	67.5%	65.0%	82.4%	98.3%	100%	96.8%	99.2%	52.3%	100%	71.1%
% women not offered home birth because of medical reasons	14.6%	14.8%
Number of home births	133	114
% home births	2.6%	2.3%
% home births which were planned for home	100%	85.6%
% home deliveries which were for primips	27.1%	20.1%
% births in GP or midwife led unit	35.8%	5.8%
Number of deliveries in obstetric units	3234	3843
% births in consultant led unit	64.2%	91.4%

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Pain relief	Trust Average	English Average	Bath Teams	Chippenham / Malmesbury Maternity Unit	Devizes Maternity Unit	Frome Maternity Unit	Paulton Birthing centre	Princess Anne Wing-RUH-Bath	Shepton Mallett	Trowbridge Maternity Unit
% women who got the pain relief they wanted	78.2%	77.5%
Birthing pools per 1000 deliveries	2	0.5	6.3	5	7	0	4.0	1	12.0	3
% women using birthing pool who deliver in pool	37.0%	53.3%	50.0%	50.0%	116.7%		60.0%	24.4%	25.0%	75.0%
Average number of deliveries utilising birthing pool	14 (Number per month)	17.6 (Number per month)	4 (Number per month)	7 (Number per month)	6 (Number per month)		5 (Number per month)	45 (Number per month)	4 (Number per month)	8 (Number per month)
Midwives trained to deliver in birthing pools per pool	14.4	45.2	9	8	7		10	28	6	24
% women having at most gas and air for vaginal birth without instruments	71.2%	58.7%
% women having at most painkiller for vaginal birth without instruments	91.5%	83.4%
% women using medication (beyond Entonox) as pain relief	38.1%	51.3%
% women having epidural pain relief for unassisted vaginal birth	9.1%	13.9%			0.0%		0.0%	18.4%	0.0%	0.0%
Weekday hours Epidural available	24 (Hours per day - weekday)	23.3 (Hours per day - weekday)	24 (Hours per day - weekday)	0 (Hours per day - weekday)	0 (Hours per day - weekday)	0 (Hours per day - weekday)	0 (Hours per day - weekday)	24 (Hours per day - weekday)	0 (Hours per day - weekday)	0 (Hours per day - weekday)
Weekend hours Epidural available	24 (Hours per day - weekend)	23.9 (Hours per day - weekend)	24 (Hours per day - weekend)	0 (Hours per day - weekend)	0 (Hours per day - weekend)	0 (Hours per day - weekend)	0 (Hours per day - weekend)	24 (Hours per day - weekend)	0 (Hours per day - weekend)	0 (Hours per day - weekend)

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Quality of care in labour	Trust Average	English Average
% women cared for by one midwife during labour and delivery	14.6%	19.8%
% women who had met at least one midwife caring for them during labour	24.2%	21.4%
% women left alone during labour	23.6%	20.5%
% women left alone shortly after the birth	5.4%	11.4%
% women left alone during labour or shortly after the birth	26.4%	26.6%
Average number of midwives caring for women during labour	3	2.6
% of women able to move around some of the time in labour	82.4%	73.2%
% women giving birth off the bed or in water	16.6%	7.8%
% women who gave birth lying down	44.9%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	Bath Teams	Chippenham / Malmesbury Maternity Unit	Devizes Maternity Unit	Frome Maternity Unit	Paulton Birthing centre	Princess Anne Wing-RUH-Bath	Shepton Mallett	Trowbridge Maternity Unit
% women given a choice on how their labour was induced		56.6%
Days past term when inductions planned to take place	10 (Days)	12.7 (Days)
% women induced	10.9%	18.8%		0.0%	0.0%	0.0%	0.0%	16.9%	0.0%
% women whose labour was induced medically (surgically)	12.9%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery		76.1%
% vaginal deliveries following induction which are assisted		22.9%

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Vaginal birth	Trust Average	English Average	Bath Teams	Chippenham / Malmesbury Maternity Unit	Devizes Maternity Unit	Frome Maternity Unit	Paulton Birthing centre	Princess Anne Wing-RUH-Bath	Shepton Mallett	Trowbridge Maternity Unit
% women having vaginal birth	80.2%	76.1%	96.9%	100%	100%	100%	100%	69.4%	100%	74.4%
vbac (vaginal birth after caesarean) rate		32.0%
% women with 'normal' vaginal birth (no induction or epidural)	5.5%	41.7%			100%
% women with vaginal birth without instruments	67.5%	65.0%	82.4%	98.3%	100%	96.8%	99.2%	52.3%	100%	71.1%
% women having epidural pain relief for vaginal birth with instruments	59.8%	54.1%	0.0%	0.0%		0.0%	0.0%	69.3%		0.0%
% women with vaginal birth where ventouse or forceps used	15.9%	14.7%	14.9%	1.7%	0.0%	3.2%	0.8%	24.7%	0.0%	4.5%
% instrument births using ventouse	66.6%	61.1%	69.6%	100%		100%	100%	66.7%		100%

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Caesarean	Trust Average	English Average	Bath Teams	Chippenham / Malmesbury Maternity Unit	Devizes Maternity Unit	Frome Maternity Unit	Paulton Birthing centre	Princess Anne Wing-RUH-Bath	Shepton Mallett	Trowbridge Maternity Unit
% women having caesarean	20.8%	23.5%	2.8%	0.0%	0.0%	0.0%	0.0%	32.2%	0.0%	0.0%
% women having caesarean adjusted for age	19.0%	22.4%
% women having caesarean adjusted for age and ethnicity	19.2%	22.2%
vbac (vaginal birth after caesarean) rate		32.0%
% emergency caesareans following previous caesarean		21.8%
% of emergency caesareans undertaken within 30 minutes of decision		92.8%
% caesareans which are non-elective	64.4%	59.0%	100%					64.1%
% women under 35 having caesarean	18.8%	22.4%
% women over 35 having caesarean	24.5%	33.3%
% primips having caesarean	0.0%	24.1%			0.0%		0.0%		0.0%
% multips having caesarean	0.0%	26.8%			0.0%		0.0%		0.0%
% emergency caesareans for 2nd or subsequent child	0.0%	11.5%			0.0%		0.0%		0.0%
% women having general anaesthestic for caesarean	7.5%	9.9%
% women having general anaesthestic for elective caesarean	0.5%	4.7%

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Breech babies	Trust Average	English Average
% women offered ECV for a breech		58.3%
Babies turned using ECV		41.2%
% singleton breech babies at 36 weeks where ECV attempted		35.0%
% singleton breech deliveries which were diagnosed prior to labour		19.5%
% singleton babies breech at term		3.8%
% elective caesareans for breech prior to week 39	101.3%	42.2%
% singleton breech babies at term delivered by caesarean		84.9%

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Problems immediately after the birth	Trust Average	English Average
Women per 1000 deliveries with eclampsia	0 (Number per 1000)	1.3 (Number per 1000)
% Women who delivered vaginally who had an episiotomy	16.1%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	88.5%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	65.6%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	6.9%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	2.0%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)		3.3%
% Women with a primary postpartum haemorrhage of 2500ml or more	0.1%	0.2%
% women transferred to intensive care after a postpartum haemorrhage		3.9%
Women per 1000 deliveries transferred to intensive care	0 (Number per 1000)	1.2 (Number per 1000)

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Hospital care	Trust Average	English Average	Bath Teams	Chippenham / Malmesbury Maternity Unit	Devizes Maternity Unit	Frome Maternity Unit	Paulton Birthing centre	Princess Anne Wing-RUH-Bath	Shepton Mallett	Trowbridge Maternity Unit
% women who considered their length of stay was about right	74.6%	72.3%
% women who considered their length of stay was too short	13.7%	13.1%
% women who considered their length of stay was too long	11.7%	14.7%
Average length of postnatal stay for normal delivery	1.5 (Days)	1.4 (Days)		2 (Days)	1.3 (Days)	2 (Days)	1.3 (Days)	2 (Days)	0.4 (Days)	2.1 (Days)
Average length of stay for normal delivery -primip	31 (Days)	4.6 (Days)			2 (Days)				1 (Days)
Average length of stay for normal delivery - multip	18 (Days)	2.3 (Days)			1.1 (Days)				0.4 (Days)
Average length of postnatal stay for vaginal with intervention delivery	2.2 (Days)	2.3 (Days)		2 (Days)		2.4 (Days)	2.5 (Days)	2.3 (Days)		3 (Days)
Average length of stay for vaginal with intervention delivery - primip		2.6 (Days)
Average length of stay for vaginal with intervention delivery - multip	1 (Days)	4.4 (Days)		0.1 (Days)		0.1 (Days)		1 (Days)		1 (Days)
Average length of postnatal stay for caesarean delivery	3 (Days)	3.4 (Days)						3 (Days)
Average length of stay for caesarean delivery - primip		4.1 (Days)
Average length of stay for caesarean delivery - multip	2 (Days)	4.2 (Days)						2 (Days)
% women who were given sufficient food	84.2%	77.3%

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Postnatal care at home	Trust Average	English Average
% women who were visited at home	60.3%	98.0%
Average age of baby at last midwife contact	12 (Days)	14.6 (Days)
% of women who would have liked more contact with midwife	19.2%	22.2%
Quality of transfer process to health visitor (score out of 5)	5 (Score out of 5)	4.4 (Score out of 5)
Quality of support in caring for the baby after discharge	59.8%	66.1%
Average number of contacts with midwife after going home	4	4.4
Planned postnatal contacts	5	5.5
% planned postnatal contacts by midwife	100%	83.4%
% planned postnatal contacts at home	80.0%	80.7%
Hours of availability of drop-in-clinics	56 (Hours per week)	21.1 (Hours per week)

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Health checks	Trust Average	English Average
% babies having statutory examination of newborn	99.8%	98.5%
% babies with baby check completed prior to discharge	88.0%	95.1%
% women receiving a postnatal check up of their own health (survey)	91.6%	88.1%
Women re-admitted within 2 weeks of discharge	0 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	Bath Teams	Chippenham / Malmesbury Maternity Unit	Devizes Maternity Unit	Frome Maternity Unit	Paulton Birthing centre	Princess Anne Wing-RUH-Bath	Shepton Mallett	Trowbridge Maternity Unit
% women who put their baby to their breast (survey)	86.1%	80.1%
% women who initiated breastfeeding	83.6%	67.4%	89.9%	86.3%	83.4%	81.3%	83.0%	83.5%	83.1%	78.8%
% women who breastfed (at least in part) in the first few days	81.5%	76.0%
% of women who reported good advice, help and support on infant feeding	64.8%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	88.0%	77.4%

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Neonatal care	Trust Average	English Average	Bath Teams	Chippenham / Malmesbury Maternity Unit	Devizes Maternity Unit	Frome Maternity Unit	Paulton Birthing centre	Princess Anne Wing-RUH-Bath	Shepton Mallett	Trowbridge Maternity Unit
Admissions to neonatal unit per 1000 babies born	91	102						140
% babies admitted to neonatal unit from survey	11.7%	10.4%
Tube feeding	No	60% Yes - 40%No	No	No	No	No	No	No	No	No
Phototherapy	Yes	99% Yes - 1%No	No	Yes	Yes	Yes	Yes	Yes	No	Yes
Intravenous antibiotics	No	57% Yes - 43%No	No	No	No	No	No	No	No	No
Other intravenous medicines	No	28% Yes - 72%No	No	No	No	No	No	No	No	No