Healthcare Commission's Survey Results for
Royal Cornwall Hospitals NHS Trust

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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	82.1%	73.2%
% women always treated with understanding and respect during antenatal care	82.1%	73.2%
Women's satisfaction with their care during labour and birth	79.3%	76.8%
% women who were always treated with understanding and respect during labour and birth	75.7%	73.4%
% women who considered they were treated with understanding and respect after the birth	64.2%	60.2%
Women's satisfaction with their care after birth	65.8%	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	34.0%	18.8%
% of women who first see a GP	65.5%	78.3%
% women given a choice of where check ups took place	26.6%	23.5%
% antenatal appointments offered outside the main maternity unit	91.0%	66.5%
Target date (weeks gestation) for booking	10 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	10 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	4.4%	6.1%
% women receiving a copy of 'The Pregnancy Book'	75.0%	74.6%
Items covered in booking appointment	13 (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)	2.8%	12.7%
% of clinic locations with appointments outside weekdays 9 to 5	2.6%	4.5%

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Antenatal appointments	Trust Average	English Average
% women seeing only midwives for check ups	60.7%	34.1%
% women seeing only midwives / GPs for check ups	61.5%	40.4%
Time allocated for booking appointment(s)	90 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	15 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	10	11.6
Average number of antenatal checks for primips	8	7.6
Planned number of antenatal checks for multip	8	9.2
Average number of antenatal checks for multips	6	6.9

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Continuity of care	Trust Average	English Average
% women reporting they mostly saw the same midwife for check-ups	63.2%	57.3%
% women reporting they mostly saw the same doctor for check-ups	41.2%	38.9%
Percent midwives sharing caseload	42.6%	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	67.6%	58.3%
% women who did not attend antenatal classes due to lack of space	3.8%	3.4%
% women having first baby attending antenatal classes	89.4%	78.9%
% women whose partners were allowed to attend antenatal classes	98.6%	94.6%
% women who considered classes were at convenient location	100%	93.7%
% women who considered classes were at convenient time	85.9%	85.1%
% who considered content of classes appropriate	75.7%	79.6%
Length of antenatal classes (sessions)	4 (Hours)	4.2 (Hours)
% who considered classes were about right number	69.6%	71.0%
Proportion of primips offered classes	6.0%	5.7%
Proportion of multips offered classes	6.0%	5.2%

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Care for women with high risk pregnancies	Trust Average	English Average	Helston Birth Unit	Penrice Birth Centre	Princess Alexandra Mat Wing, Royal Cornwall Hosp.	St. Marys Birth Unit
% of women getting 20+ antenatal checks	3.4%	2.9%
Antenatal day attendances per delivery	2	1.3			2.4
% conditions where there is a specialist midwife	21.1%	22.7%
Average number of consultant attendances per booked women	1	2.3
% women referred to consultants in pregnancy (survey)	38.5%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	13.2%	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	29.6%	70.2%
% women referred for specialist psychiatric care		3.9%
Ratio of antenatal attendances to antenatal admissions	7.1 (Ratio)	2.5 (Ratio)			7.1 (Ratio)
Minimum referral waits for a psychiatrist	2 (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	84.0%	98.0%
% women given a choice on whether to have a dating scan	73.3%	70.4%
% women with reasons for dating scan clearly explained	94.4%	88.0%
% eligible women having dating scan	82.0%	93.2%

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Testing procedures	Trust Average	English Average
% women offered an informed choice for screening tests	87.1%	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	27.3%	79.5%
% women with reasons for 20 week scan clearly explained	95.1%	91.7%
% women given a choice on whether to have a 20 week scan	72.1%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	93.4%	87.9%
% women with reasons for Downs syndrome screening clearly explained	92.8%	89.2%
% women eligible for amniocentesis or CVS who were tested	70.1%	63.3%
% women having CVS of those having amniocentesis or CVS	29.8%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	87.9%	93.1%
% eligible women offered Rubella testing	84.0%	98.6%
% eligible women tested for Rubella	78.6%	95.0%
% eligible woman offered fetal anomaly scan	100%	97.1%
% eligible woman having fetal anomaly scan	111.6%	94.8%
Attributes checked in fetal anomaly scan (max 11)	11	10.5
% women having both NT and blood test (survey)	8.4%	24.9%
% women having blood test only (survey)	76.2%	58.8%
% women having NT test only (survey)	15.4%	16.3%
% eligible women offered Hepatitis B testing	84.0%	98.6%
% eligible women tested for Hepatitis B	76.8%	95.4%
% eligible women offered HIV testing	84.0%	98.3%
% eligible women tested for HIV	76.2%	92.3%
% eligible women offered Syphilis testing	84.0%	98.6%
% eligible women tested for Syphilis	77.8%	96.7%

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Birth location and choice	Trust Average	English Average	Helston Birth Unit	Penrice Birth Centre	Princess Alexandra Mat Wing, Royal Cornwall Hosp.	St. Marys Birth Unit
% women given a choice of where to have their baby at the start of the pregnancy	79.6%	74.7%
% women having vaginal birth	84.0%	76.1%	100%	100%	80.4%	100%
% women reporting they got enough information about where to have you baby	62.1%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	49.8%	41.7%	100%	100%	38.5%	100%
% women given the choice of a home birth	68.3%	47.6%
% women with vaginal birth without instruments	72.5%	65.0%	100%	100%	66.3%	100%
% women not offered home birth because of medical reasons	18.1%	14.8%
Number of home births	379	114
% home births	8.9%	2.3%
% home births which were planned for home	98.4%	85.6%
% home deliveries which were for primips	24.6%	20.1%
% births in GP or midwife led unit	9.3%	5.8%
Number of deliveries in obstetric units	3413	3843
% births in consultant led unit	81.6%	91.4%

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Pain relief	Trust Average	English Average	Helston Birth Unit	Penrice Birth Centre	Princess Alexandra Mat Wing, Royal Cornwall Hosp.	St. Marys Birth Unit
% women who got the pain relief they wanted	80.6%	77.5%
Birthing pools per 1000 deliveries	1	0.5	20	3.0	0	0
% women using birthing pool who deliver in pool	33.3%	53.3%	66.7%	16.7%
Average number of deliveries utilising birthing pool	9 (Number per month)	17.6 (Number per month)	6 (Number per month)	12 (Number per month)
Midwives trained to deliver in birthing pools per pool	37	45.2	42	24
% women having at most gas and air for vaginal birth without instruments	56.4%	58.7%
% women having at most painkiller for vaginal birth without instruments	69.3%	83.4%
% women using medication (beyond Entonox) as pain relief	50.5%	51.3%
% women having epidural pain relief for unassisted vaginal birth	21.9%	13.9%	0.0%	0.0%	29.3%	0.0%
Weekday hours Epidural available	24 (Hours per day - weekday)	23.3 (Hours per day - weekday)	0 (Hours per day - weekday)	0 (Hours per day - weekday)	24 (Hours per day - weekday)	0 (Hours per day - weekday)
Weekend hours Epidural available	24 (Hours per day - weekend)	23.9 (Hours per day - weekend)	0 (Hours per day - weekend)	0 (Hours per day - weekend)	24 (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	25.2%	19.8%
% women who had met at least one midwife caring for them during labour	25.1%	21.4%
% women left alone during labour	19.5%	20.5%
% women left alone shortly after the birth	13.7%	11.4%
% women left alone during labour or shortly after the birth	28.8%	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	72.6%	73.2%
% women giving birth off the bed or in water	8.4%	7.8%
% women who gave birth lying down	58.2%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	Helston Birth Unit	Penrice Birth Centre	Princess Alexandra Mat Wing, Royal Cornwall Hosp.	St. Marys Birth Unit
% women given a choice on how their labour was induced	53.3%	56.6%
Days past term when inductions planned to take place	10 (Days)	12.7 (Days)
% women induced	17.8%	18.8%	0.0%	0.0%	21.8%	0.0%
% women whose labour was induced medically (surgically)	25.3%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery	82.1%	76.1%			82.1%
% vaginal deliveries following induction which are assisted	16.9%	22.9%			16.9%

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Vaginal birth	Trust Average	English Average	Helston Birth Unit	Penrice Birth Centre	Princess Alexandra Mat Wing, Royal Cornwall Hosp.	St. Marys Birth Unit
% women having vaginal birth	84.0%	76.1%	100%	100%	80.4%	100%
vbac (vaginal birth after caesarean) rate	30.8%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	49.8%	41.7%	100%	100%	38.5%	100%
% women with vaginal birth without instruments	72.5%	65.0%	100%	100%	66.3%	100%
% women having epidural pain relief for vaginal birth with instruments	79.5%	54.1%			79.5%
% women with vaginal birth where ventouse or forceps used	13.6%	14.7%	0.0%	0.0%	17.5%	0.0%
% instrument births using ventouse	60.5%	61.1%			60.5%

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Caesarean	Trust Average	English Average	Helston Birth Unit	Penrice Birth Centre	Princess Alexandra Mat Wing, Royal Cornwall Hosp.	St. Marys Birth Unit
% women having caesarean	16.0%	23.5%	0.0%	0.0%	19.6%	0.0%
% women having caesarean adjusted for age	19.1%	22.4%
% women having caesarean adjusted for age and ethnicity	19.3%	22.2%
vbac (vaginal birth after caesarean) rate	30.8%	32.0%
% emergency caesareans following previous caesarean	15.9%	21.8%
% of emergency caesareans undertaken within 30 minutes of decision	87.0%	92.8%
% caesareans which are non-elective	59.3%	59.0%			59.3%
% women under 35 having caesarean	18.1%	22.4%
% women over 35 having caesarean	24.9%	33.3%
% primips having caesarean	17.2%	24.1%	0.0%	0.0%	19.1%	0.0%
% multips having caesarean	17.9%	26.8%	0.0%	0.0%	20.0%	0.0%
% emergency caesareans for 2nd or subsequent child	8.4%	11.5%	0.0%	0.0%	9.4%	0.0%
% women having general anaesthestic for caesarean	9.0%	9.9%
% women having general anaesthestic for elective caesarean	3.3%	4.7%

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Breech babies	Trust Average	English Average
% women offered ECV for a breech	100%	58.3%
Babies turned using ECV	43.8%	41.2%
% singleton breech babies at 36 weeks where ECV attempted	68.1%	35.0%
% singleton breech deliveries which were diagnosed prior to labour	34.0%	19.5%
% singleton babies breech at term	2.4%	3.8%
% elective caesareans for breech prior to week 39	0.0%	42.2%
% singleton breech babies at term delivered by caesarean	79.0%	84.9%

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Problems immediately after the birth	Trust Average	English Average
Women per 1000 deliveries with eclampsia	0.5 (Number per 1000)	1.3 (Number per 1000)
% Women who delivered vaginally who had an episiotomy		16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	94.0%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	64.2%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	9.5%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	1.4%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	2.9%	3.3%
% Women with a primary postpartum haemorrhage of 2500ml or more	0.2%	0.2%
% women transferred to intensive care after a postpartum haemorrhage	0.8%	3.9%
Women per 1000 deliveries transferred to intensive care	1 (Number per 1000)	1.2 (Number per 1000)

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Hospital care	Trust Average	English Average	Helston Birth Unit	Penrice Birth Centre	Princess Alexandra Mat Wing, Royal Cornwall Hosp.	St. Marys Birth Unit
% women who considered their length of stay was about right	73.2%	72.3%
% women who considered their length of stay was too short	14.5%	13.1%
% women who considered their length of stay was too long	12.3%	14.7%
Average length of postnatal stay for normal delivery	1 (Days)	1.4 (Days)	0 (Days)	0.1 (Days)	1 (Days)	0 (Days)
Average length of stay for normal delivery -primip	1 (Days)	4.6 (Days)	0 (Days)	0.1 (Days)	1 (Days)	0 (Days)
Average length of stay for normal delivery - multip	1 (Days)	2.3 (Days)	0 (Days)	0.1 (Days)	1 (Days)	0 (Days)
Average length of postnatal stay for vaginal with intervention delivery	1.1 (Days)	2.3 (Days)			1.1 (Days)
Average length of stay for vaginal with intervention delivery - primip	2 (Days)	2.6 (Days)			2 (Days)
Average length of stay for vaginal with intervention delivery - multip	0.3 (Days)	4.4 (Days)			0.3 (Days)
Average length of postnatal stay for caesarean delivery	3 (Days)	3.4 (Days)			3 (Days)
Average length of stay for caesarean delivery - primip	3.2 (Days)	4.1 (Days)			3.2 (Days)
Average length of stay for caesarean delivery - multip	3 (Days)	4.2 (Days)			3 (Days)
% women who were given sufficient food	79.1%	77.3%

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Postnatal care at home	Trust Average	English Average
% women who were visited at home	98.1%	98.0%
Average age of baby at last midwife contact	13 (Days)	14.6 (Days)
% of women who would have liked more contact with midwife	22.8%	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	64.4%	66.1%
Average number of contacts with midwife after going home	4	4.4
Planned postnatal contacts	6	5.5
% planned postnatal contacts by midwife	50.0%	83.4%
% planned postnatal contacts at home	66.7%	80.7%
Hours of availability of drop-in-clinics	80 (Hours per week)	21.1 (Hours per week)

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Health checks	Trust Average	English Average
% babies having statutory examination of newborn	100%	98.5%
% babies with baby check completed prior to discharge	67.2%	95.1%
% women receiving a postnatal check up of their own health (survey)	86.3%	88.1%
Women re-admitted within 2 weeks of discharge	5 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	Helston Birth Unit	Penrice Birth Centre	Princess Alexandra Mat Wing, Royal Cornwall Hosp.	St. Marys Birth Unit
% women who put their baby to their breast (survey)	86.3%	80.1%
% women who initiated breastfeeding	73.0%	67.4%	100%	88.9%	71.0%	100%
% women who breastfed (at least in part) in the first few days	83.4%	76.0%
% of women who reported good advice, help and support on infant feeding	67.0%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	88.4%	77.4%

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Neonatal care	Trust Average	English Average	Helston Birth Unit	Penrice Birth Centre	Princess Alexandra Mat Wing, Royal Cornwall Hosp.	St. Marys Birth Unit
Admissions to neonatal unit per 1000 babies born	142	102			158
% babies admitted to neonatal unit from survey	13.3%	10.4%
Tube feeding	Yes	60% Yes - 40%No	No	No	Yes	No
Phototherapy	Yes	99% Yes - 1%No	No	No	Yes	No
Intravenous antibiotics	Yes	57% Yes - 43%No	No	No	Yes	No
Other intravenous medicines	Yes	28% Yes - 72%No	No	No	Yes	No