Healthcare Commission's Survey Results for
Barking, Havering and Redbridge 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	64.0%	73.2%
% women always treated with understanding and respect during antenatal care	64.0%	73.2%
Women's satisfaction with their care during labour and birth	60.4%	76.8%
% women who were always treated with understanding and respect during labour and birth	54.3%	73.4%
% women who considered they were treated with understanding and respect after the birth	45.2%	60.2%
Women's satisfaction with their care after birth	49.8%	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	11.2%	18.8%
% of women who first see a GP	85.7%	78.3%
% women given a choice of where check ups took place	18.9%	23.5%
% antenatal appointments offered outside the main maternity unit	76.5%	66.5%
Target date (weeks gestation) for booking	10 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	11.2 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	6.7%	6.1%
% women receiving a copy of 'The Pregnancy Book'	47.2%	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)	12.5%	12.7%
% of clinic locations with appointments outside weekdays 9 to 5	11.1%	4.5%

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Antenatal appointments	Trust Average	English Average
% women seeing only midwives for check ups	34.9%	34.1%
% women seeing only midwives / GPs for check ups	36.3%	40.4%
Time allocated for booking appointment(s)	30 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	15 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	11	11.6
Average number of antenatal checks for primips	7	7.6
Planned number of antenatal checks for multip	11	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	58.1%	57.3%
% women reporting they mostly saw the same doctor for check-ups	27.6%	38.9%
Percent midwives sharing caseload	88.7%	30.4%
Percent midwives carrying own caseload	11.3%	23.7%

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Antenatal classes	Trust Average	English Average
% women attending NHS antenatal classes who wanted to	28.5%	58.3%
% women who did not attend antenatal classes due to lack of space	4.3%	3.4%
% women having first baby attending antenatal classes	45.3%	78.9%
% women whose partners were allowed to attend antenatal classes	96.3%	94.6%
% women who considered classes were at convenient location	85.2%	93.7%
% women who considered classes were at convenient time	74.1%	85.1%
% who considered content of classes appropriate	69.4%	79.6%
Length of antenatal classes (sessions)	1 (Hours)	4.2 (Hours)
% who considered classes were about right number	44.2%	71.0%
Proportion of primips offered classes	3.0%	5.7%
Proportion of multips offered classes	2.0%	5.2%

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Care for women with high risk pregnancies	Trust Average	English Average	King George Hospital	Queens Hospital
% of women getting 20+ antenatal checks	2.9%	2.9%
Antenatal day attendances per delivery	2.1	1.3	2.1	2.1
% conditions where there is a specialist midwife	21.1%	22.7%
Average number of consultant attendances per booked women		2.3
% women referred to consultants in pregnancy (survey)	63.4%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	23.5%	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		70.2%
% women referred for specialist psychiatric care		3.9%
Ratio of antenatal attendances to antenatal admissions	2 (Ratio)	2.5 (Ratio)	2 (Ratio)	2 (Ratio)
Minimum referral waits for a psychiatrist	1 (Time interval)	1.6 (Time interval)
Maximum referral waits for a psychiatrist	5 (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	63.1%	70.4%
% women with reasons for dating scan clearly explained	78.7%	88.0%
% eligible women having dating scan		93.2%

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Testing procedures	Trust Average	English Average
% women offered an informed choice for screening tests	73.9%	83.6%
% of tests where written information is provided	90.9%	98.1%
% of tests where written information is provided at least 24 hours prior to procedure	90.9%	79.5%
% women with reasons for 20 week scan clearly explained	82.6%	91.7%
% women given a choice on whether to have a 20 week scan	63.1%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	76.3%	87.9%
% women with reasons for Downs syndrome screening clearly explained	78.8%	89.2%
% women eligible for amniocentesis or CVS who were tested		63.3%
% women having CVS of those having amniocentesis or CVS	54.7%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	100%	93.1%
% eligible women offered Rubella testing	100%	98.6%
% eligible women tested for Rubella		95.0%
% eligible woman offered fetal anomaly scan	100%	97.1%
% eligible woman having fetal anomaly scan		94.8%
Attributes checked in fetal anomaly scan (max 11)	10	10.5
% women having both NT and blood test (survey)	48.3%	24.9%
% women having blood test only (survey)	47.0%	58.8%
% women having NT test only (survey)	4.7%	16.3%
% eligible women offered Hepatitis B testing	100%	98.6%
% eligible women tested for Hepatitis B		95.4%
% eligible women offered HIV testing	100%	98.3%
% eligible women tested for HIV		92.3%
% eligible women offered Syphilis testing	100%	98.6%
% eligible women tested for Syphilis		96.7%

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Birth location and choice	Trust Average	English Average	King George Hospital	Queens Hospital
% women given a choice of where to have their baby at the start of the pregnancy	53.1%	74.7%
% women having vaginal birth	78.3%	76.1%	79.8%	77.5%
% women reporting they got enough information about where to have you baby	26.6%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)		41.7%
% women given the choice of a home birth	47.4%	47.6%
% women with vaginal birth without instruments	68.7%	65.0%	71.7%	67.4%
% women not offered home birth because of medical reasons	10.6%	14.8%
Number of home births	235	114
% home births	1.5%	2.3%
% home births which were planned for home		85.6%
% home deliveries which were for primips		20.1%
% births in GP or midwife led unit	0.0%	5.8%
Number of deliveries in obstetric units	9151	3843
% births in consultant led unit	97.5%	91.4%

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Pain relief	Trust Average	English Average	King George Hospital	Queens Hospital
% women who got the pain relief they wanted	68.2%	77.5%
Birthing pools per 1000 deliveries	0.1	0.5	0	0.2
% women using birthing pool who deliver in pool		53.3%
Average number of deliveries utilising birthing pool	0 (Number per month)	17.6 (Number per month)		0 (Number per month)
Midwives trained to deliver in birthing pools per pool	20	45.2
% women having at most gas and air for vaginal birth without instruments	46.8%	58.7%
% women having at most painkiller for vaginal birth without instruments	77.4%	83.4%
% women using medication (beyond Entonox) as pain relief	55.1%	51.3%
% women having epidural pain relief for unassisted vaginal birth		13.9%
Weekday hours Epidural available	24 (Hours per day - weekday)	23.3 (Hours per day - weekday)	24 (Hours per day - weekday)	24 (Hours per day - weekday)
Weekend hours Epidural available	24 (Hours per day - weekend)	23.9 (Hours per day - weekend)	24 (Hours per day - weekend)	24 (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	14.2%	19.8%
% women who had met at least one midwife caring for them during labour	20.6%	21.4%
% women left alone during labour	31.8%	20.5%
% women left alone shortly after the birth	18.2%	11.4%
% women left alone during labour or shortly after the birth	40.0%	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	59.5%	73.2%
% women giving birth off the bed or in water	1.9%	7.8%
% women who gave birth lying down	65.0%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	King George Hospital	Queens Hospital
% women given a choice on how their labour was induced	38.2%	56.6%
Days past term when inductions planned to take place	11 (Days)	12.7 (Days)
% women induced		18.8%
% women whose labour was induced medically (surgically)	26.1%	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	King George Hospital	Queens Hospital
% women having vaginal birth	78.3%	76.1%	79.8%	77.5%
vbac (vaginal birth after caesarean) rate		32.0%
% women with 'normal' vaginal birth (no induction or epidural)		41.7%
% women with vaginal birth without instruments	68.7%	65.0%	71.7%	67.4%
% women having epidural pain relief for vaginal birth with instruments		54.1%	0.0%	0.0%
% women with vaginal birth where ventouse or forceps used	12.3%	14.7%	10.1%	13.0%
% instrument births using ventouse	70.7%	61.1%	84.2%	67.2%

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Caesarean	Trust Average	English Average	King George Hospital	Queens Hospital
% women having caesarean	21.7%	23.5%	20.2%	22.5%
% women having caesarean adjusted for age		22.4%
% women having caesarean adjusted for age and ethnicity		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	65.1%	59.0%	69.9%	62.8%
% women under 35 having caesarean	20.8%	22.4%
% women over 35 having caesarean	32.6%	33.3%
% primips having caesarean		24.1%
% multips having caesarean		26.8%
% emergency caesareans for 2nd or subsequent child		11.5%
% women having general anaesthestic for caesarean		9.9%
% women having general anaesthestic for elective caesarean		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		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		1.3 (Number per 1000)
% Women who delivered vaginally who had an episiotomy	20.3%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	94.5%	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	7.7%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	2.5%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	10.5%	3.3%
% Women with a primary postpartum haemorrhage of 2500ml or more		0.2%
% women transferred to intensive care after a postpartum haemorrhage		3.9%
Women per 1000 deliveries transferred to intensive care	0.1 (Number per 1000)	1.2 (Number per 1000)

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Hospital care	Trust Average	English Average	King George Hospital	Queens Hospital
% women who considered their length of stay was about right	66.3%	72.3%
% women who considered their length of stay was too short	16.3%	13.1%
% women who considered their length of stay was too long	17.5%	14.7%
Average length of postnatal stay for normal delivery	1.3 (Days)	1.4 (Days)	1.2 (Days)	1.3 (Days)
Average length of stay for normal delivery -primip		4.6 (Days)
Average length of stay for normal delivery - multip		2.3 (Days)
Average length of postnatal stay for vaginal with intervention delivery	2 (Days)	2.3 (Days)	2 (Days)	2 (Days)
Average length of stay for vaginal with intervention delivery - primip		2.6 (Days)
Average length of stay for vaginal with intervention delivery - multip	2 (Days)	4.4 (Days)	2 (Days)	2 (Days)
Average length of postnatal stay for caesarean delivery	3 (Days)	3.4 (Days)	3.2 (Days)	3 (Days)
Average length of stay for caesarean delivery - primip		4.1 (Days)
Average length of stay for caesarean delivery - multip	3 (Days)	4.2 (Days)	3.2 (Days)	3 (Days)
% women who were given sufficient food	74.6%	77.3%

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Postnatal care at home	Trust Average	English Average
% women who were visited at home	97.9%	98.0%
Average age of baby at last midwife contact	13.4 (Days)	14.6 (Days)
% of women who would have liked more contact with midwife	44.2%	22.2%
Quality of transfer process to health visitor (score out of 5)		4.4 (Score out of 5)
Quality of support in caring for the baby after discharge	52.7%	66.1%
Average number of contacts with midwife after going home	3.2	4.4
Planned postnatal contacts	4	5.5
% planned postnatal contacts by midwife	100%	83.4%
% planned postnatal contacts at home	50.0%	80.7%
Hours of availability of drop-in-clinics		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	97.8%	95.1%
% women receiving a postnatal check up of their own health (survey)	84.9%	88.1%
Women re-admitted within 2 weeks of discharge	12.3 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	King George Hospital	Queens Hospital
% women who put their baby to their breast (survey)	79.3%	80.1%
% women who initiated breastfeeding		67.4%
% women who breastfed (at least in part) in the first few days	73.0%	76.0%
% of women who reported good advice, help and support on infant feeding	42.3%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	59.1%	77.4%

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Neonatal care	Trust Average	English Average	King George Hospital	Queens Hospital
Admissions to neonatal unit per 1000 babies born	89.3	102	133	66
% babies admitted to neonatal unit from survey	8.1%	10.4%
Tube feeding	No	60% Yes - 40%No	No	No
Phototherapy	Yes	99% Yes - 1%No	Yes	Yes
Intravenous antibiotics	Yes	57% Yes - 43%No	Yes	Yes
Other intravenous medicines	No	28% Yes - 72%No	No	No