Healthcare Commission's Survey Results for
Southampton University 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	79.5%	73.2%
% women always treated with understanding and respect during antenatal care	79.5%	73.2%
Women's satisfaction with their care during labour and birth	80.0%	76.8%
% women who were always treated with understanding and respect during labour and birth	80.4%	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	59.1%	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	11.3%	18.8%
% of women who first see a GP	86.3%	78.3%
% women given a choice of where check ups took place	26.2%	23.5%
% antenatal appointments offered outside the main maternity unit	89.7%	66.5%
Target date (weeks gestation) for booking	12 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	11 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	3.3%	6.1%
% women receiving a copy of 'The Pregnancy Book'	66.3%	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	45.3%	34.1%
% women seeing only midwives / GPs for check ups	54.1%	40.4%
Time allocated for booking appointment(s)	120 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	15 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	15	11.6
Average number of antenatal checks for primips	9	7.6
Planned number of antenatal checks for multip	13	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	60.6%	57.3%
% women reporting they mostly saw the same doctor for check-ups	35.4%	38.9%
Percent midwives sharing caseload	10.9%	30.4%
Percent midwives carrying own caseload	6.6%	23.7%

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Antenatal classes	Trust Average	English Average
% women attending NHS antenatal classes who wanted to	55.7%	58.3%
% women who did not attend antenatal classes due to lack of space	5.2%	3.4%
% women having first baby attending antenatal classes	85.1%	78.9%
% women whose partners were allowed to attend antenatal classes	100%	94.6%
% women who considered classes were at convenient location	84.4%	93.7%
% women who considered classes were at convenient time	82.8%	85.1%
% who considered content of classes appropriate	70.8%	79.6%
Length of antenatal classes (sessions)	3 (Hours)	4.2 (Hours)
% who considered classes were about right number	62.5%	71.0%
Proportion of primips offered classes	2.0%	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	Broadlands Birth Centre	Hythe Birth Centre	Lymington Birth Centre	Princess Anne Obstetric Unit	Romsey Birth Centre
% of women getting 20+ antenatal checks	4.8%	2.9%
Antenatal day attendances per delivery	1.1	1.3				2
% conditions where there is a specialist midwife	31.6%	22.7%
Average number of consultant attendances per booked women	1	2.3
% women referred to consultants in pregnancy (survey)	46.3%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	18.7%	18.9%
Places per 1000 deliveries pa in nearest mother and baby unit	0.4 (Places per 1000 deliveries)	0.2 (Places per 1000 deliveries)
% women referred to consultants during pregnancy	39.5%	70.2%
% women referred for specialist psychiatric care		3.9%
Ratio of antenatal attendances to antenatal admissions	2.0 (Ratio)	2.5 (Ratio)				2.0 (Ratio)
Minimum referral waits for a psychiatrist	3 (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	74.6%	70.4%
% women with reasons for dating scan clearly explained	84.4%	88.0%
% eligible women having dating scan	99.8%	93.2%

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Testing procedures	Trust Average	English Average
% women offered an informed choice for screening tests	84.6%	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	45.5%	79.5%
% women with reasons for 20 week scan clearly explained	86.5%	91.7%
% women given a choice on whether to have a 20 week scan	78.7%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	92.3%	87.9%
% women with reasons for Downs syndrome screening clearly explained	89.4%	89.2%
% women eligible for amniocentesis or CVS who were tested		63.3%
% women having CVS of those having amniocentesis or CVS	22.1%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	88.8%	93.1%
% eligible women offered Rubella testing	100%	98.6%
% eligible women tested for Rubella	99.6%	95.0%
% eligible woman offered fetal anomaly scan	100%	97.1%
% eligible woman having fetal anomaly scan	100.0%	94.8%
Attributes checked in fetal anomaly scan (max 11)	10	10.5
% women having both NT and blood test (survey)	60.3%	24.9%
% women having blood test only (survey)	21.9%	58.8%
% women having NT test only (survey)	17.9%	16.3%
% eligible women offered Hepatitis B testing	100%	98.6%
% eligible women tested for Hepatitis B	98.7%	95.4%
% eligible women offered HIV testing	100%	98.3%
% eligible women tested for HIV	98.4%	92.3%
% eligible women offered Syphilis testing	100%	98.6%
% eligible women tested for Syphilis	99.0%	96.7%

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Birth location and choice	Trust Average	English Average	Broadlands Birth Centre	Hythe Birth Centre	Lymington Birth Centre	Princess Anne Obstetric Unit	Romsey Birth Centre
% women given a choice of where to have their baby at the start of the pregnancy	71.4%	74.7%
% women having vaginal birth	77.3%	76.1%	100%	100%	100%	68.8%	100%
% women reporting they got enough information about where to have you baby	46.1%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	49.0%	41.7%	91.3%	100%	100%	31.8%	100%
% women given the choice of a home birth	54.0%	47.6%
% women with vaginal birth without instruments	62.6%	65.0%	99.8%	100%	100%	48.5%	100%
% women not offered home birth because of medical reasons	24.7%	14.8%
Number of home births	217	114
% home births	3.3%	2.3%
% home births which were planned for home	92.0%	85.6%
% home deliveries which were for primips	17.8%	20.1%
% births in GP or midwife led unit	23.4%	5.8%
Number of deliveries in obstetric units	3860	3843
% births in consultant led unit	72.6%	91.4%

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Pain relief	Trust Average	English Average	Broadlands Birth Centre	Hythe Birth Centre	Lymington Birth Centre	Princess Anne Obstetric Unit	Romsey Birth Centre
% women who got the pain relief they wanted	78.3%	77.5%
Birthing pools per 1000 deliveries	1.2	0.5	2.2	6.4	5.2	0.3	11.1
% women using birthing pool who deliver in pool		53.3%
Average number of deliveries utilising birthing pool		17.6 (Number per month)
Midwives trained to deliver in birthing pools per pool	32	45.2	59	21	10	38	5
% women having at most gas and air for vaginal birth without instruments	82.3%	58.7%
% women having at most painkiller for vaginal birth without instruments	91.9%	83.4%
% women using medication (beyond Entonox) as pain relief	39.4%	51.3%
% women having epidural pain relief for unassisted vaginal birth	8.0%	13.9%	0.0%	0.0%	0.0%	14.1%	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)	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)	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	14.0%	19.8%
% women who had met at least one midwife caring for them during labour	31.9%	21.4%
% women left alone during labour	19.1%	20.5%
% women left alone shortly after the birth	12.0%	11.4%
% women left alone during labour or shortly after the birth	26.3%	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	75.0%	73.2%
% women giving birth off the bed or in water	17.8%	7.8%
% women who gave birth lying down	57.7%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	Broadlands Birth Centre	Hythe Birth Centre	Lymington Birth Centre	Princess Anne Obstetric Unit	Romsey Birth Centre
% women given a choice on how their labour was induced	61.4%	56.6%
Days past term when inductions planned to take place	12 (Days)	12.7 (Days)
% women induced	19.4%	18.8%	8.5%	0.0%	0.0%	24.7%	0.0%
% women whose labour was induced medically (surgically)	22.0%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery	76.6%	76.1%	100%			74.7%
% vaginal deliveries following induction which are assisted	29.3%	22.9%	0.0%			32.5%

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Vaginal birth	Trust Average	English Average	Broadlands Birth Centre	Hythe Birth Centre	Lymington Birth Centre	Princess Anne Obstetric Unit	Romsey Birth Centre
% women having vaginal birth	77.3%	76.1%	100%	100%	100%	68.8%	100%
vbac (vaginal birth after caesarean) rate	35.1%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	49.0%	41.7%	91.3%	100%	100%	31.8%	100%
% women with vaginal birth without instruments	62.6%	65.0%	99.8%	100%	100%	48.5%	100%
% women having epidural pain relief for vaginal birth with instruments	60.2%	54.1%	0.0%			60.3%
% women with vaginal birth where ventouse or forceps used	19.0%	14.7%	0.2%	0.0%	0.0%	29.4%	0.0%
% instrument births using ventouse	34.5%	61.1%	0.0%			34.6%

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Caesarean	Trust Average	English Average	Broadlands Birth Centre	Hythe Birth Centre	Lymington Birth Centre	Princess Anne Obstetric Unit	Romsey Birth Centre
% women having caesarean	22.7%	23.5%	0.0%	0.0%	0.0%	31.2%	0.0%
% women having caesarean adjusted for age	22.1%	22.4%
% women having caesarean adjusted for age and ethnicity	22.3%	22.2%
vbac (vaginal birth after caesarean) rate	35.1%	32.0%
% emergency caesareans following previous caesarean	16.4%	21.8%
% of emergency caesareans undertaken within 30 minutes of decision	100%	92.8%
% caesareans which are non-elective	52.7%	59.0%				52.7%
% women under 35 having caesarean	21.4%	22.4%
% women over 35 having caesarean	34.2%	33.3%
% primips having caesarean	25.8%	24.1%	0.0%	0.0%	0.0%	32.6%	0.0%
% multips having caesarean	21.6%	26.8%	0.0%	0.0%	0.0%	29.9%	0.0%
% emergency caesareans for 2nd or subsequent child	6.8%	11.5%	0.0%	0.0%	0.0%	9.5%	0.0%
% women having general anaesthestic for caesarean	10.4%	9.9%
% women having general anaesthestic for elective caesarean	7.9%	4.7%

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Breech babies	Trust Average	English Average
% women offered ECV for a breech		58.3%
Babies turned using ECV	48.4%	41.2%
% singleton breech babies at 36 weeks where ECV attempted		35.0%
% singleton breech deliveries which were diagnosed prior to labour	5.1%	19.5%
% singleton babies breech at term	3.4%	3.8%
% elective caesareans for breech prior to week 39	23.8%	42.2%
% singleton breech babies at term delivered by caesarean	97.2%	84.9%

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Problems immediately after the birth	Trust Average	English Average
Women per 1000 deliveries with eclampsia	1 (Number per 1000)	1.3 (Number per 1000)
% Women who delivered vaginally who had an episiotomy	22.2%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	83.5%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	52.9%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	9.6%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	3.2%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	7.9%	3.3%
% Women with a primary postpartum haemorrhage of 2500ml or more	0.8%	0.2%
% women transferred to intensive care after a postpartum haemorrhage	0.5%	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	Broadlands Birth Centre	Hythe Birth Centre	Lymington Birth Centre	Princess Anne Obstetric Unit	Romsey Birth Centre
% women who considered their length of stay was about right	73.5%	72.3%
% women who considered their length of stay was too short	12.2%	13.1%
% women who considered their length of stay was too long	14.3%	14.7%
Average length of postnatal stay for normal delivery	2.2 (Days)	1.4 (Days)	3 (Days)	2.4 (Days)	3 (Days)	2 (Days)	2.2 (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	4 (Days)	2.3 (Days)	2.5 (Days)			4 (Days)
Average length of stay for vaginal with intervention delivery - primip		2.6 (Days)
Average length of stay for vaginal with intervention delivery - multip	18.4 (Days)	4.4 (Days)	5 (Days)			18.5 (Days)
Average length of postnatal stay for caesarean delivery	4 (Days)	3.4 (Days)				4 (Days)
Average length of stay for caesarean delivery - primip		4.1 (Days)
Average length of stay for caesarean delivery - multip	8.2 (Days)	4.2 (Days)				8.2 (Days)
% women who were given sufficient food	76.0%	77.3%

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Postnatal care at home	Trust Average	English Average
% women who were visited at home	94.3%	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	33.0%	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	60.6%	66.1%
Average number of contacts with midwife after going home	4	4.4
Planned postnatal contacts	3	5.5
% planned postnatal contacts by midwife	100%	83.4%
% planned postnatal contacts at home	100%	80.7%
Hours of availability of drop-in-clinics	0 (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	96.1%	95.1%
% women receiving a postnatal check up of their own health (survey)	90.6%	88.1%
Women re-admitted within 2 weeks of discharge	4 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	Broadlands Birth Centre	Hythe Birth Centre	Lymington Birth Centre	Princess Anne Obstetric Unit	Romsey Birth Centre
% women who put their baby to their breast (survey)	81.6%	80.1%
% women who initiated breastfeeding	75.1%	67.4%	73.5%	80.1%	85.6%	74.9%	82.7%
% women who breastfed (at least in part) in the first few days	76.4%	76.0%
% of women who reported good advice, help and support on infant feeding	61.6%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	80.2%	77.4%

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Neonatal care	Trust Average	English Average	Broadlands Birth Centre	Hythe Birth Centre	Lymington Birth Centre	Princess Anne Obstetric Unit	Romsey Birth Centre
Admissions to neonatal unit per 1000 babies born	129	102				169
% babies admitted to neonatal unit from survey	15.1%	10.4%
Tube feeding	Yes	60% Yes - 40%No	No	No	No	Yes	No
Phototherapy	Yes	99% Yes - 1%No	Yes	No	No	Yes	No
Intravenous antibiotics	No	57% Yes - 43%No	No	No	No	No	No
Other intravenous medicines	No	28% Yes - 72%No	No	No	No	No	No