Healthcare Commission's Survey Results for
Lewisham Hospital NHS Trust (The)

Healthcare Commission

Nearby Trusts
Queen Elizabeth Hospital NHS Trust
Kings College Hospital NHS Foundation Trust
Barts and The London NHS Trust
Guy's and St Thomas's NHS Foundation Trust
Newham University Hospital NHS Trust
Queen Marys Sidcup NHS Trust
Mayday Healthcare NHS Trust
Homerton University Hospital NHS Foundation Trust

Categories

Survey Results

Top

Women's views

Trust Average

English Average

Women's satisfaction with their care during pregnancy

66.7%

73.2%

% women always treated with understanding and respect during antenatal care

66.7%

73.2%

Women's satisfaction with their care during labour and birth

61.6%

76.8%

% women who were always treated with understanding and respect during labour and birth

51.3%

73.4%

% women who considered they were treated with understanding and respect after the birth

26.1%

60.2%

Women's satisfaction with their care after birth

44.3%

64.2%

Top

Antenatal, access and booking

Trust Average

English Average

% women whose first contact with a healthcare professional is a midwife

9.2%

18.8%

% of women who first see a GP

89.2%

78.3%

% women given a choice of where check ups took place

33.3%

23.5%

% antenatal appointments offered outside the main maternity unit

100%

66.5%

Target date (weeks gestation) for booking

10 (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

10.2%

6.1%

% women receiving a copy of 'The Pregnancy Book'

80.5%

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%

Top

Antenatal appointments

Trust Average

English Average

% women seeing only midwives for check ups

40.3%

34.1%

% women seeing only midwives / GPs for check ups

48.6%

40.4%

Time allocated for booking appointment(s)

45 (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

8

9.2

Average number of antenatal checks for multips

7

6.9

Top

Continuity of care

Trust Average

English Average

% women reporting they mostly saw the same midwife for check-ups

55.9%

57.3%

% women reporting they mostly saw the same doctor for check-ups

34.2%

38.9%

Percent midwives sharing caseload

123.3%

30.4%

Percent midwives carrying own caseload

0.0%

23.7%

Top

Antenatal classes

Trust Average

English Average

% women attending NHS antenatal classes who wanted to

63.8%

58.3%

% women who did not attend antenatal classes due to lack of space

1.4%

3.4%

% women having first baby attending antenatal classes

87.0%

78.9%

% women whose partners were allowed to attend antenatal classes

95.2%

94.6%

% women who considered classes were at convenient location

97.7%

93.7%

% women who considered classes were at convenient time

93.2%

85.1%

% who considered content of classes appropriate

73.8%

79.6%

Length of antenatal classes (sessions)

6 (Hours)

4.2 (Hours)

% who considered classes were about right number

76.2%

71.0%

Proportion of primips offered classes

6.0%

5.7%

Proportion of multips offered classes

6.0%

5.2%

Top

Care for women with high risk pregnancies

Trust Average

English Average

% of women getting 20+ antenatal checks

0.8%

2.9%

Antenatal day attendances per delivery

1

1.3

% conditions where there is a specialist midwife

63.2%

22.7%

Average number of consultant attendances per booked women

1.0

2.3

% women referred to consultants in pregnancy (survey)

52.7%

59.9%

% of women surveyed with an antenatal admission involving an overnight stay

18.3%

18.9%

Places per 1000 deliveries pa in nearest mother and baby unit

0.2 (Places per 1000 deliveries)

0.2 (Places per 1000 deliveries)

% women referred to consultants during pregnancy

49.7%

70.2%

% women referred for specialist psychiatric care

2.1%

3.9%

Ratio of antenatal attendances to antenatal admissions

1 (Ratio)

2.5 (Ratio)

Minimum referral waits for a psychiatrist

1 (Time interval)

1.6 (Time interval)

Maximum referral waits for a psychiatrist

1 (Time interval)

2.8 (Time interval)

Tests and screening

No results for this category.

Top

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

74.0%

70.4%

% women with reasons for dating scan clearly explained

86.4%

88.0%

% eligible women having dating scan

99.0%

93.2%

Top

Testing procedures

Trust Average

English Average

% women offered an informed choice for screening tests

79.7%

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

90.3%

91.7%

% women given a choice on whether to have a 20 week scan

73.1%

72.9%

Top

Screening

Trust Average

English Average

% women who were given a choice on having Downs syndrome screening test

68.9%

87.9%

% women with reasons for Downs syndrome screening clearly explained

84.8%

89.2%

% women eligible for amniocentesis or CVS who were tested

100%

63.3%

% women having CVS of those having amniocentesis or CVS

37.5%

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

100%

95.0%

% eligible woman offered fetal anomaly scan

100%

97.1%

% eligible woman having fetal anomaly scan

99.0%

94.8%

Attributes checked in fetal anomaly scan (max 11)

11

10.5

% women having both NT and blood test (survey)

26.7%

24.9%

% women having blood test only (survey)

18.9%

58.8%

% women having NT test only (survey)

54.4%

16.3%

% eligible women offered Hepatitis B testing

100%

98.6%

% eligible women tested for Hepatitis B

100%

95.4%

% eligible women offered HIV testing

100%

98.3%

% eligible women tested for HIV

100.0%

92.3%

% eligible women offered Syphilis testing

100%

98.6%

% eligible women tested for Syphilis

100.0%

96.7%

Top

Birth location and choice

Trust Average

English Average

% women given a choice of where to have their baby at the start of the pregnancy

71.2%

74.7%

% women having vaginal birth

72.3%

76.1%

% women reporting they got enough information about where to have you baby

40.2%

38.4%

% women with 'normal' vaginal birth (no induction or epidural)

54.6%

41.7%

% women given the choice of a home birth

53.6%

47.6%

% women with vaginal birth without instruments

64.5%

65.0%

% women not offered home birth because of medical reasons

15.2%

14.8%

Number of home births

153

114

% home births

3.2%

2.3%

% home births which were planned for home

98.3%

85.6%

% home deliveries which were for primips

19.1%

20.1%

% births in GP or midwife led unit

0.0%

5.8%

Number of deliveries in obstetric units

3485

3843

% births in consultant led unit

96.8%

91.4%

Top

Pain relief

Trust Average

English Average

% women who got the pain relief they wanted

72.2%

77.5%

Birthing pools per 1000 deliveries

0.3

0.5

% women using birthing pool who deliver in pool

100%

53.3%

Average number of deliveries utilising birthing pool

4 (Number per month)

17.6 (Number per month)

Midwives trained to deliver in birthing pools per pool

30

45.2

% women having at most gas and air for vaginal birth without instruments

69.9%

58.7%

% women having at most painkiller for vaginal birth without instruments

79.5%

83.4%

% women using medication (beyond Entonox) as pain relief

43.7%

51.3%

% women having epidural pain relief for unassisted vaginal birth

20.2%

13.9%

Weekday hours Epidural available

24 (Hours per day - weekday)

23.3 (Hours per day - weekday)

Weekend hours Epidural available

24 (Hours per day - weekend)

23.9 (Hours per day - weekend)

Top

Quality of care in labour

Trust Average

English Average

% women cared for by one midwife during labour and delivery

13.6%

19.8%

% women who had met at least one midwife caring for them during labour

16.1%

21.4%

% women left alone during labour

31.9%

20.5%

% women left alone shortly after the birth

14.7%

11.4%

% women left alone during labour or shortly after the birth

43.1%

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

62.3%

73.2%

% women giving birth off the bed or in water

4.8%

7.8%

% women who gave birth lying down

59.5%

56.6%

Interventions and clinical care

No results for this category.

Top

Induction

Trust Average

English Average

% women given a choice on how their labour was induced

 

56.6%

Days past term when inductions planned to take place

42 (Days)

12.7 (Days)

% women induced

10.5%

18.8%

% women whose labour was induced medically (surgically)

21.0%

25.2%

% inductions which lead to the successful onset of labour and vaginal delivery

65.3%

76.1%

% vaginal deliveries following induction which are assisted

18.7%

22.9%

Top

Vaginal birth

Trust Average

English Average

% women having vaginal birth

72.3%

76.1%

vbac (vaginal birth after caesarean) rate

38.0%

32.0%

% women with 'normal' vaginal birth (no induction or epidural)

54.6%

41.7%

% women with vaginal birth without instruments

64.5%

65.0%

% women having epidural pain relief for vaginal birth with instruments

100%

54.1%

% women with vaginal birth where ventouse or forceps used

10.9%

14.7%

% instrument births using ventouse

79.5%

61.1%

Top

Caesarean

Trust Average

English Average

% women having caesarean

27.7%

23.5%

% women having caesarean adjusted for age

24.8%

22.4%

% women having caesarean adjusted for age and ethnicity

22.6%

22.2%

vbac (vaginal birth after caesarean) rate

38.0%

32.0%

% emergency caesareans following previous caesarean

29.0%

21.8%

% of emergency caesareans undertaken within 30 minutes of decision

 

92.8%

% caesareans which are non-elective

66.1%

59.0%

% women under 35 having caesarean

23.1%

22.4%

% women over 35 having caesarean

36.6%

33.3%

% primips having caesarean

24.7%

24.1%

% multips having caesarean

31.8%

26.8%

% emergency caesareans for 2nd or subsequent child

20.5%

11.5%

% women having general anaesthestic for caesarean

6.8%

9.9%

% women having general anaesthestic for elective caesarean

1.2%

4.7%

Top

Breech babies

Trust Average

English Average

% women offered ECV for a breech

100%

58.3%

Babies turned using ECV

58.3%

41.2%

% singleton breech babies at 36 weeks where ECV attempted

66.7%

35.0%

% singleton breech deliveries which were diagnosed prior to labour

29.4%

19.5%

% singleton babies breech at term

3.0%

3.8%

% elective caesareans for breech prior to week 39

40.4%

42.2%

% singleton breech babies at term delivered by caesarean

73.5%

84.9%

Top

Problems immediately after the birth

Trust Average

English Average

Women per 1000 deliveries with eclampsia

31.1 (Number per 1000)

1.3 (Number per 1000)

% Women who delivered vaginally who had an episiotomy

15.1%

16.7%

% women who had an episiotomy or tear who received stitches in <1 hour

86.4%

87.4%

% women who had an episiotomy or tear who received stitches in <20 minutes

47.7%

57.7%

% Women from survey with 3rd or 4th degree perineal tear

12.3%

8.6%

% Women who delivered vaginally with 3rd or 4th degree perineal tear

1.9%

2.2%

% Women experiencing a primary postpartum haemorrhage (1000ml or more)

1.5%

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

0.0%

3.9%

Women per 1000 deliveries transferred to intensive care

2 (Number per 1000)

1.2 (Number per 1000)

Top

Hospital care

Trust Average

English Average

% women who considered their length of stay was about right

61.1%

72.3%

% women who considered their length of stay was too short

13.0%

13.1%

% women who considered their length of stay was too long

25.9%

14.7%

Average length of postnatal stay for normal delivery

1.4 (Days)

1.4 (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)

Average length of stay for vaginal with intervention delivery - primip

 

2.6 (Days)

Average length of stay for vaginal with intervention delivery - multip

8.0 (Days)

4.4 (Days)

Average length of postnatal stay for caesarean delivery

3 (Days)

3.4 (Days)

Average length of stay for caesarean delivery - primip

 

4.1 (Days)

Average length of stay for caesarean delivery - multip

6.2 (Days)

4.2 (Days)

% women who were given sufficient food

74.8%

77.3%

Top

Postnatal care at home

Trust Average

English Average

% women who were visited at home

96.7%

98.0%

Average age of baby at last midwife contact

15.1 (Days)

14.6 (Days)

% of women who would have liked more contact with midwife

37.6%

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

63.7%

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)

Top

Health checks

Trust Average

English Average

% babies having statutory examination of newborn

99.0%

98.5%

% babies with baby check completed prior to discharge

96.5%

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

10.2 (Number per 1000)

5.4 (Number per 1000)

Top

Infant feeding

Trust Average

English Average

% women who put their baby to their breast (survey)

88.2%

80.1%

% women who initiated breastfeeding

63.9%

67.4%

% women who breastfed (at least in part) in the first few days

84.0%

76.0%

% of women who reported good advice, help and support on infant feeding

46.1%

58.0%

% women who discussed breastfeeding with midwife during pregnancy

63.2%

77.4%

Top

Neonatal care

Trust Average

English Average

Admissions to neonatal unit per 1000 babies born

108

102

% babies admitted to neonatal unit from survey

14.3%

10.4%

Tube feeding

No

60% Yes - 40%No

Phototherapy

Yes

99% Yes - 1%No

Intravenous antibiotics

No

57% Yes - 43%No

Other intravenous medicines

No

28% Yes - 72%No