Healthcare Commission's Survey Results for
North Cumbria Acute 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	82.5%	73.2%
% women always treated with understanding and respect during antenatal care	82.5%	73.2%
Women's satisfaction with their care during labour and birth	83.3%	76.8%
% women who were always treated with understanding and respect during labour and birth	78.5%	73.4%
% women who considered they were treated with understanding and respect after the birth	65.9%	60.2%
Women's satisfaction with their care after birth	73.3%	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	31.5%	18.8%
% of women who first see a GP	67.1%	78.3%
% women given a choice of where check ups took place	41.7%	23.5%
% antenatal appointments offered outside the main maternity unit	60.0%	66.5%
Target date (weeks gestation) for booking	8 (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	6.0%	6.1%
% women receiving a copy of 'The Pregnancy Book'	86.1%	74.6%
Items covered in booking appointment	16 (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	65.1%	34.1%
% women seeing only midwives / GPs for check ups	63.3%	40.4%
Time allocated for booking appointment(s)	300 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	20 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	19	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	9	6.9

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Continuity of care	Trust Average	English Average
% women reporting they mostly saw the same midwife for check-ups	60.7%	57.3%
% women reporting they mostly saw the same doctor for check-ups	46.7%	38.9%
Percent midwives sharing caseload	7.7%	30.4%
Percent midwives carrying own caseload	92.3%	23.7%

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Antenatal classes	Trust Average	English Average
% women attending NHS antenatal classes who wanted to	70.9%	58.3%
% women who did not attend antenatal classes due to lack of space	7.6%	3.4%
% women having first baby attending antenatal classes	80.3%	78.9%
% women whose partners were allowed to attend antenatal classes	96.2%	94.6%
% women who considered classes were at convenient location	96.2%	93.7%
% women who considered classes were at convenient time	90.6%	85.1%
% who considered content of classes appropriate	82.7%	79.6%
Length of antenatal classes (sessions)	6 (Hours)	4.2 (Hours)
% who considered classes were about right number	84.3%	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	Cumberland Infirmary	Penrith Birthing Centre	West Cumberland Hospital
% of women getting 20+ antenatal checks	2.7%	2.9%
Antenatal day attendances per delivery	1	1.3	1		0.2
% conditions where there is a specialist midwife	15.8%	22.7%
Average number of consultant attendances per booked women	2.4	2.3
% women referred to consultants in pregnancy (survey)	36.7%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	16.1%	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	106.1%	70.2%
% women referred for specialist psychiatric care		3.9%
Ratio of antenatal attendances to antenatal admissions	0.4 (Ratio)	2.5 (Ratio)	1 (Ratio)		0.1 (Ratio)
Minimum referral waits for a psychiatrist	1 (Time interval)	1.6 (Time interval)
Maximum referral waits for a psychiatrist	2 (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	82.6%	70.4%
% women with reasons for dating scan clearly explained	96.4%	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	91.4%	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	98.6%	91.7%
% women given a choice on whether to have a 20 week scan	84.1%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	92.4%	87.9%
% women with reasons for Downs syndrome screening clearly explained	93.8%	89.2%
% women eligible for amniocentesis or CVS who were tested	94.1%	63.3%
% women having CVS of those having amniocentesis or CVS	0.0%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	90.6%	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	100%	94.8%
Attributes checked in fetal anomaly scan (max 11)	10	10.5
% women having both NT and blood test (survey)	7.1%	24.9%
% women having blood test only (survey)	89.4%	58.8%
% women having NT test only (survey)	3.5%	16.3%
% eligible women offered Hepatitis B testing	100%	98.6%
% eligible women tested for Hepatitis B	99.0%	95.4%
% eligible women offered HIV testing	100%	98.3%
% eligible women tested for HIV	97.3%	92.3%
% eligible women offered Syphilis testing	100%	98.6%
% eligible women tested for Syphilis	100.0%	96.7%

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Birth location and choice	Trust Average	English Average	Cumberland Infirmary	Penrith Birthing Centre	West Cumberland Hospital
% women given a choice of where to have their baby at the start of the pregnancy	80.0%	74.7%
% women having vaginal birth	78.6%	76.1%	77.6%	100%	78.6%
% women reporting they got enough information about where to have you baby	48.9%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	53.1%	41.7%	51.0%	100%	50.2%
% women given the choice of a home birth	61.3%	47.6%
% women with vaginal birth without instruments	67.9%	65.0%	66.3%	100%	68.3%
% women not offered home birth because of medical reasons	9.5%	14.8%
Number of home births	54	114
% home births	1.7%	2.3%
% home births which were planned for home	96.2%	85.6%
% home deliveries which were for primips	19.2%	20.1%
% births in GP or midwife led unit	2.6%	5.8%
Number of deliveries in obstetric units	2921	3843
% births in consultant led unit	95.6%	91.4%

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Pain relief	Trust Average	English Average	Cumberland Infirmary	Penrith Birthing Centre	West Cumberland Hospital
% women who got the pain relief they wanted	83.3%	77.5%
Birthing pools per 1000 deliveries	2	0.5	1.2	12.5	2
% women using birthing pool who deliver in pool	58.3%	53.3%	50.0%	100%	50.0%
Average number of deliveries utilising birthing pool	2.4 (Number per month)	17.6 (Number per month)	3 (Number per month)	2 (Number per month)	2 (Number per month)
Midwives trained to deliver in birthing pools per pool	22	45.2	22	16	25
% women having at most gas and air for vaginal birth without instruments	45.0%	58.7%
% women having at most painkiller for vaginal birth without instruments	95.0%	83.4%
% women using medication (beyond Entonox) as pain relief	59.7%	51.3%
% women having epidural pain relief for unassisted vaginal birth	4.2%	13.9%	3.7%	0.0%	5.4%
Weekday hours Epidural available		23.3 (Hours per day - weekday)	0 (Hours per day - weekday)	0 (Hours per day - weekday)	0 (Hours per day - weekday)
Weekend hours Epidural available		23.9 (Hours per day - weekend)	0 (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	16.9%	19.8%
% women who had met at least one midwife caring for them during labour	21.9%	21.4%
% women left alone during labour	18.3%	20.5%
% women left alone shortly after the birth	6.7%	11.4%
% women left alone during labour or shortly after the birth		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	71.3%	73.2%
% women giving birth off the bed or in water	6.3%	7.8%
% women who gave birth lying down	55.0%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	Cumberland Infirmary	Penrith Birthing Centre	West Cumberland Hospital
% women given a choice on how their labour was induced	75.8%	56.6%
Days past term when inductions planned to take place	8 (Days)	12.7 (Days)
% women induced	20.7%	18.8%	20.3%	0.0%	23.0%
% women whose labour was induced medically (surgically)	25.8%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery	78.6%	76.1%	78.2%		79.1%
% vaginal deliveries following induction which are assisted	17.7%	22.9%	17.4%		18.1%

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Vaginal birth	Trust Average	English Average	Cumberland Infirmary	Penrith Birthing Centre	West Cumberland Hospital
% women having vaginal birth	78.6%	76.1%	77.6%	100%	78.6%
vbac (vaginal birth after caesarean) rate	20.6%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	53.1%	41.7%	51.0%	100%	50.2%
% women with vaginal birth without instruments	67.9%	65.0%	66.3%	100%	68.3%
% women having epidural pain relief for vaginal birth with instruments	18.2%	54.1%	17.4%		20.0%
% women with vaginal birth where ventouse or forceps used	13.5%	14.7%	14.6%	0.0%	13.1%
% instrument births using ventouse	77.2%	61.1%	68.5%		90.4%

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Caesarean	Trust Average	English Average	Cumberland Infirmary	Penrith Birthing Centre	West Cumberland Hospital
% women having caesarean	21.4%	23.5%	22.4%	0.0%	21.4%
% women having caesarean adjusted for age	21.0%	22.4%
% women having caesarean adjusted for age and ethnicity	21.2%	22.2%
vbac (vaginal birth after caesarean) rate	20.6%	32.0%
% emergency caesareans following previous caesarean	11.3%	21.8%
% of emergency caesareans undertaken within 30 minutes of decision	13.0%	92.8%
% caesareans which are non-elective	56.8%	59.0%	58.8%		54.6%
% women under 35 having caesarean	18.6%	22.4%
% women over 35 having caesarean	32.3%	33.3%
% primips having caesarean	22.9%	24.1%	24.5%	0.0%	21.7%
% multips having caesarean	20.1%	26.8%	20.7%	0.0%	21.1%
% emergency caesareans for 2nd or subsequent child	8.3%	11.5%	8.9%	0.0%	8.3%
% women having general anaesthestic for caesarean	10.1%	9.9%
% women having general anaesthestic for elective caesarean	95.4%	4.7%

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Breech babies	Trust Average	English Average
% women offered ECV for a breech	37.5%	58.3%
Babies turned using ECV	33.3%	41.2%
% singleton breech babies at 36 weeks where ECV attempted	25.0%	35.0%
% singleton breech deliveries which were diagnosed prior to labour	9.3%	19.5%
% singleton babies breech at term	3.6%	3.8%
% elective caesareans for breech prior to week 39		42.2%
% singleton breech babies at term delivered by caesarean	92.6%	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	9.6%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	88.9%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	60.0%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	4.5%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	1.5%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	6.2%	3.3%
% Women with a primary postpartum haemorrhage of 2500ml or more	0.0%	0.2%
% women transferred to intensive care after a postpartum haemorrhage	0.5%	3.9%
Women per 1000 deliveries transferred to intensive care	0.3 (Number per 1000)	1.2 (Number per 1000)

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Hospital care	Trust Average	English Average	Cumberland Infirmary	Penrith Birthing Centre	West Cumberland Hospital
% women who considered their length of stay was about right	68.8%	72.3%
% women who considered their length of stay was too short	21.3%	13.1%
% women who considered their length of stay was too long	10.0%	14.7%
Average length of postnatal stay for normal delivery	1.5 (Days)	1.4 (Days)	1.2 (Days)	0.2 (Days)	2 (Days)
Average length of stay for normal delivery -primip	2.1 (Days)	4.6 (Days)	2 (Days)	0.2 (Days)	3 (Days)
Average length of stay for normal delivery - multip	1.1 (Days)	2.3 (Days)	1 (Days)	0.2 (Days)	1.3 (Days)
Average length of postnatal stay for vaginal with intervention delivery	2.4 (Days)	2.3 (Days)	2 (Days)		3 (Days)
Average length of stay for vaginal with intervention delivery - primip	3 (Days)	2.6 (Days)	2.1 (Days)		3.1 (Days)
Average length of stay for vaginal with intervention delivery - multip	2 (Days)	4.4 (Days)	1.5 (Days)		2.2 (Days)
Average length of postnatal stay for caesarean delivery	4 (Days)	3.4 (Days)	3.1 (Days)		4.5 (Days)
Average length of stay for caesarean delivery - primip	4.1 (Days)	4.1 (Days)	3.4 (Days)		5 (Days)
Average length of stay for caesarean delivery - multip	3.3 (Days)	4.2 (Days)	3 (Days)		4.0 (Days)
% women who were given sufficient food	86.1%	77.3%

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Postnatal care at home	Trust Average	English Average
% women who were visited at home	97.3%	98.0%
Average age of baby at last midwife contact	11.2 (Days)	14.6 (Days)
% of women who would have liked more contact with midwife	11.4%	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	70.3%	66.1%
Average number of contacts with midwife after going home	6.3	4.4
Planned postnatal contacts	9	5.5
% planned postnatal contacts by midwife	66.7%	83.4%
% planned postnatal contacts at home	77.8%	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	90.8%	95.1%
% women receiving a postnatal check up of their own health (survey)	83.4%	88.1%
Women re-admitted within 2 weeks of discharge	3 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	Cumberland Infirmary	Penrith Birthing Centre	West Cumberland Hospital
% women who put their baby to their breast (survey)	66.7%	80.1%
% women who initiated breastfeeding	56.0%	67.4%	54.6%	75.0%	56.6%
% women who breastfed (at least in part) in the first few days	65.3%	76.0%
% of women who reported good advice, help and support on infant feeding	66.0%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	81.8%	77.4%

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Neonatal care	Trust Average	English Average	Cumberland Infirmary	Penrith Birthing Centre	West Cumberland Hospital
Admissions to neonatal unit per 1000 babies born	124	102	142		109
% babies admitted to neonatal unit from survey	9.8%	10.4%
Tube feeding	Yes	60% Yes - 40%No	Yes	No	No
Phototherapy	Yes	99% Yes - 1%No	Yes	No	Yes
Intravenous antibiotics	Yes	57% Yes - 43%No	Yes	No	No
Other intravenous medicines	Yes	28% Yes - 72%No	Yes	No	No