Healthcare Commission's Survey Results for
Medway NHS Trust

Healthcare Commission

Nearby Trusts
Dartford and Gravesham NHS Trust
Maidstone and Tunbridge Wells NHS Trust
Basildon and Thurrock University Hospitals NHS Foundation Trust
Southend University Hospital NHS Foundation Trust
Queen Marys Sidcup NHS Trust

Categories

Survey Results

Top

Women's views

Trust Average

English Average

Women's satisfaction with their care during pregnancy

72.7%

73.2%

% women always treated with understanding and respect during antenatal care

72.7%

73.2%

Women's satisfaction with their care during labour and birth

75.0%

76.8%

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

73.4%

73.4%

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

59.0%

60.2%

Women's satisfaction with their care after birth

63.6%

64.2%

Top

Antenatal, access and booking

Trust Average

English Average

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

30.5%

18.8%

% of women who first see a GP

65.5%

78.3%

% women given a choice of where check ups took place

16.9%

23.5%

% antenatal appointments offered outside the main maternity unit

81.4%

66.5%

Target date (weeks gestation) for booking

8 (Weeks gestation)

9.8 (Weeks gestation)

Average number of weeks pregnant at booking appointment

11.0 (Weeks)

10.9 (Weeks)

% women more than 12 weeks pregnant when they are first seen

6.4%

6.1%

% women receiving a copy of 'The Pregnancy Book'

81.1%

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)

4.6%

12.7%

% of clinic locations with appointments outside weekdays 9 to 5

4.4%

4.5%

Top

Antenatal appointments

Trust Average

English Average

% women seeing only midwives for check ups

59.7%

34.1%

% women seeing only midwives / GPs for check ups

59.1%

40.4%

Time allocated for booking appointment(s)

60 (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

8

7.6

Planned number of antenatal checks for multip

9

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

67.0%

57.3%

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

25.8%

38.9%

Percent midwives sharing caseload

24.5%

30.4%

Percent midwives carrying own caseload

75.5%

23.7%

Top

Antenatal classes

Trust Average

English Average

% women attending NHS antenatal classes who wanted to

60.5%

58.3%

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

0.0%

3.4%

% women having first baby attending antenatal classes

88.5%

78.9%

% women whose partners were allowed to attend antenatal classes

93.0%

94.6%

% women who considered classes were at convenient location

95.8%

93.7%

% women who considered classes were at convenient time

80.3%

85.1%

% who considered content of classes appropriate

78.9%

79.6%

Length of antenatal classes (sessions)

3 (Hours)

4.2 (Hours)

% who considered classes were about right number

67.6%

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

2.0%

2.9%

Antenatal day attendances per delivery

1

1.3

% conditions where there is a specialist midwife

21.1%

22.7%

Average number of consultant attendances per booked women

1.3

2.3

% women referred to consultants in pregnancy (survey)

40.9%

59.9%

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

23.6%

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

38.9%

70.2%

% women referred for specialist psychiatric care

 

3.9%

Ratio of antenatal attendances to antenatal admissions

1 (Ratio)

2.5 (Ratio)

Minimum referral waits for a psychiatrist

3 (Time interval)

1.6 (Time interval)

Maximum referral waits for a psychiatrist

4 (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

0.0%

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

92.4%

88.0%

% eligible women having dating scan

100%

93.2%

Top

Testing procedures

Trust Average

English Average

% women offered an informed choice for screening tests

86.6%

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

90.9%

79.5%

% women with reasons for 20 week scan clearly explained

95.5%

91.7%

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

75.6%

72.9%

Top

Screening

Trust Average

English Average

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

88.9%

87.9%

% women with reasons for Downs syndrome screening clearly explained

92.1%

89.2%

% women eligible for amniocentesis or CVS who were tested

100%

63.3%

% women having CVS of those having amniocentesis or CVS

70.5%

23.7%

% of amniocentesis or chorionic villus downs syndrome test results which are negative

100%

93.1%

% eligible women offered Rubella testing

0.0%

98.6%

% eligible women tested for Rubella

100%

95.0%

% eligible woman offered fetal anomaly scan

0.0%

97.1%

% eligible woman having fetal anomaly scan

100%

94.8%

Attributes checked in fetal anomaly scan (max 11)

11

10.5

% women having both NT and blood test (survey)

13.3%

24.9%

% women having blood test only (survey)

54.0%

58.8%

% women having NT test only (survey)

32.7%

16.3%

% eligible women offered Hepatitis B testing

0.0%

98.6%

% eligible women tested for Hepatitis B

100%

95.4%

% eligible women offered HIV testing

0.0%

98.3%

% eligible women tested for HIV

100%

92.3%

% eligible women offered Syphilis testing

0.0%

98.6%

% eligible women tested for Syphilis

100%

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

78.2%

74.7%

% women having vaginal birth

75.8%

76.1%

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

42.9%

38.4%

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

53.1%

41.7%

% women given the choice of a home birth

57.1%

47.6%

% women with vaginal birth without instruments

66.7%

65.0%

% women not offered home birth because of medical reasons

16.4%

14.8%

Number of home births

235

114

% home births

4.6%

2.3%

% home births which were planned for home

10.0%

85.6%

% home deliveries which were for primips

2.9%

20.1%

% births in GP or midwife led unit

0.0%

5.8%

Number of deliveries in obstetric units

4260

3843

% births in consultant led unit

94.8%

91.4%

Top

Pain relief

Trust Average

English Average

% women who got the pain relief they wanted

80.1%

77.5%

Birthing pools per 1000 deliveries

0.2

0.5

% women using birthing pool who deliver in pool

100%

53.3%

Average number of deliveries utilising birthing pool

12 (Number per month)

17.6 (Number per month)

Midwives trained to deliver in birthing pools per pool

25

45.2

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

60.8%

58.7%

% women having at most painkiller for vaginal birth without instruments

89.9%

83.4%

% women using medication (beyond Entonox) as pain relief

50.0%

51.3%

% women having epidural pain relief for unassisted vaginal birth

11.9%

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

25.5%

19.8%

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

17.1%

21.4%

% women left alone during labour

20.8%

20.5%

% women left alone shortly after the birth

9.1%

11.4%

% women left alone during labour or shortly after the birth

25.4%

26.6%

Average number of midwives caring for women during labour

2.5

2.6

% of women able to move around some of the time in labour

77.8%

73.2%

% women giving birth off the bed or in water

6.5%

7.8%

% women who gave birth lying down

51.2%

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

52.2%

56.6%

Days past term when inductions planned to take place

12 (Days)

12.7 (Days)

% women induced

19.0%

18.8%

% women whose labour was induced medically (surgically)

23.8%

25.2%

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

79.0%

76.1%

% vaginal deliveries following induction which are assisted

30.5%

22.9%

Top

Vaginal birth

Trust Average

English Average

% women having vaginal birth

75.8%

76.1%

vbac (vaginal birth after caesarean) rate

30.3%

32.0%

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

53.1%

41.7%

% women with vaginal birth without instruments

66.7%

65.0%

% women having epidural pain relief for vaginal birth with instruments

55.4%

54.1%

% women with vaginal birth where ventouse or forceps used

12.0%

14.7%

% instrument births using ventouse

55.4%

61.1%

Top

Caesarean

Trust Average

English Average

% women having caesarean

24.2%

23.5%

% women having caesarean adjusted for age

24.1%

22.4%

% women having caesarean adjusted for age and ethnicity

24.0%

22.2%

vbac (vaginal birth after caesarean) rate

30.3%

32.0%

% emergency caesareans following previous caesarean

21.5%

21.8%

% of emergency caesareans undertaken within 30 minutes of decision

94.2%

92.8%

% caesareans which are non-elective

63.1%

59.0%

% women under 35 having caesarean

24.9%

22.4%

% women over 35 having caesarean

36.8%

33.3%

% primips having caesarean

 

24.1%

% multips having caesarean

13.9%

26.8%

% emergency caesareans for 2nd or subsequent child

6.8%

11.5%

% women having general anaesthestic for caesarean

13.8%

9.9%

% women having general anaesthestic for elective caesarean

5.0%

4.7%

Top

Breech babies

Trust Average

English Average

% women offered ECV for a breech

16.7%

58.3%

Babies turned using ECV

35.7%

41.2%

% singleton breech babies at 36 weeks where ECV attempted

16.7%

35.0%

% singleton breech deliveries which were diagnosed prior to labour

0.0%

19.5%

% singleton babies breech at term

2.4%

3.8%

% elective caesareans for breech prior to week 39

53.6%

42.2%

% singleton breech babies at term delivered by caesarean

73.7%

84.9%

Top

Problems immediately after the birth

Trust Average

English Average

Women per 1000 deliveries with eclampsia

0.4 (Number per 1000)

1.3 (Number per 1000)

% Women who delivered vaginally who had an episiotomy

17.3%

16.7%

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

76.9%

87.4%

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

44.9%

57.7%

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

7.5%

8.6%

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

1.2%

2.2%

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

1.2%

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

5.4%

3.9%

Women per 1000 deliveries transferred to intensive care

1 (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

71.8%

72.3%

% women who considered their length of stay was too short

11.3%

13.1%

% women who considered their length of stay was too long

16.9%

14.7%

Average length of postnatal stay for normal delivery

1.5 (Days)

1.4 (Days)

Average length of stay for normal delivery -primip

 

4.6 (Days)

Average length of stay for normal delivery - multip

1.5 (Days)

2.3 (Days)

Average length of postnatal stay for vaginal with intervention delivery

3 (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

3 (Days)

4.4 (Days)

Average length of postnatal stay for caesarean delivery

4.3 (Days)

3.4 (Days)

Average length of stay for caesarean delivery - primip

 

4.1 (Days)

Average length of stay for caesarean delivery - multip

8 (Days)

4.2 (Days)

% women who were given sufficient food

77.1%

77.3%

Top

Postnatal care at home

Trust Average

English Average

% women who were visited at home

96.5%

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

29.9%

22.2%

Quality of transfer process to health visitor (score out of 5)

1 (Score out of 5)

4.4 (Score out of 5)

Quality of support in caring for the baby after discharge

62.4%

66.1%

Average number of contacts with midwife after going home

4

4.4

Planned postnatal contacts

8

5.5

% planned postnatal contacts by midwife

62.5%

83.4%

% planned postnatal contacts at home

50.0%

80.7%

Hours of availability of drop-in-clinics

10 (Hours per week)

21.1 (Hours per week)

Top

Health checks

Trust Average

English Average

% babies having statutory examination of newborn

100%

98.5%

% babies with baby check completed prior to discharge

96.3%

95.1%

% women receiving a postnatal check up of their own health (survey)

87.6%

88.1%

Women re-admitted within 2 weeks of discharge

4 (Number per 1000)

5.4 (Number per 1000)

Top

Infant feeding

Trust Average

English Average

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

70.3%

80.1%

% women who initiated breastfeeding

68.0%

67.4%

% 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

59.6%

58.0%

% women who discussed breastfeeding with midwife during pregnancy

79.1%

77.4%

Top

Neonatal care

Trust Average

English Average

Admissions to neonatal unit per 1000 babies born

88

102

% babies admitted to neonatal unit from survey

7.8%

10.4%

Tube feeding

Yes

60% Yes - 40%No

Phototherapy

Yes

99% Yes - 1%No

Intravenous antibiotics

Yes

57% Yes - 43%No

Other intravenous medicines

No

28% Yes - 72%No