Healthcare Commission's Survey Results for
Hammersmith 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	65.9%	73.2%
% women always treated with understanding and respect during antenatal care	65.9%	73.2%
Women's satisfaction with their care during labour and birth	76.9%	76.8%
% women who were always treated with understanding and respect during labour and birth	64.6%	73.4%
% women who considered they were treated with understanding and respect after the birth	52.3%	60.2%
Women's satisfaction with their care after birth	52.6%	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	6.3%	18.8%
% of women who first see a GP	89.1%	78.3%
% women given a choice of where check ups took place	36.5%	23.5%
% antenatal appointments offered outside the main maternity unit	5.5%	66.5%
Target date (weeks gestation) for booking	12 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	13 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	4.6%	6.1%
% women receiving a copy of 'The Pregnancy Book'	61.6%	74.6%
Items covered in booking appointment	14 (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	4.1%	34.1%
% women seeing only midwives / GPs for check ups	19.6%	40.4%
Time allocated for booking appointment(s)	30 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	25 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	4	11.6
Average number of antenatal checks for primips	6	7.6
Planned number of antenatal checks for multip	4	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	15.9%	57.3%
% women reporting they mostly saw the same doctor for check-ups	23.8%	38.9%
Percent midwives sharing caseload	0.0%	30.4%
Percent midwives carrying own caseload	31.3%	23.7%

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Antenatal classes	Trust Average	English Average
% women attending NHS antenatal classes who wanted to	80.0%	58.3%
% women who did not attend antenatal classes due to lack of space	2.0%	3.4%
% women having first baby attending antenatal classes	92.2%	78.9%
% women whose partners were allowed to attend antenatal classes	96.3%	94.6%
% women who considered classes were at convenient location	93.7%	93.7%
% women who considered classes were at convenient time	82.5%	85.1%
% who considered content of classes appropriate	88.8%	79.6%
Length of antenatal classes (sessions)	2 (Hours)	4.2 (Hours)
% who considered classes were about right number	68.4%	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	Queen Charlotte's & Chelsea Hospital Birth Centre	Queen Charlotte's & Chelsea Hospital Delivery Suit
% of women getting 20+ antenatal checks	2.9%	2.9%
Antenatal day attendances per delivery		1.3
% conditions where there is a specialist midwife	73.7%	22.7%
Average number of consultant attendances per booked women		2.3
% women referred to consultants in pregnancy (survey)	80.7%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	18.5%	18.9%
Places per 1000 deliveries pa in nearest mother and baby unit	0.3 (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		2.5 (Ratio)
Minimum referral waits for a psychiatrist	4 (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	55.6%	70.4%
% women with reasons for dating scan clearly explained	74.2%	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	75.3%	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	85.9%	91.7%
% women given a choice on whether to have a 20 week scan	59.7%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	89.0%	87.9%
% women with reasons for Downs syndrome screening clearly explained	83.4%	89.2%
% women eligible for amniocentesis or CVS who were tested	90.0%	63.3%
% women having CVS of those having amniocentesis or CVS	29.7%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	91.5%	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)	11	10.5
% women having both NT and blood test (survey)	36.9%	24.9%
% women having blood test only (survey)	51.7%	58.8%
% women having NT test only (survey)	11.4%	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	98.9%	92.3%
% eligible women offered Syphilis testing	100%	98.6%
% eligible women tested for Syphilis	100%	96.7%

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Birth location and choice	Trust Average	English Average	Queen Charlotte's & Chelsea Hospital Birth Centre	Queen Charlotte's & Chelsea Hospital Delivery Suit
% women given a choice of where to have their baby at the start of the pregnancy	80.2%	74.7%
% women having vaginal birth	65.6%	76.1%	100%	58.8%
% women reporting they got enough information about where to have you baby	28.0%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	16.5%	41.7%	100%
% women given the choice of a home birth	22.9%	47.6%
% women with vaginal birth without instruments	51.7%	65.0%	100%	42.1%
% women not offered home birth because of medical reasons	16.3%	14.8%
Number of home births	64	114
% home births	1.1%	2.3%
% home births which were planned for home	67.3%	85.6%
% home deliveries which were for primips	34.6%	20.1%
% births in GP or midwife led unit	15.1%	5.8%
Number of deliveries in obstetric units	4036	3843
% births in consultant led unit	83.5%	91.4%

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Pain relief	Trust Average	English Average	Queen Charlotte's & Chelsea Hospital Birth Centre	Queen Charlotte's & Chelsea Hospital Delivery Suit
% women who got the pain relief they wanted	80.5%	77.5%
Birthing pools per 1000 deliveries	1.0	0.5	5.5	0.2
% women using birthing pool who deliver in pool	66.7%	53.3%	66.7%
Average number of deliveries utilising birthing pool	6 (Number per month)	17.6 (Number per month)	8 (Number per month)
Midwives trained to deliver in birthing pools per pool	9	45.2	11
% women having at most gas and air for vaginal birth without instruments	63.8%	58.7%
% women having at most painkiller for vaginal birth without instruments	67.0%	83.4%
% women using medication (beyond Entonox) as pain relief	55.9%	51.3%
% women having epidural pain relief for unassisted vaginal birth	0.0%	13.9%	0.0%
Weekday hours Epidural available	24 (Hours per day - weekday)	23.3 (Hours per day - weekday)	0 (Hours per day - weekday)	24 (Hours per day - weekday)
Weekend hours Epidural available	24 (Hours per day - weekend)	23.9 (Hours per day - weekend)	0 (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	19.1%	19.8%
% women who had met at least one midwife caring for them during labour	23.9%	21.4%
% women left alone during labour	21.1%	20.5%
% women left alone shortly after the birth	12.9%	11.4%
% women left alone during labour or shortly after the birth	28.1%	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	77.2%	73.2%
% women giving birth off the bed or in water	24.0%	7.8%
% women who gave birth lying down	50.0%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	Queen Charlotte's & Chelsea Hospital Birth Centre	Queen Charlotte's & Chelsea Hospital Delivery Suit
% women given a choice on how their labour was induced	58.8%	56.6%
Days past term when inductions planned to take place	11 (Days)	12.7 (Days)
% women induced	20.4%	18.8%	0.0%	24.4%
% women whose labour was induced medically (surgically)	21.6%	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	Queen Charlotte's & Chelsea Hospital Birth Centre	Queen Charlotte's & Chelsea Hospital Delivery Suit
% women having vaginal birth	65.6%	76.1%	100%	58.8%
vbac (vaginal birth after caesarean) rate		32.0%
% women with 'normal' vaginal birth (no induction or epidural)	16.5%	41.7%	100%
% women with vaginal birth without instruments	51.7%	65.0%	100%	42.1%
% women having epidural pain relief for vaginal birth with instruments	0.0%	54.1%		0.0%
% women with vaginal birth where ventouse or forceps used	21.3%	14.7%	0.0%	28.4%
% instrument births using ventouse	69.3%	61.1%		69.3%

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Caesarean	Trust Average	English Average	Queen Charlotte's & Chelsea Hospital Birth Centre	Queen Charlotte's & Chelsea Hospital Delivery Suit
% women having caesarean	34.4%	23.5%	0.0%	41.2%
% women having caesarean adjusted for age	29.2%	22.4%
% women having caesarean adjusted for age and ethnicity	28.1%	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	100%	92.8%
% caesareans which are non-elective	43.7%	59.0%		43.7%
% women under 35 having caesarean	28.8%	22.4%
% women over 35 having caesarean	42.5%	33.3%
% primips having caesarean	33.0%	24.1%	0.0%	38.5%
% multips having caesarean	36.7%	26.8%	0.0%	43.9%
% emergency caesareans for 2nd or subsequent child	7.4%	11.5%	0.0%	8.9%
% women having general anaesthestic for caesarean	4.7%	9.9%
% women having general anaesthestic for elective caesarean	1.4%	4.7%

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Breech babies	Trust Average	English Average
% women offered ECV for a breech	75.3%	58.3%
Babies turned using ECV	26.3%	41.2%
% singleton breech babies at 36 weeks where ECV attempted	12.7%	35.0%
% singleton breech deliveries which were diagnosed prior to labour	8.5%	19.5%
% singleton babies breech at term	26.7%	3.8%
% elective caesareans for breech prior to week 39	0.0%	42.2%
% singleton breech babies at term delivered by caesarean	80.7%	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	20.2%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	89.4%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	70.6%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	7.8%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	1.7%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	2.4%	3.3%
% Women with a primary postpartum haemorrhage of 2500ml or more	0.4%	0.2%
% women transferred to intensive care after a postpartum haemorrhage		3.9%
Women per 1000 deliveries transferred to intensive care	2 (Number per 1000)	1.2 (Number per 1000)

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Hospital care	Trust Average	English Average	Queen Charlotte's & Chelsea Hospital Birth Centre	Queen Charlotte's & Chelsea Hospital Delivery Suit
% women who considered their length of stay was about right	68.5%	72.3%
% women who considered their length of stay was too short	14.8%	13.1%
% women who considered their length of stay was too long	16.7%	14.7%
Average length of postnatal stay for normal delivery		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		2.3 (Days)
Average length of stay for vaginal with intervention delivery - primip		2.6 (Days)
Average length of stay for vaginal with intervention delivery - multip		4.4 (Days)
Average length of postnatal stay for caesarean delivery		3.4 (Days)
Average length of stay for caesarean delivery - primip		4.1 (Days)
Average length of stay for caesarean delivery - multip		4.2 (Days)
% women who were given sufficient food	67.1%	77.3%

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Postnatal care at home	Trust Average	English Average
% women who were visited at home	98.9%	98.0%
Average age of baby at last midwife contact	14 (Days)	14.6 (Days)
% of women who would have liked more contact with midwife	40.9%	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	53.6%	66.1%
Average number of contacts with midwife after going home	3	4.4
Planned postnatal contacts	3	5.5
% planned postnatal contacts by midwife	66.7%	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		98.5%
% babies with baby check completed prior to discharge	98.3%	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	2.5 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	Queen Charlotte's & Chelsea Hospital Birth Centre	Queen Charlotte's & Chelsea Hospital Delivery Suit
% women who put their baby to their breast (survey)	96.6%	80.1%
% women who initiated breastfeeding	78.0%	67.4%	74.3%	78.7%
% women who breastfed (at least in part) in the first few days	95.5%	76.0%
% of women who reported good advice, help and support on infant feeding	53.5%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	77.2%	77.4%

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Neonatal care	Trust Average	English Average	Queen Charlotte's & Chelsea Hospital Birth Centre	Queen Charlotte's & Chelsea Hospital Delivery Suit
Admissions to neonatal unit per 1000 babies born	109	102		128
% babies admitted to neonatal unit from survey	6.8%	10.4%
Tube feeding	Yes	60% Yes - 40%No	Yes	Yes
Phototherapy	Yes	99% Yes - 1%No	Yes	Yes
Intravenous antibiotics	No	57% Yes - 43%No	No	No
Other intravenous medicines	No	28% Yes - 72%No	No	No