Healthcare Commission's Survey Results for
Leeds Teaching Hospitals NHS Trust

Categories

Survey Results

Top

Women's views	Trust Average	English Average
Women's satisfaction with their care during pregnancy	70.6%	73.2%
% women always treated with understanding and respect during antenatal care	70.6%	73.2%
Women's satisfaction with their care during labour and birth	73.4%	76.8%
% women who were always treated with understanding and respect during labour and birth	69.8%	73.4%
% women who considered they were treated with understanding and respect after the birth	61.4%	60.2%
Women's satisfaction with their care after birth	60.2%	64.2%

Top

Antenatal, access and booking	Trust Average	English Average
% women whose first contact with a healthcare professional is a midwife	18.5%	18.8%
% of women who first see a GP	77.7%	78.3%
% women given a choice of where check ups took place	15.7%	23.5%
% antenatal appointments offered outside the main maternity unit	97.7%	66.5%
Target date (weeks gestation) for booking	11 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	10.4 (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'	65.7%	74.6%
Items covered in booking appointment	15 (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	52.4%	34.1%
% women seeing only midwives / GPs for check ups	51.1%	40.4%
Time allocated for booking appointment(s)	495 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	10 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	21	11.6
Average number of antenatal checks for primips	8	7.6
Planned number of antenatal checks for multip	15	9.2
Average number of antenatal checks for multips	6	6.9

Top

Continuity of care	Trust Average	English Average
% women reporting they mostly saw the same midwife for check-ups	74.0%	57.3%
% women reporting they mostly saw the same doctor for check-ups	29.0%	38.9%
Percent midwives sharing caseload	0.0%	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	57.1%	58.3%
% women who did not attend antenatal classes due to lack of space	4.2%	3.4%
% women having first baby attending antenatal classes	74.6%	78.9%
% women whose partners were allowed to attend antenatal classes	92.2%	94.6%
% women who considered classes were at convenient location	90.3%	93.7%
% women who considered classes were at convenient time	75.0%	85.1%
% who considered content of classes appropriate	78.2%	79.6%
Length of antenatal classes (sessions)	3 (Hours)	4.2 (Hours)
% who considered classes were about right number	66.3%	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	Leeds General Infirmary	St James
% of women getting 20+ antenatal checks	2.6%	2.9%
Antenatal day attendances per delivery	1.3	1.3	1.3	1.4
% conditions where there is a specialist midwife	36.8%	22.7%
Average number of consultant attendances per booked women	3	2.3
% women referred to consultants in pregnancy (survey)	48.3%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	16.3%	18.9%
Places per 1000 deliveries pa in nearest mother and baby unit	0.1 (Places per 1000 deliveries)	0.2 (Places per 1000 deliveries)
% women referred to consultants during pregnancy	117.6%	70.2%
% women referred for specialist psychiatric care		3.9%
Ratio of antenatal attendances to antenatal admissions	1 (Ratio)	2.5 (Ratio)	1 (Ratio)	1 (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	65.2%	70.4%
% women with reasons for dating scan clearly explained	89.6%	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	83.1%	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	93.8%	91.7%
% women given a choice on whether to have a 20 week scan	67.2%	72.9%

Top

Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	92.2%	87.9%
% women with reasons for Downs syndrome screening clearly explained	88.7%	89.2%
% women eligible for amniocentesis or CVS who were tested		63.3%
% women having CVS of those having amniocentesis or CVS	53.7%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	80.4%	93.1%
% eligible women offered Rubella testing	100%	98.6%
% eligible women tested for Rubella	45.5%	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)	32.5%	24.9%
% women having blood test only (survey)	61.3%	58.8%
% women having NT test only (survey)	6.2%	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	97.8%	92.3%
% eligible women offered Syphilis testing	100%	98.6%
% eligible women tested for Syphilis	99.6%	96.7%

Top

Birth location and choice	Trust Average	English Average	Leeds General Infirmary	St James
% women given a choice of where to have their baby at the start of the pregnancy	81.0%	74.7%
% women having vaginal birth	80.0%	76.1%	80.4%	79.6%
% women reporting they got enough information about where to have you baby	26.7%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	45.3%	41.7%	46.0%	40.7%
% women given the choice of a home birth	41.3%	47.6%
% women with vaginal birth without instruments	68.2%	65.0%	68.0%	68.5%
% women not offered home birth because of medical reasons	14.4%	14.8%
Number of home births	163	114
% home births	1.3%	2.3%
% home births which were planned for home	100%	85.6%
% home deliveries which were for primips	13.4%	20.1%
% births in GP or midwife led unit	0.0%	5.8%
Number of deliveries in obstetric units	8803	3843
% births in consultant led unit	98.3%	91.4%

Top

Pain relief	Trust Average	English Average	Leeds General Infirmary	St James
% women who got the pain relief they wanted	74.9%	77.5%
Birthing pools per 1000 deliveries	1	0.5	1	0.5
% 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	17	45.2	12.5	25
% women having at most gas and air for vaginal birth without instruments	45.4%	58.7%
% women having at most painkiller for vaginal birth without instruments	74.5%	83.4%
% women using medication (beyond Entonox) as pain relief	63.6%	51.3%
% women having epidural pain relief for unassisted vaginal birth	25.8%	13.9%	19.4%	32.8%
Weekday hours Epidural available	24 (Hours per day - weekday)	23.3 (Hours per day - weekday)	24 (Hours per day - weekday)	24 (Hours per day - weekday)
Weekend hours Epidural available	24 (Hours per day - weekend)	23.9 (Hours per day - weekend)	24 (Hours per day - weekend)	24 (Hours per day - weekend)

Top

Quality of care in labour	Trust Average	English Average
% women cared for by one midwife during labour and delivery	26.4%	19.8%
% women who had met at least one midwife caring for them during labour	19.2%	21.4%
% women left alone during labour	26.4%	20.5%
% women left alone shortly after the birth	14.8%	11.4%
% women left alone during labour or shortly after the birth	35.0%	26.6%
Average number of midwives caring for women during labour	2.3	2.6
% of women able to move around some of the time in labour	68.5%	73.2%
% women giving birth off the bed or in water	3.1%	7.8%
% women who gave birth lying down	59.0%	56.6%

Interventions and clinical care

No results for this category.

Top

Induction	Trust Average	English Average	Leeds General Infirmary	St James
% women given a choice on how their labour was induced	43.5%	56.6%
Days past term when inductions planned to take place	14 (Days)	12.7 (Days)
% women induced	12.2%	18.8%	8.4%	16.4%
% women whose labour was induced medically (surgically)	22.5%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery	79.6%	76.1%	74.8%	82.4%
% vaginal deliveries following induction which are assisted	32.6%	22.9%	59.9%	18.4%

Top

Vaginal birth	Trust Average	English Average	Leeds General Infirmary	St James
% women having vaginal birth	80.0%	76.1%	80.4%	79.6%
vbac (vaginal birth after caesarean) rate	23.8%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	45.3%	41.7%	46.0%	40.7%
% women with vaginal birth without instruments	68.2%	65.0%	68.0%	68.5%
% women having epidural pain relief for vaginal birth with instruments	90.5%	54.1%	98.3%	80.9%
% women with vaginal birth where ventouse or forceps used	14.7%	14.7%	15.4%	13.9%
% instrument births using ventouse	35.7%	61.1%	29.0%	44.1%

Top

Caesarean	Trust Average	English Average	Leeds General Infirmary	St James
% women having caesarean	20.0%	23.5%	19.6%	20.4%
% women having caesarean adjusted for age	19.9%	22.4%
% women having caesarean adjusted for age and ethnicity	20.3%	22.2%
vbac (vaginal birth after caesarean) rate	23.8%	32.0%
% emergency caesareans following previous caesarean	13.2%	21.8%
% of emergency caesareans undertaken within 30 minutes of decision		92.8%
% caesareans which are non-elective	49.6%	59.0%	57.1%	41.6%
% women under 35 having caesarean	17.2%	22.4%
% women over 35 having caesarean	28.5%	33.3%
% primips having caesarean	21.3%	24.1%	22.2%	20.1%
% multips having caesarean	18.8%	26.8%	16.9%	20.6%
% emergency caesareans for 2nd or subsequent child	5.4%	11.5%	6.5%	4.4%
% women having general anaesthestic for caesarean	6.8%	9.9%
% women having general anaesthestic for elective caesarean	0.6%	4.7%

Top

Breech babies	Trust Average	English Average
% women offered ECV for a breech		58.3%
Babies turned using ECV	44.2%	41.2%
% singleton breech babies at 36 weeks where ECV attempted	24.9%	35.0%
% singleton breech deliveries which were diagnosed prior to labour		19.5%
% singleton babies breech at term	2.6%	3.8%
% elective caesareans for breech prior to week 39	54.4%	42.2%
% singleton breech babies at term delivered by caesarean	94.8%	84.9%

Top

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	18.6%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	89.9%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	66.4%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	6.4%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	2.1%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	2.2%	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	3.6%	3.9%
Women per 1000 deliveries transferred to intensive care	1.0 (Number per 1000)	1.2 (Number per 1000)

Top

Hospital care	Trust Average	English Average	Leeds General Infirmary	St James
% women who considered their length of stay was about right	67.9%	72.3%
% women who considered their length of stay was too short	15.3%	13.1%
% women who considered their length of stay was too long	16.8%	14.7%
Average length of postnatal stay for normal delivery	1.4 (Days)	1.4 (Days)	1.4 (Days)	1.5 (Days)
Average length of stay for normal delivery -primip	2 (Days)	4.6 (Days)	2 (Days)	2 (Days)
Average length of stay for normal delivery - multip	1.3 (Days)	2.3 (Days)	1.2 (Days)	1.4 (Days)
Average length of postnatal stay for vaginal with intervention delivery	2.2 (Days)	2.3 (Days)	2.2 (Days)	2.2 (Days)
Average length of stay for vaginal with intervention delivery - primip	2.2 (Days)	2.6 (Days)	2.1 (Days)	2.3 (Days)
Average length of stay for vaginal with intervention delivery - multip	3 (Days)	4.4 (Days)	3.2 (Days)	2 (Days)
Average length of postnatal stay for caesarean delivery	2.4 (Days)	3.4 (Days)	2 (Days)	3.4 (Days)
Average length of stay for caesarean delivery - primip	3.4 (Days)	4.1 (Days)	3.3 (Days)	4 (Days)
Average length of stay for caesarean delivery - multip	1.5 (Days)	4.2 (Days)	-0.9 (Days)	3.3 (Days)
% women who were given sufficient food	73.9%	77.3%

Top

Postnatal care at home	Trust Average	English Average
% women who were visited at home	98.6%	98.0%
Average age of baby at last midwife contact	16 (Days)	14.6 (Days)
% of women who would have liked more contact with midwife	29.6%	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	68.2%	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	60 (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	97.6%	95.1%
% women receiving a postnatal check up of their own health (survey)	79.5%	88.1%
Women re-admitted within 2 weeks of discharge	4.4 (Number per 1000)	5.4 (Number per 1000)

Top

Infant feeding	Trust Average	English Average	Leeds General Infirmary	St James
% women who put their baby to their breast (survey)	77.7%	80.1%
% women who initiated breastfeeding	46.2%	67.4%	44.0%	48.6%
% women who breastfed (at least in part) in the first few days	75.7%	76.0%
% of women who reported good advice, help and support on infant feeding	55.6%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	73.4%	77.4%

Top

Neonatal care	Trust Average	English Average	Leeds General Infirmary	St James
Admissions to neonatal unit per 1000 babies born	99	102	93	106
% babies admitted to neonatal unit from survey	14.5%	10.4%
Tube feeding	Yes	60% Yes - 40%No	Yes	Yes
Phototherapy	Yes	99% Yes - 1%No	Yes	Yes
Intravenous antibiotics	Yes	57% Yes - 43%No	Yes	Yes
Other intravenous medicines	Yes	28% Yes - 72%No	Yes	Yes