Healthcare Commission's Survey Results for
University College London Hospitals NHS Foundation 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	67.5%	73.2%
% women always treated with understanding and respect during antenatal care	67.5%	73.2%
Women's satisfaction with their care during labour and birth	74.3%	76.8%
% women who were always treated with understanding and respect during labour and birth	71.5%	73.4%
% women who considered they were treated with understanding and respect after the birth	46.0%	60.2%
Women's satisfaction with their care after birth	53.4%	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	7.8%	18.8%
% of women who first see a GP	88.3%	78.3%
% women given a choice of where check ups took place	33.1%	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	13 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	9.3%	6.1%
% women receiving a copy of 'The Pregnancy Book'	62.6%	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)	100%	1.5%
% of clinic locations with appointments outside weekdays 9 to 5 (midwife led)	5.0%	12.7%
% of clinic locations with appointments outside weekdays 9 to 5	9.5%	4.5%

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Antenatal appointments	Trust Average	English Average
% women seeing only midwives for check ups	9.5%	34.1%
% women seeing only midwives / GPs for check ups	37.7%	40.4%
Time allocated for booking appointment(s)	60 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	20 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	3	11.6
Average number of antenatal checks for primips	6	7.6
Planned number of antenatal checks for multip	3	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	34.0%	57.3%
% women reporting they mostly saw the same doctor for check-ups	32.3%	38.9%
Percent midwives sharing caseload	100%	30.4%
Percent midwives carrying own caseload	0.0%	23.7%

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Antenatal classes	Trust Average	English Average
% women attending NHS antenatal classes who wanted to	63.6%	58.3%
% women who did not attend antenatal classes due to lack of space	4.5%	3.4%
% women having first baby attending antenatal classes	84.5%	78.9%
% women whose partners were allowed to attend antenatal classes	98.3%	94.6%
% women who considered classes were at convenient location	91.2%	93.7%
% women who considered classes were at convenient time	91.4%	85.1%
% who considered content of classes appropriate	75.4%	79.6%
Length of antenatal classes (sessions)	5 (Hours)	4.2 (Hours)
% who considered classes were about right number	53.4%	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	Bloomsbury Birthing Centre	Delivery Suite
% of women getting 20+ antenatal checks	2.7%	2.9%
Antenatal day attendances per delivery	1	1.3		1.2
% conditions where there is a specialist midwife	15.8%	22.7%
Average number of consultant attendances per booked women	2.1	2.3
% women referred to consultants in pregnancy (survey)	63.0%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	11.0%	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	75.6%	70.2%
% women referred for specialist psychiatric care	2.7%	3.9%
Ratio of antenatal attendances to antenatal admissions	2.1 (Ratio)	2.5 (Ratio)		2.1 (Ratio)
Minimum referral waits for a psychiatrist	1 (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.

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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	60.0%	70.4%
% women with reasons for dating scan clearly explained	86.3%	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	78.7%	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	87.6%	91.7%
% women given a choice on whether to have a 20 week scan	61.9%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	86.7%	87.9%
% women with reasons for Downs syndrome screening clearly explained	86.1%	89.2%
% women eligible for amniocentesis or CVS who were tested		63.3%
% women having CVS of those having amniocentesis or CVS	39.2%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	86.9%	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)	62.9%	24.9%
% women having blood test only (survey)	30.3%	58.8%
% women having NT test only (survey)	6.8%	16.3%
% eligible women offered Hepatitis B testing	100%	98.6%
% eligible women tested for Hepatitis B	99.5%	95.4%
% eligible women offered HIV testing	100%	98.3%
% eligible women tested for HIV	98.0%	92.3%
% eligible women offered Syphilis testing		98.6%
% eligible women tested for Syphilis		96.7%

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Birth location and choice	Trust Average	English Average	Bloomsbury Birthing Centre	Delivery Suite
% women given a choice of where to have their baby at the start of the pregnancy	87.0%	74.7%
% women having vaginal birth	70.4%	76.1%	100%	63.6%
% women reporting they got enough information about where to have you baby	25.9%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	41.4%	41.7%	100%	26.4%
% women given the choice of a home birth	36.6%	47.6%
% women with vaginal birth without instruments	60.3%	65.0%	100%	51.1%
% women not offered home birth because of medical reasons	9.7%	14.8%
Number of home births	44	114
% home births	1.1%	2.3%
% home births which were planned for home	38.6%	85.6%
% home deliveries which were for primips	52.3%	20.1%
% births in GP or midwife led unit	17.6%	5.8%
Number of deliveries in obstetric units	3162	3843
% births in consultant led unit	81.2%	91.4%

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Pain relief	Trust Average	English Average	Bloomsbury Birthing Centre	Delivery Suite
% women who got the pain relief they wanted	72.2%	77.5%
Birthing pools per 1000 deliveries	1	0.5	3	0.3
% women using birthing pool who deliver in pool		53.3%
Average number of deliveries utilising birthing pool	0 (Number per month)	17.6 (Number per month)		0 (Number per month)
Midwives trained to deliver in birthing pools per pool	45	45.2	16	104
% women having at most gas and air for vaginal birth without instruments	52.7%	58.7%
% women having at most painkiller for vaginal birth without instruments	69.9%	83.4%
% women using medication (beyond Entonox) as pain relief	48.1%	51.3%
% women having epidural pain relief for unassisted vaginal birth	20.9%	13.9%	0.0%	30.3%
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)

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Quality of care in labour	Trust Average	English Average
% women cared for by one midwife during labour and delivery	19.0%	19.8%
% women who had met at least one midwife caring for them during labour	20.8%	21.4%
% women left alone during labour	21.2%	20.5%
% women left alone shortly after the birth	13.2%	11.4%
% women left alone during labour or shortly after the birth	28.5%	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	74.0%	73.2%
% women giving birth off the bed or in water	10.0%	7.8%
% women who gave birth lying down	46.4%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	Bloomsbury Birthing Centre	Delivery Suite
% women given a choice on how their labour was induced		56.6%
Days past term when inductions planned to take place	10 (Days)	12.7 (Days)
% women induced	18.7%	18.8%	0.0%	23.0%
% women whose labour was induced medically (surgically)	22.7%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery	69.6%	76.1%		69.6%
% vaginal deliveries following induction which are assisted	18.9%	22.9%		18.9%

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Vaginal birth	Trust Average	English Average	Bloomsbury Birthing Centre	Delivery Suite
% women having vaginal birth	70.4%	76.1%	100%	63.6%
vbac (vaginal birth after caesarean) rate	29.7%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	41.4%	41.7%	100%	26.4%
% women with vaginal birth without instruments	60.3%	65.0%	100%	51.1%
% women having epidural pain relief for vaginal birth with instruments	70.2%	54.1%		70.2%
% women with vaginal birth where ventouse or forceps used	14.3%	14.7%	0.0%	19.6%
% instrument births using ventouse	56.0%	61.1%		56.0%

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Caesarean	Trust Average	English Average	Bloomsbury Birthing Centre	Delivery Suite
% women having caesarean	29.6%	23.5%	0.0%	36.4%
% women having caesarean adjusted for age	25.9%	22.4%
% women having caesarean adjusted for age and ethnicity	24.9%	22.2%
vbac (vaginal birth after caesarean) rate	29.7%	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	59.9%	59.0%		59.9%
% women under 35 having caesarean	24.9%	22.4%
% women over 35 having caesarean	39.5%	33.3%
% primips having caesarean	32.5%	24.1%	0.0%	39.5%
% multips having caesarean	27.3%	26.8%	0.0%	34.0%
% emergency caesareans for 2nd or subsequent child	12.3%	11.5%	0.0%	15.3%
% women having general anaesthestic for caesarean	8.2%	9.9%
% women having general anaesthestic for elective caesarean	3.5%	4.7%

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Breech babies	Trust Average	English Average
% women offered ECV for a breech	46.1%	58.3%
Babies turned using ECV	46.9%	41.2%
% singleton breech babies at 36 weeks where ECV attempted	42.1%	35.0%
% singleton breech deliveries which were diagnosed prior to labour	8.6%	19.5%
% singleton babies breech at term	3.9%	3.8%
% elective caesareans for breech prior to week 39	35.4%	42.2%
% singleton breech babies at term delivered by caesarean	88.1%	84.9%

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Problems immediately after the birth	Trust Average	English Average
Women per 1000 deliveries with eclampsia	0.3 (Number per 1000)	1.3 (Number per 1000)
% Women who delivered vaginally who had an episiotomy	18.7%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	83.3%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	44.4%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	5.7%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	1.8%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	4.1%	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	4.4%	3.9%
Women per 1000 deliveries transferred to intensive care	1 (Number per 1000)	1.2 (Number per 1000)

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Hospital care	Trust Average	English Average	Bloomsbury Birthing Centre	Delivery Suite
% women who considered their length of stay was about right	61.1%	72.3%
% women who considered their length of stay was too short	14.6%	13.1%
% women who considered their length of stay was too long	24.3%	14.7%
Average length of postnatal stay for normal delivery	2 (Days)	1.4 (Days)	1.2 (Days)	2 (Days)
Average length of stay for normal delivery -primip	2 (Days)	4.6 (Days)	1.4 (Days)	2.1 (Days)
Average length of stay for normal delivery - multip	1.4 (Days)	2.3 (Days)	1.1 (Days)	2 (Days)
Average length of postnatal stay for vaginal with intervention delivery	2.3 (Days)	2.3 (Days)		2.3 (Days)
Average length of stay for vaginal with intervention delivery - primip	2.4 (Days)	2.6 (Days)		2.4 (Days)
Average length of stay for vaginal with intervention delivery - multip	2.1 (Days)	4.4 (Days)		2.1 (Days)
Average length of postnatal stay for caesarean delivery	4 (Days)	3.4 (Days)		4 (Days)
Average length of stay for caesarean delivery - primip	4.2 (Days)	4.1 (Days)		4.2 (Days)
Average length of stay for caesarean delivery - multip	4 (Days)	4.2 (Days)		4 (Days)
% women who were given sufficient food	76.2%	77.3%

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Postnatal care at home	Trust Average	English Average
% women who were visited at home	99.4%	98.0%
Average age of baby at last midwife contact	14.4 (Days)	14.6 (Days)
% of women who would have liked more contact with midwife	33.6%	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	60.6%	66.1%
Average number of contacts with midwife after going home	3.4	4.4
Planned postnatal contacts	9	5.5
% planned postnatal contacts by midwife	66.7%	83.4%
% planned postnatal contacts at home	55.6%	80.7%
Hours of availability of drop-in-clinics	16 (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	98.6%	95.1%
% women receiving a postnatal check up of their own health (survey)	89.5%	88.1%
Women re-admitted within 2 weeks of discharge	20 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	Bloomsbury Birthing Centre	Delivery Suite
% women who put their baby to their breast (survey)	94.7%	80.1%
% women who initiated breastfeeding	85.7%	67.4%	83.0%	86.4%
% women who breastfed (at least in part) in the first few days	92.1%	76.0%
% of women who reported good advice, help and support on infant feeding	47.9%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	51.0%	77.4%

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Neonatal care	Trust Average	English Average	Bloomsbury Birthing Centre	Delivery Suite
Admissions to neonatal unit per 1000 babies born	135	102		166
% babies admitted to neonatal unit from survey	21.1%	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