Healthcare Commission's Survey Results for
North West London 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	65.5%	73.2%
% women always treated with understanding and respect during antenatal care	65.5%	73.2%
Women's satisfaction with their care during labour and birth	70.7%	76.8%
% women who were always treated with understanding and respect during labour and birth	68.8%	73.4%
% women who considered they were treated with understanding and respect after the birth	59.7%	60.2%
Women's satisfaction with their care after birth	57.3%	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	8.5%	18.8%
% of women who first see a GP	89.5%	78.3%
% women given a choice of where check ups took place	34.8%	23.5%
% antenatal appointments offered outside the main maternity unit	45.0%	66.5%
Target date (weeks gestation) for booking	8 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	12.3 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	12.8%	6.1%
% women receiving a copy of 'The Pregnancy Book'	86.3%	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	7.8%	34.1%
% women seeing only midwives / GPs for check ups	27.3%	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	10	11.6
Average number of antenatal checks for primips	7	7.6
Planned number of antenatal checks for multip	7	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	58.9%	57.3%
% women reporting they mostly saw the same doctor for check-ups	36.9%	38.9%
Percent midwives sharing caseload	0.0%	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	45.2%	58.3%
% women who did not attend antenatal classes due to lack of space	7.7%	3.4%
% women having first baby attending antenatal classes	70.5%	78.9%
% women whose partners were allowed to attend antenatal classes	97.7%	94.6%
% women who considered classes were at convenient location	93.2%	93.7%
% women who considered classes were at convenient time	79.6%	85.1%
% who considered content of classes appropriate	83.7%	79.6%
Length of antenatal classes (sessions)	3 (Hours)	4.2 (Hours)
% who considered classes were about right number	65.1%	71.0%
Proportion of primips offered classes	6.0%	5.7%
Proportion of multips offered classes	1.0%	5.2%

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Care for women with high risk pregnancies	Trust Average	English Average	Brent Birth Centre	Northwick Park Hospital Maternity Unit
% of women getting 20+ antenatal checks	2.7%	2.9%
Antenatal day attendances per delivery	1	1.3		1.0
% conditions where there is a specialist midwife	26.3%	22.7%
Average number of consultant attendances per booked women	2	2.3
% women referred to consultants in pregnancy (survey)	75.0%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	25.0%	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	70.4%	70.2%
% women referred for specialist psychiatric care		3.9%
Ratio of antenatal attendances to antenatal admissions	2 (Ratio)	2.5 (Ratio)		2 (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	70.2%	70.4%
% women with reasons for dating scan clearly explained	83.0%	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	76.9%	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	81.9%	91.7%
% women given a choice on whether to have a 20 week scan	70.2%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	73.7%	87.9%
% women with reasons for Downs syndrome screening clearly explained	81.3%	89.2%
% women eligible for amniocentesis or CVS who were tested	56.1%	63.3%
% women having CVS of those having amniocentesis or CVS	82.0%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	99.7%	93.1%
% eligible women offered Rubella testing	100%	98.6%
% eligible women tested for Rubella	66.3%	95.0%
% eligible woman offered fetal anomaly scan	100%	97.1%
% eligible woman having fetal anomaly scan	81.1%	94.8%
Attributes checked in fetal anomaly scan (max 11)	11	10.5
% women having both NT and blood test (survey)	34.4%	24.9%
% women having blood test only (survey)	59.4%	58.8%
% women having NT test only (survey)	6.3%	16.3%
% eligible women offered Hepatitis B testing	100%	98.6%
% eligible women tested for Hepatitis B	63.9%	95.4%
% eligible women offered HIV testing	100%	98.3%
% eligible women tested for HIV	62.1%	92.3%
% eligible women offered Syphilis testing	100%	98.6%
% eligible women tested for Syphilis	66.2%	96.7%

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Birth location and choice	Trust Average	English Average	Brent Birth Centre	Northwick Park Hospital Maternity Unit
% women given a choice of where to have their baby at the start of the pregnancy	69.9%	74.7%
% women having vaginal birth	73.6%	76.1%	100%	72.1%
% women reporting they got enough information about where to have you baby	33.3%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	23.4%	41.7%	0.0%	24.0%
% women given the choice of a home birth	26.5%	47.6%
% women with vaginal birth without instruments	62.7%	65.0%	100%	60.5%
% women not offered home birth because of medical reasons	8.8%	14.8%
Number of home births	46	114
% home births	0.5%	2.3%
% home births which were planned for home	100%	85.6%
% home deliveries which were for primips	31.8%	20.1%
% births in GP or midwife led unit	6.3%	5.8%
Number of deliveries in obstetric units	4468	3843
% births in consultant led unit	93.2%	91.4%

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Pain relief	Trust Average	English Average	Brent Birth Centre	Northwick Park Hospital Maternity Unit
% women who got the pain relief they wanted	77.2%	77.5%
Birthing pools per 1000 deliveries	1	0.5	7	0.4
% 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	2	45.2	1	2
% women having at most gas and air for vaginal birth without instruments	54.2%	58.7%
% women having at most painkiller for vaginal birth without instruments	70.8%	83.4%
% women using medication (beyond Entonox) as pain relief	50.4%	51.3%
% women having epidural pain relief for unassisted vaginal birth	18.7%	13.9%	0.0%	20.8%
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	14.6%	19.8%
% women who had met at least one midwife caring for them during labour	25.9%	21.4%
% women left alone during labour	18.1%	20.5%
% women left alone shortly after the birth	17.4%	11.4%
% women left alone during labour or shortly after the birth	29.5%	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	69.1%	73.2%
% women giving birth off the bed or in water	0.8%	7.8%
% women who gave birth lying down	65.9%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	Brent Birth Centre	Northwick Park Hospital Maternity Unit
% women given a choice on how their labour was induced		56.6%
Days past term when inductions planned to take place	12 (Days)	12.7 (Days)
% women induced	15.9%	18.8%	0.0%	17.1%
% women whose labour was induced medically (surgically)	23.0%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery	125.7%	76.1%		125.7%
% vaginal deliveries following induction which are assisted	54.6%	22.9%		54.6%

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Vaginal birth	Trust Average	English Average	Brent Birth Centre	Northwick Park Hospital Maternity Unit
% women having vaginal birth	73.6%	76.1%	100%	72.1%
vbac (vaginal birth after caesarean) rate	23.0%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	23.4%	41.7%	0.0%	24.0%
% women with vaginal birth without instruments	62.7%	65.0%	100%	60.5%
% women having epidural pain relief for vaginal birth with instruments	54.4%	54.1%		54.4%
% women with vaginal birth where ventouse or forceps used	14.8%	14.7%	0.0%	16.2%
% instrument births using ventouse	77.8%	61.1%		77.8%

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Caesarean	Trust Average	English Average	Brent Birth Centre	Northwick Park Hospital Maternity Unit
% women having caesarean	26.3%	23.5%	0.0%	28.1%
% women having caesarean adjusted for age	25.0%	22.4%
% women having caesarean adjusted for age and ethnicity	23.7%	22.2%
vbac (vaginal birth after caesarean) rate	23.0%	32.0%
% emergency caesareans following previous caesarean	33.5%	21.8%
% of emergency caesareans undertaken within 30 minutes of decision		92.8%
% caesareans which are non-elective	65.1%	59.0%		65.1%
% women under 35 having caesarean	26.5%	22.4%
% women over 35 having caesarean	36.1%	33.3%
% primips having caesarean	32.9%	24.1%		32.9%
% multips having caesarean	22.0%	26.8%	0.0%	24.5%
% emergency caesareans for 2nd or subsequent child	10.5%	11.5%	0.0%	11.7%
% women having general anaesthestic for caesarean	13.5%	9.9%
% women having general anaesthestic for elective caesarean	5.5%	4.7%

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Breech babies	Trust Average	English Average
% women offered ECV for a breech		58.3%
Babies turned using ECV		41.2%
% singleton breech babies at 36 weeks where ECV attempted		35.0%
% singleton breech deliveries which were diagnosed prior to labour		19.5%
% singleton babies breech at term		3.8%
% elective caesareans for breech prior to week 39	49.4%	42.2%
% singleton breech babies at term delivered by caesarean		84.9%

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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	21.7%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	84.4%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	67.2%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	16.7%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	3.2%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	3.7%	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	5.1%	3.9%
Women per 1000 deliveries transferred to intensive care	3 (Number per 1000)	1.2 (Number per 1000)

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Hospital care	Trust Average	English Average	Brent Birth Centre	Northwick Park Hospital Maternity Unit
% women who considered their length of stay was about right	77.1%	72.3%
% women who considered their length of stay was too short	13.9%	13.1%
% women who considered their length of stay was too long	9.0%	14.7%
Average length of postnatal stay for normal delivery	1.1 (Days)	1.4 (Days)	1 (Days)	1.2 (Days)
Average length of stay for normal delivery -primip	2 (Days)	4.6 (Days)	1 (Days)	2 (Days)
Average length of stay for normal delivery - multip	1 (Days)	2.3 (Days)	0.5 (Days)	1 (Days)
Average length of postnatal stay for vaginal with intervention delivery	2 (Days)	2.3 (Days)		2 (Days)
Average length of stay for vaginal with intervention delivery - primip	2 (Days)	2.6 (Days)		2 (Days)
Average length of stay for vaginal with intervention delivery - multip	2 (Days)	4.4 (Days)		2 (Days)
Average length of postnatal stay for caesarean delivery	3.3 (Days)	3.4 (Days)		3.3 (Days)
Average length of stay for caesarean delivery - primip	3.3 (Days)	4.1 (Days)		3.3 (Days)
Average length of stay for caesarean delivery - multip	3.2 (Days)	4.2 (Days)		3.2 (Days)
% women who were given sufficient food	82.1%	77.3%

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Postnatal care at home	Trust Average	English Average
% women who were visited at home	94.9%	98.0%
Average age of baby at last midwife contact	16.0 (Days)	14.6 (Days)
% of women who would have liked more contact with midwife	45.3%	22.2%
Quality of transfer process to health visitor (score out of 5)	4 (Score out of 5)	4.4 (Score out of 5)
Quality of support in caring for the baby after discharge	63.1%	66.1%
Average number of contacts with midwife after going home	3.1	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	8 (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	99.3%	95.1%
% women receiving a postnatal check up of their own health (survey)	85.4%	88.1%
Women re-admitted within 2 weeks of discharge	2.3 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	Brent Birth Centre	Northwick Park Hospital Maternity Unit
% women who put their baby to their breast (survey)	92.3%	80.1%
% women who initiated breastfeeding	68.6%	67.4%	90.3%	67.1%
% women who breastfed (at least in part) in the first few days	89.7%	76.0%
% of women who reported good advice, help and support on infant feeding	58.0%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	69.7%	77.4%

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Neonatal care	Trust Average	English Average	Brent Birth Centre	Northwick Park Hospital Maternity Unit
Admissions to neonatal unit per 1000 babies born	97	102		103
% babies admitted to neonatal unit from survey	12.8%	10.4%
Tube feeding	Yes	60% Yes - 40%No	No	Yes
Phototherapy	Yes	99% Yes - 1%No	No	Yes
Intravenous antibiotics	No	57% Yes - 43%No	No	No
Other intravenous medicines	No	28% Yes - 72%No	No	No