Healthcare Commission's Survey Results for
Barnet and Chase Farm Hospitals NHS Trust

Categories

Survey Results

Top

Women's views	Trust Average	English Average
Women's satisfaction with their care during pregnancy	57.7%	73.2%
% women always treated with understanding and respect during antenatal care	57.7%	73.2%
Women's satisfaction with their care during labour and birth	67.3%	76.8%
% women who were always treated with understanding and respect during labour and birth	63.8%	73.4%
% women who considered they were treated with understanding and respect after the birth	53.5%	60.2%
Women's satisfaction with their care after birth	55.5%	64.2%

Top

Antenatal, access and booking	Trust Average	English Average
% women whose first contact with a healthcare professional is a midwife	6.5%	18.8%
% of women who first see a GP	89.3%	78.3%
% women given a choice of where check ups took place	34.5%	23.5%
% antenatal appointments offered outside the main maternity unit	64.6%	66.5%
Target date (weeks gestation) for booking	11 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	14.1 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	10.4%	6.1%
% women receiving a copy of 'The Pregnancy Book'	71.9%	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)	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	24.2%	34.1%
% women seeing only midwives / GPs for check ups	38.8%	40.4%
Time allocated for booking appointment(s)	45 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	10 (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

Top

Continuity of care	Trust Average	English Average
% women reporting they mostly saw the same midwife for check-ups	50.3%	57.3%
% women reporting they mostly saw the same doctor for check-ups	28.6%	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	64.5%	58.3%
% women who did not attend antenatal classes due to lack of space	2.7%	3.4%
% women having first baby attending antenatal classes	83.3%	78.9%
% women whose partners were allowed to attend antenatal classes	88.4%	94.6%
% women who considered classes were at convenient location	95.7%	93.7%
% women who considered classes were at convenient time	73.9%	85.1%
% who considered content of classes appropriate	85.5%	79.6%
Length of antenatal classes (sessions)	4 (Hours)	4.2 (Hours)
% who considered classes were about right number	80.6%	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	Edgware Birth Centre, Edgware Community Hospital	Maternity Unit including MLU, Barnet Hospital	Maternity Unity, Chase Farm Hospital	The Ridgeway Birth Centre, Chase Farm Hospital
% of women getting 20+ antenatal checks	2.4%	2.9%
Antenatal day attendances per delivery	2	1.3		2	2
% conditions where there is a specialist midwife	15.8%	22.7%
Average number of consultant attendances per booked women	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	20.3%	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	25.9%	70.2%
% women referred for specialist psychiatric care		3.9%
Ratio of antenatal attendances to antenatal admissions	4 (Ratio)	2.5 (Ratio)		4 (Ratio)	4 (Ratio)
Minimum referral waits for a psychiatrist	1 (Time interval)	1.6 (Time interval)
Maximum referral waits for a psychiatrist	3 (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		98.0%
% women given a choice on whether to have a dating scan	62.5%	70.4%
% women with reasons for dating scan clearly explained	75.8%	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	73.1%	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	100%	79.5%
% women with reasons for 20 week scan clearly explained	80.7%	91.7%
% women given a choice on whether to have a 20 week scan	59.8%	72.9%

Top

Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	77.8%	87.9%
% women with reasons for Downs syndrome screening clearly explained	81.1%	89.2%
% women eligible for amniocentesis or CVS who were tested		63.3%
% women having CVS of those having amniocentesis or CVS		23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative		93.1%
% eligible women offered Rubella testing		98.6%
% eligible women tested for Rubella		95.0%
% eligible woman offered fetal anomaly scan		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)	29.9%	24.9%
% women having blood test only (survey)	66.0%	58.8%
% women having NT test only (survey)	4.1%	16.3%
% eligible women offered Hepatitis B testing		98.6%
% eligible women tested for Hepatitis B		95.4%
% eligible women offered HIV testing		98.3%
% eligible women tested for HIV		92.3%
% eligible women offered Syphilis testing		98.6%
% eligible women tested for Syphilis		96.7%

Top

Birth location and choice	Trust Average	English Average	Edgware Birth Centre, Edgware Community Hospital	Maternity Unit including MLU, Barnet Hospital	Maternity Unity, Chase Farm Hospital	The Ridgeway Birth Centre, Chase Farm Hospital
% women given a choice of where to have their baby at the start of the pregnancy	85.7%	74.7%
% women having vaginal birth	73.6%	76.1%	100%	70.9%	67.6%	100%
% women reporting they got enough information about where to have you baby	33.9%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	30.2%	41.7%		44.2%		100%
% women given the choice of a home birth	38.8%	47.6%
% women with vaginal birth without instruments	64.8%	65.0%	100%	60.6%	57.7%	100%
% women not offered home birth because of medical reasons	14.2%	14.8%
Number of home births	57	114
% home births	0.5%	2.3%
% home births which were planned for home		85.6%
% home deliveries which were for primips		20.1%
% births in GP or midwife led unit	19.5%	5.8%
Number of deliveries in obstetric units	5362	3843
% births in consultant led unit	80.0%	91.4%

Top

Pain relief	Trust Average	English Average	Edgware Birth Centre, Edgware Community Hospital	Maternity Unit including MLU, Barnet Hospital	Maternity Unity, Chase Farm Hospital	The Ridgeway Birth Centre, Chase Farm Hospital
% women who got the pain relief they wanted	76.8%	77.5%
Birthing pools per 1000 deliveries	1.2	0.5	8.2	1	0	4
% women using birthing pool who deliver in pool	6.2%	53.3%		1.1%		100%
Average number of deliveries utilising birthing pool	12.1 (Number per month)	17.6 (Number per month)		31 (Number per month)		2.5 (Number per month)
Midwives trained to deliver in birthing pools per pool	4.3	45.2	2	8		2
% women having at most gas and air for vaginal birth without instruments	62.1%	58.7%
% women having at most painkiller for vaginal birth without instruments	84.8%	83.4%
% women using medication (beyond Entonox) as pain relief	50.0%	51.3%
% women having epidural pain relief for unassisted vaginal birth	20.4%	13.9%	0.0%	27.0%	23.5%	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)	24 (Hours per day - weekday)	0 (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)	24 (Hours per day - weekend)	0 (Hours per day - weekend)

Top

Quality of care in labour	Trust Average	English Average
% women cared for by one midwife during labour and delivery	20.7%	19.8%
% women who had met at least one midwife caring for them during labour	19.5%	21.4%
% women left alone during labour	31.2%	20.5%
% women left alone shortly after the birth	15.1%	11.4%
% women left alone during labour or shortly after the birth	38.0%	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	67.6%	73.2%
% women giving birth off the bed or in water	8.6%	7.8%
% women who gave birth lying down	54.1%	56.6%

Interventions and clinical care

No results for this category.

Top

Induction	Trust Average	English Average	Edgware Birth Centre, Edgware Community Hospital	Maternity Unit including MLU, Barnet Hospital	Maternity Unity, Chase Farm Hospital	The Ridgeway Birth Centre, Chase Farm Hospital
% women given a choice on how their labour was induced	63.6%	56.6%
Days past term when inductions planned to take place	12 (Days)	12.7 (Days)
% women induced	15.4%	18.8%	0.0%	15.2%	21.0%	0.0%
% women whose labour was induced medically (surgically)	20.1%	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%

Top

Vaginal birth	Trust Average	English Average	Edgware Birth Centre, Edgware Community Hospital	Maternity Unit including MLU, Barnet Hospital	Maternity Unity, Chase Farm Hospital	The Ridgeway Birth Centre, Chase Farm Hospital
% women having vaginal birth	73.6%	76.1%	100%	70.9%	67.6%	100%
vbac (vaginal birth after caesarean) rate	18.6%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	30.2%	41.7%		44.2%		100%
% women with vaginal birth without instruments	64.8%	65.0%	100%	60.6%	57.7%	100%
% women having epidural pain relief for vaginal birth with instruments	26.6%	54.1%		0.0%	63.8%
% women with vaginal birth where ventouse or forceps used	12.0%	14.7%	0.0%	14.5%	14.7%	0.0%
% instrument births using ventouse	72.4%	61.1%		69.8%	76.0%

Top

Caesarean	Trust Average	English Average	Edgware Birth Centre, Edgware Community Hospital	Maternity Unit including MLU, Barnet Hospital	Maternity Unity, Chase Farm Hospital	The Ridgeway Birth Centre, Chase Farm Hospital
% women having caesarean	26.4%	23.5%	0.0%	28.6%	32.4%	0.0%
% women having caesarean adjusted for age	24.3%	22.4%
% women having caesarean adjusted for age and ethnicity	22.8%	22.2%
vbac (vaginal birth after caesarean) rate	18.6%	32.0%
% emergency caesareans following previous caesarean	26.7%	21.8%
% of emergency caesareans undertaken within 30 minutes of decision		92.8%
% caesareans which are non-elective	62.1%	59.0%		66.3%	57.8%
% women under 35 having caesarean	27.3%	22.4%
% women over 35 having caesarean	35.7%	33.3%
% primips having caesarean	18.5%	24.1%	0.0%	27.5%		0.0%
% multips having caesarean	11.5%	26.8%	0.0%	29.9%		0.0%
% emergency caesareans for 2nd or subsequent child	5.5%	11.5%	0.0%	14.3%		0.0%
% women having general anaesthestic for caesarean	9.8%	9.9%
% women having general anaesthestic for elective caesarean	3.1%	4.7%

Top

Breech babies	Trust Average	English Average
% women offered ECV for a breech	100%	58.3%
Babies turned using ECV	71.4%	41.2%
% singleton breech babies at 36 weeks where ECV attempted	58.3%	35.0%
% singleton breech deliveries which were diagnosed prior to labour	8.6%	19.5%
% singleton babies breech at term	3.3%	3.8%
% elective caesareans for breech prior to week 39	100%	42.2%
% singleton breech babies at term delivered by caesarean	91.4%	84.9%

Top

Problems immediately after the birth	Trust Average	English Average
Women per 1000 deliveries with eclampsia	2 (Number per 1000)	1.3 (Number per 1000)
% Women who delivered vaginally who had an episiotomy	15.9%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	85.4%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	47.2%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	8.2%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	2.6%	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	0.1%	0.2%
% women transferred to intensive care after a postpartum haemorrhage		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	Edgware Birth Centre, Edgware Community Hospital	Maternity Unit including MLU, Barnet Hospital	Maternity Unity, Chase Farm Hospital	The Ridgeway Birth Centre, Chase Farm Hospital
% women who considered their length of stay was about right	68.0%	72.3%
% women who considered their length of stay was too short	19.3%	13.1%
% women who considered their length of stay was too long	12.7%	14.7%
Average length of postnatal stay for normal delivery	1 (Days)	1.4 (Days)	1 (Days)	1 (Days)		1 (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	70.2%	77.3%

Top

Postnatal care at home	Trust Average	English Average
% women who were visited at home	97.7%	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	31.6%	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	60.7%	66.1%
Average number of contacts with midwife after going home	4.2	4.4
Planned postnatal contacts	4	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	1 (Hours per week)	21.1 (Hours per week)

Top

Health checks	Trust Average	English Average
% babies having statutory examination of newborn		98.5%
% babies with baby check completed prior to discharge	98.1%	95.1%
% women receiving a postnatal check up of their own health (survey)	91.5%	88.1%
Women re-admitted within 2 weeks of discharge	2 (Number per 1000)	5.4 (Number per 1000)

Top

Infant feeding	Trust Average	English Average	Edgware Birth Centre, Edgware Community Hospital	Maternity Unit including MLU, Barnet Hospital	Maternity Unity, Chase Farm Hospital	The Ridgeway Birth Centre, Chase Farm Hospital
% women who put their baby to their breast (survey)	88.7%	80.1%
% women who initiated breastfeeding	89.1%	67.4%		88.9%	100.8%	97.1%
% women who breastfed (at least in part) in the first few days	85.4%	76.0%
% of women who reported good advice, help and support on infant feeding	52.3%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	66.5%	77.4%

Top

Neonatal care	Trust Average	English Average	Edgware Birth Centre, Edgware Community Hospital	Maternity Unit including MLU, Barnet Hospital	Maternity Unity, Chase Farm Hospital	The Ridgeway Birth Centre, Chase Farm Hospital
Admissions to neonatal unit per 1000 babies born	90.5	102		111	94.1
% babies admitted to neonatal unit from survey	14.0%	10.4%
Tube feeding	No	60% Yes - 40%No	No	No	No	No
Phototherapy	Yes	99% Yes - 1%No	No	Yes	No	No
Intravenous antibiotics	No	57% Yes - 43%No	No	No	No	No
Other intravenous medicines	No	28% Yes - 72%No	No	No	No	No