Healthcare Commission's Survey Results for
Hull and East Yorkshire Hospitals NHS Trust

Categories

Survey Results

Top

Women's views	Trust Average	English Average
Women's satisfaction with their care during pregnancy	77.7%	73.2%
% women always treated with understanding and respect during antenatal care	77.7%	73.2%
Women's satisfaction with their care during labour and birth	81.8%	76.8%
% women who were always treated with understanding and respect during labour and birth	82.6%	73.4%
% women who considered they were treated with understanding and respect after the birth	65.0%	60.2%
Women's satisfaction with their care after birth	72.8%	64.2%

Top

Antenatal, access and booking	Trust Average	English Average
% women whose first contact with a healthcare professional is a midwife	7.4%	18.8%
% of women who first see a GP	91.0%	78.3%
% women given a choice of where check ups took place	31.3%	23.5%
% antenatal appointments offered outside the main maternity unit	51.4%	66.5%
Target date (weeks gestation) for booking	10 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	12 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	4.1%	6.1%
% women receiving a copy of 'The Pregnancy Book'	86.4%	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	24.7%	34.1%
% women seeing only midwives / GPs for check ups	37.1%	40.4%
Time allocated for booking appointment(s)	120 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	10 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	9	11.6
Average number of antenatal checks for primips	8	7.6
Planned number of antenatal checks for multip	6	9.2
Average number of antenatal checks for multips	8	6.9

Top

Continuity of care	Trust Average	English Average
% women reporting they mostly saw the same midwife for check-ups	38.6%	57.3%
% women reporting they mostly saw the same doctor for check-ups	47.6%	38.9%
Percent midwives sharing caseload	100%	30.4%
Percent midwives carrying own caseload		23.7%

Top

Antenatal classes	Trust Average	English Average
% women attending NHS antenatal classes who wanted to	55.3%	58.3%
% women who did not attend antenatal classes due to lack of space	3.8%	3.4%
% women having first baby attending antenatal classes	76.5%	78.9%
% women whose partners were allowed to attend antenatal classes	98.6%	94.6%
% women who considered classes were at convenient location	93.1%	93.7%
% women who considered classes were at convenient time	83.6%	85.1%
% who considered content of classes appropriate	77.5%	79.6%
Length of antenatal classes (sessions)	2 (Hours)	4.2 (Hours)
% who considered classes were about right number	68.6%	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	Hull and East Yorkshire Women and Children's Hospi	Jubilee Birth Centre
% of women getting 20+ antenatal checks	2.9%	2.9%
Antenatal day attendances per delivery	2.1	1.3	2.3
% conditions where there is a specialist midwife	21.1%	22.7%
Average number of consultant attendances per booked women	2.0	2.3
% women referred to consultants in pregnancy (survey)	63.5%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	20.8%	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		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	1 (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.

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	69.3%	70.4%
% women with reasons for dating scan clearly explained	90.7%	88.0%
% eligible women having dating scan		93.2%

Top

Testing procedures	Trust Average	English Average
% women offered an informed choice for screening tests	85.7%	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	90.9%	79.5%
% women with reasons for 20 week scan clearly explained	95.9%	91.7%
% women given a choice on whether to have a 20 week scan	74.6%	72.9%

Top

Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	92.3%	87.9%
% women with reasons for Downs syndrome screening clearly explained	89.7%	89.2%
% women eligible for amniocentesis or CVS who were tested	95.7%	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	100%	93.1%
% eligible women offered Rubella testing	100%	98.6%
% eligible women tested for Rubella	98.7%	95.0%
% eligible woman offered fetal anomaly scan		97.1%
% eligible woman having fetal anomaly scan		94.8%
Attributes checked in fetal anomaly scan (max 11)	11	10.5
% women having both NT and blood test (survey)	13.8%	24.9%
% women having blood test only (survey)	84.5%	58.8%
% women having NT test only (survey)	1.7%	16.3%
% eligible women offered Hepatitis B testing	100%	98.6%
% eligible women tested for Hepatitis B	96.7%	95.4%
% eligible women offered HIV testing	100%	98.3%
% eligible women tested for HIV	95.4%	92.3%
% eligible women offered Syphilis testing	100%	98.6%
% eligible women tested for Syphilis	98.2%	96.7%

Top

Birth location and choice	Trust Average	English Average	Hull and East Yorkshire Women and Children's Hospi	Jubilee Birth Centre
% women given a choice of where to have their baby at the start of the pregnancy	71.8%	74.7%
% women having vaginal birth	77.6%	76.1%	75.5%	100%
% women reporting they got enough information about where to have you baby	49.5%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	32.3%	41.7%	25.9%	100%
% women given the choice of a home birth	39.6%	47.6%
% women with vaginal birth without instruments	70.4%	65.0%	67.6%	100%
% women not offered home birth because of medical reasons	17.3%	14.8%
Number of home births	114	114
% home births	1.1%	2.3%
% home births which were planned for home	75.9%	85.6%
% home deliveries which were for primips	17.2%	20.1%
% births in GP or midwife led unit	6.5%	5.8%
Number of deliveries in obstetric units	4998	3843
% births in consultant led unit	91.4%	91.4%

Top

Pain relief	Trust Average	English Average	Hull and East Yorkshire Women and Children's Hospi	Jubilee Birth Centre
% women who got the pain relief they wanted	79.3%	77.5%
Birthing pools per 1000 deliveries	1	0.5	0.2	6
% women using birthing pool who deliver in pool	66.7%	53.3%	54.8%	80.6%
Average number of deliveries utilising birthing pool	26 (Number per month)	17.6 (Number per month)	42 (Number per month)	18 (Number per month)
Midwives trained to deliver in birthing pools per pool	49.3	45.2	133	8
% women having at most gas and air for vaginal birth without instruments	48.3%	58.7%
% women having at most painkiller for vaginal birth without instruments	64.4%	83.4%
% women using medication (beyond Entonox) as pain relief	59.2%	51.3%
% women having epidural pain relief for unassisted vaginal birth	32.9%	13.9%	37.5%	0.0%
Weekday hours Epidural available	24 (Hours per day - weekday)	23.3 (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)	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	18.6%	19.8%
% women who had met at least one midwife caring for them during labour	20.4%	21.4%
% women left alone during labour	12.7%	20.5%
% women left alone shortly after the birth	8.9%	11.4%
% women left alone during labour or shortly after the birth	18.6%	26.6%
Average number of midwives caring for women during labour	2.4	2.6
% of women able to move around some of the time in labour	77.4%	73.2%
% women giving birth off the bed or in water	15.1%	7.8%
% women who gave birth lying down	51.8%	56.6%

Interventions and clinical care

No results for this category.

Top

Induction	Trust Average	English Average	Hull and East Yorkshire Women and Children's Hospi	Jubilee Birth Centre
% women given a choice on how their labour was induced	64.8%	56.6%
Days past term when inductions planned to take place	10 (Days)	12.7 (Days)
% women induced	18.8%	18.8%	20.6%	0.0%
% women whose labour was induced medically (surgically)	25.5%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery	81.6%	76.1%	81.6%
% vaginal deliveries following induction which are assisted	14.4%	22.9%	14.4%

Top

Vaginal birth	Trust Average	English Average	Hull and East Yorkshire Women and Children's Hospi	Jubilee Birth Centre
% women having vaginal birth	77.6%	76.1%	75.5%	100%
vbac (vaginal birth after caesarean) rate	36.7%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	32.3%	41.7%	25.9%	100%
% women with vaginal birth without instruments	70.4%	65.0%	67.6%	100%
% women having epidural pain relief for vaginal birth with instruments	86.8%	54.1%	86.8%
% women with vaginal birth where ventouse or forceps used	9.3%	14.7%	10.4%	0.0%
% instrument births using ventouse	37.3%	61.1%	37.3%

Top

Caesarean	Trust Average	English Average	Hull and East Yorkshire Women and Children's Hospi	Jubilee Birth Centre
% women having caesarean	22.4%	23.5%	24.5%	0.0%
% women having caesarean adjusted for age	22.9%	22.4%
% women having caesarean adjusted for age and ethnicity	23.1%	22.2%
vbac (vaginal birth after caesarean) rate	36.7%	32.0%
% emergency caesareans following previous caesarean	21.6%	21.8%
% of emergency caesareans undertaken within 30 minutes of decision	56.3%	92.8%
% caesareans which are non-elective	62.5%	59.0%	62.5%
% women under 35 having caesarean	21.5%	22.4%
% women over 35 having caesarean	32.8%	33.3%
% primips having caesarean	24.5%	24.1%	26.0%	0.0%
% multips having caesarean	21.3%	26.8%	23.1%	0.0%
% emergency caesareans for 2nd or subsequent child	9.3%	11.5%	10.1%	0.0%
% women having general anaesthestic for caesarean	4.9%	9.9%
% women having general anaesthestic for elective caesarean	0.9%	4.7%

Top

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		42.2%
% singleton breech babies at term delivered by caesarean		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	12.2%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	93.0%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	74.0%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	5.2%	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)	3.4%	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	0.0%	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	Hull and East Yorkshire Women and Children's Hospi	Jubilee Birth Centre
% women who considered their length of stay was about right	74.8%	72.3%
% women who considered their length of stay was too short	9.1%	13.1%
% women who considered their length of stay was too long	16.1%	14.7%
Average length of postnatal stay for normal delivery	2 (Days)	1.4 (Days)	1.5 (Days)	5 (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 (Days)	2.3 (Days)	2 (Days)
Average length of stay for vaginal with intervention delivery - primip		2.6 (Days)
Average length of stay for vaginal with intervention delivery - multip	11.1 (Days)	4.4 (Days)	11.1 (Days)
Average length of postnatal stay for caesarean delivery	3 (Days)	3.4 (Days)	3 (Days)
Average length of stay for caesarean delivery - primip		4.1 (Days)
Average length of stay for caesarean delivery - multip	6 (Days)	4.2 (Days)	6 (Days)
% women who were given sufficient food	83.0%	77.3%

Top

Postnatal care at home	Trust Average	English Average
% women who were visited at home	99.6%	98.0%
Average age of baby at last midwife contact	17.3 (Days)	14.6 (Days)
% of women who would have liked more contact with midwife	9.4%	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	69.7%	66.1%
Average number of contacts with midwife after going home	5.2	4.4
Planned postnatal contacts	10	5.5
% planned postnatal contacts by midwife	50.0%	83.4%
% planned postnatal contacts at home	80.0%	80.7%
Hours of availability of drop-in-clinics	0 (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	97.9%	95.1%
% women receiving a postnatal check up of their own health (survey)	82.9%	88.1%
Women re-admitted within 2 weeks of discharge	7 (Number per 1000)	5.4 (Number per 1000)

Top

Infant feeding	Trust Average	English Average	Hull and East Yorkshire Women and Children's Hospi	Jubilee Birth Centre
% women who put their baby to their breast (survey)	66.1%	80.1%
% women who initiated breastfeeding	58.0%	67.4%	62.2%
% women who breastfed (at least in part) in the first few days	63.3%	76.0%
% of women who reported good advice, help and support on infant feeding	64.0%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	87.9%	77.4%

Top

Neonatal care	Trust Average	English Average	Hull and East Yorkshire Women and Children's Hospi	Jubilee Birth Centre
Admissions to neonatal unit per 1000 babies born	140	102	150
% babies admitted to neonatal unit from survey	6.1%	10.4%
Tube feeding	Yes	60% Yes - 40%No	Yes	No
Phototherapy	Yes	99% Yes - 1%No	Yes	No
Intravenous antibiotics	Yes	57% Yes - 43%No	Yes	No
Other intravenous medicines	No	28% Yes - 72%No	No	No