Healthcare Commission's Survey Results for
Nottingham University Hospitals NHS Trust

Categories

Survey Results

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Women's views	Trust Average	English Average
Women's satisfaction with their care during pregnancy	74.4%	73.2%
% women always treated with understanding and respect during antenatal care	74.4%	73.2%
Women's satisfaction with their care during labour and birth	74.0%	76.8%
% women who were always treated with understanding and respect during labour and birth	70.1%	73.4%
% women who considered they were treated with understanding and respect after the birth	57.8%	60.2%
Women's satisfaction with their care after birth	62.6%	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	18.5%	18.8%
% of women who first see a GP	77.9%	78.3%
% women given a choice of where check ups took place	19.2%	23.5%
% antenatal appointments offered outside the main maternity unit	62.2%	66.5%
Target date (weeks gestation) for booking	10 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	10 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	4.4%	6.1%
% women receiving a copy of 'The Pregnancy Book'	83.1%	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	27.0%	34.1%
% women seeing only midwives / GPs for check ups	39.3%	40.4%
Time allocated for booking appointment(s)	90 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	15 (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	8	9.2
Average number of antenatal checks for multips	7	6.9

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Continuity of care	Trust Average	English Average
% women reporting they mostly saw the same midwife for check-ups	69.6%	57.3%
% women reporting they mostly saw the same doctor for check-ups	47.8%	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	66.4%	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	80.0%	78.9%
% women whose partners were allowed to attend antenatal classes	80.5%	94.6%
% women who considered classes were at convenient location	94.8%	93.7%
% women who considered classes were at convenient time	91.4%	85.1%
% who considered content of classes appropriate	76.6%	79.6%
Length of antenatal classes (sessions)	4 (Hours)	4.2 (Hours)
% who considered classes were about right number	53.2%	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	City Hospital Campus	Midwife Led Unit QMC Campus	Queens Medical Centre Campus
% of women getting 20+ antenatal checks	1.5%	2.9%
Antenatal day attendances per delivery	1	1.3	1		1
% conditions where there is a specialist midwife	21.1%	22.7%
Average number of consultant attendances per booked women	4.4	2.3
% women referred to consultants in pregnancy (survey)	60.1%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	17.0%	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	115.9%	70.2%
% women referred for specialist psychiatric care	7.0%	3.9%
Ratio of antenatal attendances to antenatal admissions	0.5 (Ratio)	2.5 (Ratio)	1 (Ratio)		0.4 (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		98.0%
% women given a choice on whether to have a dating scan	74.9%	70.4%
% women with reasons for dating scan clearly explained	90.9%	88.0%
% eligible women having dating scan	95.7%	93.2%

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Testing procedures	Trust Average	English Average
% women offered an informed choice for screening tests	86.7%	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	72.7%	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	78.4%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	90.8%	87.9%
% women with reasons for Downs syndrome screening clearly explained	90.8%	89.2%
% women eligible for amniocentesis or CVS who were tested		63.3%
% women having CVS of those having amniocentesis or CVS	47.1%	23.7%
% of amniocentesis or chorionic villus downs syndrome test results which are negative	85.5%	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	97.1%	94.8%
Attributes checked in fetal anomaly scan (max 11)	11	10.5
% women having both NT and blood test (survey)	20.8%	24.9%
% women having blood test only (survey)	63.1%	58.8%
% women having NT test only (survey)	16.1%	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%

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Birth location and choice	Trust Average	English Average	City Hospital Campus	Midwife Led Unit QMC Campus	Queens Medical Centre Campus
% women given a choice of where to have their baby at the start of the pregnancy	93.8%	74.7%
% women having vaginal birth	79.7%	76.1%	82.0%	100%	72.7%
% women reporting they got enough information about where to have you baby	32.6%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	50.9%	41.7%	52.8%	94.0%	37.2%
% women given the choice of a home birth	47.6%	47.6%
% women with vaginal birth without instruments	65.3%	65.0%	67.9%	94.0%	56.6%
% women not offered home birth because of medical reasons	11.7%	14.8%
Number of home births	146	114
% home births	1.1%	2.3%
% home births which were planned for home	87.9%	85.6%
% home deliveries which were for primips	9.3%	20.1%
% births in GP or midwife led unit	5.8%	5.8%
Number of deliveries in obstetric units	9409	3843
% births in consultant led unit	92.8%	91.4%

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Pain relief	Trust Average	English Average	City Hospital Campus	Midwife Led Unit QMC Campus	Queens Medical Centre Campus
% women who got the pain relief they wanted	74.5%	77.5%
Birthing pools per 1000 deliveries	0.3	0.5	0.2	2	0.3
% women using birthing pool who deliver in pool	44.4%	53.3%	33.3%	58.3%	33.3%
Average number of deliveries utilising birthing pool	9 (Number per month)	17.6 (Number per month)	12 (Number per month)	12 (Number per month)	3 (Number per month)
Midwives trained to deliver in birthing pools per pool	79	45.2	101	12	123
% women having at most gas and air for vaginal birth without instruments	57.6%	58.7%
% women having at most painkiller for vaginal birth without instruments	83.7%	83.4%
% women using medication (beyond Entonox) as pain relief	55.2%	51.3%
% women having epidural pain relief for unassisted vaginal birth	7.2%	13.9%	5.9%	0.0%	11.5%
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)	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)	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	22.7%	19.8%
% women who had met at least one midwife caring for them during labour	13.9%	21.4%
% women left alone during labour	24.0%	20.5%
% women left alone shortly after the birth	9.3%	11.4%
% women left alone during labour or shortly after the birth	27.7%	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	72.2%	73.2%
% women giving birth off the bed or in water	6.3%	7.8%
% women who gave birth lying down	60.1%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	City Hospital Campus	Midwife Led Unit QMC Campus	Queens Medical Centre Campus
% women given a choice on how their labour was induced	58.1%	56.6%
Days past term when inductions planned to take place	12 (Days)	12.7 (Days)
% women induced	20.7%	18.8%	19.7%	1.4%	25.2%
% women whose labour was induced medically (surgically)	25.0%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery	80.5%	76.1%	80.8%	100%	79.9%
% vaginal deliveries following induction which are assisted	23.6%	22.9%	20.9%	25.0%	26.8%

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Vaginal birth	Trust Average	English Average	City Hospital Campus	Midwife Led Unit QMC Campus	Queens Medical Centre Campus
% women having vaginal birth	79.7%	76.1%	82.0%	100%	72.7%
vbac (vaginal birth after caesarean) rate	31.8%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	50.9%	41.7%	52.8%	94.0%	37.2%
% women with vaginal birth without instruments	65.3%	65.0%	67.9%	94.0%	56.6%
% women having epidural pain relief for vaginal birth with instruments	31.0%	54.1%	24.1%	0.0%	42.3%
% women with vaginal birth where ventouse or forceps used	18.1%	14.7%	17.3%	6.0%	22.1%
% instrument births using ventouse	52.2%	61.1%	52.8%	57.1%	51.2%

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Caesarean	Trust Average	English Average	City Hospital Campus	Midwife Led Unit QMC Campus	Queens Medical Centre Campus
% women having caesarean	20.3%	23.5%	18.0%	0.0%	27.3%
% women having caesarean adjusted for age	19.7%	22.4%
% women having caesarean adjusted for age and ethnicity	20.0%	22.2%
vbac (vaginal birth after caesarean) rate	31.8%	32.0%
% emergency caesareans following previous caesarean	20.6%	21.8%
% of emergency caesareans undertaken within 30 minutes of decision	81.8%	92.8%
% caesareans which are non-elective	40.0%	59.0%	39.1%		40.9%
% women under 35 having caesarean	17.5%	22.4%
% women over 35 having caesarean	30.1%	33.3%
% primips having caesarean	21.8%	24.1%	20.0%	0.0%	28.5%
% multips having caesarean	19.3%	26.8%	16.7%	0.0%	26.4%
% emergency caesareans for 2nd or subsequent child	10.6%	11.5%	9.2%	0.0%	14.3%
% women having general anaesthestic for caesarean	4.0%	9.9%
% women having general anaesthestic for elective caesarean	1.3%	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	12.4%	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	0.2 (Number per 1000)	1.3 (Number per 1000)
% Women who delivered vaginally who had an episiotomy	18.9%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	89.7%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	58.3%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	8.5%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	2.3%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	4.0%	3.3%
% Women with a primary postpartum haemorrhage of 2500ml or more	0.3%	0.2%
% women transferred to intensive care after a postpartum haemorrhage	1.0%	3.9%
Women per 1000 deliveries transferred to intensive care	1.1 (Number per 1000)	1.2 (Number per 1000)

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Hospital care	Trust Average	English Average	City Hospital Campus	Midwife Led Unit QMC Campus	Queens Medical Centre Campus
% women who considered their length of stay was about right	69.6%	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	15.1%	14.7%
Average length of postnatal stay for normal delivery	1.3 (Days)	1.4 (Days)	1.3 (Days)	1 (Days)	1.5 (Days)
Average length of stay for normal delivery -primip	0 (Days)	4.6 (Days)	0 (Days)	0 (Days)	0 (Days)
Average length of stay for normal delivery - multip	2.1 (Days)	2.3 (Days)	2 (Days)	2 (Days)	3 (Days)
Average length of postnatal stay for vaginal with intervention delivery	2.3 (Days)	2.3 (Days)	3 (Days)	2.4 (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	8.4 (Days)	4.4 (Days)	9.2 (Days)	14 (Days)	7 (Days)
Average length of postnatal stay for caesarean delivery	4 (Days)	3.4 (Days)	3.3 (Days)		4.1 (Days)
Average length of stay for caesarean delivery - primip		4.1 (Days)
Average length of stay for caesarean delivery - multip	7 (Days)	4.2 (Days)	6 (Days)		7.2 (Days)
% women who were given sufficient food	74.2%	77.3%

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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	20.9%	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	64.7%	66.1%
Average number of contacts with midwife after going home	5	4.4
Planned postnatal contacts	6	5.5
% planned postnatal contacts by midwife	83.3%	83.4%
% planned postnatal contacts at home	66.7%	80.7%
Hours of availability of drop-in-clinics	48 (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	89.5%	95.1%
% women receiving a postnatal check up of their own health (survey)	92.0%	88.1%
Women re-admitted within 2 weeks of discharge	3.5 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	City Hospital Campus	Midwife Led Unit QMC Campus	Queens Medical Centre Campus
% women who put their baby to their breast (survey)	81.5%	80.1%
% women who initiated breastfeeding	72.7%	67.4%	67.6%	73.3%	80.7%
% women who breastfed (at least in part) in the first few days	75.5%	76.0%
% of women who reported good advice, help and support on infant feeding	53.8%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	82.3%	77.4%

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Neonatal care	Trust Average	English Average	City Hospital Campus	Midwife Led Unit QMC Campus	Queens Medical Centre Campus
Admissions to neonatal unit per 1000 babies born	85.1	102	82		103
% babies admitted to neonatal unit from survey	8.4%	10.4%
Tube feeding	Yes	60% Yes - 40%No	Yes	No	Yes
Phototherapy	Yes	99% Yes - 1%No	Yes	No	Yes
Intravenous antibiotics	No	57% Yes - 43%No	No	No	No
Other intravenous medicines	No	28% Yes - 72%No	No	No	No