Healthcare Commission's Survey Results for
Mid Yorkshire 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	73.0%	73.2%
% women always treated with understanding and respect during antenatal care	73.0%	73.2%
Women's satisfaction with their care during labour and birth	74.5%	76.8%
% women who were always treated with understanding and respect during labour and birth	74.7%	73.4%
% women who considered they were treated with understanding and respect after the birth	58.6%	60.2%
Women's satisfaction with their care after birth	62.9%	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	36.9%	18.8%
% of women who first see a GP	59.5%	78.3%
% women given a choice of where check ups took place	23.9%	23.5%
% antenatal appointments offered outside the main maternity unit	0.0%	66.5%
Target date (weeks gestation) for booking	8 (Weeks gestation)	9.8 (Weeks gestation)
Average number of weeks pregnant at booking appointment	11 (Weeks)	10.9 (Weeks)
% women more than 12 weeks pregnant when they are first seen	5.2%	6.1%
% women receiving a copy of 'The Pregnancy Book'	79.2%	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	49.3%	34.1%
% women seeing only midwives / GPs for check ups	47.3%	40.4%
Time allocated for booking appointment(s)	60 (Minutes)	103 (Minutes)
Time allocated for routine antenatal check	15 (Minutes)	16.1 (Minutes)
Planned number of antenatal checks for primip	9	11.6
Average number of antenatal checks for primips	9	7.6
Planned number of antenatal checks for multip	7	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	76.3%	57.3%
% women reporting they mostly saw the same doctor for check-ups	22.4%	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	41.3%	58.3%
% women who did not attend antenatal classes due to lack of space	4.9%	3.4%
% women having first baby attending antenatal classes	66.7%	78.9%
% women whose partners were allowed to attend antenatal classes	98.3%	94.6%
% women who considered classes were at convenient location	93.1%	93.7%
% women who considered classes were at convenient time	86.2%	85.1%
% who considered content of classes appropriate	79.3%	79.6%
Length of antenatal classes (sessions)	19 (Hours)	4.2 (Hours)
% who considered classes were about right number	75.9%	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	Dewbury maternity unit	Pontefract maternity unit	Wakefield birth centre
% of women getting 20+ antenatal checks	3.2%	2.9%
Antenatal day attendances per delivery	0.4	1.3	1
% conditions where there is a specialist midwife	10.5%	22.7%
Average number of consultant attendances per booked women		2.3
% women referred to consultants in pregnancy (survey)	53.5%	59.9%
% of women surveyed with an antenatal admission involving an overnight stay	21.4%	18.9%
Places per 1000 deliveries pa in nearest mother and baby unit	0.1 (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	0.5 (Ratio)	2.5 (Ratio)	0.5 (Ratio)
Minimum referral waits for a psychiatrist	1 (Time interval)	1.6 (Time interval)
Maximum referral waits for a psychiatrist	1 (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	69.2%	70.4%
% women with reasons for dating scan clearly explained	93.4%	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	84.8%	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	92.0%	91.7%
% women given a choice on whether to have a 20 week scan	68.2%	72.9%

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Screening	Trust Average	English Average
% women who were given a choice on having Downs syndrome screening test	94.2%	87.9%
% women with reasons for Downs syndrome screening clearly explained	90.6%	89.2%
% women eligible for amniocentesis or CVS who were tested	53.4%	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	95.8%	93.1%
% eligible women offered Rubella testing	100%	98.6%
% eligible women tested for Rubella	99.6%	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)	20.9%	24.9%
% women having blood test only (survey)	77.7%	58.8%
% women having NT test only (survey)	1.4%	16.3%
% eligible women offered Hepatitis B testing	100%	98.6%
% eligible women tested for Hepatitis B	95.5%	95.4%
% eligible women offered HIV testing	100%	98.3%
% eligible women tested for HIV	94.9%	92.3%
% eligible women offered Syphilis testing	100%	98.6%
% eligible women tested for Syphilis	97.8%	96.7%

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Birth location and choice	Trust Average	English Average	Dewbury maternity unit	Pontefract maternity unit	Wakefield birth centre
% women given a choice of where to have their baby at the start of the pregnancy	77.9%	74.7%
% women having vaginal birth	79.9%	76.1%	75.4%	82.2%	100%
% women reporting they got enough information about where to have you baby	37.0%	38.4%
% women with 'normal' vaginal birth (no induction or epidural)	16.5%	41.7%		34.2%	0.0%
% women given the choice of a home birth	41.7%	47.6%
% women with vaginal birth without instruments	70.9%	65.0%	66.6%	72.5%	100%
% women not offered home birth because of medical reasons	19.7%	14.8%
Number of home births	114	114
% home births	1.8%	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	2.3%	5.8%
Number of deliveries in obstetric units	6166	3843
% births in consultant led unit	97.7%	91.4%

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Pain relief	Trust Average	English Average	Dewbury maternity unit	Pontefract maternity unit	Wakefield birth centre
% women who got the pain relief they wanted	83.3%	77.5%
Birthing pools per 1000 deliveries	0.5	0.5	0.3	0.3	7
% women using birthing pool who deliver in pool	50.0%	53.3%	50.0%
Average number of deliveries utilising birthing pool	1 (Number per month)	17.6 (Number per month)	2 (Number per month)
Midwives trained to deliver in birthing pools per pool	13.3	45.2	20	20
% women having at most gas and air for vaginal birth without instruments	46.8%	58.7%
% women having at most painkiller for vaginal birth without instruments	80.3%	83.4%
% women using medication (beyond Entonox) as pain relief	62.3%	51.3%
% women having epidural pain relief for unassisted vaginal birth	3.6%	13.9%	7.7%		0.0%
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)	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)	24 (Hours per day - weekend)	0 (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	23.0%	19.8%
% women who had met at least one midwife caring for them during labour	19.8%	21.4%
% women left alone during labour	24.7%	20.5%
% women left alone shortly after the birth	14.6%	11.4%
% women left alone during labour or shortly after the birth	32.8%	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	70.4%	73.2%
% women giving birth off the bed or in water	4.9%	7.8%
% women who gave birth lying down	52.7%	56.6%

Interventions and clinical care

No results for this category.

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Induction	Trust Average	English Average	Dewbury maternity unit	Pontefract maternity unit	Wakefield birth centre
% women given a choice on how their labour was induced	58.7%	56.6%
Days past term when inductions planned to take place	10 (Days)	12.7 (Days)
% women induced	15.3%	18.8%	30.9%		0.0%
% women whose labour was induced medically (surgically)	28.0%	25.2%
% inductions which lead to the successful onset of labour and vaginal delivery	62.3%	76.1%
% vaginal deliveries following induction which are assisted	15.6%	22.9%		15.6%

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Vaginal birth	Trust Average	English Average	Dewbury maternity unit	Pontefract maternity unit	Wakefield birth centre
% women having vaginal birth	79.9%	76.1%	75.4%	82.2%	100%
vbac (vaginal birth after caesarean) rate	36.4%	32.0%
% women with 'normal' vaginal birth (no induction or epidural)	16.5%	41.7%		34.2%	0.0%
% women with vaginal birth without instruments	70.9%	65.0%	66.6%	72.5%	100%
% women having epidural pain relief for vaginal birth with instruments	31.8%	54.1%	24.0%	61.4%
% women with vaginal birth where ventouse or forceps used	11.3%	14.7%	11.7%	11.8%	0.0%
% instrument births using ventouse	54.0%	61.1%	56.4%	51.9%

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Caesarean	Trust Average	English Average	Dewbury maternity unit	Pontefract maternity unit	Wakefield birth centre
% women having caesarean	20.1%	23.5%	23.3%	17.8%	0.0%
% women having caesarean adjusted for age	20.6%	22.4%
% women having caesarean adjusted for age and ethnicity	21.0%	22.2%
vbac (vaginal birth after caesarean) rate	36.4%	32.0%
% emergency caesareans following previous caesarean	21.8%	21.8%
% of emergency caesareans undertaken within 30 minutes of decision		92.8%
% caesareans which are non-elective	65.6%	59.0%	65.2%	66.0%
% women under 35 having caesarean	17.7%	22.4%
% women over 35 having caesarean	29.7%	33.3%
% primips having caesarean	500.0%	24.1%			0.0%
% multips having caesarean	288.3%	26.8%			0.0%
% emergency caesareans for 2nd or subsequent child	145.7%	11.5%			0.0%
% women having general anaesthestic for caesarean	15.8%	9.9%
% women having general anaesthestic for elective caesarean	7.1%	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	33.3%	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	16.6%	16.7%
% women who had an episiotomy or tear who received stitches in <1 hour	77.8%	87.4%
% women who had an episiotomy or tear who received stitches in <20 minutes	46.9%	57.7%
% Women from survey with 3rd or 4th degree perineal tear	6.4%	8.6%
% Women who delivered vaginally with 3rd or 4th degree perineal tear	2.4%	2.2%
% Women experiencing a primary postpartum haemorrhage (1000ml or more)	1.5%	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	1.1%	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	Dewbury maternity unit	Pontefract maternity unit	Wakefield birth centre
% women who considered their length of stay was about right	73.8%	72.3%
% women who considered their length of stay was too short	8.8%	13.1%
% women who considered their length of stay was too long	17.5%	14.7%
Average length of postnatal stay for normal delivery		1.4 (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	79.6%	77.3%

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Postnatal care at home	Trust Average	English Average
% women who were visited at home	99.2%	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	21.1%	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	63.6%	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	100%	80.7%
Hours of availability of drop-in-clinics	30 (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	98.4%	95.1%
% women receiving a postnatal check up of their own health (survey)	86.1%	88.1%
Women re-admitted within 2 weeks of discharge	3 (Number per 1000)	5.4 (Number per 1000)

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Infant feeding	Trust Average	English Average	Dewbury maternity unit	Pontefract maternity unit	Wakefield birth centre
% women who put their baby to their breast (survey)	68.4%	80.1%
% women who initiated breastfeeding	79.4%	67.4%	49.6%	57.0%	1170.9%
% women who breastfed (at least in part) in the first few days	63.6%	76.0%
% of women who reported good advice, help and support on infant feeding	56.1%	58.0%
% women who discussed breastfeeding with midwife during pregnancy	75.6%	77.4%

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Neonatal care	Trust Average	English Average	Dewbury maternity unit	Pontefract maternity unit	Wakefield birth centre
Admissions to neonatal unit per 1000 babies born	89.3	102	96.0	83
% babies admitted to neonatal unit from survey	13.6%	10.4%
Tube feeding	No	60% Yes - 40%No	No	No	No
Phototherapy	Yes	99% Yes - 1%No	Yes	Yes	No
Intravenous antibiotics	Yes	57% Yes - 43%No	No	Yes	No
Other intravenous medicines	No	28% Yes - 72%No	No	No	No