inpatient survey 2013 homerton university hospital nhs foundation trust national inpatient survey...

Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust

National Inpatient Survey 2013

Homerton University Hospital NHS Foundation [email protected]


National patient surveysPart of the National NHS Patient Survey Programme

‒ Designed by Picker Institute Europe for CQC

Questionnaire covers all aspects of the patient ‘journey’

· 76 trusts contracted Picker to carry out this Survey

· Standard questions and survey methodology for all NHS trusts:- Sample of 850 patients aged 16+

- Postal survey: initial mailing plus two reminders

- Freephone and LanguageLine available

- Patients discharged in August

- Survey fieldwork between October 2013 and January 2014

· Picker report followed by national CQC findings & CQUIN


National NHS Surveys: Structure

76 Picker Trusts

Total of 161 Trusts

81 non-Picker Trusts

Care Quality

Commission

London

Co-ordination Centre

Picker Institute

Approved Survey Contractor

eg Picker

Other Approved Survey Contractors

Trust

eg Your TrustTrust Trust Trust


Room for improvemento A summary score to show where there is room for improvemento HIGHER scores indicate a GREATER PROBLEMo LOWER scores reflect fewer reporting a problem. BETTER performance

Example:

Did you have confidence and trust in the doctor examining and treating you?o Yes, definitely 75%o Yes, to some extent 20%o No 5%

Improved from last year (30%), but still not on a par with average (20%)

Room for improvement


o To determine whether or not a statistically significant difference exists between two datasets

o Accounts for whether the difference is due to chance or not (as with all probability tests)

o Tests whether the means of two datasets are equal

o Employed to determine whether significant differences in problem scores exist in your data (i.e. historical, specialty, Picker average)

Significance of testingThe t-test

P1 = Sample 1 problem score

P2 = Sample 2 problem score

N1 =Sample 1 base size

N2 = Sample 2 base size


Survey activityo 247/828 eligible patients responded

o Trust response rate: 30% (average 46%).

o 68% were emergency or urgent admissions (average 57%)

68%

22%

6% 4%Route of admission

EmergencyElectiveSomething elseNot answered

15%

32%

19%

28%

7%

Age

16-3940-5960-6970+Not answered


Results


Using your summary scores

Picker average: Benchmarking

Average on 26Better on 0Worse on 36

Trends:Same as 2012 on 58

Better on 0Worse on 3


Using your summary scores

Historical changes for all questionsDifferences from the 'Picker Average'All questions


Good results

63% rated care as 7+ out of 10

64% felt they were treated with respect and dignity

72% always had confidence and trust in their doctors

89% said hospital rooms/wards were very or fairly clean

88% said they always had enough privacy when being examined or treated


Admission to hospital There are no significant differences by average:

There are no significant changes since 2012


Admission to hospital: External Benchmarking


The Hospital and WardThe trust is worse than average on 11 questions:


The Hospital and Ward: External Benchmarking


The Hospital and WardThe trust is significantly worse on 1 question since 2012:


DoctorsThe trust is significantly worse than average on 3 questions:

There were no significant historical differences


Doctors: By Specialty


NursesThe trust is significantly worse than average on 4 questions:



Nurses: By Specialty


Care and TreatmentsThe trust is significantly worse than average on 7 questions:

Doctors and nurses attitude towards patients not enough compassion shown from staff. Train you staff including doctors on simple patient care i.e., communication, dignity and respect


Care and Treatments: External Benchmarks


Care and TreatmentsThe trust is significantly worse on 1 question since 2012:


Care and Treatments: By Specialty


Operations and ProceduresThe trust is significantly worse than average on 1 question:


Operations and Procedures: By Specialty


Leaving HospitalThe trust is significantly worse than the average on 8 questions:


Leaving Hospital: External Benchmarks


Leaving HospitalThe trust is significantly worse on 1 question since 2012:


Reasons for Delay in Discharge

55%

11%

12%

14%

8%

Wait for medicinesWait to see doctorWait for an ambulanceSomething ElseNot answered


OverallThe trust is significantly worse than the average on 2 questions



0 - I had a very poor experience123456789

10 - I had a very good experience

0% 2% 4% 6% 8% 10% 12% 14% 16% 18% 20%

1%2%

3%2%

3%9%9%

13%14%

17%19%

Overall


Improvement Map

-22.0 0.0 22.00.0

0.5

1.0

.468.438

.206

.000

.532

.390

.064.032

.102

.285

.397

.777

.617

.367

.426 .415

.376

.602.597

.766

.391

.684

.778

.496.520.547

.572

.699

.567

.726

.570

.658

.691

.628

.538

.426

.532

.380.342

.463.477

.465

.216

.074

.294

.565

.453

.617

.501.485

.501.511.473

.521.525

.167

.318

1.000

.175

.259

Picker Improvement Map TM

Low problem score H ig h problem score

Imp

ort

an

ce


High Problem Score – High Importance

0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 11.0 12.0 13.0 14.0 15.0 16.0 17.00.5

0.6

0.7

0.8

0.9

1.0

.532

.777

.617.602

.597

.766

.684

.778

.520.547

.572

.699

.567

.726

.658

.691

.628

.538.532

.565

.617

.501.501 .511 .521

.525

1.000Priorities Plot

Low problem score H ig h problem score

Imp

ort

an

ce


Patient commentsPositive

The A&E doctors were very compassionate and interested in what I know about my rare/unusual condition and keen to listen and learn. The A&E nurses were compassionate and supportive and provided holistic care despite huge workloads.

The food was very good, there was a choice and it was very appetising and also looked attractive

My surgeon and his team are fantastic and I have nothing but praise for their care and continued after care.


Patient commentsNegative

There were mix up with medications. Also nurse was a bit rough and had a poor attitude. It was difficult to get the nurses attention whilst on ward.

One doctor later in my stay was extremely poor, talking about his take on my earlier diagnosis on the ward within earshot of me but refusing to answer questions in relation to this when asked, shrugged or gave misinformation in response.

The food was dreadful, clearly all microwaved within an inch of its nutritional value. There were no fresh fruit and vegetables. I was left to get my own breakfast after a major operation, my lunches/dinners were forgotten. Overall this was the worst aspect of my care.


Summary

• 36 questions significantly worse than average, and better on none.

• Lower than average response rate at 30%.• Higher than average emergency or urgent admissions

at 68%• By speciality, General medicine showing high problem

score areas, while General Surgery has poorer performances in confidence in Nurses and Staff contradicting information.

• Trust significantly worse than average across all areas apart from admissions; particularly poor performances for Hospital and Ward, Care and Treatment, Doctors and Nurses.


Picker Institute EuropeBuxton Court3 West WayOxford OX2 0JB

Tel: +44 (0)1865 208100Fax: +44 (0)1865 208101Email: [email protected]

Charity registered in England and Wales: 1081688Company limited by guarantee registered in England and Wales: 03908160Registered office: Buxton Court, 3 West Way, Oxford OX2 0JB

mailto:[email protected]

inpatient survey 2013 homerton university hospital nhs foundation trust national inpatient survey...

Documents

trust trust slide

survey methodology

postal survey

survey fieldwork

nhs trusts

o trust response rate

survey standard questions

equal o