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Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
National Inpatient Survey 2013
Homerton University Hospital NHS Foundation [email protected]
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation 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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Using your summary scores
Historical changes for all questionsDifferences from the 'Picker Average'All questions
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Admission to hospital There are no significant differences by average:
There are no significant changes since 2012
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Admission to hospital: External Benchmarking
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
The Hospital and WardThe trust is worse than average on 11 questions:
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
The Hospital and Ward: External Benchmarking
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
The Hospital and WardThe trust is significantly worse on 1 question since 2012:
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
DoctorsThe trust is significantly worse than average on 3 questions:
There were no significant historical differences
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
NursesThe trust is significantly worse than average on 4 questions:
There were no significant historical differences
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Care and Treatments: External Benchmarks
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Care and TreatmentsThe trust is significantly worse on 1 question since 2012:
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Care and Treatments: By Specialty
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Operations and ProceduresThe trust is significantly worse than average on 1 question:
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Operations and Procedures: By Specialty
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Leaving HospitalThe trust is significantly worse than the average on 8 questions:
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Leaving Hospital: External Benchmarks
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Leaving HospitalThe trust is significantly worse on 1 question since 2012:
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
Reasons for Delay in Discharge
55%
11%
12%
14%
8%
Wait for medicinesWait to see doctorWait for an ambulanceSomething ElseNot answered
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
OverallThe trust is significantly worse than the average on 2 questions
There were no significant historical differences
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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.
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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.
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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.
Inpatient Survey 2013Homerton University Hospital NHS Foundation Trust
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