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National Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust. Lucas.Daly@pickereurope.ac.uk. National patient surveys. Part of the National NHS Patient Survey Programme Designed by Picker Institute Europe for CQC
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National Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Lucas.Daly@pickereurope.ac.uk
National patient surveys • Part 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 Care Quality Commission London Co-ordination Centre Picker Institute Other Approved Survey Contractors Approved Survey Contractor eg Picker 76Picker Trusts 81 non-Picker Trusts Trust eg Your Trust Trust Trust Trust Total of 161 Trusts
Room for improvement • A summary score to show where there is room for improvement • HIGHER scores indicate a GREATER PROBLEM • LOWER scores reflect fewer reporting a problem. BETTER performance • Example: • Did you have confidence and trust in the doctor examining andtreating you? • Yes, definitely 75% • Yes, to some extent 20% • No 5% Room for improvement Improved from last year (30%), but still not on a par with average (20%)
Significance of testing The t-test • To determine whether or not a statisticallysignificant difference exists between two datasets • Accounts for whether the difference is due to chance or not (as with all probability tests) • Tests whether the means of two datasets are equal • Employed to determine whether significant differences in problem scores exist in your data (i.e. historical, specialty, Picker average) P1 = Sample 1 problem score P2 = Sample 2 problem score N1 =Sample 1 base size N2 = Sample 2 base size
Survey activity • 247/828 eligible patients responded • Trust response rate: 30% (average 46%). • 68% were emergency or urgent admissions (average 57%)
Using your summary scores • Picker average: • Benchmarking • Average on 26 • Better on 0 • Worse on 36 • Trends: • Same as 2012 on 58 • Better on 0 • Worse on 3
Using your summary scores Differences from the 'Picker Average' All questions Historical changes for 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 hospitalrooms/wardswere 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
The Hospital and Ward The trust is worsethan average on 11questions:
The Hospital and Ward The trust is significantly worse on 1 question since 2012:
Doctors The trust is significantly worsethan average on 3questions: There were no significant historical differences
Nurses The trust is significantly worsethan average on 4questions: There were no significant historical differences
Care and Treatments The trust is significantly worsethan average on 7questions: 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 The trust is significantly worse on 1 question since 2012:
Operations and Procedures The trust is significantly worse than average on1 question:
Leaving Hospital The trust is significantlyworse than the averageon8questions:
Leaving Hospital The trust is significantly worse on 1 question since 2012:
Overall The trust is significantlyworse than the averageon2 questions There were no significant historical differences
Patient comments Positive 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 comments Negative 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. 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.
Summary • 36 questions significantly worse than average, and betteron 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 Europe Buxton Court 3 West Way Oxford OX2 0JB Tel: +44 (0)1865 208100 Fax: +44 (0)1865 208101 Email: info@pickereurope.ac.uk Charity registered in England and Wales: 1081688 Company limited by guarantee registered in England and Wales: 03908160 Registered office: Buxton Court, 3 West Way, Oxford OX2 0JB
