Inpatient Survey PDF Free Download

Inpatient Survey 2015 WEST MIDDLESEX UNIVERSITY HOSPITAL NHS TRUST Executive Summary FEBRUARY 2016 TRUST ID: RFW SURVEY ID: UKINP2015

Introduction This document summarises the findings from the Inpatient Survey 2015, carried out by Picker Institute Europe, on behalf of West Middlesex University Hospital NHS Trust. The Care Quality Commission report is due for publication in April 2016. The Picker Institute was commissioned by 81 trusts to undertake the Inpatient Survey 2015. A total of 1250 patients from your Trust were sent a questionnaire. 1220 patients were eligible for the survey, of which 422 returned a completed questionnaire, giving a response rate of 35%. The average response rate for the 81 'Picker' trusts was 45%. Your results at a glance Historical changes for all questions Differences from the 'Picker Average' All questions 3

Have we improved since the 2014 survey? A total of 62 questions were used in both the 2014 and 2015 surveys. Compared to the 2014 survey, your Trust is: Significantly BETTER on 3 questions Significantly WORSE on 1 question The scores show no significant difference on 58 questions How do we compare to other trusts? The survey showed that your Trust is: Significantly BETTER than average on 0 questions Significantly WORSE than average on 46 questions The scores were average on 19 questions 4

Understanding your results Survey results highlight areas that need improvement to provide a better service for patients. When deciding upon the improvements you would like to make there are a number of ways of looking at the results to decide which issues to focus on first. Compare results over time - have you improved since the 2014 survey? The Inpatient survey is currently repeated on an annual basis. Looking at trends over time helps to focus attention on improvements and on those areas where performance might be slipping. Comparisons to the data from 2011 to present are available in Section 5 of the full report. The Trust has improved significantly on the following questions: 2014 2015 Discharge: not told who to contact if worried 34 % 25 % Overall: not treated with respect or dignity 30 % 23 % Overall: did not always feel well looked after by staff 36 % 28 % The Trust has worsened significantly on the following questions: 2014 2015 Surgery: not told how to expect to feel after operation or procedure 41 % 54 % 5

Compare results with others Picker Institute Europe ran Inpatient surveys for 81 trusts nationwide in 2015. Your results are shown alongside the others to help you make comparisons against the average for all trusts where the Picker Institute implemented the survey. They will help you to focus on areas where your performance is poor compared to others and where there is plenty of scope for improvement, as well as highlighting your areas of success. Your results were significantly better than the Picker average for the following questions: NONE 6

Your results were significantly worse than the Picker average for the following questions: Trust Average Admission: had to wait long time to get to bed on ward 44 % 32 % Hospital: toilets not very or not at all clean 10 % 5 % Hospital: hand-wash gels not available or empty 8 % 4 % Hospital: food was fair or poor 51 % 39 % Hospital: not offered a choice of food 30 % 20 % Hospital: did not always get enough help from staff to eat meals 52 % 34 % Doctors: did not always get clear answers to questions 36 % 30 % Doctors: did not always have confidence and trust 23 % 19 % Doctors: talked in front of patients as if they were not there 34 % 23 % Nurses: did not always get clear answers to questions 47 % 30 % Nurses: did not always have confidence and trust 34 % 22 % Nurses: talked in front of patients as if they weren't there 32 % 18 % Nurses: sometimes, rarely or never enough on duty 50 % 38 % Care: staff did not always work well together 28 % 21 % Care: staff contradict each other 36 % 31 % Care: wanted to be more involved in decisions 52 % 41 % Care: did not always have confidence in the decisions made 38 % 27 % Care: not enough (or too much) information given on condition or treatment 25 % 20 % Care: could not always find staff member to discuss concerns with 76 % 59 % Care: not always enough emotional support from hospital staff 56 % 41 % Care: not always enough privacy when being examined or treated 16 % 9 % Care: more than 5 minutes to answer call button 29 % 17 % Surgery: risks and benefits not fully explained 28 % 17 % Surgery: what would be done during operation not fully explained 33 % 23 % Surgery: questions beforehand not fully answered 35 % 21 % Surgery: not told how to expect to feel after operation or procedure 54 % 40 % Surgery: anaesthetist / other member of staff did not fully explain how would put to sleep or control pain 26 % 14 % Surgery: results not explained in clear way 45 % 31 % Discharge: did not feel involved in decisions about discharge from hospital 56 % 44 % Discharge: Not given notice about when discharge would be 54 % 43 % Discharge: was delayed 47 % 41 % Discharge: did always get enough support from health or social care professionals. 54 % 44 % Discharge: not given any written/printed information about what they should or should not do after 38 % 33 % leaving hospital Discharge: not fully told purpose of medications 32 % 25 % Discharge: not fully told side-effects of medications 69 % 59 % Discharge: not told how to take medication clearly 33 % 24 % Discharge: not given completely clear written/printed information about medicines 33 % 27 % Discharge: not fully told of danger signals to look for 66 % 56 % Discharge: Family or home situation not considered 48 % 36 % Discharge: family not given enough information to help 58 % 51 % Discharge: not told who to contact if worried 25 % 20 % 7

Discharge: Staff did not discuss need for additional equipment or home adaptation 34 % 19 % Overall: not treated with respect or dignity 23 % 16 % Overall: did not always feel well looked after by staff 28 % 20 % Overall: rated experience as less than 7/10 22 % 15 % Overall: Did not receive any information explaining how to complain 69 % 59 % 8

Comparisons between sections The sections of the Inpatients questionnaire are designed to mirror the patient journey. Overall, there are nine sections. Below, the significant differences in your trust s performance compared to the average, and to your own performance last year, are shown by section. At a glance therefore, you can see which parts of the trust are performing best and which parts may require improvement. A. ADMISSION TO HOSPITAL E. YOUR CARE AND TREATMENTS B. THE HOSPITAL AND WARD F. OPERATIONS & PROCEDURES C. DOCTORS G. LEAVING HOSPITAL D. NURSES H. OVERALL Averages Historical 9

Next Steps Communicating results and priorities for service improvement, across the organisation and in your local area, is key to ensuring that changes are implemented successfully. Patients and staff should be involved in developing an action plan and any resulting quality improvement activities. Once priorities have been identified: ο ο ο ο ο ο ο Look at internal benchmarks (sites / specialties) compare results within the trust to help identify problem areas and examples of best practice from within the trust Additional analysis available from the Picker Institute (including demographic / regional breakdowns), to aid in targeting improvements in the areas where they are needed most Look at patient comments for details and suggestions available on-line (https://www.picker-results.org) Tie in with other surveys / PALS / complaints On-site presentation of your results, or action planning meeting chaired by an experienced Picker project manager (included in your survey package) Develop an action plan Raise awareness about the patient surveys publish results and action plans We provide a range of tools to help you make best use of your patient survey results, including our latest innovation Picker Improvement Maps which are available on request. Further details of how to use your survey results, and links to these Quality Improvement tools are outlined in Section 1 of the full survey report (How to use this report). If you need further assistance with understanding your results, or on any other aspect of the Inpatient Survey please contact Vincent Coole, Lucas Daly or another member of the Survey Team at Picker Institute Europe (Tel: 01865 208100), who will be happy to help you. Full contact details are listed overleaf. 10

Picker Institute Europe Patient Survey Team: For more information about your survey report please contact Vincent Coole, Lucas Daly or another member of the Picker Institute Survey Team. Vincent Coole Lucas Daly Sarah Gancarczyk Tim Markham Afroditi Pekou Pippa Thirkettle Emily Davey Hanan L Estrange-Snowden Picker Institute Europe Buxton Court 3 West Way Oxford OX2 0JB Tel: 01865 208100 Fax: 01865 208101 Email: Website: Results website: surveys@pickereurope.ac.uk www.pickereurope.org https://www.picker-results.org 12

Quality Assurance & Information Security Picker Institute Europe is wholly committed to delivering high quality surveys, research and service improvement in a way that ensures patient confidentiality and protects the reputation of our clients. To meet this commitment we will maintain our current certifications to ISO 20252 and ISO 27001, providing a guarantee that we handle all information securely and that we comply with the Data Protection Act 1998 and the Market Research Society's (MRS) Code of Conduct. Our systems and processes include a thorough approach to assessing and mitigating risk, and ensuring business continuity. We have procedures in place to ensure that any subcontractors we use conform to our quality and information security systems. Our quality and information security management system seeks to continually improve the ways in which we work and the products we deliver to our clients. Picker Institute Europe aims to be an intelligent as well as a committed organisation that is always learning and developing new approaches. In addition to the regular surveillance visits carried out by external bodies we have our own auditing and quality and information security management team. With the help of feedback from our clients, the team continuously monitors the quality of service we provide. Quality Assurance and Information Security Management System Certificates Picker Institute Europe operates an integrated quality system and is certified by SGS United Kingdom Ltd. to ISO20252:2012, the international standard for organisations conducting market and social research (certificate number GB08/74322). SGS are an UKAS accredited organisation No. 005 to EN 45012:1998 for management systems certification. Picker Institute Europe has UKAS accredited certification for its information security management system (ISO27001:2005) from SGS (certificate number GB10/80275). Picker Institute Europe is registered under the Data Protection Act 1998 (Z4942556). Storage and retention of primary data Paper questionnaires and qualitative recordings are retained for six months unless another retention period is agreed with the client. Any sensitive or confidential material is stored securely in line with our data protection policy (see above). After six months these records are destroyed securely.