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Results for, Edinburgh August, Official Statistics

Contents Page Introduction 3 Notes of interpretation 4 Chapter 1: Rated results 6 Chapter 2: Comparison with previous surveys 28 Chapter 3: Variation in hospital results across 36 Chapter 4: Demographic questions 49 Part of the Scottish Care Experience Survey Programme Page 2

Introduction This report gives a summary of the results of the for. Survey questionnaires were sent out in January to 1,226 people who stayed overnight in between 1st April and 30th September 2015. The survey asked questions about people s experiences of admission, the hospital ward and environment, care and treatment, operations and procedures, staff, leaving hospital, care after leaving hospital and medicines. You can find a copy of the survey at: http://www.gov.scot/topics/statistics/browse/health/inpatientsurvey/inpatient 587 patients returned feedback on their experiences. Of those patients willing to provide information about themselves: 5% were aged 16-34; 11% were aged 35-49; 29% were aged 50-64; and 54% were aged 65 and over. 38% did not have any limiting illness or disability. 49% were male and 51% were female. The survey was commissioned by the Scottish Government as part of the Scottish Care Experience Survey Programme, which aims to use the public's experiences of health and care services to improve those services. The survey was managed by the Scottish Government in partnership with ISD (part of NHS National Services ). The survey fieldwork was carried out by Quality Health Ltd. The results of the survey will be used by and the Scottish Government to improve the quality of healthcare in by focusing on the areas that patients tell us are important to them and where they consider improvements could be made. To find out more about what is doing to make improvements please contact: NHS Lothian, Waverley Gate 2-4 Waterloo Place Edinburgh, EH1 3EG 0131 465 5658 (Ext 35658) jeannette.morrison@nhslothian.scot.nhs.uk Part of the Scottish Care Experience Survey Programme Page 3

Notes of interpretation Chapter 1- Rated Results Number of responses - the number of patients within this site who provided a valid response to this question. Note that patients who indicated that a question was not relevant, or who did not know the answer, are not included in the results. Response - the percentage of positive, neutral and negative responses received for this question within this site. For example when asked if they were happy with the food and drink they received, the percentage positive refers to patients who strongly agreed or agreed. Where patients said they disagreed or strongly disagreed these responses have been counted as negative. Where patients neither agreed nor disagreed their responses have been counted as neutral. The coloured bars illustrate the percentage positive as green (darker green being very positive and lighter green being positive), and the percentage negative as red. Where answers were neither positive nor negative (neutral) the percentage is shown in yellow. Note that results have been rounded to the nearest whole percentage and this occasionally results in the sum of positive, neutral and negative percentages not adding up to exactly 100%; this is not an error. % Positive - the percent positive result; the total percentage of patients who responded positively (very positive + positive) to this question within this site. Change since - the change in the percent positive result within this site since the 2014 survey (for example, +2 means that the result in is two percentage points higher than in 2014). Difference from - the difference between this site's percent positive result and the equivalent result for NHS in (for example, -2 means that the result for this site in is two percentage points lower than for as a whole). Trend - the direction of change in the percent positive result within this site since the 2011 survey, illustrated by a coloured arrow. The change between 2011 and 2012, 2012 and 2014, and 2014 and is shown. Indicates a decrease in the percent positive result (a drop of at least 1 percentage point between the two integer (whole number) values). Indicates an increase in the percent positive result (an increase of at least 1 percentage point between the two integer (whole number) values). Indicates little or no change in the percent positive result (a difference of 0 between the two integer (whole number) values). Part of the Scottish Care Experience Survey Programme Page 4

Notes of interpretation (cont.) Chapter 2 - Comparison 2010 - site percent positive result for 2010. 2011 - site percent positive result for 2011. 2012 - site percent positive result for 2012. 2014 - site percent positive result for 2014. - site percent positive result for. - NHS percent positive result for. Chapter 3 - Variation Range of percent positive results across all strata in - ranges from lowest strata result to highest hospital result. This site's percent positive result. NHS percent positive result. Chapter 4 - Demographic Questions All Chapters N 2012 - Percentage of site respondents selecting this response option in 2012. 2014 - Percentage of site respondents selecting this response option in 2014. - Percentage of site respondents selecting this response option in. - Percentage of NHS respondents selecting this response option in. Indicates a new question in the survey. C Indicates a change in the question wording since 2014. P R Indicates that the question wording has been rephrased from a negative to a positive statement within this report (applies to questions 14c, 14d, 14h, 41c, 42c and 62). The reporting of this question has changed from the previous (2014) survey. - Indicates that direct comparison with previous surveys was not possible. S Indicates a statistically significant change / difference in the percent positive result. NT Indicates that a significance test was not carried out because fewer than five respondents within this site selected a positive response or a negative / neutral response. - - Indicates that a result has been suppressed due to the low number of valid responses to the question (less than 20). All results are weighted by the population of patients eligible to be randomly sampled for the survey. Weighting results in this way provides results which are more representative of the population. Part of the Scottish Care Experience Survey Programme Page 5

Chapter 1. Rated results The tables and charts below show how positively or negatively patients treated within this hospital responded to questions within the survey. For each question, the percentages of positive, neutral and negative responses are shown along with the total percentage of positive responses. The change in the percent positive result since the 2014 survey and comparison to the result are also shown. Additionally, the trend in the percent positive result within this hospital since 2011 is presented. Patients were asked to rate their overall care on a scale between 0 (Very poor) and 10 (Very good). Ratings of 7-10 have been categorised as positive; ratings of 4-6 have been categorised as neutral / mixed; ratings of 0-3 have been categorised as negative. Number of Repsonses Response (%) Positive Neutral Negative % Positive Difference from 66. Overall, how would you rate your care? 569 88 9 88 +4 0 Part of the Scottish Care Experience Survey Programme Page 6

Chapter 1. Rated results A full breakdown showing the percentage of respondents who selected each rating within this hospital is shown below along with the difference from the NHS result. The median rating given by respondents treated within this hospital is denoted by the blue dot ( ). Rating Very good - 10 9 8 7 6 5 4 3 2 1 Very poor - 0 4% 5% 0.7% 1% 0.9% 0.6% 0.0% 11% 22% 24% 32% Difference from NHS +2 +1 +1 +1 0-1 -1 0 0 0-1 Difference between Hospital Median and Median: 0.0 Part of the Scottish Care Experience Survey Programme Page 7

1.1 Admission to hospital: your most recent hospital stay 1. Was your most recent hospital stay planned in advance or an emergency? Question asked of all patients (responses = 578) 2012 2014 Emergency or urgent - 54 55 60 Waiting list or planned in advance - 41 40 36 Something else - 5 5 4 2. When you arrived at hospital did you go to the Accident and Emergency Department (A&E)? Question asked of all patients whose hospital visit was an emergency or urgent (responses = 342) 2012 2014 Yes 64 65 59 69 No 32 31 37 28 Don't know 4 5 5 3 Part of the Scottish Care Experience Survey Programme Page 8

1.1 Admission to hospital: your most recent hospital stay (cont.) Question 3. 4. 5. 6. 7. In A&E patients were told how long they would have to wait to see a doctor / nurse. How patients felt about the time waiting to be seen by a nurse or doctor in A&E. In A&E, patients were kept informed about what was happening after seeing a doctor / nurse. In A&E patients' conditions were explained to them in a way they could understand. In A&E patients had enough privacy when being examined or treated. Number of responses Very Positive Response (%) Positive Neutral Negative 186 41 40 20 41 +9 ### -3 ### - - 193 84 16 84 +5 ### -1 ### - - 193 54 39 7 54 +2 ### -7 ### - - 195 69 26 6 69 +5 ### +1 ### - - % Positive Change from 2014 Difference from 2011-2012 Trend 194 99 99 +1 NT +1 NT - - 2012-2014 2014-8. In A&E patients felt safe. 198 89 10 89 +2 ### +1 ### - - 9. 10. 11. 12. Overall rating of any care and treatment received in A&E. How patients felt about the time they waited to be admitted to hospital after they were referred. Information received before attending hospital helped patients understand what would happen. How patients felt about the time they waited to get to a ward. 200 56 34 8 90 +7 S +2 ### 200 87 13 87 +2 ### +2 ### 194 80 17 98 +5 ### +2 ### 564 29 56 15 85 +3 ### -1 ### 13. Overall rating of hospital admission process. 559 43 41 11 4 85 +5 S +3 ### Part of the Scottish Care Experience Survey Programme Page 9

1.2 The hospital and ward: your most recent hospital stay Question 14a. The main ward or room patients stayed in was clean. Number of responses Very Positive Response (%) Positive Neutral Negative 582 52 43 4 95 +1 ### -1 ### % Positive Change from 2014 Difference from 2011-2012 Trend 2012-2014 2014-14b. The bathrooms and toilets were clean. 565 48 41 6 6 88 +2 ### -4 S 14c. 14d. 14e. Patients were not bothered by noise at night from other patients. P 530 16 34 19 31 51 0 ### -4 S - - Patients were not bothered by noise at night from P 547 26 39 16 19 65-4 ### -4 ### - - hospital staff. Patients were happy with the food / meals they received. 565 26 47 14 14 73 0 ### +5 S - - 14f. Patients were happy with the drinks they received. 578 32 55 7 6 88 +3 ### +4 S - - 14g. 14h. When patients called they received assistance within a reasonable time. 534 38 52 5 5 90 +2 ### +3 S Patients did not feel threatened by other patients / visitors. C P 538 55 36 4 5 91 - ### +2 ### - - - 14i. The equipment used for my treatment was clean. N 564 54 43 97 - ### +2 S - - - 15. 16. Patients knew which nurse was in charge of the ward. Hand-wash gels were available for patients and visitors to use. 581 45 23 32 45 +3 ### +2 ### - - 546 95 5 95 0 ### +1 ### - - Part of the Scottish Care Experience Survey Programme Page 10

1.2 The hospital and ward: your most recent hospital stay (cont.) 17. During your most recent stay in hospital did you have a single room at any time? Question asked of all patients (responses = 575) 2012 2014 Yes, and I was happy - 38 35 37 Yes, but I would have preferred to be with other patients - 3 2 4 No, but I would have preferred to be in a single room - 16 17 15 No, and I was happy - 43 45 45 Question Number of responses Very Positive Response (%) Positive Neutral Negative % Positive 201 16 Change from 2014 Difference from Trend 2011-2012 2012-2014 2014-18. Patients were happy with the visiting hours. 552 98 98 +4 S +1 ### - - 19. Patients had enough time with the people that matter to them. 559 88 11 88 +8 S +4 S - - 20. Overall rating of hospital / ward environment. 568 48 43 6 92 +4 S +3 S Part of the Scottish Care Experience Survey Programme Page 11

1.3 Care and treatment: your most recent hospital stay Question 21a. 21b. 21c. 21d. 21e. 21f. 21g. 22. 23. 24. Patients were able to get adequate pain relief when they needed it. Patients had enough privacy when being examined or treated. Patients had enough privacy when their condition and treatment were discussed. Patients got enough help with washing and dressing when they needed it. Patients got enough help with eating and drinking when they needed it. Patients got enough help with going to the bathroom or toilet when they needed it. Patients were kept as physically comfortable as they could expect to be. Patients were involved as much as they wanted in decisions about their care and treatment. Patients felt people that matter to them were involved in decisions about their care / treatment. Staff took adequate care when carrying out physical procedures. Number of responses Very Positive Response (%) Positive Neutral Negative 506 55 39 94 +2 ### +3 S 574 52 43 3 94 0 ### 0 ### 575 45 42 6 7 87-1 ### -1 ### 412 45 42 7 5 88 0 ### +1 ### % Positive Change from 2014 Difference from 2011-2012 Trend 328 43 45 10 88 +6 S +4 ### 375 45 45 8 89 +1 ### +2 ### 555 46 47 5 93 +2 ### +1 ### - - 567 65 29 6 65 +4 ### +3 ### - - 416 62 31 7 62 +8 S +5 ### - - 572 84 13 84 +2 ### +3 S - - 2012-2014 2014 - Part of the Scottish Care Experience Survey Programme Page 12

1.3 Care and treatment: your most recent hospital stay (cont.) 25. While you were in hospital, did your condition get worse at any time? Question asked of all patients (responses = 580) 2012 2014 No - 66 73 74 Yes, and staff responded quickly - 28 22 20 Yes, and staff did not respond quickly - 4 2 3 Don't know / can't remember - 2 2 3 26. During your stay in hospital, if you had a drip or needle in a vein to give you medicines or fluids, did any of the following occur? (This is a "tick all that apply" question therefore percentages may not add up to 100.) Question asked of all patients who did not specifically indicate that they did not have a drip (responses = 421) 2012 2014 I did have a drip and had no concerns N - - 84 79 I did not feel it was checked regularly enough - - 5 7 I did not feel it was changed when required - - 3 4 I did not feel it was removed quickly enough - - 4 5 Don t know / can t remember - - 7 9 Part of the Scottish Care Experience Survey Programme Page 13

1.3 Care and treatment: your most recent hospital stay (cont.) 27. Did you experience any of the following problems during, or because of, your hospital stay? (This is a "tick all that apply" question therefore percentages may not add up to 100.) Question asked of all patients (responses = 587) 2012 2014 Infection (e.g. urinary tract infection, surgical wound infection, MRSA, CDiff, etc.) - 13 10 7 Blood poisoning / sepsis - 1 1 1 Blood clot (e.g. Deep Vein Thrombosis [DVT], embolism) - 2 1 1 Bed sore (pressure sore) - 2 2 2 Injury from falling over - 1 1 1 Bad reaction to medication - 5 5 4 Complication from surgery - 3 4 3 Any other problems - 4 5 4 None - 70 70 77 Part of the Scottish Care Experience Survey Programme Page 14

1.3 Care and treatment: your most recent hospital stay (cont.) 28. During your most recent hospital stay, did any of the following events occur? (This is a "tick all that apply" question therefore percentages may not add up to 100.) Question asked of all patients (responses = 587) 2012 2014 Incorrect diagnosis - 2 2 2 Wrong treatment - 1 1 1 Incorrect medicines - 2 1 2 Incorrect doses of medicines - 1 1 1 Delayed or incorrect test results - 3 2 3 None - 84 86 85 Question 29. 30. A member of staff discussed any clinical errors with patients. Patients were satisfied with how these clinical errors were dealt with. Number of responses Very Positive Response (%) Positive Neutral Negative 32 21 51 29 21 +2 ### 0 ### - - 36 30 33 37 30 +2 ### +3 ### - - % Positive Change from 2014 Difference from 2011-2012 Trend 2012-2014 2014 - Part of the Scottish Care Experience Survey Programme Page 15

1.3 Care and treatment: your most recent hospital stay (cont.) 31. When you were in hospital, did you move wards? Question asked of all patients (responses = 573) 2012 2014 Yes - 34 35 36 No - 64 63 62 Don't know / can't remember - 1 2 2 32. What time did you move wards? (This is a "tick all that apply" question therefore percentages may not add up to 100.) Question asked of all patients who moved wards (responses = 189) 2012 2014 Morning / afternoon - 53 45 52 Evening (6pm to 10pm) - 32 25 29 Middle of the night (10pm onwards) - 15 17 16 Don't know / can't remember - 12 18 14 Part of the Scottish Care Experience Survey Programme Page 16

1.3 Care and treatment: your most recent hospital stay (cont.) Question Number of responses Very Positive Response (%) Positive Neutral Negative % Positive Change from 2014 Difference from Trend 2011-2012 2012-2014 2014-33. Moving between wards was well managed. 185 73 21 6 73 +4 ### +3 ### - - 34. Overall rating of care and treatment during hospital stay. 579 59 34 4 94 +3 ### +4 S 1.4 Operations and procedures: your most recent hospital stay 35. During your most recent hospital stay, did you have an operation or procedure? Question asked of all patients (responses = 573) 2012 2014 Yes - 57 59 54 No - 43 41 46 Part of the Scottish Care Experience Survey Programme Page 17

1.4 Operations and procedures: your most recent hospital stay (cont.) Question 36. 37. 38. 39. 40. Beforehand, a member of staff explained the risks and benefits of operation / procedure. Beforehand, a member of staff explained what would be done during the operation or procedure. Beforehand, patients were told how they may feel after the operation or procedure. Beforehand, patients' questions were answered in a way they could understand. Patients understood the explanations on how the operation or procedure had gone. Number of responses Very Positive Response (%) Positive Neutral Negative 347 87 12 87 +11 S +6 S - - 347 85 13 85 +11 S +7 S - - 340 70 20 10 70 +6 ### +6 S - - 343 81 16 3 81 +7 ### +5 ### - - % Positive Change from 2014 Difference from 2011-2012 Trend 345 75 20 5 75 +2 ### +2 ### - - 2012-2014 2014 - Part of the Scottish Care Experience Survey Programme Page 18

1.5 Staff: your most recent hospital stay Question 41a. 41b. 41c. 41d. 41e. 41f. 42a. 42b. 42c. 42d. 42e. Doctors knew enough about patients' condition and treatment. Doctors discussed patients' condition and treatment with them in a way they could understand. Doctors did not talk in front of patients as if they Response (%) 550 56 36 5 3 92 +3 ### +2 ### 558 56 37 5 3 92 +4 S +2 ### were not there. P 521 40 41 9 9 81 +1 ### +1 ### Doctors listened to patients if they had any questions or concerns. Doctors washed / cleaned their hands at appropriate times. Patients had confidence and trust in the doctors treating them. Nurses knew enough about patients' condition and treatment. Nurses discussed patients' condition / treatment with them in a way they could understand. Nurses did not talk in front of patients as if they Number of responses Very Positive Positive Neutral Negative 536 47 45 5 92 +3 ### +3 S % Positive Change from 2014 Difference from 2011-2012 Trend 516 50 43 6 93 +1 ### +2 ### 561 62 32 4 95 +3 ### +3 S - - 562 44 43 10 87-1 ### 0 ### 551 42 40 14 5 82-4 S -2 ### were not there. P 532 44 41 9 6 85-2 ### +2 ### Nurses listened to patients if they had any questions or concerns. Nurses washed / cleaned their hands at appropriate times. 555 45 46 5 4 91-1 ### +1 ### 516 50 46 4 95 +1 ### +2 S 2012-2014 2014 - Part of the Scottish Care Experience Survey Programme Page 19

1.5 Staff: your most recent hospital stay (cont.) Question 42f. 43. Patients had confidence and trust in the nurses treating them. Patients knew which nurse was in charge of their care. Number of responses Very Positive Response (%) Positive Neutral Negative 545 51 43 5 94 +2 ### +3 S - - 571 50 26 24 50 +2 ### +2 ### - - % Positive Change from 2014 Difference from 2011-2012 Trend 2012-2014 2014-44. Patients felt there were enough nurses on duty. 546 66 27 7 66 +3 ### +3 ### - - 45. Staff worked well together in organising patients' care. 557 79 19 79 +8 S +5 S - - 46. Staff took account of what matters to patients. 555 69 27 3 69 +3 ### +4 S - - 47. 48. 49. Patients felt they got enough emotional support from staff. Staff treated patients with compassion and understanding. Overall rating of all staff patients came into contact with. 546 70 24 6 70 +3 ### +1 ### - - 567 81 18 81 +5 S +6 S - - 576 66 29 4 95 +2 ### +4 S Part of the Scottish Care Experience Survey Programme Page 20

1.6 Leaving hospital: your most recent hospital stay 50. On the day you left hospital, were you delayed for any reason? Question asked of all patients (responses = 572) 2012 2014 Yes - 41 40 40 No - 59 60 60 51. What was the main reason you were delayed? Question asked of all patients who were delayed (responses = 206) 2012 2014 I had to wait for medicines - 40 33 56 I had to wait to see the doctor - 10 8 9 I had to wait for hospital transport - 9 10 10 I had to wait for my discharge letter - 39 45 18 Something else - 3 4 8 Part of the Scottish Care Experience Survey Programme Page 21

1.6 Leaving hospital: your most recent hospital stay (cont.) 52. How long was the delay? Question asked of all patients who were delayed (responses = 224) 2012 2014 Up to 1 hour - 19 16 17 Longer than 1 hour but less than 2 hours - 30 29 27 Longer than 2 hours but less than 4 hours - 30 33 31 Longer than 4 hours - 16 16 18 Don't know / can't remember - 5 6 6 Question 53. 54. 55. 56. Response (%) How patients felt about the overall length of time they were in hospital. C 564 89 11 89 +1 ### 0 ### - - Patients felt confident they could look after themselves after leaving hospital. Prior to leaving hospital, patients felt confident that any help they needed had been arranged. If eligible, patients were happy with hospital transport arrangements for getting home. Number of responses Very Positive Positive Neutral Negative 567 90 10 90 +5 S +5 S - - 352 75 19 6 75 +3 ### +4 S - - 80 78 22 78-7 ### 0 ### - - % Positive Change from 2014 Difference from 2011-2012 Trend 2012-2014 2014 - Part of the Scottish Care Experience Survey Programme Page 22

1.6 Leaving hospital: your most recent hospital stay (cont.) Question 57a. 57b. 57c. 57d. Patients were involved in decisions about leaving hospital. Patients' family or home situation was taken into account when planning discharge from hospital. Patients knew who to contact if they had any questions after leaving hospital. Patients were told about any danger signs to watch for when they left hospital. Number of responses Very Positive Response (%) Positive Neutral Negative 518 35 44 15 6 79 0 ### +3 ### - - 461 41 43 11 5 83-1 ### 0 ### 536 39 46 7 7 85 +3 ### +5 S 489 38 40 13 10 77 +3 ### +5 S % Positive Change from 2014 Difference from 2011-2012 Trend 2012-2014 2014-58. Were you given any medicines to take home when you left hospital? Question asked of all patients (responses = 581) 2012 2014 Yes 76 82 80 78 No 24 18 20 22 Part of the Scottish Care Experience Survey Programme Page 23

1.6 Leaving hospital: your most recent hospital stay (cont.) Question 59a. Patients didn t have to wait too long to get their medicines. Number of responses Very Positive Response (%) Positive Neutral Negative 444 32 45 6 16 77 +1 ### +8 S - % Positive Change from 2014 Difference from 2011-2012 Trend 2012-2014 2014-59b. Patients understood what their medicines were for. 440 50 47 97 +1 ### +2 S 59c. 59d. 60. Patients understood how and when to take their medicines. Patients understood the possible side effects of their medicines. Overall rating of arrangements for leaving hospital. 449 50 47 98 +1 ### +1 ### 425 39 46 10 5 85 +5 S +6 S 574 37 45 14 4 82 +2 ### +4 S Part of the Scottish Care Experience Survey Programme Page 24

1.7 After leaving hospital: your most recent hospital stay 61. Did you need care or support services to be arranged for when you got out of hospital? Question asked of all patients (responses = 577) 2012 2014 Yes 18 24 17 23 No 82 76 83 77 Question 62. 63. 64. 65. Patients did not stay longer than expected waiting Numb mber of respo onses Very Positive Response (%) Positive Neutral Negative for their care / support services to be organised. P R 95 73 27 73-12 S -10 S - Patients felt they got the care and support services that were right for them. Overall rating of care or support services after leaving hospital. Patients saw / received information on providing feedback / complaints about care received. % Po ositive Chan nge from 2014 Differ erence from Scotl tland - 2012 2011 - Trend 93 93 7 93 +5 ### +5 ### - 95 52 32 11 5 83 +2 ### +2 ### - 399 37 63 37 +3 ### 0 ### - - - 2014 2012 - - 2014 - Part of the Scottish Care Experience Survey Programme Page 25

1.8 Questions with highest percent positive response Question 7. In A&E patients had enough privacy when being examined or treated. Number of responses Very Positive Response (%) Positive Neutral Negative 194 99 99 +1 NT +1 NT - - % Positive Change from 2014 Difference from 2011-2012 Trend 2012-2014 2014-18. Patients were happy with the visiting hours. 552 98 98 +4 S +1 ### - - 11. 59c. Information received before attending hospital helped patients to understand what would happen. Patients understood how and when to take their medicines. 194 80 17 98 +5 ### +2 ### 449 50 47 98 +1 ### +1 ### 59b. Patients understood what their medicines were for. 440 50 47 97 +1 ### +2 S Note 1: Where a question number has been shaded blue, this denotes that the question was also amongst those with the highest percent positive response for NHS as a whole. Note 2: Some questions in the survey did not have a neutral / mixed response option, therefore respondents only had the opportunity to select either positive or negative response options. Questions that only had positive / negative response options are more likely to be included in the table above than questions that had positive / neutral / negative options. Part of the Scottish Care Experience Survey Programme Page 26

1.9 Questions with highest percent negative response Question 65. 30. 15. 14c. 29. Patients saw / received information on providing feedback / complaints about care received. Patients were satisfied with how these clinical errors were dealt with. Patients knew which nurse was in charge of the ward. Number of responses Very Positive Response (%) Positive Neutral Negative 399 37 63 37 +3 ### 0 ### - - 36 30 33 37 30 +2 ### +3 ### - - 581 45 23 32 45 +3 ### +2 ### - - Patients were not bothered by noise at night from 530 16 34 19 31 51 0 ### -4 S - - other patients. P A member of staff discussed any clinical errors with patients. % Positive Change from 2014 Difference from 2011-2012 Trend 32 21 51 29 21 +2 ### 0 ### - - 2012-2014 2014 - Note 1: Where a question number has been shaded blue, this denotes that the question was also amongst those with the highest percent negative response for NHS as a whole. Note 2: Some questions in the survey did not have a neutral / mixed response option, therefore respondents only had the opportunity to select either positive or negative response options. Questions that only had positive / negative response options are more likely to be included in the table above than questions that had positive / neutral / negative options. Part of the Scottish Care Experience Survey Programme Page 27

Chapter 2. Comparison with previous surveys The tables below show this hospital's percent positive results along with the equivalent 2010, 2011, 2012 and 2014 results. The percent positive results for NHS in are also shown. 2.1 Admission to hospital: your most recent hospital stay Question 2010 2011 2012 2014 3. In A&E patients were told how long they would have to wait to see a doctor / nurse - - - 32 41 44 0 4. How patients felt about the time waiting to be seen by a nurse or doctor in A&E - - - 79 84 85 0 5. In A&E, patients were kept informed about what was happening after seeing a doctor / nurse - - - 52 54 61 0 6. In A&E patients' conditions were explained to them in a way they could understand - - - 64 69 68 0 7. In A&E patients had enough privacy when being examined or treated - - - 98 99 98 NT 8. In A&E patients felt safe - - - 87 89 88 0 9. Overall rating of any care and treatment received in A&E 75 77 87 83 90 88 0 10. 11. How patients felt about the time they waited to be admitted to hospital after they were referred Information received before attending hospital helped patients understand what would happen 88 87 84 85 87 85 0 94 98 97 93 98 96 0 12. How patients felt about the time they waited to get to a ward 84 88 87 82 85 86 0 13. Overall rating of hospital admission process 77 82 84 80 85 82 0 Part of the Scottish Care Experience Survey Programme Page 28

2.2 The hospital and ward: your most recent hospital stay Question 2010 2011 2012 2014 14a. The main ward or room patients stayed in was clean. 88 92 92 94 95 96 0 14b. The bathrooms and toilets were clean. 84 85 87 86 88 92 S 14c. Patients were not bothered by noise at night from other patients. P - - - 51 51 55 S 14d. Patients were not bothered by noise at night from hospital staff. P - - - 69 65 69 0 14e. Patients were happy with the food / meals they received. - - - 73 73 68 S 14f. Patients were happy with the drinks they received. - - - 85 88 84 S 14g. When patients called they received assistance within a reasonable time. - 86 88 88 90 87 S 14h. Patients did not feel threatened by other patients / visitors. C P - - - - 91 89 0 14i. The equipment used for my treatment was clean. N - - - - 97 95 S 15. Patients knew which nurse was in charge of the ward. - - - 42 45 43 0 16. Hand-wash gels were available for patients and visitors to use. - - - 95 95 94 0 18. Patients were happy with the visiting hours. - - - 94 98 97 0 19. Patients had enough time with the people that matter to them. - - - 80 88 84 S 20. Overall rating of hospital / ward environment. 76 85 86 88 92 89 S Part of the Scottish Care Experience Survey Programme Page 29

2.3 Care and treatment: your most recent hospital stay Question 2010 2011 2012 2014 21a. Patients were able to get adequate pain relief when they needed it. 90 91 92 92 94 91 S 21b. Patients had enough privacy when being examined or treated. 95 95 98 94 94 94 0 21c. Patients had enough privacy when their condition and treatment were discussed. 87 86 87 88 87 88 0 21d. Patients got enough help with washing and dressing when they needed it. 78 80 85 88 88 87 0 21e. Patients got enough help with eating and drinking when they needed it. 66 68 68 82 88 84 0 21f. Patients got enough help with going to the bathroom or toilet when they needed it. - 79 80 88 89 87 0 21g. Patients were kept as physically comfortable as they could expect to be. - - - 91 93 92 0 22. 23. Patients were involved as much as they wanted in decisions about their care and treatment. Patients felt people that matter to them were involved in decisions about their care / treatment. - - - 61 65 62 0 - - - 54 62 57 0 24. Staff took adequate care when carrying out physical procedures. - - - 82 84 81 S 29. A member of staff discussed any clinical errors with patients. - - - 19 21 21 0 30. Patients were satisfied with how these clinical errors were dealt with. - - - 28 30 27 0 33. Moving between wards was well managed. - - - 69 73 70 0 34. Overall rating of care and treatment during hospital stay. 83 88 90 91 94 90 S Part of the Scottish Care Experience Survey Programme Page 30

2.4 Operations and procedures: your most recent hospital stay Question 2010 2011 2012 2014 36. Beforehand, a member of staff explained the risks and benefits of operation / procedure. - - - 76 87 81 S 37. Beforehand, a member of staff explained what would be done during the operation or procedure. - - - 74 85 78 S 38. Beforehand, patients were told how they may feel after the operation or procedure. - - - 64 70 64 S 39. Beforehand, patients' questions were answered in a way they could understand. - - - 74 81 76 0 40. Patients understood the explanations on how the operation or procedure had gone. - - - 73 75 73 0 Part of the Scottish Care Experience Survey Programme Page 31

2.5 Staff: your most recent hospital stay Question 2010 2011 2012 2014 41a. Doctors knew enough about patients' condition and treatment. 85 87 90 89 92 90 0 41b. Doctors discussed patients' condition and treatment with them in a way they could understand. 86 87 89 88 92 90 0 41c. Doctors did not talk in front of patients as if they were not there. P - 80 82 80 81 80 0 41d. Doctors listened to patients if they had any questions or concerns. 82 88 89 89 92 89 S 41e. Doctors washed / cleaned their hands at appropriate times. 78 87 86 92 93 91 0 41f. Patients had confidence and trust in the doctors treating them. - - - 92 95 92 S 42a. Nurses knew enough about patients' condition and treatment. 81 83 85 88 87 87 0 42b. Nurses discussed patients' condition / treatment with them in a way they could understand. 81 80 83 86 82 84 0 42c. Nurses did not talk in front of patients as if they were not there. P - 82 84 87 85 83 0 42d. Nurses listened to patients if they had any questions or concerns. 84 89 92 92 91 90 0 42e. Nurses washed / cleaned their hands at appropriate times. 83 91 90 94 95 93 S 42f. Patients had confidence and trust in the nurses treating them. - - - 92 94 91 S 43. Patients knew which nurse was in charge of their care. - - - 48 50 48 0 44. Patients felt there were enough nurses on duty. - - - 63 66 63 0 Part of the Scottish Care Experience Survey Programme Page 32

2.5 Staff: your most recent hospital stay (cont.) Question 2010 2011 2012 2014 45. Staff worked well together in organising patients' care. - - - 71 79 74 S 46. Staff took account of what matters to patients. - - - 66 69 65 S 47. Patients felt they got enough emotional support from staff. - - - 67 70 69 0 48. Staff treated patients with compassion and understanding. - - - 76 81 75 S 49. Overall rating of all staff patients came into contact with. 87 87 92 93 95 91 S Part of the Scottish Care Experience Survey Programme Page 33

2.6 Leaving hospital: your most recent stay Question 2010 2011 2012 2014 53. How patients felt about the overall length of time they were in hospital. C - - - 88 89 89 0 54. Patients felt confident they could look after themselves after leaving hospital. - - - 85 90 85 S 55. Prior to leaving hospital, patients felt confident that any help they needed had been arranged. - - - 72 75 71 S 56. If eligible, patients were happy with hospital transport arrangements for getting home. - - - 85 78 78 0 57a. Patients were involved in decisions about leaving hospital. - - - 79 79 76 0 57b. Patients' family or home situation was taken into account when planning discharge from hospital. - 81 87 84 83 83 0 57c. Patients knew who to contact if they had any questions after leaving hospital. 81 82 84 82 85 80 S 57d. Patients were told about any danger signs to watch for when they left hospital. 74 73 72 74 77 72 S 59a. Patients didn t have to wait too long to get their medicines. - - 76 76 77 69 S 59b. Patients understood what their medicines were for. 91 95 96 96 97 95 S 59c. Patients understood how and when to take their medicines. 96 98 98 97 98 97 0 59d. Patients understood the possible side effects of their medicines. 80 83 77 80 85 79 S 60. Overall rating of arrangements for leaving hospital. 73 75 78 80 82 78 S Part of the Scottish Care Experience Survey Programme Page 34

2.7 After leaving hospital: your most recent hospital stay Question 2010 2011 2012 2014 62. Patients did not stay longer than expected waiting for their care / support services to be organised. P R - - 89 85 73 83 S 63. Patients felt they got the care and support services that were right for them. - - 84 88 93 88 0 64. Overall rating of care or support services after leaving hospital. - - 80 81 83 81 0 65. Patients saw / received information on providing feedback / complaints about care received. - - - 34 37 37 0 Part of the Scottish Care Experience Survey Programme Page 35

Chapter 3. Variation in hospital results across The tables / charts in this chapter show this hospital's percent positive results in relation to the range of percent positive results across all hospitals in. The percent positive results for NHS are also shown. 3.1 Admission to hospital: your most recent hospital stay 3. 4. 5. 6. In A&E patients were told how long they would have to wait to see a doctor / nurse. How patients felt about the time waiting to be seen by a nurse or doctor in A&E. In A&E, patients were kept informed about what was happening after seeing a doctor / nurse. In A&E patients' conditions were explained to them in a way they could understand. % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 41 0 44 0 84 0 85 0 54 0 61 0 69 0 68 0 7. In A&E patients had enough privacy when being examined or treated. 99 NT 98 NT 8. In A&E patients felt safe. 89 0 88 0 9. Overall rating of any care and treatment received in A&E. 90 S 88 0 Part of the Scottish Care Experience Survey Programme Page 36

3.1 Admission to hospital: your most recent hospital stay (cont.) 10. 11. How patients felt about the time they waited to be admitted to hospital after they were referred. Information received before attending hospital helped patients understand what would happen. % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 87 0 85 0 98 0 96 0 12. How patients felt about the time they waited to get to a ward. 85 0 86 0 13. Overall rating of hospital admission process. 85 S 82 0 Part of the Scottish Care Experience Survey Programme Page 37

3.2 The hospital and ward: your most recent hospital stay % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 14a. The main ward or room patients stayed in was clean. 95 0 96 0 14b. The bathrooms and toilets were clean. 88 0 92 S 14c. Patients were not bothered by noise at night from other patients. P 51 0 55 S 14d. Patients were not bothered by noise at night from hospital staff. P 65 0 69 0 14e. Patients were happy with the food / meals they received. 73 0 68 S 14f. Patients were happy with the drinks they received. 88 0 84 S 14g. When patients called they received assistance within a reasonable time. 90 0 87 S 14h. Patients did not feel threatened by other patients / visitors. C P 91 0 89 0 14i. The equipment used for my treatment was clean. N 97 0 95 S Part of the Scottish Care Experience Survey Programme Page 38

3.2 The hospital and ward: your most recent hospital stay (cont.) % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 15. Patients knew which nurse was in charge of the ward. 45 0 43 0 16. Hand-wash gels were available for patients and visitors to use. 95 0 94 0 18. Patients were happy with the visiting hours. 98 S 97 0 19. Patients had enough time with the people that matter to them. 88 S 84 S 20. Overall rating of hospital / ward environment. 92 S 89 S Part of the Scottish Care Experience Survey Programme Page 39

3.3 Care and treatment: your most recent hospital stay % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 21a. Patients were able to get adequate pain relief when they needed it. 94 0 91 S 21b. Patients had enough privacy when being examined or treated. 94 0 94 0 21c. 21d. Patients had enough privacy when their condition and treatment were discussed. Patients got enough help with washing and dressing when they needed it. 87 0 88 0 88 0 87 0 21e. Patients got enough help with eating and drinking when they needed it. 88 S 84 0 21f. 21g. Patients got enough help with going to the bathroom or toilet when they needed it. Patients were kept as physically comfortable as they could expect to be. 89 0 87 0 93 0 92 0 Part of the Scottish Care Experience Survey Programme Page 40

3.3 Care and treatment: your most recent hospital stay (cont.) 22. 23. Patients were involved as much as they wanted in decisions about their care and treatment. Patients felt people that matter to them were involved in decisions about their care / treatment. % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 65 0 62 0 62 S 57 0 24. Staff took adequate care when carrying out physical procedures. 84 0 81 S 29. A member of staff discussed any clinical errors with patients. 21 0 21 0 30. Patients were satisfied with how these clinical errors were dealt with. 30 0 27 0 33. Moving between wards was well managed. 73 0 70 0 34. Overall rating of care and treatment during hospital stay. 94 0 90 S Part of the Scottish Care Experience Survey Programme Page 41

3.4 Operations and procedures: your most recent hospital stay 36. 37. 38. 39. 40. Beforehand, a member of staff explained the risks and benefits of operation / procedure. Beforehand, a member of staff explained what would be done during the operation or procedure. Beforehand, patients were told how they may feel after the operation or procedure. Beforehand, patients' questions were answered in a way they could understand. Patients understood the explanations on how the operation or procedure had gone. % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 87 S 81 S 85 S 78 S 70 0 64 S 81 0 76 0 75 0 73 0 Part of the Scottish Care Experience Survey Programme Page 42

3.5 Staff: your most recent hospital stay % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 41a. Doctors knew enough about patients' condition and treatment. 92 0 90 0 41b. Doctors discussed patients' condition and treatment with them in a way they could understand. 92 S 90 0 41c. Doctors did not talk in front of patients as if they were not there. P 81 0 80 0 41d. Doctors listened to patients if they had any questions or concerns. 92 0 89 S 41e. Doctors washed / cleaned their hands at appropriate times. 93 0 91 0 41f. Patients had confidence and trust in the doctors treating them. 95 0 92 S Part of the Scottish Care Experience Survey Programme Page 43

3.5 Staff: your most recent hospital stay (cont.) % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 42a. Nurses knew enough about patients' condition and treatment. 87 0 87 0 42b. Nurses discussed patients' condition / treatment with them in a way they could understand. 82 S 84 0 42c. Nurses did not talk in front of patients as if they were not there. P 85 0 83 0 42d. Nurses listened to patients if they had any questions or concerns. 91 0 90 0 42e. Nurses washed / cleaned their hands at appropriate times. 95 0 93 S 42f. Patients had confidence and trust in the nurses treating them. 94 0 91 S Part of the Scottish Care Experience Survey Programme Page 44

3.5 Staff: your most recent hospital stay (cont.) % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 43. Patients knew which nurse was in charge of their care. 50 0 48 0 44. Patients felt there were enough nurses on duty. 66 0 63 0 45. Staff worked well together in organising patients' care. 79 S 74 S 46. Staff took account of what matters to patients. 69 0 65 47. Patients felt they got enough emotional support from staff. 70 0 69 0 48. Staff treated patients with compassion and understanding. 81 S 75 S 49. Overall rating of all staff patients came into contact with. 95 0 91 S Part of the Scottish Care Experience Survey Programme Page 45

3.6 Leaving hospital: your most recent hospital stay % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 53. How patients felt about the overall length of time they were in hospital. C 89 0 89 0 54. 55. 56. Patients felt confident they could look after themselves after leaving hospital. Prior to leaving hospital, patients felt confident that any help they needed had been arranged. If eligible, patients were happy with hospital transport arrangements for getting home. 90 S 85 S 75 0 71 S 78 0 78 0 57a. Patients were involved in decisions about leaving hospital. 79 0 76 0 57b. 57c. 57d. Patients' family or home situation was taken into account when planning discharge from hospital. Patients knew who to contact if they had any questions after leaving hospital. Patients were told about any danger signs to watch for when they left hospital. 83 0 83 0 85 0 80 S 77 0 72 S Part of the Scottish Care Experience Survey Programme Page 46

3.6 Leaving hospital: your most recent hospital stay (cont.) % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 59a. Patients didn t have to wait too long to get their medicines. 77 0 69 S 59b. Patients understood what their medicines were for. 97 0 95 S 59c. Patients understood how and when to take their medicines. 98 0 97 0 59d. Patients understood the possible side effects of their medicines. 85 S 79 S 60. Overall rating of arrangements for leaving hospital. 82 0 78 S Part of the Scottish Care Experience Survey Programme Page 47

3.7 After leaving hospital: your most recent hospital stay 62. 63. Patients did not stay longer than expected waiting for their care / support services to be organised. P R 73 S 83 S Patients felt they got the care and support services that were right for them. % Positive 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Hospital NHS 93 0 88 0 64. Overall rating of care or support services after leaving hospital. 83 0 81 0 65. Patients saw / received information on providing feedback / complaints about care received. 37 0 37 0 Part of the Scottish Care Experience Survey Programme Page 48

Chapter 4. Demographic questions The tables below show a number of socio-demographic characteristics of patients who responded to the survey in. These tables show the percentage of patients within this hospital who selected each response option when answering these questions. Equivalent survey results from 2014 and 2012 are also shown along with the NHS results. 68. What was your age last birthday? Question asked of all patients (responses = 574) 2012 2014 16-34 7 8 5 5 35-49 14 11 11 10 50-64 31 26 29 26 65+ 48 55 54 60 69. Are you male or female? Question asked of all patients (responses = 578) 2012 2014 Male 50 50 49 43 Female 50 50 51 57 Part of the Scottish Care Experience Survey Programme Page 49

Chapter 4. Demographic questions (cont.) 70. How would you rate your health in general? Question asked of all patients (responses = 578) 2012 2014 Good 42 40 48 43 Fair 42 46 40 43 Poor 16 14 12 14 72. Are your day-to-day activities limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months? Question asked of all patients (responses = 569) 2012 2014 Yes, limited a lot 30 34 28 34 Yes, limited a little 36 33 34 32 No 34 33 38 34 Part of the Scottish Care Experience Survey Programme Page 50

An Official Statistics Publication for Correspondence and enquiries For enquiries about this publication please contact: Nicola Kerr Health Analytical Services Information Services Division Scottish Government NHS National Services St Andrews House Gyle Square Edinburgh 1 South Gyle Crescent EH1 3DG Edinburgh 0131 244 3201 EH12 9EB nicola.kerr2@gov.scot For general enquiries, suggestions and complaints about Scottish Government statistics please contact: Office of the Chief Statistician Scottish Government St Andrews House Edinburgh EH1 3DG 0131 244 0442 statistics.enquiries@gov.scot This report was produced by ISD on behalf of the Scottish Government If you would like to be consulted about statistical collections or receive notification of publications, please register your interest at: www.scotland.gov.uk/scotstat Details of forthcoming publications can be found at:www.scotland.gov.uk/statistics How to access background or source data The technical report is available at: http://www.gov.scot/topics/statistics/browse/health/inpatientsurvey/inpatient Data source may be made available on request, subject to consideration of legal and ethical factors. For further information please contact: nicola.kerr2@gov.scot Crown Copyright You may use or re-use this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. See: www.nationalarchives.gov.uk/doc/open-government-licence/ Part of the Scottish Care Experience Survey Programme Page 51