Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywHendry Kosasih mewngofnodwch a gadael i bawb wybod.

clinical performance before and after the implementation of 60 hours consultant presence in the Labour Ward

Hendry Kosasih made this Rhyddid Gwybodaeth request to Ealing Hospital NHS Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

We're waiting for Hendry Kosasih to read a recent response and update the status.

Dear Ealing Hospital NHS Trust,

It is now a Clinical Negligence Scheme for Trusts (CNST) requirement for a 60-hours consultant presence at the Labour Ward with estimated deliveries of 2500-4000 deliveries per year.

Could you kindly provide the figures for the following measures, 1 year before the implementation of this act (-> 60 hours consultant cover in the labour ward) AND after its implementation (to this date), broken down to EACH month:

1. Number of births
2. Total number of instrumental vaginal deliveries
- number of failed instrumental deliveries
- number of successful instrumental deliveries
3. Total number of C-section
- number of elective C-section
- number of emergency C-section

4. Weekly hours of consultant cover on Labour Ward
5. Midwife/birth ratio
6. Supervisor to midwife ratio
7. Education and training programme attendance

8. Total cases of eclampsia
9. Total cases of maternal collapse
10. Number of ICU admissions in obstetrics
11. Total number of cases needing blood transfusions (divided into <2 units, >2 units, >4 units)
12. Number of postpartum hysterectomies

13. Number of cases of meconium aspiration
14. Number of cases of hypoxic encephalopathy (grades 2&3)
15. Number of SCBU admission
16. Number of NICU admission
17 Number of SUIs

18. Total no. of cases of massive PPH >1L
- no of cases of massive PPH >1L from vaginal del.
- no of cases of massive PPH >1L from C-sec
19. Total no of cases of massive PPH >2L
- no of cases of massive PPH >2L from vaginal del.
- no of cases of massive PPH >2L from C-sec
20. no of should dystocia
21. No of 3rd degree tear & 4th degree tear
22. Number of complaints/ Serious Untoward Incidence received
23. number of compliments received
24. Number of times unit closed for admission in each month
25. Number of readmission in obstetrics
26. Number of cases with delay in Emergency LSCS >30min, >60mins
27. Number of postnatal length of stay

Some of these measures are in conjunction with those outlined in the Maternity Dashboard Card, while the rest are more detailed aspects but still relating to the measure included in the Maternity Dashboard Card.

Thank you for your help.

Yours faithfully,
Hendry Kosasih

FOI (EALING HOSPITAL NHS TRUST), Ealing Hospital NHS Trust

Hi Hendry

 

Thank you for your request.

 

Your request was received on 16^th September 2013 and I am dealing with it
under the terms of the Freedom of Information Act 2000.

 

Your reference number is FOI/13/066

 

In some circumstances a fee may be payable and if that is the case, I will
let you know. A fees notice will be issued to you, and you will be
required to pay before we will proceed to deal with your request.

 

If you have any queries about this letter, please contact me. Please
remember to quote the reference number above in any future communications.

 

Kind Regards

 

Neelam,

 

Neelam Bhangu

Communications and Administrative Assistant to the Board Secretary

 

Corporate Affairs Department

Ealing Hospital NHS Trust, Uxbridge Road, Southall, UB1 3HW

 

Tel: 0208 967 5664 - Email: neelam.bhangu@nhs.net 

 

dangos adrannau a ddyfynnir

Bhangu Neelam (EALING HOSPITAL NHS TRUST), Ealing Hospital NHS Trust

5 Atodiad

Ref: FOI/13/066

 

Hi Hendry

 

Thank you for your freedom of information request.

 

See attached scorecards for each year.

 

Please note, we are not able to supply all this information without
additional resources, as significant pieces of this require notes audit,
interrogation of the ‘old’ maternity system and manual counts.

 

Neelam,

 

Neelam Bhangu

Communications and Administrative Assistant to the Board Secretary

 

Corporate Affairs Department

Ealing Hospital NHS Trust, Uxbridge Road, Southall, UB1 3HW

 

Tel: 0208 967 5664 - Email: neelam.bhangu@nhs.net 

 

 

dangos adrannau a ddyfynnir

Dear Bhangu Neelam (EALING HOSPITAL NHS TRUST),

Thank you very much for the comprehensive response.

There are few things that I am not entirely clear about, which would be great if you can help clarify further.

1. Under "type of birth" for every report, there are figures given for "% Neonates" - can you kindly further explain what exactly do these figures refer to? Is it the % of birth attended by the neonatal team for potential neonatal distress,etc?
2. Regarding number of complaints/SUIs, are these covering maternity i.e. obstetric ONLY or involve BOTH obstetrics and gynae?

In addition to these,
3. For the Apr 2011 - March 2012 maternity performance card, the absolute number of deliveries for each month were not provided (although a bar chart was given). Will it possible to get these numbers i.e. total number of deliveries by month between apr 2011 and mar 2012? This will be really helpful in helping me read the data more clearly, as the performance cards for the rest of the years provide these figures with gap missing in the middle for 2011-2012.

Many thanks for your wonderful help, Mr Neelam.

Yours sincerely,

Hendry Kosasih

Dear Bhangu Neelam (EALING HOSPITAL NHS TRUST),

Thank you for your kindness in providing the information. However, I am still waiting for your clarification on few things I noted on the maternity dashboard you have kindly provide me with. I have requested this information 40days ago and still waiting for a reply. It would be wonderful if you can provide me with further clarification of my queries at the earliest time that is convenient for you. The followings are few questions I am not clear about, that would be wonderful if you can help me with:

1. Under "type of birth" for every report, there are figures given
for "% Neonates" - can you kindly further explain what exactly do
these figures refer to? Is it the % of birth attended by the
neonatal team for potential neonatal distress,etc?
2. Regarding number of complaints/SUIs, are these covering
maternity i.e. obstetric ONLY or involve BOTH obstetrics and gynae?

In addition to these,
3. For the Apr 2011 - March 2012 maternity performance card, the
absolute number of deliveries for each month were not provided
(although a bar chart was given). Will it possible to get these
numbers i.e. total number of deliveries by month between apr 2011
and mar 2012? This will be really helpful in helping me read the
data more clearly, as the performance cards for the rest of the
years provide these figures with gap missing in the middle for
2011-2012.

Many thanks for your help and looking forward to your response.

Yours sincerely,

Hendry Kosasih

Bhangu Neelam (EALING HOSPITAL NHS TRUST), Ealing Hospital NHS Trust

1 Atodiad

Hi Hendry

Further to your follow up email regarding your freedom of information request, please see below further clarification.

1. %neonates are:

Numerator
Babies Discharged in the month that Commissioners will commission the following activity with a Human Resource Group (HRG) of any of the below recorded -
• PB01Z - Major Neonatal Diagnoses
• PB02Z - Minor Neonatal Diagnoses

Denominator
Babies Discharged in the month that Commissioners will commission the following activity with Human Resource Group (HRG) of any of the below recorded -
• PB01Z - Major Neonatal Diagnoses
• PB02Z - Minor Neonatal Diagnoses
• PB03Z - Healthy Baby

Attached is the list of the diagnoses that would determine the baby being in this category.

2. The number of complaints on the scorecard are Obstetric related only.

3. Delivery figures 2011 – 2012 by Month
Maternity activity

Actual deliveries
Apr-11 268
May-11 255
Jun-11 236
Jul-11 280
Aug-11 273
Sep-11 253
Oct-11 251
Nov-11 240
Dec-11 273
Jan-12 242
Feb-12 212
Mar-12 239

Total YTD 3022

Kind regards

Neelam,

Neelam Bhangu
Communications and Administrative Assistant to the Board Secretary

Corporate Affairs Department
Ealing Hospital NHS Trust, Uxbridge Road, Southall, UB1 3HW
Tel: 0208 967 5664 - Email: [email address]

Incorporating the Community Services of Brent, Ealing and Harrow

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Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywHendry Kosasih mewngofnodwch a gadael i bawb wybod.