BMI Healthcare Serious about health. Passionate about care. BMI Clementine Churchill Hospital Quality Accounts April 2014 to March 2015 Chief Executive’s Statement BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 1 BMI Healthcare Serious about health. Passionate about care. Chief Executive Statement I am pleased to welcome you to our Quality Accounts 2015. Now in their sixth year, Quality Accounts continue to provide a truly objective metric for us, and others, to gauge the quality of our 59 hospitals and the services they provide against a broad range of criteria. The past year has seen another step change in the way healthcare providers are externally challenged on the quality they provide. Following a spate of high profile controversies around patient safety, the Care Quality Commission, the UK’s health regulator, has introduced a new inspection regime designed to raise standards. No healthcare provider can afford to be complacent and whilst I believe BMI’s hospitals provide safe and effective care, we should always be striving for improvement. To this end we recently introduced a new Quality Strategy, which articulates how we will provide the best possible care and strive for continual improvement, and live up to our brand promise to be “serious about health, passionate about care”. Its four core themes – safety, clinical effectiveness, patient experience and quality assurance – provide our staff with the platform to consistently deliver the care patients, their insurers, and commissioners expect and deserve. BMI hospitals have been enthusiastic participants in the pilot programme of the new CQC inspection regime for private providers, and to ensure our facilities are prepared we have developed a selfassessment tool to enable hospitals to compare their perceptions of themselves with those of the external inspectors. The rigorous inspection process itself also underpins the sharing of best practice between hospitals which further drives improvement and consistency. BMI Healthcare strives to provide the best care but the ultimate arbiters of whether we succeed are our patients. We are committed to monitoring every aspect of the care we provide, and the results of the detailed questionnaires we ask patients to complete inform improvement. We aim to provide a consistent, high quality patient experience and an environment that empowers our consultants to excel. Providing a dependably high quality of care requires constant focus on improvement; the most recent independent research conducted for BMI shows that over 98% of our patients rate their care as excellent or very good. The information available here has been reviewed by the Clinical Governance Board and I declare that as far as I am aware the information contained in these reports is accurate. Finally I would like to thank all the staff whose application, professionalism and ceaseless commitment to improvement is recognized here and in the positive experiences of the patients we care for. Since I joined BMI late last year, I have witnessed this firsthand on my many visits to our hospitals and I am committed to ensuring we build on that success. Jill Watts, Group Chief Executive BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 2 BMI Healthcare Serious about health. Passionate about care. . BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 3 BMI Healthcare Serious about health. Passionate about care. Hospital Information BMI The Clementine Churchill Hospital provides services to adults and children from 3 years of age both private and NHS patients. The hospital has 122 operational beds with all rooms offering the privacy and comfort of en-suite facilities, Freeview TV, Wi-Fi and telephone. The hospital has five theatres, a minor surgery operating, endoscopy suite, a level III Intensive Care Unit and offers a self-pay, walk-in Emergency Care Centre, open 7 days a week, from 8am 10pm. The hospital has committed to a rolling programme of refurbishment. This includes public areas and patient bedrooms. We also are near completion of a brand new Endoscopy Unit which we aim to open in June 2015. We currently work with a range of payors, including CCG’s. NHS patients have the opportunity to use our services under choose and book, we also work with local trusts in fulfilling spot contract work, to ensure patient waits are kept to a minimum. NHS patients make up 25% of our overall workload. BMI Healthcare are registered as a provider with the Care Quality Commission (CQC) under the Health & Social Care Act 2008. BMI Clementine Churchill Hospital is registered as a location for the following regulated services:- • • • Diagnostic and/or screening services Surgical procedures, Treatment of disease, disorder or injury, BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 4 BMI Healthcare Serious about health. Passionate about care. The CQC did not carry out an inspection between April 2014 and March 2015. The last inspection was an unannounced inspection on 27 January 2014 and found the following:Consent to care & treatment Met this standard Care and welfare of people using the service Action needed Safeguarding people who use the service from abuse Action needed Cleanliness and infection control Action needed Management of medicines Action needed Safety and suitability of premises Action needed Safety, availability and suitability of Equipment Action needed Staffing Action needed Supporting workers Action needed Assessing / monitoring the quality of service provision Action needed Records Action needed The CQC identified 10 outcomes that had a minor or moderate effect on patient care. As a result of which the Hospital Management team developed a robust action plan covering all 10 outcomes. All actions have since been completed to ensure processes are embedded and adhered to, and that our patients all receive a high quality care at every stage of their journey. The Clementine Churchill Hospital has a local framework through which clinical effectiveness, clinical incidents and clinical quality is monitored and analysed. Where appropriate, action is taken to continuously improve the quality of care. This is through the work of a multidisciplinary group, Clinical Governance and Medical Advisory Committees. Regional Clinical Quality Assurance Groups monitor and analyse trends and ensure that the quality improvements are operationalised. At corporate level the Clinical Governance Board has an overview and provides the strategic leadership for corporate learning and quality improvement. There has been ongoing focus on robust reporting of all incidents, near misses and outcomes. Data quality has been improved by ongoing training and database improvements. New reporting modules have increased the speed at which reports are available and the range of fields for analysis. This ensures the availability of information for effective clinical governance with implementation of appropriate actions to prevent recurrences in order to improve quality and safety for patients, visitors and staff. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 5 BMI Healthcare Serious about health. Passionate about care. At present we provide full, standardised information to the NHS, including coding of procedures, diagnoses and co-morbidities and PROMs for NHS patients.There are additional external reporting requirements for CQC, Public Health England (Previously HPA) CCGs and Insurers BMI is a founding member of the Private Healthcare Information Network (PHIN) UK – where we produce a data set of all patient episodes approaching HES-equivalency and submit this to PHIN for publication. The data is made available to common standards for inclusion in comparative metrics, and is published on the PHIN website http://www.phin.org.uk. This website gives patients information to help them choose or find out more about an independent hospital including the ability to search by location and procedure. 1. SAFETY: 1.1 Infection prevention and control The focus under the Prevention Prevention Prevention Hospital. on infection prevention and control continues leadership of the Group Director of Infection and Control and Group Head of Infection and Control, in liaison with the Infection and Control Lead The Clementine Churchill We have had: • 0 reported cases of MRSA bacteraemia per 100,000 bed days in the last year (NHS 1.17cases/100,000 bed days). • 0 reported MSSA bacteraemia cases /100,000 bed days • 0 reported E.coli bacteraemia cases/ 100,000 bed days • 0 cases of hospital apportioned Clostridium difficile in the last 12 months. • We are in the process of collecting SSI data for submission to Public Health England for orthopaedic surgical procedures. Our rates of infection are 0% for both hips and knees. Infection prevention and control audits are undertaken in all areas on a monthly basis. There is a renewed focus on hand hygiene and ANTT training and audits which are then collated at reported at quarterly Infection Prevention and Control Committee meetings. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 6 BMI Healthcare Serious about health. Passionate about care. Environmental cleanliness is also an important factor in infection prevention and our patients rate the cleanliness of our facilities highly. 1.2 Patient Led Assessment of the Care Environment (PLACE) We believe a patient should be cared for with compassion and dignity in a clean, safe environment. Where standards fall short, they should be able to draw it to the attention of managers and hold the service to account. PLACE assessments will provide motivation for improvement by providing a clear message, directly from patients, about how the environment or services might be enhanced. In 2013 we introduced PLACE, which is the new system for assessing the quality of the patient environment, replacing the old Patient Environment Action Team (PEAT) inspections. The assessments involve patients and staff who assess the hospital and how the environment supports patient’s privacy and dignity, food, cleanliness and general building maintenance. It focuses entirely on the care environment and does not cover clinical care provision or how well staff are doing their job. The PLACE audit for Clementine Churchill Hospital was carried out in May 2014 and involved four patient assessors and four staff split into 2 teams, with results as follows:- Privacy, Dignity Condition, Appearance & Wellbeing & Maintenance 88.79% 87.73% 91.97% 93.87% 99.00% 97.47% Organization Cleanliness Food National level score 97.25% Clementine Churchill 99.76% BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 7 BMI Healthcare Serious about health. Passionate about care. 1.3 Venous Thrombo-embolism (VTE): BMI Healthcare, holds VTE Exemplar Centre status by the Department of Health across its whole network of hospitals including, The BMI Clementine Churchill Hospital. BMI Healthcare was awarded the Best VTE Education Initiative Award category by Lifeblood in February 2013 and were the Runners up in the Best VTE Patient Information category. We see this as an important initiative to further assure patient safety and care. We audit our compliance with our requirement to VTE risk assessment every patient who is admitted to our facility and the results of our audit on this has shown a 100% compliance rate. The Clementine Churchill Hospital reports the incidence of Venous Thromboembolism (VTE) through the corporate clinical incident system. It is acknowledged that the challenge is receiving information for patients who may return to their GPs or other hospitals for diagnosis and/or treatment of VTE post discharge from the Hospital. As such we may not be made aware of them. We continue to work with our Consultants and referrers in order to ensure that we have as much data as possible. These figures from 2014-15 show that VTE incident numbers remain very low. Any incidents are investigated and a root cause analysis carried out. Numbers Rate per 100 Admissions DVT 4 0.037 PE 1 0.009 BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 8 BMI Healthcare Serious about health. Passionate about care. 2. EFFECTIVENESS: 2.1 Patient reported Outcomes (PROMS) Patient Reported Outcome Measures (PROMs) are a means of collecting information on the effectiveness of care delivered to NHS patients as perceived by the patients themselves. PROMs are a Department of Health led programme. For the current reporting period, the tables below demonstrate that the health gain between Questionnaire 1 (pre-operative) and Questionnaire 2 (post–operative) for patients undergoing hip replacement and knee replacement at The Clementine Churchill Hospital. Unfortunately there were less than 30 patients who went through this pathway during the reporting period, and so no score has been provided. Oxford Hip Score average April 14 – September 14 Q1 Q2 Health gain between reporting periods BMI Clementine Churchill NA NA NA 18.16 40.081 21.922 England Copyright © 2013, The Health and Social Care Information Centre. All Rights Reserved. Oxford Knee Score average April 14 – September 14 Q1 Q2 Health gain between reporting periods BMI Clementine Churchill NA NA NA 19.401 36.103 16.702 England Copyright © 2013, The Health and Social Care Information Centre. All Rights Reserved. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 9 BMI Healthcare Serious about health. Passionate about care. 2.2 Enhanced Recovery Programme (ERP): The ERP is about improving patient outcomes and speeding up a patient’s recovery after surgery. ERP focuses on making sure patients are active participants in their own recovery and always receive evidence based care at the right time. It is often referred to as rapid recovery, is a new, evidence-based model of care that creates fitter patients who recover faster from major surgery. It is the modern way for treating patients where day surgery is not appropriate. ERP is based on the following principles:1. All Patients are on a pathway of care a. Following best practice models of evidenced based care b. Reduced length of stay 2. Patient Preparation a. Pre Admission assessment undertaken b. Group Education sessions c. Optimizing the patient prior to admission – i.e HB optimisation, control comorbidities, medication assessment – stopping medication plan. d. Commencement of discharge planning 3. Proactive patient management a. Maintaining good pre-operative hydration b. Minimising the risk of post-operative nausea and vomiting c. Maintaining normothermia pre and post operatively d. Early mobilisation 4. Encouraging patients have an active role in their recovery a. Participate in the decision making process prior to surgery b. Education of patient and family c. Setting own goals daily d. Participate in their discharge planning We have seen our average length of stay reduce over the past year through having a dedicated team focusing on this which report any deviations to length of stay and reasons at daily ‘Comm Cells, discussing at weekly meetings, reporting any delayed discharges on Sentinel to monitor trends, working with consultants to review their booking process (now booked for 3 days instead of 5), and setting up Joint Schools. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 10 BMI Healthcare Serious about health. Passionate about care. 2.3 Unplanned Readmissions within 31 days and Unplanned Returns to Theatre: Unplanned readmissions and unplanned returns to theatre are normally due to a clinical complication related to the original surgery. Comparing these scores it can be seen that readmission rates have gone down whilst returns to theatre have increased slightly. Reasons for these have been monitored through our monthly clinical governance committee meetings, and no adverse trends identified. Furthermore these rates are comparable to other BMI sites of a similar size. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 11 BMI Healthcare Serious about health. Passionate about care. 3. PATIENT EXPERIENCE: 3.1 Patient satisfaction: BMI Healthcare is committed to providing the highest levels of quality of care to all of our patients. We continually monitor how we are performing by asking patients to complete a patient satisfaction questionnaire. Patient satisfaction surveys are administered by an independent third party. We have 2 working groups focussing on the key areas for improvement of:Clinical - Administration/Nursing/Discharge, and Non-clinical - Accommodation/Catering These groups meet monthly to discuss actions required and progress taken is then reviewed at monthly Management Team meetings. The graph above shows that improvements have been made in most areas over the past year. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 12 BMI Healthcare Serious about health. Passionate about care. 3.2 Complaints: In addition to providing all patients with an opportunity to complete a satisfaction survey BMI The Clementine Churchill Hospital actively encourages feedback both informally and formally. Patients are supported through a robust complaints procedure, operated over three stages: Stage 1: Hospital resolution Stage 2: Stage 3: Corporate resolution Patient can ref their complaint to independent adjudication if they are not satisfied with the outcome at the other 2 stages The majority of complaints are financial, in particular around transparency of fees which we are continually looking at ways to improve through signage and patient information. Other complaint themes are around dissatisfaction with clinical outcome, or clinical care received. All complaints are responded to within 20 working days, and complaints are discussed daily at morning Managers Ops meeting, with weekly totals and learns from complaints discussed and displayed in all areas. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 13 BMI Healthcare Serious about health. Passionate about care. 4. CQUINS: The Clementine Churchill Hospital took part in CQUINs for North West London, the Friends and Family test, the Safety Thermometer focusing on falls, and Alcohol Intervention, Follow up DNA rates and Discharge Summaries to GPs were monitored in FY14-15 , with additional audits on Smoking Cessation, Nutritional Assessments and WHO checklist carried out for London. Four out of five of CQUINs were achieved last year. 5. NATIONAL CLINICAL AUDITS: The Clementine Churchill Hospital was only eligible to participate in National Joint Registry audit and all joint replacements are submitted to this. BMI hospital data is from page 196 onwards in attached latest NJS report. Use this if appropriate with your narrative on the data and any improvement plans. This information is not available. 6. RESEARCH: No NHS patients were recruited to take part in research. 7. PRIORITIES FOR SERVICE IMPROVEMENT: 1. To develop and improve colorectal service, linking in with St Marks and our consultants to develop the colorectal care delivered at Clementine Churchill Hospital, with the support from out ITU for the complex cases. 2. To increase orthopeadic capacity for Hip, Knee and Shoulder procedures, and ensure all patients where clinically appropriate follow the ERP pathway for all joint replacement surgery. 3. Utilise the new endoscopy unit opening June 2015 to support local 2 week diagnostic pathways, and the development of our colorectal service. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 14 BMI Healthcare Serious about health. Passionate about care. 8. MANDATORY QUALITY INDICATORS: 8.1 The value and banding of the summary hospital-level mortality indicator (SHMI) for the Clementine Churchill Hospital for the reporting period. Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 0.2288 April 2014-March 2015 0.9987 1.1849 0.58345 This value represents the rate of mortalities at the hospital in the reporting period. This was below the lowest national score. All mortalities were non-perioperative, with only one unexpected. 8.2 The Clementine Churchill Hospital patient reported outcome measures scores for (i) Groin hernia surgery: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score NA April 14 – Sept 14 0.0786 0.278 -0.112 There were minimum numbers going through the process for groin surgery so the Clementine Churchill Hospital was unable to be scored on this element. The Clementine Churchill Hospital intends to take the following actions to improve this score, and therefore the quality of service by promoting completion of the PROMS with every patient. (ii) Varicose vein surgery: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score NA April 14 – Sept 14 -7.395 -1.957 -12.571 No data was provided for varicose veins. (iii) Hip replacement surgery: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score NA Apr 14 – Sept 14 21.542 28.6 9.714 (iv) Knee replacement surgery: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score NA Apr 14 – Sept 14 16.641 24.429 5.833 As with groin surgery above there were minimum numbers going through the process for hip and knee replacement surgery so the Clementine Churchill Hospital was unable to be scored on this element. Actions are as with groin surgery. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 15 BMI Healthcare Serious about health. Passionate about care. 8.3 (i) The percentage of patients aged 0-14 readmitted to the hospital within 28 days of being discharged: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 0% Apr 11 – Mar 12 11.45 14.35 7.96 (ii) The percentage of patients aged 15 or over readmitted to the hospital within 28 days of being discharged: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 0.4% Apr 11 – Mar 12 10.01 14.51 5.54 The percentages for BMI Clementine Churchill Hospital are well below the national average. Re-admission rates continue to be monitored on a monthly basis to observe for trends. 8.4 The BMI Clementine Churchill’s responsiveness to the personal needs of its patients during the reporting period: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 90.99% 2013-2014 68.7 85 54.4 This figure again exceeds the highest national score. Responsiveness continues to be monitored on a monthly basis through patient satisfaction data, monitoring of patient satisfaction action plans at monthly meetings, and daily patient visits enabling immediate action to rectify any issues raised. 8.5 The percentage of patients who were admitted to BMI Clementine Churchill Hospital and who were risk assessed for venous thromboembolism (VTE) during the reporting period: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 98.99% April 2014 – Jan 2015 95 100 87 This score is above the national average and is an improvement upon last year’s score of 97%. This is down to a focus on VTE risk assessment through monthly audits. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 16 BMI Healthcare Serious about health. Passionate about care. 8.6 The rate per 100,000 bed cases of C difficile infection reported within The BMI Clementine Churchill Hospital amongst patients aged 2 or over during the reporting period: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 0 April 2013 – March 2014 14.7 37.1 0 Again this meets the lowest national score and will continue to be maintained through strict adherence to infection prevention and control practices, policies, surveillance and audits, and working closely with our Consultant Microbiologist. 8.7 The number and rate of patient safety incidents reported within The BMI Clementine Churchill Hospital during the reporting period: Number of patient safety incidents reported: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 640* Oct 13- Sep 14 20 139 0 Rate of patient safety incidents reported (per 100 bed days): Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 3.7236* Oct 13- Sep 14 3.589 7.496 0.0245 Number of patient safety incidents that resulted in severe harm or death: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 0* Oct 13- Sep 14 40.2 97 0 Percentage of patient safety that resulted in severe harm or death (per 100 admissions): Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 0%* Oct 13- Sep 14 0.3 2.4 0 *Figures given for BMI Clementine Churchill Hospital are for the period of April 2014 – March 2015 which would explain the high numbers of incidents, although it can be seen that the rate is similar to the national average. The hospital has a healthy incident reporting and incident feedback culture with incidents being monitored on a daily basis. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 17 BMI Healthcare Serious about health. Passionate about care. 8.8 The percentage of staff employed by BMI Clementine Churchill Hospital who would recommend the hospital as a provider of care to their family or friends: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 2014 64.58 96.43 33.73 There are no figures available for staff recommendations. 9. NON MANDATORY QUALITY INDICATORS: 9.1 The percentage of those who received care as inpatients or discharged from A&E who would recommend BMI Clementine Churchill Hospital as a provider of care to their family or friends: Unit Reporting Periods (at least last 2) National Average Highest National Score Lowest National Score 73.42% Jun 13 – Jan 14 66.23 94.38 35.63 This response rate is above the national average. We are focusing on this quality indicator by completing daily patient visits in which a member of the management team obtains feedback regarding the patient experience including the friends and family question and linking into the Chief Nurse of England 6C’s. BMI Clementine Churchill Hospital Quality Accounts 2014 - 2015 18