Chief Executive’s 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
1
Hospital Information
BMI The Hampshire Clinic in Basingstoke, Hampshire is part of BMI Healthcare, Britain's leading provider
of independent healthcare with a nationwide network of hospitals & clinics performing more complex
surgery than any other private healthcare provider in the country. Our commitment is to quality and value,
providing facilities for advanced surgical procedures together with friendly, professional care. Our Vision
is to be part of a Group that creates a world of consumer led care, where individuals choose our
extensive health and well-being services throughout their lives, to help improve the health of the nation.
BMI The Hampshire Clinic has 65 beds all with the comfort of en-suite facilities, satellite TV and
telephone. The hospital has 4 operating theatres, 2 of which are laminar air flow, as well as an outpatient
theatre and a dedicated endoscopy suite. Further to this we have a 3 bedded Intensive Care Unit, 2 of
which are level 3, with appropriately qualified intensive care nurses and on-site dedicated anaesthetists.
In addition to the inpatient facilities, there is a comprehensive outpatient department including health
screening, physiotherapy, a hydrotherapy complex and radiology with an on-site 1.5T MRI scanner and
64 slice CT scanner.
These facilities combined with the latest in technology and on-site support services enable our
consultants to undertake a wide range of procedures from routine investigations to complex surgery.
These specialist teams together with our Resident Medical Officers, who are on duty 24 hours a day,
provide care within a friendly, comfortable and clean environment.
Our latest figures show that 30% of our patient group is NHS - specialties include Orthopaedics,
Colorectal, Pain Management, ENT, Gastroenterology, General Surgery, Ophthalmology, Oral Surgery,
and Urology.
BMI Healthcare is registered as a provider with the Care Quality Commission (CQC) under the Health &
Social Care Act 2008. BMI The Hampshire Clinic is registered as a location for the following regulated
services:•
•
•
•
Treatment of disease, disorder and injury
Surgical procedures
Diagnostic and screening
Family Planning
2
th
The CQC carried out an unannounced inspection on 28 January 2014. During the visit the CQC
assessed 5 key areas. Part of the inspection involved iinspectors meeting and talking with patients.
People who used the Hampshire Clinic told inspectors they were well informed by staff about the
treatments or procedures they were undergoing. Patients said they were required to sign consent forms
prior to receiving any treatment and said that staff were friendly and professional and treated them with
respect. Patients were positive about their care and treatment. The hospital requires all staff to be trained
in adult and child protection to ensure that a safe environment is promoted. The CQC found that there
were safe systems and procedures in place for the storing and administering of medication and that
patients were provided with appropriate information about their medication by the hospital staff.
Inspectors were satisfied that the hospital had systems in place to monitor and manage risks and also
monitor the quality of care and treatment provided. Regular feedback was sought from patients and the
information circulated to the staff. Patients were made aware of how to raise a concern or make a
complaint and the hospital responded promptly to complaints that were made.
Findings from the latest CQC:
1. Consent to Care and Treatment
Met this standard
2. Care and Welfare of People who use Services
Met this standard
3. Safeguarding people who use services from abuse
Met this standard
4. Management of medicines
Met this standard
5. Assessing and monitoring the quality of service provision
Met this standard
The Hampshire Clinic has a local framework through which clinical effectiveness, clinical incidents and
clinical quality is monitored and assessed. Where appropriate, action is taken to continuously improve the
quality of care. This is through the work of governance groups, multidisciplinary teams and the Medical
Advisory Committee.
Regional Clinical Quality Assurance Groups monitor and analyse trends and ensure that the quality
improvements are implemented. There has been development of shared learnings across hospitals and
Regions.
At a corporate level the Clinical Governance Board has an overview and provides the strategic leadership
for corporate learning and quality improvement.
There has been ongoing 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.
3
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.
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1. Safety
1.1 Infection prevention and control
The focus on infection prevention and control continues under the
leadership of the Group Head of Infection Prevention and Control, in
liaison with the Specialist Practitioner in Infection Prevention and
Control based at The Hampshire Clinic one day a week.
The hospital has an Infection Control Committee that meets quarterly
and includes representation from all clinical areas, pharmacy and an
Infection and Control Microbiologist from the local NHS Trust.
We have had: • Zero cases of MRSA and MSSA in the last year (NHS
1.17cases/100,000 bed days).
•
Zero cases of hospital apportioned Clostridium difficile in the last 12 months.
Infection Control Environmental Audits are completed throughout the year with findings reported back to
the relevant team/department with recommendations for improvement.
-
Mattress audit – Checking of all mattresses within the wards was completed in July 2014.
-
Sharps audit – Completed November 2014. Annual check by Daniels Representative for all
clinical areas to assess compliance in the use of sharps containers. Areas for improvement
included the removal of containers being stored on the floor in some departments and the need
for a blue pharmi container for contrast bottles.
-
Ten patient rooms have had carpets removed and replacement vinyl laid down. There is an
ongoing programme of painting works to improve general décor.
-
High Impact Care Bundles are completed monthly in appropriate clinical areas for urinary
catheter/peripheral cannula insertion/ CVP care and ongoing management and for prevention of
surgical site infection. The Care Bundle audit for taking of blood cultures is to be commenced but
this procedure is also not regularly completed at Hampshire Clinic. Results are fed back to the
department’s monthly.
-
For all staff with direct patient contact, hand hygiene workshops are held at regular intervals with
a hand hygiene competency document included. This is ongoing and compliance audits have
been commenced in clinical areas by department IP&C Links. The compliance audit includes
checks on the “bare below the elbows” (BBE) policy.
-
All clinical departments are involved in IPS audits on an annual basis. The audits cover general
IP&C management as well as cleanliness, hand hygiene, PPE, waste, sharps, and linen
5
management, standard precautions etc. Each section is given a percentage score and then an
overall score is calculated. Action plans are requested for areas where improvement is required.
Care Bundles
The Hampshire Clinic has implemented care bundles for Peripheral Cannulas, Urinary Catheters and
Central Lines. These are subject to regular audit the results of which are provided below:
Saving Lives Audits April 2014 – March 2015
Hampshire Clinic Central Line Insertion
April 2014-March 2015
Percentage compliant
100
80
60
40
20
0
* Dec 2014 – nil central lines inserted
Percentage Compliant
Hampshire Clinic Central Line Ongoing Care
April 14 - March 15
100
90
80
70
60
50
40
30
20
10
0
Apr- May- Jun- Jul-14 Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar14
14
14
14
14
14
14
14
15
15
15
* Nov 2014 – nil central lines requiring ongoing care
6
Hampshire Clinic Peripheral Cannula Ongoing Care
April 2014 - March 2015
100
90
Percentage achieved
80
70
60
50
40
30
20
10
0
Apr-14 May- Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14Dec-14 Jan-15 Feb-15 Mar14
15
* N.B It is important to note that the areas of non-compliance in the audit results relate to the lack of or
incomplete care bundle documentation as opposed to practice failures.
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Percentage compliant
Hampshire Clinic Urinary Catheter Insertion
April 2014 -March 2015
100
90
80
70
60
50
40
30
20
10
0
No urinary
catheters in situ
Hampshire Clinic Urinary Catheter Ongoing Care
April 2014-March 2015
100
Percentage compliant
90
80
70
60
50
40
30
20
10
No urinary
catheters in situ
0
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Environmental cleanliness is also an important factor in infection prevention and our patients rate the
cleanliness of our facilities highly.
Patient satisfaction with the cleanliness of patient rooms and bathrooms are collected and reported on a
monthly basis via the patient satisfaction questionnaires.
9
1.2 Patient Led Assessment of the Care Environment (PLACE)
We believe all patients 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 provide motivation for improvement by providing a clear
message, directly from patients, about how the environment or services might be enhanced.
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On March 24 2015 The Hampshire Clinic carried out the annual PLACE assessment aimed at assessing
the quality of the patient environment from the patient’s perspective.
The assessments involve both patients and staff assessing 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.
The results show how hospitals are performing nationally and locally. The results for 2015 were as
follows:
Patient feedback is used to address staff attitudes and behaviours as reported in the monthly patient
satisfaction reports and weekly snapshots reports. Commendations as well as criticisms are reviewed by
the Heads of Department, shared and discussed with their teams. Where necessary an action plan is
developed to improve staff attitudes and behaviours. A similar process is followed with regards to the
patient complaints process if related to attitude or behavioural concerns of staff. In addition to this staff
are provided with customer care training during annual development days.
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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 Hampshire Clinic. 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 that the hospital consistently achieves 100% compliance with VTE
assessment.
The Hampshire Clinic 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 some cases. We continue to work with our Consultants
and referrers in order to ensure that we have as much data as possible.
st
st
2 incidents of VTE were reported at The Hampshire Clinic between 1 April 2014 and 31 March 2015.
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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 is a Department of
Health led programme.
PROMs participation rates are improving at The Hampshire Clinic and participation is driven by the preassessment nurses however there is currently insufficient data to provide statistically significant health
gain data between pre-operative and post-operative questionnaires for patients undergoing hip and knee
replacements.
The chart below illustrates the number of completed and submitted PROMs questionnaires from April
2014 to March 2015 which is continually increasing.
12
2.2 Enhanced Recovery Programme (ERP)
The ERP is designed to improve patient outcomes and speed 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 co-morbidities,
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
At the Hampshire Clinic we have launched the Enhanced Recovery programme in Orthopaedics, to be
closely followed by colorectal & general surgery.
Our systems and processes have required very little change and we have been achieving LOS times inline with national averages and the goals set by the ERP.
We have acceptance of the formalised programme by all our Consultant Surgeons and Anaesthetists,
allowing us to begin optimising the patient’s outcomes.
Monitoring and maintaining excellence has always been part of our clinical governance process. We have
adopted the national ERP audit tool allowing us to measure multiple variables within one simple tool. An
independent provider is also engaged with BMI in analysing PROMS data for our NHS funded patient
group; giving us the opportunity to objectively assess outcomes for our patients as a holistic measure.
A common misconception is that ERP is a programme aimed at simply reducing patient’s LOS. This
programme actually delivers a complete service aimed at optimising the overall outcome for the patient
which does often include a reduction in ‘hospitalisation’.
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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. From the graphs below, BMI The Hampshire Clinic rates remain very low.
All incidents are reviewed by the Clinical Governance Forum and investigated where necessary.
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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 who provide
the hospital with monthly detailed reports.
Year
2013
2014
2015
353
527
254
Nursing Care
93.7%
97.6%
97.9%
Arrival process
89.4%
91.4%
97.0%
Accommodation
90.9%
92.2%
94.6%
Catering
81.4%
88.5%
95.2%
Discharge procedure
87.8%
90.9%
95.4%
Quality of Care
97.1%
97.3%
100%
Responses
Patient survey results from Quality Health Reports published in March 2013, 2014 & 2015.
15
The table above shows we have improved in all areas of the patient experience year on year. The
response rate to the longform questionnaire has declined in line with the introduction of the new friends
and family postcard which in turn has been a success with patients. The 6C’s launched by Jane
Cummings, Chief Nursing Officer for England in late 2012, are a fundamental part to the provision of
Healthcare and we use these principles to meet and maintain high standards and is underpinned by
BMI’s tagline “ Serious about Health. Passionate about care”.
The Hampshire Clinic continually reviews patient feedback and looks at ways in which the patient
experience can be improved. Some local improvements and focus throughout 2014/15 included:
•
•
•
Provision of customer care training focusing on key BMI behaviours around welcoming and
engaging customers
Increased Pharmacy resource
Refurbishing of areas where patients have commented about the state of disprepair e.g. car park,
carpets and patient bedrooms
Provision of single sex waiting areas for walk-in-walk-out patients
Implementation
•
Provision of pain management lectures during staff clinical development days
Implementation of a patient pain flow chart and a laminated prompt card on each inpatients
bed table to improve patient awareness of pain management
Pain information and leaflets produced for Pre-Operative Assessment Clinic
•
•
•
•
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3.2 Complaints
In addition to providing all patients with an opportunity to complete a satisfaction survey BMI The
Hampshire Clinic 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: Corporate resolution
Stage 3: Patients can refer their complaint to independent adjudication if they are not satisfied with the
outcome at the other 2 stages.
Between 1st April 2014 and 31st March 2015 the hospital received a total of 27 complaints. All complaints
are discussed at Heads of Department meetings and Clinical Governance Forums in order to identify any
trends and ensure appropriate action is taken.
Examples of action taken include:
•
•
•
•
•
•
Establishment of a new single sex waiting room for “walk in walk out” patients
Introduction of a more frequent cleaning schedule in new waiting area following a complaint
regarding the state of the room.
Signage more visible in consultation rooms following complaints about charges
Call bell response time raised at Senior Nurse Group and improvements now shown in patient
satisfaction scores
Catering – in addition to Esteem meals catering have reintroduced a Chefs special of offer more
choice
Introduction of weekly ward rounds by members of the leadership team to ensure satisfaction with
the patient journey and where necessary address any issues raised.
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4. CQUINS
The CQUINS completed successfully at The Hampshire Clinic between April 2014 and March 2015
were as follows:
Unit
Nationally
Req'd
Target
Mar 15
Friends & Family Question Participation
%
N
15.0
45.4
Friends & Family Recommend
%
N
75.0
95.0
Friends & Family Not Recommend
%
N
0.0
5.0
VTE Assessment Compliance
%
Y
95.0
100.0
Measure
In addition to the above the hospital participated in a local CQUIN involving Surgical Site Infection
st
st
Surveillance. All patients attending for a hip replacement between 1 January and 31 March were
included in the programme and data submitted to Public Health England for continued surveillance. None
of the patients included in this first wave of SSIS reported a surgical site infection.
5. National Clinical Audits
BMI The Hampshire Clinic was only eligible to participate in National Joint Registry audit and all joint
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replacements are submitted to this. The following table is an extract from the 11 Annual Report 2014 for
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data relating to The Hampshire Clinic (ref. National Joint Registry 11 Annual Report – Trust, Local
Health Board- and unit-level activity and outcomes 2013).
No. of
procedures
2013
232
No. of
consultants
2013
10
Consent
Rate (%)
2013
98%
Linkability
(%) 2013
95%
Average
ASA Grade
2013
% Male
Patients
2013
2.1
36%
Average
Age At
Operation
2013
68.0
% of 10A
Rated
Acetabular
Implant Hip
Primary
Procedures
2013
3%
% of 10A
Rated
Femoral
Implant Hip
Primary
Procedures
2013
82%
6. Research
No NHS patients were recruited to take part in research.
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7. Priorities for service development and improvement
•
•
•
•
•
•
•
•
•
•
•
•
Continue to develop and monitor outcomes relating to the Enhanced Recovery Programme
Develop peritoneal malignancy centre of excellence
Develop urology prostate mapping and diagnostic and focal therapy services
Develop liver resection capability
Develop cervical spine proposition
Develop efficient ambulatory care model for Walk In Walk Out and Daycase patients
Improve utilisation of theatres and minor ops
Further capital investment in the estate – room refurbishment
Invest capital in new endoscopy suite and full field digital mammography
Expand role and training of HCA’s with NVQ programmes
Work closely with Basingstoke and North Hampshire Hospital on key strategic partnerships (e.g.
pathology and infection control)
Further develop pre-assessment proposition
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8. Mandatory Quality Indicators
8.1 The value and banding of the summary hospital-level mortality indicator (SHMI) for The Hampshire
Clinic for the reporting period.
Unit
0
Reporting Periods
(at least last two reporting
periods)
Oct 12 – Jun 14
National
Average
Highest National
Score
Lowest National
Score
0.9987
1.1849
0.58345
8.2 The Hampshire Clinic patient reported outcome measures scores for
(i) Groin hernia surgery
Unit
*
Reporting Periods
(at least last two reporting
periods)
Apr 14 – Sep 14
National
Average
Highest National
Score
Lowest National
Score
0.0786
0.278
-0.112
* Less than 30 patients going through the process, site cannot be scored
(ii) Varicose vein surgery
Unit
*
Reporting Periods
(at least last two reporting
periods)
Apr 14 – Sep 14
National
Average
Highest National
Score
Lowest National
Score
-7.395
-1.957
-12.571
* Less than 30 patients going through the process, site cannot be scored
(iii) Hip replacement surgery
Unit
*
Reporting Periods
(at least last two reporting
periods)
Apr 14 – Sep 14
National
Average
Highest National
Score
Lowest National
Score
21.542
28.6
9.714
* Less than 30 patients going through the process, site cannot be scored
(iv) Knee replacement surgery during the reporting period.
Unit
*
Reporting Periods
(at least last two reporting
periods)
Apr 14 – Sep 14
National
Average
Highest National
Score
Lowest National
Score
16.641
24.429
5.833
* Less than 30 patients going through the process, site cannot be scored
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8.3 (i) The percentage of patients aged 0-14 readmitted to a hospital which forms part of The Hampshire
Clinic within 28 days of being discharged from a hospital which forms part of The Hampshire Clinic during
the reporting period.
Unit
0
Reporting Periods
(at least last two reporting
periods)
Apr 11 - Mar 12
National
Average
Highest National
Score
Lowest National
Score
11.45
14.35
7.96
8.3.(ii)The percentage of patients aged 15 or over readmitted to a hospital which forms part of The
Hampshire Clinic within 28 days of being discharged from a hospital which forms part of the hospital
during the reporting period.
Unit
0.17207473
Reporting Periods
(at least last two reporting
periods)
Apr 11 - Mar 12
National
Average
Highest National
Score
Lowest National
Score
10.01
14.51
5.54
8.4 The Hampshire Clinic’s responsiveness to the personal needs of its patients during the reporting
period.
Unit
94%
Reporting Periods
(at least last two reporting
periods)
2013-2014
National
Average
Highest National
Score
Lowest National
Score
68.7
85
54.4
8.5 The percentage of patients who were admitted to The Hampshire Clinic and who were risk assessed
for venous thromboembolism during the reporting period.
Unit
100%
Reporting Periods
(at least last two reporting
periods)
Apr 14 – Jan 15
National
Average
Highest National
Score
Lowest National
Score
96
100
79
8.6 The rate per 100,000 bed days of cases of C difficile infection reported within The Hampshire Clinic
amongst patients aged 2 or over during the reporting period.
Unit
0
Reporting Periods
(at least last two reporting
periods)
Apr 13 – Mar 14
National
Average
Highest National
Score
Lowest National
Score
14.7
37.1
0
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8.7 The number and, where available, rate of patient safety incidents reported within The Hampshire
Clinic during the reporting period, and the number and percentage of such patient safety incidents that
resulted in severe harm or death.
Number of patient safety incidents reported
Unit
0
Reporting Periods
(at least last two reporting
periods)
Oct 13 – Sep 14
National
Average
Highest National
Score
Lowest National
Score
20
139
0
Rate of patient safety incidents reported (Incidents per 100 Admissions)
Unit
0
Reporting Periods
(at least last two reporting
periods)
Oct 13 – Sep 14
National
Average
Highest National
Score
Lowest National
Score
3.589
7.496
0.0245
Number of patient safety incidents that resulted in severe harm or death
Unit
0
Reporting Periods
(at least last two reporting
periods)
Oct 13 – Sep 14
National
Average
Highest National
Score
Lowest National
Score
40.2
97
0
Percentage of patient safety incidents that resulted in severe harm or death (Incidents per 100
Admissions)
Unit
0
Reporting Periods
(at least last two reporting
periods)
Oct 13 – Sep 14
National
Average
Highest National
Score
Lowest National
Score
0.3
2.4
0.0
8.8 The percentage of staff employed by The Hampshire Clinic during the reporting period, who would
recommend The Hampshire Clinic as a provider of care to their family or friends.
Unit
86.2%
Reporting Periods
(at least last two reporting
periods)
2014
National
Average
Highest National
Score
Lowest National
Score
64.58
96.43
33.73
The Hampshire Clinic considers that this data is materially better than the National Average because staff
are committed to what they do, find their jobs interesting and fulfilling and understand that patients
receive great care.
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9. Non-Mandatory Quality Indicators
9.1 The percentage of patients who received care as inpatients or discharged from A&E during the
reporting period, who would recommend The Hampshire Clinic as a provider of care to their family or
friends.
Unit
84%
Reporting Periods
(at least last two reporting
periods)
Jun 13 – Jan 14
National
Average
Highest National
Score
Lowest National
Score
66.23
94.38
35.63
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