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 BMI The Sloane Hospital BMI The Sloane Hospital in Beckenham, Kent and 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 and medical procedures together with friendly, professional care. The Sloane Hospital has a state of the art diagnostic imaging department and a pro-active physiotherapy department. Our Consulting rooms are modern and well equipped including a nurse led pre admissions service. The Sloane Hospital has 32 beds with rooms offering the privacy and comfort of en-suite facilities, freeview, Wi Fi and a telephone in every patient room. The hospital has two theatres (one with laminar flow) and can provide level two High Dependency care. 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. The majority of surgical specialties are accommodated at The Sloane, including neuro surgery, orthopaedics, cosmetic surgery, gynaecology, general surgery, gastroenterology, ENT surgery, vascular surgery, and Ophthalmology. This specialist expertise is supported by caring and professional medical staff, with dedicated nursing teams and Resident Medical Officers on duty 24 hours a day, providing care within a friendly and comfortable environment. An emergency medical admissions service is available 24 hours a day supported by leading medical physicians. The Sloane Hospital is engaged in providing some NHS Standard Contract Choose and Book service cover, with published offerings in Trauma and Orthopaedic, Neurosurgery and pain management services. The hospital also engages in a variety of periodical contract work with local NHS Trusts. NHS work currently accounts for around 5 % of the Sloane Hospitals activity. 2 BMI Healthcare are registered as a provider with the Care Quality Commission (CQC) under the Health & Social Care Act 2008. BMI The Sloane is registered as a location for the following regulated services:• • • Treatment of disease, disorder and injury Surgical procedures Diagnostic and screening During previous year, the carpet in Ground floor ward was removed and replaced with laminate flooring to meet IPC guidelines. All patient rooms on this floor was repainted and interior furnishings updated at the same time. Flooring in both anesthetic, theatres 2 and recovery, was upgraded. 2 bedpan macerators installed for both wards. The CQC carried out an unannounced inspection on 21st November 2013. Date of Inspection: 21/11/13 Date of Publication: 7/01/14 Respecting and involving people who use Services: Met this standard Care and welfare of people who use services: Met this standard Safeguarding people who use services from Abuse: Met this standard Supporting workers: Met this standard Assessing and monitoring the quality of service Provision: Met this standard BMI The Sloane 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 and the Medical Advisory Committee. 3 Regional Clinical Quality Assurance Groups monitor and analyses 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. 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. 4 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 link nurse in BMI The Sloane Hospital. The focus on infection prevention and control continues under the leadership of the Group Director of Infection Prevention and Control and Group Head of Infection Prevention and Control, in liaison with the Infection Prevention and Control Lead BMI The Sloane Hospital. We have had: • No MRSA bacteraemia cases/100,000 bed days • No MSSA bacteraemia cases /100,000 bed days • One E.coli bacteraemia cases/ 100,000 bed days • No cases of hospital apportioned Clostridium difficile in the last 12 months or in the rolling last six years. • SSI data is also collected and submitted to Public Health England for Orthopaedic surgical procedures. • Our rates of infection are; o None :Hips o None: Knees 5 The Sloane Hospital uses care bundles as a means of documenting interventions in for example the following areas : • Surgical site care • Urinary catheter care • Intravenous peripheral lines • Surgical site infections. These interventions are audited by departmental infection control links, infection control audits are completed monthly as part of a rolling corporate program, with different themes each month, for example Sharps management, Surveillance, waste management, isolation facilities and equipment cleansing with compliance averaging 92%. All clinical staff undergo annual mandatory training and practical competency based assessment in ANTT (Aseptic non touch Technique) for clinical intervention. 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. 6 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 results will show how hospitals are performing nationally and locally. Results of the hospital for 2014 were: PRIVACY DIGNITY FOOD AND AND CLEANLINESS HYDRATION WELLBEING CONDITION APEARANCE AND MAINTENANCE Site score 2014 99.63% 96.93% 71.25% 96.12% National average 97.25% 88.79% 87.73% 91.97% 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 Sloane 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 twelve month average of 100% this is maintained through robust orientation of new staff, regular audit of practice by all members of the ward team and annual re fresher training on VTE prophylaxis and awareness. The Sloane 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. We have no incidents of VTE for the period between April 2014 and March 2015. 7 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. Latest results can be found by going on the online SOLAR system provided to you by Quality Health 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 Sloane Hospital. The Sloane Hospital participates in data collection, however has Insufficient numbers (less than 30) to generate reportable data. April 14 – September 14 The Sloane Hospital England Oxford Hip Score average Health gain between reporting Q1 Q2 periods / / Insufficient numbers to produce data. 18.16 40.081 21.922 Copyright © 2013, The Health and Social Care Information Centre. All Rights Reserved. April 14 – September 14 The Sloane Hospital England Oxford Knee Score average Health gain between reporting Q1 Q2 periods / / Insufficient numbers to produce data 19.401 36.103 16.702 Copyright © 2013, The Health and Social Care Information Centre. All Rights Reserved. 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:- 8 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 9 Our Hospital ERP committee is in place and meets through the patient journey team. Carbohydrate loading drinks have been introduced earlier this year. We have a regular review of our ERP data through our clinical governance team and HODs meetings. We are looking at ways to introduce joint schools for our patients by working with teams at other BMI sites within our cluster. 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. 10 Unplanned re admission count for BMI The Sloane. We have had minimal patients resulting in an unplanned re admitted , in comparison to other sites in our group (group D) we look slightly higher for one month, however in reality the biggest number was only two patients in May 2014. Our return to theatre count is most often below the average for our site group (D) with two peeks however of only two patients. 11 The Sloane Hospitals return to theatre count. 12 Any trends or concerns would be investigated via our Clinical Governance committee and discussed further at our management Team meeting and Medical advisory meeting. 13 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. Sloane 4567 94% 98% 95% 94% 94% 94% 88% 98% 77 2013/2014 Quality Data Overall impression of the arrival process: has continued throughout the year, with a significant improvement matching BMIs avaerage in the last few months. Overall impression of nursing care: has consitently improved since 2013 and is maintianing pace with BMI average for current date which has also improved. 14 Overall impression of accommodation: following focused attention by the patient journey team has move up 10% to current date. 15 Overall impression of catering: is consistency strong and well above BMI average. Overall Quality of care : Has demonstrated a stong consistent trend from 2013 through to current date. 16 Quality for our patients is constitently high in our focus and attentions, for many areas we exceed all of BMI, and for others we target our efforts. To support engagement and improvement in improving our quality Health results The Sloane Hospital holds alternate monthly Pain meetings and patient journey meetings. These are minuted meetings with focused action plans and have members from across the multi 17 disciplinary team both clinical and non clinical. The Sloane hospitals excellent overall average of nursing care score of 97% and Quality of care score of 97% for example demonstrates the effectiveness off our inhouse training and culture of our teams. 3.2 Complaints In addition to providing all patients with an opportunity to complete a satisfaction survey BMI The Sloane 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: 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. 18 The Sloane Hospital written complaint count and constistently reduced over the last year. In comparitive to other sites in our group we are often below the average number with the majority not being upeld. Those that are upheld have been resolved at stage one and not escalated. Through use of the data available we are able to focus on our most common themes and issues, these are taken to our patient journey team, Governance team and Head of department meetings. The sites most common complaint: Communication/information to patients (written and oral) 19 4. CQUINS 20 5. National Clinical Audits BMI The Sloane Hospital was only eligible to participate in National Joint Registry audit and all joint replacements are submitted to this. 2014 data The Sloane Hospital has an excellent consent rate 90% in 2014 and 100% year to date. 21 6. Research No NHS patients were recruited to take part in research. 22 7. Priorities for service development and improvement Development of liver services Development of improved ambulatory care services Development of 5 day rule Increase pre admission clinics and review timing of service 23 8. Mandatory Quality Indicators 8.1 The value of the summary hospital-level mortality indicator (SHMI) for the BMI The Sloane Hospital for the reporting period. Unit 437* 0 Reporting Periods (at least last two reporting periods) Oct 2012 – Jun 2014 National Average Highest National Score Lowest National Score 0.9987 1.1849 0.58345 The Sloane Hospital considers that this data is as described for the following reasons, there were no incidents to report. 8.2 The Sloane Hospital patient reported outcome measures scores for (i) Groin hernia surgery Unit 437 * o Reporting Periods (at least last two reporting periods) Apr 14 – Sept 14 National Average Highest National Score Lowest National Score 0.0786 0.278 -0.112 The Sloane Hospital considers that this data is as described for the following reasons * = less than 30 patients going through the process, meaning that the site cannot be scored. (ii) Varicose vein surgery Unit 0 Reporting Periods (at least last two reporting periods) Apr 14 – Sept 14 National Average Highest National Score Lowest National Score -7.395 -1.957 -12.571 The Sloane Hospital considers that this data is as described for the following reasons * = less than 30 patients going through the process, meaning that the site cannot be scored. (iii) Hip replacement surgery Unit 0 Number Reporting Periods (at least last two reporting periods) Apr 14 – Sept 14 National Average Highest National Score Lowest National Score 21.542 28.6 9.714 The Sloane Hospital considers that this data is as described for the following reasons * = less than 30 patients going through the process, meaning that the site cannot be scored. (iv) Knee replacement surgery during the reporting period. 24 Unit 0 Number Reporting Periods (at least last two reporting periods) Apr 14 – Sept 14 National Average Highest National Score Lowest National Score 16.641 24.429 5.833 The Sloane Hospital considers that this data is as described for the following reasons * = less than 30 patients going through the process, meaning that the site cannot be scored. 8.3 (i) The percentage of patients aged 0-14 readmitted to a hospital which forms part of the Sloane Hospital within 28 days of being discharged from a hospital which forms part of the hospital 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 The Sloane Hospital considers that this data is as described for the following reasons: patients aged 0-14 are not admitted to the Sloane. 8.3.(ii)The percentage of patients aged 15 or over readmitted to a hospital which forms part of the Sloane Hospital within 28 days of being discharged from a hospital which forms part of the hospital during the reporting period. Unit 0.15 % 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 The Sloane Hospital considers that this data is as described for the following reasons only a small number of patients were readmitted. 8.4 The Sloane Hospitals responsiveness to the personal needs of its patients during the reporting period. Unit 94.24 % Reporting Periods (at least last two reporting periods) 2013-2014 National Average Highest National Score Lowest National Score 68.7 85 54.4 The Sloane Hospital considers that this data is as described for the following reasons only going focus on quality patient care and experience. 8.5 The percentage of patients who were admitted to The Sloane Hospital and who were risk assessed for venous thromboembolism during the reporting period. Unit 25 Reporting Periods National Highest National Lowest National 100% (at least last two reporting periods) Apr 14 – Jan 15 Average Score Score 95 100 87 The Sloane Hospital considers that this data is as described for the following reasons regular staff training and robust orientation keeps our compliance high for risk assessments. 8.6 The rate per 100,000 bed days of cases of C difficile infection reported within the Sloane Hospital amongst patients aged 2 or over during the reporting period. Unit 0 Rate 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 8.7 The number and, where available, rate of patient safety incidents reported within the Sloane Hospital 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 185 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 Bed Days) Unit 7.7731% 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 – Sept 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% 26 Reporting Periods (at least last two reporting periods) Oct 13 – Sept 14 National Average Highest National Score Lowest National Score 0.3 2.4 0.0 The Sloane Hospital considers that this data is as described for the following reasons: positive reporting is promoted with a long standing consistent approach in reporting for example a day case to an overnight stay as an adverse incident not consistent at all other sites. 8.8 The percentage of staff employed by the Sloane Hospital during the reporting period, who would recommend the Sloane Hospital as a provider of care to their family or friends. Unit 77 % Reporting Periods (at least last two reporting periods) 2014 National Average Highest National Score Lowest National Score 64.58 96.43 33.73 The Sloane Hospital considers that this data is as described for the following we have a committed and loyal work force who recognize the standards and quality of care delivered at the Sloane. 27 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 Sloane Hospital as a provider of care to their family or friends. Unit 77% 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 The Sloane Hospital considers that this data is as described for the following reasons we have a large number of regular patients who are reluctant to repeat completing questionnaires such as friends and family therefore our returns are sometimes disappointing. The Sloane Hospital is continuing to promote patients response to improve this percentage, and so the quality of its services, by gaining a better overview of recommendation. …………………………………. 28