BMI The Hampshire Clinic Quality Accounts
April 2013 to March 2014
Chief Executive’s Statement
Welcome to our Quality Accounts 2014, the fifth year we have published this
data. The information presented here on a broad range of quality measures
continues to grow in importance and usefulness for patients and
commissioners. Quality accounts already provide a key metric for people to
assess the strength of our 66 hospitals and clinics against other facilities - NHS
and independent - from which they might receive their care.
For BMI Healthcare and every other private provider the importance of
comparable quality data was recently reinforced by the conclusions of the
Competition Commission’s market investigation into private healthcare. From
the outset of the inquiry BMI Healthcare supported the principle that
competition in the sector would be enhanced if private hospitals produced
comparable quality data and that competition amongst hospitals would drive up
service standards. We were therefore fully supportive when the Commission
announced in April that it is mandating the provision of greater information on
the performance of hospital operators and consultants. We wholeheartedly
agree when the Commission says that “a more transparent market with
patients actively making choices will drive hospital operators to compete on the things that matter to
patients”.
Whilst we are yet to see how the Commission will ensure that this is enacted, the private sector continues
to take its own steps. Five years ago BMI Healthcare was at the forefront of the sector’s efforts to be more
open about sharing comparable quality and pricing data when we sponsored the launch of the Hellenic
Project. Today that work has been superseded by the Private Hospitals Information Network which is
working towards publishing data that will allow patients and commissioners to make informed choices - a
challenge that the sector must now rise to. We at BMI Healthcare will continue to play our part in these
important developments, which we believe can have a significant role in driving higher quality standards.
I remain proud, but certainly not complacent, about the quality of care our hospitals provide. Last year
BMI Healthcare invested £40m in our hospitals, supporting our committed staff and consultants to meet
the challenge of providing consistently safe, high quality care. We constantly measure our patients’
experience, and I am pleased to note that in the three months to the end of March 2014, 97.3% of
patients independently surveyed expressed satisfaction with their care and 97.9% said they would
recommend us to others. There is however always room for improvement, and publication of comparable
quality data across the independent sector can only help.
The information available in these quality accounts 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. I thank all
the staff whose energy and devotion to improvement is represented here and, more importantly, in the
experiences of every patient who steps across our threshold.
Stephen Collier
Chief Executive Officer
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
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.
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 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 bacteremia 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.
Ͳ
Mattress audit – Checking of all mattresses within the wards is underway with completion due in
July 2014.
Ͳ
Sharps audit – Completed November 2013. Annual check by Daniels Representative for all
clinical areas to assess compliance in the use of sharps containers. Areas for improvement
included temporary closure mechanism not in use this was feedback to all areas as a reminder.
Ͳ
On the main ward (Lyde), two patient rooms have had carpets removed and replacement vinyl
laid down and hand hygiene sinks installed. There is an ongoing programme of painting works to
improve general décor.
Ͳ
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.
Ͳ
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.
Ͳ
ANTT competency training for LIPCN is in June 2014
Ͳ
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
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.
Area
Date audit
completed
Percentage
compliance
Lyde Ward
21/10/2013
93%
Loddon Ward
17/09/2013
92%
Enbourne Ward
13/05/2013
92%
ICU
22/03/2014
93%
Endoscopy
22/08/2013
92%
Physiotherapy
05/11/2013
96%
Hydrotherapy
05/11/2013
81%
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 13 – March 14
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In December 2013 there were no audits performed.
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.
Environmental cleanliness is also an important factor in infection prevention and our patients rate the
cleanliness of our facilities highly.
Cleanliness scores for patient rooms and bathrooms are collated and reported on a monthly basis via the
patient satisfaction questionnaires.
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.
In 2013 The Hampshire Clinic 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.
The results show how hospitals are performing nationally and locally. The results for 2013 were as
follows:
th
On the 27 February 2014 BMI The Hampshire Clinic undertook its annual PLACE assessment assisted
by two patient assessors. Results have been recently uploaded and the hospital is awaiting the final
report however observations on the day were generally very positive. Improvements noted from the
previous year’s audit included resurfacing of patient car park, availability of more new high backed
washable chairs in patient waiting areas and the creation of two step down HDU patient bedrooms.
Staff behaviours and values are addressed following the feedback of patient comments reported in the
monthly patient satisfaction 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.
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
No incidents of VTE were reported at The Hampshire Clinic between 1 April 2013 and 31 March 2014.
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 across the
year.
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 are launching the Enhanced Recovery programme initially in Orthopaedics,
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’.
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.
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.
Year
2012
2013
2014
Responses
372
353
527
Nursing Care
92.6
93.7
97.6
Arrival process
91.7
89.4
91.4
Accommodation
87.2
90.9
92.2
Catering
83.7
81.4
88.5
Discharge procedure
84.8
87.8
90.9
Quality of Care
95.6
97.1
97.3
Patient survey results from Quality Health Reports published in March 2012, 2013 & 2014.
The table above shows we have improved in all areas of the patient experience and in our response rate.
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 2013 included:
•
•
•
•
•
•
•
•
•
•
•
Training of staff focused and tailored to key BMI behaviours – new videos placed on BMI elearning
Appointment of a dedicated Acute Pain Nurse
Increased Pharmacy resource
Catering and patients experience of ward hostess service levels
Customer service on reception and meet and greet – all new patient incoming calls now directed
away from reception to alternative call handlers. SLA established re call answer times and all
trained in customer service call handling.
General room improvements with 2 new bedrooms with enhanced facilities
Installation of silent clocks in response to patient dissatisfaction with noise at night
Re-surfacing of patient car park
Installation of more high backed chairs in patient waiting areas for orthopaedic patients
Increase in service line offering in relation to demand
Introduction of themed clinical service strategy –“putting patients at the heart of what we do”
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 2013 and 31st March 2014 the hospital received a total of 29 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:
•
•
•
•
•
•
Patient feedback on need to assess waiting room chairs
Patient feedback on difficulty on getting through sometimes on reception
Patient feedback on potholes appearing in the car park following all the storms and flooding
Conversion of a patient room into a single sex designated waiting area for walk-in-walk out
patients in response to a patient complaint.
Change in practice on the wards in terms of nurses completing documentation in patient rooms to
improve timeliness of record keeping as opposed to at the nurses station
Improved communication following complaints within hospital and following feedback from BMI
staff survey – “how can we improve learnings?”- staff 2 way briefing, additional notices –
significant improvements in April 2014 results including staff engagement index.
4. CQUINS
The CQUINS completed successfully at The Hampshire Clinic are as follows:
1.1
90% of patients requiring VTE risk assessment on admission
100%
1.2
Appropriate prophylaxsis for patient at risk of VTE
100%
2.1
Patient Survey Satisfaction - This indicator is a composite, calculated from 5
survey questions. Each describes a different element of the overarching
patient experience theme
98.2%
3.4
Safety Thermometer - Completed Data for Q4
100%
4.1
Number of staff certified as completing the Alcohol Brief Advice Training
100.0%
4.2
Number of patients who have a FAST or AUDIT-C score recorded
100.0%
4.3
Number of patients +ve for ‘increasing or high-risk drinking’ receiving brief
alcohol advice
100.0%
*4.4
Number of patients +ve for ‘increasing or high-risk drinking’ are referred to
their own GP (including a statement on the number who refused referral)
N/A
5.1
Number of patients that are smokers who have their smoking status
recorded
100%
5.2
Smokers given advice to quit.
100%
**5.3
Number of smoking patients 16+ referred to a NHS Stop Smoking Service
6.1
Number of adult day surgery patients seen who have been assessed for
healthy weight
100%
6.2
Number of patients who are identified as under or overweight who have
been given lifestyle information.
100%
6.3
Number of patients who are identified as under or overweight who have
been offered onward referral to healthy weight management services
100%
* During this period no patients were identified as requiring referral.
**Patients are all given leaflets but no onward referrals have been requested
0%
5. National Clinical Audits
BMI The Hampshire Clinic was only eligible to participate in National Joint Registry audit and all joint
replacements are submitted to this. The following table is an extract from the 10th Annual Report 2013 for
data relating to The Hampshire Clinic.
No. of
procedures
2012
No. of
consultants
2012
239
10
Consent
Rate (%)
2012
100%
Linkability
(%) 2012
88%
Average
ASA Grade
2012
% Male
Patients
2012
2.1
38%
Average
Age At
Operation
2012
% of 10A
Rated
Acetabular
Implant Hip
Primary
Procedures
2012
% of 10A
Rated
Femoral
Implant Hip
Primary
Procedures
2012
0%
81%
67.6
6. Research
No NHS patients were recruited to take part in research.
7. Priorities for service development and improvement
•
•
•
•
•
Enhanced patient experience and development of ERP programme
Further capital investment in the estate – room refurbishment
Introduction of new capital to upgrade theatre stack systems
Expand role of HCA’s on wards to proactively seek out patient views while on site – gives additional
weight to quality rounds – pilot new method to increase uptake of Friends and Family response rate.
Work closely with Basingstoke and North Hampshire Hospital on key strategic partnerships (e.g.
pathology and infection control)
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
Awaiting
Data
Reporting Periods
(at least last two reporting
periods)
Oct 11 – Jun 13
National
Average
Highest National
Score
Lowest National
Score
1.0006
1.1822
0.6735
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 12 – Mar 13
National
Average
Highest National
Score
Lowest National
Score
0.083
0.157
0.014
* 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 12 – Mar 13
National
Average
Highest National
Score
Lowest National
Score
-8.738
8.172
-15.918
* 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 12 – Mar 13
National
Average
Highest National
Score
Lowest National
Score
21.280
24.684
17.214
* 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 12 – Mar 13
National
Average
Highest National
Score
Lowest National
Score
15.99
20.37
12.2
* Less than 30 patients going through the process, site cannot be scored
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
0.012
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
0
90.8
2012-2013
National
Average
68.1
Highest National
Score
84.4
Lowest National
Score
57.4
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 13 – Jan 14
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 12 – Mar 13
National
Average
Highest National
Score
Lowest National
Score
17.3
30.8
0
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)
Apr 12 – Mar 13
National
Average
Highest National
Score
Lowest National
Score
44.55
1,810
0
Rate of patient safety incidents reported (Incidents per 100 Admissions)
Unit
0
Reporting Periods
(at least last two reporting
periods)
Apr 12 – Mar 13
National
Average
Highest National
Score
Lowest National
Score
7.76
30.95
1.68
Number of patient safety incidents that resulted in severe harm or death
Unit
0
Reporting Periods
(at least last two reporting
periods)
Apr 12 – Mar 13
National
Average
Highest National
Score
Lowest National
Score
0.64
28
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)
Apr 12 – Mar 13
National
Average
Highest National
Score
Lowest National
Score
0.9
2.9
0.0
8.8 The percentage of staff employed by the (name of hospital) during the reporting period, who would
recommend The Hampshire Clinic as a provider of care to their family or friends.
Unit
86
Reporting Periods
(at least last two reporting
periods)
2013
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 committee to what they do, find their jobs interesting and fulfilling and understand that patients
receive great care.
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
81
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