Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust National Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust National patient surveys Part of the National NHS Patient Survey Programme ‒ Designed by Picker Institute Europe for CQC  Questionnaire covers all aspects of the patient ‘journey’  76 trusts contracted Picker to carry out this Survey  Standard questions and survey methodology for all NHS trusts: - Sample of 850 patients aged Postal survey: initial mailing plus two reminders - Freephone and LanguageLine available - Patients discharged in August - Survey fieldwork between October 2013 and January 2014  Picker report followed by national CQC findings & CQUIN

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust National NHS Surveys: Structure 76 Picker Trusts Total of 161 Trusts 81 non-Picker Trusts Care Quality Commission London Co-ordination Centre Picker Institute Approved Survey Contractor eg Picker Other Approved Survey Contractors Trust eg Your Trust Trust

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Room for improvement o A summary score to show where there is room for improvement o HIGHER scores indicate a GREATER PROBLEM o LOWER scores reflect fewer reporting a problem. BETTER performance Example: Did you have confidence and trust in the doctor examining and treating you? o Yes, definitely75% o Yes, to some extent 20% o No5% Improved from last year (30%), but still not on a par with average (20%) R oom for improvement

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust o To determine whether or not a statistically significant difference exists between two datasets o Accounts for whether the difference is due to chance or not (as with all probability tests) o Tests whether the means of two datasets are equal o Employed to determine whether significant differences in problem scores exist in your data (i.e. historical, specialty, Picker average) Significance of testing The t-test P1 = Sample 1 problem score P2 = Sample 2 problem score N1 =Sample 1 base size N2 = Sample 2 base size

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Survey activity o 247/828 eligible patients responded o Trust response rate: 30% (average 46%). o 68% were emergency or urgent admissions (average 57%)

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Results

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Using your summary scores Picker average: Benchmarking Average on 26 Better on 0 Worse on 36 Trends: Same as 2012 on 58 Better on 0 Worse on 3

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Using your summary scores Historical changes for all questions Differences from the 'Picker Average' All questions

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Good results 63% rated care as 7+ out of 10 64% felt they were treated with respect and dignity 72% always had confidence and trust in their doctors 89% said hospital rooms/wards were very or fairly clean 88% said they always had enough privacy when being examined or treated

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Admission to hospital There are no significant differences by average: There are no significant changes since 2012

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Admission to hospital: External Benchmarking

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust The Hospital and Ward The trust is worse than average on 11 questions:

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust The Hospital and Ward: External Benchmarking

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust The Hospital and Ward The trust is significantly worse on 1 question since 2012:

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Doctors The trust is significantly worse than average on 3 questions: There were no significant historical differences

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Doctors: By Specialty

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Nurses The trust is significantly worse than average on 4 questions: There were no significant historical differences

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Nurses: By Specialty

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Care and Treatments The trust is significantly worse than average on 7 questions: Doctors and nurses attitude towards patients not enough compassion shown from staff. Train you staff including doctors on simple patient care i.e., communication, dignity and respect

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Care and Treatments: External Benchmarks

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Care and Treatments The trust is significantly worse on 1 question since 2012:

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Care and Treatments: By Specialty

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Operations and Procedures The trust is significantly worse than average on 1 question:

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Operations and Procedures: By Specialty

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Leaving Hospital The trust is significantly worse than the average on 8 questions:

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Leaving Hospital: External Benchmarks

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Leaving Hospital The trust is significantly worse on 1 question since 2012:

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Reasons for Delay in Discharge

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Overall The trust is significantly worse than the average on 2 questions There were no significant historical differences

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Overall

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Improvement Map

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust High Problem Score – High Importance

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Patient comments Positive The A&E doctors were very compassionate and interested in what I know about my rare/unusual condition and keen to listen and learn. The A&E nurses were compassionate and supportive and provided holistic care despite huge workloads. The food was very good, there was a choice and it was very appetising and also looked attractive My surgeon and his team are fantastic and I have nothing but praise for their care and continued after care.

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Patient comments Negative There were mix up with medications. Also nurse was a bit rough and had a poor attitude. It was difficult to get the nurses attention whilst on ward. One doctor later in my stay was extremely poor, talking about his take on my earlier diagnosis on the ward within earshot of me but refusing to answer questions in relation to this when asked, shrugged or gave misinformation in response. The food was dreadful, clearly all microwaved within an inch of its nutritional value. There were no fresh fruit and vegetables. I was left to get my own breakfast after a major operation, my lunches/dinners were forgotten. Overall this was the worst aspect of my care.

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Summary 36 questions significantly worse than average, and better on none. Lower than average response rate at 30%. Higher than average emergency or urgent admissions at 68% By speciality, General medicine showing high problem score areas, while General Surgery has poorer performances in confidence in Nurses and Staff contradicting information. Trust significantly worse than average across all areas apart from admissions; particularly poor performances for Hospital and Ward, Care and Treatment, Doctors and Nurses.

Inpatient Survey 2013 Homerton University Hospital NHS Foundation Trust Picker Institute Europe Buxton Court 3 West Way Oxford OX2 0JB Tel: +44 (0) Fax: +44 (0) Charity registered in England and Wales: Company limited by guarantee registered in England and Wales: Registered office: Buxton Court, 3 West Way, Oxford OX2 0JB