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Car seat challenge - patient information

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This factsheet explains the reasons for your baby needing a car seat challenge test and what this test involves.
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/Media/UHS-website-2019/Patientinformation/Childhealth/Car-seat-challenge-2939-PIL.pdf

Stem cell collection from the umbilical cord - maternity information

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This factsheet is designed to offer information to families who are considering private (commercial) umbilical cord blood collection following delivery of their baby at University Hospital Southampton NHS Foundation Trust (UHS).
Url
/Media/UHS-website-2019/Patientinformation/Pregnancyandbirth/Stem-cell-collection-from-the-umbilical-cord-880-PIL.pdf

National maternity survey 2024 - UHS NHS FT benchmarking report

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NHS Maternity Services Survey 2024 Benchmark Report University Hospital Southampton NHS Foundation Trust 1 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Contents SBeactkigorno1und methodology 1. Background methodology 1. Background & methodology Background and methodology Key terms used in this report Background and methodology Key terms used in this report Using the survey results Using the survey results HSeecatdiolin e2 results 2. Headline results 2. Headline results Who took part in the survey? Who took part in the survey? Summary of findings for your trust Summary of findings for your trust Best and worst performance relative to the national average Best and worst performance relative to the national average Trust results poster Trust results poster This work was carried out in accordance with the requirements of the international standard for organisations conducting social research (accreditation to ISO27001:2013; certificate number GB10/80275). © Care Quality Commission 2024 SBecntciohnm3arking 3. Benchmarking 3. Benchmarking How to interpret benchmarking in this report How to interpret benchmarking An example of scoring in this report An example of scoring Section 1. Antenatal Care Section 1. Antenatal Care The start of your care during pregnancy The start of your care during Antenatal check ups pregnancy During your pregnancy Antenatal check ups During your pregnancy Triage: Assessment and evaluation Triage: Assessment and Section 2. Labour and Birth evaluation Section 2. Labour and Birth Your labour and birth Your labour and birth Staff caring for you Section 3. Postnatal Care Staff caring for you Section 3. Postnatal Care Care in the ward after birth Care in the ward after birth Feeding your baby Feeding your baby Care at home after birth Care at home after birth Section 4: Complaints Section 4: Complaints CSehcatniogne 3over time 4. Benchmarking 4. Change over time How to interpret change over time in this report How to interpret change over time in this report Section 1. Antenatal Care Section 1. Antenatal Care The start of your care during pregnancy The start of your care during Antenatal check ups pregnancy Antenatal check ups During your pregnancy During your pregnancy Section 2. Labour and Birth Section 2. Labour and Birth Your labour and birth Staff caring for you Section 3. Postnatal Care Your labour and birth Staff caring for you Section 3. Postnatal Care Care in the ward after birth Care in the ward after birth Feeding your baby Feeding your baby Care at home after birth Care at home after birth Section 4: Complaints Section 4: Complaints 2 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust SCeocmtipoanri5son to Other Trusts 5. Appendix Comparison to other trusts 5. Comparison to Other Trusts Comparison to other trusts Background and methodology This section includes: • an explanation of the NHS Patient Survey Programme • information on the 2024 Maternity Survey • a description of key terms used in this report • navigating the report 3 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Headline results Background and methodology Headline results Benchmarking Benchmarking Change over time Change over time Comparison to Other Trusts Background and methodology The NHS Patient Survey Programme The NHS Patient Survey Programme (NPSP) collects feedback on adult inpatient care, maternity care, children and young people’s inpatient and day services, urgent and emergency care, and community mental health services. The NPSP is commissioned by Care Quality Commission (CQC); the independent regulator of health and adult social care in England. As part of the NPSP, the Maternity Survey was first carried out in 2007. The 2024 Maternity Survey will be the eleventh caried out to date. CQC use results from the survey to build an understanding of the risk and quality of services and those who organise care across an area. To find out more about the survey programme and to see the results from previous surveys, please refer to the section on further information on this page. The 2024 Maternity Survey The survey was administered by the Survey Coordination Centre (SCC) at Picker. A total of 46,687 maternity service users were invited to participate in the survey across 120 NHS trusts. Completed responses were received from 18,951 maternity service users, an adjusted response rate of 41.2%. Service users were eligible to participate in the survey if they were aged 16 years or over at the time of delivery and had a live birth at an NHS Trust between 1 February and 29 February 2024. If there were fewer than 300 people within an NHS trust who gave birth in February 2024, then births from January were included. Full sampling criteria can be found in the sampling instructions. Fieldwork took place between May and August 2024. Trend data In 2021, the Maternity Survey transitioned from a solely paper-based methodology to both paper and online. This dual approach was continued in 2022, 2023 and 2024. Analysis conducted prior to the 2021 survey, concluded that this change in methodology did not have a detrimental impact on trend data. Therefore, data from the 2013 survey and subsequent years are comparable with previous years, unless a question has changed or there are other reasons for lack of comparability such as changes in organisational structure of a trust. Where results are comparable with previous years, a section on historical trends has been included. Where there are insufficient data points for historical trends, significance testing has been carried out against 2023 data. Further information about the survey • For published results and for more information on the Maternity Survey, please visit the Maternity Survey page on the NHS Surveys website. • For published results for other surveys in the NPSP, and for information to help trusts implement the surveys across the NPSP, please visit the NHS Patient Surveys website. • To learn more about CQC’s survey programme, please visit the CQC website. 4 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Headline results Background and methodology Headline results Benchmarking Benchmarking Change over time Change over time Comparison to Other Trusts Background and Methodology (continued) Antenatal and Postnatal data The Maternity Survey is split into four sections that ask questions about: • Antenatal care • Labour and birth • Postnatal care • Complaints It is possible that some maternity service users may have experienced the first three stages of care in different trusts. This may be for many reasons such as moving home, or having to travel for more specialist care, or due to variation in service provision across the country. For the purpose of benchmarking, it is important that we understand which trust the respondent is referring to when they are completing each section of the survey. When answering survey questions about labour and birth we can be confident that in all cases respondents are referring to the trust from which they were sampled. It is therefore possible to compare results for labour and birth across all 120 NHS trusts that took part in the survey. Trusts were asked to carry out an “attribution exercise”, where each trust identifies the individuals in their sample that are likely to have also received their antenatal and postnatal care from the trust. This is done using either electronic records or residential postcode information. This attribution exercise was first carried out in the 2013 survey. In 2024, all of the 120 trusts that took part in the survey completed this exercise. The survey results contained in this report include only those respondents who were identified as receiving care at this trust. Limitations of this approach Data is provided voluntarily. In 2024, all trusts provided this data. The antenatal and postnatal care sections of this report are therefore benchmarked against all trusts that provided the required information. Some trusts do not keep electronic records of antenatal and postnatal care. Where this is the case, location of antenatal and postnatal care is based on residential location of respondents. This is not a perfect measure of whether antenatal and postnatal care was received at the trust. For example, respondents requiring specialist antenatal or postnatal care may have received this from another trust. This may mean that some respondents are included in the data despite having received care from another trust. 5 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Headline results Background and methodology Headline results Benchmarking Benchmarking Change over time Change over time Comparison to Other Trusts Key terms used in this report The ‘expected range’ technique This report shows how your trust scored for each evaluative question in the survey, compared with other trusts that took part. It uses an analysis technique called the ‘expected range’ to determine if your trust is performing about the same, better or worse compared with most other trusts. This is designed to help understand the performance of individual trusts and identify areas for improvement. More information can be found in the Comparison to Other Trusts section. Standardisation Demographic characteristics, such as age, can influence care experiences and how they are reported. Since trusts have differing profiles of maternity service users, this could make fair trust comparisons difficult. To account for this, we ‘standardise’ the results, which means we apply a weight to individual service user responses to account for differences in demographic profile between trusts. For each trust, results have been standardised by parity (whether or not a service user has given birth previously) and age of respondents to reflect the ‘national’ age distribution (based on all respondents to the survey). This helps ensure that no trust will appear better or worse than another because of its profile of maternity users and enables a fairer and more useful comparison of results across trusts. In most cases this standardisation will not have a large impact on trust results. Scoring For selected questions in the survey, the individual (standardised) responses are converted into scores, typically 0, 5, or 10. A score of 10 represents the best possible result and a score of 0 the worst. The higher the score for each question, the better the trust is performing. Only evaluative questions in the questionnaire are scored. Some questions are descriptive (for example A2), and others are ‘routing questions’, which are designed to filter out respondents to whom subsequent questions do not apply (for example C23). These questions are not scored. Please refer to the scored questionnaire for further details. Section scoring is computed as the arithmetic mean of question scores for the section after weighting is applied. More information can be found in the ‘An example of scoring’ slide. National average The ‘national average’ mentioned in this report is the arithmetic mean of all trusts’ scores after weighting is applied. Suppressed data If fewer than 30 respondents have answered a question, no score will be displayed for that question (or the corresponding section the question contributes to). Further information about the methods For further information about the statistical methods used in this report, please refer to the survey technical document which is on the 'Analysis and Reporting' section of the 2024 Maternity Survey webpage on the NHS surveys website. 6 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Headline results Background and methodology Headline results Benchmarking Benchmarking Change over time Change over time Comparison to Other Trusts Using the survey results Navigating this report This report is split into five sections: • Background and methodology – provides information about the survey programme, how the survey is run, and how to interpret the data. • Headline results – includes key trust-level findings relating to the maternity service users who took part in the survey, benchmarking, and top and bottom scores. This section provides an overview of results for your trust, identifying areas where your organisation performs better than the average and where you may wish to focus improvement activities. • Benchmarking – shows how your trust scored for each evaluative question in the survey, compared with other trusts that took part; using the ‘expected range’ analysis technique. This allows you to see the range of scores achieved and compare yourself with the other organisations that took part in the survey. Benchmarking can provide you with an indication of where you perform better than the average, and what you should aim for in areas where you may wish to improve. Only trusts that provide data on antenatal and/or postnatal care and have sufficient respondent numbers are also provided with survey results for antenatal and postnatal care within this report. • Change over time – includes your trust’s mean score for each evaluative question in the survey shown in a significance test table, comparing it to your 2023 mean score. This allows you to see if your trust has made statistically significant improvements between survey years. • Comparison to Other Trusts – includes additional data for your trust. How to interpret the graphs in this report There are several types of graphs in this report which show how the score for your trust compares to the scores achieved by all trusts that took part in the survey. The two chart types used in the section ‘Benchmarking’ use the ‘expected range’ technique to show results. For information on how to interpret these graphs, please refer to the ‘How to interpret benchmarking in this report’ slides. Other data sources More information is available about the following topics at their respective websites, listed below: • Full national results; technical document: https://www.cqc.org.uk/publications/surveys/matern ity-survey • National and trust-level data for all trusts who took part in the 2024 Maternity Survey https://nhssurveys.org/surveys/survey/04maternity/year/2024/. Full details of the methodology for the survey, instructions for trusts and contractors to carry out the survey, and the survey development report can also be found on the NHS Surveys website. • Information on the NHS Patient Survey Programme, including results from other surveys: www.cqc.org.uk/content/surveys • Information about how CQC monitors hospitals: https://www.cqc.org.uk/what-we-do/how-we-useinformation/using-data-monitor-services 7 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Headline results This section includes: • information about your trust population • an overview of benchmarking for your trust • the best and worst scores for your trust 8 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Benchmarking Headline results Benchmarking Change over time Change over time Comparison to Other Trusts Who took part in the survey? This slide is included to help you interpret responses and to provide information about the population of maternity service users who took part in the survey. 393 invited to take part Age Ethnicity 167 completed 43% response rate 41% average response rate for all trusts 35% response rate for your trust in 2023 35 and over 30-34 25-29 19-24 16-18 6% 1% 29% 19% 45% White Mixed 2% Asian or Asian British 9% Black or Black British Arab or other ethnic group Not known 6% 0% 4% 79% Parity 47% of respondents gave birth to their first baby. Sexuality Which of the following best describes your sexual orientation? Heterosexual / straight 94% Gay / lesbian 1% Bisexual 2% Other 1% Prefer not to say 2% 9 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Religion No religion Buddhist Christian Hindu Jewish Muslim Sikh Other Prefer not to say 0% 1% 0% 3% 3% 1% 2% 58% 32% Background and methodology Background and methodology Benchmarking Headline results Benchmarking Change over time Change over time Comparison to Other Trusts Who took part in the survey? (continued) This slide is included to help you interpret responses and to provide information about the population of maternity service users who took part in the survey. English as main language 85% of maternity service users have English as their main language. Types of communication needs Translation / interpreter 2% Sign language / Braille materials 1% Easy Read materials 1% Large print materials 1% Other 1% I do not have any communication needs 97% Long-term conditions Pregnancy-related health conditions Baby received neonatal care 21% of maternity service users have a physical or mental health condition or illness that has lasted or is expected to last for 12 months or more. Pelvic health problems Another pregnancy- related health condition None of the above Prefer not to say 1% 31% 20% 54% 26% of respondents reported that their baby received neonatal care. 10 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Benchmarking Headline results Benchmarking Change over time Change over time Comparison to Other Trusts Summary of findings for your trust Comparison with other trusts The number of questions at which your trust has performed better, worse, or about the same compared with all other trusts. Comparison with last year’s results The number of questions at which your trust has performed statistically significantly better, significantly worse, or no different than your result from the previous year, 2024 vs 2023. Much better than expected Better than expected 4 Significantly better Somewhat better than expected 2 About the same 50 No different 42 Somewhat worse than expected Worse than expected 1 Much worse than expected Significantly worse 4 For a breakdown of the questions where your trust has performed better or worse compared with all other trusts, please refer to the section “Comparison to Other Trusts”. 11 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Benchmarking Headline results Benchmarking Change over time Change over time Comparison to Other Trusts Best and worst performance relative to the national average These five questions are calculated by comparing your trust’s results to the the average trust score across England. • Top five scores: These are the five results for your trust that are highest compared with the national average. If none of the results for your trust are above the national average, then the results that are closest to the national average have been chosen, meaning a trust’s best performance may be worse than the national average. • Bottom five scores: These are the five results for your trust that are lowest compared with the national average. If none of the results for your trust are below the national average, then the results that are closest to the national average have been chosen, meaning a trust’s worst performance may be better than the national average. Top five scores (compared with national average) Your trust score National average 0.0 2.0 4.0 6.0 8.0 10.0 Labour and Birth: Your labour and birth c5. Were you involved in the decision to be induced? 8.4 Antenatal Care: The start of your care during pregnancy b4. Did you get enough information from either a midwife or doctor to help you decide where to have your baby? Antenatal Care: Antenatal check ups b6. During your antenatal check-ups, did your midwives or doctor appear to be aware of your medical history? 7.6 7.8 Antenatal Care: During your pregnancy b17. If you raised a concern during your antenatal care, did you feel that it was taken seriously? 9.4 Bottom five scores (compared with national average) Your trust score National average Postnatal Care: Care in the ward after birth d6. Thinking about your stay in hospital, if your partner or someone else close to you was involved in your care, were they able to stay with you as much as you wanted? 0.0 2.0 4.0 6.0 8.0 10.0 4.1 Postnatal Care: Care at home after birth f4. Would you have liked to have seen or spoken to a midwife… 4.8 Postnatal Care: Care at home after birth f16. In the four weeks after the birth of your baby did you receive help and advice from midwives about your baby’s health and progress? 6.9 Postnatal Care: Care in the ward after birth d2. On the day you left hospital, was your discharge delayed for any reason? 5.3 Antenatal Care: Antenatal check ups b9. During your antenatal check-ups, did your midwives ask you about your mental health? 9.2 12 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Postnatal Care: Care at home after birth f14. In the four weeks after the birth of your baby did you receive help and advice from a midwife about feeding your baby? 6.4 2024 Maternity Survey Results for University Hospital Southampton NHS Foundation Trust Where service user experience is best Where service user experience could improve ✓ Labour and Birth: Your labour and birth: Being involved in the decision to be induced ✓ Antenatal care: Start of your pregnancy: Information from midwife or doctor to help service users decide where to have their baby ✓ Antenatal care: Antenatal check ups: Midwives or doctor aware of service user's medical history ✓ Antenatal care: During your pregnancy: If service users had concerns, they were taken seriously ✓ Antenatal care: Antenatal check ups: Being asked about mental health by midwives o Postnatal Care: Care in the ward after birth: Partner or someone else close to service user was able to stay as much as the service user wanted o Care after birth: Frequency of seeing or speaking to a midwife o Care after birth: Receiving help and advice from a midwife about baby's health and progress in the 4 weeks after birth o Postnatal Care: Care in the ward after birth: Delays to discharge on the day of leaving hospital o Care after birth: Receiving help and advice from a midwife about feeding baby in the 4 weeks after birth These questions are calculated by comparing your trust’s results to the national average. “Where service user experience is best”: These are the five results for your trust that are highest compared with the national average. “Where service user experience could improve”: These are the five results for your trust that are lowest compared with the national average. This survey looked at the experiences of service users who gave birth at the trust in January and/or February 2024. Between May and August 2024, a questionnaire was sent to 393 recent service users who gave birth at University Hospital Southampton NHS Foundation Trust. Responses were received from 167 service users at this trust. If you have any questions about the survey and our results, please contact [NHS TRUST TO INSERT CONTACT DETAILS]. 13 Maternity Survey 2024 | [RTHRMUS| TUnCivOeDrsEit]y| H[ToRsUpiStaTl SNoAuMthEa]mpton NHS Foundation Trust Benchmarking This section includes: • how your trust scored for each evaluative question in the survey, compared with other trusts that took part • an analysis technique called the ‘expected range’ to determine if your trust is performing about the same, better or worse compared with most other trusts Please note: If data is missing, this is due to a low number of responses. 14 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts How to interpret benchmarking in this report The charts in the ‘benchmarking’ section show how the score for your trust compares to the range of scores achieved by all trusts taking part in the survey. The black line shows the score for your trust. The graphs are divided into seven sections, comparing the score for your trust to most other trusts in the survey: • If your trust’s score lies in the dark green section of the graph, its result is ‘Much better than expected’. • If your trust’s score lies in the mid-green section of the graph, its result is ‘Better than expected’. • If your trust’s score lies in the light green section of the graph, its result is ‘Somewhat better than expected’. • If your trust’s score lies in the grey section of the graph, its result is ‘About the same’. • If your trust’s score lies in the yellow section of the graph, its result is ‘Somewhat worse than expected’. • If your trust’s score lies in the light orange section of the graph, its result is ‘Worse than expected’. • If your trust’s score lies in the dark orange section of the graph, its result is ‘Much worse than expected’. These groupings are based on a rigorous statistical analysis of the data termed the ‘expected range’ technique. 15 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts How to interpret benchmarking in this report (continued) The ‘much better than expected’, ‘better than expected’, ‘somewhat better than expected’, ‘about the same’, ‘somewhat worse than expected’, ‘worse than expected’, and ‘much worse than expected’ categories are based on an analysis technique called the ‘expected range’. Expected range determines the range within which a trust’s score could fall without differing significantly from the average, taking into account the number of respondents for each trust, to indicate whether the trust has performed significantly above or below what would be expected. If it is within this expected range, we say that the trust’s performance is ‘about the same’ as other trusts. Where a trust is identified as performing ‘better’ or ‘worse’ than the majority of other trusts, the result is unlikely to have occurred by chance. The question score charts show the trust scores compared to the minimum and maximum scores achieved by any trust. In some cases, this minimum or maximum limit will mean that one or more of the bands are not visible – because the range of other bands is broad enough to include the highest or lowest score achieved by a trust this year. This could be because there were few respondents, meaning the confidence intervals around your data are slightly larger, or because there was limited variation between trusts for this question this year. In some cases, a trust could be categorised as ‘about the same’ whilst having a lower score than a 'worse than expected' trust, or categorised as 'about the same' whilst having a higher score than a 'better than expected' trust. This occurs as the bandings are calculated through standard error rather than standard deviation. Standard error takes into account the number of responses achieved by a trust, and therefore the banding may differ for a trust with a low numbers of responses. Additional information on the ‘expected range’ analysis technique can be found in the survey technical report on the NHS Surveys website. 16 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts An example of scoring Each evaluative question is scored on a scale from 0 to 10. The scores represent the extent to which the maternity service user’s experience could be improved. A score of 0 is assigned to all responses that reflect considerable scope for improvement, whereas a score of 10 refers to the most positive maternity service user experience possible. Where a number of options lay between the negative and positive responses, they are placed at equal intervals along the scale. Where options were provided that did not have any bearing on the trust’s performance in terms of maternity service user experience, the responses are classified as “not applicable” and a score is not given. Similarly, where respondents stated they could not remember or did not know the answer to a question, a score is not given. Calculating an individual respondent’s score The following provides an example for the scoring system applied for each respondent. For question B11 “During your pregnancy, if you contacted a midwifery team, were you given the help you needed?”: • The answer code “Yes, always” would be given a score of 10, as this refers to the most positive maternity service user experience possible. • The answer code “Yes, sometimes” would be given a score of 5, as it is placed at an equal interval along the scale. • The answer codes “No” and “No, as I was not able to contact a midwifery team” would be given a score of 0, as these responses reflect considerable scope for improvement. • The answer code “I did not contact a midwifery team” would not be scored, as they do not have a clear bearing on the trust’s performance in terms of maternity service user experience. Calculating the trust score for each question The weighted mean score for each trust, for each question, is calculated by dividing the sum of the weighted scores for a question by the weighted sum of all eligible respondents to the question for each trust. An example of this is provided in the survey technical document. Calculating the section score An arithmetic mean of each trust’s question scores is taken to provide a score for each section. 17 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Benchmarking Section 1: Antenatal Care 18 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts The start of your care during pregnancy This shows the range of section scores for all NHS trusts included in the survey that submitted attribution data for antenatal care received. Section scores are calculated as the mean of a selection of questions that fall under a particular theme. In this case, ‘the start of your care during pregnancy’ is calculated from questions B3 and B4. The colour of the line denotes whether a trust has performed better, worse, or about the same compared with all other trusts (as detailed in the legend). The result for your trust is shown in black. Please note, as a result of the ‘expected range’ analysis technique used, a trust could be categorised as ‘about the same’ whilst having a lower score than a 'worse than expected' trust or categorised as 'about the same' whilst having a higher score than a 'better than expected' trust. Your trust section score = 8.1 About the same Much worse than expected Somewhat worse than expected Worse than expected About the same Comparison with other trusts within your region Somewhat better than expected Much better than expected Better than expected Your trust Trusts with the highest scores Trusts with the lowest scores 10 9 Oxford University Hospitals NHS 8.8 Foundation Trust Isle Of Wight NHS Trust 6.6 8 Maidstone And Ashford And St Peter's Tunbridge Wells NHS 8.7 Hospitals NHS 6.9 7 Trust Foundation Trust NHS trust score 6 5 East Sussex Healthcare NHS Trust 8.5 Surrey And Sussex Healthcare NHS Trust 7.0 4 3 2 1 0 Each vertical line represents an individual NHS trust Trust score is not shown when there are fewer than 30 respondents 19 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust University Hospital Southampton NHS 8.1 Foundation Trust Hampshire Hospitals NHS Foundation Trust 8.0 Buckinghamshire Healthcare NHS Trust 7.0 East Kent Hospitals University NHS 7.2 Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Section 1. Antenatal Care Question scores: The start of your care in pregnancy 0 B3. Were you offered a choice about where to have your baby? Much worse than expected About the same Much better than expected 1 2 3 Worse than expected Somewhat better than expected Your trust Somewhat worse than expected Better than expected National average 4 5 6 7 8 9 10 All trusts in England Number of Your respondents trust (your trust) score National average score Lowest Highest score score About the same 123 8.7 8.2 6.1 9.8 B4. Did you get enough information from either a midwife or doctor to help you decide where to have your baby? About the same 148 7.6 6.8 4.7 8.3 20 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Antenatal check-ups This shows the range of section scores for all NHS trusts included in the survey that submitted attribution data for antenatal care received. Section scores are calculated as the mean of a selection of questions that fall under a particular theme. In this case, ‘antenatal check-ups’ is calculated from questions B6 to B9. The colour of the line denotes whether a trust has performed better, worse, or about the same compared with all other trusts (as detailed in the legend). The result for your trust is shown in black. Please note, as a result of the ‘expected range’ analysis technique used, a trust could be categorised as ‘about the same’ whilst having a lower score than a 'worse than expected' trust or categorised as 'about the same' whilst having a higher score than a 'better than expected' trust. Your trust section score = 8.9 Better than expected Much worse than expected Somewhat worse than expected Somewhat better than expected Much better than expected Worse than expected About the same Better than expected Your trust Comparison with other trusts within your region Trusts with the highest scores Trusts with the lowest scores 10 University Hospital East Kent Hospitals Southampton NHS 8.9 University NHS 7.7 9 Foundation Trust Foundation Trust 8 7 Frimley Health NHS Foundation Trust 8.8 Buckinghamshire Healthcare NHS Trust 7.9 6 5 East Sussex Healthcare NHS Trust 8.8 Surrey And Sussex Healthcare NHS Trust 7.9 4 3 2 1 0 Each vertical line represents an individual NHS trust Trust score is not shown when there are fewer than 30 respondents 21 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Royal Surrey County Hospital NHS 8.7 Foundation Trust Medway NHS Foundation Trust 8.7 Isle Of Wight NHS Trust 8.2 University Hospitals Sussex NHS 8.3 Foundation Trust NHS trust score Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Section 1. Antenatal Care Question scores: Antenatal check-ups 0 B6. During your antenatal check-ups, did your midwives or doctor appear to be aware of your medical history? Much worse than expected About the same Much better than expected 1 2 3 B7. During your antenatal check-ups, were you given enough time to ask questions or discuss your pregnancy? Worse than expected Somewhat better than expected Your trust Somewhat worse than expected Better than expected National average 4 5 6 7 8 9 10 All trusts in England Number of Your respondents trust (your trust) score National average score Lowest Highest score score About the same 151 7.8 7.0 5.3 8.1 About the same 151 9.2 8.9 7.9 9.6 B8. During your antenatal check-ups, did your midwives listen to you? B9. During your antenatal check-ups, did your midwives ask you about your mental health? About the same 152 9.3 9.1 8.2 9.8 About the same 151 9.2 8.6 6.7 9.6 22 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts During your pregnancy This shows the range of section scores for all NHS trusts included in the survey that submitted attribution data for antenatal care received. Section scores are calculated as the mean of a selection of questions that fall under a particular theme. In this case, ‘during your pregnancy’ is calculated from questions B10 to B18. The colour of the line denotes whether a trust has performed better, worse, or about the same compared with all other trusts (as detailed in the legend). The result for your trust is shown in black. Please note, as a result of the ‘expected range’ analysis technique used, a trust could be categorised as ‘about the same’ whilst having a lower score than a 'worse than expected' trust or categorised as 'about the same' whilst having a higher score than a 'better than expected' trust. Your trust section score = 9.0 About the same Much worse than expected Somewhat worse than expected Somewhat better than expected Much better than expected Worse than expected About the same Better than expected Your trust Comparison with other trusts within your region Trusts with the highest scores Trusts with the lowest scores 10 Royal Surrey County East Kent Hospitals Hospital NHS 9.0 University NHS 7.9 9 Foundation Trust Foundation Trust 8 7 University Hospital Southampton NHS 9.0 Foundation Trust Buckinghamshire Healthcare NHS Trust 8.0 6 5 Medway NHS Foundation Trust 8.9 Surrey And Sussex Healthcare NHS Trust 8.3 4 3 Frimley Health NHS Foundation Trust 8.9 Isle Of Wight NHS Trust 8.5 2 1 0 Each vertical line represents an individual NHS trust Trust score is not shown when there are fewer than 30 respondents 23 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Royal Berkshire NHS Foundation Trust 8.9 Hampshire Hospitals NHS Foundation Trust 8.5 NHS trust score Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Section 1. Antenatal Care Question scores: During your pregnancy 0 B10. Were you given enough support for your mental health during your pregnancy? Much worse than expected About the same Much better than expected 1 2 3 Worse than expected Somewhat better than expected Your trust Somewhat worse than expected Better than expected National average 4 5 6 7 8 9 10 All trusts in England Number of Your respondents trust (your trust) score National average score Lowest Highest score score About the same 95 9.1 8.9 7.2 9.8 B11. During your pregnancy, if you contacted a midwifery team, were you given the help you needed? B12. Thinking about your antenatal care, were you spoken to in a way you could understand? About the same 134 8.4 8.3 6.9 9.3 Better than expected 151 9.7 9.4 8.7 9.7 24 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Section 1. Antenatal Care (continued) Question scores: During your pregnancy 0 B13. Thinking about your antenatal care, were you involved in decisions about your care? Much worse than expected About the same Much better than expected 1 2 3 Worse than expected Somewhat better than expected Your trust Somewhat worse than expected Better than expected National average 4 5 6 7 8 9 10 All trusts in England Number of Your respondents trust (your trust) score National average score Lowest Highest score score Better than expected 151 9.4 8.9 8.0 9.5 B14. During your pregnancy did midwives provide relevant information about feeding your baby? About the same 146 7.4 7.1 5.4 8.8 B15. Did you have confidence and trust in the staff caring for you during your antenatal care? Somewhat better than 151 8.8 8.3 7.2 9.3 expected 25 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Section 1. Antenatal Care (continued) Question scores: During your pregnancy 0 B16. Thinking about your antenatal care, were you treated with respect and dignity? Much worse than expected About the same Much better than expected 1 2 3 Worse than expected Somewhat better than expected Your trust Somewhat worse than expected Better than expected National average 4 5 6 7 8 9 10 All trusts in England Number of Your respondents trust (your trust) score National average score Lowest Highest score score Better than expected 152 9.6 9.3 8.6 9.8 B17. If you raised a concern during your antenatal care, did you feel that it was taken seriously? B18. Thinking about your antenatal care, were you given information about any warning signs to look out for during your pregnancy? Somewhat better than 110 9.4 8.8 7.4 9.8 expected About the same 151 8.8 8.6 7.5 9.4 26 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Triage: Assessment and Evaluation This shows the range of section scores for all NHS trusts included in the survey that submitted attribution data for antenatal care received. Section scores are calculated as the mean of a selection of questions that fall under a particular theme. In this case, ‘triage: assessment and evaluation’ is calculated from question B20. The colour of the line denotes whether a trust has performed better, worse, or about the same compared with all other trusts (as detailed in the legend). The result for your trust is shown in black. Please note, as a result of the ‘expected range’ analysis technique used, a trust could be categorised as ‘about the same’ whilst having a lower score than a 'worse than expected' trust or categorised as 'about the same' whilst having a higher score than a 'better than expected' trust. Your trust section score = 8.7 About the same Much worse than expected Somewhat worse than expected Somewhat better than expected Much better than expected Worse than expected About the same Better than expected Your trust Comparison with other trusts within your region Trusts with the highest scores Trusts with the lowest scores 10 Buckinghamshire Healthcare NHS Trust 9.0 Medway NHS Foundation Trust 7.6 9 NHS trust score 8 7 6 5 4 3 2 1 0 Each vertical line represents an individual NHS trust Trust score is not shown when there are fewer than 30 respondents 27 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Surrey And Sussex Healthcare NHS Trust 8.9 Hampshire Hospitals NHS Foundation Trust 8.9 University Hospitals Sussex NHS 8.8 Foundation Trust Royal Surrey County Hospital NHS 8.8 Foundation Trust Oxford University Hospitals NHS 8.0 Foundation Trust East Kent Hospitals University NHS 8.0 Foundation Trust Maidstone And Tunbridge Wells NHS 8.2 Trust Ashford And St Peter's Hospitals NHS 8.2 Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Section 1. Antenatal Care Question scores: Triage: Assessment and evaluation 0 B20. Thinking about the last time you were triaged, did you feel that your concerns were taken seriously by the midwife or doctor you spoke to? Much worse than expected About the same Much better than expected 1 2 3 Worse than expected Somewhat better than expected Your trust Somewhat worse than expected Better than expected National average 4 5 6 7 8 9 10 All trusts in England Number of Your respondents trust (your trust) score National average score Lowest Highest score score About the same 107 8.7 8.4 7.3 9.2 28 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Benchmarking Section 2: Labour and Birth 29 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Your labour and birth This shows the range of section scores for all NHS trusts included in the survey. Section scores are calculated as the mean of a selection of questions that fall under a particular theme. In this case, ‘your labour and birth’ is calculated from questions C4 to C9. The colour of the line denotes whether a trust has performed better, worse, or about the same compared with all other trusts (as detailed in the legend). The result for your trust is shown in black. Please note, as a result of the ‘expected range’ analysis technique used, a trust could be categorised as ‘about the same’ whilst having a lower score than a 'worse than expected' trust or categorised as 'about the same' whilst having a higher score than a 'better than expected' trust. Your trust section score = 8.3 About the same NHS trust score Much worse than expected Somewhat worse than expected Somewhat better than expected Much better than expected Worse than expected About the same Better than expected Your trust 10 9 8 7 6 5 4 3 2 1 0 Each vertical line represents an individual NHS trust Trust score is not shown when there are fewer than 30 respondents 30 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Comparison with other trusts within your region Trusts with the highest scores Trusts with the lowest scores Royal Berkshire NHS Foundation Trust 8.7 Frimley Health NHS Foundation Trust 8.6 Maidstone And Tunbridge Wells NHS 8.6 Trust University Hospital Southampton NHS 8.3 Foundation Trust Hampshire Hospitals NHS Foundation Trust 8.3 East Kent Hospitals University NHS 8.0 Foundation Trust Oxford University Hospitals NHS 8.0 Foundation Trust Ashford And St Peter's Hospitals NHS 8.1 Foundation Trust Royal Surrey County Hospital NHS 8.2 Foundation Trust Portsmouth Hospitals University National 8.2 Health Service Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Section 2. Labour and Birth Question scores: Your labour and birth 0 C4. Before you were induced, were you given appropriate information and advice on the risks associated with an induced labour? Much worse than expected About the same Much better than expected 1 2 3 Worse than expected Somewhat better than expected Your trust 4 5 6 Somewhat worse than expected Better than expected National average 7 8 9 10 All trusts in England Number of Your respondents trust (your trust) score National average score Lowest Highest score score About the same 45 7.6 7.4 5.7 9.2 C5. Were you involved in the decision to be induced? C6. At the start of your labour, did you feel that you were given appropriate advice and support when you contacted a midwife or the hospital? Better than expected 45 8.4 7.6 6.2 9.1 About the same 112 8.2 8.4 7.4 9.4 31 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Section 2. Labour and Birth (continued) Question scores: Your labour and birth 0 C7. During your labour, were you ever sent home when you were worried about yourself or your baby? Much worse than expected About the same Much better than expected 1 2 3 C8. Do you think your healthcare professionals did everything they could to help manage your pain during labour and birth? C9. If your partner or someone else close to you was involved in your care during labour and birth, were they able to be involved as much as they wanted? Worse than expected Somewhat better than expected Your trust 4 5 6 Somewhat worse than expected Better than expected National average 7 8 9 10 All trusts in England Number of Your respondents trust (your trust) score National average score Lowest Highest score score About the same 132 9.2 9.0 7.1 9.8 About the same 126 7.5 7.5 5.8 8.7 About the same 157 9.0 9.4 8.1 10.0 32 Maternity Survey 2024 | RHM | University Hospital Southampton NHS Foundation Trust Background and methodology Background and methodology Headline results Headline results Benchmarking Change over time Comparison to Other Trusts Staff caring for you This shows the range of section scores for all NHS trusts included in the survey. Section scores are calculated as the mean of a selection of questions that fall under a particular theme. In this case, ‘staff caring for you’ is calculated from questions C10 to C21. The colour of the line denotes whether a trust has performed better, worse, or about the same compared with all other trusts (as detailed in the legend). The result for your trust is shown in black. Please note, as a result of the ‘expected range’ analysis technique used, a trust could be categorised as ‘about the same’ whilst having a lower score than a 'worse than expected' trust or categorised as 'about the same' whilst having a higher score than a 'better than expected' trust. Your trust section score = 8.6 About the same Much worse than expected Somewhat worse than expected Somewhat better than expected Much better than expected Worse than expected About the same Better than expected Your trust Comparison with other trusts within your region Trusts with the highest scores Trusts with the lowest scores 10 9 Frimley Health NHS Foundation Trust 8.8 East Kent Hospitals University NHS 7.7 Foundation Trust 8 7 Dartford And Gravesham NHS Trust 8.7 Buckinghamshire Healthcare NHS Trust 8.1 6 5 4 3 2 1 0 Each vertical line represents an individual NHS tr
Url
/Media/UHS-website-2019/Docs/Services/Maternity/National-maternity-survey-2024-UHS-NHS-FT-benchmarking-report.pdf

Data breach - questions and answers

Description
• How did this happen? The Freedom of Information Act 2000 provides the public access to information held by public authorities. The Trust (a public body) received a request asking for maternity information between 2016 and 2019. The Trust’s response included an Excel spreadsheet which contained hidden data that was accessible using a pivot table also included within the spreadsheet. • What information was included? For all lines of data, the personal information included was date of birth, NHS number, UHS hospital number and home post code (as at the date of the appointment). For 112 lines of data, the individual’s surname was also included. Other, non-personal information was hidden in the spreadsheet but accessible using a pivot table: o ‘CCG code’ – The NHS Clinical Commissioning Group (CCG) for the area where the individual lives. o ‘HRG code’ – Health Resource Group, a code used by the Trust to charge the CCG for the cost of the appointment. The HRG codes in question were: o Non-delivery antenatal phase (intensive) o Non-delivery antenatal phase (intermediate) o Non-delivery antenatal phase (standard) o Non-delivery postnatal phase (intensive) o Non-delivery postnatal phase (intermediate) o Non-delivery postnatal phase (standard) o ‘GP practice code’ – a code used in the NHS to identify a particular GP practice o ‘SPEC CODE’ – a speciality code recorded for the appointment. The code on all lines of data was ‘560 Midwifery’. o ‘Admission Date’ - date of appointment • How many individual patient details were included? 21,818 unique patient details were included within the 42,000 lines of data, i.e. most individuals had more than one appointment. Of the 21,818 there were 112 which included surnames. • Where can I find the details of the original FOI to which this breach relates? Details of the original request and response are available at the following website https://www.whatdotheyknow.com/. The original response is no longer available and was removed from the website on 31 October 2023, and UHS was notified on 1 November. WDTK is a website where individuals can submit FOI requests to any public authority in the UK. • What is a pivot table? A pivot table is a tool within an Excel spreadsheet which can be used to extract and summarise a large set of data. A pivot table enables the user to select certain fields within the data and aggregate that information, for instance individuals whose name begins with ‘M’, born after a certain date. • Do we know how many times the spreadsheet was accessed and by whom? We have been unable to confirm how many times the spreadsheet was accessed on the WDTK website, as this is not information retained by WDTK. The spreadsheet was available on the What Do They Know website between November 2020 and 31 October 2023. A search has been conducted and there is no evidence of the document existing elsewhere. • Have all affected patients been informed? To deal with this as quickly as possible – bearing in mind the numbers involved and time-lapsed since the appointments occurred - we have taken the decision to be proactive in alerting our community to this data breach. To support anyone who's concerned that their details may have been included, we have a dedicated Data Enquiries team who can be contacted on: 023 8120 5444 and email: dataenquiry@uhs.nhs.uk. This service will be manned Monday to Friday, between the hours of 9am to 5pm. • Will you also be individually contacting those directly affected by this data breach? We are aware there may be issues of sensitivity and safety to consider, so have made the decision not to contact those individuals directly. • What is the UHS FOI process and how is it managed/governed? The governance around the FOI team is currently under review with a revised policy and a standard operating procedure being introduced imminently. The new procedure will provide clarity and consistency across the Trust on the handling of FOI requests and implement additional controls in terms of what information is released and in what format. • How has this data breach been investigated internally, and what has been the outcome of that? This data breach has been assessed to establish the risk to the individuals affected, and the Trust. The assessment follows NHS guidance, and we use an NHS risk matrix to assess the impact of the breach. The Information Commissioner’s Office was notified of the breach on 1 November 2023. The outcome confirms that there has been a breach and lists the various actions and lessons learned. The ICO is currently investigating this breach and we are fully cooperating. • What measures have been put in place to prevent this type of data breach happening in the future? In September 2023, the Information Commissioner issued an advice notice to all public authorities regarding the use of spreadsheets. This advice has been included in our new standard operating procedure and includes a requirement that spreadsheets must not contain pivot tables and must be double-checked prior to publication. • How do I request a copy of my health records? No detailed medical or clinical information about patients was disclosed as part of this breach. However, if you would like to request copies of your health record, details of how to do so can be found on the Trust’s privacy notice under ‘Right of Access’. Alternatively, please email Disclosures@uhs.nhs.uk for advice on how to request this information. If you wish to complain about how your personal data has been handled by the Trust, please contact our Patient Advice Service: patientsupportservices@uhs.nhs.uk
Url
/Media/UHS-website-2019/Docs/News/Data-breach-questions-and-answers.pdf

Papers Trust Board - 27 July 2023

Description
Date Time Location Chair Agenda Trust Board – Open Session 27/07/2023 9:00 - 13:15 Conference Room, Heartbeat/Microsoft Teams
Url
/Media/UHS-website-2019/Docs/About-the-Trust/Trust-governance-and-corporate-docs/2023-Trust-documents/Papers-Trust-Board-27-July-2023.pdf

Early onset neonatal infection - patient information

Description
Early onset neonatal infection Information for patients, parents and guardians Newborn babies have a higher risk of getting an infection because
Url
/Media/UHS-website-2019/Patientinformation/Neonatal/Early-onset-neonatal-infection-2316-PIL.pdf

Going home on vitamins (Abidec) - patient information

Description
This factsheet explains what Abidec is, how it works and what the potential side effects are.
Url
/Media/UHS-website-2019/Patientinformation/Neonatal/Going-home-on-vitamins-Abidec-972-PIL.pdf

Going home on vitamins (Sytron) - patient information

Description
This factsheet explains what Sytron is, how it works and what the potential side effects are.
Url
/Media/UHS-website-2019/Patientinformation/Neonatal/Going-home-on-vitamins-Sytron-971-PIL.pdf

Birth reflections service - patient information

Description
This factsheet explains what our birth reflections service is, what we offer and what to expect during a session with us
Url
/Media/UHS-website-2019/Patientinformation/Pregnancyandbirth/Birth-reflections-service-3118-PIL.pdf

Steroid treatment for premature babies - patient information

Description
Steroid treatment for premature babies Information for patients, parents and guardians We have given you this information leaflet because we are
Url
/Media/UHS-website-2019/Patientinformation/Childhealth/Steroid-treatment-for-premature-babies-2127-PIL.pdf
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