National Inpatient Survey 2019
We are carrying out a survey to find out what patients think about the care they received when they were in hospital. This survey is part of the national CQC survey programme to improve quality of care and patient experience. We will work with our staff and patients to use the feedback from this survey to help improve patient’s experiences of the care we provide.
Patients aged 16 years and over, who spend at least one night as an inpatient at either Basingstoke and North Hampshire Hospital, Royal Hampshire County Hospital or Andover War Memorial Hospital may receive a questionnaire by post asking about their experiences. They will be asked about various aspects of their care, including arrival at hospital, the quality of care and treatment, communication with doctors and nurses, information, and the hospital environment.
An external survey contractor, Picker Institute Europe, is administering the survey on behalf of the CQC so that people’s responses are anonymous.
Obtaining feedback from patients and taking account of their views is really important for bringing about improvements in the care we provide and understanding what really matters to our patients.
Taking part in the survey is voluntary and people’s responses are anonymous. The results of the survey will be presented in a form that does not allow any individual’s answers to be identified. If you are selected to take part your contact details will be used by researchers to post a questionnaire to your home address to carry out the survey.
If you do not wish to take part, or have any questions about the survey please contact our customer care team on 01256 486766 or via email to firstname.lastname@example.org.
Digital Care Programme
Our Trust is implementing a Digital Care programme over the next three years. To help us we are asking patients and carers to take part in a survey to give us thier views on the use of technology in the delivery of healthcare.
The digital Care programme will help us to improve the way we communicate with patients to reduce the amount of paper we use and allow patients access to more information, helping them to take control of thier own care.
Click here to take part in the survey or scan the QR code below using your mobile phone or tablet.
Trauma and Orthopaedics
18 September 2019
Proposed changes to HHFT’s trauma and orthopaedics service model – update for staff and governors
You may already be aware that we are planning to make changes to the existing configuration of trauma and orthopaedic services across our hospitals in Basingstoke and Winchester. We need to make changes so we can:
- respond to the recommendations from a review by the National Clinical Director of Clinical Improvement as part of the ‘Getting it Right First Time’ programme
- provide on-site, orthopaedic consultant cover seven days a week for major trauma work (for example fractured hips following a fall or broken bone injuries that require an operation and stay in hospital)
- provide dedicated staff, beds and theatre time for urgent trauma operations to reduce delays for patients
- create a centre of excellence for hip and knee joint surgery (known as arthroplasty)
- significantly reduce the number of patients whose operations are postponed due to emergencies, particularly in the winter months, by separating it from urgent trauma and surgical work which often has to be prioritised over non-urgent (routine) operations
- reduce the waiting times for planned (elective) orthopaedic operations as a result of less operations having to be postponed and re-scheduled
- reduce our mortality rates (the number of people who die) following a hip fracture (often called a fractured neck of femur) as it has recently been highlighted as being higher than the national average
- reduce the time frail elderly people are in hospital following orthopaedic trauma operations, through dedicated rehabilitation therapy and specialist ortho-geriatric doctors and specialist nurses.
Our extensive engagement around the concept of a critical treatment hospital showed that there is public and stakeholder support for the principle of centralisation of acute services. The principle of centralising some services is already in place for patients in need of cardiology (centralised in Basingstoke) and stroke care (centralised in Winchester) and we know that centralisation of trauma and orthopaedic services has been successful in many other Trusts, including Cheltenham and Gloucester, East Kent and the United Lincolnshire Hospitals. It has been recommended in the NHS Long Term Plan.
We have therefore been engaging with key partners and staff to develop a broad overview of what the clinical changes could look like, and are still working through the implications of some of the feedback we have received as part of our initial engagement. We are looking at how we can ensure that this feedback shapes our plans.
The key elements of a proposed new service model, which are in line with our clinical service strategy, are listed below.
- Trauma patients whose injury requires an operation and stay in hospital would be re-directed from Royal Hampshire County Hospital (RHCH) for treatment in Basingstoke and North Hampshire Hospital (BNNH), as it is already a level 2 trauma centre
- Trauma and orthopaedic consultants will be available at BNNH seven days a week specifically to see and treat trauma patients, with ring-fenced beds and theatre time
- Arthroplasty patients will be treated at RHCH, where a dedicated centre of excellence unit will be developed. This change may be phased to allow time for additional bed and theatre capacity to be available
- Elderly frail patients will receive treatment for fractured hips at BNNH and then have their inpatient rehabilitation service in The Firs with additional ortho-geriatric support and advanced nurse specialists to enhance their rehabilitation and reduce the time they spend in hospital
- Trauma and orthopaedic consultants will still be on-site at RHCH five days a week, and there will be provision for on-call cover for inpatients and the emergency department when it is needed at night and weekends
- Patients will still be treated in both Winchester, Basingstoke and Andover for minor trauma that doesn’t require a stay in hospital (including simple fractures and sprains requiring a splint or plaster cast)
- Patients will still be able to have their outpatient and follow-up appointments at Andover, Basingstoke or Winchester
- Rehabilitation services will still be available for patients at Andover, Basingstoke and Winchester
- Planned operations, except for hip and knee replacement, will still be carried out at Winchester and Basingstoke
- There will still be an Emergency Department at BNNH and an Emergency Department at RHCH, with a Minor Injuries Unit in Andover.
- The minor injuries unit at Andover will be part of the plan to deliver local care where it is appropriate.
We gave an update to Hampshire’s Health and Social Care Select Committee (HASC) at the beginning of this week to answer their questions and hear their views on the progress we have made and our plans to engage with staff, partners, patients, carers and the public and to see whether they would support us testing some of the ideas early to help us provide better care this winter.
As a result, we will be doing some more intensive, focussed engagement with the public, staff and other stakeholders over the coming months. We are planning to test the new service model in parallel with wider engagement this winter, ideally starting in December 2019.
We haven’t got all the answers yet and so we will be actively seeking the views of staff, governors, partner organisations, patients, carers and the public over the coming months to work through the detail of how the new service model could be implemented and identify all of the issues that will need to be considered to enable us to deliver the improvements in care that we want for patients. This will include formal consultation with any directly affected staff. Staff feedback has been heard and we are looking at how we make sure this feedback shapes our plans.
We will be producing more detailed information about the proposals and how they might affect different groups of people. We will be arranging opportunities to find out more and give your views over the coming weeks. These will be available on the Trust’s website and staff Trustnet.
We have already set up a dedicated email address and to continue to receive any comments about this proposed service change: Orthopaedic.Transformation@hhft.nhs.uk