Date: 13 November Our Ref: FOI Dear Requester

Transcription

1 Date: November 205 Chelsea and Westminster Hospital Information Governance Team Chelsea Harbour Harbour Yard Unit, st Floor London SW0 0XD Our Ref: FOI Dear Requester Thank you for your information request received by us on 5 October 205 This request has been handled under the Freedom of Information Act Please note that Chelsea and Westminster Healthcare NHS Foundation Trust merged with West Middlesex University Hospital in September 205, for this reason our response covers both sites. Your request Earlier this year we made a request under the Freedom of Information Act relating to the care of people affected by dementia in your hospital. Following this I would now like to ask some additional questions under the Freedom of Information Act. Please see these below. There is an objective in the National Dementia Strategy for Dementia for improved quality of care for people with dementia. We are therefore interested to know: and over who have fallen in hospital in 20-5 or the last year for which statistics Number of patients aged 65 and over with a coding of dementia who have fallen in hospital in year for which statistics and over discharged between the hours of 200 and 0600 in are and over with a coding of dementia discharged between the hours of 200 and 0600 in financial year for which statistics The number of delayed discharges and delayed transfers of care for patients aged 65 and over in The number of delayed discharges and delayed transfers of care for patients aged 65 and over with a coding of dementia in financial year for which statistics Page of 8

2 The number of delayed discharges and delayed transfers of care for patients aged 65 and over in are available by reason e.g. awaiting completion of assessment? The number of delayed discharges and delayed transfers of care for patients aged 65 and over with a coding of dementia in financial year for which statistics are available by reason e.g. awaiting completion of assessment? and over with a coding of dementia admitted from home in are and over with a coding of dementia admitted from home and discharged to a care home in financial year for which statistics The average length of stay for patients aged 65 and over for the three financial years 202-, 20- and 20-5 or the last three financial years that figures are The average length of stay for patients aged 65 and over with a coding of dementia for the three financial years 202-, 20- and 20-5 or the last three financial years that figures The number of hospital readmissions within 0 days for patients aged 65 and over in The number of hospital readmissions within 0 days for patients aged 65 and over with a coding of dementia in financial year for which statistics The number of current a) board-level staff b) clinical staff c) non-clinical staff?

3 Our response: # Question 2 and over who have fallen in hospital in 20-5 or the last year for which statistics are Number of patients aged 65 and over with a coding of dementia who have fallen in hospital in year for which statistics are and over discharged between the hours of 200 and 0600 in and over with a coding of dementia discharged between the hours of 200 and 0600 in Page of 8 Chelsea & Westminster 27 patients in 20-5 NB: code F0* has been used 5 patients in 20-5 Number discharged home between hours stated in patients in 20-5 West Middlesex Unfortunately data from the incident database cannot easily be linked to the patient care system and does not include date of birth or age. In the year 20-5 there were 69 patient falls recorded. This includes all falls regardless of severity or clinical setting Please see comment above 20-5 = 669 This includes mortalities and self-discharges = 95 Excluding mortalities and self-discharges. It would be unusual for a patient to be discharge at night. Some numbers might represent urgent transfers to another provider = 29 This includes mortalities and self-discharges = 76 Excluding mortalities and self-discharges.

4 5 6 The number of delayed discharges and delayed transfers of care for patients aged 65 and over in financial year 20-5 or the last financial year for which statistics The number of delayed discharges and delayed transfers of care for patients aged 65 and over with a coding of dementia in Days lost due to delayed discharges 66 in in 20/ = = 95 Care Package in Own Home = Public Funding = 9 Patient or family Choice = 8 7 The number of delayed discharges and delayed transfers of care for patients aged 65 and over in financial year 20-5 or the last financial year for which statistics are available by reason e.g. awaiting completion of assessment? Delay Day Days Acute NHS Non-Acute 2280 Social Services 02 Nursing Home = 27 Further non acute care (inc intermediate care, rehab) = 26 Community Equipment/ Adaptions = Residential Home = Completion of assessment = 9 Housing - patients not covered by NHS and community care act = 2 Disputes =

5 8 The number of delayed discharges and delayed transfers of care for patients aged 65 and over with a coding of dementia in are available by reason e.g. awaiting completion of assessment? Delay Day Acute Days NHS Non-Acute 8 Social Services 52 9 and over with a coding of dementia admitted from home in Adm. Method Description ELECTIVE WAITING LIST OTHER MEANS CONSULTANT CLINIC REFERRED FROM UCC PAT XFER FROM OTHER HEALTH PROV. PLANNED 8 Sum (Admission Flag) 02 8 Public Funding = 26 Patient or family Choice = 22 Nursing Home = 5 Care Package in Own Home = Community Equipment/ Adaptions = 5 Residential Home = 5 Further non acute care (inc intermediate care, rehab) = Completion of assessment = Disputes = GEN PRAC - ADMIT DIRECT TO HEALTH PROV 9 ELECTIVE - FULLY BOOKED 2 ELECTIVE - PARTIALLY BOOKED 6 A&E OR DENT CASUALTY OF HEALTH CARE PROV 9

6 0 and over with a coding of dementia admitted from home and discharged to a care home in The average length of stay for patients aged 65 and over for the three financial years 202-, 20- and 20-5 or the last three financial years that figures 20/5 = 9 NHSYearSta rt 2 Performance bed days spells / = 5.7 (Spell Count = 09, los = 75298) 20/ = 5.6 (Spell Count = 02, los = 78098) 20/5 = 5.7 (Spell Count = 9, los = 85256) 2 The average length of stay for patients aged 65 and over with a coding of dementia for the three financial years 202-, 20- and 20-5 or the last three financial years that figures are The number of hospital readmissions within 0 days for patients aged 65 and over in Directora te Name NHSYearStart NHS Year Start Avg LoS bed days spells Number of discharges in period resulting from a readmission within 0 days of a previous discharge, with exclusions applied /0/ / = 2.5 (Spell Count = 077, los = 98) 20/ =. (Spell Count =, los = 5099) 20/5 = 0. (Spell Count = 6, los = 79) 20/5 = 28 This includes all patients that had a previous spell within 0 days of another.

7 The number of hospital readmissions within 0 days for patients aged 65 and over with a coding of dementia in financial year 20-5 or the last financial year for which statistics are NHSYearStart Number of discharges in period resulting from a readmission within 0 days of a previous discharge, with exclusions applied /0/5 20/5 = 7 This includes all patients that had a previous spell within 0 days of another.

8 If you are not satisfied with this response If you are not satisfied with how your request has been handled then please either. Respond to this and we will review our answers and get back to you or 2. Write directly to: The Chief Executive Chelsea and Westminster Hospital NHS Foundation Trust Verney House B Hollywood Road London SW0 9HS If, after we have addressed your complaint, you remain dissatisfied with how we have responded, you are entitled to appeal to the Information Commissioner at: The Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF. Telephone: or Website: There is no charge for making an appeal. Re-use of information and copyright You are free to re-use the information contained in our response under the terms of the Open Government Licence You must take into account the exemptions and any other conditions such as the nonendorsement condition below This licence does not grant you any right to use the Information in a way that suggests any official status or that Chelsea and Westminster Hospital NHS Foundation Trust, the Information Provider and/or Licensor endorse you or your use of the Information Further information can be found at: Yours sincerely The Information Governance team Chelsea and Westminster Hospital NHS Foundation Trust foi@chelwest.nhs.uk Page 8 of 8