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Our healthcare standards

At Spire Healthcare, clinical standards are our first and foremost priority. We continuously monitor our performance against the standards set by the Care Quality Commission and strive for continuous improvement and outstanding patient care.

At our last inspection in August 2017, the CQC identified certain areas where we could improve. We have taken these seriously, immediately addressing any concerns highlighted. A summary of our response is outlined below:

CQC inspection areas

 

Action taken by Spire Gatwick Park Hospital

 

 


Safe

 

We perform spot checks on all storage areas for medication. This is audited on a monthly basis to ensure compliance.

 

We now have a purpose built medical records area that keeps full and contemporaneous combined outpatient and inpatient records for all patients coming into the hospital.

 

All staff completed face to face training on incident reporting and it is now part of their mandatory on line training. Face to face training sessions are run for all new staff as part of their induction.

 

All staff have an individualised mandatory training programme which is linked to performance targets as well as professional requirements. A rolling programme for basic life support is ongoing.

  

Risk assessments are in place. 

There is a regular scheduled steam cleaning of carpets in clinical areas until they have all been replaced by hard flooring as part of ongoing refurbishment.

 

Resources have been reviewed to complete this and daily attention is spent in ensuring records are easy to use.

 

Due to the nature of our relationship with Consultants within private healthcare this cannot be enforced. The Consultants are encouraged to supply this but we are not able or required to ensure compliance.

 

A full programme has been rolled out which now shows excellent compliance with audits and is embedded as part of the patient journey.

 


Effective

 

We have on going audits of patient starve times to ensure there is good compliance. The patient admission letters have been amended to give accurate information and we have worked closely with consultants and anaesthetists to show marked improvement.

 

We have provided comprehensive staff training in pain control and worked with Consultants and Anaesthetists to ensure that all patients have pain relief available when needed.

 

We now have specific feedback forms for all age groups undergoing a procedure with us. The feedback is discussed and any actions for improvement taken.

 

All children and young people receive a telephone call from the paediatric team within 48 hours of their discharge. Patients and their families all have a direct phone number to call if advice from a Children’s Nurse is needed.

 

All staff involved in the care of children and young people have competencies and mandatory training requirements. Unless these are met in full staff are not permitted care for this patient group.

 


Well-led

 

All policies have been reviewed and a standard definition adopted:

Infant – 0-3

Child – 3-16

Young Person – 16 and 17

 


Caring

 

Rated as Good therefore no specific action required however, we’re committed to continually improving our clinical and service standards to ensure we provide the best possible care.

 

 

Responsive

 

Rated as Good therefore no specific action required however, we’re committed to continually improving our clinical and service standards to ensure we provide the best possible care.

 

 



We are fully engaged with our local CQC team and look forward to our next inspection as an opportunity to evidence our excellent care.

Clinical performance

We're proud of the cleanliness of our hospitals and centres. And because we want our patients and GPs to make informed choices, we were one of the first private hospitals to publish clinical performance and patient reported outcomes on our website including information on our rates of MRSA blood infection and clostridium difficile infection. This is just one part of our programme to improve our already high standards of clinical quality and safety.

All Spire hospitals are registered with the Care Quality Commission (CQC) and are required to meet the rigorous standards set for registered hospitals. This includes the quality and safety of treatment, cleanliness of the hospitals, staff recruitment and training and information available to patients. As part of their inspection programme, the CQC asks whether every service they inspect is safe, effective, caring, well-led and responsive to people's needs.

Visit Care Quality Commission website

CQC logo

Spire Gatwick Park Hospital latest CQC inspection report: 4 January 2016

Overall rating - Requires improvement

Full details of the inspection report

Every Spire hospital publishes several performance measures including: MRSA blood infections, clostridium difficile infections, wound infections after hip and knee replacement surgery, unplanned returns to theatre and unplanned readmission to hospital.

MRSA blood infections

MRSA is a type of bacteria that is resistant to some antibiotics. A healthy person can carry MRSA on their skin and it won't harm them. But if MRSA gets into the blood stream of a weaker person, perhaps if they have had surgery or are recovering from an illness, it can cause infection.

MRSA can be treated with a range of different antibiotics in line with national UK guidelines.

The rate of MRSA infection is measured in a standard way across all UK hospitals. It is measured by dividing the number of cases of MRSA blood infection by the total number of days that all of our patients have been in hospital, called the number of bed days.


MRSA bloodstream infections

MRSA infection rates at Spire hospitals are extremely low

 

Rate per 10,000 bed days (2016)0.2
0.1
0.00
0.09
0 Spire Gatwick Park Hospital NHS Hospitals (average)*

* NHS hospitals typically face additional challenges as they admit emergency patients via A&E who cannot be screened before admission.

MRSA bloodstream infection (also called MRSA bacteraemia) is the most serious type of MRSA infection. Hospitals in England send data to the Health Protection Agency on confirmed MRSA bloodstream infections. The figures published here do not include the numbers of people colonised with MRSA (where MRSA is carried naturally in the nostrils or on the skin) or superficial infections (where the MRSA infection is limited to the skin and does not enter the body).

How do we keep our MRSA rates so low?

  • Most rooms are single occupancy.
  • We train all staff in exceptional hand hygiene.
  • We employ our own teams of cleaners, not outside companies.
  • We screen all high-risk patients.
  • Operating theatres use filtered air for major orthopaedic operations.

The data for each Spire hospital relates to reported MRSA bacteraemia across all Spire hospitals. NHS data taken from the Public Health England.

Clostridium difficile

Clostridium difficile is a type of bacteria that can cause severe and frequent diarrhoea, abdominal pain and fever. In some cases, it can cause a life-threatening inflammation of the bowel. This is known as clostridium difficile associated disease or CDAD for short. In mild cases of CDAD, no specific treatment is required, although any antibiotic treatment may be changed or stopped. More severe cases require treatment with additional antibiotics.

The rate of CDAD infection is measured in a standard way across all our hospitals. It is measured by dividing the number of cases of CDAD by the total number of days that all of our patients have been in hospital (called the number of bed days).


Clostridium difficile infection

Clostridium difficile infection rates at Spire hospitals are negligible

 

Rate per 10,000 bed days (2016)3.0
1.0
2.57
1.32
0 Spire Gatwick Park Hospital NHS Hospitals (average)*

*Patients with more complex needs requiring longer lengths of stay at NHS hospitals are likely to increase clostridium difficile rates.

How do we keep our CDAD rate low?

  • Appropriate use of antibiotics
  • Most rooms are single occupancy
  • We train all staff in exceptional hand hygiene
  • We employ our own teams of cleaners, not outside companies

The data for each Spire hospital relates to clostridium difficile infection across all Spire hospitals. NHS data taken from the Public Health England.

Wound infection

Hip and knee replacement operations are very common procedures and for most people the benefits are great. However, all surgery carries a risk of infection in the wound created by the operation and this is known as surgical site infection. Wound infections can be treated with dressings and/or antibiotics.

The rate of wound infection is measured by dividing the number of cases of infection by the number of hip or knee replacement operations completed by the hospital.


Wound infections

Surgical site infection rates at Spire Hospitals are very low

 

Wound infections following hip and knee replacement surgery (%), 20161.0%
 
0.00
0.50
0.50
0 Spire Gatwick Park Hospital NHS Hospitals
(Hip replacement average)
NHS Hospitals
(Knee replacement average)

How do we keep our wound infection rates low?

  • Most rooms are single occupancy
  • We train all Spire Healthcare staff in exceptional hand hygiene
  • Patients mobilise as soon as possible to speed recovery
  • Operating theatres use filtered air for joint replacement operations

The data for each Spire hospital relates to surgical site infections reported by that hospital during 2016 (where this infection was identified when the patient was an inpatient or following a readmission to that hospital). NHS surveillance rates for surgical site infections (hip and knee replacement 2011 – 2016) are taken from Public Health England.

Returns to theatre

A return to theatre is when a patient has surgery and needs to return to theatre for an unplanned procedure during the same stay at the hospital.

We measure the rate of returns to theatre in a standard way across all hospitals, by dividing the number of returns to theatre by the number of procedures we have performed.

In 2016, 0.12% of patients required an unplanned return to theatre for further treatment before they were discharged home from Spire Gatwick Park Hospital.


Unplanned returns to theatre

Unplanned return to theatre rates at Spire Hospitals are low.

How do we keep our return to theatre rates so low?

  • All treatment is delivered by a consultant on the General Medical Council's Specialist Register.
  • Every patient undergoes comprehensive assessment prior to surgery.
  • Every hospital has a dedicated post-operative recovery area.

Unplanned readmission

Occasionally, you might need to return for additional treatment following your stay in hospital. Although this is sometimes unavoidable, our good discharge planning and the clear health information we provide helps to minimise the likelihood of this occurring.

An unplanned re-admission is when a patient is re-admitted to the hospital within 31 days of being discharged. The reason for the second admission should be related to the first.

We calculate the rate of unplanned readmissions by dividing the number of readmissions by the number of patients we have discharged from the hospital.

In 2016, 0.09% of patients required unplanned readmission for further treatment within 31 days of their discharge from Spire Gatwick Park Hospital.


Unplanned readmissions

Patients at Spire Hospitals are, on average, at low risk of requiring a readmission for further treatment / return to theatre for further treatment.

How do we keep our unplanned readmission rates so low?

  • Every patient has an individual discharge assessment.
  • By providing information to support a speedy recovery.
  • By referring to external services where it will help recovery.
  • By providing GPs with prompt and comprehensive information.

Patient satisfaction

98% of patients would recommend Spire Gatwick Park Hospital to their family and friends following their treatment (based on patient satisfaction data from 2016).

If you have any questions or would like more detailed information, please contact our hospital director.