13 April 2018
My knee has been painful and is swollen. Will it get better on its own?
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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
Spire Sussex Hospital latest CQC inspection report: 9 May 2017
Overall rating - OutstandingFull 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 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 infection rates at Spire hospitals are extremely low
|0||Spire Hospitals||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?
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 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 rates at Spire hospitals are negligible
|0||Spire Healthcare (average)||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?
The data for each Spire hospital relates to clostridium difficile infection across all Spire hospitals. NHS data taken from the Public Health England.
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.
Surgical site infection rates at Spire Hospitals are very low
(Hip replacement average)
(Knee replacement average)
How do we keep our wound infection rates low?
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.
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, 0.13% of patients required unplanned readmission for further treatment within 31 days of their discharge from Spire Sussex Hospital.
Unplanned return to theatre rates at Spire Hospitals are low.
How do we keep our return to theatre rates so low?
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 readmission's by dividing the number of readmission's by the number of patients we have discharged from the hospital.
In 2016, 0.18% of patients required unplanned readmission for further treatment within 31 days of their discharge from Spire Sussex Hospital.
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?
98% of patients would recommend Spire Sussex 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.
03 April 2018
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