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East Midlands Quality Observatory
NHS East Midlands
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Care pathways 

For each of our health outcome areas we have devised regional quality indicators across the three domains of clinical effectiveness, patient safety and patient experience. Click on the tabs below to see what indicators are available to view in each health outcome area.

 

Maternity & Newborn

Clinical effectiveness

Breastfeeding inititation rates by primary care trust (PCT)

Breastfeeding rates at 6-8weeks by primary care trust (PCT)

Patient safety

Percentage of normal births by NHS hospital trust

Percentage of deliveries where method was elective C-section by NHS hospital trust

Percentage of deliveries where method was non-elective C-section by NHS hospital trust

Percentage of deliveries where method was C-section and singleton by NHS hospital trust

Percentage of vaginal births after previously having a C-section (VBAC) by NHS hospital trust 

Patient experience

12 week midwife or maternity healthcare professional visit by primary care trust (PCT)

 

Children's health

Clinical effectiveness

% of attendances to A&E which result in admission (<17yrs) by acute trust

% of admissions whcih result in a length of stay of zero (<17yrs) by acute trust

% of attendances to A&E which result in a length of stay of zero (<17yrs) by acute trust

Patient safety

% Emergency readmissions within 7 days (<17yrs) by acute trust 

 

Enhanced Performance in Planned care

Clinical effectiveness

Day Case Surgery Rates vs. BADS OPCS threshold by acute trust 

 

Cancer

Clinical effectiveness

Breast cancer survival rates (one year and five year) by primary care trust (PCT)

Colorectal cancer survival rates (one year and five year) by primary care trust (PCT)

Lung cancer survival rates (one year and five year) by primary care trust (PCT)

Prostate cancer survival rates (one year and five year) by primary care trust (PCT)

Patient safety

7 day/30 day mortality for colorectal cancer by provider from first relevant admission post diagnosis by acute trust

 

 

Mental health

Clinical effectiveness

The proportion of users on new care programme approach who have had a HoNOS assessment in last 12 months by mental health trust

Patient safety

% CPA discharges which are followed up within seven days by primary care trust (PCT)

Patient safety

Responses to the annual patient survey by mental health trust 

 

Learning disabilities

Clinical effectiveness

% People on PCT learning disabilities register who have received an annual health check in the last 12 months by primary care trust 

Patient safety

% people on a PCT learning disability register versus those on a social services register by primary care trust

 

 

Obesity

Clinical effectiveness

Proportion of physically active adults by primary care trust 

Percentage of children with a BMI >30 (reception year/Year 6) by primary care trust

 

 

Long term conditions

Chronic Heart Failure 

 

Major trauma

Clinical effectiveness

Numbers of delayed transfers outside of resuscitation guidelines timeframe (later than immediate resuscitation( by acute trust

Patient safety

Tarn (Trauma Research Audit Network) data submissions and risk adjusted outcomes by acute trust

 

Stroke

Clinical effectiveness

Percentage of stroke patients spending 90% on stroke unit by primary care trust (PCT)

Higher risk transcient ischaemic attack (TIA) cases who are scanned and treated within 24 hours by primary care trust (PCT)

Patient safety

Proportion of patients are independent or have no change in dependency after hospital stroke admission

Proportion of patients with increased dependency after hospital stroke admission

Proportion of patients deceased after hospital stroke admission

 

Acute coronary syndrome

Clinical effectiveness

Higher risk ACS and STEMI patients receiving an angiography by acute trust

Call to Balloon (CTB) in less than <120mins/<150mins by acute trust

Call to Needle (CTB) in less than <60mins by acute trust

ACS patients with nonSTEMI/ STEMI by acute trust

Patient safety

Troponin positive ACS admissions resulting in death before discharge by acute trust

 

Falls and bone health

Clinical effectiveness

Percentage of in hospital mortality for people admitted with a primary diagnosis of a fractured neck of femur.

Patient Safety

Total number of #NOF presentations for patients >60

Total patients >60 presenting after a fall

Average LoS for patients >60 presenting after a fall 

Fragility Fractures admitted in an emergency as a proportion of all other fractures in patients >60

Patient experience

Percentage of neck of femur fracture patients provided with analgesia in line with guidelines by acute trust

 

 

End of life

Clinical effectiveness

% of patients on primary care 'palliative care' registers Vs. total number of deaths by primary care trust

Patient safety

% of patients who died in secondary acute care

 

 

Primary care

Clinical effectiveness

% of patients satisfied with being able to talk to their GP on the telephone by primary care trust (PCT)

Patient experience

% of patients who would recommend their GP to a friend by primary care trust (PCT)