Tables for Healthcare Commission Webpage for Adult Inpatient Survey 2008

National NHS patient survey programme

Survey of adult inpatients in the NHS 2007

The Healthcare Commission

The Healthcare Commission is the independent watchdog for healthcare in England. We have a statutory duty to assess and report on the quality and safety of services provided by the NHS and the independent sector, in order to promote continuous improvement in healthcare for the benefit of patients and the public.

Survey of adult inpatients 2007

To improve the quality of services that the NHS delivers, it is important to understand what patients think about their care and treatment. One way of doing this is by asking patients who have recently used their local health services to tell us about their experiences.

The fifth survey of adult inpatients involved 165 acute and specialist NHS trusts[1]. We received responses from just under 76,000 patients, a response rate of 56%. Patients were eligible for the survey if they were aged 16 years or older, had at least one overnight stay and were not admitted to maternity or psychiatric units.

Similar surveys of adult inpatients were also carried out in 2002, 2004, 2005 and 2006. They are part of a wider programme of NHS patient surveys which covers a range of topics including community mental health, services for children and young people, accident and emergency care for adults and ambulance and primary care services. To find out more about the programme, please visit our website.

This document provides tables showing the national results for the inpatient survey for the years 2002, 2005, 2006 and 2007. Results for the 2004 survey are not presented here, as they are not directly comparable with the other years[2]. The questionnaire for 2007, and those from previous surveys, are available on our website.

On the website you can also access a benchmark report for each trust, showing how it performed compared with national benchmarks, and a set of Excel spreadsheets showing the percentage results for each question for each trust together with national results.

Interpreting the tables

The tables present the results for each question for each year that it has been asked[3]. The survey years are shown across the top of the table, with the responses for each question down the side. The bottom row shows the ‘number of respondents’, that is the number of people that the results are based on.

The tables show all specific responses to a question. Unclear responses such as “don’t know” or “can’t remember” are not shown, as these do not evaluate performance.

Where the column for a particular year is missing, the question was not asked in that year. For example, the table for question 2 (“When you arrived at the hospital, did you go to the Emergency Department?”) does not have a column for 2002 because this question was not asked then. Some new questions were asked in 2007 and it is therefore not possible to provide comparative data. An example of this is question 6 (“When you were referred to see a specialist, were you offered a choice of hospital for your first hospital appointment?”).

Filter questions

Not all of the questions in the survey were to be answered by everybody. Some questions are not applicable to everyone: for example, if a patient did not go through the emergency department, then that person was not asked the questions about this, but was ‘filtered’ to another part of the questionnaire. Examples of this are questions 3, 4 and 5 which show only the results for people who went through the emergency department.

Statistical significance

We carried out statistical tests on the data to determine whether there had been any ‘statistically significant’ changes in the results for 2007 compared with other years. A statistically significant difference means that the change in the results is very unlikely to have occurred by chance[4].

The final two columns of the tables use up and down arrows to indicate whether there has been a ‘statistically significant’ change between 2007 and 2006, and also between 2007 and 2002 (when the first survey of inpatients was carried out)[5]:

↑ shows that there has been a statistically significant increase in results

↓ shows that there has been a statistically significant decrease in results.

Where a cell in the final two columns is blank, there has been no statistically significant change.

For example, in the table for question 3 it can be seen that between 2007 and 2006, there has been a significant decrease in the proportion of respondents to say that they were not given enough information about their treatment or condition when they were in the emergency room. There has been a significant increase in the proportion to say they were given the right amount of information and a significant decrease in the proportion to report that they were not given any information.

In some of the tables, the arrows suggest that there has been a significant change but the results look the same. An example of this can be seen in the table for question 1 where the ‘emergency or urgent’ percentage is the same for 2006 (54%) and for 2007 (54%) but there is an upward arrow to show there has been a significant increase. This is because results presented in the tables have been rounded up or down to a whole number. If the results were presented to a number of decimal places, a small observable difference would be shown. Some of the changes in the survey results are very small, but because of the large number of respondents that took part, they are statistically significant. Tables showing the results to two decimal places are available upon request to the Healthcare Commission. Please contact:

Further information

Full details of the methodology of the survey can be found at:

http://www.nhssurveys.org/

More information on the programme of NHS patient surveys is available on the patient survey section of the website at:

http://www.healthcarecommission.org.uk/nationalfindings/surveys/patientsurveys.cfm

The 2007 survey of adult inpatient results, questionnaire and scoring can be found at:

http:/www.healthcarecommission.org.uk/PatientSurveyInpatient2007

The 2006 survey of adult inpatient results can be found at:

http://www.healthcarecommission.org.uk/PatientSurveyInpatient2006

The 2005 survey of adult inpatient results can be found at:

http://www.healthcarecommission.org.uk/PatientSurveyInpatient2005

The 2004 survey of adult inpatient results can be found at:

http://www.healthcarecommission.org.uk/PatientSurveyInpatient2004

The 2002 survey of adult inpatient results (published by DH) can be found at:

http://www.dh.gov.uk/en/Publicationsandstatistics/PublishedSurvey/NationalsurveyofNHSpatients/Nationalsurveyinpatients/index.htm

More information on the 2007/2008 annual health check is available at:

http://www.healthcarecommission.org.uk/healthcareproviders/serviceproviderinformation/annualhealthcheck/annualhealthcheck2007/2008.cfm

Q1 Was your most recent hospital stay planned in advance or an emergency?

Survey Year / Significant change between 06 and 07 / Significant change between 02 and 07
2002 / 2005 / 2006 / 2007
Emergency or urgent / 52% / 53% / 54% / 54% / ↑ / ↑
Waiting list or planned in advance / 48% / 44% / 44% / 43% / ↓
Something else / 0% / 3% / 3% / 3%
Number of respondents / 89815 / 77840 / 77665 / 73355

Answered by all

Q1v2 Was your most recent hospital stay planned in advance or an emergency?

Survey Year / Significant change between 06 and 07 / Significant change between 02 and 07
2002 / 2005 / 2006 / 2007
Emergency or urgent / 52% / 55% / 55% / 56% / ↑
Waiting list or planned in advance / 48% / 45% / 45% / 44% / ↓
Number of respondents / 89815 / 75774 / 75540 / 71417

Answered by all but filtered to remove respondents who said they were admitted for “something else”

Q2 When you arrived at the hospital, did you go to the Emergency Department?

Survey Year / Significant change between 06 and 07
2005 / 2006 / 2007
Yes / 86% / 87% / 88% / ↑
No / 14% / 13% / 12% / ↓
Number of respondents / 41348 / 42648 / 40960

Answered by all who were admitted for an emergency, urgent or other reason

Q3 While you were in the Emergency Department, how much information about your treatment or condition was given to you?

Survey Year / Significant change between 06 and 07
2005 / 2006 / 2007
Not enough / 15% / 17% / 16% / ↓
Right amount / 73% / 72% / 74% / ↑
Too much / 0% / 0% / 1%
I was not given any information about my treatment/condition / 11% / 11% / 10% / ↓
Number of respondents / 35243 / 37315 / 32535

Answered by all who went to the Emergency Department upon arrival

Q4 Were you given enough privacy when being examined or treated in the Emergency Department?

Survey Year / Significant change between 06 and 07
2005 / 2006 / 2007
Yes, definitely / 79% / 77% / 75% / ↓
Yes, to some extent / 19% / 20% / 23% / ↑
No / 2% / 2% / 2%
Number of respondents / 35877 / 37783 / 35347

Answered by all who went to the Emergency Department upon arrival

Q5 Following arrival at the hospital, how long did you wait before being admitted to a bed on a ward?

Survey Year / Significant change between 06 and 07 / Significant change between 02 and 07
2002 / 2005 / 2006 / 2007
Less than 1 hour / 26% / 23% / 21% / 22% / ↑ / ↓
At least 1 hour but less than 2 hours / 13% / 19% / 18% / 18% / ↑
At least 2 hours but less than 4 hours / 15% / 25% / 24% / 24% / ↑
At least 4 hours but less than 8 hours / 19% / 19% / 22% / 21% / ↑
8 hours or longer / 15% / 6% / 6% / 6% / ↓
I did not have to wait / 13% / 9% / 9% / 8% / ↓ / ↓
Number of respondents / 46549 / 33692 / 35922 / 34528

Answered by all who went to the Emergency Department upon arrival

Q6 When you were referred to see a specialist, were you offered a choice of hospital for your first hospital appointment?

Survey Year
2007
Yes / 28%
No / 72%
Number of respondents / 34339