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How have we done?

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Patient heart montage

Key figures and facts

Did you know every day in 2012/13 we… 
  • Delivered 17 babies

  • Operated on 53 people

  • Admitted 120 emergency patients

  • Treated 326 people in A&E

  • Saw 2,646 patients in clinics

  • 234 people went home on the same day as their operation 

Staff heart montage

Highlights of 2012-13

  • 300 ‘Pride of Derby’ staff honoured

  • 4,425 staff years and 1,135 volunteering long service celebrated

  • 98% of patients had confidence in doctors and 97% in nurses

  • 98% of patients said they were treated with dignity and respect

  • Derby Hospitals praised by Prime Minister as “a fantastic example” of the best quality NHS care

  • Innovators in Diabetes, Renal, Facilities, Nursing and Pharmacy praised in national awards

  • Awarded top marks in patient-led inspection for environment, food and privacy and dignity

  • Transformation in the quality of clinical care including: new ambulatory care centre, vascular network and rapid assessment service for frail older people

  • Better patient experience through partnerships with Alzheimer’s Society and Sight Support Derbyshire 

Patient Experience

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Infection control image

Infection control

Keeping our patients safe and free from infection is a major priority for Derby Hospitals. Infection Control plays a vital part in ensuring that our patients remain safe during their treatment.

How did we do?

CDIFF graph 2013

Clostridium Difficile (C Difficile)

Over the past 4 years we have reduced the number of hospital acquired infections by 30%. In 2012/13 we were set a challenging target of 49 cases of C Difficile. In total during the whole year we recorded 65 cases. We have carried out a detailed review of each of these cases and have found that 45 of them were unavoidable. 

  Target Achieved
2009/10 156 118
2010/11 135 82
2011/12 76 58




MRSA graph 2013

MRSA Bacteraemia

Our target for the maximum number of MRSA bacteraemia during 2012/13 was 2 but a late case meant that the Trust breached this target by one. We carry out a root cause analysis each time a case occurs to ensure that any lessons are learnt and best practice is maintained. 

  Target Achieved
2009/10 18 21
2010/11 7 4
2011/12 7 2




Friends and family postcard

Friends and family test (net promoter)

Over a period of 12 months (April 12-March 13) the Trust has received over 11,000 responses to the Family and Friends Test. 

The majority of people responded positively saying that they were either ‘highly likely’ or ‘likely’ to recommend Derby Hospitals to their friends and family. 

63% of patients said they would be 'highly likely' to recommend Derby Hospitals to their friends and family. 

Friends & family test

To view our latest performance in the friends and family test, and other comments about our hospitals please follow the links below (redirects to NHS Choices):

Ward assurance

Ward assurance is an monthly audit of wards which focuses on things that really matter to patients. It supports the delivery of safe and effective care and help identify areas for improvement.

In 2012/13 Derby Hospitals' wards scored 96% on average, against a target of 95%.

The audit covers the following areas:

  • Patient observations
  • Pain management
  • Falls assessment
  • Tissue viability assessment
  • Nutritional assessment
  • Medicine prescribing and administration
  • Resuscitation equipment
  • Controlled medicines
  • VTE assessment
  • Patient privacy and dignity
  • Infection prevention and control
  • Discharge planning
  • Continence care
  • Hand hygiene
  • ANTT

Patient Safety Thermometer

Each month we undertake the Patient Safety Thermometer audit which is a prevalence audit measuring harm from falls, pressure ulcers, catheter associated urinary tract infections and venous thrombo emboli. This indicates more than 97% of our patients do not experience these harms whilst in our care and is an improvement of more than 2% since auditing began in March 2012. This represents 30 less patients who have experienced harm under our care within the hospital on a said day.  

Mortality graph


The Hospital Standardised Mortality Ratio (HSMR) is an indicator of healthcare quality that measures whether the death rate at a hospital is higher or lower than you would expect.

The HSMR value at Derby Hospitals for 2012/13 was 98.6 and is within the expected range.  

The benchmark figure is 100; values greater than 100 represent performance worse than the benchmark, and values less than 100 represent performance better than the benchmark.

Patient access

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Referral to treatment (18 weeks)

Patients have the legal right to start NHS consultant-led treatment within a maximum of 18 weeks from referral, unless you choose to wait longer or it is clinically appropriate that you wait longer. 

The clock starts when you book your first appointment (via GP, dentist, optician or other clinician) or when your referral letter is received by the hospital.

Patients with urgent conditions such as cancer and heart disease will be able to see a specialist more quickly - see the cancer section above.

How did we do?



Referral to Treatment (admitted)



Referral to Treatment (non-admitted)



We have achieved our 2012/13 RTT targets. Throughout the year initiatives have been successful in reducing waiting times for patients.

Accident & Emergency (4 hour target)

95% of all patients who attend A&E must be discharged or admitted within 4 hours. We started the year positively, achieving the target in the first 7 months of the year.  However, a challenging winter has impacted on A&E waiting times and the Royal Derby Hospital, like many other acute hospitals nationwide, has struggled to meet this target.

We have seen more patients in A&E.  There were 2,249 more attendances compared to the previous year, an increase of 1.93%. We have also seen a higher proportion of patients aged over 65 and a 21% increase in patients aged over 90. Many of these older patients have complex medical needs and many of them need to be admitted to a hospital bed. 

How did we do?



A&E – 4 hour wait



We are continuing to work hard to do all we can to meet the 4 hour target in A&E. New developments are being planned to ensure future performance is maintained in the face of rising demand.


We know that it is a particularly worrying time for patients when the GP suspects that they may have cancer.  This is why the Department of Health chose to put a particular focus on improving the time that patients wait, between being referred by their GP and seen by a specialist.  If you are referred with suspected cancer, you should expect to wait no longer than 14 days before being seen in the hospital for your first appointment.  It is expected that 93% of patients will see a specialist within that time.   

How did we do?



Cancer 2 week wait*



Cancer 2 week wait – breast sympt1oms*



Cancer 31 day standard*



Cancer 31 day subsequent – Surgery*



Cancer 31 day subsequent – Drugs*



Cancer 31 day subsequent – Radiotherapy*



Cancer 62 day standard*



Cancer 62 day screening*



Cancelled ops

If your operation in cancelled by us at the last minute for non-clinical reasons, we should offer you a new date for your operation (this covers all planned and booked hospital operations, including day surgery). This new date should be within 28 days of the date your operation was originally booked for. This is a pledge in the NHS Constitution.  However it does not cover minor operations carried out at outpatient appointments or clinics.

What does ‘at the last minute’ mean?

This means that the hospital cancels your operation:

  • on the day you are due to arrive in hospital
  • after you’ve arrived in hospital
  • on the day that your operation or surgery is due to take place   

How did we do?
Number of operations (1st episode) 89567
Cancellations 330
Achieved 0.37%
Target 0.50%