hca newsletter issue 14

NEW

Quality outcomes published this moNthwww.hcaqualityreport.co.uk

This year’s data covers independently assessed outcome and quality data from more than 18 different aspects of our hospitals.

issue 14 summeR 2012

CONTENT

NEW Cancer Centre is pioneering partnership between HCA hospitals and the NHS

Weighing in with a record year!

Are you affected by Bupa Open Referral?

OUR first-class quality outcomes

Find an HCA hospital near you

Pioneering blood-clotting research wins top award for heart surgeons

For more information about our hospitals visitwww.hcahospitals.co.uk or call +44 (0)20 7079 4399

Private Hospital Group of the Year 2011

HCA HospitAls wins top HeAltHinvestor AwArd

www.hcaqualityreport.co.uk

Michael Neeb, President and CEO of HCA International receives the HealthInvestor Award

HCA are delighted to be recognised as Private Hospital Group of the Year – an award that acknowledges our commitment to achieving the highest standards of care. The judges’ comments reflect some of the reasons why HCA was selected to win such a prestigious award:

Investment in innovations that make a real difference to patients, through new technologies such as CyberKnife® and NanoKnife non- invasive procedures for removal of previously inoperable tumours

A high performing group that invests in facilities and equipment andwhostrivetobefirsttomarket

Delivers very high patient outcome scores

Continuing to develop a reputation as a provider of leading edge clinical services

Impressed by partnerships with the public sector, such as the GammaKnife radiation therapy at St. Bartholomew’s Hospital

We would like to thank our doctors, nurses, staff and especially our patients, who have all contributed to this accolade

NewprivAte CAnCer Centre

is a pioneering partnership with NHS centre of excellence

For more information about harley Street at university collegehospital visit www.hcahospitals.co.uk or call +44 (0)20 3603 1341

Dr Krit Adeshna

Clinical Lead at the new UCLH Cancer Centre. Dr Kirit Adeshna is also Pathway Director for Clinical Outcomes for the NHS and Advisor to Macmillan on Haematology.

“This is a beautiful space for our patients to receive their treatment and care; it doesn’t feel like a hospital and we are aiming to provide a faster service so that patients can begin treatment as quickly as possible when this is appropriate.”


The outpatient unit is a joint project between HCA Hospitals and UCH and means private patients can choose to have their care and treatment within one of London’s newest and most advanced cancer centres. The centre is equipped with a revolutionary Pet MRI scanner–thefirstofitskindinthecountry–afullrangeofdiagnosticfacilitiesandaMacmillan Support and Information Centre for patients and relatives. It is inspired by the Sloan-Kettering Cancer Center in the US and ‘designed around the needs of the patient’.

Locatedonthefifthfloor,HarleyStreetatUniversityCollegeHospitalisspaciousandbrightand surrounds the special Squire Gardens where private patients can relax during treatment.

Sarah Fisher, CEO of NHS Ventures said, “The advantages of this new centre are that patients have the best of both worlds: access to the very latest cancer treatments ‘as they happen’ within an environment of seamless patient care and high quality service.”

HCA cancer centres

exceed European

standards for breast

cancer in four key areas

CANCER CARE

CANCER CARE

Issue 4April 2012

HCA is committed to ensuring our cancer services are of the highest possible quality and to monitoring the outcomes of the cancer care we provide. Our hospital facilities contribute to the UK cancer registries and national clinical audits, key parts of the National Cancer Data Repository hosted by the National Cancer Intelligence Network.

External accreditation of services requires the collection of comprehensive clinical datasets, demonstrating adherence to guidelines such as those issued by the European Reference Organisation for Quality Assured Breast Screening and Diagnostic Services.

The breast cancer specialists we work with agree our quality standards and HCA is proud to exceed European standards in four key areas:

• 100% of cases identified through imaging are correctly excised in the first surgical biopsy [standard ≥ 95%]• 88.6% of patients with pT1 cancers undergo breast conserving surgery [standard ≥ 80%]• In 96.6% of cases hormone receptor status is available to inform treatment choices [standard: ≥ 95%]• In 99.6% of cases histopathology grading is available to inform discussions about treatment and survival [standard ≥ 95%]

Our pre-operative diagnosis rate for breast cancer is 94.5% (NHS standard >90%).4

4. European Reference Organisation for Quality Assured Breast Screening and Diagnostic Services.

JUST PUBLISHED:

hca Quality outcomes 2012Includes:

HCA cancer centres exceed European standards for breast cancer in four key areas.

harley Street at university college hospital – expands outpatient services to provide exceptional care within London’s most advanced Cancer Centre


Live birth rates at

The Lister Fertility Clinic

are above the nationalaverage (in mothers

under 40 years)

FERTILITY

25% 30% 50%45%40%35%

Average for The Lister Fertility Clinic

National average

Issue 4April 2012

The Lister Fertility Clinic is the largest purely private clinic in the UK, undertaking 2,500 IVF cycles per year. The Lister Fertility Clinic achieves above average live birth rates for under 40s.

(Right) Live births per embryo transferred in the year ending 2nd quarter 2010This shows the likelihood of each embryo transferred resulting in a live birth. It takes into account how many embryos were transferred in a cycle. It presents how many women had a live birth out of the total number of embryos transferred across all cycles. The success rates appear lower than for live birth per cycle started because clinics often transfer two embryos per cycle.

(Below) Live births per treatment cycle started in the year ending 2nd quarter 2010 – women under 35 years

45.4%

32.5%

This shows how many women had a live birth out of all the women who began a treatment cycle. A treatment cycle starts when a woman begins taking fertility drugs to stimulate her egg production.

Source: http://www.hfea.gov.uk/

Age

Under 35

35-37

38-39

40-42

43-44

Over 44

Live birthsper embryo transferred

Predicted chance of a patient

having a live birth

How does clinic compare to the

national average?

Predicted chance between: 26.4%-36.7%

Most likely around: 31.3%

Above national average live birth rate of:

22.2%

Predicted chancebetween: 18.7%-27.9%



18.1%

Predicted chancebetween: 13.5%-23.1%



12.9%



Consistent with national average live birth rate of:

7.2%




3.4%




1.5%

241 out of 769

184 out of 800

108 out of 606

95 out of 1047

15 out of 354

1 out of 102

FERTILITY

the portland hospital experienced a baby boom last year with over 2,230 deliveries!This was a 12% increase on the previous year for the UK’s best-known and largest privatematernityhospital.HospitalChiefExecutiveOfficer,JaneneMaddensaid, “We have recently upgraded all of our facilities and The Portland Hospital is more comfortable and luxurious than ever.

Theserecordnumbersconfirmthatwearestillthefirstchoiceforprivatematernitycareandwecelebrateeachandeveryoneofournewarrivalsasareflectionofthehard work and dedication of our superb team of consultants and midwives.”

the portland hospital for women and children provides a choice of consultant and midwife-led care. Facilities include a Neonatal

intensive care unit for babies born from 30 weeks. For more information about private maternity care please contact our

Maternity Services advisor on +44 (0)20 7390 6068.

Weighing in with A reCord YeAr

maRtha

Born6thJanuary2012weighing 6lb 4oz. One ofourfirstarrivalsforthe new year.

“All I can say is ‘wow’. My expectations were not only met, but totally exceeded, from the quality of care to the food, from the newly refurbished room to the friendliness of the staff. My husband and I were truly and utterly privileged to have Christella as our midwife and as a second- time mum I cannot get my head around one truth – I actually enjoyed my labour, thanks to the experience. I left The Portland after an incredible 48 hours feeling happy, spoilt and most importantly relaxed and ready to enjoy my new little daughter. A ‘thank you’ to the midwives, nurses and the entire Portland team will never be enough.”

Amber Khan, Mother and Patient


JUST PUBLISHED:


Live birth rates at the Lister Fertility Clinic are above the national average (in mothers under 40 years).


(average waiting time for the NHS is 62 days)

Most cancer patients

choose to have their

surgery 8 days after their referral

CANCER CARE

CANCER CARE

Issue 4April 2012

At HCA hospitals our average waiting time for cancer patients from referral to surgery is 21 days, with a median of 8 days. This includes patients who choose to delay their surgery due to personal circumstances and when this surgery is non-urgent.

As a result the mode is 8 days from referral to 1st operation.

In the NHS the average waiting time is 62 days.

JUST PUBLISHED:


Most of our cancer patients choose to have their surgery 8 days after their referral (average waiting time for the NHS is 62 days).


For more information about hca Bupa open referralcall +44 (0)20 7759 3755 or email [email protected]

Are you or your employees affected by

Bupa Open Referral?Recently we’ve been receiving a lot of enquiries from patients asking for help to navigate Bupa’s new open referral system.

how hca can helpHCA has opened a new helpline number +44 (0)20 7759 3755. Patients who would like assistance in dealing with Bupa can access HCA representatives who are able to book appointments and contact Bupa on the patient’s behalf to secure pre-authorisation.

Bupa Open Referral is a different way of making referrals where a patient’s GP is required to make an unnamed referral. This new procedure differs from previously whereby thepatientisreferredtoaspecificconsultantbytheirGP;a process more favoured by GPs in general. When the patient calls Bupa to pre-authorise treatment, they are given a choice of three or four consultants suggested by Bupa. The patient must then select a consultant from the list and arrange treatment. HCA believe this change to the referral process is causing anxiety for some Bupa customers and is eroding patient choice.


Step 1: Contact us by phone Step 2:Wecanfindyouachoiceofspecialists and contact Bupa for you

Step 3: And arrange an appointment for you

we can take care of everything for you.

“I am pleased to share with you HCA’s latest Quality Outcomes which summarise our achievements against a wide range of national and international benchmarks for hospital quality and safety. This year I am delighted to note that our HCA cancer centres have exceeded European standards for breast cancer in four key areas. Our rehabilitation unit at The Wellington Hospital has achieved the highest international quality accreditation – the first time a private unit has been awarded this; and the Lister Fertility Clinic is out-performing the national average for live birth rates in women under 40 years.”

Michael Neeb,President and CEO,HCA International

Nearly 3/4 of our severely

injured and ill patients

discharged from our

Rehabilitation Unit

achieved their goal of admission

REHABILITATION

REHABILITATION

Issue 4April 2012

At The Wellington Hospital Acute Neurological Rehabilitation Unit we believe it is important to measure the outcome following rehabilitation. We measure outcome in various ways: the Northwick Park Dependency Scale, the Modified Barthel Index and goal achievement and discharge destination.

Goal achievement is based on whether the patient has achieved goals set on admission to the unit. These goals are set in conjunction with the rehabilitation team and the patient, together with their family.

For a copy of The Acute Neurological Rehabilitation Unit 2011 Outcomes Report, please contact the Director of Rehabilitation at The Wellington Hospital:

The Director of Rehabilitation

The Wellington Hospital

Circus Road

St John’s Wood

London

NW8 6PD

Why we publish OURFirst-ClAss QUAlitY oUtCoMes

HCA was the first private hospital group to publish our quality outcomes in 2005 and since then we have reviewed them annually. We measure many aspects of our hospitals, from cleanliness and infection rates through to cardiac surgery survival and cancer treatment waiting times.

It gives our patients peace of mind that they are choosing consultants and hospitals that outperform our peers in many areas of care

It helps Gps to choose our hospitals and consultants to refer private patients

It demonstrates to our consultants that we are committed to matching their medical expertise with world-class facilities

It sets a standard for private healthcare that we believe is unparalleled anywhere else

It provides us with a constant measure of our hospitals’ performance so that we can make investments and improvements that will make a tangible difference to the care our patients receive

our quality outcomes report is available online at www.hcaqualityreport.co.uk


JUST PUBLISHED:

hca Quality outcomes 2012


Voted one of the World’smost ethical companies

Blossoms Healthcare

+44 (0) 20 7489 1136 mon–fri, 8am–6pm

canary Wharf, london Bridge or mansion house

3 london addresses, call booking line above for details

Chelsea Consulting Rooms

+44 (0) 20 7730 8298 mon–fri, 8am–6pm

sloane square or south Kensington

2 lower sloane street, sW1W 8BJ

Chelsea Medical Centre

+44 (0) 20 7349 1490 mon–fri, 8.30am–6pm

sloane square or south Kensington

the moore medical practice, chelsea medical centre, first floor, 272 King’s road, sW3 5aW

Docklands Healthcare

+44 (0) 20 7516 1999 mon–fri, 9am–5.30pm

canary Wharf

2 Upper Bank street, canary Wharf, e14 5ee

The Groves Medical Centre

+44 (0) 20 8336 6550 mon–fri, 8am–7pm

new malden overland

171 clarence avenue, new malden, Kt3 3tXv

The Harley Street Clinic Diagnostic Centre

+44 (0) 20 7034 8137 mon–fri, 8am–8pm

Baker street or regent’s park sat, 8am–6pm

13–18 devonshire street, W1G 7ae

31 Old Broad Street

+44 (0) 20 7496 3522 mon–thu, 7.45am–8pm

liverpool street or Bank fri, 7.45am–6pm

31 old Broad street, ec2n 1ht

The Physicians’ Clinic (18+)

+44 (0) 20 7034 8164 mon–fri, 8am–8pm

Baker street or regent’s park sat, 8am–6pm

13–14 devonshire street, W1G 7ae

The Platinum Medical Centre

+44 (0) 20 7483 5148 mon–fri, 8am–6pm

st. John’s Wood, sat, 8am–3pm marylebone or Baker street

15–17 lodge road, nW8 8nX

The Portland Hospital (children’s doc around the clock)

+44 (0) 20 7390 8022 mon–sun, 24hrs

Great portland street or regent’s park

the portland hospital, children’s outpatients, 234 Great portland street, W1W 5Qt

The Princess Grace Hospital

+44 (0) 20 7935 2230 mon–fri, 8am–8.30pm +44 (0) 20 7034 5004

Baker street

private Gp practice, 47 nottingham place, W1U 5lZ

Roodlane Medical Centre

+44 (0) 845 437 0691 mon–fri, 8am–6pm

liverpool street or moorgate

58 new Broad street, ec2m 1JJ

The Wellington Diagnostics & Outpatients Centre

+44 (0) 20 7483 5148 mon–fri, 8am–5.30pm

Brent cross or Golders Green sat, 8am–3pm

roman house, 296 Golders Green road, nW11 9pY

Urgent Care Centre (16+)

+44 (0) 20 7908 2144 mon–sun, 8am–9.30pm

Baker street

the princess Grace hospital, 42–52 nottingham place, W1U 5nY

Private GPs and Specialists at our Diagnostic and Outpatient Centres

If it’s URGENT go directly

a doctor can admit patients directly to an Urgent admissions Unit

Children’s Doc Around The Clock (0–16)

+44 (0) 20 7390 8022 mon–sun, 24hrs

Great portland street or regent’s park

the portland hospital, children’s outpatients, 234 Great portland street, W1W 5Qt

London Bridge Medical Admissions Service

+44 (0) 20 7407 3100 mon–sun, 24hrs

london Bridge

27 tooley street, se1 2pr

The Wellington Hospital

+44 (0) 20 7483 5999 mon–sun, 24hrs

st. John’s Wood

Wellington place, st. John’s Wood, nW8 9le

Hospital admission

A doctor can arrange for you to be admitted to one of our hospitals ✖ Please do not go directly to our hospitals without seeing a doctor

TOWERHAMLETS

HACKNEY

ISLINGTON

CAMDEN

THE CITY

CENTRAL LONDON

GREENWICH

HAMMERSMITH& FULHAM

KENSINGTON& CHELSEA

ST JOHN’S WOOD

HAMPSTEAD

CAMDEN TOWNISLINGTON

HAMPSTEADHEATH

HYDE PARK

BATTERSEAPARK

REGENT’SPARK

GOLDERS GREEN

BRENT CROSS

MARYLEBONE

KNIGHTSBRIDGE

FULHAM

HAMMERSMITH

KENSINGTON

KENSAL GREEN

KILBURN

HIGHGATE

CLAPHAM

SHEPHERD’S BUSH

BATTERSEA

VAUXHALL

LAMBETH

WATERLOO

FINSBURY

TOTTENHAM

WESTMINSTER

MAYFAIR

CHELSEA

BERMONDSEYGREENWICH

LONDON CITY AIRPORTOLD STREET

BETHNAL GREEN

FARRINGDON

KING’S CROSS

ANGEL

SHOREDITCH STEPNEY

CANARY WHARF

GOLDERS GREENGOLDERS GREEN

HAMPSTEADHAMPSTEAD

CANARY WHARF

SLOANE SQUARE

BAKER STREET

REGENT’S PARKGREAT PORTLAND STREET

ST JOHN’S WOOD

MARBLE ARCH

TOTTENHAM COURT ROAD

OXFORD CIRCUS

BANK

BATTERSEA PARK

BOND STREET

LIVERPOOL STREET

CANNON STREET

EUSTON

VICTORIA

MARYLEBONE

LONDON BRIDGE

PADDINGTON

CANARY WHARF

SLOANE SQUARE

BAKER STREET

REGENT’S PARKGREAT PORTLAND STREET

ST JOHN’S WOOD

MARBLE ARCH

TOTTENHAM COURT ROAD

OXFORD CIRCUS

BANK

BATTERSEA PARK

BOND STREET

LIVERPOOL STREET

CANNON STREET

EUSTON

VICTORIA

MARYLEBONE

LONDON BRIDGE

PADDINGTON

We have direct settlement arrangements with a wide number of insurers and in many cases we can liaise directly with your insurer to settle your bills. for general enquiries, please call +44 (0)20 7079 4399.

World-class hospitals in London

World-class healthcare knows no boundaries. Of the 420,000 patients, many come fromallroundtheworld;oftenforlifesavingtreatmentsuchasheartsurgeryorthelatest Cyberknife® and NanoKnife treatment for previously inoperable cancers. which is why hca international’s group of hospitals are the largest uk provider of care to patients from overseas;withgovernmentsandtheirembassiesfromaroundthe world sponsoring their patients to come to our hospitals and doctors.

The Wellington Hospitalthewellingtonhospital.com

Harley Street at UCHharleystreetatuch.co.uk

The Princess Grace Hospitaltheprincessgracehospital.com

The Portland Hospitaltheportlandhospital.com

London Bridge Hospitallondonbridgehospital.com

The Lister Hospitalthelisterhospital.com

The Harley Street Clinic theharleystreetclinic.com

hcahospitals.co.uk

N✈

✈

WIMBLEDON

NEW MALDEN

TOWERHAMLETS

HACKNEY

ISLINGTON

CAMDEN

THE CITY

GREENWICH

SOUTHWARK

HAMMERSMITH& FULHAM

KENSINGTON& CHELSEA

HAMPSTEAD

CAMDEN TOWNISLINGTON

HAMPSTEADHEATH

HYDE PARK

BATTERSEAPARK

REGENT’SPARK

GOLDERS GREEN

BRENT CROSS

MARYLEBONE

KNIGHTSBRIDGE

FULHAM

HAMMERSMITH

KENSINGTON

KENSAL GREEN

KILBURN

HIGHGATE

CLAPHAMBRIXTON

SHEPHERD’S BUSH

BATTERSEA

VAUXHALL

LAMBETH

WATERLOO

TOTTENHAM

WESTMINSTER

CHELSEA

BERMONDSEYDEPTFORD GREENWICH

LONDON CITY AIRPORT

ELEPHANT& CASTLE

OLD STREET

BETHNAL GREEN

FARRINGDON

KING’S CROSS

ANGEL

SHOREDITCH STEPNEY

CANARY WHARF

GOLDERS GREENGOLDERS GREEN

HAMPSTEADHAMPSTEAD

CANARY WHARF

SLOANE SQUARE

BAKER STREET

REGENT’S PARK

GREAT PORTLAND STREET

ST JOHN’S WOOD

MARBLE ARCH

OXFORD CIRCUS

BANK

BATTERSEA PARK

BOND STREET

LIVERPOOL STREET

CANNON STREET

EUSTON

VICTORIA

MARYLEBONE

LONDON BRIDGE

PADDINGTON

CANARY WHARF

SLOANE SQUARE

BAKER STREET

REGENT’S PARK

GREAT PORTLAND STREET

ST JOHN’S WOOD

MARBLE ARCH

OXFORD CIRCUS

BANK

BATTERSEA PARK

BOND STREET

LIVERPOOL STREET

CANNON STREET

EUSTON

VICTORIA

MARYLEBONE

LONDON BRIDGE

PADDINGTON

To GaTwick

To HEaTHRow

Hospitals

Doctors (GP/Physicians)

A walk-in Urgent Care Centre

Pioneering blood-clotting researchwins top AwArd

for heart doctors

cardiologists at london Bridge hospital have been awarded ‘Best Medical Practice’at the 2011 Laing & Buisson private healthcare awards for a ground-breaking new combined procedure to identify patients who are at risk of developing life-threatening blood clots during or after coronary stenting or heart surgery. The procedure links platelet function and a rapid ‘point of care’ genetic test to detect at-risk patients who can then be offered more effective and fast-acting treatments.

london Bridge hospital is one of hca’s three main cardiac centres and is the largest private critical care unit in the South east, including kent and east and west Sussex. For further information please visit

www.londonbridgehospital.com

If you would like to receive these bulletins and updates online, please email us at [email protected] For more information about our hospitals call us on +44 (0)20 3603 1341 or visit www.hcahospitals.co.uk

The team responsible for the pioneering research are:

Dr Clifford Bucknall MD FRCP FESC,

Consultant Cardiologist at London Bridge HospitalNHS Post:Guy’s and St. Thomas’ Hospital

Alan Rayner Chief Clinical Perfusion Scientist, London Bridge Hospital and The Wellington Hospital

“We are thrilled by this award. It’s more recognition that pioneering work is increasingly to be found in the private sector.”


© 2012 HCA International Ltd, 242 Marylebone Road, London NW1 6JL

JUST PUBLISHED:


First-class cardiac survival rates compared with other UK and European centres.

Published by HCA International

Issue 4April 2012

HCA is the largest provider of cardiac surgery in the independent sector in the UK with patient numbers similar to many NHS units.1 Our three main cardiac units are at The Harley Street Clinic, London Bridge Hospital and The Wellington Hospital and we are still the only private hospital group to provide our cardiac data to the national Central Cardiac Audit Database (CCAD) which monitors the performance of cardiac centres throughout the NHS.

HCA has an increasingly complex case mix of high risk patients, yet our very pleasing survival outcomes continue to improve year on year. When benchmarked against national and international survival rates, HCA cardiac surgery units demonstrate first-class, risk-adjusted results.

The table on the right shows risk-adjusted cardiac surgery survival rates across all three HCA cardiac surgery units.

Risk-adjusted cardiac surgery rates across all three HCA Cardiac Surgery Units.

Our hospitals collect cardiac data in the following areas:1

• Adult Cardiac Surgery • Adult Cardiac Interventions• Congenital Heart Disease• Transcatheter Aortic Valve Implantation (TAVI)• Cardiac Rhythm Management

Our Cardiac Units were granted Centre of Excellence status in 2009 for their services.2

1. Analysis of three year, risk-adjusted data commissioned by HCA International. 2011

2. Granted by the Clinical Cardiovascular Management Network in association with HCA’s Quality, Safety and Performance Improvement HQ

0

100%

80%

60%

40%

20%

2008/09 2009/10 2010/11

96.7% 98.16% 98.62%

CARDIAC SERVICES

First-class cardiacsurvival rates compared

with other UK and

European centres

CARDIAC SERVICES


hca newsletter issue 14

Documents

private patients

hca hospitals

new centre

information centre

contentnew cancer centre

new uclh cancer centre

private hospital group

nhs centre of excellencefor