QUESTION ONE – VTE RISK ASSESSMENT AND DIAGNOSIS
a) Are in-patients who are considered to be at risk of VTE in your Trust routinely checked for both proximal and distal DVT? (Tick one box)
b) For in-patients diagnosed with VTE in your Trust between 1 April 2017 and 31 March 2018, what was the average time from first clinical suspicion of VTE to diagnosis?
c) For in-patients diagnosed with VTE in your Trust between 1 April 2017 and 31 March 2018, what was the average time from diagnosis to first treatment?
QUESTION TWO – ROOT CAUSE ANALYSIS OF HOSPITAL-ASSOCIATED THROMBOSIS
According to Service Condition 22 of the NHS Standard Contract 2017/19, the provider must:
“Perform Root Cause Analysis of all confirmed cases of pulmonary embolism and deep vein thrombosis acquired by Service Users while in hospital (both arising during a current hospital stay and where there is a history of hospital admission within the last 3 months, but not in respect of Service Users admitted to hospital with a confirmed venous thromboembolism but no history of an admission to hospital within the previous 3 months)…”
The provider must report the results of those Root Cause Analyses to the co-ordinating commissioner on a monthly basis.
a) How many cases of hospital-associated thrombosis (HAT) were recorded in your Trust in each of the following quarters?
b) How many Root Cause Analyses of confirmed cases of HAT were performed in each of the following quarters?
c) According to the Root Cause Analyses of confirmed HAT in your Trust between 1 April 2017 and 31 March 2018, in how many cases:
QUESTION THREE – ADMISSION TO HOSPITAL FOR VTE
a) How many patients were admitted to your Trust for VTE which occurred outside of a secondary care setting between 1 April 2017 and 31 March 2018?
b) Of these patients, how many:
c) Of the patients admitted to your Trust for VTE occurring between 1 April 2017 and 31 March 2018 who had a previous inpatient stay in your Trust up to 90 days prior to their admission, how many had their VTE risk status recorded in their discharge summary?
d) Please describe how your Trust displays a patient’s VTE risk status in its discharge summaries.
QUESTION FOUR – INCENTIVES AND SANCTIONS
a) Has your Trust received any sanctions, verbal or written warnings from your local commissioning body between 1 April 2017 and 31 March 2018 for failure to comply with the national obligation to perform Root Cause Analyses of all confirmed cases of HAT? (Tick one box)
b) Between 1 April 2017 and 31 March 2018, has your Trust received any sanctions, verbal or written warnings from your local commissioning body for failing to deliver the minimal VTE risk assessment threshold? (Tick one box)
QUESTION FIVE – PATIENT INFORMATION
The NICE Quality Standard on VTE Prevention stipulates that patients/carers should be offered verbal and written information on VTE prevention as part of the admission as well as the discharge processes.
a) What steps does your Trust take to ensure patients are adequately informed about VTE prevention? (Tick each box that applies)
b) If your Trust provides written information on VTE prevention, does it provide information in languages other than English? (Tick each box that applies)