Freedom of Information Act 2000 ( Act ) Request for Information

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1 Our Reference 01/12/45 Your Reference Executive Corridor Darlington Memorial Hospital Hollyhurst Road Darlington DL3 6HX Switchboard Tel: Foundation Trust Office: Trust Secretariat Office: Direct Fax: Direct line March 2012 Freedom of Information Act 2000 ( Act ) Request for Information Thank you for your dated 26 January 2012 in which you request information about maternity services. You asked: 1. Total spending on maternity services for 2009/10, 2010/11 and 2011/12, broken down by financial year (budgeted/forecast figures may be used to give a full-year figure for 2011/12; please do not provide a part-year figure). (*Please see below clarification) 2009/ / /12 YTD (M9) 2011/12 projection Obstetrics 17,117,993 19,617,040 13,855,827 18,474,437 Obstetrics Midwife led 2,321,358 2,397,788 1,693,596 2,258,127 Comm Midwives 3,523,365 3,599,878 2,542,651 3,390,201 Total 22,962,716 25,614,705 18,092,074 24,122,765 Costs are fully absorbed costs including overheads 2009/10 and 2010/11 figures taken from Reference Costs 2011/12 figures based on Service Line Reporting model as at Dec 11, extrapolated in 12ths 2. The number of midwives in the staffing establishment, measured as FTE and headcount, separately for 2009/10, 2010/11, and as of Jan 2012 (or most recent available data) Staffing figures for midwives for periods requested are as follows: Year Heads FTE 09/ /

2 Jan The forecast number of midwives in the staffing establishment, measured as FTE and headcount, for 2012/13, 2013/14, and 2014/15 It is planned that the workforce acuity tool Birthrate Plus will be carried out during This will identify any gaps in the midwifery workforce and following this a Business Case will be developed to secure funding for any additional staff required. 4. The target maternity bed occupancy rate for 2009/10, 2010/11, 2011/12, and any future target rates as far as 2014/15, broken down by financial year The Trust does not have the target rate separated out just for Maternity so unfortunately we cannot respond to this question. 5. The actual maternity bed occupancy rate in 2009/10, 2010/11, and 2011/12, broken down by financial year CDDFT Obstetric Bed Occupancy 2009/10, 2010/11 And 2011/12 (Up to December 2011) Ward Code Measure 2009/ /11 B08 (7 beds) D61 (26 beds) U810 (33 beds - 23 x Postnatal / Antenatal and 10 x Labour) 2011/12 (Up to Dec 11) Avail 2,675 2,555 1,925 Occ % 30.80% 12.31% Avail 9,490 9,490 7,150 Occ 5,466 4,850 3, % 51.11% 54.31% Avail 12,045 12,045 9,075 Occ 7,962 8,371 6, % 69.50% 71.18% 6. The number of recorded maternal deaths at the Trust for 2010/11 and 2011/12, broken down by financial year? 2010/ /12 0

3 With regards to the year 2009/10, the Trust is neither able to confirm nor deny whether it holds the information requested in accordance with the refusal notice requirements contained within section 17 of the Act. 7. The number of recorded maternal injuries at the Trust for 2009/10, 2010/11 and 2011/12, broken down by financial year. (*Please see below clarification). 2009/ / /feb 2012 Total Preterm labour Perineal repair 2 nd degree rd degree (split into 97 3a 56,3b 22,3c 14 3a 47, 3b 31, 3c 11 a, b and c) 4 th degree Manual removal of placenta, no heamorrhage PPH >500mls Fetal distress Length of labour 1 st stage >16hrs nd stage>2hrs Failed Induction Of N/A Labour Shoulder dystocia Total spending on compensation payouts relating to maternity cases for 2009/10, 2010/11 and 2011/12, broken down by financial year. (*Please see below clarification). In order to comply with your request the Trust would have to examine a large number of individual case files. We currently hold a large number of files but are unable to identify those files which may have involved compensation payments. All of these cases will have been referred to the NHS Litigation Authority (NHSLA) who will have conducted the litigation on the Trust s behalf. In some cases the NHSLA may have forwarded a copy of the outcome to the Trust but this is not usual practice and the Trust has no centralised system whereby we can identify which files may have made compensation payments. In accordance with Section 16 of the Act (duty to provide advice and assistance) and Section 21 of the Act (Information accessible by other means) we would

4 suggest that you contact the NHSLA who will be able to assist you. Please contact Julianne Vernon at the following address: 9. A list of the maternity units and wards run by the Trust Darlington Memorial Hospital: Labour Ward, Ward 61, Antenatal Clinic, Pregnancy Assessment Unit The University Hospital of North Durham: Labour Ward, Ward 10, Antenatal Clinic, Pregnancy Assessment Unit Bishop Auckland Hospital: Midwifery-Led Unit, Antenatal Clinic, Pregnancy Assessment Unit In line with the Information Commissioner s directive on the disclosure of information under the Freedom of Information Act 2000 your request will form part of our disclosure log. Therefore, a version of our response which will protect your anonymity will be posted on the County Durham and Darlington NHS Foundation Trust website. If you have any queries or wish to discuss the information supplied, please do not hesitate to contact me on the above telephone number or at the above address. If you are not satisfied with the way in which your request has been dealt with you have the right to complain. Please put your complaint in writing and send it to: The Chief Executive County Durham & Darlington NHS Foundation Trust Darlington Memorial Hospital Hollyhurst Road Darlington, DL3 6HX If you are still not satisfied, you can contact the Information Commissioner s Office at the following address: Information Commissioner s Office Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF Yours sincerely

5 Joanna Tyrrell Freedom of Information Officer

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