The individual trust-level reports and the database of trust-level results
contain the "mean rating" for 37
of the 43 core "evaluative" questions in the questionnaire.
These "mean ratings" fed into the calculation of performance
ratings for Acute Trusts.
The core questionnaire consists of 58 questions. Of these, 41 questions
are of an evaluative nature. That is, responses to these questions can
be used to identify problems that are amenable to quality improvement
measures. The remaining questions are demographic and health status questions,
filter questions or information-only questions. 37 of the questions were
used to calculate performance indicators. Questions Q3, Q31, Q31 and Q35
were not used in the analysis.
Responses to the 37 evaluative were transformed to a 0 - 100 scale. For
example, several questions ask patients to report on whether something
happened during their admission, and the response options are Yes,
definitely, Yes, to some extent or No. These
responses can be coded as Yes, definitely = 100; Yes, to
some extent = 50 and No = 0. Other questions ask patients to
rate a service on a five-point scale ranging, for example, from Excellent
to Poor. These can be coded as Excellent = 100; Very
good = 75; Good = 50; Fair = 25; Poor = 0. The
coding scale has been adjusted according to the range of response options
for each question. A mean rating has then been calculated for each
question.
Note that, in this example, "I didn’t need an explanation"
is not scored, since it cannot be evaluated as a positive or negative
response. Therefore, the total on which the mean score is based excludes
these non-evaluative responses, as well as excluding all missing responses.
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Q2
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How organised was the care you received in A&E?
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1 - Not at all organised - score 0
2 - Fairly organised - score 50
3 - Very organised - score 100
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Q4
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How long did you wait in A&E to get to your bed?
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1 - Less than 1 hour - score 100
2 - At least 1 hour but less than 2 hours- score 80
3 - At least 2 hours but less than 4 hours - score 60
4 - At least 4 hours but less than 8 hours- score 40
5 - At least 8 hours but less than 12 hours- score 20
6 - 12 hours or longer - score 0
7 - Can't remember - not scored
8 - I did not have to wait - score 100
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Q7
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How do you feel about the length of time you were on the waiting
list?
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1 - I was admitted as soon as I thought necessary - score
100
2 - I should have been admitted a bit sooner - score 50
3 - I should have been admitted a lot sooner - score 0
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Q8
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Were you given enough notice of your admission?
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1 - Yes, enough notice - score 100
2 - No, not enough notice - score 0
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Q9
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Was your admission date changed by the hospital?
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1 - No - score 100
2 - Yes, once - score 67
3 - Yes, 3 or 4 times - score 33
4 - Yes, 4 times or more - score 0
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Q10
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How organised was the admission process?
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1 - Not at all organised - score 0
2 - Fairly organised - score 50
3 - Very organised - score 100
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Q11
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Did you wait a long time to get to your bed?
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1 - Yes, definitely - score 0
2 - Yes, to some extent - score 50
3 - No - score 100
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Q14
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Did you ever share a room with patients of the opposite sex?
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1 - Yes - score 0
2 - No - score 100
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Q15
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Were you ever Whether bothered by noise at night?
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1 - No - scored 100
2 - Yes, from other patients - scored 0
3 - Yes, from hospital staff - scored 0
4 - Yes, from something else - scored 0
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Q16
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How clean was the ward?
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1 - Very clean - score 100
2 - Fairly clean - score 67
3 - Not very clean - score 33
4 - Not at all clean - score 0
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Q17
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How clean were the toilets and bathrooms?
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1 - Very clean - score 100
2 - Fairly clean - score 67
3 - Not very clean - score 33
4 - Not at all clean - score 0
5 - I did not use a toilet or bathroom – not scored
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Q18
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How would you rate the food?
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1 - Very good - score 100
2 - Good - score 67
3 - Fair - score 33
4 - Poor - score 0
5 - I did not have any hospital food - not scored
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Q19
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How much food were you given?
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1 - Too much - score 0
2 - The right amount - score 100
3 - Too little - score 0
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Q20
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Was there one doctor in charge of your care?
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1 - Yes - score 100
2 - No - score 0
3 - Don't know - score 50
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Q21
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Did doctors answer questions?
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1 - Yes, always - score 100
2 - Yes, sometimes - score 50
3 - No - score 0
4 - I had no need to ask - score 100
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Q22
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Did doctors discuss fears?
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1 - Yes, completely - score 100
2 - Yes, to some extent - score 50
3 - No - score 0
4 - I didn't have anxieties or fears - score 100
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Q23
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Did doctors talk as if you weren't there?
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1 - Yes, often - score 0
2 - Yes, sometimes - score 50
3 - No - score 100
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Q24
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Was there one nurse in charge of your care?
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1 - Yes - score 100
2 - No - score 0
3 - Don't know - score 50
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Q25
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Did nurses answer questions?
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1 Yes, always - score 100
2 Yes, sometimes - score 50
3 No - score 0
4 I had no need to ask - score 100
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Q26
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Did nurses discuss fears?
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1 - Yes, completely - score 100
2 - Yes, to some extent - score 50
3 - No - score 0
4 - I didn't have anxieties or fears - score 100
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Q27
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Did nurses talk as if you weren't there?
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1 - Yes, often - score 0
2 - Yes, sometimes - score 50
3 - No - score 100
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Q28
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Did staff say different things?
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1 - Yes, often - score 0
2 - Yes, sometimes - score 50
3 - No - score 100
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Q29
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Did you want to be more involved in decisions about your care?
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1 - Yes, definitely - score 0
2 - Yes, to some extent - score 50
3 - No - score 100
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Q30
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Did your family have opportunity to talk to doctor?
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1 - Yes, definitely - score 100
2 - Yes, to some extent - score 50
3 - No - score 0
4 - No family or friends were involved - not scored
5 - My family didn't want or need information- not scored
6 - Didn't want family or friends to talk to doctor - not
scored
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Q32
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Were you given privacy when discussing treatment?
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1 - Yes, always - score 100
2 - Yes, sometimes - score 50
3 - No - score 0
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Q33
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Were you given privacy when being examined?
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1 - Yes, always - score 100
2 - Yes, sometimes - score 50
3 - No - score 0
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Q34
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Did you get help eating your meals?
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1 - Yes, always - score 100
2 - Yes, sometimes - score 50
3 - No - score 0
4 - I didn't need help - not scored
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Q37
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Were tests performed on time?
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1 - Yes, always - score 100
2 - Yes, sometimes - score 50
3 - No - score 0
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Q39
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Did staff do everything to control pain?
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1 Yes, definitely - score 100
2 Yes, to some extent - score 50
3 No - score 0
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Q40
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Was your discharge delayed for any reason?
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1 - No - score 100
2 - Yes, because of my health – not scored
3 - Yes, I had to wait for medicines or drugs - score 0
4 - Yes, I had to wait to see a doctor - score 0
5 - Yes, I had to wait for an ambulance - score 0
6 - Yes, another reason - not scored
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Q41
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Were the purposes of medicines explained?
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1 - Yes, completely - score 100
2 - Yes, to some extent - score 50
3 - No - score 0
4 - I didn't need an explanation - not scored
5 - I had no medicines - not scored
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Q42
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Were medication side effects explained?
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1 - Yes, completely - score 100
2 - Yes, to some extent - score 50
3 - No - score 0
4 - I didn't need an explanation - not scored
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Q43
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Were you told about danger signals?
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1 - Yes, completely - score 100
2 - Yes, to some extent - score 50
3 - No - score 0
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Q44
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Were your family given information to help you recover?
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1 - Yes, definitely - score 100
2 - Yes, to some extent - score 50
3 - No - score 0
4 - No family or friends were involved - not scored
5 - My family didn't want or need information- not scored
6 - Didn't want family or friends to talk to doctor - not
scored
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Q46
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Overall, were you treated with respect and dignity?
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1 - Yes, always - score 100
2 - Yes, sometimes - score 50
3 - No - score 0
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Q47
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Overall, how would you rate the care you received?
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1 - Excellent - score 100
2 - Very good - score 75
3 - Good - score 50
4 - Fair - score 25
5 - Poor - score 0
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Q48
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Would you recommend this hospital to family and friends?
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1 - Yes, definitely - score 100
2 - Yes, probably - score 50
3 - No - score 0
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