- SERVICE PROVIDER
Guy's and St Thomas' NHS Foundation Trust
This is an organisation that runs the health and social care services we inspect
Urgent and emergency care survey 2020 – type 1 services
Published 15 September 2021
This survey looked at the experiences of people who attended type 1 or type 3 urgent and emergency care (UEC) services.
The 2020 survey involved 126 trusts with a type 1 accident and emergency (A&E) department. Fifty-nine of these trusts had direct responsibility for running a type 3 department (urgent treatment centre). Two different questionnaires were used and trust results are provided separately.
Type 1 services include A&E departments, and may also be known as casualty or emergency departments.
Type 3 services include urgent treatment centres, and may also be known as minor injury units. The survey only includes services directly run by an acute NHS trust.
These are the results for type 1 services.
We use surveys to find out about the experiences of people who receive care and treatment.
This survey looked at the experiences of 41,206 people who attended a type 1 service in September 2020 and 7,424 people who attended a type 3 service in September 2020 and, for smaller trusts, August also.
Between November 2020 and March 2021, a questionnaire was sent to:
- 1,250 people who had used type 1 services at trusts with no eligible type 3 services, or
- 950 people who had used type 1 services and 420 people who had used eligible type 3 services
Responses were received from 193 people at Guy's and St Thomas' NHS Foundation Trust.
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Handover from ambulance to A&E
for those taken to A&E in an ambulance not having to wait too long with the ambulance crew before care was handed to A&E staff9.2 out of 10
About the same
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Privacy at reception
for having enough privacy if they discussed their condition with the receptionist8.3 out of 10
Better than expected
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Waiting to speak to a doctor or nurse
for not having to wait too long before first speaking to a doctor or nurse6.7 out of 10
About the same
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Clear explanations about next steps
for feeling the doctor or nurse explained what would happen next8.4 out of 10
About the same
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Waiting to be examined
for not having to wait too long before being examined by a doctor or nurse7.0 out of 10
About the same
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Information about waiting times
for those who waited to be examined, being informed how long they would have to wait5.6 out of 10
Better than expected
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Help from staff while waiting
for being able to get help from a member of staff while waiting, if this was needed7.1 out of 10
About the same
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Total length of visit to A&E
for their visit to A&E not lasting too long7.5 out of 10
About the same
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Time to talk
for feeling they had enough time to discuss their condition with a doctor or nurse9.0 out of 10
About the same
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Clear explanations about condition and treatment
for feeling the doctor or nurse explained their condition and treatment in a way they could understand8.8 out of 10
Better than expected
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Being listened to
for feeling the doctor or nurse listened to what they had to say9.4 out of 10
Better than expected
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Talking about anxieties or fears
for feeling the doctor or nurse discussed any anxieties or fears they had about their condition or treatment, if needed7.5 out of 10
Better than expected
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Confidence and trust
for having confidence and trust in the doctors and nurses examining and treating them9.2 out of 10
About the same
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Acknowledging patients
for doctors and nurses not talking in front of them, as if they weren't there9.0 out of 10
About the same
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Information about condition or treatment
for being given the right amount of information about their condition or treatment9.2 out of 10
Better than expected
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Privacy when examined or treated
for being given enough privacy when being examined or treated9.6 out of 10
Better than expected
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Help from staff
for receiving help from medical or nursing staff, if this was needed8.5 out of 10
Better than expected
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Communication
for not being told one thing by a member of staff and something quite different by another9.0 out of 10
About the same
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Involvement in decisions
for being involved as much as they wanted to be in decisions about their care and treatment7.9 out of 10
About the same
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Pain control
for feeling that hospital staff did all they could to help control their pain, if they were in pain7.9 out of 10
About the same
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Clear explanations about tests
for feeling that staff explained why they needed tests in a way they could understand8.6 out of 10
About the same
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Timely test results
for receiving test results before leaving A&E8.3 out of 10
About the same
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Clear explanations about test results
for those who received test results while in A&E, feeling staff explained their test results in a way they could understand9.1 out of 10
About the same
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Information about how to get test results
for those who did not receive test results while in A&E, being told how they would receive themNot available
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Cleanliness
for describing A&E as clean9.4 out of 10
About the same
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Infection control and prevention
for seeing infection control and prevention meaures in place in the A&E department7.8 out of 10
Better than expected
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Safety
for not feeling threatened by other patients or visitors9.8 out of 10
About the same
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Access to food and drink
for being able to access suitable food and drink while in A&E, if they wanted to8.1 out of 10
Better than expected
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Clear explanations about medication purpose
for those prescribed new medications, having the purpose of new medications explained to them in a way they could understand9.9 out of 10
Better than expected
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Information about medication side effects
for those prescribed new medications, being told about possible medication side effects to watch out for6.4 out of 10
About the same
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Information about symptoms
for being told about any symptoms to watch for regarding their illness or treatment after going home, if this information was needed6.5 out of 10
About the same
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Contact information
for being told who to contact if they were worried about their condition or treatment after they left A&E7.7 out of 10
About the same
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Information about self care
for being given enough information to care for their condition at home, if this information was needed7.4 out of 10
About the same
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Transport arrangements
for hospital staff discussing their transport arrangements for leaving A&E5.3 out of 10
About the same
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Health and social care services
for hospital staff discussing if any further health or social care services were needed after leaving A&E6.8 out of 10
About the same
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Care available after leaving A&E
for expected care and support being available when needed after leaving A&E8.1 out of 10
About the same
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Respect and dignity
for being treated with respect and dignity9.5 out of 10
Better than expected
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Overall view of A&E services
for feeling that overall they had a good experience8.6 out of 10
About the same
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About these scores
Most questions are grouped under the section in which they appear in the questionnaire.
We asked people to answer questions about different aspects of their care and treatment. Based on their responses, we gave each NHS trust a score out of 10 for each question (the higher the score the better).
Each trust also received a rating of ‘Better’, ‘About the same’ or ‘Worse’.
- Better: the trust is better for that particular question compared to most other trusts that took part in the survey
- About the same: the trust is performing about the same for that particular question as most other trusts that took part in the survey
- Worse: the trust did not perform as well for that particular question compared to most other trusts that took part in the survey
More detailed information on the methodology is available in the technical document on the UEC survey page.
Where a section score is not present (‘Overall score unavailable’) this is due to a question(s) being missing from that section (‘Not applicable’) meaning that no section score can be produced. Questions have been excluded where too few people answered a question). Pleased click on the '+' sign to expand the section and see the results of the questions that were included.
Where the number of answers we received was too low (less than 30 respondents) we cannot report results. This is because the uncertainty around the result is too great.