Our performance and healthcare standards

At St Joseph’s Hospital, we are proud of our healthcare achievements and the high standards of our care, and we, therefore, share with our patients the measurements by which we judge ourselves and the results of those measurements.

We are regulated by the Healthcare Inspectorate of Wales who carry out regular inspections and audits of the hospital and its services.

We measure the quality and effectiveness of our work in many different ways including health improvement, patient satisfaction, infections, and re-admissions or return to theatres.

Patient satisfaction – we care about your experience at St Joseph’s

We are committed to providing the highest levels of quality care to all of our patients.  In order to achieve this goal, we believe that it is critical to receive feedback from all of our patients.  It helps us praise those involved with patient care as well as improve services and facilities if required to meet our patients’ expectations.  

In-patients are asked to complete a Customer Feedback Form on their discharge from hospital.  We encourage and value feedback from day patients and visitors also.  

We measure and track our performance across a number of key areas. 

The results of our inpatient satisfaction survey are published here, on our website, every six months.

Results for the second half of 2017 showed that 99% of St Joseph’s Hospital’s inpatients would recommend the hospital to family and friends.

Healthcare standards

At St Joseph’s Hospital, we work tirelessly to ensure our standards in clinical quality and safety are of the highest calibre.  We monitor and publish a range of performance measures including:

  • MRSA - a type of bacteria that is resistant to some antibiotics. A healthy person can carry MRSA on their skin and it does not harm them. However, if MRSA enters the bloodstream of a vulnerable person, recovering from surgery or after an illness, it can cause infection. MRSA can be treated with a range of different antibiotics in line with national policies. Prior to undergoing any surgical intervention patients must return a negative MRSA swab result.
    No hospital-acquired MRSA was reported in data collected 1st July to 31st December 2017.
  • C-Difficile infections - Clostridium Difficile is a type of bacteria that can cause severe and frequent diarrhoea, abdominal pain and fever.
    No C-Difficile infections was reported in data collected 1st July to 31st December 2017.
  • Surgical site infection - all surgery carries the risk of infection in the wound created by the operation and this is known as Surgical Site Infection (SSI). Infection can be treated with dressings and/or antibiotics.
    Five SSIs were reported in data collected 1st July to 31st December 2017.
  • Return to theatre - is when a patient has surgery and needs to return to theatre for an unplanned procedure during the same stay in hospital. Whilst there may be occasions when this is necessary we strive to continually improve our practice to ensure that returns to theatre are rare.
    One patient was returned to theatre in this period.
  • Unplanned readmissions - occasionally patients need to return to hospital for additional treatment. An unplanned re-admission is counted when a patient is re-admitted to the hospital within 31 days of being discharged. Re-admission is sometimes unavoidable, however, our careful discharge planning, coupled with the excellent health information and patient support service we provide, helps to minimise its likelihood.
    One patient was readmitted in the period.

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