Obstetrics and gynaecology clinical quality indicators
The clinical quality indicators for obstetrics and gynaecology are:
Caesarean section
This is the clinical quality indicator for the proportion of women who give birth by Caesarean section.
Rationale
There is wide variation in the Caesarean section rate both locally and nationally. These differences cannot be readily explained by case complexity or demographics. Organisations adhering to best practice in the management of pregnancy achieve consistently low Caesarean rates.
Our objectives
Our aim is to avoid any Caesarean section delivery which is unlikely to benefit mother or baby. We promote a unified culture that normalises natural birth.
We aim for a Caesarean rate below 27.1% (which was a London commissioning target in 2010-11).
Current performance
Gynaecology re-admissions
This is the clinical quality indicator the proportion of patients readmitted within 28 days of discharge from our gynaecology service.
Rationale
Readmission rates are indirect measures of quality of care, which monitor the outcomes of elective admission and encourage good post-operative support in out-patients.
We have developed new best practice guidelines for the management of emergency gynaecology conditions and will use this measure to monitor their effectiveness.
Our objectives
To reduce our re-admission rate to below that of our peers.
[Proposed Source: Civil Eyes]
Current performance
