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Adult inpatient survey 2018
Read the results of our latest analysis, which looks at the experiences of adult inpatients in hospital.
Eligibility and participation
- Number of participants: 76,668
- Response rate: 45 per cent
- Age range: 16 years and older
- Time period: patients discharged from hospital during July 2018
- Eligibility: patients aged 16 years or older, who had at least one overnight stay
- Exclusion: patients whose treatment related to maternity or, patients admitted for planned termination of pregnancy, day case patients, private patients (non-NHS)
Key findings for England
Most results for the 2018 Adult Inpatient Survey have slightly declined since last year or remained static.
- Relationships with the medical and nursing staff are usually positive although there is a small decline compared to last year. For example, patients reported that overall, doctors and nurses answered their questions in a way they understood.
- Trust in doctor and nurse is high, although declining slightly compared to last year.
- Fundamental needs of most patients are being met in terms of food, hydration and rest.
- The proportion of patients reporting being given enough privacy when being examined or treated continues to be very high.
However, this year’s results indicate that there are many areas in need of improvement:
- Patients are reporting poorer experience when it comes to the integration of their care.
- Patients are reporting that they are waiting too long at admission and longer than previous years at discharge.
- At the time of being discharged, significant numbers of patients were unsure about their situation. This includes not being given appropriate information about their care after leaving the hospital, and not receiving enough notice.
- Significant numbers of patients reported not being sufficiently involved in decisions regarding their care and treatment.
Certain groups of patients consistently reported poorer experiences of their time in hospital, including
- Patients with a mental health condition
- Younger patients (aged 16 to 35)
- Patients who were admitted in an emergency
For more information, please see the statistical release, which provides the results for all questions and contextual policy information.
For more information about the methodology for the survey, analysis and reporting, please see the quality and methodology document.
Results for NHS trusts
These results show how trusts performed on individual questions in the survey. The technique used to analyse these results allows us to identify which trusts we can confidently say performed 'better', 'worse' or 'about the same' when compared with other trusts.
Each trust was also provided with a benchmark report which provides more detail about the data. You can view these reports on the NHS surveys website.
Each trust also has access to benchmark data for each of their sites. You can view these results on the NHS surveys website.
Download the technical document below for detailed information on how we analysed the trust results.
This report identifies those trusts whose patients experience care that is better, or worse than expected when we compare the survey results across trusts.
Find the data published in the overall report for England and for each trust.
The file below contains the data for England:
The file below contains the trust level data:
Anonymised respondent level data will available at the UK Data Archive via the UK Data Service.
Results from previous surveys
You can find the results from previous surveys for England and for trusts on the NHS Surveys website. For the trust results, please click on the folder for the year in which you are interested and then choose the ‘published results’ folder.
Pre-release access list
You can find a list of individuals that had access to the results of the survey prior to publication below.
How the results will be used
CQC will use the results from the survey in the regulation, monitoring and inspection of NHS acute trusts in England. Survey data will be used within CQC Insight, which provides Inspectors with an assessment of how trusts are performing. Survey data will also form a key source of evidence to support the judgements and inspection ratings published for trusts.
The organisations below will use the results in the following ways.
Trusts, and commissioners, are expected to take action to improve services based on the results.
NHS England and the Department of Health
Information collected nationally in a consistent way is essential to support public and Parliamentary accountability. The results are used by NHS England and the Department of Health and Social Care for performance assessment, improvement and regulatory purposes.
NHS Improvement will use the results to inform quality and governance activities as part of its Oversight Model for NHS trusts.
- Last updated:
- 20 June 2019