Dr MAYA APP + MAYA Dr – HELP FIGHT INFECTIONS

"THE WORLD WILL NOT BE DESTROYED BY THOSE WHO DO EVIL BUT BY THOSE WHO WATCH THEM WITHOUT DOING ANYTHING” -Albert Einstein-

X-drmaya2

Dr Maya App is for people like you. Before consulting a doctor, or visiting hospital please check, so that you can reduce wasted consultation, cost, time and cross infcetions. This is not a simple symptom checker, nor a diagnostic tool that ask you to answer questions. Once you register and add the name of your local doctor /GP/Family physician you create a net work to ease communication.

Please advice your doctors to download our new Maya Dr App from GooglePlay and update the list of symptoms, add symptoms and also share videos and consult using Skype, phone or send text message. Doctors can also send you letter, prescriptions to print and notes to store. You will have information of your illness stored in your phone. This is the only app of its kind, so please download and let us know if we need to add additional service so that we can help reduce social inequalities in health.

Dr Maya was created to help you easily differentiate minor from serious illness using three common associated symptoms, just like doctors do. Once you know the illness you have or the patient has is an infection that may be contagious, Dr Maya will let you know. You are expected to isolate yourself and remain at home, not travel to hospital or clinic. This will help prevent you infect members of your family and children. Dr Maya will automatically inform the doctors and infectious disease controller. An ambulance to move you to isolation ward will be organised. The doctors will call and make sure you are taken care of at home and safely moved to specialist care centre.

We know more than 50% of people who died in Ebola epidemic were healthcare workers (doctors, nurses, lab technicians, ambulance crew, staff and porters). Maya was created to help protect your family, friends, you and healthcare workers.

X-Maya Dr App For doctors

Our mission is to identify infected individuals early in families, community, hospitals, schools, hostels, office and in the community. China, Thailand and even WHO are slow to react to spreading infections and so more people die because of spread of these infection. Dr. Maya does this by integrating innovations and using the Internet to identify and then isolate and fight this threat to humanity.

Medical opinion about common diseases, as seen in primary and secondary medical care, vary greatly and depend on the experience of the primary case physician or nurse to accurately interpret symptoms. Even doctors are unable to keep pace with the rapidity in which bacteria are changing.

The duties of a primary care physician are to listen to the story of a patient’s illness as they have lived and experienced it*. They must use their knowledge and experience to correctly diagnose and then offer effective advice or treatment, reduce complications and prevent death.

We do not believe, “The offering of healthcare based on algorithms and fixed protocols is safe and is therefore an unethical medical practice.”

People worried about infection and the resulting cost of visiting a doctor or health centre are consulting with friends, nurses and pharmacists. Many people now also use the Internet to self-diagnose and decide on self-treatment, which may not be appropriate or effective.

Self-diagnosing from medical publications, or from Information about symptoms and diseases published on the Internet, can often make a person think they are ill, whether true or not. That person is then more stressed and anxious to visit a hospital or doctor. The demand and cost of emergency consultation has increased hugely but the quality of care offered has declined.

Please ask your doctors to download Maya Doc and create a local network, share information and help identify infected individuals and isolate them to protect healthcare workers, your family and you.

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Screen Shot 2016-01-22 at 11.54.38*Kadiyali M Srivatsa; QHJ (BMJ)1996

UK NHS Extends Nurses The Power To Prescribe

Learn To Live And Let Live – Bacteria Will Get You

It was shocking to hear scientist, microbiologist and pharmaceutical companies from all over the world debate about methods to fight infection. Not one offered any hope of offering a new drug or treatment that can help us fight infection and they did not even consider alternate methods or technology to help reduce spread and death rate.

They are still talking about hand washing, hand cream and blood tests to diagnose as a very important method. Are they not aware dry hands and nurses and doctors using hand washing gel, cream or solutions more than 9 times a day are all colonized with resistant bacteria in their hand?

The immunologists and pharmaceutical companies are thinking of developing vaccine knowing it is next to impossible because we have not yet identified the source of infections like Ebola or SARS. If two infections have demonstrated how powerful these micro organisms are, just imaging the ones that will soon start emerging.

I did not want to talk about my vision but will mention about 7i because it makes you think I am crazy. How can me who is not an microbiologist, scientist or a CEO of a major pharmaceutical company talk about a vague image that flashed in my eyes made me create Dr Maya.

Knowing we have a strong enemy that has more ammunitions, methods and toxins that can kill human or animals in seconds, how can we say we have to wait for twenty fie years to find a drug or chemical that can kill the enemy?

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If I think hard and understand what I am offering is simple, safe and can start operating from tomorrow. The most sensible way to approach this major threat to humanity is to help segregate infected from the ones who are not infected. We must learn to run away . just use your common sense.

By integrating innovations, we have developed Dr Maya to help us identify infected individuals and isolate them before they become killing machine. We must help protect people like you and the healthcare workers.

We are running out of time, I tried to convince my collegues, institutions and even the Royal Colleges about this war that we may never win. Unfortunaty, the very institutions that claim to protect you has harassed me to protect the institutions.

Now humanity has more enemies than friends who care..so please do not waste time and hope fo a miracle cure. This will not happened and will never happen. Human who survive will be stronger, more honest and be grateful and learn not to harm others but will learn to live and let live.

The Western society thinks they can continue to suppress poor, weak and less fortunate countries and so are bent on inventing or discovering another antibiotic so that they can kill the bacteria. This rule seem to work in the past but not any more because the enemy is stronger, more intelligent and has complicated structure and genetic makeup.

Please note, I have done my duty and if you want to live, please download and make sure your friends and family are also registered users. Its not only you bout every one must use Dr. Maya so that we can pin point the infected person and advice you to isolate them. If people like you do not download and I get some help from authorities’, the app will be expensive to buy and I will start selling.

What are good practices to slow the spread of infections?

Ways you can reduce or slow the spread of infections include:

  • Get the appropriate vaccine. Nil for Treatment resistant and emerging infections
  • Wash your hands frequently. If you do this more than 9 times, you may carry more harmful bacteria in your hand
  • Stay home if you are sick (so you do not spread the illness to other people). This is a good idea, but for how long?
  • Use a tissue, or cough and sneeze into your arm, not your hand. Turn away from other people. This is useless because the spread is likely to be vector born
  • Use single-use tissues. Dispose of the tissue immediately.
  • Wash your hands after coughing, sneezing or using tissues. Waste of time
  • If working with children, have them play with hard surface toys that can be easily cleaned. Don’t think this help. If hospital equipments like Endoscope cannot be sterlised, how can you sterilize or clean toys?
  • Do not touch your eyes, nose or mouth (viruses can transfer from your hands and into the body). The viruses and bacteria will be every where and so this is also useless
  • Do not share cups, glasses, dishes or cutlery. Good idea, do not fall or get cuts and bruises

What can a workplace do?

Having an infection control plan. Use Dr Maya as screening tool for staff

  • Providing clean hand washing facilities. Not necessary as this is not likely to be beneficial
  • Offering waterless alcohol-based hand sanitizers when regular facilities are not available (or to people on the road). Never use any of these, just soap (non-bacterial) may help
  • Providing boxes of tissues and encourage their use. Waste of money
  • Reminding staff to not share cups, glasses, dishes and cutlery. Be sure dishes are washed in soap and water after use. Good idea
  • Removing magazines and papers from waiting areas or common rooms (such as tea rooms and kitchens). Good idea
  • Considering cleaning a person’s workstation or other areas where they have been if a person has suspected or identified influenza. Not usefull as the viruses and bacteria that are resistant wont be killed. By using antibacterial wash, you will kill god germs and allow bad ones to multiply
  • Making sure ventilation systems are working properly.
  • In the event of a pandemic flu. Not likely to help
  • Public Health Agency of Canada states that wearing masks when face-to-face with coughing individuals will not be practical or helpful if the infection or virus has entered the community. Sensible advice
  • Special handling of linen or waste contaminated with secretions from persons thought to be or who are sick is not required. True
  • If cleaning is necessary, how should it be done?

Additional measures may be required to minimize the virus from transmitting by hard surfaces (sinks, door and cupboard handles, railings, objects, counters, etc.).

The length of time a virus survives on hard surfaces depends on the type of virus. We are still not sure how long the viruses stay. The must infect others quickly to survive and multiply. If they die the surrounding bacateria will swolow the dead virus and soon become resistant to treatment.

The Centers for Disease Control and Prevention in the United States indicates that “Most studies have shown that the flu virus can live and potentially infect a person for only 2 to 8 hours after being deposited on a surface.” Other estimates range up to 24 and 48 hours. Unfortunatly, this is all based on hypothesis, no one knows or have proved anything. Ebola was said to die early but now we knowthey can live and transfer to others during sex up to 9 months.

In most workplaces and homes, cleaning floors, walls, doorknobs, etc. with regular soap and water is very adequate.

In some workplaces, such as a hospital or health care facility, specific cleaning are often required. If the hospitals use strong antibacterial or dis-infectants the chances of colonizing with superbugs is very high. Good germs die and the space is taken over by resistant bacteria.

What is meant by social distancing?

Social distancing is a strategy where you try to avoid crowded places, large gatherings of people or close contact with a group of people. In these situations, viruses can easily spread from person to person.

In general, a distance of one metre (3 feet) will slow the spread of a disease, but more distance is more effective.

Should social distancing be recommended, steps to follow include:

  • Use telephone, video conferencing, or the internet to conduct as much business as possible (including within the same building).
  • Allow employees to work from home, or to work flexible hours to avoid crowding the workplace.
  • Cancel or postpone any travel, meetings, workshops, etc. that are not absolutely necessary.
  • Drive, walk, or cycle to work, but try to avoid public transit. Alternatively, workplaces can consider allowing staff to arrive early/late so they can use public transit when it is less crowded.
  • Allow staff to eat at their desks or have staggered lunch hours to avoid crowded lunch rooms.
  • Spend as little time as possible in tearooms or photocopy centres.
  • When meetings are necessary, have the meeting in a larger room where people can sit with more space between them (at least about one metre apart). Avoid shaking hands or hugging.
  • Encourage staff to avoid social gatherings outside of work where they might come into contact with infectious people.
  • What should a workplace do if an employee becomes ill at work?
  1. Reasons to determine “fitness to work” may depend on a number of issues such as size or type of organization, job responsibilities of employees, ease of working from home (via internet connections, etc.).
  2. Generally, employees should be allowed and encouraged to stay at home if they are not feeling well. However, in the event of a pandemic, use screening tools or a list of symptoms as a checklist.
  3. If employees are showing any signs, allow them to go or remain at home. If there is doubt if a person is sick, they should stay home until they feel well and are able to resume their regular activities.
  4. NOTE: During a pandemic, information is likely to change rapidly. Please see the last question in the OSH Answers Pandemic Influenza for a list of agencies that can help

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Zika Virus Patent Protected By Rockefeller Foundation In 1947

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It is true, J. Casals, Rockefeller Foundation has protected this virus with a patent.

It is interesting the spread of virus occurred in South America when ATCC i´has no office. Was any person or lab responsible for contaminating the country. Media has not high lighted this nor sharing information about this virus. Initially this was patented in 1947.

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Major Threat To Airlines And Globalisation

Dr Maya in Flight-2

This is not based on hypothesis nor published to scare you but we are sharing practical problems doctors are likely to encounter in the near future. Reading this blog may not be easy for some people but you must understand the life of healthcare workers are threatened and so I feel I must share information to help.

I realized the problem we doctors who travel in long haul flights can encounter and so wish to share my thoughts and experience. The cabin crew and the Airlines must be aware of the problem and think hard before a major crisis occurs.

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Dr Maya – Fighting Infections Saving Lives

Please download my App using the link and help create a network of doctors and their patients. Read the article to understand are


Promoting self care can be highly beneficial to the healthcare providers, prevention of infection spreading in our community all over the world. Minor illnesses form 18% of the general practitioner workload and cost the NHS £1.9bn (€2.2bn; $2.9bn) a year in UK. Self care of minor illnesses has not changed over the years. More than half (5 2%) of people with a new minor ailment self treated and 22% did nothing and 62% visited a doctor.

Humanity is threatened by emerging viral infections like Ebola and treatment resistant infections. Centre for Disease Control (CDC) recommendations and advice like washing hands, cleaning hospitals, reducing antibiotic abuse and completing the course of treatment has not slow down the rate of spread. One infection that caused us grief in 1980, has now successfully trained eighteen bacteria, numerous viruses, fungus and even parasites develop resistant to chemicals, antibiotic, antiviral and anti-parasite drugs.

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Bring Tears Of Happiness

We have seen patients developing minor and serious complications because they did not consultation a doctor early, due to fear of cost, cross infections or received false reassurance from nurse or chemist. If the symptom cannot be managed at home or in primary care, Maya will advice you to go to hospital as an emergency.

Medical Advise You Access

After several years planning and research, we compiled a list of common symptoms that make people anxious to consult doctors. We found, more than 70% of patients consulting a doctor as emergency did not have serious illness that required clinical examination, tests or referred to specialist in hospital.

“Knowledge Of Health Is Knowledge Of Life”

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New Strain Ecoli In China Resistant To All Known Antibiotics

Chenni in India is under water, crocodiles and snakes are free from zoo and said to be swimming in the flood waters. This is very obvious but what people don’t se are the bacteria from sewers, eggs of parasites and bacteria that are multiplying in the trenches.

All that we need is one China man carrying the new strain of Escherichia coli that is resistant to colistin, the antibiotic of last resort for gram-negative bacteria such as E. coli. This resistant bacteria were found in pigs, raw pork meat, and in a small number of people in China. This nasty bug is not only resistant but also capable of sharing the gene found on a plasmid, a portable piece of DNA. This plasmids can both transfer within a family of bugs and to other families of bacteria as well.

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Negligence, Medical Ethics And Relegion

The duty of a doctor is to protect human rights and dignity of the patient Physician’s must “Disobey Law” that demand “Un-Ethical Behavior”

ACT OF COMMISSION

To “Do Something” which A Prudent Man In Similar Situation “Will NOT DO” – Alderson 1843

ACT OF OMISSION

Not Do Something Which A Prudent Man In Similar Situation “WILL DO

DILIGENCE

Behaviour indicative Of “WORK ETHICS

You must understand “Diligence” before you can understand all about ethics A Belief That “Work Is Worship”

Steady, earnest, conscientious application of one’s energy to accomplish what have been undertaken Exercise of investing all energy to complete the assigned tasks.

  • Continue to work hard and vigilant
  • Avoid errors and stay focused on the task
  • Pays careful attention to details
  • Dedicated to achieving quality results.
  • Committed to transform vision into reality. Work hard towards goal. My Vision: “Bring Tears Of Happiness”

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Why NHS Must Offer 24/7 Emergency Care

Duty of a doctor is to offer support to families and children and make sure they do not suffer or experience pain. We have acquired the knowledge, trained by our teachers to clinically examine, diagnose illness and offer the right treatment. We are not “GOD” to help “Save Lives” but can only postpone death.

NHS MUST OFFER 24/7, 365 DAYS EMERGENCY CARE from kadiyali srivatsa on Vimeo.
Once we completed our training, we promised to defend our oath and protect our ethics. In the last two decades, our profession was taken over by people with vested interest. We invented drugs, treatment designed products and equipment, not because we were thinking of creating wealth but to feel proved we contributed.

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Why We Will Not Win This War With Superbugs

We are living a society ruled be people who don’t know what they are talking about. A doctors who is the head of an organisation that create “Guideline for doctors to follow” and allowed nurse to use is taking through his ass. He wants doctors to educate people about antibiotic abuse. How can we expect these bunch of idiots who labeled tonsillitis, rhinitis, pharyngitis, sinusitis as URTI (Upper Respiratory Tract infection), called pneumonia as “Chest infection” and LRTI to abuse antibiotics to know what to teach.

PLEASE CHECK THIS OUT INTERESTING STATISTICS

10 shocking medical mistakes and ways to not become a victim:

  1. Treating the wrong patient
  2. Surgical souvenirs
  3. Lost patients
  4. Emergency rooms get backed up when overcrowded
  5. Consequences: Patients get sicker, catch infection from others
  6. Injecting Air bubbles in blood – IV Drip
  7. Operating on the wrong body part
  8. Get Antibiotic Resistant Bacterial Infection during stay in hospital
  9. Medicine meant for the stomach goes into the chest tubes
  10. Waking up during surgery

    Shocking medical mistakes – CNN.com

There is no single universally accepted method of classifying medical errors in order to describe them more fully.

In 2000 Quality Interagency Coordination Task Force (QuIC) report lists five different classification schemes that have been used:

  1. type of health care given (medication, surgery, diagnostic imaging, etc.)
  2. severity of the injury (minor discomfort, serious injury, death, etc.)
  3. 
legal definitions (negligence, malpractice, etc.)
  4. 
setting (hospital, emergency room, intensive care unit, nursing home, etc.)
  5. persons involved (physician, nurse, pharmacist, patient, etc.

Causes of medical errors

  • Communication errors.
  • The increasing specialization and fragmentation of health care.
  • Manufacturing errors
  • Equipment failure
  •  Diagnostic errors
  •  Poorly designed buildings and facilities

    45,000 and 98,000 American die each year as the result of medical errors.

    The eighth leading cause of mortality in the United States, surpassing deaths attributable to motor vehicle accidents (43,458), breast cancer (42,297), and AIDS (16,516).

British experts estimate that 40,000 patients die each year in the United Kingdom as the result of medical errors.

Australia, Canada and Europe countries are testing a new system for reporting errors since 1995 but the results have not been published

http://www.surgeryencyclopedia.com/La-Pa/Medical-Errors.html

Patients are an important resource in lowering the rate of medical errors. “Five Steps to Safer Health Care,”

  1. Do not hesitate to ask questions of your health-care provider
  2. Keep lists of all medications, including over-the counter items as well as prescribed drugs.
  3. Ask for the results of all tests and procedures, and find out what the results mean for you.
  4. Find out what choices are available to you if your doctor recommends hospital care.
  5. If your doctor suggests surgery, ask for information about the procedure itself, the reasons for it, and exactly what will happen during the operation.

    Facts About GP Service in NHS

  • More than 500 GP practices could close next year,
  • 1 million patients will have no GP
  • 543 (90%) doctors are over the age of 60 years.
  • Younger doctors are choosing to emigrate
  • 7.9% of surgeries do not have full time GP
  • Unfilled GP posts has quadrupled from 2.1% since 2010
  • Applications for GP training dropped by 15%

Non-European doctors must pass very stringent examination that doctors cannot afford to pay.

A survey of 500 GPs, conducted by Pulse Magazine, found that waiting times for non- urgent appointments are getting longer. A 20% said patients had to wait more than two weeks at their surgeries.

Royal College of GPs found that 47 million GP appointments in 2013 – one in six of all consultations – involved a wait of at least seven days to see a doctor or nurse.

Patients waited more than a week to see their GP on almost 50 million occasions last year, according to figures that illustrate the delays people face when accessing basic NHS care.

In 2012, the figure was 40million – suggesting a rise of 17%, year on year.

If the trend continues, projections suggest that next year 57 million GP appointments will involve a wait of a week or more.

4,200 out-of-hours appointments could be prevented with better in-hours services. “There would not be enough doctors to meet existing demands, or open clinics at the

weekends, as the Tories have pledged”. Royal College of GP.
REF: 500 GP practices could close next year, doctors warn – Telegraph 18/08/2015 14:16

Average GP waiting times ‘will hit two weeks’ family doctors predict

06 May 2015

  • 5% waiting times of three to four weeks
  • 1% wait more than one month.
  • Waiting times will exceed 5 weeks by next year.
  • Millions wait a week to see GP
  • 500 GP practices could close next year, doctors warn
  • A survey of 700 GPs found that the typical patient now waits 10 days for an appointment – a rise of one day in a year.
  • Family doctors polled by Pulse magazine said they expected the waiting time to reach two weeks by next summer.

    http://www.telegraph.co.uk/news/nhs/11583896/Average-GP-waiting-times-will-hit-two-weeks-family-doctors- predict.html

    Waiting Time

Americans age 15 and older collectively spent 847 million hours waiting for medical services to be provided in 2007.

Three percent of Americans traveled from their home to receive health care on any given day in 2007. The corresponding figures are 5 percent for women and 2 percent for men.

American spent 1.1 hours a week obtaining health care in 2007.

Over age 60 spent twice as much time obtaining medical care, on average, than did those age 15 to 60.

Women spent about 70 percent more time on health care activities than men.

If we value all people’s time at the average hourly wage of production and nonsupervisory workers ($17.43 in 2007),

Americans spent the equivalent of $240 billion on health care in 2007.

Put another way, omitting patients’ time caused national health care expenditures to be undercounted by 11 percent in 2007.

From earlier time-use surveys, it appears that the amount of time Americans spend getting health care services has grown with national health care expenditures.

Failing to take account of patient time leads us to exaggerate the productivity of the health care sector, and to understate the cost of health care.

The time that patients spend seeking, receiving and paying for health care services is just as real as the dollars they spend for medical services.

REF: A Hidden Cost of Health Care: Patient Time – The New York Times

Estimate of Patient Harms Associated with Hospital Care

National Quality Forum

  • Estimated that “events” contributed to the deaths of 1.5 % (12/780) of the 1 million
  • These were percentage of deaths per hospitalization that were preventable.
  • 44% of serious medical events were preventable.
  • 15,000 per month or 180,000 per year.
  • In that state, 96% of discover adverse events.
  • They found 167 adverse events in the hospitals
  • I, and 9 of the adverse events contributed to the safety, whereas the average in other states was only 78%. A priori, a deaths of patients.
  • The investigators studied the change in incidence procedure related (not service issues that are important to patients, many of which would otherwise be unmeasured infection) e.g. staff behaviour, levels of involvement, information provision etc.
  • 4, nosocomial infection of adverse events

HOSPITAL AQUIRED INFECTIONS

Sample sizes and response rates vary depending on the survey setting and by question. Almost 40,000 people responded to the A&E survey (a response rate of 34%). The CQC website includes information on the surveys and the CQC national survey publications (including percentage scores for individual questions and details of the number of respondents and response rates).

The CQC results for the A&E surveys can be found at:

http://www.cqc.org.uk/content/accident-and-emergency-survey-2014

CQC publish trust-level reports that detail information such as the trust scores for each survey question and associated confidence intervals and response numbers, this can be found at:

http://www.nhssurveys.org/surveys/819

Overview of survey changes for 2014

The 2014 A&E survey has been subject to minor changes that are likely to have an impact on the ‘overall patient experience scores’. The affected questions are listed below with a description of the changes. Full information about the changes and the evidence base is available in the Survey Development Report, available via the following link:

http://www.nhssurveys.org/surveys/763

“Did doctors or nurses talk to each other about you as if you weren’t there?” (Building Closer Relationships): For the purposes of clarification, the wording of this question has been amended from “Did doctors or nurses talk in front of you as if you weren’t there?”. Despite this amendment, the scores for this question for 2012 and 2014 are not significantly different (89.1 and 89.2 respectively).

Ref: CDC Website

“Do you think staff did everything they could to help control your pain?” (Clean, comfortable, friendly place to be): Two additional questions about pain relief have been added to the survey, preceding this question. The inclusion of these questions is likely to have affected the way that

Patient experience scores for the A&E survey, England, people respond when asked about pain control. The results indicate a relatively large increase in the score for this question, from 69.4 in 2012 to 74.5 in 2014.

2012-13 to 2014-15

Full set of tables: overall patient experience scores

The following tables show results for the ‘overall patient experience scores’ for England, for different years and different NHS settings. Scores are based on results from the National Patient Survey Programme and are calculated in the same way each year so that the experience of NHS patients can be compared over time. The methodology for calculating these scores was agreed initially by the Department of Health and the Care Quality Commission (formerly the Healthcare Commission). NHS England, which is now responsible

Overall patient experience scores

2014 accident and emergency department survey update

This publication updates this regular statistical series to include results from the accident and emergency department (A&E) survey, which surveyed patients who had visited A&E during January, February or March 2014.

These statistics use a set of questions from the National Patient Survey Programme1 to produce

MY COMMENT

a set of overall scores that measure patient views on the care they receive.
NHS England produce separate sets of scores for different NHS services; this update focuses on

NHS has not published data that compare the “Quality of care offered by doctors : nurses, the A&E setting. The next planned update is for the Adult inpatient survey, expected in and hospitals : clinics.

April 2014.

Patient satisfaction questioners or survey is not one that help doctors knowing they may

2014 accident and emergency department survey: key findings
not be in a position to satisfy patients because they are governed by Medical Etics. A demanding patient who expect the doctor to prescribe antibiotics, offer sick note or refuse

The overall patient experience score for NHS A&E services for 2014-15 is shown in table 1 below; the scores for each of the five domains used to construct the overall measure are also to prescribe control drugs or methadone is likely not to be satisfied. presented.

These are often handed by nurses when patient arrive and leave the clinic, surgery,

Due to several minor survey changes implemented in 2014, the change in scores from 2012-13 to 2014-15 should be interpreted with caution. The survey changes directly affect the domains hospital or walk in clinic, so the duty of doctor is diagnose and help cure the illness so ‘building closer relationships’ and ‘clean, comfortable place to be’ and impact on the overall this so called “Satisfied Patient” may have died few days later because he or she received score. More information about the changes is provided in section 5. Analysis question most affected by the survey alterations, the change in scores from 2012-13 to 2014-15, would still be significant.

Table 1: Patient experience scores for the A&E survey, England, 2012-13 to 2014-15

2014-15 95% 2012-13 confidence

2012-13 adjusted2 2014-15 interval

Access & waiting1 64.3 Safe, high quality, coordinated care 74.5 Better information, more choice 74.8 Building closer relationships 80.8 Clean, friendly, comfortable place to be 82.2

67.0 67.7 s 0.22 74.5 76.0 s 0.35 74.8 75.8 s 0.47 80.8 81.9 s 0.25 82.2 84.2 s 0.24

Overall patient experience score

75.4 75.9 77.2 s 0.28

Results marked with an S show a statistically significant change from 2012-13 to 2014-15 Notes:

Source: National Patient Survey Programme

1 The National Patient Survey Programme is overseen by the Care Quality Commission (CQC) and covers a range of NHS settings on a rolling programme of surveys. The CQC publishes detailed results from each survey on its own website, whilst this publication provides an overall index score.

1. For 2014-15, the scoring regime used for the question “Overall, how long did your visit to the A&E department last?” (Question 9) has been amended.

2. The 2012-13 score has been adjusted to reflect the new scoring regime for question 9 (see note 1) to allow direct comparison with 2014-15.

Scores range from 67.2 to 83.5, with an average of 77.2. There are 25 trusts with results over time, but this is affected when trusts have merged in the period between surveys. and we can be confident that the true score lies within a small range (in this case, plus or minus scores that are significantly above the average and 31 with scores that are significantly below 0.28). For trust level data, we are typically looking at less than 300 responses and we can only

the average.have confidence that scores are accurate within a range of plus or minus around 3 points.

Figure 2: Trust level overall patient experience scores
This means it can be difficult to assess whether scores for an individual trust are significantly different from the average.

Figure 2 shows the overall patient experience score for each trust, with the higher scores towards the left and the lower towards the right. There are 130 trusts in 2014 with overall