Higher death rate NHS trusts named
Tuesday 29th October 2013, 12:41PM GMT.
Seven NHS trusts have higher than expected death rates for patients who die in hospital or within 30 days of discharge, according to new data.
Three of the trusts have had higher than expected rates for the last two years, according to f igures from the Health and Social Care Information Centre (HSCIC).
The report covers all deaths of patients who were admitted to non-specialist acute trusts in England and either died while in hospital or within 30 days of discharge.
It comes after a report from the Care Quality Commission (CQC) last week revealed 44 trusts out of 161 were highest risk, including having higher than expected death rates across their hospitals.
In total, the CQC looked at 150 indicators of how trusts were doing, including incidents involving patient safety, whistleblowing staff and patient satisfaction with care.
The CQC put England’s trusts into six bands, with band 1 being the highest risk and band 6 the lowest. It said the banding was not a final judgment on the trusts but would help inspectors work out where they needed to focus their attention.
Today’s data showed seven trusts had higher than expected death rates, including several placed in band 1 by the CQC and some labelled as much lower risk by the regulator.
They are Basildon and Thurrock University Hospitals NHS Foundation Trust, Aintree University Hospital NHS Foundation Trust and Northampton General Hospital NHS Trust, all placed in band 1 by the CQC.
Blackpool Teaching Hospitals NHS Foundation Trust and Colchester Hospital University NHS Foundation Trust are also on the list (both were placed in band 2 by the CQC), alongside Mid Cheshire Hospitals NHS Foundation Trust (placed in band 3) and Warrington and Halton Hospitals NHS Foundation Trust (placed in band 5).
The new report covers the period from April 2012 to March 2013.
The three trusts whose death rates were higher than expected in both this report and the previous year’s one were Colchester Hospital University NHS Foundation Trust, Aintree University Hospital NHS Foundation Trust and Blackpool Teaching Hospitals NHS Foundation Trust.
Today’s data is based on the Summary Hospital-level Mortality Indicator (SHMI), which is the ratio between the actual number of patients who die following treatment at the trust and the number that would be expected to die on the basis of average England figures.
It showed 17 trusts had a lower than expected death rates, while 118 had rates that were as expected.
Some 73.3% of the deaths occurred in hospital and 26.7% occurred outside hospital within 30 days of discharge.
All but two of the seven trusts – Mid Cheshire Hospitals NHS Foundation Trust and Warrington and Halton Hospitals NHS Foundation Trust – are currently being inspected by the CQC or were part of Professor Sir Bruce Keogh’s review of death rates at 14 trusts.
Health minister Jane Ellison said: “We expect every trust to examine its own data carefully.
“Following the Francis Inquiry, the CQC has introduced radical changes to hospital inspections, with a new chief inspector, Sir Mike Richards, leading significantly larger inspection teams which are headed up by clinical and other experts.
“They will examine mortality data and other information to target their inspections and ensure trusts act where there are problems.”