29.10.13
Hospital mortality data released by HSCIC
Seven NHS trusts have ‘higher than expected’ mortality rates according to the latest Summary Hospital-level Mortality Indicator (SHMI) data released today, covering April 2012 to March 2013.
The Health and Social Care Information Centre said 118 trusts had an ‘expected’ SMHI value, and 17 achieved a ‘lower than expected’ value.
The SHMI 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, given the characteristics of the patients treated there.
The statistics cover all deaths reported of patients who were admitted to non-specialist acute trusts in England and either die while in hospital or within 30 days of discharge.
The ‘key facts’ from the latest data are:
- 1.1% of finished provider spells had palliative care coded at either diagnosis or specialty level
- 19.9% of patient deaths had palliative care coded at either diagnosis or specialty level
- 0.6% of elective admissions resulted in a death occurring either in hospital or within thirty days (inclusive) of discharge
- 3.8% of non-elective admissions (including admissions coded as ‘unknown’) resulted in a death occurring either in hospital or within thirty days (inclusive) of discharge
- 73.3% of deaths occurred in hospital and 26.7% occurred outside hospital within 30 days of discharge (inclusive)
- The percentage of finished provider spells in each deprivation quintile is 23.0% for quintile 1 (most deprived), 19.9% for quintile 2, 17.8% for quintile 3, 16.2% for quintile 4 and 14.7% for quintile 5 (least deprived). There is insufficient information to calculate the deprivation quintile for 8.4% of finished provider spells.
- The percentage of deaths in each deprivation quintile is 21.1% for quintile 1 (most deprived), 20.5% for quintile 2, 20.5% for quintile 3, 19.4% for quintile 4 and 17.2% for quintile 5 (least deprived). There is insufficient information to calculate the deprivation quintile for 1.3% of deaths.
The HSCIC added:” The HSCIC is aware that there may be an impact of the present SHMI methodology on the SHMI value for integrated acute and community trusts. This is because activity from both acute and community sites at integrated trusts is included in the calculation of the SHMI, while activity from trusts which only provide community services is excluded. The HSCIC is investigating ways in which community activity for integrated trusts can be identified in the underlying dataset and will continue to review this issue with the SHMI Technical Working Group.”
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