Posts Tagged ‘Death rates’

Hospital death rates improving, analysis suggests

BBC Health - 29th November 2010 10:48 am

An analysis of deaths in English hospitals has found 19 NHS trusts have higher rates than would be expected.

But monitoring body Dr Foster’s report on 147 trusts shows an improvement on 2009, when the figure was 27. The survey also shows that four trusts had a higher than expected number of patients who died after surgery.

The NHS Confederation said the report showed where the NHS “could do better”. The government says unsafe care will not be tolerated.

Hospitals with higher-than-expected death rates were: Barking, Havering and Redbridge University Hospitals NHS Trust; Buckinghamshire Hospitals NHS Trust; City Hospitals Sunderland NHS Foundation Trust; Derby Hospitals NHS Foundation Trust; East Sussex Hospitals NHS Trust; George Eliot Hospital NHS Trust; Hull and East Yorkshire Hospitals NHS Trust; Isle Of Wight NHS PCT; Mid Cheshire Hospitals NHS Foundation Trust; Northampton General Hospital NHS Trust; Pennine Acute Hospitals NHS Trust; Royal Bolton Hospital NHS Foundation Trust; Shrewsbury and Telford Hospital NHS Trust; South London Healthcare NHS Trust; Southport and Ormskirk Hospital NHS Trust; The Dudley Group Of Hospitals NHS Foundation Trust; The Royal Wolverhampton Hospitals NHS Trust; University Hospital Birmingham NHS Foundation Trust; and, Western Sussex Hospitals NHS Trust.

Read more at BBC Health.

Hospitals facing closer scrutiny over patient deaths

BBC Health - 4th November 2010 3:02 pm

All deaths in hospital and within a month of discharge are to be monitored under a new system in England.

The scheme is being introduced in April following the Stafford Hospital scandal when the NHS was accused of being slow to react to the high number of deaths.

There are currently a variety of tracking systems which are used, but only about 80% of deaths are recorded.

The new system - Summary Hospital-level Mortality Indicators - aims to ensure concerns are responded to quickly.

It is being dubbed a “smoke alarm” in that an alert does not guarantee there is definitely something wrong, but that it should be investigated.

Monthly data will be published and rises in deaths or a consistently high rate will have to be investigated by the individual trust in conjunction with the regulator.

The system will take into account local factors, such as how ill the patients are, and judge whether the death rate it is within an expected range or above or below it.

It was designed by an expert panel including representatives from leading think-tanks, senior doctors, the health regulator and Dr Foster Intelligence, a private body which tracks death rates.

Read more at BBC Health.

“Huge disparities” in vascular surgery death rates

The Guardian - 13th June 2010 7:05 pm

Doctors in the NHS do not know how well they are performing and whether they are more likely than their colleagues to kill or cure their patients, because of a widespread failure to collect the information, a Guardian investigation reveals.

The results of a major exercise looking at one particular procedure - vascular surgery - show a massive variation in death rates among patients admitted for planned operations and reveal that some hospitals have unacceptably high mortality.

It demonstrates the case for the closure of small hospital units, which the government has put on hold. Death rates vary from less than one in 50 in some hospitals to more than one in 10 in others.

Death rates in planned vascular surgery for abdominal aortic aneurysm (AAA - to prevent a burst artery) vary from under 2% in some hospitals to at least 10% in 10 of them.

Read more at The Guardian.

Hospital death rates a “poor measure of quality”

BBC Health - 21st April 2010 11:21 am

Death rates are a poor measure of hospital care and should not be used to trigger public inquiries, experts say.

The BMJ analysis argued the figures were a “poor test of quality” and urged inspectors to rely on other measures instead.

It contrasts with the pressure mounting on the Care Quality Commission to pay more attention to death rates produced by Dr Foster, a private research group.

The NHS regulator said death rates was just one part of the armoury.

The two experts in disease monitoring, Professor Richard Lilford, from Birmingham University, and Peter Pronovost, from Johns Hopkins University in the US, criticised the way death rates were used to castigate Stafford Hospital over the past year.

It was widely reported that an extra 400 people may have died as a result of poor standards at the hospital - a figure which was based on average death rates. But the experts said the claims were “precarious”.

They concluded death rates were too blunt and were only being “kept alive by well-meaning decision-makers”.

Read more at BBC Health.

High death-rate NHS trusts named by regulator

HSJ - 21st August 2009 6:57 pm

NHS trusts with unusually high death rates that have sparked alerts have been revealed for the first time in a move aimed at promoting accountability and patient safety.

But few of the trusts were found to have problems with quality of care and there are concerns that publishing the information will unfairly label them as “bad apples”.

The alerts are triggered if numbers of deaths among hospital patients admitted for particular conditions or procedures are significantly higher than expected.

The list, produced by the Care Quality Commission, dates back to 2007 and only includes those where investigations have been closed. CQC director of intelligence Richard Hamblin said: “This gives further impetus to trusts to regularly monitor outcomes. It takes us in the same direction as quality accounts.”

Seven trusts required plans including Barking, Havering and Redbridge Hospitals trust; Mid Staffordshire foundation trust; Basingstoke and North Hampshire foundation trust; Pennine Acute Hospitals trust; Salisbury foundation trust; Sheffield Teaching Hospitals foundation trust; and University Hospitals of Leicester trust.

 

Read more at HSJ.