Keogh review: Hospital death rates

Fourteen NHS trusts in England have been investigated as part of a review into higher-than-expected hospital death rates.

Mortality measures

  • Summary Hospital-Level Mortality Indicator (SHMI): deaths after hospital treatment and up to 30 days after discharge
  • Hospital Standardised Mortality Ratio (HSMR): compares the expected rate of death in a hospital with the actual rate of death

The inquiry, carried out by Professor Sir Bruce Keogh, England's NHS medical director, was set up following the Mid-Staffordshire Hospital scandal.

A report into high death rates at two hospitals in Mid-Staffordshire earlier this year found there were hundreds more deaths than expected, with patients let down by poor standards of care.

The table below shows how the 14 NHS trusts covered by the review scored in two measures of mortality. A score much above 100 is higher than the national average.

All of the data has been standardised to take into account the different case-mix at hospitals - for example, hospitals that treat more elderly patients might be expected to have higher death rates.

Mortality rates, 2011-2012

NHS trust In hospital +30 days (SHMI) In hospital (HSMR) 2011 In hospital (HSMR) 2012 Outcome

Source: Health and Social Care Information Centre, Dr Foster Health.

Basildon and Thurrock University Hospitals NHS Foundation Trust

114

98

102

Special measures

Blackpool Teaching Hospitals NHS Foundation Trust

121

112

114

No action

Buckinghamshire Healthcare NHS Trust

115

112

110

Special measures

Burton Hospitals NHS Foundation Trust

99

112

112

Special measures

Colchester Hospital University NHS Foundation Trust

117

107

102

No action

The Dudley Group NHS Foundation Trust

104

116

111

No action

East Lancashire Hospitals NHS Trust

114

108

103

Special measures

George Eliot Hospital NHS Trust

110

117

120

Special measures

Medway NHS Foundation Trust

113

115

112

Special measures

North Cumbria University Hospitals NHS Trust

110

118

118

Special measures

Northern Lincolnshire and Goole Hospitals NHS Foundation Trust

115

116

118

Special measures

Sherwood Forest Hospitals NHS Foundation Trust

108

114

113

Special measures

Tameside Hospital NHS Foundation Trust

119

101

102

Special measures

United Lincolnshire Hospitals NHS Trust

110

113

111

Special measures

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