Health workers who originally supported NHS reforms did not realise their full implications, GP claims
Health workers who originally supported NHS reforms did not realise their full implications, GP claims

A report from the Dr Foster Hospital Guide published today has revealed which NHS trusts have higher or lower mortality rates than expected.

Chelsea and Westminster Hospital NHS Foundation Trust has been recognised as the only place in England to achieve better than expected rates across the four measures of mortality used in the report.

While no trust achieved less than expected on the four measures, Hull and East Yorkshire Hospital and University of North Staffordshire are higher than expected on three.

The four measurements used by the report are:

1) Hospital Standardised Mortality Ratio (HSMR) - A measure of deaths while in hospital based in the 56 conditions which represent 80 per cent of deaths.

2) Summary Hospital-Level Mortality Indicator (SHMI) -Deaths which follow hospital treatment. Based on all conditions, deaths are measured which take place in or out of hospital for 30 days following discharge.

3) Deaths after Surgery - Surgical patients who have died from a possible complication.

4) Deaths in Low-Risk Condition - Deaths from conditions where patients would normally survive.

Hull and East Yorkshire Hospitals NHS Trust emerges as "notable" for its "consistently high" death rates across all four measurements.

The University Hospital of North Staffordshire is one of five trusts which have high mortality rates among patients who would normally survive.

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Below is a table featuring the 19 hospitals that have a high mortality rate measured both in the in-hospital measure (HSMR) and the all-deaths measure (SHMI).

Hospitals With High Mortality Rates

Blackpool Teaching Hospitals NHS Foundation Trust
Buckinghamshire Healthcare NHS Trust
Burton Hospitals NHS Foundation Trust
Dartford and Gravesham NHS Trust
George Eliot Hospital NHS Trust
Hull and East Yorkshire Hospitals NHS Trust
Isle of Wight NHS Primary Care Trust
Medway NHS Foundation Trust
Mid Cheshire Hospitals NHS Foundation Trust
North Cumbria University Hospitals NHS Trust
Northampton General Hospital NHS Trust
Northern Lincolnshire and Goole Hospitals NHS Foundation Trust
Shrewsbury and Telford Hospital NHS Trust
The Dudley Group of Hospitals NHS Foundation Trust
The Royal Wolverhampton Hospitals NHS Trust
United Lincolnshire Hospitals NHS Trust
University Hospitals of Morecambe Bay NHS Foundation Trust
Worcestershire Acute Hospitals NHS Trust
York Teaching Hospital NHS Foundation Trust

Only one hospital, Chelsea and Westminster, achieves low mortality rates across all four measurements of mortality. The report revealed that per 1,000 patients, Chelsea and Westminster had a mortality rate of 78 in the SHMI sector, 85 in the HSMR, 0.35 recorded deaths in low-risk conditions and 29 deaths after surgery.

Below is a table of Trusts which had a low mortality rating for both SHMI and HSMR. Kingston Hospital NHS Trust, Chelsea and Westminster Hospital NHS Foundation Trust, South London Healthcare NHS Trust, The Whittington Hospital NHS Trust, University College London Hospitals NHS Foundation Trust and Imperial College Healthcare NHS Trust also achieved low death rates in conditions with low-risk conditions.

The Royal Devon and Exeter also achieved low death rates after surgery.

Hospitals With Low Mortality Rates

Barnet and Chase Farm Hospitals NHS Trust
Barts and the London NHS Trust
Cambridge University Hospitals NHS Foundation Trust
Chelsea and Westminster Hospital NHS Foundation Trust
Epsom and St Helier University Hospitals NHS Trust
Frimley Park Hospital NHS Foundation Trust
Guy's and St Thomas' NHS Foundation Trust
Imperial College Healthcare NHS Trust
King's College Hospital NHS Foundation Trust
Kingston Hospital NHS Trust
Newham University Hospital NHS Trust
North West London Hospitals NHS Trust
Royal Devon and Exeter NHS Foundation Trust
Royal Free Hampstead NHS Trust
Sheffield Teaching Hospitals NHS Foundation Trust
South London Healthcare NHS Trust
St George's Healthcare NHS Trust
The Whittington Hospital NHS Trust
University College London Hospitals NHS Foundation Trust
University Hospitals Bristol NHS Foundation Trust
West Suffolk Hospitals NHS Trust