Key Facts
• 11 trusts had a SHMI value categorised as 'higher than expected'
• 15 trusts had a SHMI value categorised as 'lower than expected'
• 116 trusts had a SHMI value categorised as 'as expected'
• The percentage of patient admissions with palliative care coded at either diagnosis or specialty level is approximately 1.1 per cent
• The percentage of patient deaths with palliative care coded at either diagnosis or specialty level is approximately 19.1 per cent
• The percentage of elective admissions where a death occurs either in hospital or within thirty days (inclusive) of being discharged is approximately 0.6 per cent
• The percentage of non-elective admissions including admissions coded as 'unknown' where a death occurs either in hospital or within thirty days (inclusive) of being discharged is approximately 3.7 per cent
• The percentage of deaths split by those occurring in hospital and those occurring outside hospital within 30 days of discharge is approximately 73.5 per cent and 26.5 per cent respectively
• The percentage of finished provider spells falling under each deprivation quintile (where quintile 1 is the most deprived) is 23.0 per cent for quintile 1, 19.9 per cent for quintile 2, 17.8 per cent for quintile 3, 16.2 per cent for quintile 4 and 14.7 per cent for quintile 5. There is insufficient information to calculate the deprivation quintile for 8.4 per cent of finished provider spells.
• The percentage of deaths falling under each deprivation quintile (where quintile 1 is the most deprived) is 21.0 per cent for quintile 1, 20.5 per cent for quintile 2, 20.5 per cent for quintile 3, 19.5 per cent for quintile 4 and 17.1 per cent for quintile 5. There is insufficient information to calculate the deprivation quintile for 1.4 per cent of deaths.
Notes:
1. It has come to our attention that there may be several trusts who are unable to record still births with a discharge method of 'Baby was still born' on their patient administration system (PAS) and are instead coding these records with a discharge method of 'Died'. This means that such records will be included in the calculation of the SHMI where they should have been excluded. We are currently reviewing this issue with initial investigations suggesting that the impact on the overall SHMI value for affected trusts is small.
2. As a result of a submission error by East Sussex Healthcare NHS Trust (provider code RCX), some of their data were not included in the analysis. This means that the SHMI figure published for East Sussex Healthcare NHS Trust will be incorrect and should be used with caution. The missing data will be included in the analysis in the next publication of the SHMI in October 2013. Please take note that the national impact of this issue is negligible.
