Key Facts
• 7 trusts had a 'higher than expected' SHMI value
• 17 trusts had a 'lower than expected' SHMI value
• 118 trusts had an 'as expected' SHMI value
• 1.1 per cent of finished provider spells had palliative care coded at either diagnosis or specialty level
• 19.9 per cent of patient deaths had palliative care coded at either diagnosis or specialty level
• 0.6 per cent of elective admissions resulted in a death occurring either in hospital or within thirty days (inclusive) of discharge
• 3.8 per cent 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 per cent of deaths occurred in hospital and 26.7 per cent occurred outside hospital within 30 days of discharge (inclusive)
• The percentage of finished provider spells in each deprivation quintile is 23.0 per cent for quintile 1 (most deprived), 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 (least deprived). There is insufficient information to calculate the deprivation quintile for 8.4 per cent of finished provider spells.
• The percentage of deaths in each deprivation quintile is 21.1 per cent for quintile 1 (most deprived), 20.5 per cent for quintile 2, 20.5 per cent for quintile 3, 19.4 per cent for quintile 4 and 17.2 per cent for quintile 5 (least deprived). There is insufficient information to calculate the deprivation quintile for 1.3 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. 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.
