These indicators are designed to accompany the SHMI publication.
The SHMI methodology does not make any adjustment for patients who are recorded as receiving palliative care. This is because there is considerable variation between trusts in the way that palliative care is recorded.
Contextual indicators on the percentage of provider spells and deaths reported in the SHMI where palliative care was recorded at either treatment or specialty level are produced to support the interpretation of the SHMI.
Notes:
1. There is a shortfall in the number of records for Torbay and South Devon NHS Foundation Trust (trust code RA9) and York and Scarborough Teaching Hospitals NHS Foundation Trust (trust code RCB). Values for these trusts are based on incomplete data and should therefore be interpreted with caution.
2. There is a high percentage of invalid diagnosis codes for Blackpool Teaching Hospitals NHS Foundation Trust (trust code RXL), Buckinghamshire Healthcare NHS Trust (trust code RXQ), County Durham and Darlington NHS Foundation Trust (trust code RXP), Portsmouth Hospitals University NHS Trust (trust code RHU), The Princess Alexandra Hospital NHS Trust (trust code RQW), University Hospitals Birmingham NHS Foundation Trust (trust code RRK) and West Suffolk NHS Foundation Trust (trust code RGR). Values for these trusts should therefore be interpreted with caution.
3. There are variations between trusts in the recording of same day emergency care (SDEC). Where trusts are submitting SDEC activity as part of the Outpatient dataset or Emergency Care Data Set (ECDS) rather than the Admitted Patient Care (APC) dataset or are recording this activity as day cases within the APC data, these records will not be included in the SHMI. Trusts with SDEC activity removed from the SHMI data have seen an increase in their SHMI value. As all trusts are expected to transition to recording SDEC activity as admitted patients, the data will become more comparable over time and the impact on the SHMI will reduce.
4. On 1st July 2026, North Bristol NHS Trust (trust code RVJ) was acquired by University Hospitals Bristol and Weston NHS Foundation Trust (trust code RA7). The new organisation is called Bristol NHS Foundation Trust (trust code RA7). The new organisation structure is reflected from this publication onwards.
5. Further information on data quality can be found in the SHMI background quality report, which can be downloaded from the 'Resources' section of this page.