Summary Hospital-level Mortality Indicator (SHMI) - Deaths associated with hospitalisation, England, October 2011 - September 2012, Experimental statistics
This is the seventh publication of the Summary Hospital-level Mortality Indicator (SHMI) and relates to the reporting period October 2011 – September 2012.
Further background information and supporting documents are available at the SHMI support and guidance page http://www.hscic.gov.uk/SHMI
- 10 trusts had a SHMI value categorised as ‘higher than expected’.
- 18 trusts had a SHMI value categorised as ‘lower than expected’.
- 114 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 1.0 per cent.
- The percentage of patient deaths with palliative care coded at either diagnosis or specialty level is approximately 18.9 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 23.1 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 14.6 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 21.1 per cent for quintile 1, 20.5 per cent for quintile 2, 20.6 per cent for quintile 3, 19.4 per cent for quintile 4 and 17.0 per cent for quintile 5. There is insufficient information to calculate the deprivation quintile for 1.4 per cent of deaths.
The HSCIC acknowledges that there may be an issue for Trusts who record multiple episodes within a spell. Trusts who have this particular issue may find that their SHMI figure is raised. This potential issue will be reviewed at the next meeting of the SHMI technical review group and any actions advised by this group will be implemented by the HSCIC for the July 2013 publication of the SHMI.
This issue was further discussed at the SHMI Technical Group meeting in June 2013. It was considered that the potential impact was small and that no further action was required. Further details are available on the SHMI Technical Group Proceedings page, which can be accessed at http://www.hscic.gov.uk/shmi-tg-meeting-jun-13
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