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Thursday, October 24, 2013

Quarter of hospitals 'at raised risk of poor care'


Quarter of hospitals 'at raised risk of poor care'

A quarter of hospital trusts in England are at raised risk of providing poor care, a review by the regulator shows.
The findings are based on monitoring by the Care Quality Commission (CQC) of a host of data, including death rates, serious errors and patient surveys.
It found 44 out of 161 trusts fell into the two highest risk categories.
Sir Mike Richards from the Care Quality Commission said the screening tool would help identify higher risk hospitals
The exercise has been carried out as part of the regulator's new hospital inspection regime, which will see inspectors go into every trust by 2015.
The first inspections got under way in September and by Christmas the first 18 will have been completed.

Analysis

This is the first time such comprehensive data has been pulled together in this way.
The work has involved the regulator poring over a mountain of data.
But what does it tell us? The Care Quality Commission is being careful to stress it is not a final rating. Instead, it is being dubbed a screening tool - and like any screening it can throw up erroneous results.
For example, the scoring system actually suggests two of the 11 trusts already placed in special measures should be in band three (medium risk) - although they have been bumped up to band one anyway.
But even taking that into account, it provides one of the clearest indications yet of how trusts are performing against each other.
Patients will undoubtedly be interested in the results until the inspection programme is complete.
It will result in every trust being given a rating of either 'outstanding', 'good', 'requires improvement' or 'inadequate' as part of a shake-up in the system ordered after the Stafford Hospital scandal.
The CQC said the latest information was not a final judgement, but would be used to prioritise which trusts to inspect earlier in the process.
Hospital chief inspector Prof Sir Mike Richards likened the risk review to a form of "screening".
He added: "Our intelligent monitoring helps to give us a good picture of risk within trusts, showing us where we need to focus our inspections."
The regulator has assessed each trust's performance against up to 150 different indicators.
Those performing worse than would be expected on each indicator get marked down as being at risk or elevated risk for that topic.
The number of risk scores they have determines which of the bands they are placed in.
Bands one and two - those at highest risk - include 24 trusts and 20 trusts respectively.
The trusts in band one include the 11 trusts already placed in special measures after a review of high mortality rates.
They are joined by Croydon Health Services, which was rated high risk in 12 areas for issues such as patient survey results and whistle-blowing.
Also in band one are Barking, Havering and Redbridge, which was rated high risk in 13 areas including A&E waits and patient surveys, and Aintree, rated high risk in 11 areas including an elevated risk for mortality rates.
Health Foundation chief executive Dr Jennifer Dixon, who is also a CQC board member, said: "It makes sense to use the wealth of routinely available data in the NHS to try to spot patterns which might identify or predict poor quality care for patients.
"The intelligent monitoring tool can never by itself be a crystal ball, but it is a great start and will surely develop over time."
Dr Mark Porter, head of the British Medical Association, said publishing the data was an "important step" towards improving transparency across the NHS, informing and empowering patients and identifying under-performing hospitals.
But he added: "Hospitals are large, complex organisations so we need to avoid oversimplifying or reducing vast amounts of data to a simple band or rating."
Labour Shadow Health Minister Jamie Reed said: "David Cameron should be ashamed that he's put so many of England's hospitals in this position.
"He siphoned £3bn out of the NHS front-line to blow on a back-office re-organisation nobody voted for. Hospitals were left on a financial knife-edge and they are clearly struggling to maintain standards of patient care after more than three years of chaos."
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How trusts are banded according to risk

Use the table below to see how your local trust is rated. Select Trust Name to sort alphabetically or Band to sort by band.
Each trust has been put into one of six bands. Bands one and two are the ones classed as high risk, while five and six are the lowest risk.
Not all the indicators are applicable to every trust - so trusts have only been assessed against the one relevant to them and a proportionate risk score has been calculated.
Where serious concerns have been expressed about a trust already, such as being placed in special measures, the organisation is automatically placed in band one regardless of the risk score.
The trusts marked with an * are those that have been elevated for this reason.
Trust NameBand
Airedale NHS Foundation Trust
6
Ashford and St Peter's Hospitals NHS Foundation Trust
6
Barnsley Hospital NHS Foundation Trust
6
Birmingham Women's NHS Foundation Trust
6
Cambridge University Hospitals NHS Foundation Trust
6
Countess of Chester Hospital NHS Foundation Trust
6
Dorset County Hospital NHS Foundation Trust
6
Epsom and St Helier University Hospitals NHS Trust
6
Frimley Park Hospital NHS Foundation Trust
6
Gateshead Health NHS Foundation Trust
6
Great Ormond Street Hospital for Children NHS Foundation Trust
6
Harrogate and District NHS Foundation Trust
6
Kingston Hospital NHS Foundation Trust
6
Liverpool Heart and Chest NHS Foundation Trust
6
Moorfields Eye Hospital NHS Foundation Trust
6
North Middlesex University Hospital NHS Trust
6
Peterborough and Stamford Hospitals NHS Foundation Trust
6
Queen Victoria Hospital NHS Foundation Trust
6
Royal Liverpool and Broadgreen University Hospitals NHS Trust
6
Salisbury NHS Foundation Trust
6
Sheffield Children's NHS Foundation Trust
6
Sheffield Teaching Hospitals NHS Foundation Trust
6
South Devon Healthcare NHS Foundation Trust
6
South Tees Hospitals NHS Foundation Trust
6
St George's Healthcare NHS Trust
6
Stockport NHS Foundation Trust
6
Surrey and Sussex Healthcare NHS Trust
6
The Christie NHS Foundation Trust
6
The Clatterbridge Cancer Centre NHS Foundation Trust
6
The Hillingdon Hospital NHS Foundation Trust
6
The Royal Marsden NHS Foundation Trust
6
The Royal Orthopaedic Hospital NHS Foundation Trust
6
The Walton Centre NHS Foundation Trust
6
University College London Hospitals NHS Foundation Trust
6
University Hospitals Bristol NHS Foundation Trust
6
Walsall Healthcare NHS Trust
6
Western Sussex Hospitals NHS Foundation Trust
6
Chesterfield Royal Hospital NHS Foundation Trust
5
Dartford and Gravesham NHS Trust
5
East Cheshire NHS Trust
5
King's College Hospital NHS Foundation Trust
5
Maidstone and Tunbridge Wells NHS Trust
5
North Bristol NHS Trust
5
Northern Devon Healthcare NHS Trust
5
Poole Hospital NHS Foundation Trust
5
Royal Cornwall Hospitals NHS Trust
5
Royal National Orthopaedic Hospital NHS Trust
5
Salford Royal NHS Foundation Trust
5
Southend University Hospital NHS Foundation Trust
5
Taunton and Somerset NHS Foundation Trust
5
The Newcastle-upon-Tyne Hospitals NHS Foundation Trust
5
The Princess Alexandra Hospital NHS Trust
5
The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust
5
The Royal Wolverhampton NHS Trust
5
University Hospital of North Staffordshire NHS Trust
5
University Hospital of South Manchester NHS Foundation Trust
5
University Hospitals of Morecambe Bay NHS Foundation Trust
5
Warrington and Halton Hospitals NHS Foundation Trust
5
Wirral University Teaching Hospital NHS Foundation Trust
5
Yeovil District Hospital NHS Foundation Trust
5
York Teaching Hospital NHS Foundation Trust
5
Bedford Hospital NHS Trust
4
City Hospitals Sunderland NHS Foundation Trust
4
County Durham and Darlington NHS Foundation Trust
4
Gloucestershire Hospitals NHS Foundation Trust
4
Hampshire Hospitals NHS Foundation Trust
4
Hinchingbrooke Health Care NHS Trust
4
Imperial College Healthcare NHS Trust
4
Isle of Wight NHS Trust
4
James Paget University Hospitals NHS Foundation Trust
4
Mid Staffordshire NHS Foundation Trust
4
North Tees and Hartlepool NHS Foundation Trust
4
Northumbria Healthcare NHS Foundation Trust
4
Plymouth Hospitals NHS Trust
4
Portsmouth Hospitals NHS Trust
4
Royal Devon and Exeter NHS Foundation Trust
4
Sandwell and West Birmingham Hospitals NHS Trust
4
South Tyneside NHS Foundation Trust
4
Southport and Ormskirk Hospital NHS Trust
4
The Dudley Group NHS Foundation Trust
4
The Rotherham NHS Foundation Trust
4
The Whittington Hospital NHS Trust
4
University Hospitals Coventry and Warwickshire NHS Trust
4
West Suffolk NHS Foundation Trust
4
Wrightington, Wigan and Leigh NHS Foundation Trust
4
Wye Valley NHS Trust
4
Barnet and Chase Farm Hospitals NHS Trust
3
Birmingham Children's Hospital NHS Foundation Trust
3
Bolton NHS Foundation Trust
3
Bradford Teaching Hospitals NHS Foundation Trust
3
Brighton and Sussex University Hospitals NHS Trust
3
Calderdale and Huddersfield NHS Foundation Trust
3
Central Manchester University Hospitals NHS Foundation Trust
3
Derby Hospitals NHS Foundation Trust
3
Doncaster and Bassetlaw Hospitals NHS Foundation Trust
3
Ealing Hospital NHS Trust
3
East and North Hertfordshire NHS Trust
3
East Kent Hospitals University NHS Foundation Trust
3
Great Western Hospitals NHS Foundation Trust
3
Guy's and St Thomas' NHS Foundation Trust
3
Liverpool Women's NHS Foundation Trust
3
Luton and Dunstable University Hospital NHS Foundation Trust
3
Mid Cheshire Hospitals NHS Foundation Trust
3
Mid Essex Hospital Services NHS Trust
3
Mid Yorkshire Hospitals NHS Trust
3
Milton Keynes Hospital NHS Foundation Trust
3
Norfolk and Norwich University Hospitals NHS Foundation Trust
3
Oxford University Hospitals NHS Trust
3
Papworth Hospital NHS Foundation Trust
3
Royal Brompton and Harefield NHS Foundation Trust
3
Royal National Hospital for Rheumatic Diseases NHS Foundation Trust
3
South Warwickshire NHS Foundation Trust
3
St Helens and Knowsley Teaching Hospitals NHS Trust
3
The Pennine Acute Hospitals NHS Trust
3
University Hospitals Birmingham NHS Foundation Trust
3
West Hertfordshire Hospitals NHS Trust
3
Barts Health NHS Trust
2
Blackpool Teaching Hospitals NHS Foundation Trust
2
Chelsea and Westminster Hospital NHS Foundation Trust
2
Colchester Hospital University NHS Foundation Trust
2
East Sussex Healthcare NHS Trust
2
Heart of England NHS Foundation Trust
2
Hull and East Yorkshire Hospitals NHS Trust
2
Ipswich Hospital NHS Trust
2
Kettering General Hospital NHS Foundation Trust
2
Lancashire Teaching Hospitals NHS Foundation Trust
2
Lewisham and Greenwich NHS Trust
2
North West London Hospitals NHS Trust
2
Nottingham University Hospitals NHS Trust
2
Royal Free London NHS Foundation Trust
2
Royal Surrey County Hospital NHS Foundation Trust
2
Royal United Hospital Bath NHS Trust
2
Shrewsbury and Telford Hospital NHS Trust
2
University Hospital Southampton NHS Foundation Trust
2
West Middlesex University Hospital NHS Trust
2
Weston Area Health NHS Trust
2
Aintree University Hospital NHS Foundation Trust
1
Alder Hey Children's NHS Foundation Trust
1
Barking, Havering and Redbridge University Hospitals NHS Trust
1
Basildon and Thurrock University Hospitals NHS Foundation Trust
1
Buckinghamshire Healthcare NHS Trust
1
Burton Hospitals NHS Foundation Trust
1*
Croydon Health Services NHS Trust
1
East Lancashire Hospitals NHS Trust
1
George Eliot Hospital NHS Trust
1*
Heatherwood and Wexham Park Hospitals NHS Foundation Trust
1
Homerton University Hospital NHS Foundation Trust
1
Leeds Teaching Hospitals NHS Trust
1
Medway NHS Foundation Trust
1
North Cumbria University Hospitals NHS Trust
1
Northampton General Hospital NHS Trust
1
Northern Lincolnshire and Goole Hospitals NHS Foundation Trust
1*
Royal Berkshire NHS Foundation Trust
1
Sherwood Forest Hospitals NHS Foundation Trust
1*
South London Healthcare NHS Trust
1
Tameside Hospital NHS Foundation Trust
1
The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust
1*
The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
1
United Lincolnshire Hospitals NHS Trust
1
University Hospitals of Leicester NHS Trust
1
Source: Care Quality Commission