WE
REVEAL
L
WHAT THEY
CONCEAL!
This is the second part of an analysis and extract from the
Health Service Journal, 3/3/13. It’s a survey comparing the 14 Hospital trusts
that are under investigation for having patient mortality rates that are too
high with the rest.
The failing trusts have;
Higher;
Mortality rates
Fewer;
Cleaners, Doctors, Nurses and Consultants.
Lower;
Staff happiness, satisfaction at work, confidence in
management.
And……
Lower Funding. There’s a surprise.
Here’s the info:
“They found
a significant relationship between - hospital funding in a health economy and
its “organisational stress”, measured by mortality rates and staff survey
results. That suggests a relationship between national decisions about how much
funding an area will be given, and the quality of care provide.
The news
comes as a report by the Royal College of Physicians today said pressure on
medical registrars was putting patient safety at risk.
The
college’s research said 37 per cent of medical registrars viewed their workload
as “unmanageable” and concluded the “balance between specialist and generalist
skills” in the medical workforce needed to be addressed “urgently”.
Hospital
Indicators for hospital trusts under investigation compared to all others;
Being
Investigated Not being investigated
Hospital
IndicatorsMean (n=14) Mean (n=133)Sig.
Summary
Hospital-level Mortality Indicator (SHMI)113.3 98.7**
Hospital
Standardised Mortality Ratio (HSMR)111.4 98.4**
Percent
catchment population aged 65+ 17.6% 16.5%
Funding
Context (£ per capita) £1,358 £1,392
Number of
cleaning staff per 100 beds 18.0
23.1**
Number of
nurses per 100 beds 136.8 143.4
Number of
doctors (all grades) per 100 beds
56.1 67.5**
Number of
consultants per 100 beds 19.7 24.0**
Percent
staff feeling satisfied with the quality of work and patient care they are able
to deliver 72.4% 74.2%
Percent staff who ‘agree’ or ‘strongly agree’
that: ‘There are enough staff at this
trust for me to do my job properly’
29.0% 30.1%
‘Care of
patients / service users is my trust’s top priority’ 51.6%
58.5%**
‘I am able
to deliver the patient care I aspire to’
66.9% 69.8%
‘I am able
to do my job to a standard I am
personally pleased with’
60.9% 62.3%
Senior
managers where I work are committed to patient care’ 45.0% 50.5%**
Difference
of means t-test significant at 0.01=** and at 0.05 =*
**
Difference of average is t-test significant at 0.01
Neil Harris
(a don’t stop till you drop production)
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