Friday 27 December 2013

Barts Health NHS Trust and the Haven centre in Whitechapel.


Here’s another ‘apology’ from Barts Health NHS Trust.

I have to declare an interest here, it’s why I’ve been concentrating on Barts all year and why I publicised the failings there so early – before NHS England started to investigate. I exposed the outrageous number of ‘Never Happen Events’, and suggested that was an indication something was going wrong…it was.

Years ago I worked in the meat trade, just off Smithfield market. Back then Barts (St. Bartholemews) was world famous and respected.

It was certainly respected by the butchers and meat porters of Smithfield market. Butchers have a habit of stabbing themselves in the leg – usually hitting the femoral artery. That spurts blood like the jugular vein and you don’t get too long – but back then when Bart’s had an Accident and Emergency the meat porters would throw the unfortunate patient on a heavy oak meat trolley and five or six of them would race it through the market, across the road and into the A and E within about 30 seconds.

Over the years there were many attempts to shut the A and E which we all fought, lives really were at stake. After I left the industry I kept an eye on (and supported) the campaigns to save Barts lifesaving A and E but in the end it closed.

Since then there have been a series of management scandals at the hospital although nowadays it has been merged about three or four times into a massive and incompetent trust.

This scandal (which we should have heard about 2 years ago) threatened the evidence in countless rape cases as well as traumatising the victims. Now the trust has lost control of this unit it is time for a public enquiry into the running of the whole trust;

 

BBC News - Haven Whitechapel apologises over 'inexcusable failings'

 

 27 December 2013

Haven Whitechapel apologises over 'inexcusable failings' NHS

England said 93 clients were "affected by the two issues"

An NHS Trust has apologised for "inexcusable failings" at a sexual assault referral centre in London after complaints that samples were not sent to forensic laboratories for DNA tests.

Two staff members have been dismissed from the Haven in Whitechapel and the centre is under new management.

NHS England said results from some samples had also not been passed on. It said 93 clients were affected.

Barts Health NHS Trust said swift action was taken to retest samples.

An NHS England spokesman said "a serious incident was raised" in 2011 and "an immediate investigation carried out" at the Haven in Whitechapel.

"This investigation unearthed a further issue of results from samples having been received but not passed on to clients," he added.

"A total of 93 clients were affected by the two issues."

Confidential report

 Since April 2013, when NHS England was established, the commissioning arrangements for the Haven have changed.

“We are extremely sorry for the inexcusable failings at the Whitechapel Haven”

NHS England said all three Havens in London - in Whitechapel, Paddington and Camberwell - were now managed by King's College Hospital NHS Foundation Trust. Camberwell and Paddington Havens were not affected by the incident.

The Haven in Whitechapel has reopened but is yet to provide a full 24-hour service.

Barts Health NHS Trust said in a statement: "We are extremely sorry for the inexcusable failings at the Whitechapel Haven.

"As soon as we became aware that there was an issue in 2011, we took swift and immediate action to ensure that all the affected samples were retested and contacted the individuals involved to offer a full apology, support and counselling."

The Independent newspaper says it has seen a confidential report into the incident, obtained by the Bureau of Investigative Journalism.

The paper reports that dozens of samples taken from victims of sexual attacks had been left in a fridge instead of being sent for forensic analysis.

Staff described working in "an oppressive, tense environment" and told investigators they dreaded shifts but were afraid to complain to managers, the Independent said.

The paper said the report had not been made public while the trust said it had "strived for transparency throughout".

Staff 'commended'

 

The trust said there had been no suggestion it had acted in an inappropriate way during the investigation. It said: "The independent investigation report commented on the diligence, honesty and openness of our staff in working together to discover and correct what had gone wrong."

The trust also pointed out that its staff had been commended "for the quality of individual care provided to those accessing the service".

NHS England said: "The trust took swift and immediate action working with the Metropolitan Police to ensure that forensic testing took place without further delay on all samples affected.

"Immediate steps were taken to contact each client, whose samples had not been sent for testing, as well as those whose samples had been tested but who had not been informed of the results.

"They received a full apology and were invited to make an appointment with a trained counsellor to receive the results and continued support."

Liz Kendall, Shadow Social Care Minister, said the report should have been immediately published.

"The women who have been affected have a right to know who is responsible for the unacceptable failings at Whitechapel Haven and that they are properly held to account.

"Complete transparency is also essential to ensure similar services for rape victims learn the lessons from what has happened to make sure these appalling mistakes never happen again."

As its Christmas I think I’ll repeat the story of how Barts came to be.

A long, long time ago there was a cruel King who had a beautiful and kind wife who wept for the poor and sick.

Tired of her begging he eventually said she could build a hospital on a piece of land he would give her. He then gave her his silk handkerchief and told her he would give her any piece of land she chose – so long as the handkerchief could cover it.

After he left, the Queen sat for days picking apart the silk until it was a roll of thread and summoning the King to the City of London she then marked out the boundary of today’s Barts Hospital with the silken thread.

Neil Harris

(a don’t stop till you drop production)

Wednesday 18 December 2013

News update.


Here’s a news roundup;

Stafford General Hospital

This was the main hospital in a trust which saw a great many unnecessary deaths (600 to 1200).

No Doctor’s were disciplined and only a handful of nurses – no managers at all.

The trust went bankrupt and went into administration under the control of a liquidater. There have been a lot of protests – patients and staff were due to be punished twice over – first the abuse and deaths and then the loss of the hospital.

Maturnity is saved although Paediatrics will be lost. People power (25000 on a march) had an effect. The hospital survives and will be given University Hospital status. In a way it’s a happy ending although the local MP is rightly saying the struggle isn’t over yet.

 

Meanwhile;

Colchester General Hospital…

….had a climate of bullying which meant that staff were forced into forging cancer statistics to make it look as though targets were being met when they weren’t.

Today, ‘By mutual consent’, the Chief executive has resigned. Police are investigating.

What payoff was given to ease the pain?

Neil Harris

(a don’t stop till you drop production)
Home; helpmesortoutthenhs.blogspot.com

Sunday 15 December 2013

SERCO Busted.


The current mantra, constantly chanted, is that private enterprise is more efficient and better than services provided by the state sector.

As a result, newspapers and politicians who are all thinking about the potential profits they can make, are demanding more and more NHS services should be provided by profit making companies rather than ourselves (the state).

Whatever – we pay anyway; it’s just that if it’s a company we pay for the fat profits on top.

Remember SERCO? They are a massive multinational company who started by providing security services and now do anything and everything.

They are also fraudsters – their electronic tagging of people on bail or on community sentences turned out to be billing us for people in prison and the dead. The Police are currently investigating.

They also had a go at health services – failing to provide G.P. cover in Cornwall and getting exposed by Margaret Hodge in Parliament.

Meanwhile here is my award for the ‘2013 Bernie Madoff award for Creative Public Relations’ -

"The services we deliver in Cornwall and Braintree are no longer core to the future delivery of our healthcare strategy."

Here’s the article in full and well done to The Guardian for breaking the story in the first place;

.

  The Guardian                                                        

 Sean Farrell      

 

 The Guardian, Friday 13 December 2013 14.29 GMT     

 

Serco has agreed to the early termination of its contract for out-of-hours GP services in Cornwall after the company left the county short of doctors.

 

The embattled outsourcing company also said it would stop running Braintree hospital in Essex as it pulls out of managing GP services and large hospitals. It follows a review of Serco's healthcare operations.

 

On Thursday the company, along with G4S, was forced to hand over its electronic tagging contracts to rival Capita following fraud allegations over the way they charged the government.

 

Serco said the Cornwall and Braintree contracts and a loss-making agreement for community healthcare in Suffolk would cost it £17m in one-off charges.

 

The company said: "Serco has agreed with NHS Kernow to bring forward the end of its contract for GP out-of-hours services in Cornwall. Serco's operation of the contract to date has experienced some operational challenges."

 

A Guardian investigation revealed in May that Serco had falsified its performance data for the Cornwall contract when reporting to the local NHS trust so that it appeared to meet targets that it failed to achieve.

 

It had won the contract with a bid that undercut the local GP co-operative by £1.5m. Whistleblowers later raised the alarm over safety, highlighting an occasion when only one GP had been on duty for the county for the night.

 

The revelations triggered an inquiry by the parliamentary accounts committee. The committee said Serco's service was substandard and was highly critical of the company's treatment of whistleblowers.

 

Serco's UK boss, who appeared before the committee, left the company in November, a month after group chief executive Chris Hyman unexpectedly quit.

 

Problems in Cornwall added to the company's woes in the UK. In July the government accused it and rival outsourcer G4S of charging to electronically tag offenders who were in fact dead or in prison. The Cabinet Office has barred both companies from bidding for new state contracts while it reviews their operations, and has ordered them to clean up their businesses.

 

Serco said NHS Kernow would look for another company to provide an "integrated service" before the contract expires in May 2015. The company's agreement to run Braintree hospital will last until December next year.

 

Valerie Michie, managing director of Serco's healthcare business, said: "The services we deliver in Cornwall and Braintree are no longer core to the future delivery of our healthcare strategy."

A spokeswoman for NHS Kernow said there had been problems with Serco's service but that it had improved. Serco will continue to run community healthcare services in Suffolk, but the business has not produced the profits it had hoped for.

Neil Harris

(a don’t stop till you drop production)
Kernow is Cornish for Cornwall.

Friday 13 December 2013

A and E waiting times.


These are the latest national Accident and Emergency waiting times  taken from an article in The Independent today;

First missed targets of the winter heighten fears that casualty wards will struggle with seasonal workload

                                                      

 Charlie Cooper  

 Health Reporter

 Friday 13 December 2013

 

Casualty wards in England have missed their waiting times

targets for the first time this winter, heightening fears that accident and

emergency units may struggle to cope with the seasonal spike in hospital

admissions.

 

Nationwide, 94.8 per cent of patients at all A&Es, minor injury units and urgent care centres were still admitted or treated within four hours in the first week of December, but this was just below government targets of 95 per cent.

 

At major casualty wards, the figure was even lower – 92.2 per cent. The last time so many patients had to wait longer than four hours was in April.

 

Overall, 3,678 patients waited for between four and 12 hours. Five patients had to wait for more than 12 hours to be treated or admitted.

 

Although the number of people attending A&E is in fact highest in spring and summer, emergency admissions to hospital through all routes, including GP and social care referrals, peak in the winter months as seasonal illnesses take their toll, particularly among older patients.

 

This increases bed occupancy on hospital wards, which in turn makes it more difficult for emergency doctors to admit patients from A&E, driving up waiting times for those arriving at A&E for treatment.

 

Health chiefs said it had been the busiest week of the year so far with 415,400 A&E attendances and 105,800 emergency admissions.

 

Two thirds of NHS trusts with a major A&E unit missed the four hour target. Nationally, major A&E units have not the target since July.

 

Dame Barbara Hakin, chief operating officer for NHS England said that while it was “disappointing” patients were waiting longer than they should, A&Es were seeing “many more patients than ever before”.

 

“Every year we see a dip in the figures for December, with week-on-week variations, which is why we fully assess how local systems are coping with winter pressures over a longer period,” she said.

 

“We knew this winter would be difficult but it is important to stress the NHS continues to deliver a good service, with 94.8% of people going to hospital for urgent care this week treated, admitted or discharged within four hours. This is thanks to the hard work and dedication of our frontline staff.”

 

A Department of Health spokesperson said: "There hasn't been an entire December in the past five years where the NHS has not missed its A&E target. But last week, the NHS saw more people in A&E than in the same period in any previous December, and saw more patients — almost 400,000 - within four hours in that period.

Neil Harris

(a don’t stop till you drop production)
Home: helpmesortoutstpeters.blogspot.com

Wednesday 11 December 2013

Urgent help needed.


Your urgent help is needed – hidden as a minor clause in an Act of Parliament which is currently being debated, is a provision that will make it easy for the Health Secretary to shut down hospitals, effectively bypassing local people and their protests.

I would be grateful if any readers who would like to make their voice heard would sign this electronic petition organised by 38 degrees;


With thanks

Neil Harris

(a don’t stop till you drop production)

Don't miss out.


A

You know you may be missing out.

I started this Blog about 6 months ago but I started Blogging last year after my local hospital sent me home with a dislocated fractured ankle which the consultant had thought was a sprain.


To reform Accident and Emergency department, increase the number of consultants to 10 and generaly make things better. I never realised how hard it would be.

Because I’m ill, I also used the Blog to have fun and to show what you can do even when you’re old and ill.

I started to worry about the page counts (it was a campaign, after all) because whenever I did serious things, I’d lose (nearly) all my readers. I would always make it up again but as I got more ill it became harder to get the energy together to campaign.

So, unusually for me, I came up with a compromise; I kept on having a laugh but I started this Blog which I nicknamed ‘my seriously boring Blog’.  And I put on it all the serious and boring stuff that is actually so important.

The thing is, over on the other side there’s a party going on – why not take a look.

Don’t miss out.

K

Neil Harris

(a don’t stop till you drop production)
Home: helpmesortoutthenhs.blogSpot.com

Tuesday 10 December 2013

Drips - dying from ignorance.


This is obviously significant in itself.

Then again, one or two ignorant or disinterested staff could be regularly killing many and no one would be any the wiser. Which may be one explanation for variations in mortality rates where there aren't obvious explanations.

 

Thousands of patients dying from incorrect use of IV drips, warns Nice

 

National Institute for Health and Care Excellence says one in three patients die within days of surgery from too much fluid

Haroon Siddique   

 

 

The Guardian, Tuesday 10 December 2013

 

Patients' lives are being put at risk by an "astonishing" lack of knowledge surrounding the correct administration of intravenous (IV) drips in hospitals in England and Wales, experts have warned.

 

The National Institute for Health and Care Excellence (Nice) has issued guidelines for medical practitioners on their use amid fears that tens of thousands of patients are suffering complications each year because most doctors do not know how to prescribe them properly.

 

There is a risk of pneumonia or heart failure if a patient is given too much fluid, or kidney failure if they are given too little.

 

Dr Mike Stroud, a gastroenterologist who chaired the group that developed the guidelines, said: "We are very confident that it has not been done well in the past and it needs to be done better … Doctors and other medical professionals are not well educated in terms of what a patient needs and that's astonishing really … It is as important or more important than anything else in terms of making hospitals safer places."

 

Stroud said that IV drips were probably the second most commonly used therapy in acute hospitals, and yet surveys suggested nine out of 10 doctors do not know the correct dosage and timing. He attributed the lack of knowledge to it not being a specialism. "This has fallen through the cracks because it's no one's baby," he said.

 

Experts say it is difficult to pinpoint the consequences of mistakes, because most patients on a drip are also receiving other treatments. But Stroud estimates that tens of thousands of people are experiencing complications.

 

In 1999, the National Confidential Enquiry into Patient Outcome and Death said one in five patients on IV fluids and electrolytes suffered complications owing to inappropriate administration. In 2011, the same organisation found that a fifth of hospital patients who received too little fluid before surgery and a third who received excessive fluid died within 30 days of having their procedure.

 

The Nice guidelines say that hospitals should identify an IV fluids champion to be responsible for training, clinical governance and auditing, and monitoring patient outcomes, with incidents of fluid mismanagement reported.

 

Dr Jerry Nolan, a consultant in anaesthesia and intensive-care medicine who was part of the Nice guidance group, said the costs of implementing the guidelines, including training staff, would be more than offset by the reduction in complications. "We know that some elements of the undergraduate curriculum will include the physiology of fluids but it appears that there is some disconnect between what they learn at medical school and a lack of practical application when they become doctors," he said.

 

"I think it is really important that healthcare professionals understand that fluids are effectively drugs, and just as is the case with any drug, the dose of fluid therapy is very important and that is something that is often being forgotten."

 

Katherine Murphy, chief executive of the Patients Association, said: "It's disgraceful that staff are allowed to go through their professional life without having the right training and support. The trust boards need to listen to this and treat it as a high priority. It's all very well Nice coming up with the guidelines, but they need to be put into practice."

 

In June, the use of starch drips in UK hospitals was suspended because the Medicines and Healthcare Products Regulatory Agency said that "their benefits no longer outweigh the risks" after it was found that the drips were linked to hundreds of unnecessary deaths.

Neil Harris

(a don’t stop till you drop production)
Home: helpmesortoutstpeters.blogspot.com

Monday 9 December 2013

Ambulance waiting times.


This Daily Telegraph article is based on BBC News research into ambulance waiting times – hanging around outside Accident and Emergency when they should be handing over their patients and driving off to the next job.

There are two results from this – ambulances aren’t available while they wait and so when there are emergencies ambulances from much further away have to be called in. Delay with emergencies costs lives.

Secondly, this waiting time postpones the A and E ‘4 hour clock’ from running, so 30 minutes stuck outside is quite useful.

There are a whole list of other ruses hospitals are using to ‘bend time’– a ‘triage’ room where patients are held before they are booked in and a ‘ward’ (another room) where patients are sent to get them out of A and E and stop the clock running.

Accident and Emergency departments are often too busy to admit patients with some made to wait outside in ambulances for up to six hours, an investigation reveals

NHS guidance recommends that patients should wait in ambulances for no longer than 15 minutes and delays of more than 30 minutes in England can lead to fines.

By News agencies

 09 Dec 2013

Some patients are being forced to wait in ambulances outside hospitals for hours because accident and emergency departments are too busy to take them, according to research.

In one case, a patient in Wales was made to wait more than six hours before being admitted, while another in England was delayed for more than five hours, the BBC found.

 

NHS guidance recommends that patients should wait in ambulances for no longer than 15 minutes and delays of more than 30 minutes in England can lead to fines.

Paramedics are only allowed to hand patients over to hospitals when staff there can take charge of them.

The figures were released to the BBC under the Freedom of Information Act after it asked all UK ambulance services for their longest waits for the 12 weeks from August to October.

 

The longest delay, of a patient waiting for six hours and 22 minutes, occurred in Wales. Each weekly maximum wait there for the period was more than three hours.

In the east of England one patient was forced to wait five hours and 51 minutes, while Scotland had the best record, with none of the weekly maximum waits longer than two hours.

Northern Ireland and the Isle of Wight failed to provide data, the BBC said.

Dr Clifford Mann, president of the College of Emergency Medicine, said the figures were ''alarming''.

He told the BBC: ''There's always going to be a small number of patients whose transfer is delayed, but not to the extent of these figures - which are approaching three, four - sometimes six hours.

''And remember, these figures relate to the three months up until October. They don't include the really pressured time of the winter and so it's unlikely these figures are going to improve - and that must be a cause for concern.''

 

Barbara Hakin, deputy chief executive of NHS England, said there were 4,476 delays of more than 30 minutes in handing patients on from ambulances last week, down by nearly 1,000 on the same week in 2012.

But she conceded that ambulance services were under pressure.

She said: ''NHS England recognises it is essential ambulances are back on the road as soon as possible after taking patients to A&E, though we know it is sometimes in the best interests of patients' safety that they remain in the ambulance after they have arrived at the hospital.''

Ms Hakin said NHS England has allocated an extra £14 million for extra staff and equipment over the winter months.

Neil Harris

(a don’t stop till you drop production)
Home: helpmesortout the nhs.blogspot.com

Sunday 8 December 2013

Eight days a week.


This is an interesting article, based on another analysis by the Dr Foster organisation, taken from the Belfast Telegraph, which seems to be the only paper to have read this particular press release:

People who need to recover in hospital at the weekend fare worse than those who have an operation earlier in the week

 

08 December 2013

Belfast Telegraph.

People having a routine operation on a Friday are 24% more likely to die than if they had one earlier in the week, according to a major report. The study, by statistics firm Dr Foster, showed that people who need to recover in hospital at the weekend fare worse than those who have an operation earlier in the week.

 

Patients admitted at the weekend are also 3.9% more likely to be readmitted in an emergency and, overall, have a 20% higher chance of dying on weekends.

 

The findings come as NHS medical director Professor Sir Bruce Keogh prepares to publish his report on seven-day working in the NHS.

 

Several high-profile studies in recent years have shown that patients admitted to hospital on weekends and bank holidays have poorer outcomes and are more likely to die than those admitted on weekdays.

 

One problem repeatedly highlighted is the lack of senior staff working on NHS wards at weekends.

 

Today's report said that, while weekend care appears to be improving, there are still variations and a lack of access to diagnostic tests.

 

The number of emergency MRI scans carried out on weekends is 42% lower than during the week, while emergency endoscopies also drop 40%.

 

Overall, the study says patients are less likely to receive treatment on weekends and are less likely to have an emergency operation within a day or two of being admitted.

 

People who have suffered a broken hip or fracture also have to wait longer for it to be repaired than somebody admitted during the week.

 

A poll of more than 5,500 doctors for doctors.net.uk, included in the study, showed that 68% of doctors believe patients admitted on weekends receive poorer care.

 

This includes 66% of consultants, 76% of middle-grade doctors and 74% of junior doctors.

 

Eight NHS trusts in today's report have higher death rates at the weekend than weekdays. These include Colchester Hospital University NHS Foundation Trust and United Lincolnshire Hospitals NHS Trust.

 

Seven trusts, including East Kent Hospitals University NHS Foundation Trust and University Hospital of North Staffordshire NHS Trust, have patients admitted at the weekend who are more likely to return to hospital after being discharged.

 

 

Five trusts, including Bradford Teaching Hospitals NHS Foundation Trust, have longer waiting times for patients needing hip repairs over the weekend.

 

Eight trusts that have been found to have very low death rates for both weekdays and weekends include North West London Hospitals NHS Trust and Guy's and St Thomas' NHS Foundation Trust.

 

Six have low re-admission rates for weekdays and weekends, and nine have records of a quick repair of broken hips on both weekdays and weekends.

 

Dr Foster director of research Roger Taylor said: "We have now looked at many different aspects of quality of care. Every indicator we look at shows that patients who come to hospitals on weekends get worse care and worse outcomes.

 

"We are pleased that the NHS has made addressing this issue a priority and there is evidence that these efforts are already starting to yield benefits for patients with shorter waits for operations at weekends and, in some cases, lower mortality rates."

Neil Harris

(a don’t stop till you drop production)
Home: helpmesortoutstpeters.blogspot.com

Friday 6 December 2013

16 Hospital Trusts to worry about.


The excellent Dr Foster organisation, which analyses statistics to highlight problems in the NHS (although this is all paid for by the fees NHS Trusts pay them) has produced another revealing report.

This is from the Daily Telegraph, but as you can see its actually an agency report.

Some of the Trusts highlighted have been highlighted by me, especially in my ‘never happen event’ articles, hospitals scoring badly on the mistakes that are avoidable and should never happen.

The lessons are to look at many indicators – as many as possible and take notice of the warning signs.

Who knows one day far in the future, it will all be about emulating the best. For now all we can do is spotlight the stragglers.

It’s a start.

NHS trusts with 'significantly higher' than expected death rates

 

Sixteen NHS trusts in England have higher than expected death rates, with some seeing deaths among people with low-risk conditions who would normally survive.

By News agencies

 

9:00AM GMT 06 Dec 2013

Sixteen NHS trusts in England have higher than expected death rates, while some score poorly on at least two indicators relating to patient death, according to a major report.

 

The guide, from health statistics firm Dr Foster, showed 16 hospital trusts had higher than expected death rates among patients in hospital, down from 20 the previous year.

 

 

But analysis showed 13 hospital trusts scored poorly on at least two out of four main indicators relating to patient death.

The indicators included a standard measure of in-hospital deaths, deaths within 30 days of the patient leaving hospital, deaths after surgery and deaths among people with low-risk conditions who would normally survive.

 

 

Of these 13 trusts, five were investigated earlier in the year by NHS medical director Sir Bruce Keogh over concerns about their standards of care.

They were Blackpool, Medway, North Cumbria, Northern Lincolnshire and Goole, and United Lincolnshire hospital trusts. In today's analysis, Blackpool had higher than expected death rates across three out of the four indicators.

Overall, today's report showed that 28 trusts had lower than expected in-hospital death rates. Furthermore, more trusts scored low on two or more of the death rate indicators than scored highly.

 

Using all key measures, the data also showed that 10 hospital trusts have one or more hospital sites with a death rate higher than the overall trust level.

The number of people who died in hospital in England and Wales in 2012/13 was also higher than in the previous year but lower than 2010/11.

Some 237,100 patients died in hospital in 2012/13, 4,400 more than in 2011/12 but 5,300 fewer than 2010/11.

Dr Foster director of research Roger Taylor said: "These findings reveal overall that while the number of people who are dying in hospital has risen slightly since last year it is still a much more improved picture than in the 10 years previous.

 

'This year, following the inquiry in Mid Staffordshire, the NHS has renewed its efforts to tackle avoidable mortality resulting from failures in healthcare.

 

"Hospital level mortality indicators can provide vital insights into where problems are worst.

"They also help us to monitor the extent to which outcomes for patients are improving. We are pleased that there are fewer hospitals with outlying high mortality rates this year compared to last."

Dr Foster awarded four "trust of the year" awards for good performance.

One went to Guy's and St Thomas' NHS Foundation Trust in London, which scored lower than expected on all death rate measures and also had the best performance of any trust in England.

 

In the north, Salford Royal NHS Foundation Trust had lower than expected death rates across two indicators, as did West Suffolk NHS Foundation Trust.

In the south, Frimley Park Hospital NHS Foundation Trust in Surrey had lower than expected death rates across three indicators.

The full list of trusts with hospital death rates that were "significantly

higher" than expected:

 

Blackpool Teaching Hospitals NHS Foundation Trust

 

Burton Hospitals NHS Foundation Trust

 

George Eliot Hospital NHS Trust

 

Heart of England NHS Foundation Trust

 

Medway NHS Foundation Trust

 

Mid Cheshire Hospitals NHS Foundation Trust

 

North Cumbria University Hospitals NHS Trust

 

North Tees and Hartlepool NHS Foundation Trust

 

Northern Lincolnshire and Goole Hospitals NHS Foundation Trust

 

Northumbria Healthcare NHS Foundation Trust

 

Salisbury NHS Foundation Trust

 

Sherwood Forest Hospitals NHS Foundation Trust

 

South Tees Hospitals NHS Foundation Trust

 

United Lincolnshire Hospitals NHS Trust

 

University Hospitals Birmingham NHS Foundation Trust

 

West Hertfordshire Hospitals NHS Trust.

Neil Harris

(a don’t stop till you drop production)
Home: helpmesortoutstthenhs.blogspot.com