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Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

Annual Report and Accounts 2012/13 - Royal Devon & Exeter Hospital

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44 2. Core Indicators<br />

<strong>Royal</strong> <strong>Devon</strong> <strong>and</strong> <strong>Exeter</strong> NHS Foundation Trust<br />

Quality <strong>Report</strong> <strong>2012</strong>/<strong>13</strong><br />

Core Indicators<br />

Indicator<br />

Group<br />

Core<br />

Indicators<br />

Indicator Description Data The <strong>Royal</strong> <strong>Devon</strong><br />

<strong>and</strong> <strong>Exeter</strong> NHS<br />

Foundation Trust<br />

considers that this<br />

data/percentage is<br />

as described for the<br />

following reasons<br />

12. The data made<br />

available to the National<br />

Health Service Trust or<br />

NHS Foundation Trust<br />

by the Health <strong>and</strong> Social<br />

Care Information Centre<br />

with regard to –<br />

(a) the value <strong>and</strong><br />

b<strong>and</strong>ing of the<br />

summary hospitallevel<br />

mortality<br />

indicator (“SHMI”)<br />

for the Trust for the<br />

reporting period;<br />

<strong>and</strong><br />

(b) the percentage of<br />

patient deaths with<br />

palliative care coded<br />

at either diagnosis<br />

or specialty level<br />

for the Trust for<br />

the reporting<br />

period.<br />

SHMI - 0.8993 (as expected)<br />

(11 Trusts higher than expected, 115 as<br />

expected <strong>and</strong> 16 lower than expected)<br />

Palliative Coding 0.3% (National<br />

18.4%)<br />

April 2011 - March <strong>2012</strong>:<br />

SHMI - 0.8797 (lower than expected)<br />

(10 Trusts higher than expected, 116 as<br />

expected <strong>and</strong> 16 lower than expected)<br />

Palliative Coding 0.2% (National<br />

17.9%)<br />

January 2011 - December 2011:<br />

SHMI - 0.8663 (lower than expected)<br />

(10 Trusts higher than expected, 117 as<br />

expected <strong>and</strong> 16 lower than expected)<br />

Palliative Coding 0.4% (National<br />

17.2%)<br />

1. There is a 9 month<br />

cross over between<br />

each reporting period.<br />

2. As the Trust does<br />

not have palliative care<br />

consultants this number<br />

is higher than Trusts<br />

that do. 3. The number<br />

is increasing very<br />

slightly, however with<br />

the significant cross<br />

over in time periods<br />

this makes it difficult<br />

to draw any useful<br />

conclusion.<br />

The <strong>Royal</strong> <strong>Devon</strong><br />

<strong>and</strong> <strong>Exeter</strong> NHS<br />

Foundation Trust<br />

intends to take/has<br />

taken the following<br />

actions to improve the<br />

indicator (percentage/<br />

proportion), <strong>and</strong> so the<br />

quality of its services<br />

The Trust will continue<br />

to monitor this data<br />

quarterly.

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