More patients die of sepsis than expected at 28 NHS trusts in England, MailOnline can reveal.
The number of deaths by the silent murderer at Tameside and Glossop NHS Foundation Trust is 38 percent higher than expected in the past six years.
In real terms, 517 patients died of sepsis – a violent immune response to an infection – with confidence in Ashton-under-Lyne, well above the expected 373 deaths.
The NHS denies that surplus deaths are necessarily avoidable, and that the percentage given for each trust is based solely on a national average.
Officials claim that a higher than expected number of deaths with some confidence is only a & # 39; smoke detector & # 39; and is not evidence of poor care.
The CEO of the UK Sepsis Trust, Dr. Ron Daniels, said: & # 39; It is unacceptable to survive from sepsis to remain a zip code lottery. & # 39;
The data comes as the deeply troubled family of an economics student told how she suddenly died of suspected sepsis.
Millie Wyles died on August 21 at St Thomas & # 39; s Hospital after physicians fought desperately to save her for four days.
The number of deaths by the silent murderer at Tameside and Glossop NHS Foundation Trust is 38 percent higher than expected. In real terms, 517 patients died of the violent immune response to an infection with confidence in Ashton-under-Lyne, well above the predicted 373 deaths
NHS Digital publishes its Summary Hospital Level Mortality Indicator or SHMI, data for the previous calendar year, every month.
The report looks at "surplus deaths" – the number of fatalities observed, compared to what would be expected according to national averages.
It compares the total number of deaths from a range of conditions, including sepsis.
Eminent professor of mortality, Sir Brian Jarman, has combined the statistics for every NHS trust in England over the past six years.
Data showed that there were 117,439 registered deaths from sepsis in the hospital or within 30 days of discharge between April 2013 and March 2019.
There were approximately 3,750 more deaths than expected from all 28 trusts with an excessive number of deaths.
Dr. Daniels added: & # 39; The figures are a cause for concern among the 28 trusts that appear to have a higher than average recorded death rate.
& # 39; It is important to note that the coding methods vary between hospitals, so this does not necessarily mean that all listed hospitals are worse than others.
WHAT ARE THE 28 CONFIDENCE WHERE MORE PEOPLE DIED THAN EXPECTED BY SEPSIS?
Southend University Hospital NHS FT – 14.3%
Kingston Hospital NHS FT – 13.5%
Mid Cheshire Hospitals NHS FT – 9.3%
York Teaching Hospital NHS FT – 10.5%
Aintree University Hospital NHS FT – 7.1%
Barking, Havering and Redbridge University Hospitals NHS T – 10.7%
Barnsley Hospital NHS FT – 13.7%
The Rotherham NHS FT – 17.1%
Northern Lincolnshire and Goole NHS FT – 18%
University hospitals Coventry and Warwickshire NHS T – 10.1%
The Royal Wolverhampton NHS T – 10%
Wye Valley NHS T – 14.8%
Norfolk and Norwich University Hospitals NHS FT – 6%
Tameside and Glossop Integrated Care NHS FT – 38.5%
% is above the national average
Major Western hospitals NHS FT – 11.4%
The Dudley Group NHS FT – 18.5%
Northampton General Hospital NHS Trust – 10.7%
Medway NHS FT – 9.7%
Royal Liverpool and Broadgreen University Hospitals NHS T – 15.8%
The Princess Alexandra Hospital NHS T – 11.5%
Wrightington, Wigan and Leigh NHS FT – 26.4%
Gloucestershire Hospitals NHS FT – 11.7%
East Kent Hospitals University NHS FT – 18.2%
Hospitals in Hull and East Yorkshire NHS T – 22.8%
United Lincolnshire Hospitals NHS T – 20.3%
Mid Yorkshire Hospitals NHS T – 14%
County Durham and Darlington NHS FT – 15.9%
East Lancashire Hospitals NHS T – 24.3%
& # 39; But those trusts urgently need to investigate their practices, their coding and determine if there is a real cause for concern. & # 39;
East Kent Hospitals University NHS FT registered the highest number of deaths from sepsis (416), with percentages 18.2 percent higher than expected.
In terms of total excess deaths from septicemia, it was followed by United Lincolnshire Hospitals NHS Trust (331) and East Lancashire Hospitals NHS Trust (291).
NHS England said that official data show that fewer deaths were observed than expected in 2018/19.
WHAT IS SEPSIS?
Sepsis occurs when the body responds to an infection by attacking its own organs and tissues.
In the UK, around 44,000 people die of sepsis every year. Someone from the disease dies every 3.5 seconds worldwide.
Sepsis has symptoms similar to flu, gastroenteritis and a breast infection.
- Svague speech or confusion
- Extreme chills or muscle pain
- Pdo not assess urine on a day
- Salways short of breath
- Iit feels like you're dying
- Schin stained or discolored
Symptoms in children are:
- Fast breathing
- Fits or convulses
- Spotted, bluish or pale skin
- Skin rash that does not fade when pressed
- Feeling abnormally cold
Among the five, repeated vomiting, no eating, or no peeing can occur for 12 hours.
Anyone can develop sepsis, but it is most common in people who have recently had surgery, have a urinary catheter, or have been in the hospital for a long time.
Other risk people are people with a weak immune system, chemotherapy patients, pregnant women, the elderly and very young people.
The treatment varies depending on the site of the infection, but includes antibiotics, IV fluids and oxygen if necessary.
Source: UK Sepsis Trust and NHS choices
Sepsis, known as the & # 39; silent killer & # 39 ;, strikes when an infection such as blood poisoning causes a violent immune response in which the body attacks its own organs.
It is the leading cause of preventable deaths, killing at least 44,000 people a year, and the Daily Mail has long been campaigning for more awareness.
If it is caught early, the infection can be controlled by antibiotics before the body goes into overdrive – which ultimately leads to death within a few minutes.
But the early symptoms of sepsis can easily be confused with milder conditions, which means that it can be difficult to diagnose.
The NHS states that the & # 39; inappropriate & # 39; is that trusts are ranked on their SHMI, and that an excess number of deaths justify the need for further investigation.
Sir Brian did not include data from 20 trusts to name the worst offenders because they have no data for the entire six years.
He used the internationally recognized system, recommended by the Association of Public Health Observatories, called Byar & # 39; s confidence intervals.
A similar process helped to detect poor care in the confidence of Mid Staffordshire, one of the biggest scandals that have ever hit the NHS.
However, the NHS uses a different method, called overdispersion, which gives confidence a little more room for registering deaths.
According to that system, a trust is only considered to have a higher than expected number of deaths if the SHMI is about 12 percent or more above the national average.
Byar's method, on the other hand, is used internationally and classifies a much higher percentage of trusts as considerably above the national average.
The NHS had used the confidence intervals of the internationally recognized Byar in the past.
A spokesperson for the Ministry of Health and Social Care said: “Sepsis is devastating, but good progress is being made in identifying suspected cases and improving results in the NHS.
Sepsis, known as the & # 39; silent killer & # 39 ;, strikes when an infection such as blood poisoning causes a violent immune response in which the body attacks its own organs
ECONOMIC STUDENT, 21, DIE OF & # 39; SEPSIS & # 39; ONLY FOUR DAYS AFTER GOING TO A&E WITH AN EXPECTED BREAST INFECTION
Millie Wyles (photo) was admitted to the Medway Maritime Hospital with flu-like symptoms, but died four days later
An economics student with & # 39; her entire life ahead of & # 39; died suddenly of suspected sepsis just a few days after experiencing flu-like symptoms.
Millie Wyles was admitted to Medway Maritime Hospital A&E after being sent home from work when she began to feel unwell.
The 21-year-old, who was studying at the University of Essex, was then taken to St. Thomas Hospital in the early hours of Saturday, August 17.
Doctors competed to save the student who had organ failure, but she died four days later.
Her heartbroken family has now paid homage to the & # 39; nice & # 39; student of economics.
Her mother, Annie Wyles, from Sheerness, Kent, told Kent Online: & She went to work and came home during the week and then decided that she wanted to go to A&E.
& # 39; They didn't know if it was some kind of breast infection, but they had to oxygenate her blood to stimulate the white blood cells.
& # 39; SHMI data is one of a series of measures used by independent inspectors to closely monitor the quality and safety of the care our hospitals provide to patients and they do not hesitate to intervene if they are concerned. & # 39;
A spokesperson for NHS Improvement and NHS England said: “Actually last year, official NHS Digital figures show that there were fewer hospital deaths from sepsis than expected.
& # 39; And in recent years, now that the NHS has become more effective at detecting the infection quickly, although more cases are being recorded, the chance of dying from sepsis has fallen.
ARE SOME HOSPITALS TO WAIT LONG TO PERFORM DRUGS?
The lives of NHS patients can be endangered because hospitals take too long to give antibiotics to patients who fight suspected sepsis, experts warned in July.
No fewer than one in four people who have the life-threatening illness have to wait more than an hour before being treated to prevent this.
The health service says it is crucial to take no more than an hour to give life-saving medication to anyone with sepsis, which can cause organ failure.
But a BBC study found that some hospitals let more than half of their patients wait longer.
& # 39; This progress will be encouraged by our NHS long-term plan, which requires emergency departments to find the condition more quickly, will help patients to get the right treatment at the right time and reduce avoidable antibiotic use to make them as effective as possible to hold in the future. & # 39;
Dr. Neill Hepburn, medical director at United Lincolnshire Hospitals NHS Trust, said: & We remain committed to ensuring that we provide the highest possible care to all our patients.
& # 39; We now employ dedicated sepsis nurses and place sepsis boxes in departments where patients are most often identified with the condition so that they can be treated quickly. & # 39;
Professor Damian Riley, acting director of the East Lancashire Hospitals NHS Trust, said: & The Trust has worked hard in recent years to reduce mortality from all illnesses.
& # 39; And we are pleased to report that our Hospital Mortality Indicator Summary (SHMI) – as reported independently – is in the & # 39; as expected & # 39; and lower than it has been for several years.
& # 39; Our medical audits show that the Trust is now performing well in terms of rapid administration of antibiotics and fluids for life-saving treatments for those patients suspected of having sepsis.
& # 39; This is very reassuring for our patients and confirms the significant steps we have taken. & # 39;
Tameside and Glossop Integrated Care NHS Foundation Trust said it assesses every hospital death.
A spokesperson added: & # 39; The increased mortality rate for septicemia is not related to the quality of care provided.
& # 39; The Trust applies the latest guidelines from the Department of Health regarding the coding of blood poisoning, so that only the sickest patients are included in this group. & # 39;
A spokesperson for East Kent Hospitals Trust said: & # 39; Figures for all deaths in the Trust are regularly checked at board level.
& # 39; We monitor mortality thoroughly using four different methods, including the Hospital Mortality Index Summary.
& # 39; The population of East Kent has a large number of elderly people with complex health problems compared to the average in England and our death rates reflect this demographics. Our figures are within the expected range.
& # 39; We check the clinical standards for screening and treating patients for possible sepsis or septicemia in our hospitals and our standards are good. & # 39;
|NAME OF NHS TRUST||DIAL FIGURES||COMBINED DEATHS||EXPECTED DEATHS||DIFFERENCE IN DEATHS|
|ISLAND OF WIGHT NHS TRUST||0.94||505||538.14||-33.14|
|BARTS HEALTH NHS TRUST||0.89||1412||1579.30||-167.30|
|ROYAL SURREY COUNTY HOSPITAL NHS FOUNDATION TRUST||0.87||431||496.80||-65.80|
|WESTON AREA HEALTH NHS CONFIDENCE||0.93||403||434.96||-31.96|
|YEOVIL DISTRICT HOSPITAL NHS FOUNDATION TRUST||0.86||507||586.37||-79.37|
|UNIVERSITY HOSPITALS BRISTOL NHS FOUNDATION CONFIDENCE||0.88||554||627.84||-73.84|
|BRADFORD EDUCATION HOSPITALS NHS FOUNDATION TRUST||0.89||510||574.98||-64.98|
|SOUTHEND UNIVERSITY HOSPITAL NHS FOUNDATION TRUST||1.14||794||694.55||99.45|
|ROYAL FREE LONDON NHS FOUNDATION TRUST||0.93||985||1059.62||-74.62|
|NORTH CENTRAL UNIVERSITY HOSPITAL NHS CONFIDENCE||1.07||452||423.33||28.67|
|THE HILLINGDON HOSPITALS NHS FOUNDATION TRUST||0.97||369||379.58||-10.58|
|KINGSTON HOSPITAL NHS FOUNDATION TRUST||1.13||595||524.42||70.58|
|TAUNTON AND SOMERSET NHS FOUNDATION TRUST||0.80||804||1003.66||-199.66|
|DORSET COUNTY HOSPITAL NHS FOUNDATION TRUST||1.08||338||311.90||26.10|
|WALSALL HEALTH CARE NHS TRUST||1.02||662||652.10||9.90|
|WIRRAL UNIVERSITY EDUCATION HOSPITAL NHS FOUNDATION TRUST||0.99||1251||1262.21||-11.21|
|ST HELENS AND KNOWSLEY HOSPITAL SERVICES NHS TRUST||0.94||1108||1184.45||-76.45|
|MID CHESHIRE HOSPITALS NHS FOUNDATION TRUST||1.09||734||671.27||62.73|
|NORTHERN DEVON HEALTHCARE NHS TRUST||1.01||334||329.53||4.47|
|BEDFORD HOSPITAL NHS TRUST||1.05||656||622.83||33.17|
|LUTON AND DUNSTABLE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST||1.06||755||711.54||43.46|
|YORK EDUCATION HOSPITAL NHS FOUNDATION TRUST||1.11||1730||1565.50||164.50|
|HARROGATE AND DISTRICT NHS FOUNDATION TRUST||1.00||276||276.38||-0.38|
|AIREDALE NHS FOUNDATION TRUST||0.93||406||436.72||-30.72|
|THE QUEEN ELIZABETH HOSPITAL, KING & # 39; S LYNN, NHS FOUNDATION TRUST||0.83||973||1171.57||-198.57|
|ROYAL UNITED HOSPITALS BAD NHS FOUNDATION TRUST||0.96||860||895.38||-35.38|
|POOL HOSPITAL NHS FOUNDATION TRUST||0.66||394||598.17||-204.17|
|MILTON KEYNES UNIVERSITY HOSPITAL NHS FOUNDATION TRUST||0.98||629||645.12||-16.12|
|BASILDON AND THURROCK UNIVERSITY HOSPITALS NHS FOUNDATION TRUST||0.99||1699||1721.84||-22.84|
|EAST SUFFOLK AND NORTH ESSEX NHS FOUNDATION TRUST||1.05||1485||1411.29||73.71|
|FRIMLEY HEALTH NHS FOUNDATION TRUST||0.97||1583||1629.24||-46.23|
|THE ROYAL BOURNEMOUTH AND CHRISTCHURCH HOSPITALS NHS FOUNDATION TRUST||0.54||299||553.84||-254.84|
|ROYAL CORNWALL HOSPITALS NHS TRUST||0.95||805||849.38||-44.38|
|AINTREE UNIVERSITY HOSPITAL NHS FOUNDATION TRUST||1.07||948||885.18||62.82|
|UNIVERSITY HOSPITALS OF BARKING, HAVERING AND REDBRIDGE NHS TRUST||1.11||1360||1229.02||130.98|
|BARNSLEY HOSPITAL NHS FOUNDATION TRUST||1.14||650||571.58||78.42|
|THE ROTHERHAM NHS FOUNDATION TRUST||1.17||412||351.73||60.27|
|CHESTERFIELD ROYAL HOSPITAL NHS FOUNDATION TRUST||0.98||670||686.63||-16.63|
|FOUNDATION NORTH WEST ANGLIA NHS FOUNDATION||0.88||1305||1476.01||-171.01|
|JAMES PAGET UNIVERSITY HOSPITALS NHS FOUNDATION TRUST||0.97||538||554.69||-16.69|
|WEST SUFFOLK NHS FOUNDATION CONFIDENCE||0.84||839||996.52||-157.52|
|CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST||0.79||731||924.35||-193.35|
|ROYAL DEVON AND EXETER NHS FOUNDATION TRUST||0.93||631||675.03||-44.03|
|UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST||0.87||817||943.45||-126.45|
|SHEFFIELD EDUCATION HOSPITALS NHS FOUNDATION TRUST||1.01||1211||1197.12||13.88|
|PORTSMOUTH HOSPITALS NHS TRUST||0.95||1278||1349.88||-71.88|
|ROYAL BERKSHIRE NHS FOUNDATION TRUST||0.97||803||824.88||-21.88|
|GUY & # 39; S AND ST THOMAS & # 39; FOUNDATION TRUST||1.01||300||297.16||2.84|
|CROYDON HEALTH SERVICES NHS TRUST||1.06||829||785.05||43.96|
|ST GEORGE & # 39; S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST||1.00||773||771.35||1.65|
|SOUTH WARWICKSHIRE NHS FOUNDATION TRUST||0.85||415||489.66||-74.66|
|NORTHERN LINCOLNSHIRE AND GOODS FOUNDATION TRUST||1.18||1074||910.51||163.49|
|EAST CHESHIRE NHS TRUST||1.06||410||387.02||22.98|
|PROVINCE OF CHESTER HOSPITAL NHS FOUNDATION TRUST||1.03||681||661.03||19.97|
|KING & # 39; S COLLEGE HOSPITAL NHS FOUNDATION TRUST||1.03||1119||1083.15||35.85|
|SHERWOOD FOREST HOSPITALS NHS FOUNDATION CONFIDENCE||0.92||1028||1111.60||-83.60|
|UNIVERSITY HOSPITALS PLYMOUTH NHS TRUST||0.87||751||867.29||-116.29|
|UNIVERSITY HOSPITALS COVENTRY AND WARWICKSHIRE NHS TRUST||1.10||935||849.52||85.48|
|WHITTINGTON HEALTH NHS TRUST||0.76||299||393.04||-94.04|
|THE ROYAL WOLVERHAMPTON NHS TRUST||1.10||909||826.92||82.08|
|WYE VALLEY NHS TRUST||1.15||465||405.06||59.95|
|GEORGE ELIOT HOSPITAL NHS TRUST||0.96||355||368.74||-13.74|
|NORFOLK AND NORWICH UNIVERSITY HOSPITALS NHS FOUNDATION TRUST||1.06||1514||1428.00||86.00|
|SALFORD ROYAL NHS FOUNDATION CONFIDENCE||0.98||828||842.03||-14.03|
|BOLTON NHS FOUNDATION TRUST||1.06||1042||982.58||59.43|
|TAMESIDE AND GLOSSOP INTEGRATED CARE NHS FOUNDATION TRUST||1.38||517||373.42||143.58|
|LARGE WESTERN HOSPITALS NHS FOUNDATION CONFIDENCE||1.11||1123||1008.51||114.49|
|HAMPSHIRE HOSPITALS NHS FOUNDATION TRUST||0.97||793||821.04||-28.04|
|DARTFORD AND GRAVESHAM NHS TRUST||0.95||642||674.72||-32.72|
|THE DUDLEY GROUP NHS FOUNDATION TRUST||1.19||1056||890.77||165.23|
|NORTH CUMBRIA UNIVERSITY HOSPITALS NHS CONFIDENCE||1.07||681||636.16||44.84|
|NECKLACE GENERAL HOSPITAL NHS FOUNDATION TRUST||0.93||395||422.52||-27.52|
|NORTHAMPTON GENERAL HOSPITAL NHS CONFIDENCE||1.11||835||754.29||80.71|
|SALISBURY NHS FOUNDATION TRUST||0.92||316||341.69||-25.69|
|DONCASTER AND BASSETLAW EDUCATION HOSPITALS NHS FOUNDATION TRUST||1.06||882||834.12||47.88|
|MEDWAY NHS FOUNDATION TRUST||1.10||910||829.43||80.57|
|ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUST||1.16||1111||959.39||151.61|
|CENTRAL ESSEX HOSPITALS NHS TRUST||0.97||999||1031.28||-32.28|
|CHELSEA AND WESTMINSTER HOSPITAL NHS FOUNDATION TRUST||0.98||613||624.85||-11.85|
|THE PRINCESS ALEXANDRA HOSPITAL NHS TRUST||1.11||552||495.24||56.76|
|HOMERTON UNIVERSITY HOSPITAL NHS FOUNDATION TRUST||0.94||199||212.20||-13.20|
|GATESHEAD HEALTH NHS FOUNDATION TRUST||0.97||673||690.73||-17.73|
|LEEDS EDUCATION HOSPITALS NHS CONFIDENCE||0.99||1028||1039.12||-11.12|
|WRIGHTINGTON FOUNDATION, WIGAN AND LEIGH NHS FOUNDATION||1.26||729||576.79||152.21|
|UNIVERSITY HOSPITALS BIRMINGHAM NHS FOUNDATION TRUST||1.01||1909||1886.31||22.69|
|UNIVERSITY COLLEGE LONDON HOSPITALS NHS FOUNDATION TRUST||0.87||280||323.48||-43.48|
|THE NEWCASTLE ON TYNE HOSPITALS NHS FOUNDATION TRUST||1.05||772||736.15||35.85|
|GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST||1.12||975||873.45||101.55|
|NORTHUMBRIA HEALTH CARE NHS FOUNDATION TRUST||1.02||1128||1105.42||22.58|
|UNIVERSITY HOSPITALS OF DERBY AND BURTON NHS FOUNDATION TRUST||0.86||1942||2257.16||-315.16|
|OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST||0.85||904||1058.60||-154.60|
|ASHFORD AND ST PETER & # 39; S HOSPITALS NHS FOUNDATION TRUST||1.00||667||664.78||2.22|
|SURREY AND SUSSEX HEALTH CARE NHS TRUST||1.05||845||802.85||42.15|
|SOUTH T-SHIRT HOSPITALS NHS FOUNDATION TRUST||1.00||1245||1239.67||5.33|
|UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST||1.00||741||738.67||2.33|
|NORTH BRISTOL NHS TRUST||0.85||747||876.02||-129.02|
|HOSPITALS OF EPSOM AND ST HELIER UNIVERSITY NHS TRUST||0.91||857||940.81||-83.81|
|EAST HOSPITALS UNIVERSITY NHS FOUNDATION TRUST||1.18||2697||2281.05||415.96|
|NORTH T-PIECES AND HARTLEPOOL NHS FOUNDATION TRUST||1.06||977||919.08||57.93|
|SOUTHPORT AND ORMSKIRK HOSPITAL NHS TRUST||0.94||616||657.59||-41.59|
|PENNINE ACUTE HOSPITALS NHS TRUST||1.04||1212||1164.59||47.41|
|HULL AND EAST HOSPITALS NHS TRUST||1.23||928||755.92||172.08|
|UNITED LINCOLNSHIRE HOSPITALS NHS TRUST||1.20||1968||1636.12||331.88|
|UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST||0.96||2077||2169.46||-92.46|
|MAIDSTONE AND TUNBRIDGE GOOD NHS TRUST||0.90||724||802.59||-78.59|
|WEST HERTFORDSHIRE HOSPITALS NHS TRUST||1.05||1006||956.61||49.39|
|EAST AND NORTH HERTFORDSHIRE NHS TRUST||1.01||652||645.57||6.43|
|STOCK NHS FOUNDATION TRUST||0.96||684||711.84||-27.84|
|WORCESTERSHIRE ACUTE HOSPITALS NHS TRUST||1.06||1119||1058.71||60.29|
|WARRINGTON AND HALTON HOSPITALS NHS FOUNDATION TRUST||1.04||655||628.01||26.99|
|CALDERDALE AND HUDDERSFIELD NHS FOUNDATION TRUST||1.03||788||763.60||24.40|
|HOSPITALS OF NOTTINGHAM UNIVERSITY NHS TRUST||0.94||2162||2307.02||-145.02|
|EAST SUSSEX HEALTH CARE NHS CONFIDENCE||1.03||1184||1150.93||33.07|
|MID YORKSHIRE HOSPITALS NHS TRUST||1.14||1139||999.16||139.84|
|BRIGHTON AND SUSSEX UNIVERSITY HOSPITALS NHS TRUST||0.86||664||773.90||-109.90|
|SANDWELL AND WEST BIRMINGHAM HOSPITALS NHS TRUST||1.06||554||523.08||30.93|
|BLACKPOOL EDUCATION HOSPITALS NHS FOUNDATION TRUST||1.04||1090||1049.23||40.77|
|LANCASHIRE EDUCATION HOSPITALS NHS FOUNDATION TRUST||1.00||1567||1573.79||-6.79|
|DURHAM FOUNDATION AND DARLINGTON NHS FOUNDATION||1.16||1180||1018.10||161.90|
|BUCKINGHAMSHIRE HEALTH CARE NHS TRUST||0.83||880||1057.79||-177.79|
|EAST LANCASHIRE HOSPITALS NHS TRUST||1.24||1489||1197.98||291.02|
|SHREWSBURY AND TELFORD HOSPITAL NHS TRUST||1.03||964||939.57||24.43|
|IMPERIAL COLLEGE HEALTHCARE NHS CONFIDENCE||0.91||937||1034.46||-97.45|
|WESTERN SUSSEX HOSPITALS NHS FOUNDATION TRUST||0.92||1519||1650.09||-131.09|
|The mortality rates can be converted to percentages, with 1 being the baseline – meaning a figure of 1.2 indicates that the mortality rates are 20 percent higher than the national average. A figure of 0.8 indicates that the death rate is 20 percent lower than the national average|
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