Commission for Health Improvement. NHS performance ratings Acute trusts Specialist trusts Ambulance trusts 2002 / 2003

Transcription

1 Commission for Health Improvement NHS performance ratings Specialist trusts Ambulance trusts 2002 / 2003 Commission for Health Improvement Finsbury Tower Bunhill Row London EC1Y 8TG Telephone Text phone ISBN PRA/0703/TSO/

2 NHS performance ratings Specialist trusts Ambulance trusts 2002 / 2003

3 Contents Introduction 2 4 Specialist trusts 6 Ambulance trusts 6 Primary care trusts 7 Mental health trusts 8 Learning disability trusts 9 Results for 2002 / Contacting CHI 11 Tables 12 This publication contains tables of performance information for acute, specialist and ambulance trusts. A similar publication includes performance information for primary care, mental health and learning disability trusts. 1

4 Introduction Performance ratings for NHS trusts in England, covering the year ending March 2003 are the first to be produced and published by CHI, the Commission for Health Improvement. This year is also the first in which primary care trusts and mental health trusts have received full star ratings. CHI is the independent regulator of NHS performance. The Government is responsible for setting priorities which in turn determine the indicators relating to key targets. Other indicators have this year been designed by CHI and the Department of Health to reflect a wide range of performance issues, following consultation with the service and other stakeholders. For the first time, the confirmed lists of indicators, and the technical specifications (or constructions) used to calculate them, were published in advance. Indicator lists for acute and ambulance trusts were published in December 2002, and for primary care and mental health trusts in March CHI is committed to extending this transparency by publishing indicator lists even earlier for the 2003 / 2004 year. The ratings, together with the indicators used to calculate them, the thresholds and the methodology are published in full on the CHI website ( This document accompanies the internet publication, and summarises the star ratings and indicator scores for each trust. The ratings and indicators provide people working in the NHS and the public with accessible and easy to understand information about the performance of local health services. This publication Performance ratings for all acute trusts, specialist trusts and ambulance trusts in England with are covered in this publication. Primary care trusts, mental health trusts and trusts providing services for people with learning disabilities are included in a similar publication. Combined trusts, those which provide services in mental health as well as acute or primary care, are star rated in both sectors (acute and mental health, or primary care and mental health). Each star rating is listed in the appropriate section. Summary reports are available on the CHI website for each type of NHS trust. Each one explains to local people and those responsible for leading and managing the trust how the trust has fared in the ratings. The ratings tables allow trusts to compare their performance against others, so they can share good practice, and address weaknesses. Developments in NHS performance ratings Over time CHI aims to develop performance indicators and ratings to enhance their accuracy as a reflection of the patient experience. The method used this year to determine ratings is based on last year s approach, although there have been some changes to individual indicators and some modifications to the methodology for calculating the star ratings. The ratings incorporate key targets which cover Government priority areas, as well as a broader set of important indicators. This year, CHI has improved the transparency of the ratings methodology by publishing in advance the indicator lists. CHI aims to bring this forward for the forthcoming year, to give trusts more notice of the indicators against which they will be assessed. Star ratings for acute, specialist and mental health trusts also take into consideration CHI s clinical governance reviews. In future years this will be extended to include ambulance and primary care trusts. In some cases, where a CHI clinical governance review is older, an assessment has been made of progress by the trust against the action plan agreed after the review. This updated assessment has been used in calculation of the star rating. How does the NHS performance ratings system work? The NHS performance ratings system places NHS trusts in England into one of four categories: trusts with the highest levels of performance are awarded a performance rating of three stars trusts that are performing well overall, but have not quite reached the same consistently high s, are awarded a performance rating of two stars trusts where there is some cause for concern regarding particular areas of performance are awarded a performance rating of one star trusts that have shown the poorest levels of performance against the indicators or little progress in implementing clinical governance are awarded a performance rating of zero stars Where a trust has a low rating based on poor performance on a number of key targets and indicators, this does not necessarily mean that a hospital is unsafe, does not contain some very good clinical services or that the staff are not working hard in often difficult circumstances. It does mean that performance must be improved in a number of key areas. A zero star trust is one which either fails against the key targets or is considered to have poor clinical governance. A three star trust is is one that does well on the indicators and, if a review has been undertaken, is considered to have good clinical governance. Role of clinical governance reviews in rating performance As last year, information from CHI's reviews is used in determining poorly performing (zero star) and high performing leading (three star) NHS organisations. Since beginning its work in 2000, CHI has published clinical governance review reports on most acute and specialist trusts, most ambulance trusts and some mental health and primary care trusts. A CHI clinical governance review assesses the trust across seven components of performance: risk management clinical audit research and education patient involvement information management staff involvement education, training and development 2 3

5 Each component is scored from I to IV. After each review the trust prepares an action plan to address areas for improvement identified by the CHI report. It is agreed with CHI, and published. For trusts whose CHI clinical governance reviews are older (published before September 2002), CHI, with the support of strategic health authorities, has assessed progress against this action plan. Any significant improvements have been taken into consideration in calculating the star rating. For this year, clinical governance scores have not been incorporated into star ratings for ambulance trusts, who have only recently adopted clinical governance principles or for primary care trusts, in recognition of their immaturity as organisations. CHI does intend to reflect clinical governance assessments in next year s star ratings. All acute trusts have been assessed on their performance during 2002 / 2003 against a limited number of key targets and a larger number and range of indicators. are the most significant factors in determining overall performance ratings this year. A&E emergency admission waits (12 hours) cancelled operations not admitted within 28 days financial management hospital cleanliness number of inpatients waiting longer than the number of outpatients waiting longer than the total time in A&E two week cancer waits Performance against targets is assessed in terms of whether the target has been achieved, whether there has been some degree of underachievement or whether the target was significantly underachieved. performance is considered to be of concern if there are: a sizeable number of targets with some degree of underachievement a smaller number of targets against which there has been significant levels of underachievement a combination of both Indicators The broader range of indicators make up a balanced scorecard to refine the judgement on ratings. This balanced scorecard approach allows a broad range of areas to be measured within a single methodology. s with high performance ratings therefore have to do well against a rounded set of indicators. The indicators have been chosen to provide a balance across the clinical, patient, and capacity capability focus areas outlined below: Clinical focus clinical negligence death within 30 days of a heart bypass operation death within 30 days of selected surgical procedures emergency readmission to hospital following discharge emergency readmission to hospital following discharge for children emergency readmission to hospital following treatment for a fractured hip emergency readmission to hospital following treatment for a stroke infection control procedures Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia: improvement score thrombolysis treatment time Patient focus A&E emergency admission waits (4 hours) better hospital food breast cancer treatment cancelled operations day case booking delayed transfers of care nine month heart operation waits outpatient / A&E survey access & waiting outpatient / A&E survey better information, more choice outpatient / A&E survey building relationships outpatient / A&E survey clean, comfortable, friendly place to be outpatient / A&E survey safe, high quality, coordinated care paediatric outpatient did not attends rates patient complaints procedure privacy & dignity six month inpatient waits thirteen week outpatient waits total inpatient waits waiting time for rapid access chest pain clinic Capacity and capability focus data quality staff opinion survey junior doctors' hours consultant appraisal sickness absence rate information governance fire, health & safety 4 5

6 Specialist trusts The ratings methodology for specialist trusts is similar to that for acute trusts. One of the key targets - two week cancer waits and some individual indicators are only appropriate for some individual specialist trusts. For instance two week cancer waits are not appropriate for specialist trusts, such as Moorfields Eye Hospital, which do not provide most cancer services. Similarly accident and emergency waits do not apply to specialist hospitals without A&E services. A trust rating is allocated on the basis of those key targets and indicators that are appropriate to the specialist trust concerned. The indicators for specialist trusts are selected, as appropriate to the functions of the individual trust, from the list detailed for acute trusts. Ambulance trusts The ratings methodology for ambulance trusts is similar to that for acute trusts except that the set of key targets and indicators is smaller, reflecting the particular range of services offered by ambulance trusts. category A calls meeting 14/19 minute target category A calls meeting 8 minute target financial management Indicators Clinical focus clinical negligence thrombolysis protocols and procedures: training of paramedic staff Patient focus category B/C calls meeting national 14/19 minute target GP urgent calls meeting national 15 minute target patient complaints procedure Capacity and capability focus fire, health & safety information governance sickness absence rate staff opinion survey Primary care trusts The ratings methodology for primary care trusts is similar to that for acute trusts, but balanced scorecard indicators grouped under unique headings reflect the responsibilities of these organisations in public health improvement, and as providers of primary care and commissioners of primary and secondary care services. access to a GP access to a primary care professional number of inpatients waiting longer than the number of outpatients waiting longer than the total time in A&E single telephone access - implementation plans four week smoking quitters financial management Indicators Access to quality services emergency readmission to hospital following treatment for a fractured hip substance misuse: percentage of GP practices in a shared care scheme sexual health: access to services for early unintended pregnancy level of 24 hour access to specialist mental health services A&E emergency admission waits (12 hours) twelve month heart operation waits delayed transfers of care access to NHS dentistry PCT survey access and waiting PCT survey better information, more choice PCT survey building closer relationship PCT survey clean, comfortable, friendly place to be PCT survey safe, high quality, coordinated care prescribing of atypical antipsychotics Improving health death rates from circulatory diseases, aged under 75 (change in rate) death rates for accidents, all ages (change in rate) death rates from cancer, aged under 75 (change in rate) breast cancer screening cervical screening flu vaccinations teenage pregnancy: conceptions below age 18 (change in rate) diabetes services baseline assessment CHD audit suicide audit 6 7

7 Service provision emergency admissions (change in rate) emergency admission to hospital for children with lower respiratory tract (LRT) infections (change in rate) primary care management acute conditions (change in rate) primary care management chronic conditions (change in rate) community equipment patient complaints procedure prescribing of antibacterial drugs prescribing rates for drugs acting on benzodiazepine receptors staff opinion survey GP appraisal sickness absence rate fire, health & safety generic prescribing Mental health trusts and community trusts that provide mental health services The ratings methodology for mental health trusts is similar to that for acute trusts. The exception is in the choice of key targets and indicators, some variations having been made to reflect the specialised range of services provided by mental health trusts. assertive outreach team implementation CMHT integration mental health minimum dataset implementation number of outpatients waiting longer than the hospital cleanliness financial management Indicators Clinical focus clinical negligence CPA systems implementation psychiatric readmissions (adult) psychiatric readmissions (older people) suicide rate Patient focus transition of care between adult services and OPMH transition of care between CAMHS and adult services patients with copies of their own care plan patient complaints procedure better hospital food privacy & dignity Capacity and capability focus missed outpatient appointments crisis resolution team implementation out of catchment area treatments (adults) out of catchment area treatments (older people) CAMHS service mapping data quality staff opinion survey junior doctors hours consultant appraisal sickness absence rate information governance fire, health & safety Learning disability trusts The ratings methodology for trusts that provide services for people with learning disabilities is similar to that for mental health trusts. Learning disability trusts have been performance rated on the set of indicators applicable to mental health trusts, omitting those which do not apply to their services. A trust rating is allocated on the basis of those key targets and indicators that are appropriate to the learning disability trust concerned. 8 9

8 Results for 2002 / 2003 A total of 599 star ratings have been awarded to 579 NHS trusts in England for their performance in 2002 / s which provide services in more than one sector have been given more than one star rating. For instance an acute trust which also provides mental health services will have a star rating in the acute list and a star rating in the mental health list. Results for mental health trusts incorporate those for learning disability trusts. The overall results are as follows: 131 three stars 258 two stars 166 one star 44 zero stars For acute trusts, the results are as follows: 52 three stars 60 two stars 30 one star 14 zero stars For specialist trusts, the results are as follows: 10 three stars 9 two stars 1 one star 0 zero stars Contacting CHI The Commission for Health Improvement welcomes constructive feedback on its work. If you have a comment or query about performance ratings, please contact: Commission for Health Improvement Performance ratings Finsbury Tower Bunhill Row London, EC1Y 8TG performance.indicators@chi.nhs.uk To purchase additional printed copies of the 2002 / 2003 performance ratings publications please contact: TSO (The Stationery Office) PO Box 29 Norwich, NR3 1GN telephone orders: fax orders: book.orders@tso.co.uk This booklet was published in July For ambulance trusts, the results are as follows: 10 three stars 7 two stars 9 one star 5 zero stars For primary care trusts, the results are as follows: 45 three stars 139 two stars 98 one star 22 zero stars For mental health trusts (including learning disability trusts), the results are as follows: 14 three stars 43 two stars 28 one star 3 zero stars 10 11

9 13 A&E emergency admission waits (12 hours) Cancelled operations not admitted within 28 days Hospital cleanliness Number of inpatients waiting longer than the Number of outpatients waiting longer than the Total time in A&E Two week cancer waits Rating Clinical focus Focus areas 5 significantly above average 4 above average 3 average 2 below average 1 significantly below average 12 Death within 30 days of a heart bypass operation Death within 30 days of selected surgical procedures discharge discharge for children treatment for a fractured hip treatment for a stroke Infection control procedures Thrombolysis treatment time A&E emergency admission waits (4 hours) Better hospital food Breast cancer treatment Cancelled operations Day case booking Delayed transfers of care Nine month heart operation waits Outpatient / A&E survey access & waiting Outpatient / A&E survey better information, more choice Outpatient / A&E survey building relationships Outpatient / A&E survey clean, comfortable, friendly place to be Outpatient / A&E survey safe, high quality, coordinated care Paediatric outpatient did not attends rates Privacy & dignity Six month inpatient waits Thirteen week outpatient waits Total inpatient waits Waiting time for rapid access chest pain clinic CHI review? Organisation Patient focus Capacity & capability focus CHI These trusts do not include mental health services provided by combined trusts; refer to mental health ratings report for this information. Addenbrooke s NHS 4 n/a a a a a a n/a /02+ Airedale NHS 4 n/a a a a a a n/a n/a /02+ Barnsley District General Hospital NHS 5 n/a n/a /01+ Basildon and Thurrock University Hospitals NHS 5 n/a b n/a b b /01+ Birmingham Heartlands and Solihull (Teaching) NHS 5 a /01 Bradford Teaching Hospitals NHS 2 n/a n/a /01+ Burton Hospitals NHS 4 n/a n/a /01+ Calderdale and Huddersfield NHS 4 n/a a a a a a 4 3 b n/a /02 Chesterfield and North Derbyshire Royal Hospital NHS 5 n/a n/a n/a /00+ n/a City Hospitals Sunderland NHS 4 n/a n/a /00+ n/a Countess of Chester Hospital NHS 5 n/a a a a a a n/a /01+ Dartford and Gravesham NHS 4 n/a n/a /02+ Doncaster and Bassetlaw Hospitals NHS 4 n/a a a a a a n/a /02+ East Somerset NHS 4 n/a n/a /01+ Gateshead Health NHS 5 n/a a a a a a n/a b /01+ George Eliot Hospital NHS 4 n/a n/a b /01+ Gloucestershire Hospitals NHS 4 n/a a a a a a n/a /01+ Guy s and St Thomas' NHS /02 Harrogate Health Care NHS 4 n/a n/a /02+ Homerton University Hospital NHS 4 n/a b n/a b /01+ James Paget Healthcare NHS 4 n/a n/a /02 King s College Hospital NHS /01+ Lancashire Teaching Hospitals NHS 4 n/a n/a /01+ Data n/a not applicable a not available b not provided/invalid data achieved underachieved significantly underachieved significant strengths many strengths strengths significant areas of weakness n/a not applicable ^ denotes a combined trust therefore also rated in mental health tables CHI review + progress against the trust action plan has been assessed mm/yy date CHI report published no CHI report Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia: improvement score Consultant appraisal Data quality Junior doctors' hours

10 14 15 A&E emergency admission waits (12 hours) Cancelled operations not admitted within 28 days Hospital cleanliness Number of inpatients waiting longer than the Number of outpatients waiting longer than the Total time in A&E Two week cancer waits Death within 30 days of a heart bypass operation Death within 30 days of selected surgical procedures discharge discharge for children treatment for a fractured hip treatment for a stroke Infection control procedures Thrombolysis treatment time A&E emergency admission waits (4 hours) Better hospital food Breast cancer treatment Cancelled operations Day case booking Delayed transfers of care Nine month heart operation waits Outpatient / A&E survey access & waiting Outpatient / A&E survey better information, more choice Outpatient / A&E survey building relationships Outpatient / A&E survey clean, comfortable, friendly place to be Outpatient / A&E survey safe, high quality, coordinated care Paediatric outpatient did not attends rates Privacy & dignity Six month inpatient waits Thirteen week outpatient waits Total inpatient waits Waiting time for rapid access chest pain clinic CHI review? Organisation Rating Clinical focus Patient focus Capacity & capability focus CHI These trusts do not include mental health services provided by combined trusts; refer to mental health ratings report for this information. Luton and Dunstable Hospital NHS 4 n/a n/a b /02 Mid Staffordshire General Hospitals NHS 5 n/a b n/a /02+ Morecambe Bay Hospitals NHS 4 n/a n/a /01+ North Hampshire Hospitals NHS 4 n/a n/a /02+ North Tees and Hartlepool NHS 4 n/a n/a /01+ Nottingham City Hospital NHS n/a n/a a n/a /02+ Peterborough Hospitals NHS 4 n/a n/a /02+ Rotherham General Hospitals NHS 5 n/a n/a /01+ Royal Bournemouth and Christchurch Hospitals NHS 4 n/a 3 1 n/a n/a /02+ Royal Devon and Exeter Healthcare NHS 5 n/a /01+ Sandwell and West Birmingham Hospitals NHS 4 n/a a a a a a n/a /02+ Sheffield Teaching Hospitals NHS a /03 South Devon Health Care NHS 4 n/a n/a /03 South Tyneside Health Care NHS 4 n/a a a a a a n/a b /02+ Southampton University Hospitals NHS /00+ n/a Southend Hospital NHS 4 n/a n/a /01+ Southern Derbyshire Acute Hospitals NHS 5 n/a n/a b 01/03 St Mary s NHS b 5 01/02 Stockport NHS 5 n/a n/a /02+ Taunton and Somerset NHS 4 n/a n/a /01 The Lewisham Hospital NHS 4 n/a b n/a /02 University College London Hospitals NHS /03 University Hospital Birmingham NHS a n/a /03 Focus areas 5 significantly above average 4 above average 3 average 2 below average 1 significantly below average Data n/a not applicable a not available b not provided/invalid data achieved underachieved significantly underachieved significant strengths many strengths strengths significant areas of weakness n/a not applicable ^ denotes a combined trust therefore also rated in mental health tables CHI review + progress against the trust action plan has been assessed mm/yy date CHI report published no CHI report Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia: improvement score Consultant appraisal Data quality Junior doctors' hours

11 16 17 A&E emergency admission waits (12 hours) Cancelled operations not admitted within 28 days Hospital cleanliness Number of inpatients waiting longer than the Number of outpatients waiting longer than the Total time in A&E Two week cancer waits Death within 30 days of a heart bypass operation Death within 30 days of selected surgical procedures discharge discharge for children treatment for a fractured hip treatment for a stroke Infection control procedures Thrombolysis treatment time A&E emergency admission waits (4 hours) Better hospital food Breast cancer treatment Cancelled operations Day case booking Delayed transfers of care Nine month heart operation waits Outpatient / A&E survey access & waiting Outpatient / A&E survey better information, more choice Outpatient / A&E survey building relationships Outpatient / A&E survey clean, comfortable, friendly place to be Outpatient / A&E survey safe, high quality, coordinated care Paediatric outpatient did not attends rates Privacy & dignity Six month inpatient waits Thirteen week outpatient waits Total inpatient waits Waiting time for rapid access chest pain clinic CHI review? Organisation Rating Clinical focus Patient focus Capacity & capability focus CHI These trusts do not include mental health services provided by combined trusts; refer to mental health ratings report for this information. West Dorset General Hospitals NHS 4 n/a n/a n/a /02+ West Suffolk Hospitals NHS 4 n/a n/a /02 Winchester and Eastleigh Healthcare NHS 4 n/a n/a /02 Wirral Hospital NHS 5 n/a n/a /02 Wrightington, Wigan and Leigh NHS 5 n/a a a a a a n/a n/a York Health Services NHS 4 n/a n/a /02 Aintree Hospitals NHS 2 n/a 3 1 n/a n/a n/a /01+ Ashford and St Peter s Hospitals NHS 5 n/a b n/a b b /01 Barking, Havering and Redbridge Hospitals NHS 4 n/a n/a /01 Bedford Hospitals NHS 4 n/a b b b b b 3 3 b n/a /01 Blackburn, Hyndburn and Ribble Valley Health Care NHS 4 n/a n/a /02 Blackpool, Fylde and Wyre Hospitals NHS n/a b n/a Bolton Hospitals NHS 4 n/a n/a /01+ Central Manchester and Manchester Children s University Hospitals NHS b /02+ Chelsea and Westminster Healthcare NHS 2 n/a a a a a a n/a n/a /02+ County Durham and Darlington Acute Hospitals NHS n/a 4 n/a n/a /02+ Ealing Hospital NHS 4 n/a n/a b /02+ East Cheshire NHS 2 n/a a a a a a 4 3 b n/a /03 East Sussex Hospitals NHS 4 n/a b n/a b b /02 Essex Rivers Healthcare NHS 5 n/a n/a /02 Frimley Park Hospital NHS 5 n/a n/a n/a /02+ Hammersmith Hospitals NHS b b /03 Heatherwood and Wexham Park Hospitals NHS 4 n/a n/a /02 Focus areas 5 significantly above average 4 above average 3 average 2 below average 1 significantly below average Data n/a not applicable a not available b not provided/invalid data achieved underachieved significantly underachieved significant strengths many strengths strengths significant areas of weakness n/a not applicable ^ denotes a combined trust therefore also rated in mental health tables CHI review + progress against the trust action plan has been assessed mm/yy date CHI report published no CHI report Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia: improvement score Consultant appraisal Data quality Junior doctors' hours

12 18 19 A&E emergency admission waits (12 hours) Cancelled operations not admitted within 28 days Hospital cleanliness Number of inpatients waiting longer than the Number of outpatients waiting longer than the Total time in A&E Two week cancer waits Death within 30 days of a heart bypass operation Death within 30 days of selected surgical procedures discharge discharge for children treatment for a fractured hip treatment for a stroke Infection control procedures Thrombolysis treatment time A&E emergency admission waits (4 hours) Better hospital food Breast cancer treatment Cancelled operations Day case booking Delayed transfers of care Nine month heart operation waits Outpatient / A&E survey access & waiting Outpatient / A&E survey better information, more choice Outpatient / A&E survey building relationships Outpatient / A&E survey clean, comfortable, friendly place to be Outpatient / A&E survey safe, high quality, coordinated care Paediatric outpatient did not attends rates Privacy & dignity Six month inpatient waits Thirteen week outpatient waits Total inpatient waits Waiting time for rapid access chest pain clinic CHI review? Organisation Rating Clinical focus Patient focus Capacity & capability focus CHI These trusts do not include mental health services provided by combined trusts; refer to mental health ratings report for this information. Hinchingbrooke Health Care NHS 4 n/a a a a a a n/a n/a /02+ Ipswich Hospital NHS 4 n/a n/a n/a /01+ Kettering General Hospital NHS 5 n/a b n/a b /01 Kings Lynn and Wisbech Hospitals NHS 4 n/a a a a a a 4 1 b n/a /02+ Kingston Hospital NHS 4 n/a n/a n/a Leeds Teaching Hospitals NHS /02+ Mayday Healthcare NHS 4 n/a n/a /01+ Mid Essex Hospital Services NHS 2 n/a n/a /02+ Norfolk and Norwich University Hospital NHS 5 n/a n/a /03 North Middlesex University Hospital NHS 4 n/a b n/a /02+ North West London Hospitals NHS 2 n/a a a a a a n/a b 10/01+ Northampton General Hospital NHS 5 n/a n/a /02 Northern Devon Healthcare NHS 4 n/a b 3 4 b b n/a /02+ Northern Lincolnshire and Goole Hospitals NHS 4 n/a n/a /02 Northumbria Health Care NHS 4 n/a n/a /02+ Plymouth Hospitals NHS 4 b b /01+ Poole Hospitals NHS 4 n/a n/a /01 Portsmouth Hospitals NHS 4 n/a n/a /02+ Queen Elizabeth Hospital NHS 4 n/a a n/a b /03 Queen Mary s Sidcup NHS 4 n/a b n/a /03 Queen s Medical Centre, Nottingham University Hospital NHS 4 n/a b b b b b b n/a /02 Royal Cornwall Hospitals NHS 4 n/a n/a b /02+ Royal Free Hampstead NHS 2 a /02+ Focus areas 5 significantly above average 4 above average 3 average 2 below average 1 significantly below average Data n/a not applicable a not available b not provided/invalid data achieved underachieved significantly underachieved significant strengths many strengths strengths significant areas of weakness n/a not applicable ^ denotes a combined trust therefore also rated in mental health tables CHI review + progress against the trust action plan has been assessed mm/yy date CHI report published no CHI report Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia: improvement score Consultant appraisal Data quality Junior doctors' hours

13 20 21 A&E emergency admission waits (12 hours) Cancelled operations not admitted within 28 days Hospital cleanliness Number of inpatients waiting longer than the Number of outpatients waiting longer than the Total time in A&E Two week cancer waits Death within 30 days of a heart bypass operation Death within 30 days of selected surgical procedures discharge discharge for children treatment for a fractured hip treatment for a stroke Infection control procedures Thrombolysis treatment time A&E emergency admission waits (4 hours) Better hospital food Breast cancer treatment Cancelled operations Day case booking Delayed transfers of care Nine month heart operation waits Outpatient / A&E survey access & waiting Outpatient / A&E survey better information, more choice Outpatient / A&E survey building relationships Outpatient / A&E survey clean, comfortable, friendly place to be Outpatient / A&E survey safe, high quality, coordinated care Paediatric outpatient did not attends rates Privacy & dignity Six month inpatient waits Thirteen week outpatient waits Total inpatient waits Waiting time for rapid access chest pain clinic CHI review? Organisation Rating Clinical focus Patient focus Capacity & capability focus CHI These trusts do not include mental health services provided by combined trusts; refer to mental health ratings report for this information. Royal Liverpool and Broadgreen University Hospitals NHS 4 n/a 3 1 a b n/a n/a n/a b /03 Royal West Sussex NHS 4 n/a a a a a a 3 3 b n/a b /02 Salford Royal Hospitals NHS 4 n/a 2 1 a n/a /01+ Salisbury Health Care NHS 4 n/a n/a /02+ Sherwood Forest Hospitals NHS 4 n/a n/a /01 South Tees Hospitals NHS n/a n/a South Warwickshire General Hospitals NHS 4 n/a n/a /02+ Southport and Ormskirk Hospital NHS 5 n/a b n/a n/a /02+ St George s Healthcare NHS b /03 St Helens and Knowsley Hospitals NHS 4 n/a a a a a a n/a /02+ Swindon and Marlborough NHS 5 n/a n/a b 07/03 The Hillingdon Hospital NHS ^ 2 n/a b n/a b 06/02+ The Mid Cheshire Hospitals NHS 2 n/a a a a a a n/a /01+ The Newcastle Upon Tyne Hospitals NHS /02+ The Royal Wolverhampton Hospitals NHS 2 a b n/a b /01 The Whittington Hospital NHS 2 n/a n/a /02 University Hospital Of North Staffordshire NHS b /02+ University Hospitals Coventry and Warwickshire NHS /01+ Walsall Hospitals NHS 4 n/a b n/a /02+ West Middlesex University NHS 4 n/a b n/a b /02+ Barnet and Chase Farm Hospitals NHS 4 n/a b b b b b n/a /02+ Barts and The London NHS b /01+ Brighton and Sussex University Hospitals NHS 4 3 b b b b b n/a /02 Focus areas 5 significantly above average 4 above average 3 average 2 below average 1 significantly below average Data n/a not applicable a not available b not provided/invalid data achieved underachieved significantly underachieved significant strengths many strengths strengths significant areas of weakness n/a not applicable ^ denotes a combined trust therefore also rated in mental health tables CHI review + progress against the trust action plan has been assessed mm/yy date CHI report published no CHI report Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia: improvement score Consultant appraisal Data quality Junior doctors' hours

14 22 23 A&E emergency admission waits (12 hours) Cancelled operations not admitted within 28 days Hospital cleanliness Number of inpatients waiting longer than the Number of outpatients waiting longer than the Total time in A&E Two week cancer waits Death within 30 days of a heart bypass operation Death within 30 days of selected surgical procedures discharge discharge for children treatment for a fractured hip treatment for a stroke Infection control procedures Thrombolysis treatment time A&E emergency admission waits (4 hours) Better hospital food Breast cancer treatment Cancelled operations Day case booking Delayed transfers of care Nine month heart operation waits Outpatient / A&E survey access & waiting Outpatient / A&E survey better information, more choice Outpatient / A&E survey building relationships Outpatient / A&E survey clean, comfortable, friendly place to be Outpatient / A&E survey safe, high quality, coordinated care Paediatric outpatient did not attends rates Privacy & dignity Six month inpatient waits Thirteen week outpatient waits Total inpatient waits Waiting time for rapid access chest pain clinic CHI review? Organisation Rating Clinical focus Patient focus Capacity & capability focus CHI These trusts do not include mental health services provided by combined trusts; refer to mental health ratings report for this information. Bromley Hospitals NHS 5 n/a a a a a a n/a n/a b 03/02 Burnley Health Care NHS 5 n/a n/a /03 Dudley Group Of Hospitals NHS 5 n/a b n/a /02 East and North Hertfordshire NHS 4 n/a a a a a a n/a b b 06/02 East Kent Hospitals NHS 4 n/a n/a /02 Epsom and St Helier NHS b 4 n/a b b 3 1 n/a b b b b b /01+ Hereford Hospitals NHS b 4 n/a b 4 2 n/a n/a b /02+ Hull and East Yorkshire Hospitals NHS b /01+ Medway NHS 4 n/a a b 2 3 n/a b /02+ Mid Yorkshire Hospitals NHS 4 n/a b n/a /02+ Newham Healthcare NHS 4 n/a 3 3 a n/a n/a /01 North Cheshire Hospitals NHS 4 n/a a a a a a n/a b 3 10/02 Oxford Radcliffe Hospital NHS /01 Pennine Acute Hospitals NHS 4 n/a a a a a a n/a b /01+ Royal Berkshire and Battle Hospitals NHS 4 n/a b n/a /01 Scarborough and North East Yorkshire Health Care NHS 2 n/a b n/a /01 Surrey and Sussex Healthcare NHS 4 n/a n/a /02 Tameside and Glossop Acute Services NHS 5 n/a n/a b b n/a n/a n/a b b b b b /02 The Princess Alexandra Hospital NHS 2 n/a b n/a b b /02 The Princess Royal Hospital NHS 5 n/a n/a n/a Trafford Healthcare NHS 2 n/a b n/a b /01+ United Lincolnshire Hospitals NHS 5 n/a n/a /02 West Hertfordshire Hospitals NHS 4 n/a a a a a a n/a n/a /02 Focus areas 5 significantly above average 4 above average 3 average 2 below average 1 significantly below average Data n/a not applicable a not available b not provided/invalid data achieved underachieved significantly underachieved significant strengths many strengths strengths significant areas of weakness n/a not applicable ^ denotes a combined trust therefore also rated in mental health tables CHI review + progress against the trust action plan has been assessed mm/yy date CHI report published no CHI report Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia: improvement score Consultant appraisal Data quality Junior doctors' hours

15 24 25 A&E emergency admission waits (12 hours) Cancelled operations not admitted within 28 days Hospital cleanliness Number of inpatients waiting longer than the Number of outpatients waiting longer than the Total time in A&E Two week cancer waits Death within 30 days of a heart bypass operation Death within 30 days of selected surgical procedures discharge discharge for children treatment for a fractured hip treatment for a stroke Infection control procedures Thrombolysis treatment time A&E emergency admission waits (4 hours) Better hospital food Breast cancer treatment Cancelled operations Day case booking Delayed transfers of care Nine month heart operation waits Outpatient / A&E survey access & waiting Outpatient / A&E survey better information, more choice Outpatient / A&E survey building relationships Outpatient / A&E survey clean, comfortable, friendly place to be Outpatient / A&E survey safe, high quality, coordinated care Paediatric outpatient did not attends rates Privacy & dignity Six month inpatient waits Thirteen week outpatient waits Total inpatient waits Waiting time for rapid access chest pain clinic CHI review? Organisation Rating Clinical focus Patient focus Capacity & capability focus CHI These trusts do not include mental health services provided by combined trusts; refer to mental health ratings report for this information. Weston Area Health NHS 4 n/a a b n/a a a n/a n/a /01+ Whipps Cross University Hospital NHS 4 n/a b n/a b /02+ Worcestershire Acute Hospitals NHS 4 n/a b n/a /03 Worthing and Southlands Hospitals NHS 4 n/a n/a /02+ Good Hope Hospital NHS 4 n/a n/a /02 Isle of Wight Healthcare NHS ^ 4 n/a n/a /01+ Maidstone and Tunbridge Wells NHS 4 n/a b n/a b /02 Milton Keynes General Hospital NHS 2 n/a b n/a /01 North Bristol NHS 4 n/a n/a b /02+ North Cumbria Acute Hospitals NHS 4 n/a n/a /03 Royal Shrewsbury Hospitals NHS 5 n/a n/a /02 Royal Surrey County Hospital NHS b 5 n/a b 2 1 n/a n/a /01 Royal United Hospital Bath NHS 4 n/a b n/a /01 South Buckinghamshire NHS 4 n/a n/a /02 South Manchester University Hospitals NHS b 4 b b b b b b 2 3 b b b /02 Stoke Mandeville Hospital NHS b 4 n/a b b 4 3 n/a b b /02 United Bristol Healthcare NHS b /02 University Hospitals of Leicester NHS /03 Focus areas 5 significantly above average 4 above average 3 average 2 below average 1 significantly below average Data n/a not applicable a not available b not provided/invalid data achieved underachieved significantly underachieved significant strengths many strengths strengths significant areas of weakness n/a not applicable ^ denotes a combined trust therefore also rated in mental health tables CHI review + progress against the trust action plan has been assessed mm/yy date CHI report published no CHI report Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia: improvement score Consultant appraisal Data quality Junior doctors' hours

16 Organisation Rating Clinical focus Patient focus Capacity & capability focus CHI Specialist trusts These trusts provide specialist acute services. They have been performance rated on the set of indicators applicable to acute trusts, omitting those which do not apply to their services. A&E emergency admission waits (12 hours) Cancelled operations not admitted within 28 days Hospital cleanliness Number of inpatients waiting longer than the Number of outpatients waiting longer than the Total time in A&E Two week cancer waits Death within 30 days of a heart bypass operation Death within 30 days of selected surgical procedures discharge discharge for children treatment for a fractured hip treatment for a stroke Infection control procedures Methicillin Resistant Staphylococcus aureus (MRSA) bacteraemia: improvement score Thrombolysis treatment time A&E emergency admission waits (4 hours) Better hospital food Breast cancer treatment Cancelled operations Day case booking Delayed transfers of care Nine month heart operation waits Outpatient / A&E survey access & waiting Outpatient / A&E survey better information, more choice Outpatient / A&E survey building relationships Outpatient / A&E survey clean, comfortable, friendly place to be Outpatient / A&E survey safe, high quality, coordinated care Paediatric outpatient did not attends rates Privacy & dignity Six month inpatient waits Thirteen week outpatient waits Total inpatient waits Waiting time for rapid access chest pain clinic Consultant appraisal Data quality Junior doctors' hours CHI review? Birmingham Women's Health Care NHS Clatterbridge Centre for Oncology NHS Great Ormond Street Hospital for Children NHS n/a n/a 5 n/a n/a 1 n/a n/a n/a 3 a n/a n/a 5 n/a n/a n/a n/a b /01+ n/a n/a n/a n/a 4 n/a n/a a n/a n/a n/a 3 a n/a n/a 3 5 n/a n/a n/a n/a n/a b /02+ n/a n/a n/a 4 n/a n/a n/a 5 n/a n/a 5 3 n/a n/a 3 n/a n/a n/a n/a n/a n/a n/a n/a /03 Liverpool Women's Hospital NHS n/a n/a 5 n/a n/a 3 n/a n/a n/a 3 a n/a n/a 5 n/a 3 3 n/a n/a n/a /01+ Moorfields Eye Hospital NHS n/a n/a n/a 5 n/a n/a 1 n/a n/a n/a 3 a n/a n/a 5 n/a n/a n/a n/a /02+ Nuffield Orthopaedic NHS n/a n/a n/a 4 n/a n/a 5 n/a n/a n/a 5 a n/a n/a 3 n/a n/a n/a n/a /03 Papworth Hospital NHS n/a n/a 2 3 n/a 3 n/a n/a n/a 5 1 n/a n/a 3 b n/a n/a /02+ Royal Liverpool Children's NHS 4 n/a n/a n/a 4 n/a n/a 3 4 n/a 4 3 n/a n/a n/a n/a n/a n/a n/a n/a /02 The Queen Victoria Hospital NHS n/a n/a 4 n/a n/a 4 n/a n/a n/a 4 3 n/a n/a n/a b b /03 The Royal Marsden NHS n/a n/a 2 n/a n/a 3 n/a n/a n/a 3 3 n/a n/a n/a n/a n/a /02 Birmingham Children's Hospital NHS 2 n/a n/a n/a 3 n/a n/a 3 3 n/a 4 5 n/a n/a n/a n/a n/a n/a n/a n/a b /02 Christie Hospital NHS n/a n/a 4 n/a n/a 5 n/a n/a n/a 4 3 n/a n/a n/a n/a n/a b /02 Royal Brompton and Harefield NHS n/a n/a 4 3 n/a 2 n/a n/a n/a 2 3 n/a n/a 3 n/a n/a /03 Royal National Hospital for Rheumatic Diseases NHS n/a n/a n/a n/a 4 n/a n/a b n/a n/a n/a 5 a n/a n/a 3 n/a n/a 1 n/a n/a n/a n/a /03 Royal Orthopaedic Hospital NHS n/a n/a n/a 4 n/a n/a 5 n/a n/a n/a 4 a n/a n/a 5 n/a n/a n/a n/a /03 Sheffield Children's NHS 2 n/a n/a n/a 1 n/a n/a 2 a n/a 5 5 n/a n/a n/a n/a n/a n/a n/a n/a /02+ The Cardiothoracic Centre - Liverpool NHS The Royal National Orthopaedic Hospital NHS Walton Centre for Neurology and Neurosurgery NHS Robert Jones and Agnes Hunt Orthopaedic and District Hospital NHS n/a n/a 2 b n/a 3 n/a n/a n/a 1 3 n/a n/a 3 n/a n/a n/a /03 n/a n/a n/a 4 n/a n/a 5 n/a n/a n/a 2 3 n/a n/a 3 n/a n/a n/a /02+ n/a n/a n/a 4 n/a n/a 5 n/a n/a n/a 3 3 n/a n/a 5 n/a n/a n/a n/a /03 n/a n/a n/a 5 n/a n/a 4 n/a n/a n/a 2 a n/a n/a 5 n/a n/a n/a /02 Focus areas 5 significantly above average 4 above average 3 average 2 below average 1 significantly below average significant strengths many strengths strengths significant areas of weakness n/a not applicable 26 Data n/a not applicable a not available b not provided/invalid data achieved underachieved significantly underachieved CHI review + progress against the trust action plan has been assessed mm/yy date CHI report published no CHI report 27