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| Quarter of hospitals 'at raised risk of poor care' | Quarter of hospitals 'at raised risk of poor care' |
| (about 1 hour later) | |
| A quarter of hospital trusts in England are at raised risk of providing poor care, a review by the regulator shows. | A quarter of hospital trusts in England are at raised risk of providing poor care, a review by the regulator shows. |
| The findings are based on monitoring by the Care Quality Commission (CQC) of a host of data, including death rates, serious errors and patient surveys. | The findings are based on monitoring by the Care Quality Commission (CQC) of a host of data, including death rates, serious errors and patient surveys. |
| It found 44 out of 161 trusts fell into the two highest risk categories. | It found 44 out of 161 trusts fell into the two highest risk categories. |
| The exercise has been carried out as part of the regulator's new hospital inspection regime, which will see inspectors go into every trust by 2015. | The exercise has been carried out as part of the regulator's new hospital inspection regime, which will see inspectors go into every trust by 2015. |
| The first inspections got under way in September and by Christmas the first 18 will have been completed. | The first inspections got under way in September and by Christmas the first 18 will have been completed. |
| It will result in every trust being given a rating of either 'outstanding', 'good', 'requires improvement' or 'inadequate' as part of a shake-up in the system ordered after the Stafford Hospital scandal. | It will result in every trust being given a rating of either 'outstanding', 'good', 'requires improvement' or 'inadequate' as part of a shake-up in the system ordered after the Stafford Hospital scandal. |
| The CQC said the latest information was not a final judgement, but would be used to prioritise which trusts to inspect earlier in the process. | The CQC said the latest information was not a final judgement, but would be used to prioritise which trusts to inspect earlier in the process. |
| Hospital chief inspector Prof Sir Mike Richards likened the risk review to a form of "screening". | Hospital chief inspector Prof Sir Mike Richards likened the risk review to a form of "screening". |
| He added: "Our intelligent monitoring helps to give us a good picture of risk within trusts, showing us where we need to focus our inspections." | He added: "Our intelligent monitoring helps to give us a good picture of risk within trusts, showing us where we need to focus our inspections." |
| The regulator has assessed each trust's performance against up to 150 different indicators. | The regulator has assessed each trust's performance against up to 150 different indicators. |
| Those performing worse than would be expected on each indicator get marked down as being at risk or elevated risk for that topic. | Those performing worse than would be expected on each indicator get marked down as being at risk or elevated risk for that topic. |
| The number of risk scores they have determines which of the bands they are placed in. | The number of risk scores they have determines which of the bands they are placed in. |
| Bands one and two - those at highest risk - include 24 trusts and 20 trusts respectively. | Bands one and two - those at highest risk - include 24 trusts and 20 trusts respectively. |
| The trusts in band one include the 11 trusts already placed in special measures after a review of high mortality rates. | The trusts in band one include the 11 trusts already placed in special measures after a review of high mortality rates. |
| They are joined by Croydon Health Services, which was rated high risk in 12 areas for issues such as patient survey results and whistle-blowing. | They are joined by Croydon Health Services, which was rated high risk in 12 areas for issues such as patient survey results and whistle-blowing. |
| Also in band one are Barking, Havering and Redbridge, which was rated high risk in 13 areas including A&E waits and patient surveys, and Aintree, rated high risk in 11 areas including an elevated risk for mortality rates. | Also in band one are Barking, Havering and Redbridge, which was rated high risk in 13 areas including A&E waits and patient surveys, and Aintree, rated high risk in 11 areas including an elevated risk for mortality rates. |
| Health Foundation chief executive Dr Jennifer Dixon, who is also a CQC board member, said: "It makes sense to use the wealth of routinely available data in the NHS to try to spot patterns which might identify or predict poor quality care for patients. | |
| "The intelligent monitoring tool can never by itself be a crystal ball, but it is a great start and will surely develop over time." | "The intelligent monitoring tool can never by itself be a crystal ball, but it is a great start and will surely develop over time." |
| Labour Shadow Health Minister Jamie Reed said: "David Cameron should be ashamed that he's put so many of England's hospitals in this position. | |
| "He siphoned £3bn out of the NHS front-line to blow on a back-office re-organisation nobody voted for. Hospitals were left on a financial knife-edge and they are clearly struggling to maintain standards of patient care after more than three years of chaos." | |
| Use the table below to see how your local trust is rated. Select Trust Name to sort alphabetically or Band to sort by band. | Use the table below to see how your local trust is rated. Select Trust Name to sort alphabetically or Band to sort by band. |
| Each trust has been put into one of six bands. Bands one and two are the ones classed as high risk, while five and six are the lowest risk. | Each trust has been put into one of six bands. Bands one and two are the ones classed as high risk, while five and six are the lowest risk. |
| Not all the indicators are applicable to every trust - so trusts have only been assessed against the one relevant to them and a proportionate risk score has been calculated. | Not all the indicators are applicable to every trust - so trusts have only been assessed against the one relevant to them and a proportionate risk score has been calculated. |
| Where serious concerns have been expressed about a trust already, such as being placed in special measures, the organisation is automatically placed in band one regardless of the risk score. | Where serious concerns have been expressed about a trust already, such as being placed in special measures, the organisation is automatically placed in band one regardless of the risk score. |
| The trusts marked with an * are those that have been elevated for this reason. | The trusts marked with an * are those that have been elevated for this reason. |
| Source: Care Quality Commission | Source: Care Quality Commission |