Questions have been raised over the value of mortality statistics published for NHS hospitals, after an academic taking part in a review of their use branded them “spurious” and said the public would be better off ignoring them.
Hospital Standardised Mortality Ratios (HSMRs) have been published by Dr Foster Intelligence since 2001 and have been credited with helping to uncover excessive death rates at hospitals, such as Mid Staffordshire Foundation Trust.
However, Professor Nick Black, whose review is due to report to NHS medical Sir Bruce Keogh at the end of this year, has warned that they can give a misleading picture of a hospital’s performance.
He suggested that the data could be distorted by factors beyond hospitals’ control, such as the presence of a hospice in the neighbourhood.
“Personally, I would suggest that the public ignore them”
“I would go further and say it is a distraction, because it creates the risk of it giving a misleading idea of the quality of care of a hospital,” he said.
“That’s why I think we should be focusing on measures of the quality of care and not on a spurious measure of mortality ratios, which can be altered relatively easily.
“Personally, I would suggest that the public ignore them,” he added.
Roger Taylor, research director of Doctor Foster Intelligence, defended the use of the statistic, telling the programme: “We can point to the fact that they helped to identify issues at Mid Staffordshire Hospital and Basildon Hospital.
“We can point to the fact that the number of hospitals that use them actively as part of their quality assurance and quality improvement programmes,” he said. “They identify those areas where there’s a greater risk of poor quality care.”