Quality Accounts Data Dictionary 2015/16 This data dictionary is designed to support the production of Quality Accounts in 2015/16. We have included information requested of NHS England last year and the dates when the latest data sets will be available. The next refresh of the Health and Social Care Information Centre (HSCIC) Quality Accounts portal is March 2015. At that point the data sets contained here are all available through the HSCIC portal. We will keep this Quality Accounts Data Dictionary up to the 30 June 2015 and add to it if any specific queries arise. If there are any discrepancies or amendments that need to be made please email: QualityAccounts@dh.gsi.gov.uk and we will clarify and respond to your enquiry and update the data dictionary as necessary. The data dictionary should be read in conjunction with the Quality Accounts FAQ available at: http://www.nhs.uk/aboutNHSChoices/professionals/healthandcareprofessionals/quality-accounts/Pages/about-qualityaccounts.aspx For enquiries relating to the HSCIC website and the HSCIC Quality Accounts portal email: enquiries@hscic.gov.uk Version V3 – 14/04/2015 High quality care for all, now and for future generations Quality Accounts Data Dictionary The core Quality Account Indicators *all are required as per their regulations except for the Friends and Family Test - patient element. Prescribed Information 12. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to— (a) the value and banding of the summary hospitallevel mortality indicator (“SHMI”) for the trust for the reporting period; and (b) the percentage of patient deaths with palliative care coded at either diagnosis or specialty level for the trust for the reporting period. Related NHS Outcomes Framework Domain & who will report on them 1: Preventing People from dying prematurely 2: Enhancing quality of life for people with long-term conditions Trusts providing relevant acute services *the palliative care indicator is a contextual indicator. Version V3 – 14/04/2015 Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated Summary HospitalLevel Mortality Indicator (SHMI) The Summary Hospital-level Mortality Indicator (SHMI) reports on mortality at trust level across the NHS in England. The SHMI is the ratio between the actual number of patients who die following treatment at the trust and the number that would be expected to die on the basis of average England figures, given the characteristics of the patients treated there. It covers all deaths reported of patients who were admitted to non-specialist acute trusts in England and either die while in hospital or within 30 days of discharge. SHMI is updated quarterly and exact publication dates are released on our website at: SHMI is updated quarterly and exact publication dates are released on our website at: Guidance on how to accurately describe and interpret the SHMI is available at the following link and trusts are strongly advised to consult this document prior to completing their Quality Account: Data covering discharges in the reporting period July 2013 – June 2014 was published on 27/01/15. http://www.hscic.gov.uk/media/16114/SHMI-guidance-forpress-teams-andjournalists/pdf/SHMI_guidance_for_press_teams_and_journ alists.pdf http://www.hscic. gov.uk/pubs/cale ndar http://www.hscic.go v.uk/pubs/calendar Data covering discharges in the reporting period October 2013 – September 2014 will be published on 29/04/15. To help users of the data understand the SHMI, trusts have been categorised into one of the following three bandings: • SHMI Banding = 1 indicates that the trust’s SHMI is ‘higher than expected’ • SHMI Banding = 2 indicates that the trust’s SHMI is ‘as expected’ • SHMI Banding = 3 indicates that the trust’s SHMI is High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated ‘lower than expected’ Trusts are advised to use the banding descriptions i.e. ‘higher than expected’, ‘as expected’, or ‘lower than expected’ rather than the numerical codes which correspond to these bandings. This is because, on their own, the numerical codes are not meaningful and cannot be readily understood by readers. The England average SHMI is 1.0 by definition, and this corresponds to a SHMI banding of ‘as expected’. For the SHMI, a comparison should not be made with the highest and lowest trust level SHMIs because the SHMI cannot be used to directly compare mortality outcomes between trusts and, in particular, it is inappropriate to rank trusts according to their SHMI. The SHMI data are available at: http://indicators.ic.nhs.uk/webview/ The SHMI data can be found towards the bottom of the navigation tree on the left-hand side of the page. Downloads for the five most recent SHMI releases are available on the ‘Recent SHMI Publications’ page. Downloads for earlier SHMI releases are available from the 'Historic SHMI Publications' page. The SHMI value and SHMI banding are reported in the columns VALUE and OD_BANDING in the files ‘SHMI data at trust level, <reporting period> (xls)’ or ‘SHMI data at trust level, <reporting period> (csv)’ in the ‘SHMI data’ folder in the zip file download for each publication. Version V3 – 14/04/2015 High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated To support the interpretation of the SHMI, various contextual indicators are published alongside it. The percentage of patient deaths with palliative care1 coded at either diagnosis or specialty level is reported in the COMBINED_RATE column in the file ‘Percentage of deaths with palliative care coding, <reporting period> (csv)’ or ‘Percentage of deaths with palliative care coding, <reporting period> (xls)’ in the ‘SHMI contextual indicators’ > ‘Palliative care coding’ folder in the zip file download for each publication. The SHMI contextual indicator national average figures are reported in the ‘Contextual information’ section of the ‘Executive summary’ of the SHMI quarterly report which is available from the ‘Resources’ section of the HSCIC publication pages below: http://www.hscic.gov.uk/pubs/shmioct12sep13 http://www.hscic.gov.uk/pubs/shmijan13dec13 http://www.hscic.gov.uk/pubs/shmiapr13mar14 http://www.hscic.gov.uk/pubs/shmijul13jun14 http://www.hscic.gov.uk/pubs/shmioct13sep14 (due to be published on 29/04/15). Where trusts include other mortality indicators e.g. HSMR or RAMI in their Quality Account it is advised that some explanation of the main differences between these and SHMI is provided to assist users. Also, if trusts use sources of SHMI data in addition to the HSCIC’s Indicator Portal, the data source should be stated. 1 The SHMI methodology does not make any adjustment for patients who are recorded as receiving palliative care. This is because there is considerable variation between trusts in Version V3 – 14/04/2015 High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated Q1-Q3 of 2014/15 Publication timetable at: the coding of palliative care. Details of further analysis on this issue can be referenced in the Palliative Care Coding. Report available to download from: http://www.hscic.gov.uk/SHMI 13. The data made available to the National Health Service trust or NHS foundation trust with regard to the percentage of patients on Care Programme Approach who were followed up within 7 days after discharge from psychiatric inpatient care during the reporting period. 1: Preventing People from dying prematurely 2: Enhancing quality of life for people with long-term conditions All trusts providing mental health services Patients on Care Programme Approach (CPA) followed up within 7 days of discharge from psychiatric inpatient stay. The percentage of patients on Care Programme Approach who were followed up within 7 days after discharge from psychiatric inpatient care during the reporting period. http://www.england. nhs.uk/statistics/sta tistical-workareas/mentalhealth-communityteams-activity/ The latest data is available at: http://www.england.nhs.uk/statistics/statistical-workareas/mental-health-community-teams-activity/ Select the value from the "Proportion of patients on CPA who were followed up within 7 days after discharge from psychiatric inpatient care (QA)" column. For a technical definition of this indicator please see the following guidance document: 14. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the percentage of Category A telephone calls (Red 1 and Red 2 calls) resulting in an emergency response by the 1: Preventing People from dying prematurely Ambulance trusts Version V3 – 14/04/2015 Category A telephone calls (Red 1 and Red 2 calls); emergency response within 8 minutes. http://www.england.nhs.uk/statistics/wpcontent/uploads/sites/2/2013/04/MHPrvCom_Guidancev2.3.doc The percentage of Category A telephone calls resulting in an emergency response by the trust at the scene of the emergency within 8 minutes of receipt of that call during the reporting period. An annual summary is at: http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2F172.16.9.26%3A80%2Fobj% 2FfStudy%2FP01546&mode=documentation January 2015 data will be published 05/03/15 Publication timetable at: www.england.nhs.u k/statistics/statistica l-workareas/ambulancequality-indicators High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title trust at the scene of the emergency within 8 minutes of receipt of that call during the reporting period. Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated January 2015 data will be published 05/03/15 Publication timetable at: November 2014 data will be published 05/03/15 Publication timetable at: Within the "Ambulance Systems Indicators" select values (for Red 1 and Red 2 calls separately) from the two "Proportion of calls responded to within 8 minutes" columns. 14.1 The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the percentage of Category A telephone calls resulting in an ambulance response by the trust at the scene of the emergency within 19 minutes of receipt of that call during the reporting period. 1: Preventing People from dying prematurely 15. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the percentage of patients with a pre-existing diagnosis of suspected ST elevation myocardial infarction who received an appropriate care bundle from the trust during the reporting period. 1: Preventing People from dying prematurely Ambulance trusts Category A telephone calls; ambulance response within 19 minutes. The percentage of Category A telephone calls resulting in an ambulance response by the trust at the scene of the emergency within 19 minutes of receipt of that call during the reporting period. An annual summary is at: http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2F172.16.9.26%3A80%2Fobj% 2FfStudy%2FP01546&mode=documentation www.england.nhs.u k/statistics/statistica l-workareas/ambulancequality-indicators Within the "Ambulance Systems Indicators" select the value from the "Proportion of calls responded to within 19 minutes" column. 3: Helping people to recover from episodes of ill health or following injury Ambulance trusts Version V3 – 14/04/2015 Patients with suspected ST elevation myocardial infarction who received an appropriate care bundle. (Domain 1 and 3) The percentage of patients with a pre-existing diagnosis of suspected ST elevation myocardial infarction (STEMI) who received an appropriate care bundle from the trust during the reporting period. An annual summary is at: http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2F172.16.9.26%3A80%2Fobj% 2FfStudy%2FP01548&mode=documentation www.england.nhs.u k/statistics/statistica l-workareas/ambulancequality-indicators Within the "Ambulance Clinical Outcomes" file select the value from the "Proportion with ST-elevation myocardial infarction who received an appropriate care bundle" column High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated November 2014 data will be published 05/03/15 Publication timetable at: Q1 – Q3 2014/15 available (Q3 published 06/02/15) Publication timetable at: in the "Acute STEMI" tab. 16. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the percentage of patients with suspected stroke assessed face to face who received an appropriate care bundle from the trust during the reporting period. 1: Preventing People from dying prematurely 17. The data made available to the National Health Service trust or NHS foundation trust with regard to the percentage of admissions to acute wards for which the Crisis Resolution Home Treatment Team acted as a gatekeeper during the reporting period. 2: Enhancing quality of life for people with long-term conditions 3: Helping people to recover from episodes of ill health or following injury Ambulance trusts All trusts providing mental health services Patients with suspected stroke assessed face to face who received an appropriate care bundle. (Domain 1 and 3) The percentage of patients with suspected stroke assessed face to face who received an appropriate care bundle from the trust during the reporting period. Admissions to acute wards gate kept by Crisis Resolution Home Treatment Team. The percentage of admissions to acute wards for which the Crisis Resolution Home Treatment Team (CRHT) acted as a gatekeeper during the reporting period. An annual summary is at: http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2F172.16.9.26%3A80%2Fobj% 2FfStudy%2FP01549&mode=documentation www.england.nhs.u k/statistics/statistica l-workareas/ambulancequality-indicators Within the "Download Ambulance Clinical Outcomes" file select the value from the "Proportion of suspected stroke patients assessed face to face who received an appropriate care bundle" column in the "Stroke" tab. The latest data is available at: http://www.england.nhs.uk/statistics/statistical-workareas/mental-health-community-teams-activity/ Select the value from the "Proportion of admissions to acute wards that were gate kept by the CRHT teams (QA)" column. http://www.england. nhs.uk/statistics/sta tistical-workareas/mentalhealth-communityteams-activity/ For a technical definition of this indicator please see the following guidance document: http://www.england.nhs.uk/statistics/wp- Version V3 – 14/04/2015 High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated 2012/13 annual finalised PROMS data is available. Later provisional data is available: content/uploads/sites/2/2013/04/MHPrvCom_Guidancev2.3.doc 18. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the trust’s patient reported outcome measures scores for— groin hernia surgery, (ii) varicose vein surgery, (iii) hip replacement surgery, and (iv) knee replacement surgery, during the reporting period. 19. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the percentage of patients aged: (i) 0 to 15; and (ii) 16 or over, 3: Helping people to recover from episodes of ill health or following injury PROMS; patient reported outcome measures. Patient Reported Outcome Measures (PROMs) are a means of collecting information on the effectiveness of care delivered to NHS patients as perceived by the patients themselves; reported at NHS Trust / independent sector provider and CCG level as scores for: http://www.hscic.go v.uk/proms All acute trusts (i) groin hernia surgery (ii) varicose vein surgery (iii) hip replacement surgery (iv) knee replacement surgery (i) The latest data is available at: http://www.hscic.gov.uk/proms 3: Helping people to recover from episodes of ill health or following injury All trusts Patients readmitted to a hospital within 28 days of being discharged. Click through to the latest publication of provisional or final data, download the CSV data pack zip file and open the Provider and Commissioner data CSV file. Casemixadjusted average health gains are shown in the ‘Adjusted Average Health Gain’ column. The percentage of patients readmitted to a hospital which forms part of the trust within 28 days of being discharged from a hospital which forms part of the trust during the reporting period; aged: 2011/12 To be confirmed (i) 0 to 15; and (ii) 16 or over. The latest data from the Hospital Episode Statistics: Emergency readmissions to hospital within 28 days of discharge is available at: Readmitted to a hospital Version V3 – 14/04/2015 High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title which forms part of the trust within 28 days of being discharged from a hospital which forms part of the trust during the reporting period. Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated 2013/14 Publication timetable at: https://indicators.ic.nhs.uk/webview/ (Section 'Compendium of population health indicators > Hospital Care > Outcomes > Readmissions'. To find the percentage of patients aged 0-15 readmitted to hospital within 28 days of being discharged, download "Emergency readmissions to hospital within 28 days of discharge: indirectly standardised percentage, <16 years, annual trend, P" (Indicator P00913) from the HSCIC Portal and select from the “Indirectly age, sex, method of admission, diagnosis, procedure standardised percentage” column. http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2Fhg-l-app472.ic.green.net%3A80%2Fobj%2FfStudy%2FP00913&mo de=documentation To find the percentage of patients aged 16 or over readmitted to hospital within 28 days of being discharged, download "Emergency readmissions to hospital within 28 days of discharge : indirectly standardised percentage, 16+ years, annual trend, P" (Indicator P00904)and select from the “Indirectly age, sex, method of admission, diagnosis, procedure standardised percentage” column. http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2Fhg-l-app472.ic.green.net%3A80%2Fobj%2FfStudy%2FP00904&mo de=documentation 20. The data made available to the National Health 4: Ensuring that people have a positive Version V3 – 14/04/2015 Responsive ness to the The trust’s score with regard to its responsiveness to the personal needs of its patients during the reporting period. High quality care for all, now and for future generations Prescribed Information Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the trust’s responsiveness to the personal needs of its patients during the reporting period. Related NHS Outcomes Framework Domain & who will report on them experience of care All acute trusts Indicator Title personal needs of patients. Indicator Definition Data available at 31 March 2015 This indicator which is based on data from the National Inpatient Survey, forms part of the NHS Outcome Framework (Domain 4 - Indicator 4.2) and the latest data is available on the HSCIC Indicator Portal for 2003/04 to 2013/14 at: Date next time this data set will be updated http://www.england. nhs.uk/statistics/sta tistical-workareas/pat-exp/ http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2Fhg-l-app472.ic.green.net%3A80%2Fobj%2FfStudy%2FP01391&mo de=documentation (Section: NHS Outcomes Framework > Domain 4 - Ensuring People Have a Positive Experience of Care (Indicator P01391)) Indicator 4.2 is based on 5 questions from the inpatient survey. This information is no longer provided by the Department of Health (http://transparency.dh.gov.uk/toolsfor-understanding-patient-experience/). 4.2 used to be a national CQUIN but are no longer used for this purpose. 2013 inpatient survey available at: http://www.cqc.org.uk/public/reports-surveys-andreviews/surveys/inpatient-survey-2013 Only the overall score is being proposed to be used as the high level outcome measure. A breakdown of responses to individual questions within the survey, including historical trends, has been published, and is available at: http://www.england.nhs.uk/statistics/statistical-work- Version V3 – 14/04/2015 High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated The percentage of staff employed by, or under contract to, the trust during the reporting period who would recommend the trust as a provider of care to their family or friends. Overall patient experience scores 2014/15: 2015/16 The latest data is available at: http://www.engla nd.nhs.uk/statisti cs/2014/12/02/ov erall-patientexperiencescores-2014accident-andemergency-aesurvey-update/ areas/pat-exp/sup-info/ Historical information is available at: http://transparency.dh.gov.uk/tools-for-understandingpatient-experience/ 21. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the percentage of staff employed by, or under contract to, the trust during the reporting period who would recommend the trust as a provider of care to their family or friends. 4: Ensuring that people have a positive experience of care 21.1 Friends and Family Test – Patient. The data made available by National Health Service Trust or NHS Foundation Trust by the Health and Social Care Information Centre for all acute providers of adult NHS funded care, covering 4: Ensuring that people have a positive experience of care All trusts Staff who would recommend the trust to their family or friends. http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2F172.16.9.26%3A80%2Fobj% 2FfStudy%2FP01554&mode=documentation Download the “Question Level Data” then "Your managers and organisation (Q10 – Q12)" and using data from the following column: “12d. If a friend or relative needed treatment I would be happy with the standard of care provided by this organisation” add the percentages who agreed and who strongly agreed with this statement. "Historical Staff Survey Results" are also available. All acute trusts Version V3 – 14/04/2015 Friends and Family Test - patient This indicator is not a statutory requirement. The trust's score from a single question which asks patients whether they would recommend the NHS service they have received to friends and family who need similar treatment or care. It is for providers of NHS funded acute services for inpatients (including independent sector organisations that provide acute NHS services), patients discharged from A&E (type 1 & 2) and women using maternity services. January 2015: http://www.engla nd.nhs.uk/statisti cs/statisticalworkareas/friendsand-familytest/friends-and- Data published monthly - Full financial year data 2014-15 will be available from 30th April 2015 at: http://www.england. nhs.uk/statistics/sta High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title services for inpatients and patients discharged from Accident and Emergency (types 1 and 2). Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated The latest data is available at: family-test-data/ tistical-workareas/friends-andfamily-test/friendsand-family-testdata/ 2014/15 Publication timetable at: http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2F172.16.9.26%3A80%2Fobj% 2FfStudy%2FP01661&mode=documentation This data is to be presented as set out in the spreadsheet. 22. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the trust’s “Patient experience of community mental health services” indicator score with regard to a patient’s experience of contact with a health or social care worker during the reporting period. 2: Enhancing quality of life for people with long-term conditions 4: Ensuring that people have a positive experience of care All trusts providing mental health services Patient experience of community mental health services. The trust’s ‘Patient experience of community mental health services’ indicator score with regard to a patient’s experience of contact with a health or social care worker during the reporting period. This indicator, which uses community mental health services survey data, forms part of the NHS Outcome PuFramework (Indicator 4.7). Data for 2010 to 2013 and the Indicator Specification document are available on the HSCIC Portal at: https://indicators.ic.nhs.uk/webview/ (Section: NHS Outcomes Framework > Domain 4 > Improvement areas > Improving experience of healthcare for people with mental illness (Indicator P01413) Only the overall score is being proposed to be used as the high level outcome measure. A breakdown of responses to individual questions within the survey, including historical trends, has been published, and is available at: http://www.england. nhs.uk/statistics/sta tistical-workareas/mentalhealth-communityteams-activity/ http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2F172.16.9.26%3A80%2Fobj% 2FfStudy%2FP01555&mode=documentation Further information and an "A-Z list of community mental health services survey results by NHS trust" can be found at: Version V3 – 14/04/2015 High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated Data for Q2 2010/11 to Q3 2014/15 available. Publication timetable at: Data for the 11 months to February 2015 – NB this will just be the numbers, not bed day rates. 9 July 2015 http://www.cqc.org.uk/content/community-mental-healthsurvey-2014 23. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the percentage of patients who were admitted to hospital and who were risk assessed for venous thromboembolism during the reporting period. 5: Treating and caring for people in a safe environment and protecting them from avoidable harm All acute trusts Patients admitted to hospital who were risk assessed for venous thromboem bolism. The percentage of patients who were admitted to hospital and who were risk assessed for venous thromboembolism (VTE) during the reporting period. The latest data (2014/15) is available at: http://www.england.nhs.uk/statistics/statistical-workareas/vte/vte-risk-assessment-2014-15/ http://www.england. nhs.uk/statistics/sta tistical-workareas/vte/ Previous data (Q2 2010/11 – 2014/15) is available at: http://www.england.nhs.uk/statistics/statistical-workareas/vte/ Download the Excel/CSV file for the relevant quarter or month. Select the value from the "Percentage of admitted patients risk-assessed for VTE" column. 24. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the rate per 100,000 bed days of cases of C difficile infection reported within the trust amongst patients aged 2 or over during the reporting period. 5: Treating and caring for people in a safe environment and protecting them from avoidable harm All acute trusts Version V3 – 14/04/2015 Rate of C.difficile infection. The rate per 100,000 bed days of trust apportioned cases of C. difficile infection that have occurred within the trust amongst patients aged 2 or over during the reporting period. The latest data is available at: http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2F172.16.9.26%3A80%2Fobj% 2FfStudy%2FP01557&mode=documentation Download "Tables 6: Financial year counts and rates of C. difficile infection by NHS acute Trust" and select the value from the "Rate per 100,000 bed-days for specimens taken from patients aged 2 years and over (Trust apportioned High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated 2003-2014 data The indicator will be changed in the 2015/16 NHS Outcomes Framework. cases)*" column. 25. The data made available to the National Health Service trust or NHS foundation trust by the Health and Social Care Information Centre with regard to the number and, where available, rate of patient safety incidents reported within the trust during the reporting period, and the number and percentage of such patient safety incidents that resulted in severe harm or death. 5: Treating and caring for people in a safe environment and protecting them from avoidable harm All trusts Patient safety incidents and the percentage that resulted in severe harm or death. The number and, where available, rate of patient safety incidents that occurred within the trust during the reporting period, and the percentage of such patient safety incidents that resulted in severe harm or death. This indicator forms part of the NHS Outcome Framework (Domain 5 - Indicator 5a and 5b). Data and the Indicator Specification document are available on the Portal at: http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2Fhg-l-app472.ic.green.net%3A80%2Fobj%2FfStudy%2FP01394&mo de=documentation Data for October 2003 - June 2014 available. The specification for the new indicator will not be on HSCIC Indicator Portal until closer to the new financial year. http://indicators.ic.nhs.uk/webview/index.jsp?v=2&submode =ddi&study=http%3A%2F%2Fhg-l-app472.ic.green.net%3A80%2Fobj%2FfStudy%2FP01395&mo de=documentation (Section: NHS Outcomes Framework > Domain 5 – Treating and Caring for People in a Safe Environment and Protecting Them From Avoidable Harm > Overarching indicators: Indicators 5a and 5b (P01394 and P01395)). The latest data is available at: http://www.nrls.npsa.nhs.uk/resources/ Select the "Organisation Patient Safety Incident Reports data workbooks" and download the "Organisational data workbook". Select the value from the “Rate per 100 admissions” column. Version V3 – 14/04/2015 High quality care for all, now and for future generations Prescribed Information Related NHS Outcomes Framework Domain & who will report on them Indicator Title Indicator Definition Data available at 31 March 2015 Date next time this data set will be updated To find the number and percentage of incidents resulting in severe harm or death, separately sum the numbers and percentages from the “Severe” and “Death” columns. To access provider level data: http://www.nrls.npsa.nhs.uk/resources/collections/quarterlydata-summaries/ In the 2014/15 NHS Outcomes Framework there are 3 indicators that look at patient safety incidents reported to the National Reporting and Learning System (NRLS) of which one is included in the Quality Accounts Data Dictionary – that measuring incidents that results in severe harm or death. In 2015/16 the 3 indicators will be amalgamated into a single indicator. The number of incidents resulting in severe harm or death will be available as a breakdown of this single indicator. Please see page 69 of the 2015/16 NHS Outcomes Framework Technical Annex (link below) for a detailed description of this new, single indicator. https://www.gov.uk/government/uploads/system/uploads/att achment_data/file/385751/NHS_Outcomes_Tech_Appendix .pdf Version V3 – 14/04/2015 High quality care for all, now and for future generations