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Reviews / 2013

Independent reviewPublishedAcute careEngland

Review into the quality of care and treatment provided by 14 hospital trusts

Sir Bruce Keogh · work from 2013 · published 2013

What this was

Rapid review of 14 trusts identified from mortality data after Francis. Expert teams looked at leadership, safety, staffing and how each trust used data.

Why it sits in the hub

It showed that mortality signals could be used to trigger a national look at hospitals. It also showed the limits of a one-off inspection: several of the same trusts and themes reappear in later inquiries.

Findings

  1. Finding 1

    High mortality was associated with weak leadership, staffing problems, and poor use of early-warning data.

Recommendations in this hub

Paraphrase of the public recommendations, not the official text.

  1. 1Partly doneNHS England and regulators

    Put trusts with worrying mortality onto an urgent support and improvement footing.

  2. 2Partly doneHospital trusts

    Look hard at nurse staffing, out-of-hours care and how boards hear from patients.