EXCLUSIVE明らかにする／漏らすd, the NHS hospital 信用s 疫病／悩ますd by abnormally high deaths. Is YOURS on the 名簿（に載せる）／表（にあげる） of the worst 影響する／感情d?

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Five NHS 信用s are 疫病／悩ますd by abnormally high death 率s, MailOnline can today 明らかにする／漏らす.

Our 調査 into hospitals 示唆するs thousands of '超過' fatalities may have occurred between them.

Deaths at one 信用 in Norfolk have been flagged as 異常に high for almost five years.

十分な results of our 調査（する） ? based on the NHS's own mortality data ? can be 見解（をとる）d below in our postcode search 道具, which lets you see how your 信用 fares.

Although our 分析 can't 証明する any deaths could やむを得ず have been 避けるd or were 原因（となる）d by poor care, 専門家s 警告するd our 発見 was a 抱擁する red 旗.

NHS 長，指導者s publish in-depth fatality 公式発表s every month, 跡をつけるing how many hospitalised 患者s die within 30 days of 存在 発射する／解雇するd.

Under the 要約 hospital-level mortality 指示する人（物） (SHMI), created in the wake of the 中央の-Staffs スキャンダル in the late noughties, 公式の／役人s then calculate how many deaths they would have 推定する／予想するd for each 施設. This is based on 人物／姿／数字s across England as a whole and the 特徴 of the 患者s 扱う／治療するd there.

A 信用 is given a 'higher than 推定する／予想するd' 得点する／非難する／２０, or a banding of one, if the 観察するd number of deaths 越えるs the 概算の 範囲, or 利ざや of 不確定.

This should be 見解（をとる）d as a 'smoke alarm' which 要求するs その上の 調査, 公式の／役人s 主張する.?

NHS 数字表示式の, the 機関 which publishes SHMI updates, last week 明言する／公表するd seven 信用s had a higher than 推定する／予想するd number of deaths for the year ending January 31, 2025.?

MailOnline's 調査 跡をつけるd the 階級s of every 信用 since December 2018, when 月毎の updates were first 解放（する）d.?

Five have logged the worst SHMI 得点する／非難する／２０ for at least six 連続した months.?

Norfolk and Norwich University Hospitals NHS 創立／基礎 信用, which has a catchment area of a million 患者s and operates two hospitals, has had the 最高の，を越す banding every month since March 2020, when Covid kicked off.?

During the last year alone, that 信用 saw 535 more deaths than 推定する／予想するd.?

East Cheshire NHS 信用, which runs three hospitals in?Congleton, Knutsford and Macclesfield, has had the worst SHMI 得点する／非難する／２０ for 35 months in a 列／漕ぐ／騒動, dating 支援する to March 2022.?In the year to January 31, 2021, 公式の／役人s 記録，記録的な／記録するd 140 more deaths than 推定する／予想するd.

The other three 信用s 指名するd as having abnormally high deaths for at least six 連続した months were: 郡 Durham and Darlington NHS 創立／基礎 信用,?Medway NHS 創立／基礎 信用, and East Lancashire Hospitals NHS 信用.

Only 信用s that remain in 操作／手術 under their 2018 指名する were 含むd in the 分析.

University of Cambridge statistician Dr Stephen Burgess told MailOnline: 'In any league （米）棚上げする／（英）提議する, someone will always be worst off.?

'However, this isn’t 簡単に an unlucky finding ? the 信用s at the 底（に届く） of the （米）棚上げする／（英）提議する are markedly worse than 普通の／平均（する）.?

'It is not possible to say whether there is some systematic error in the way that the number of 推定する／予想するd deaths is 計算するd for some 信用s ? large 規模 collection of data is a コンビナート／複合体 過程.?

'However, the 人物／姿／数字s don't make happy reading. Over half of the months with more 報告（する）／憶測d deaths than 推定する／予想するd are attributable to the 底（に届く） 10 worst 成し遂げるing NHS 信用s.'

An NHS spokesperson said: 'The findings from any 分析 of the 要約 Health Mortality 指示する人（物） (SHMI) or its underlying data should 行為／法令／行動する as a starting point for その上の 調査, rather than 扱う／治療するd as a 最終的な 見解（をとる） on 質 of care.

'All hospital 信用s need to 診察する, understand and explain their SHMI value, and use this （警察などへの）密告，告訴（状） as a 誘発する to 診察する particular areas of 患者 care and take 活動／戦闘 if necessary.'

The NHS 明言する／公表するs it is '不適切な' for 信用s to be 階級d on their SHMI.

The 索引 was introduced in 2011 by then-Health 長官 Andrew Lansley, who said he was 決定するd to '向こうずね a light on poor 業績／成果' に引き続いて the 'appalling events at 中央の Staffs', often considered the worst hospital-care スキャンダル of 最近の times.?

Up to 1,200 患者s died as a result of poor care between January 2005 and March 2009 at Stafford hospital, run by the now-消滅した／死んだ 中央の Staffordshire NHS Hospital 信用.?

The horrors, 非難するd on cost cutting and poor 決定／判定勝ち（する）-making, were 暴露するd through a 類似の data 分析.

Lord La nsley, who served under David Cameron, said publishing the SHMI data 'will help us 避ける a repeat of that 悲劇'.

Sir Bruce Keogh, NHS 医療の director at the time, said 'no one 指示する人（物） alone can give us a 完全にする picture of a hospital’s 業績／成果'.

Explaining his logic, he 追加するd: 'For example, no-one would buy a car based only on the mileage or how many miles you get to the gallon ? you would look at lots of （警察などへの）密告，告訴（状） before making a 決定／判定勝ち（する）.?In the same way, to truly understand the 質 of care at a hospital, you must look at this と一緒に other （警察などへの）密告，告訴（状）.'

The 報告（する）／憶測 comes just two months after Keir Starmer sounded the death knell for NHS England.

The 総理大臣 宣言するd that the 'world's biggest quango' will be scrapped to 回復する 'democratic 支配（する）／統制する' and 削除する red tape.

Over the course of two years, the 団体／死体 will be 倍のd into the Department of Health, 潜在的に cutting 10,000 職業s and 解放する／自由なing up cash for strapped frontline services.

Long waits in A&E are thought to have 与える／捧げるd to thousands of needless deaths.??

（ドイツなどの）首相／（大学の）学長 Rachel Reeves last week 誓約（する）d to 増加する spending across the NHS by three per cent. It already gets in 超過 of £150billion 毎年.

What the five 信用s said, in 返答 to MailOnline's 調査??

Norfolk and Norwich University Hospitals NHS 創立／基礎 信用?

Dr Bernard Brett, 医療の director for the Norfolk and Norwich University Hospitals NHS 創立／基礎 信用, said: 'We have carried out a 十分な and 徹底的な rev iew of our mortality data and we have seen an 改良 in our SHMIs over the last year, which relates to more 徹底的な data 逮捕（する） and 改良s we have made in our care pathways for 患者s.

'There are a number of 推論する／理由s for higher than 推定する／予想するd SHMI 得点する／非難する／２０s and here in Norfolk we have an older 全住民, many with 重要な long-称する，呼ぶ／期間／用語 医療の 条件s, and a higher 割合 of palliative care 患者s in our hospital. We have also identified important differences in how we 逮捕（する） and 記録，記録的な／記録する data compared to other 信用s and there is an 現在進行中の 事業／計画（する） to 改善する 臨床の data and coding 質 and 確実にする that the 複雑さ of the 患者s we look after is 代表するd 正確に in our data. We are working with our system partners to 改善する our palliative care pathways.

'Our 信用 was one of the first in England to 器具／実施する the 医療の Examiner service and this team 供給するs 独立した・無所属 scrutiny of all deaths in the hospital. Whilst there are always 適切な時期s to learn and 改善する, there are no 指示，表示する物s from the 医療の Examiner service that the 信用 is an outlier for avoidable or 予期しない deaths.

'The 改良s we have made and continue to review are beginning to 衝撃 on the data we use for 監視するing the number of 患者s who die に引き続いて hospitalisation. This is something our 信用 Board continues to closely 監視する and is 報告（する）／憶測d to 地域の and 国家の 同僚s.'

郡 Durham and Darlington NHS 創立／基礎 信用?

A spokesperson for 郡 Durham and Darlington NHS 創立／基礎 信用 said: '郡 Durham and Darlington NHS 創立／基礎 信用 is committed to 供給するing high 質 患者 care and we take the 監視するing and understanding of mortality data very 本気で.

'The 信用 has a 井戸／弁護士席-設立するd Mortality Review 過程 and a fully embedded 患者 Safety 出来事/事件 調査 (PSII) 過程 to carefully identify and review 事例／患者s to 知らせる leaning and 改良s. Our 医療の Examiner Service also 供給するs an 付加 層 of 独立した・無所属 scrutiny across all in-hospital deaths. 正規の／正選手 報告（する）／憶測s are 株d through our Open 信用 Board in line with 国家の 指導／手引 on learning from deaths.

'解釈する／通訳するing mortality 指示する人（物）s such as SHMI is コンビナート／複合体 and a number of factors 与える／捧げる to variations in these 人物／姿／数字s over time. The 正確 and completeness of 臨床の 記録，記録的な／記録するs can 影響する／感情 SHMI categorisations, and changes in practice, 同様に as 地元の differences in how services are configured, can have an 衝撃 on 報告（する）／憶測d 人物／姿／数字s. It is a 幅の広い 統計に基づく 手段 which should not be used in 孤立／分離 to 査定する／（税金などを）課す the 質 of care 供給するd.

'In 新規加入 to our 信用 質 保証／確信 過程s, we also （売買）手数料，委託（する）／委員会／権限 外部の reviews to 供給する その上の 独立した・無所属 保証／確信 around our 過程s and are focussed on transparency, continuous learning and 改良 in 配達するing 安全な and compassionate care for all our 患者s.'

Medway NHS 創立／基礎 信用

Yet to comment?

East Lancashire Hospitals NHS 信用

Although a spokesperson did not give an 公式の／役人 声明, a member of the communications team said on email: 'The data is incorrect and we have nothing その上の to 追加する.'?

They argued that the high number of '無効の diagnosis codes' in the 信用's 人物／姿／数字s meant the numbers should not be analysed. Nine other 信用s were flagged as having a high 百分率 of 無効の diagnosis codes but 非，不，無 were 名簿（に載せる）／表（にあげる）d as having の中で the most '超過' deaths.

East Cheshire NHS 信用?

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