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Quality Accounts

Quality Accounts are annual reports about the quality of services provided by an NHS healthcare service. They are published by each NHS healthcare provider, including the independent sector and are made available to the public.

Links to the data for the fifteen mandatory indicators (and one non statutory indicator), based on recommendations by the National Quality Board, are set out below and also in the left hand navigation list to enable providers easy access to the latest data. They align closely with the NHS Outcomes Framework (data available directly on the NHS Digital Indicator Portal) and are all based on data that trusts already report on nationally.

The intention is that trusts will be required to report:

  • their performance against these indicators; presented in a table format, for at least the last two reporting periods;
  • the national average; and
  • a supporting commentary, which may explain variation from the national average and any steps taken or planned to improve quality.

The Quality Accounts are split down into the following 5 domains;

Domain 1 - Preventing people from dying prematurely

  • Summary Hospital-level Mortality Indicator (SHMI)
  • Patients on Care Programme Approach (CPA) followed up within 7 days of discharge from psychiatric inpatient stay
  • Category A telephone calls (Red 1 and Red 2 calls) ; emergency response within 8 minutes
  • Category A telephone calls; ambulance response within 19 minutes
  • Patients with suspected ST elevation myocardial infarction who received an appropriate care bundle (Domain 1 and 3)
  • Patients with suspected stroke assessed face to face who received an appropriate care bundle (Domain 1 and 3)

Domain 2 - Enhancing quality of life for people with long-term conditions

  • Admissions to acute wards where the Crisis Resolution Home Treatment Team were gate keepers

Domain 3 - Helping people to recover from episodes of ill health or following injury

  • PROMS; patient reported outcome measures
  • Patients readmitted to a hospital within 28 days of being discharged

Domain 4 - Ensuring people have a positive experience of care

  • Responsiveness to the personal needs of patients
  • Staff who would recommend the trust to their family or friends
  • Patients who would recommend the trust to their family or friends
  • Patient experience of community mental health services

Domain 5 - Treating and caring for people in a safe environment and protecting them from avoidable harm

  • Patients admitted to hospital who were risk assessed for venous thromboembolism
  • Rate of C.difficile infection
  • Patient safety incidents and the percentage that resulted in severe harm or death
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