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NHS hospital mortality

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1. Estimate of the economic costs and literature review of the benefits of dedicated research time for Hospital Consultants in the NHS

://www.rcplondon.ac.uk/guidelines-policy/delivering-research-all-expectations-and-aspirations- nhs-england Section 3 15 Downing et al (2016) tested the hypothesis that high, sustained hospital-level participation in interventional clinical trials improves outcomes for patients, using colorectal cancer as an example. Patients treated in Trusts with high research participation in their year of diagnosis had lower postoperative mortality (p<0.001) and improved survival (p<0.001) after adjustment for casemix (...) Estimate of the economic costs and literature review of the benefits of dedicated research time for Hospital Consultants in the NHS Providing consultancy and research in health economics for the NHS, pharmaceutical and health care industries since 1986 THE ACADEMY OF MEDICAL SCIENCES Estimate of the economic costs and literature review of the benefits of dedicated research time for Hospital Consultants in the NHS Final Report NICK HEX, Associate Director CAMERON COLLINS, Research Consultant

2020 Academy of Medical Sciences

2. Variations in mortality across the week following emergency admission to hospital: linked retrospective observational analyses of hospital episode data in England, 2004/5 to 2013/14

Variations in mortality across the week following emergency admission to hospital: linked retrospective observational analyses of hospital episode data in England, 2004/5 to 2013/14 Variations in mortality across the week following emergency admission to hospital: linked retrospective observational analyses of hospital episode data in England, 2004/5 to 2013/14 Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry (...) - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Mortality rates are higher during weekend and night-time admissions largely due to sicker patients selected for admission, and extending services for key specialties over critical periods is likely to be the most cost-effective approach. {{author

2017 NIHR HTA programme

3. The NHS at 70: How good is the NHS?

in a thousand people are admitted to hospital for diabetes in a given year, compared to over two in a thousand admitted in Austria or Germany. Key weaknesses include: The UK’s NHS performs worse than the average in the treatment of eight out of the 12 most common causes of death, including deaths within 30 days of having a heart attack and within five years of being diagnosed with breast cancer, rectal cancer, colon cancer, pancreatic cancer and lung cancer, despite narrowing the gap in recent years (...) The NHS at 70: How good is the NHS? The NHS at 70: How good is the NHS? | The King's Fund Main navigation Health and care services Leadership, systems and organisations Patients, people and society Policy, finance and performance Search term Apply The NHS at 70: How good is the NHS? This content relates to the following topics: Part of Share this content Authors Mark Dayan Tim Gardner Elaine Kelly To mark the BBC's coverage of the NHS's 70th birthday in July 2018, researchers from the Health

2018 The King's Fund

4. The impact of a social norms approach on reducing levels of misperceptions around smokefree hospital entrances amongst patients, staff, and visitors of a NHS hospital: a repeated cross-sectional survey study. Full Text available with Trip Pro

The impact of a social norms approach on reducing levels of misperceptions around smokefree hospital entrances amongst patients, staff, and visitors of a NHS hospital: a repeated cross-sectional survey study. Smoking is a cause of avoidable morbidity and mortality. In the United Kingdom (UK) the national smoking ban inside hospital buildings is widely adhered to. There is a perception it has led to smokers congregating around hospital entrances (Selbie D. 2016, It's time for a truly smokefree (...) NHS. Public Health Matters Blog. Public Health England). Efforts to shift social norms and create positive smokefree environments might be strengthened by delivering social norms messages. This study explored the impact of a social norms approach campaign to reduce levels of misperceptions surrounding support for smokefree hospital entrances.Repeated cross sectional study design. Staff, patients, and hospital visitors at Pinderfields National Health Service (NHS) Hospital (Wakefield, United

2018 BMC Public Health

5. Associations of 4AT with mobility, length of stay and mortality in hospital and discharge destination among patients admitted with hip fractures Full Text available with Trip Pro

Trust, Surrey KT16 0PZ, UK. 7 Institute of Cardiovascular Research, Royal Holloway, University of London, Surrey TW20 0EX, UK. 8 Department of Clinical Neuroscience, Imperial College Healthcare NHS Trust, London W6 8RF, UK. 9 School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol BS8 1TD, UK. PMID: 31813951 DOI: Item in Clipboard Associations of 4AT With Mobility, Length of Stay and Mortality in Hospital and Discharge Destination Among Patients Admitted With Hip (...) Associations of 4AT with mobility, length of stay and mortality in hospital and discharge destination among patients admitted with hip fractures Associations of 4AT With Mobility, Length of Stay and Mortality in Hospital and Discharge Destination Among Patients Admitted With Hip Fractures - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Welcome to the new PubMed. For legacy PubMed go to . Clipboard, Search History

2020 EvidenceUpdates

6. Delayed umbilical cord clamping reduces hospital mortality for preterm infants

Delayed umbilical cord clamping reduces hospital mortality for preterm infants Delayed umbilical cord clamping reduces hospital mortality for preterm infants Discover Portal Discover Portal Delayed umbilical cord clamping reduces hospital mortality for preterm infants Published on 6 February 2018 doi: Delays to clamping the umbilical cord of about a minute can reduce hospital mortality for preterm infants by around 32%. Delayed clamping also reduced the proportion of infants needing a blood (...) ) versus early (less than 30 seconds) clamping in 2,834 infants. Trials were included if they enrolled infants born at less than 37 weeks’ gestation and their mothers and included a recent large Australian trial. Trials which estimated cord milking in more than 20% of infants in any arm were ineligible. Responses were received from 13 authors confirming no cord milking was used in any arm. The main outcome measure was all-cause mortality at any time before hospital discharge. Subgroup analyses were

2019 NIHR Dissemination Centre

7. Does regulation increase the rate at which doctors leave practice? Analysis of routine hospital data in the English NHS following the introduction of medical revalidation. Full Text available with Trip Pro

Does regulation increase the rate at which doctors leave practice? Analysis of routine hospital data in the English NHS following the introduction of medical revalidation. In 2012, the UK introduced medical revalidation, whereby to retain their licence all doctors are required to show periodically that they are up to date and fit to practise medicine. Early reports suggested that some doctors found the process overly onerous and chose to leave practice. This study investigates the effect (...) of medical revalidation on the rate at which consultants (senior hospital doctors) leave NHS practice, and assesses any differences between the performance of consultants who left or remained in practice before and after the introduction of revalidation.We used a retrospective cohort of administrative data from the Hospital Episode Statistics database on all consultants who were working in English NHS hospitals between April 2008 and March 2009 (n = 19,334), followed to March 2015. Proportional hazard

2019 BMC Medicine

8. Delayed umbilical cord clamping reduces hospital mortality for preterm infants

Delayed umbilical cord clamping reduces hospital mortality for preterm infants Delayed umbilical cord clamping reduces hospital mortality for preterm infants Discover Portal Discover Portal Delayed umbilical cord clamping reduces hospital mortality for preterm infants Published on 6 February 2018 doi: Delays to clamping the umbilical cord of about a minute can reduce hospital mortality for preterm infants by around 32%. Delayed clamping also reduced the proportion of infants needing a blood (...) ) versus early (less than 30 seconds) clamping in 2,834 infants. Trials were included if they enrolled infants born at less than 37 weeks’ gestation and their mothers and included a recent large Australian trial. Trials which estimated cord milking in more than 20% of infants in any arm were ineligible. Responses were received from 13 authors confirming no cord milking was used in any arm. The main outcome measure was all-cause mortality at any time before hospital discharge. Subgroup analyses were

2018 NIHR Dissemination Centre

9. The NHS long-term plan explained

added further pressure. As a result, NHS performance has declined. Key waiting time targets are being consistently missed and the finances of NHS providers have deteriorated rapidly; in 2017/18, the year-end aggregate provider overspend was £960 million. Workforce shortages are widespread, with more than 100,000 whole-time equivalent staff vacancies in hospitals, including more than 40,000 nurse vacancies. Last year’s winter crisis – the effects of which were still being felt well into the summer (...) build on previous initiatives, including the introduction of clinical streaming at the front door to A&E and the roll-out of NHS 111 services across the country. The plan commits to rolling out urgent treatment centres (UTCs) across the country by 2020 so that urgent care outside hospitals becomes more consistent for patients. UTCs will be GP-led facilities and will include access to some simple diagnostics and offer appointments bookable via NHS 111 for patients who do not need the expertise

2019 The King's Fund

10. Implementing changes to the eligibility criteria for cochlear implants in NHS Scotland

National Services Division (NSD) commission NHS Ayrshire and Arran to provide this service centrally through the Scottish Cochlear Implant Programme based at University Hospital Crosshouse. 1 There is no upper age limit for adult referrals to the service, although all participants are required to be sufficiently physically and mentally fit for surgery, and to participate in programming sessions. 1 There is no upper age limit for children either, although both children and adults must have experienced (...) Implementing changes to the eligibility criteria for cochlear implants in NHS Scotland SHTG Evidence Synthesis | 1 Evidence Synthesis Number 03 Sept 2019 A budget impact analysis of implementing changes to the eligibility criteria for cochlear implants in NHS Scotland. What were we asked to look at? NHS National Services Division (NSD) asked us to estimate the potential budget impact of changing the eligibility criteria for cochlear implants in Scotland. This follows a change to NICE guidance

2019 SHTG Advice Statements

11. Public satisfaction with the NHS and social care in 2018

on implementing a new 10-year plan, accompanied by its most generous funding settlement for almost a decade, albeit below what we think is needed to maintain and improve services ( ; ). As it starts this new chapter, the NHS’s report card is mixed. Although it is one of the most equitable systems in the world, it lags behind many comparable countries on key outcome measures for diseases like cancer, stroke and heart attack, as well as childhood mortality ( ). So what do the British public think about the NHS (...) to be considering a range of different factors and giving different weightings to each when expressing satisfaction with individual services and the NHS overall ( ). One factor that we know affects satisfaction ratings for hospital services is recent experience of using the service (Figure 12). As in previous years, the latest survey shows that satisfaction with inpatient services was higher among those who had used inpatient services in the past year (83 per cent) than among those who had not used the service

2019 The King's Fund

12. Assessment of health care, hospital admissions, and mortality by ethnicity: population-based cohort study of health-system performance in Scotland Full Text available with Trip Pro

Assessment of health care, hospital admissions, and mortality by ethnicity: population-based cohort study of health-system performance in Scotland Ethnic minorities often experience barriers to health care. We studied six established quality indicators of health-system performance across ethnic groups in Scotland.In this population-based cohort study, we linked ethnicity from Scotland's Census 2001 (April 29, 2001) to hospital admissions and mortality records, with follow-up until April 30 (...) the access to and quality of primary care to prevent avoidable hospital admissions, especially for south Asians. Relatively high preventable and amenable deaths in white Scottish people, compared with several ethnic minority populations, were unexpected. Future studies should both corroborate and examine explanations for these patterns. Studies using several indicators simultaneously are also required internationally.Chief Scientist's Office, Medical Research Council, NHS Research Scotland, Farr

2018 The Lancet. Public health

13. Adoption and spread of innovation in the NHS

on prescription from the NHS in the 1990s. By the early 2000s, the English NHS was prescribing around 8 billion daily doses of statins each year, contributing to dramatic reductions in rates of mortality from cardiovascular disease. Meanwhile, despite considerable progress, the NHS, like other health systems, is still struggling to implement basic hygiene protocols such as handwashing in hospitals, 150 years after Joseph Lister published his observations in the Lancet on . Some innovations are incendiary (...) are compartmentalised in both service silos and geographic silos, meaning that there are few formal mechanisms for transmitting learning across sites. The AHSNs were playing an important role in connecting sites through learning collaboratives and developing actionable data to support improvement. Nevertheless, , noted the differences between working with the NHS and working with large integrated health systems and hospital chains in Australasia and the United States. In those systems, organisations could deploy

2018 The King's Fund

14. Development and validation of a novel computer-aided score to predict the risk of in-hospital mortality for acutely ill medical admissions in two acute hospitals using their first electronically recorded blood test results and vital signs: a cross-section Full Text available with Trip Pro

and externally validate a computer-aided risk of mortality (CARM) score by combining the first electronically recorded vital signs and blood test results for emergency medical admissions.Logistic regression model development and external validation study.Two acute hospitals (Northern Lincolnshire and Goole NHS Foundation Trust Hospital (NH)-model development data; York Hospital (YH)-external validation data).Adult (aged ≥16 years) medical admissions discharged over a 24-month period with electronic National (...) Early Warning Score(s) and blood test results recorded on admission.The risk of in-hospital mortality following emergency medical admission was 5.7% (NH: 1766/30 996) and 6.5% (YH: 1703/26 247). The C-statistic for the CARM score in NH was 0.87 (95% CI 0.86 to 0.88) and was similar in an external hospital setting YH (0.86, 95% CI 0.85 to 0.87) and the calibration slope included 1 (0.97, 95% CI 0.94 to 1.00).We have developed a novel, externally validated CARM score with good performance

2018 BMJ open

15. Could the rise in mortality rates since 2015 be explained by changes in the number of delayed discharges of NHS patients? Full Text available with Trip Pro

Could the rise in mortality rates since 2015 be explained by changes in the number of delayed discharges of NHS patients? 2015 saw the largest annual spike of mortality rates in England in almost 50 years. We examine whether these changes in mortality rates are associated with an indicator of poor functioning of health and social care: delay in hospital discharges.Office for National Statistics monthly data of death counts and mortality rates for the period August 2010-March 2016 were compared (...) ). Findings for non-acute admissions were mixed.The increased prevalence of patients being delayed in discharge from hospital in 2015 was associated with increases in mortality, accounting for up to a fifth of mortality increases. Our study provides evidence that a lower quality of performance of the NHS and adult social care as a result of austerity may be having an adverse impact on population health.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All

2017 Journal of epidemiology and community health

16. Are medical outliers associated with worse patient outcomes? A retrospective study within a regional NHS hospital using routine data. Full Text available with Trip Pro

Are medical outliers associated with worse patient outcomes? A retrospective study within a regional NHS hospital using routine data. To explore the quality and safety of patients' healthcare provision by identifying whether being a medical outlier is associated with worse patient outcomes. A medical outlier is a hospital inpatient who is classified as a medical patient for an episode within a spell of care and has at least one non-medical ward placement within that spell.Secondary data from (...) the Patient Administration System of a district general hospital were provided for the financial years 2013/2014-2015/2016. The data included 71 038 medical patient spells for the 3-year period.This research was based on a retrospective, cross-sectional observational study design. Multivariate logistic regression and zero-truncated negative binomial regression were used to explore patient outcomes (in-hospital mortality, 30-day mortality, readmissions and length of stay (LOS)) while adjusting for several

2017 BMJ open

17. How does the NHS compare internationally?

How does the NHS compare internationally? How does the NHS compare internationally? | The King's Fund Main navigation Health and care services Leadership, systems and organisations Patients, people and society Policy, finance and performance Search term Apply How does the NHS compare internationally? big election questions This content relates to the following topics: Share this content Ahead of the general election on 8 June, we examine the big issues around health and care. What’s the issue (...) ? Although comparing different countries’ health systems is fraught with difficulties (such as differences in how data is collected and in the local context) and should not be over-interpreted, comparisons do provide an important perspective on what the NHS does well and where it should seek to improve. International league tables have been used to support arguments that our health service is in the world – and also that it is a . As there is little internationally comparable data available for the four

2017 The King's Fund

18. NHS myth-busters

, which offer round-the-clock access to advanced brain imaging and clot-busting treatment. Taking patients to these , rather than the nearest hospital, has reduced mortality rates and the length of hospital stays. The NHS has also improved the delivery of elective surgery for common procedures such as cataract surgery and prostate biopsy. The increased use of and earlier discharge from hospital has reduced the need for overnight stays before and after these surgeries and resulted in lower waiting (...) ’. . But the government chose to add the extra funding to NHS England’s budget, rather than the Department of Health budget. The Department’s budget will grow by from 2015/16 to 2020/21. The difference between these budgets is important, as the Department of Health budget includes funding for the upkeep of hospital buildings, training costs of junior doctors and investments in public health, among other things. Because the Department was not given an extra £8 billion in funding, these unprotected parts of the budget

2017 The King's Fund

19. Study raises questions about NHS “weekend effect”

Study raises questions about NHS “weekend effect” Study raises questions about NHS “weekend effect” Discover Portal Discover Portal Study raises questions about NHS “weekend effect” Published on 30 January 2018 doi: The increased mortality observed if patients are taken to hospitals at weekends also affects night admissions and can be explained in part by the severity of illness. Five linked NIHR-funded studies reviewed mortality and time and day of admission to hospital, largely using routine (...) working” to eliminate the weekend effect. These studies raise doubts as to whether such a reorganisation will achieve a reduction in mortality overall. Share your views on the research. Why was this study needed? Patients admitted to hospital outside of normal working hours, at night or during weekends, are more likely to die than those admitted during working hours. It is not clear why this is. One possibility is that the NHS is understaffed at weekends, with a dearth of senior staff and services

2019 NIHR Dissemination Centre

20. NHS myth-busters

, which offer round-the-clock access to advanced brain imaging and clot-busting treatment. Taking patients to these , rather than the nearest hospital, has reduced mortality rates and the length of hospital stays. The NHS has also improved the delivery of elective surgery for common procedures such as cataract surgery and prostate biopsy. The increased use of and earlier discharge from hospital has reduced the need for overnight stays before and after these surgeries and resulted in lower waiting (...) ’. . But the government chose to add the extra funding to NHS England’s budget, rather than the Department of Health budget. The Department’s budget will grow by from 2015/16 to 2020/21. The difference between these budgets is important, as the Department of Health budget includes funding for the upkeep of hospital buildings, training costs of junior doctors and investments in public health, among other things. Because the Department was not given an extra £8 billion in funding, these unprotected parts of the budget

2017 The King's Fund

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