10. In the Schedule to the Quality Accounts Regulations (information to be contained in Part 2 of the relevant document)—
(a)for “NHS services”, in each place it appears, substitute “relevant health services”;
(b)in the heading of the second column of the table, after “by the provider)” insert “and the way that information must be presented”;
(c)after item 11, add the following items—
“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 hospital-level 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. | The [name of trust] considers that this data is as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve the indicator and percentage in (a) and (b), and so the quality of its services, by [insert description of actions]. Present, in a table format, the SHMI value for at least the last two reporting periods including the banding for each value. |
| 13. 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 on Care Programme Approach who were followed up within 7 days after discharge from psychiatric in-patient care during the reporting period. | The [name of trust] considers that this percentage is as described for the following reasons [insert reasons]. The [name of trust] [intendsto take/has taken] the following actions to improve this percentage, and so the quality of its services, by [insert description of actions]. Present, in a table format, the percentage for at least the last two reporting periods. |
| 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 trust at the scene of the emergency within 8 minutes of receipt of that call during the reporting period. | The [name of trust] considers that this percentage is as described for the following reasons [insert reasons]. The [name of trust] [intendsto take/has taken] the following actions to improve this percentage, and so the quality of its services, by [insert description of actions]. Present, in a table format, separately for Red 1 and Red 2 calls, the percentage for at least the last two reporting periods. |
| 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. | The [name of trust] considers that this percentage is as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve this percentage, and so the quality of its services, by [insert description of actions]. Present, in a table format, the percentage for at least the last two reporting periods. |
| 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. | The [name of trust] considers that this percentage is as described for the following reasons [insert reasons]. The [name of trust] [intendsto take/has taken] the following actions to improve this percentage, and so the quality of its services, by [insert description of actions]. Present, in a table format, the percentage for at least the last two reporting periods. |
| 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. | The [name of trust] considers that this percentage is as described for the following reasons [insert reasons]. The [name of trust] [intendsto take/has taken] the following actions to improve this percentage, and so the quality of its services, by [insert description of actions]. Present, in a table format, the percentage for at least the last two reporting periods. |
| 17. 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 admissions to acute wards for which the Crisis Resolution Home Treatment Team acted as a gatekeeper during the reporting period. | The [name of trust] considers that this percentage is as described for the following reasons [insert reasons]. The [name of trust] [intendsto take/has taken] the following actions to improve this proportion, and so the quality of its services, by [insert description of actions]. Present, in a table format, the percentage for at least the last two reporting periods. |
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— (i) groin hernia surgery, (ii) varicose vein surgery, (iii) hip replacement surgery, and (iv) knee replacement surgery, during the reporting period. | The [name of trust] considers that the outcome scores are as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve these outcome scores, and so the quality of its services, by [insert description of actions]. Present, in a table format, the scores for at least the last two reporting periods. |
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 14; and (ii) 15 or over, 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. | The [name of trust] considers that these percentages are as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve these percentages, and so the quality of its services, by [insert description of actions]. Present, in a table format, the percentages for at least the last two reporting periods. |
| 20. 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 responsiveness to the personal needs of its patients during the reporting period. | The [name of trust] considers that this data is as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve this data, and so the quality of its services, by [insert description of actions]. Present, in a table format, the data for at least the last two reporting periods. |
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. | The [name of trust] considers that this percentage is as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve this percentage, and so the quality of its services, by [insert description of actions]. Present, in a table format, the percentages for at least the last two reporting periods. |
| 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. | The [name of trust] considers that this indicator score is as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve this indicator score, and so the quality of its services, by [insert description of actions]. Present, in a table format, the score for at least the last two reporting periods. |
| 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. | The [name of trust] considers that this percentage is as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve this percentage, and so the quality of its services, by [insert description of actions. Present, in a table format the number and rates for at least the last two reporting periods. |
| 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. | The [name of trust] considers that this rate is as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve this rate, and so the quality of its services, by [insert description of actions]. Present, in a table format the number and rates for at least the last two reporting periods. |
| 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. | The [name of trust] considers that this number and/or rate is as described for the following reasons [insert reasons]. The [name of trust] [intends to take/has taken] the following actions to improve this number and/or rate, and so the quality of its services, by [insert description of actions]. Report the rate as per 100 patient admissions or per 1000 bed days, where data is available. Present, in a table format the number and rates for at least the last two reporting periods. |
26. Where the necessary data is made available to the trust by the Health and Social Care Information Centre, a comparison of the numbers, percentages, values, scores or rates of the trust (as applicable) in items 12 to 25 with— (a) the national average for the same; and (b) with those National Health Service trusts and NHS foundation trusts with the highest and lowest of the same, for the reporting period. | Present the comparisons in a table or graph format (as seems most appropriate).”. |