Providing high quality clinical care is our top priority
We know how important it is to patients and their families to know that when they have to come into hospital they are going to receive the best possible care, be safe and cared for in a clean, welcoming and infection free environment.
That is why we are continually implementing quality improvement initiatives that further enhance the safety, experience and clinical outcomes for all our patients.
- Sheffield Teaching Hospitals are deemed to be among the safest hospitals in the country by the Care Quality Commission (CQC). As part of its intelligent monitoring, the Care Quality Commission (CQC) measured the hospitals against key indicators spanning patient safety incidents, mortality, maternity and women’s health, compassionate care, A&E services and staffing. Sheffield Teaching Hospitals were givena low risk rating of five
- None of the Consultants working in our hospitals are considered to be ‘outliers’ in the 2014/15 publication of surgical outcomes. This means the survival and outcome data for our Consultants is as expected or in the majority of cases better than expected
- Infection rates at Sheffield Teaching Hospital NHS Foundation Trust are amongst the lowest in the NHS. Despite treating more than 2million patients, so far this year (2014/15) we have had just one case of MRSA
- The Trust has been awarded the title of ‘Hospital Trust of the Year’ in the Good Hospital Guide three times in five years and we are proud to be in the top 20% of NHS Trusts for patient satisfaction
Our Consultants surgical outcomes
We are very fortunate to have some of the best Consultants in the NHS working in our hospitals. Our mortality rates are low for a Trust of our size and type and many of our clinical outcomes are amongst the best in the NHS.
To enable you to have the information you need to decide where to have your care, we support the publication of outcomes of operations carried out by our surgeons. NHS England has published clinical outcome data for specialties at Trust and consultant level. The specialties are:
- Cardiac surgery
- Interventional cardiology
- Endocrine and thyroid
- Head and neck
- Bowel cancer
- Upper gastrointestinal (mouth and stomach)
How can i use the data?
The information published so far includes the number of times each participating consultant has performed certain procedures and what their mortality rate is for those procedures.
You can see whether or not the data for each consultant is within or outside the expected range. Consultants who fall outside the expected range are sometimes referred to as ‘outliers’. None of the Consultants working at Sheffield Teaching Hospitals is an ‘outlier’.
You can use this data to decide which consultant to choose for your care. However, there are some important issues to bear in mind when looking at the data. For instance, the vast majority of the data has been through a process known as ‘risk adjustment’.
This is a way of accounting for the different mix of patients operated on by a particular consultant’s team. Using risk adjustment, outcomes are calculated as if all consultants operated on the ‘average’ patient. This means that consultants who take on particularly poorly, high-risk patients or carry out the most complicated procedures don’t appear to have an unfairly high mortality rate.
However, not all the data can be ‘averaged out’ in this way. Specific reasons for this are outlined in the introductory text for each set of results. Where risk-adjusted data is not available, actual (also called ‘crude’) clinical outcomes are shown. If the data is not risk-adjusted, a consultant may have a higher mortality rate simply because he or she takes on more difficult cases.
If you have questions or concerns having viewed specific results, please discuss these with your GP or consultant.
Of course sometimes things may not go as planned and when this happens we take it very seriously.
We investigate what happened and why. We then make changes or improvements to limit the chance of errors or poor quality care happening again.
We also commit to be transparent about what we have learned and will do differently.
In summary we will continue to promote a culture of continuous quality improvement and encourage our staff to innovate and adopt ‘best practice’ in order to deliver the highest standard of care to our patients. More information can be found in the documents below: