High death rates warnings 'ignored'

Government ministers and the NHS ignored warnings about persistently high death rates in hospitals which could have claimed the lives of up to 20,000 patients, a top health adviser has said.

Professor Sir Brian Jarman, who co-founded the health statistics and research service Doctor Foster, said he had sent the then health secretary Andy Burnham a list of hospitals with higher-than-average death rates in 2010, but no action was taken. Several of those hospitals are now the subject of a Government review into their high mortality ratios.

Mr Burnham, the MP for Leigh, has rejected Sir Brian's claims that his warnings were ignored and said he did act to uncover failings in care. Sir Brian's comments come after the publication of the highly critical Francis report into poor care at Stafford Hospital which identified "failings" across the NHS and recommended reforms of the health system.

Sir Brian said statistics showed that for a decade four hospitals had hospital standardised mortality ratios (HSMR) - which gives a figure for whether death rates are higher or lower than would be normally expected - which were "continuously very high".

He sent an email about those findings to Mr Burnham, who responded saying by passing that information to the hospitals' watchdog the Care and Quality Commission (CQC), but they took no action. Mr Burnham said he acted "firmly and immediately" by referring the data to CQC, and by later commissioning the first inquiry carried out by Robert Francis QC into Stafford Hospital, in 2010, which uncovered "shocking" levels of care.

Sir Brian, a former president of the British Medical Association, is working on a Government review of 14 hospitals where mortality rates have been persistently higher than the national average.

Speaking on BBC's Today programme on Radio 4, he said: "For the last 10 years there were about four (hospitals) who have had continuously very high adjusted death rates. Actually I sent to the Secretary of State in March 2010, Andy Burnham, a list of hospitals which had high mortality rates and there are seven of the ones on the list that have just been mentioned."

Mr Burnham replied to him but said the CQC "did not find that there was anything to worry them". "I think that it's a pity they didn't because you have seen at Mid Staffs and we've seen at other hospitals that when they have actually gone in and looked they have been able to reduce the death rates. We are talking about people dying there."

Sir Brian said, referring to data from the 14 hospital trusts identified as having high HSMRs, that "observed deaths exceeds the number they were expected to have by the national average". He estimated the deaths at these trusts alone could have amounted to "a bit over 20,000".

Mr Burnham, who was health secretary in the former Labour government, told the Today programme: "I have great respect for the work carried out by Sir Brian but the claim that ministers and civil servants ignored his warnings are not true." He rejected claims he was complacent at the time, adding he invited Sir Brian onto a working party following the publication of the first Francis report. Mr Burnham said during that period HSMR data was "new" and "the Government could not put it's full weight behind it".

Comments(20)

steveG says...
2:34pm Sat 16 Mar 13

The standards within the health service fell dramatically under the last labour government to an unprecedented level,the proof for which is just emerging.

boltonnut says...
5:37pm Sun 17 Mar 13

This happened during the FAT MANS tenure, did it not?

grimtown says...
7:16pm Sun 17 Mar 13

It is suspicious behaviour form the chairman of the trust for 8 years not to be able to comment.

It is illegal to mask and manipulate figures in nhs reporting figures. The re coding scandal seems suspicious.

grimtown says...
7:22pm Sun 17 Mar 13

New criminal offence to stop NHS hospitals 'fiddling' figures to be introduced
A new criminal offence to stop NHS hospitals “fiddling” official figures is to be introduced by ministers in the wake of the Mid Staffordshire scandal, The Daily Telegraph can disclose.

grimtown says...
7:25pm Sun 17 Mar 13

grimtown wrote:
It is suspicious behaviour form the chairman of the trust for 8 years not to be able to comment.

It is illegal to mask and manipulate figures in nhs reporting figures. The re coding scandal seems suspicious.
Jeremy Hunt, the Health Secretary, is to announce that senior NHS managers and hospital trusts will be held criminally liable if they manipulate figures on waiting times or death rates.

Trusts could be fined millions of pounds and managers jailed if they are found to have falsified data used by patients to select where they are treated.

Several NHS hospitals have been accused recently of seeking to obscure high mortality rates by “mis-recording” the reasons for deaths. Such practices make it hard for regulators and the public to identify hospitals that have poor standards of treatment.

Nurses have also alleged privately that they have been told to “massage” waiting time figures by changing the recorded time when patients are treated or discharged.

Mr Hunt said last night: “This is about a transparent, honest and accountable NHS. Patients and the public should be confident that they can trust information about how hospitals are performing, and a culture of honesty and accuracy will help those organisations drive up standards of care.

grimtown says...
7:39pm Sun 17 Mar 13

boltonnut wrote:
This happened during the FAT MANS tenure, did it not?
A source close to Mr Hunt said: “The future NHS will have a more open culture, with better information for patients and the public. We’re determined that information must be credible and provided on a basis which is honest and consistent.” It emerged this month that the Royal Bolton Hospital hospital may have mis-recorded the deaths of up to 400 patients. As many as half of patients recorded as having blood poisoning at the hospital in 2011/12 may have suffered from less serious conditions, according to Dr Foster, the health analyst group.

grimtown says...
7:40pm Sun 17 Mar 13

boltonnut wrote:
This happened during the FAT MANS tenure, did it not?
Death rates are being closely scrutinised by regulators and ministers to highlight potentially poor care

grimtown says...
7:42pm Sun 17 Mar 13

steveG wrote:
The standards within the health service fell dramatically under the last labour government to an unprecedented level,the proof for which is just emerging.
A source close to Mr Hunt said: “The future NHS will have a more open culture, with better information for patients and the public. We’re determined that information must be credible and provided on a basis which is honest and consistent.” It emerged this month that the Royal Bolton Hospital hospital may have mis-recorded the deaths of up to 400 patients. As many as half of patients recorded as having blood poisoning at the hospital in 2011/12 may have suffered from less serious conditions, according to Dr Foster, the health analyst group.”

grimtown says...
7:50pm Sun 17 Mar 13

independent watchdog claimed to have found "significant discrepancies" in the recording of patient deaths.

A major probe is now under way at the hospital.

The Trust had been rated one of the worst performing trusts for death rates, with figures massively above the national average, six years running.

Where's that Fat Controller to answer relatives questions ????

grimtown says...
7:53pm Sun 17 Mar 13

CLIFF MORRIS MUST GO! Unfit to run the Hospital and unfit to run Bolton Council

grimtown says...
7:59pm Sun 17 Mar 13

Morris, presumably aware of the storm which was brewing, had already announced in July that he was to retire early from his second four-year term as Chairman of the Hospital Trust, leaving the post at the end of August rather than October.



Royal Bolton Hospital by Margaret Clough
He was destined to leave somewhat earlier than that. On the 3rd of August the government health watchdog, Monitor, announced that Morris was to step down immediately and from the following Tuesday (7th August) would be replaced by a new Chairman appointed by Monitor. The new boss, David Wakefield, had previously been the Chairman of the Milton Keynes Hospital Trust and was seen as an expert in turning around “failing” hospitals

grimtown says...
8:00pm Sun 17 Mar 13

grimtown wrote:
boltonnut wrote:
This happened during the FAT MANS tenure, did it not?
A source close to Mr Hunt said: “The future NHS will have a more open culture, with better information for patients and the public. We’re determined that information must be credible and provided on a basis which is honest and consistent.” It emerged this month that the Royal Bolton Hospital hospital may have mis-recorded the deaths of up to 400 patients. As many as half of patients recorded as having blood poisoning at the hospital in 2011/12 may have suffered from less serious conditions, according to Dr Foster, the health analyst group.
Another fine example of Morris’s unsuitability to be the Leader of the Council came in early August. In his other role as Chairman of the Royal Bolton Hospital Trust (an institution long criticised for its managerial inefficiency, poor hygiene record, high mortality rates, and ridiculous parking arrangements) he and his fellow Board members had somehow managed to “lose track” of £3.5 million of Hospital money. Morris, presumably aware of the storm which was brewing, had already announced in July that he was to retire early from his second four-year term as Chairman of the Hospital Trust, leaving the post at the end of August rather than October.



Royal Bolton Hospital by Margaret Clough
He was destined to leave somewhat earlier than that. On the 3rd of August the government health watchdog, Monitor, announced that Morris was to step down immediately and from the following Tuesday (7th August) would be replaced by a new Chairman appointed by Monitor. The new boss, David Wakefield, had previously been the Chairman of the Milton Keynes Hospital Trust and was seen as an expert in turning around “failing” hospitals

oftbewildered2 says...
12:01pm Mon 18 Mar 13

not in any way condoning what is going on at RBH - but all around the country hospital trusts are in the same dire position, having been forced into a corner by the government's targets and number crunching. Not saying this is right, but honestly, all this data and targets being set by Government is ridiculous. Each individual Trust should set its own, if any are called for.

Ihatemyfellowneighbours says...
1:02pm Mon 18 Mar 13

oftbewildered2 wrote:
not in any way condoning what is going on at RBH - but all around the country hospital trusts are in the same dire position, having been forced into a corner by the government's targets and number crunching. Not saying this is right, but honestly, all this data and targets being set by Government is ridiculous. Each individual Trust should set its own, if any are called for.
Cliff Morris should have stuck to running the town not the hospital you run hospitals with people of exposure to the health service. Not running a town bably.

Puffin-Billy says...
3:29pm Mon 18 Mar 13

When are we finally going to get it? The failure of the NHS is being deliberately engineered with a view to justifying privatisation.

David Cameron's talk of lack of a moral code in Britain last year, and his playing of the race card are hypocrisy.

It is not freeloading foreigners who are abusing our National Health Service, as claimed by David Cameron. The real freeloaders are the politicians –mainly Conservative- who have personal financial interests in private health companies, consultancies, and associated businesses. The political system over which Mr Cameron presides and which is at the heart of the destruction (the privatisation) of our NHS is rotten to the core.


What moral code was the Conservative party following when, in opposition, Andrew Lansley’s private office was funded to the tune of £21,000 by a private health company, Care UK?

What moral code was it following whereby the consultancy firm (McKinsey) which in 2009 called on the NHS to find so-called “efficiency savings” of £4 billion every year for five years (which have led to the cuts now being imposed) has earned at least £13.8 million from Government health policy since the Coalition took office, at the same time as nurses and other NHS staff face the sack?


And what sort of moral code is it by which £14.7m of our taxes (equivalent to the annual salaries of 750 nurses), is now being used to silence NHS whistleblowers, who would expose a situation in which, as a result of those cuts, the ability of NHS staff to fulfil their duties has been compromised, costing the lives and the health of NHS patients?


The same consultancy firm which called for those cuts which are now crippling our NHS was influential in the drafting of The Health and Social Care Act 2012. In the process it has ensured that it is private health companies who will be spending the £60 to £80 billion of "commissioning", or health care funds, which will be transferred from the abolished PCTs to the CCGs, clinical commissioning groups
(one of which has just been on a jolly at our expense, while nurses worry about their jobs).

NHS General Practitioners (one third of whom we now learn have financial interests in private health companies) will have neither the time nor the skills to manage those funds.


Moral code indeed: the attack on our NHS is an attack on social justice, and on the very fabric of British society which must be vigorously stopped in its tracks.

Puffin-Billy says...
3:55pm Mon 18 Mar 13

And another thing.
Re story: ‘I could have died of septicaemia if I hadn’t found it’, says young mother'

Heather Edwards, head of communications at the Trust, said:

“This was not a ‘never’ event and was not a retained swab, but involved some other material which was used entirely appropriately.

Heather Edwards is talking tripe.
1. That event should "never" have happened.
2. The article was "retained" in the patient.
3. And having been retained, was used entirely "inappropriately".

grimtown says...
7:44pm Mon 18 Mar 13

Puffin-Billy wrote:
When are we finally going to get it? The failure of the NHS is being deliberately engineered with a view to justifying privatisation.

David Cameron's talk of lack of a moral code in Britain last year, and his playing of the race card are hypocrisy.

It is not freeloading foreigners who are abusing our National Health Service, as claimed by David Cameron. The real freeloaders are the politicians –mainly Conservative- who have personal financial interests in private health companies, consultancies, and associated businesses. The political system over which Mr Cameron presides and which is at the heart of the destruction (the privatisation) of our NHS is rotten to the core.


What moral code was the Conservative party following when, in opposition, Andrew Lansley’s private office was funded to the tune of £21,000 by a private health company, Care UK?

What moral code was it following whereby the consultancy firm (McKinsey) which in 2009 called on the NHS to find so-called “efficiency savings” of £4 billion every year for five years (which have led to the cuts now being imposed) has earned at least £13.8 million from Government health policy since the Coalition took office, at the same time as nurses and other NHS staff face the sack?


And what sort of moral code is it by which £14.7m of our taxes (equivalent to the annual salaries of 750 nurses), is now being used to silence NHS whistleblowers, who would expose a situation in which, as a result of those cuts, the ability of NHS staff to fulfil their duties has been compromised, costing the lives and the health of NHS patients?


The same consultancy firm which called for those cuts which are now crippling our NHS was influential in the drafting of The Health and Social Care Act 2012. In the process it has ensured that it is private health companies who will be spending the £60 to £80 billion of "commissioning"
, or health care funds, which will be transferred from the abolished PCTs to the CCGs, clinical commissioning groups
(one of which has just been on a jolly at our expense, while nurses worry about their jobs).

NHS General Practitioners (one third of whom we now learn have financial interests in private health companies) will have neither the time nor the skills to manage those funds.


Moral code indeed: the attack on our NHS is an attack on social justice, and on the very fabric of British society which must be vigorously stopped in its tracks.
Then why did the clowns on the board resign just as the news hit the fan. hmmmmmmh

Mr Morris's 80% pay rise hmmmmmh fleecing the role for all he could take .

Labour fleecing the state for all they can get and more thats why the country is broke,

Puffin-Billy says...
8:54pm Mon 18 Mar 13

"Mainly Conservative". Liberal, and Labour - they're all in it together.

boltonchap says...
10:25am Thu 21 Mar 13

grimtown wrote:
Puffin-Billy wrote:
When are we finally going to get it? The failure of the NHS is being deliberately engineered with a view to justifying privatisation.

David Cameron's talk of lack of a moral code in Britain last year, and his playing of the race card are hypocrisy.

It is not freeloading foreigners who are abusing our National Health Service, as claimed by David Cameron. The real freeloaders are the politicians –mainly Conservative- who have personal financial interests in private health companies, consultancies, and associated businesses. The political system over which Mr Cameron presides and which is at the heart of the destruction (the privatisation) of our NHS is rotten to the core.


What moral code was the Conservative party following when, in opposition, Andrew Lansley’s private office was funded to the tune of £21,000 by a private health company, Care UK?

What moral code was it following whereby the consultancy firm (McKinsey) which in 2009 called on the NHS to find so-called “efficiency savings” of £4 billion every year for five years (which have led to the cuts now being imposed) has earned at least £13.8 million from Government health policy since the Coalition took office, at the same time as nurses and other NHS staff face the sack?


And what sort of moral code is it by which £14.7m of our taxes (equivalent to the annual salaries of 750 nurses), is now being used to silence NHS whistleblowers, who would expose a situation in which, as a result of those cuts, the ability of NHS staff to fulfil their duties has been compromised, costing the lives and the health of NHS patients?


The same consultancy firm which called for those cuts which are now crippling our NHS was influential in the drafting of The Health and Social Care Act 2012. In the process it has ensured that it is private health companies who will be spending the £60 to £80 billion of "commissioning"

, or health care funds, which will be transferred from the abolished PCTs to the CCGs, clinical commissioning groups
(one of which has just been on a jolly at our expense, while nurses worry about their jobs).

NHS General Practitioners (one third of whom we now learn have financial interests in private health companies) will have neither the time nor the skills to manage those funds.


Moral code indeed: the attack on our NHS is an attack on social justice, and on the very fabric of British society which must be vigorously stopped in its tracks.
Then why did the clowns on the board resign just as the news hit the fan. hmmmmmmh

Mr Morris's 80% pay rise hmmmmmh fleecing the role for all he could take .

Labour fleecing the state for all they can get and more thats why the country is broke,
Comrade, what morale code was the labour government working to when:

It took us into an illegal war in Iraq
It contracted with private medical companies to reduce waiting lists
It allowed banks to run riot without rigorous supervision
It had Peter Mandelson as part of its inner core
It had Tony Blair as leader - the greatest champagne socialist of all time
Gordon Brown - Hmmmmm, what to say about him? Well intentioned perhaps but not exactly a full shilling.
I could go on comrade but haven't the time.

boltonchap says...
10:28am Thu 21 Mar 13

grimtown wrote:
Puffin-Billy wrote:
When are we finally going to get it? The failure of the NHS is being deliberately engineered with a view to justifying privatisation.

David Cameron's talk of lack of a moral code in Britain last year, and his playing of the race card are hypocrisy.

It is not freeloading foreigners who are abusing our National Health Service, as claimed by David Cameron. The real freeloaders are the politicians –mainly Conservative- who have personal financial interests in private health companies, consultancies, and associated businesses. The political system over which Mr Cameron presides and which is at the heart of the destruction (the privatisation) of our NHS is rotten to the core.


What moral code was the Conservative party following when, in opposition, Andrew Lansley’s private office was funded to the tune of £21,000 by a private health company, Care UK?

What moral code was it following whereby the consultancy firm (McKinsey) which in 2009 called on the NHS to find so-called “efficiency savings” of £4 billion every year for five years (which have led to the cuts now being imposed) has earned at least £13.8 million from Government health policy since the Coalition took office, at the same time as nurses and other NHS staff face the sack?


And what sort of moral code is it by which £14.7m of our taxes (equivalent to the annual salaries of 750 nurses), is now being used to silence NHS whistleblowers, who would expose a situation in which, as a result of those cuts, the ability of NHS staff to fulfil their duties has been compromised, costing the lives and the health of NHS patients?


The same consultancy firm which called for those cuts which are now crippling our NHS was influential in the drafting of The Health and Social Care Act 2012. In the process it has ensured that it is private health companies who will be spending the £60 to £80 billion of "commissioning"

, or health care funds, which will be transferred from the abolished PCTs to the CCGs, clinical commissioning groups
(one of which has just been on a jolly at our expense, while nurses worry about their jobs).

NHS General Practitioners (one third of whom we now learn have financial interests in private health companies) will have neither the time nor the skills to manage those funds.


Moral code indeed: the attack on our NHS is an attack on social justice, and on the very fabric of British society which must be vigorously stopped in its tracks.
Then why did the clowns on the board resign just as the news hit the fan. hmmmmmmh

Mr Morris's 80% pay rise hmmmmmh fleecing the role for all he could take .

Labour fleecing the state for all they can get and more thats why the country is broke,
Loop, the reply below is meant for puffin billy!

Comrade, what morale code was the labour government working to when:

It took us into an illegal war in Iraq
It contracted with private medical companies to reduce waiting lists
It allowed banks to run riot without rigorous supervision
It had Peter Mandelson as part of its inner core
It had Tony Blair as leader - the greatest champagne socialist of all time
Gordon Brown - Hmmmmm, what to say about him? Well intentioned perhaps but not exactly a full shilling.
I could go on comrade but haven't the time.

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