Welcome to the Isle of Wight NHS Trust Board Meeting in Public 7 th December 2016 9:30 – 12:00
6.6 Mortality Report
Isle of Wight NHS Trust Monthly Mortality Report for Executive Medical Director – Medical Director – December 2016
HSMR Rolling 12 months Neighbouring Peer Group Page 4
HSMR Rolling 12 months Neighbouring Peer Group Page 5
HSCIC SHMI Update • SHMI for the year to June 2016 is 1.01 which is a small improvement on the year to March which was 1.02
During October 2016 the Service dealt with 46 Deaths, of these, there were 23 female and 23 male. The following graphs give the breakdown of information in more detail:
Cause of Death as listed on Part 1a of death Certificate was as follows: 1a Number of Deaths Acute Mesenteric Ischaemia 1 Acute on Chronic Subdural Haematoma 1 Acute Pyelonephritis 1 Acute Respiratory Distress Obstructive Hypopnea Syndrome 1 Aspiration Pneumonia 3 Bronchopneumonia 1 Carcinomatosis 1 Cardiac Failure 1 Cardiopulmonary Degeneration 1 Community Acquired Pneumonia 1 Congestive Cardiac Failure 4 Haemorrhage 1 Haemorrhagic Pericardial Effusion 1 Hospital Acquired Pneumonia 1 Hyperosmolar Hyperglycaemic State 1 Intra Cranial Haemorrhage 1
Cause of Death as listed on Part 1a of death Certificate was as follows: 1a Number of Deaths Large Bowel Perforation 1 Metastatic Breast Cancer 1 Metastatic Colo-Rectal Cancer 2 Metastatic Non-Small Cell Lung Cancer 1 Multi Organ Failure 3 Pneumonia 5 Respiratory Failure 2 Septic Shock Septic Shock 1 1 Subarachnoid Haemorrhage 1 Type Two Respiratory Failure 1 Unascertained 7 Of the 46 Deaths, 19 were referred / discussed with the Coroner and of these 12 went on to have a Post Mortem (PM) to establish cause of death. Of the 46 deceased, 1 was admitted from Nursing Homes, 2 were admitted from Residential Homes, and the remaining 43 being admitted directly from their home address. Of the 46 deaths there were no patients that had learning difficulties.
HSMR ‘Top 10’ Diagnosis ordered by lower confidence interval Page 10
HSMR Emergency HSMR Weekday & Weekend Page 12
Beareavement Survey-15 Questions with ratings and open text • Treated with dignity and respect, according to wishes, pastoral support, pain control, nutrition • Communication about death, support with • Communication about death, support with arrangements • Post death time with deceased, viewing support, chapel of rest • Support for bereaved
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Free Text • The staff on MAU were good but I did feel that 'paramedics should not have attempted CPR' was the view held by A&E and I found that very hurtful at the time. (1/3) • Firstly I would like to praise the Stroke staff who cared for my mother in her 3 weeks stay. We popped in to sit with mum every day almost. We witnessed the care first hand that my mother received. (2/3)
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