30 day mortality post treatment

Most hospitals use the Summary Hospital-level Mortality Indicator which reports on mortality at trust level across the NHS in England using a standard and transparent methodology. Specialist trusts are not included in this methodology. However, it is important that we have a clear focus on mortality rates within the hospital and for patients who die elsewhere after receiving treatment from us.

At the Trust we have a comprehensive review programme which includes:

  • 30 day mortality post chemotherapy analysis
  • 30 & 90 day mortality post radiotherapy analysis
  • Monthly individual consultant review of their own mortality data
  • 3 monthly mortality analysis meetings- identify trends/areas for concern.
  • Recommendations for changes in practice disseminated by the Medical Director to Clinical Directors/ Consultants & their teams/Site Reference Groups/nursing staff
  • Weekly review of all inpatient deaths/ preferred place of care/weekend mortality rates/planned or unplanned admissions
  • IHI Global Trigger Tool – inpatient case sheet review identifying possible harm events to include 30 day mortality from discharge & neutropenic sepsis mortality
  • Medical Mortality Review Meetings - programme of monthly multidisciplinary, peer reviewed mortality review meetings in the Trust.
  • 5 year survival - calculations for tumour groups reported annually in the Quality & Information Annual Report.

This programme aims to:

  • Improve quality
  • Improve patient safety
  • Prevent avoidable deaths

We report and review all deaths within 30 days of chemotherapy and radiotherapy treatment. These are divided between radical (potentially curative) and palliative (treatment to relieve or delay the onset of symptoms).

Download our latest reports.

What we are doing to improve:

In accordance with NCEPOD recommendations all deaths within 30 days of treatment are considered at our mortality review meeting. Each consultant also reviews their individual patients. Through this process we aim to continually improve the care and treatment we provide to patients.