HospitalCheck

Summary Hospital-level Mortality Indicator (SHMI)

Published by NHS England · Official source

Update schedule

  • Monthly, covering a rolling 12-month period.

Level of detail

  • NHS trust

What we show

  • The SHMI value — the ratio of deaths that occurred to the number expected given patients' characteristics (1.00 means as many deaths as expected)
  • The banding: higher than expected, as expected, or lower than expected
  • Observed and expected deaths

Caveats

  • The SHMI is NOT a death rate and is NOT a direct measure of the quality of care. It is a screening tool: a high value is a prompt to look more closely, not a conclusion.
  • It is adjusted for factors such as age, sex, diagnosis and admission method, but not everything (for example deprivation), so trusts serving different populations aren't perfectly comparable.
  • Reported per trust and always labelled 'Trust-wide'. Deaths within 30 days of discharge are included.

Reused under the Open Government Licence v3.0. Contains public sector information.