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Learning Lessons to Improve Care, A Quality Review

Local Clinical Commissioning Groups (CCGs), the Leicestershire Partnership NHS Trust (LPT) and the University Hospitals of Leicester NHS Trust (UHL) have today (Thursday 31 July 2014) published a ‘quality review’ conducted into previous patient cases in order to understand where lessons about care could be learned.

The quality review was commissioned as the Summary Hospital Level Mortality Indicator (SHMI) – one way in which mortality is measured – of UHL had been slightly above the average for the rest of the country since 2010/11.  Although it was still within expected limits, the local health community decided to follow the advice of Professor Sir Bruce Keogh and to investigate to understand more about what the very best care should look like, whether there were any local factors affecting current services and what improvements could be made.  The review was jointly commissioned by the CCGs, LPT and UHL.

This review is unique. There have previously been hospital case note studies but never such an exhaustive study of the whole patient journey from primary to secondary and intermediate care.  Although that means that we have nothing to compare this with in order to judge the health system in Leicester, Leicestershire and Rutland, it nevertheless gives us a chance to improve care for local patients.  We set out to find problems and we found them, so we are now better positioned to address those system-wide issues.

You can read more about the review below:

Media briefing

Final report

Learning lessons to improve care summary document

Action plan


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