As a Board we are confident in the standards of care in the Royal Alexandra and Vale of Leven hospitals and in the improvement work which has been carried out by the clinical teams.
However, as HSMR figures there remain higher than the national average, we are continuing to work with the clinical and managerial teams, supported by ISD and Healthcare Improvement Scotland, to identify factors that might be having a bearing on the HSMR figures.
We will continue to work with Healthcare Improvement Scotland and will meet with them in the near future to discuss progress.
There are very active quality improvement programmes at these hospitals and a well developed set of arrangements which ensures ongoing monitoring and response to any quality issues which may emerge.
Notes to editors
An HSMR (Hospital Standard Mortality Ratio) is a measure of mortality adjusted to take account of some of the factors known to affect the underlying risk of death. The HSMR is based on all acute inpatient and day case patients admitted to all specialties in Scottish hospitals. The calculation takes account of patients who died within 30 days from admission; and includes deaths that occurred in the community as well as those occurring in hospital. It should be noted that there are also known to be higher than average levels of end of life care at the RAH which can have a bearing on HSMR calculations.