About this release
This release by Public Health Scotland (PHS) provides information on Hospital Standardised Mortality Ratios (HSMRs) for the period October 2018 to September 2023. These statistics are updated on a quarterly basis and reflect the HSMR for the latest 12-month reporting period, whilst crude mortality data is presented by quarter and month to show trends.
- For the period October 2022 to September 2023 no hospitals had a significantly higher standardised mortality ratio than the national average. The standardised mortality ratio for Royal Infirmary of Edinburgh at Little France (1.14) is above the upper warning limit.
- For the period October 2022 to September 2023 no hospitals had a significantly lower standardised mortality ratio than the national average. There were two with a standardised mortality ratio below the lower warning limit: Western General Hospital (0.84), Queen Elizabeth University Hospital (0.91).
Hospital mortality measures have an important role to play in stimulating reflection on the quality and safety of patient care. HSMRs are based on all acute inpatient and day case patients admitted to all specialties in hospital (apart from obstetrics and psychiatry which are excluded). 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 hospitals.
The Scottish HSMR is 1.00. If an HSMR value for a hospital is less than one, this means the number of deaths within 30 days of admission for this hospital is fewer than predicted. If an HSMR value for a hospital is greater than one, this means the number of deaths within 30 days for this hospital is more than predicted. If the number of deaths is more than predicted this does not necessarily mean that these were avoidable deaths (i.e. that they should not have happened), or that they were unexpected, or were attributable to failings in the quality of care.
The methodology has been updated to ensure the diagnosis ICD-10 codes for COVID-19, U07.1 to U07.7, are included in the model. For more information please refer to the HSMR COVID-19 Methodology Update paper. During the pandemic hospitals have had to adjust their normal ways of working to react to this healthcare emergency. As a result, there will be changes in the volumes of activity in some of the groups used to calculate the HSMRs, for example fewer elective admissions. Any changes in crude mortality trends and HSMRs should be considered in this context.
A technical document is available on how HSMR is calculated. A frequently asked questions document is also available. For more information see the HSMR section of our website. HSMRs published from August 2019 onwards cannot be compared to prior releases using a different methodology. For more information see Research and Development.
The next release of this publication will be 14 May 2024.
If you have an enquiry relating to this publication, please contact Isabella Tortora Brayda at email@example.com.
If you have a media enquiry relating to this publication, please contact the Communications and Engagement team.
Requesting other formats and reporting issues
If you require publications or documents in other formats, please email firstname.lastname@example.org.
To report any issues with a publication, please email email@example.com.