Embed Size (px)
Citation preview
1
Level 2 Data and Meeting Booklet14th December 2016
2 2
Programme14thDecember2016MaryWardHouse,5-7TavistockSquare,LondonWC1H9SN
Time Topic Speaker/s 1000-1030 Arrival and Coffee 1030-1045 Welcome and Objectives Dr Dale Gardiner
Deputy National CLOD 1045-1200 Best Practice Sharing Session
• Dr Karl Blenk CLOD, James Paget University NHS Trust • Dr Carole Pilkington CLOD, East Lancashire Hospitals NHS Trust • Dr Tuhin Goswami CLOD, East Sussex Healthcare NHS Trust • Dr Tim Jackson CLOD, Calderdale & Huddersfield NHS Trust • Dr Mark Haslam CLOD, Gloucestershire Hospitals NHS Foundation Trust
1200-1215 Coffee 3 Breakout sessions (rotation through all three groups)
• Applying PDSA methods to Referral and SNOD involvement o James Van Der Walt and Hannah Bartlett-Syree Professional Development Team
• CLOD Review Recommendations o Dr Dale Gardiner Deputy National CLOD
• Promoting Organ Donation o Caroline Rodaway Senior Marketing & Campaigns Officer
1215-1300 Break Out Session 1 1300-1345 Lunch 1345-1410 Improving Organ Utilisation – the role of the
donation community
Dr Paul Murphy National CLOD
1410-1455 Break Out Session 2 1455-1510 Coffee 1510-1555 Break Out Session 3 1555-1600 Summary and Close Dr Paul Murphy
National CLOD
3 4
Categorisation of Donation Activity by Level
Level 1 12 or more proceeding donors per year (averaged over two years) 33
Level 2 5-12 (> 5 to < 12) proceeding donors per year (averaged over two years) 45
Level 3 3-5 (≥ 3 to ≤ 5) proceeding donors per year (averaged over two years) 47
Level 4 < 3 proceeding donors per year (averaged over two years) 46
For clarity 12 donors = Level 1 5 donors = Level 3 3 donors = Level 3 An additional descriptor is applied to each hospital, as appropriate. N = Adult Neuro ICU (29) P = Paediatric ICU (25) T = Major Trauma Centre (21)
– currently only applies in England pending possible changes in Northern Ireland, Scotland and Wales
Examples Level 1 (NPT), is a hospital Trust / Board that has 12 or more proceeding donors per year and also has a Neuro ICU, is a Major Trauma Centre and has a Paediatric ICU. Level 3 (P), is a hospital Trust / Board that has ≥ 3 to ≤ 5 proceeding donors per year and has a Paediatric ICU.
Trusts or Boards
4
5!
UK Donation by Level
Level 1 Level 2 Level 3 Level 4
(17%)
(21%)
(53%)
2674(46%)
1527(26%)
1103(19%)
552(9%)
Level 1Level 2Level 3Level 4
Potential DBD/Eligible DCD donors
Potential donors after brainstem death (DBD) are defined as patients who have neurological death suspected by meeting all of the following criteria: apnoea, coma from known aetiology and unresponsive, ventilated, fixed pupils. Excluding those for whom cardiac arrest occurred despite resuscitation, brain stem reflexes returned. Eligible donors after circulatory death (DCD) are defined as patients who had treatment withdrawn and death was anticipated within four hours, with no absolute medical contraindications to solid organ donation.
(6%)
(25%)
(49%)749
(54%)343
(25%)
213(15%)
Level 1Level 2Level 3Level 4
Actual donors
1st October 2015 – 30th September 2016
!
1st October 2015 – 30th September 2016
!
83(6%)
27931 Level 2 Booklet 07122016.pdf 1 07/12/2016 15:34
5!
UK Donation by Level
Level 1 Level 2 Level 3 Level 4
(17%)
(21%)
(53%)
2674(46%)
1527(26%)
1103(19%)
552(9%)
Level 1Level 2Level 3Level 4
Potential DBD/Eligible DCD donors
Potential donors after brainstem death (DBD) are defined as patients who have neurological death suspected by meeting all of the following criteria: apnoea, coma from known aetiology and unresponsive, ventilated, fixed pupils. Excluding those for whom cardiac arrest occurred despite resuscitation, brain stem reflexes returned. Eligible donors after circulatory death (DCD) are defined as patients who had treatment withdrawn and death was anticipated within four hours, with no absolute medical contraindications to solid organ donation.
(6%)
(25%)
(49%)749
(54%)343
(25%)
213(15%)
Level 1Level 2Level 3Level 4
Actual donors
1st October 2015 – 30th September 2016
!
1st October 2015 – 30th September 2016
!
83(6%)
27931 Level 2 Booklet 07122016.pdf 1 07/12/2016 15:34
4!
UK Donation by Level
Level 1 Level 2 Level 3 Level 4
Potential DBD/Eligible DCD donors
Potential donors after brainstem death (DBD) are defined as patients who have neurological death suspected by meeting all of the following criteria: apnoea, coma from known aetiology and unresponsive, ventilated, fixed pupils. Excluding those for whom cardiac arrest occurred despite resuscitation, brain stem reflexes returned. Eligible donors after circulatory death (DCD) are defined as patients who had treatment withdrawn and death was anticipated within four hours, with no absolute medical contraindications to solid organ donation.
Actual Donors
1st October 2015 – 30th September 2016 !
1st October 2015 – 30th September 2016 !
Level 1Level 2Level 3Level 4
Level 1
Level 2
Level 3
Level 4
2674(46%)
1527(26%)
1103(19%)
552(9%)
749(54%)
343(25%)
213(15%)
83(6%)
(19%)
(6%)
(25%)
(49%) 1348(49%)
685(25%)
518(19%)
173(6%)
Potential DBD/Eligible DCD donors1st October 2015 – 30th September 2016
(17%)
(6%)
(21%)
(53%)
689(53%)275
(21%)
223(17%)
103(8%)
Actual donors1st October 2015 – 30th September 2016
Level 1 Level 2 Level 3 Level 4
Potential DBD/Eligible DCD donors
Actual donors
UK Donation by Level
5 6
UK actual deceased donors 1st October 2006 – 30th September 2016
Oct 06 - Sep 07
Oct 07 - Sep 08
Oct 08 - Sep 09
Oct 09 - Sep 10
Oct 10 - Sep 11
Oct 11 - Sep 12
Oct 12 - Sep 13
Oct 13 - Sep 14
Oct 14 - Sep 15
Oct 15 - Sep 16
Year
0
200
400
600
800
1000
1200
1400
Num
ber
DCDDBD
607
174
616
238
601
312
637
355
659
402
647
485
765
534
790
499
763
527
785
603
Level 2 actual deceased donors 1st October 2006 – 30th September 2016
22 2221 21
2325
23
2526
25
Oct 06 - Sep 07
Oct 07 - Sep 08
Oct 08 - Sep 09
Oct 09 - Sep 10
Oct 10 - Sep 11
Oct 11 - Sep 12
Oct 12 - Sep 13
Oct 13 - Sep 14
Oct 14 - Sep 15
Oct 15 - Sep 16
Year
0
100
200
300
400
500
Num
ber
0
5
10
15
20
25
30
% c
ontri
butio
n to
UK
dono
rs
DCDDBD
150
24
156
36
142
54
144
69
154
91
177
108
177
118
192
124
196
138
175
168
6
UK actual deceased donors 1st October 2006 – 30th September 2016
Oct 06 - Sep 07
Oct 07 - Sep 08
Oct 08 - Sep 09
Oct 09 - Sep 10
Oct 10 - Sep 11
Oct 11 - Sep 12
Oct 12 - Sep 13
Oct 13 - Sep 14
Oct 14 - Sep 15
Oct 15 - Sep 16
Year
0
200
400
600
800
1000
1200
1400
Num
ber
DCDDBD
607
174
616
238
601
312
637
355
659
402
647
485
765
534
790
499
763
527
785
603
Level 2 actual deceased donors 1st October 2006 – 30th September 2016
22 2221 21
2325
23
2526
25
Oct 06 - Sep 07
Oct 07 - Sep 08
Oct 08 - Sep 09
Oct 09 - Sep 10
Oct 10 - Sep 11
Oct 11 - Sep 12
Oct 12 - Sep 13
Oct 13 - Sep 14
Oct 14 - Sep 15
Oct 15 - Sep 16
Year
0
100
200
300
400
500
Num
ber
0
5
10
15
20
25
30%
con
tribu
tion
to U
K do
nors
DCDDBD
150
24
156
36
142
54
144
69
154
91
177
108
177
118
192
124
196
138
175
168
6 7
Level 2 actual deceased donors 1st October 2015 – 30th September 2016
12
34
56
78
910
1112
1314
1516
1718
1920
2122
2324
2526
2728
2930
3132
3334
3536
3738
3940
4142
4344
45
Trust/Board
0
5
10
15
Num
ber
DCDDBD
5
3
3
4
1
2 4
5
5
7
6
5
6
7
2
4
5
1
3
2
2
58
6
2
3
2
4
2
8
7
4
54
4
10
3
67
3
4
4
3
4
13
2
5
5
4
4
7
6
2
7
2
4
5
5
3
1
3
2
3
2
34
1
23
7
1
4
3
4
4
1 9
6
2
4
3
1
2
4
7 8
Comparison of neurological death testing by level 1st October 2015 – 30th September 2016
8 9
9 10
10 11
Level 2s DBD conversion rate comparison 1st October 2014 – 30th September 2016
●�Significant increase at the 5% level� ●�
Significant increase at the 10% level� ●�
Significant decrease at the 5% level� ●�
Significant decrease at the 10% level�
1928
0 10 20 30 40 50 60 70 80 90 100
Previous Oct-Sep
0
10
20
30
40
50
60
70
80
90
100
Cur
rent
Oct
-Sep
11 12
Level 2s DCD referral rate comparison 1st October 2014 – 30th September 2016
●�Significant increase at the 5% level� ●�
Significant increase at the 10% level� ●�
Significant decrease at the 5% level� ●�
Significant decrease at the 10% level�
3
8
19
32
0 10 20 30 40 50 60 70 80 90 100
Previous Oct-Sep
0
10
20
30
40
50
60
70
80
90
100
Cur
rent
Oct
-Sep
12 13
Level 2s DCD SNOD involvement rate comparison 1st October 2014 – 30th September 2016
●�Significant increase at the 5% level� ●�
Significant increase at the 10% level� ●�
Significant decrease at the 5% level� ●�
Significant decrease at the 10% level�
257
25
30
0 10 20 30 40 50 60 70 80 90 100
Previous Oct-Sep
0
10
20
30
40
50
60
70
80
90
100
Cur
rent
Oct
-Sep
13 14
Level 2s DCD consent/authorisation rate comparison 1st October 2014 – 30th September 2016
●�Significant increase at the 5% level� ●�
Significant increase at the 10% level� ●�
Significant decrease at the 5% level� ●�
Significant decrease at the 10% level�
48
16 29
0 10 20 30 40 50 60 70 80 90 100
Previous Oct-Sep
0
10
20
30
40
50
60
70
80
90
100
Cur
rent
Oct
-Sep
14 15
15
16
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
ref
erra
l rat
e %
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)D
BD
con
sent
ra
te %
(N)
DC
D r
efer
ral r
ate
% (N
)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)D
CD
con
sent
ra
te %
(N)
Abe
rtaw
e B
ro M
orga
nnw
g U
nive
rsity
Hea
lth B
oard
76.9
(13)
92.3
(13)
100
(9)
71.4
(7)
77 (6
1)84
.2 (3
7)31
.6 (1
9)A
neur
in B
evan
Hea
lth B
oard
100
(3)
100
(3)
100
(3)
100
(3)
84.3
(51)
90.9
(41)
63.6
(11)
Bar
nsle
y H
ospi
tal N
HS
Fou
ndat
ion
Trus
t66
.7 (3
)10
0 (3
)10
0 (2
)10
0 (2
)10
0 (1
3)75
(4)
75 (4
)B
asild
on a
nd T
hurro
ck U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(6)
80 (5
)86
(43)
100
(38)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(38)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (8
)85
.7 (7
)96
.4 (2
8)87
.5 (1
1)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
6)53
.8 (1
3)97
.1 (3
5)92
.3 (2
4)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(7)
50 (6
)60
(40)
87.5
(30)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (2
1)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(6)
80 (5
)95
.3 (4
3)83
.3 (1
9)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (2
0)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (2
1)47
.4 (1
9)97
.5 (4
0)88
.2 (3
1)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (2
6)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(5)
75 (4
)83
.3 (3
6)10
0 (2
2)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (3
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (2
9)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (6
)10
0 (5
)93
.3 (3
0)10
0 (1
8)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(10)
55.6
(9)
91.8
(49)
61.1
(38)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (4
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (3
4)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
77.8
(9)
92 (2
5)83
.3 (1
7)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (2
9)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (9
)50
(8)
92.6
(27)
100
(18)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervic
es N
HS
Tru
st85
.7 (7
)10
0 (7
)60
(6)
80 (5
)66
.7 (9
)66
.7 (7
)33
.3 (3
)N
HS
Lan
arks
hire
85 (2
0)95
(20)
87.5
(16)
81.3
(16)
84.6
(13)
100
(12)
85.7
(7)
NH
S T
aysi
de85
.7 (7
)10
0 (7
)83
.3 (6
)83
.3 (6
)93
.8 (1
6)81
.8 (1
4)63
.6 (1
1)N
orth
Cum
bria
Uni
vers
ity H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(4)
100
(4)
84.4
(64)
38.5
(48)
53.8
(13)
Por
tsm
outh
Hos
pita
ls N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (7
)10
0 (7
)66
.7 (6
6)78
.6 (3
1)64
.3 (1
4)R
oyal
Bro
mpt
on &
Har
efie
ld N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)85
.7 (7
)80
(5)
60 (5
)10
0 (3
0)81
.8 (2
2)90
.9 (1
1)R
oyal
Cor
nwal
l Hos
pita
ls N
HS
Tru
st10
0 (4
)10
0 (4
)10
0 (4
)50
(4)
68 (2
5)88
.9 (1
9)77
.8 (9
)R
oyal
Dev
on a
nd E
xete
r NH
S F
ound
atio
n Tr
ust
80 (1
0)10
0 (1
0)10
0 (7
)83
.3 (6
)90
(20)
50 (1
3)62
.5 (8
)R
oyal
Fre
e Lo
ndon
NH
S F
ound
atio
n Tr
ust
72.2
(18)
94.4
(18)
88.9
(11)
44.4
(9)
88.5
(78)
66.7
(54)
50 (6
)S
andw
ell a
nd W
est B
irmin
gham
Hos
pita
ls N
HS
Tru
st70
(20)
90 (2
0)88
.9 (1
2)44
.4 (9
)82
.7 (7
5)83
.3 (5
3)50
(12)
Shr
ewsb
ury
and
Telfo
rd H
ospi
tal N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (6
)66
.7 (6
)86
.1 (3
6)57
.1 (2
1)85
.7 (7
)S
outh
ern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
25 (4
)10
0 (4
).
.58
.3 (4
8)77
.8 (1
7)55
.6 (9
)Th
e R
oyal
Bou
rnem
outh
and
Chr
istc
hurc
h H
ospi
tals
NH
S F
ound
atio
n Tr
ust
25 (4
)75
(4)
..
73.7
(19)
66.7
(15)
100
(6)
Uni
ted
Linc
olns
hire
Hos
pita
ls N
HS
Tru
st60
(5)
100
(5)
100
(3)
50 (2
)94
.4 (3
6)87
.5 (1
9)50
(8)
Uni
vers
ity H
ospi
tal o
f Sou
th M
anch
este
r NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
80 (5
)88
.2 (5
1)93
.3 (3
6)80
(15)
Uni
vers
ity H
ospi
tals
of M
orec
ambe
Bay
NH
S F
ound
atio
n Tr
ust
100
(2)
100
(2)
0 (2
)10
0 (1
)87
.5 (4
0)83
.3 (2
9)50
(12)
Wes
t Her
tford
shire
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (5
)80
(5)
75 (3
2)10
0 (2
6)75
(8)
Wes
tern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
81.8
(11)
100
(11)
100
(9)
62.5
(8)
53.8
(26)
75 (1
8)50
(4)
Wes
tern
Sus
sex
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)90
(10)
88.9
(45)
80 (3
1)60
(15)
Wirr
al U
nive
rsity
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t71
.4 (7
)10
0 (7
)80
(5)
40 (5
)88
.5 (2
6)85
.7 (1
1)57
.1 (7
)W
orce
ster
shire
Acu
te H
ospi
tals
NH
S T
rust
100
(8)
100
(8)
57.1
(8)
42.9
(7)
50 (2
2)37
.5 (1
6)50
(8)
Yor
k Te
achi
ng H
ospi
tal N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (6
)60
(5)
62 (7
9)62
.5 (3
4)68
.8 (1
6)
Leve
l 2: t
abul
ated
rate
s: A
ll
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
ref
erra
l rat
e %
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)D
BD
con
sent
ra
te %
(N)
DC
D r
efer
ral r
ate
% (N
)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)D
CD
con
sent
ra
te %
(N)
Abe
rtaw
e B
ro M
orga
nnw
g U
nive
rsity
Hea
lth B
oard
76.9
(13)
92.3
(13)
100
(9)
71.4
(7)
77 (6
1)84
.2 (3
7)31
.6 (1
9)A
neur
in B
evan
Hea
lth B
oard
100
(3)
100
(3)
100
(3)
100
(3)
84.3
(51)
90.9
(41)
63.6
(11)
Bar
nsle
y H
ospi
tal N
HS
Fou
ndat
ion
Trus
t66
.7 (3
)10
0 (3
)10
0 (2
)10
0 (2
)10
0 (1
3)75
(4)
75 (4
)B
asild
on a
nd T
hurro
ck U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(6)
80 (5
)86
(43)
100
(38)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(38)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (8
)85
.7 (7
)96
.4 (2
8)87
.5 (1
1)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
6)53
.8 (1
3)97
.1 (3
5)92
.3 (2
4)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(7)
50 (6
)60
(40)
87.5
(30)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (2
1)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(6)
80 (5
)95
.3 (4
3)83
.3 (1
9)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (2
0)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (2
1)47
.4 (1
9)97
.5 (4
0)88
.2 (3
1)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (2
6)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(5)
75 (4
)83
.3 (3
6)10
0 (2
2)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (3
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (2
9)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (6
)10
0 (5
)93
.3 (3
0)10
0 (1
8)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(10)
55.6
(9)
91.8
(49)
61.1
(38)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (4
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (3
4)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
77.8
(9)
92 (2
5)83
.3 (1
7)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (2
9)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (9
)50
(8)
92.6
(27)
100
(18)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervic
es N
HS
Tru
st85
.7 (7
)10
0 (7
)60
(6)
80 (5
)66
.7 (9
)66
.7 (7
)33
.3 (3
)N
HS
Lan
arks
hire
85 (2
0)95
(20)
87.5
(16)
81.3
(16)
84.6
(13)
100
(12)
85.7
(7)
NH
S T
aysi
de85
.7 (7
)10
0 (7
)83
.3 (6
)83
.3 (6
)93
.8 (1
6)81
.8 (1
4)63
.6 (1
1)N
orth
Cum
bria
Uni
vers
ity H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(4)
100
(4)
84.4
(64)
38.5
(48)
53.8
(13)
Por
tsm
outh
Hos
pita
ls N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (7
)10
0 (7
)66
.7 (6
6)78
.6 (3
1)64
.3 (1
4)R
oyal
Bro
mpt
on &
Har
efie
ld N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)85
.7 (7
)80
(5)
60 (5
)10
0 (3
0)81
.8 (2
2)90
.9 (1
1)R
oyal
Cor
nwal
l Hos
pita
ls N
HS
Tru
st10
0 (4
)10
0 (4
)10
0 (4
)50
(4)
68 (2
5)88
.9 (1
9)77
.8 (9
)R
oyal
Dev
on a
nd E
xete
r NH
S F
ound
atio
n Tr
ust
80 (1
0)10
0 (1
0)10
0 (7
)83
.3 (6
)90
(20)
50 (1
3)62
.5 (8
)R
oyal
Fre
e Lo
ndon
NH
S F
ound
atio
n Tr
ust
72.2
(18)
94.4
(18)
88.9
(11)
44.4
(9)
88.5
(78)
66.7
(54)
50 (6
)S
andw
ell a
nd W
est B
irmin
gham
Hos
pita
ls N
HS
Tru
st70
(20)
90 (2
0)88
.9 (1
2)44
.4 (9
)82
.7 (7
5)83
.3 (5
3)50
(12)
Shr
ewsb
ury
and
Telfo
rd H
ospi
tal N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (6
)66
.7 (6
)86
.1 (3
6)57
.1 (2
1)85
.7 (7
)S
outh
ern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
25 (4
)10
0 (4
).
.58
.3 (4
8)77
.8 (1
7)55
.6 (9
)Th
e R
oyal
Bou
rnem
outh
and
Chr
istc
hurc
h H
ospi
tals
NH
S F
ound
atio
n Tr
ust
25 (4
)75
(4)
..
73.7
(19)
66.7
(15)
100
(6)
Uni
ted
Linc
olns
hire
Hos
pita
ls N
HS
Tru
st60
(5)
100
(5)
100
(3)
50 (2
)94
.4 (3
6)87
.5 (1
9)50
(8)
Uni
vers
ity H
ospi
tal o
f Sou
th M
anch
este
r NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
80 (5
)88
.2 (5
1)93
.3 (3
6)80
(15)
Uni
vers
ity H
ospi
tals
of M
orec
ambe
Bay
NH
S F
ound
atio
n Tr
ust
100
(2)
100
(2)
0 (2
)10
0 (1
)87
.5 (4
0)83
.3 (2
9)50
(12)
Wes
t Her
tford
shire
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (5
)80
(5)
75 (3
2)10
0 (2
6)75
(8)
Wes
tern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
81.8
(11)
100
(11)
100
(9)
62.5
(8)
53.8
(26)
75 (1
8)50
(4)
Wes
tern
Sus
sex
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)90
(10)
88.9
(45)
80 (3
1)60
(15)
Wirr
al U
nive
rsity
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t71
.4 (7
)10
0 (7
)80
(5)
40 (5
)88
.5 (2
6)85
.7 (1
1)57
.1 (7
)W
orce
ster
shire
Acu
te H
ospi
tals
NH
S T
rust
100
(8)
100
(8)
57.1
(8)
42.9
(7)
50 (2
2)37
.5 (1
6)50
(8)
Yor
k Te
achi
ng H
ospi
tal N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (6
)60
(5)
62 (7
9)62
.5 (3
4)68
.8 (1
6)
Leve
l 2: t
abul
ated
rate
s: h
ighl
ight
ing
gold
and
silv
er
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
refe
rral
rate
%
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)
DB
D
cons
ent/a
utho
risat
ion
rate
% (N
)D
CD
refe
rral
rate
%
(N)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)
DC
D
cons
ent/a
utho
risat
ion
rate
% (N
)A
berta
we
Bro
Mor
gann
wg
Uni
vers
ity H
ealth
Boa
rd76
.9 (1
3)92
.3 (1
3)10
0 (7
)71
.4 (7
)77
(61)
84.2
(19)
31.6
(19)
Ane
urin
Bev
an H
ealth
Boa
rd10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)84
.3 (5
1)90
.9 (1
1)63
.6 (1
1)B
arns
ley
Hos
pita
l NH
S F
ound
atio
n Tr
ust
66.7
(3)
100
(3)
100
(2)
100
(2)
100
(13)
75 (4
)75
(4)
Bas
ildon
and
Thu
rroc
k U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(5)
80 (5
)86
(43)
100
(15)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(16)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (7
)85
.7 (7
)96
.4 (2
8)87
.5 (8
)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
3)53
.8 (1
3)97
.1 (3
5)92
.3 (1
3)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(6)
50 (6
)60
(40)
87.5
(8)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (3
)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(5)
80 (5
)95
.3 (4
3)83
.3 (6
)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (1
4)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (1
9)47
.4 (1
9)97
.5 (4
0)88
.2 (1
7)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (9
)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(4)
75 (4
)83
.3 (3
6)10
0 (1
0)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (1
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (9
)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (5
)10
0 (5
)93
.3 (3
0)10
0 (5
)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(9)
55.6
(9)
91.8
(49)
61.1
(18)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (1
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (1
8)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(9)
77.8
(9)
92 (2
5)83
.3 (6
)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (1
1)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (8
)50
(8)
92.6
(27)
100
(7)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervi
ces
NH
S T
rust
85.7
(7)
100
(7)
60 (5
)80
(5)
66.7
(9)
66.7
(3)
33.3
(3)
NH
S L
anar
kshi
re85
(20)
95 (2
0)87
.5 (1
6)81
.3 (1
6)84
.6 (1
3)10
0 (7
)85
.7 (7
)N
HS
Tay
side
85.7
(7)
100
(7)
83.3
(6)
83.3
(6)
93.8
(16)
81.8
(11)
63.6
(11)
Nor
th C
umbr
ia U
nive
rsity
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (4
)10
0 (4
)84
.4 (6
4)38
.5 (1
3)53
.8 (1
3)P
orts
mou
th H
ospi
tals
NH
S T
rust
88.9
(9)
88.9
(9)
100
(7)
100
(7)
66.7
(66)
78.6
(14)
64.3
(14)
Roy
al B
rom
pton
& H
aref
ield
NH
S F
ound
atio
n Tr
ust
85.7
(7)
85.7
(7)
80 (5
)60
(5)
100
(30)
81.8
(11)
90.9
(11)
Roy
al C
ornw
all H
ospi
tals
NH
S T
rust
100
(4)
100
(4)
100
(4)
50 (4
)68
(25)
88.9
(9)
77.8
(9)
Roy
al D
evon
and
Exe
ter N
HS
Fou
ndat
ion
Trus
t80
(10)
100
(10)
100
(6)
83.3
(6)
90 (2
0)50
(8)
62.5
(8)
Roy
al F
ree
Lond
on N
HS
Fou
ndat
ion
Trus
t72
.2 (1
8)94
.4 (1
8)88
.9 (9
)44
.4 (9
)88
.5 (7
8)66
.7 (6
)50
(6)
San
dwel
l and
Wes
t Birm
ingh
am H
ospi
tals
NH
S T
rust
70 (2
0)90
(20)
88.9
(9)
44.4
(9)
82.7
(75)
83.3
(12)
50 (1
2)S
hrew
sbur
y an
d Te
lford
Hos
pita
l NH
S T
rust
88.9
(9)
88.9
(9)
100
(6)
66.7
(6)
86.1
(36)
57.1
(7)
85.7
(7)
Sou
ther
n H
ealth
and
Soc
ial C
are
Trus
t25
(4)
100
(4)
..
58.3
(48)
77.8
(9)
55.6
(9)
The
Roy
al B
ourn
emou
th a
nd C
hris
tchu
rch
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t25
(4)
75 (4
).
.73
.7 (1
9)66
.7 (6
)10
0 (6
)U
nite
d Li
ncol
nshi
re H
ospi
tals
NH
S T
rust
60 (5
)10
0 (5
)10
0 (2
)50
(2)
94.4
(36)
87.5
(8)
50 (8
)U
nive
rsity
Hos
pita
l of S
outh
Man
ches
ter N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (5
)80
(5)
88.2
(51)
93.3
(15)
80 (1
5)U
nive
rsity
Hos
pita
ls o
f Mor
ecam
be B
ay N
HS
Fou
ndat
ion
Trus
t10
0 (2
)10
0 (2
)0
(1)
100
(1)
87.5
(40)
83.3
(12)
50 (1
2)W
est H
ertfo
rdsh
ire H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(5)
80 (5
)75
(32)
100
(8)
75 (8
)W
este
rn H
ealth
and
Soc
ial C
are
Trus
t81
.8 (1
1)10
0 (1
1)10
0 (8
)62
.5 (8
)53
.8 (2
6)75
(4)
50 (4
)W
este
rn S
usse
x H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
90 (1
0)88
.9 (4
5)80
(15)
60 (1
5)W
irral
Uni
vers
ity T
each
ing
Hos
pita
l NH
S F
ound
atio
n Tr
ust
71.4
(7)
100
(7)
80 (5
)40
(5)
88.5
(26)
85.7
(7)
57.1
(7)
Wor
cest
ersh
ire A
cute
Hos
pita
ls N
HS
Tru
st10
0 (8
)10
0 (8
)57
.1 (7
)42
.9 (7
)50
(22)
37.5
(8)
50 (8
)Yo
rk T
each
ing
Hos
pita
l NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
60 (5
)62
(79)
62.5
(16)
68.8
(16)
Key
s ra
tes
by T
rust
/Boa
rdLe
vel 2
1 O
ctob
er 2
015
- 30
Sept
embe
r 201
6
16
16
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
ref
erra
l rat
e %
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)D
BD
con
sent
ra
te %
(N)
DC
D r
efer
ral r
ate
% (N
)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)D
CD
con
sent
ra
te %
(N)
Abe
rtaw
e B
ro M
orga
nnw
g U
nive
rsity
Hea
lth B
oard
76.9
(13)
92.3
(13)
100
(9)
71.4
(7)
77 (6
1)84
.2 (3
7)31
.6 (1
9)A
neur
in B
evan
Hea
lth B
oard
100
(3)
100
(3)
100
(3)
100
(3)
84.3
(51)
90.9
(41)
63.6
(11)
Bar
nsle
y H
ospi
tal N
HS
Fou
ndat
ion
Trus
t66
.7 (3
)10
0 (3
)10
0 (2
)10
0 (2
)10
0 (1
3)75
(4)
75 (4
)B
asild
on a
nd T
hurro
ck U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(6)
80 (5
)86
(43)
100
(38)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(38)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (8
)85
.7 (7
)96
.4 (2
8)87
.5 (1
1)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
6)53
.8 (1
3)97
.1 (3
5)92
.3 (2
4)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(7)
50 (6
)60
(40)
87.5
(30)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (2
1)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(6)
80 (5
)95
.3 (4
3)83
.3 (1
9)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (2
0)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (2
1)47
.4 (1
9)97
.5 (4
0)88
.2 (3
1)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (2
6)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(5)
75 (4
)83
.3 (3
6)10
0 (2
2)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (3
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (2
9)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (6
)10
0 (5
)93
.3 (3
0)10
0 (1
8)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(10)
55.6
(9)
91.8
(49)
61.1
(38)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (4
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (3
4)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
77.8
(9)
92 (2
5)83
.3 (1
7)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (2
9)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (9
)50
(8)
92.6
(27)
100
(18)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervic
es N
HS
Tru
st85
.7 (7
)10
0 (7
)60
(6)
80 (5
)66
.7 (9
)66
.7 (7
)33
.3 (3
)N
HS
Lan
arks
hire
85 (2
0)95
(20)
87.5
(16)
81.3
(16)
84.6
(13)
100
(12)
85.7
(7)
NH
S T
aysi
de85
.7 (7
)10
0 (7
)83
.3 (6
)83
.3 (6
)93
.8 (1
6)81
.8 (1
4)63
.6 (1
1)N
orth
Cum
bria
Uni
vers
ity H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(4)
100
(4)
84.4
(64)
38.5
(48)
53.8
(13)
Por
tsm
outh
Hos
pita
ls N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (7
)10
0 (7
)66
.7 (6
6)78
.6 (3
1)64
.3 (1
4)R
oyal
Bro
mpt
on &
Har
efie
ld N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)85
.7 (7
)80
(5)
60 (5
)10
0 (3
0)81
.8 (2
2)90
.9 (1
1)R
oyal
Cor
nwal
l Hos
pita
ls N
HS
Tru
st10
0 (4
)10
0 (4
)10
0 (4
)50
(4)
68 (2
5)88
.9 (1
9)77
.8 (9
)R
oyal
Dev
on a
nd E
xete
r NH
S F
ound
atio
n Tr
ust
80 (1
0)10
0 (1
0)10
0 (7
)83
.3 (6
)90
(20)
50 (1
3)62
.5 (8
)R
oyal
Fre
e Lo
ndon
NH
S F
ound
atio
n Tr
ust
72.2
(18)
94.4
(18)
88.9
(11)
44.4
(9)
88.5
(78)
66.7
(54)
50 (6
)S
andw
ell a
nd W
est B
irmin
gham
Hos
pita
ls N
HS
Tru
st70
(20)
90 (2
0)88
.9 (1
2)44
.4 (9
)82
.7 (7
5)83
.3 (5
3)50
(12)
Shr
ewsb
ury
and
Telfo
rd H
ospi
tal N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (6
)66
.7 (6
)86
.1 (3
6)57
.1 (2
1)85
.7 (7
)S
outh
ern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
25 (4
)10
0 (4
).
.58
.3 (4
8)77
.8 (1
7)55
.6 (9
)Th
e R
oyal
Bou
rnem
outh
and
Chr
istc
hurc
h H
ospi
tals
NH
S F
ound
atio
n Tr
ust
25 (4
)75
(4)
..
73.7
(19)
66.7
(15)
100
(6)
Uni
ted
Linc
olns
hire
Hos
pita
ls N
HS
Tru
st60
(5)
100
(5)
100
(3)
50 (2
)94
.4 (3
6)87
.5 (1
9)50
(8)
Uni
vers
ity H
ospi
tal o
f Sou
th M
anch
este
r NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
80 (5
)88
.2 (5
1)93
.3 (3
6)80
(15)
Uni
vers
ity H
ospi
tals
of M
orec
ambe
Bay
NH
S F
ound
atio
n Tr
ust
100
(2)
100
(2)
0 (2
)10
0 (1
)87
.5 (4
0)83
.3 (2
9)50
(12)
Wes
t Her
tford
shire
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (5
)80
(5)
75 (3
2)10
0 (2
6)75
(8)
Wes
tern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
81.8
(11)
100
(11)
100
(9)
62.5
(8)
53.8
(26)
75 (1
8)50
(4)
Wes
tern
Sus
sex
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)90
(10)
88.9
(45)
80 (3
1)60
(15)
Wirr
al U
nive
rsity
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t71
.4 (7
)10
0 (7
)80
(5)
40 (5
)88
.5 (2
6)85
.7 (1
1)57
.1 (7
)W
orce
ster
shire
Acu
te H
ospi
tals
NH
S T
rust
100
(8)
100
(8)
57.1
(8)
42.9
(7)
50 (2
2)37
.5 (1
6)50
(8)
Yor
k Te
achi
ng H
ospi
tal N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (6
)60
(5)
62 (7
9)62
.5 (3
4)68
.8 (1
6)
Leve
l 2: t
abul
ated
rate
s: A
ll
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
ref
erra
l rat
e %
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)D
BD
con
sent
ra
te %
(N)
DC
D r
efer
ral r
ate
% (N
)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)D
CD
con
sent
ra
te %
(N)
Abe
rtaw
e B
ro M
orga
nnw
g U
nive
rsity
Hea
lth B
oard
76.9
(13)
92.3
(13)
100
(9)
71.4
(7)
77 (6
1)84
.2 (3
7)31
.6 (1
9)A
neur
in B
evan
Hea
lth B
oard
100
(3)
100
(3)
100
(3)
100
(3)
84.3
(51)
90.9
(41)
63.6
(11)
Bar
nsle
y H
ospi
tal N
HS
Fou
ndat
ion
Trus
t66
.7 (3
)10
0 (3
)10
0 (2
)10
0 (2
)10
0 (1
3)75
(4)
75 (4
)B
asild
on a
nd T
hurro
ck U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(6)
80 (5
)86
(43)
100
(38)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(38)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (8
)85
.7 (7
)96
.4 (2
8)87
.5 (1
1)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
6)53
.8 (1
3)97
.1 (3
5)92
.3 (2
4)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(7)
50 (6
)60
(40)
87.5
(30)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (2
1)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(6)
80 (5
)95
.3 (4
3)83
.3 (1
9)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (2
0)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (2
1)47
.4 (1
9)97
.5 (4
0)88
.2 (3
1)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (2
6)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(5)
75 (4
)83
.3 (3
6)10
0 (2
2)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (3
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (2
9)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (6
)10
0 (5
)93
.3 (3
0)10
0 (1
8)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(10)
55.6
(9)
91.8
(49)
61.1
(38)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (4
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (3
4)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
77.8
(9)
92 (2
5)83
.3 (1
7)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (2
9)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (9
)50
(8)
92.6
(27)
100
(18)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervic
es N
HS
Tru
st85
.7 (7
)10
0 (7
)60
(6)
80 (5
)66
.7 (9
)66
.7 (7
)33
.3 (3
)N
HS
Lan
arks
hire
85 (2
0)95
(20)
87.5
(16)
81.3
(16)
84.6
(13)
100
(12)
85.7
(7)
NH
S T
aysi
de85
.7 (7
)10
0 (7
)83
.3 (6
)83
.3 (6
)93
.8 (1
6)81
.8 (1
4)63
.6 (1
1)N
orth
Cum
bria
Uni
vers
ity H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(4)
100
(4)
84.4
(64)
38.5
(48)
53.8
(13)
Por
tsm
outh
Hos
pita
ls N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (7
)10
0 (7
)66
.7 (6
6)78
.6 (3
1)64
.3 (1
4)R
oyal
Bro
mpt
on &
Har
efie
ld N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)85
.7 (7
)80
(5)
60 (5
)10
0 (3
0)81
.8 (2
2)90
.9 (1
1)R
oyal
Cor
nwal
l Hos
pita
ls N
HS
Tru
st10
0 (4
)10
0 (4
)10
0 (4
)50
(4)
68 (2
5)88
.9 (1
9)77
.8 (9
)R
oyal
Dev
on a
nd E
xete
r NH
S F
ound
atio
n Tr
ust
80 (1
0)10
0 (1
0)10
0 (7
)83
.3 (6
)90
(20)
50 (1
3)62
.5 (8
)R
oyal
Fre
e Lo
ndon
NH
S F
ound
atio
n Tr
ust
72.2
(18)
94.4
(18)
88.9
(11)
44.4
(9)
88.5
(78)
66.7
(54)
50 (6
)S
andw
ell a
nd W
est B
irmin
gham
Hos
pita
ls N
HS
Tru
st70
(20)
90 (2
0)88
.9 (1
2)44
.4 (9
)82
.7 (7
5)83
.3 (5
3)50
(12)
Shr
ewsb
ury
and
Telfo
rd H
ospi
tal N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (6
)66
.7 (6
)86
.1 (3
6)57
.1 (2
1)85
.7 (7
)S
outh
ern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
25 (4
)10
0 (4
).
.58
.3 (4
8)77
.8 (1
7)55
.6 (9
)Th
e R
oyal
Bou
rnem
outh
and
Chr
istc
hurc
h H
ospi
tals
NH
S F
ound
atio
n Tr
ust
25 (4
)75
(4)
..
73.7
(19)
66.7
(15)
100
(6)
Uni
ted
Linc
olns
hire
Hos
pita
ls N
HS
Tru
st60
(5)
100
(5)
100
(3)
50 (2
)94
.4 (3
6)87
.5 (1
9)50
(8)
Uni
vers
ity H
ospi
tal o
f Sou
th M
anch
este
r NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
80 (5
)88
.2 (5
1)93
.3 (3
6)80
(15)
Uni
vers
ity H
ospi
tals
of M
orec
ambe
Bay
NH
S F
ound
atio
n Tr
ust
100
(2)
100
(2)
0 (2
)10
0 (1
)87
.5 (4
0)83
.3 (2
9)50
(12)
Wes
t Her
tford
shire
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (5
)80
(5)
75 (3
2)10
0 (2
6)75
(8)
Wes
tern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
81.8
(11)
100
(11)
100
(9)
62.5
(8)
53.8
(26)
75 (1
8)50
(4)
Wes
tern
Sus
sex
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)90
(10)
88.9
(45)
80 (3
1)60
(15)
Wirr
al U
nive
rsity
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t71
.4 (7
)10
0 (7
)80
(5)
40 (5
)88
.5 (2
6)85
.7 (1
1)57
.1 (7
)W
orce
ster
shire
Acu
te H
ospi
tals
NH
S T
rust
100
(8)
100
(8)
57.1
(8)
42.9
(7)
50 (2
2)37
.5 (1
6)50
(8)
Yor
k Te
achi
ng H
ospi
tal N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (6
)60
(5)
62 (7
9)62
.5 (3
4)68
.8 (1
6)
Leve
l 2: t
abul
ated
rate
s: h
ighl
ight
ing
gold
and
silv
er
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
refe
rral
rate
%
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)D
BD
con
sent
/aut
horis
atio
n ra
te %
(N)
DC
D re
ferr
al ra
te
% (N
)
% o
f DC
D a
ppro
ache
s w
here
SN
OD
invo
lved
%
(N)
DC
D
cons
ent/a
utho
risat
ion
rate
%
(N)
Abe
rtaw
e B
ro M
orga
nnw
g U
nive
rsity
Hea
lth B
oard
76.9
(13)
92.3
(13)
100
(7)
71.4
(7)
77 (6
1)84
.2 (1
9)31
.6 (1
9)A
neur
in B
evan
Hea
lth B
oard
100
(3)
100
(3)
100
(3)
100
(3)
84.3
(51)
90.9
(11)
63.6
(11)
Bar
nsle
y H
ospi
tal N
HS
Fou
ndat
ion
Trus
t66
.7 (3
)10
0 (3
)10
0 (2
)10
0 (2
)10
0 (1
3)75
(4)
75 (4
)B
asild
on a
nd T
hurr
ock
Uni
vers
ity H
ospi
tals
NH
S F
ound
atio
n Tr
ust
75 (8
)87
.5 (8
)10
0 (5
)80
(5)
86 (4
3)10
0 (1
5)80
(15)
Bet
si C
adw
alad
r Uni
vers
ity H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)87
.2 (7
8)93
.8 (1
6)62
.5 (1
6)C
alde
rdal
e an
d H
udde
rsfie
ld N
HS
Fou
ndat
ion
Trus
t90
(10)
100
(10)
100
(7)
85.7
(7)
96.4
(28)
87.5
(8)
87.5
(8)
Cen
tral M
anch
este
r Uni
vers
ity H
ospi
tals
NH
S F
ound
atio
n Tr
ust
89.5
(19)
100
(19)
100
(13)
53.8
(13)
97.1
(35)
92.3
(13)
53.8
(13)
Cou
nty
Dur
ham
and
Dar
lingt
on N
HS
Fou
ndat
ion
Trus
t87
.5 (8
)10
0 (8
)83
.3 (6
)50
(6)
60 (4
0)87
.5 (8
)87
.5 (8
)C
wm
Taf
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
81.3
(32)
100
(3)
66.7
(3)
Dar
tford
and
Gra
vesh
am N
HS
Tru
st85
.7 (7
)85
.7 (7
)10
0 (5
)80
(5)
95.3
(43)
83.3
(6)
66.7
(6)
Der
by H
ospi
tals
NH
S F
ound
atio
n Tr
ust
33.3
(6)
100
(6)
50 (2
)50
(2)
77.8
(27)
78.6
(14)
78.6
(14)
Eas
t Ken
t Hos
pita
ls U
nive
rsity
NH
S F
ound
atio
n Tr
ust
95.7
(23)
100
(23)
84.2
(19)
47.4
(19)
97.5
(40)
88.2
(17)
82.4
(17)
Eas
t Lan
cash
ire H
ospi
tals
NH
S T
rust
77.8
(9)
100
(9)
100
(7)
28.6
(7)
94.1
(34)
100
(9)
55.6
(9)
Eas
t Sus
sex
Hea
lthca
re N
HS
Tru
st85
.7 (7
)10
0 (7
)10
0 (4
)75
(4)
83.3
(36)
100
(10)
80 (1
0)E
ast a
nd N
orth
Her
tford
shire
NH
S T
rust
100
(3)
100
(3)
100
(3)
100
(3)
100
(46)
100
(17)
64.7
(17)
Glo
uces
ters
hire
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)80
(10)
82.6
(46)
100
(9)
88.9
(9)
Gre
at W
este
rn H
ospi
tals
NH
S F
ound
atio
n Tr
ust
77.8
(9)
100
(9)
100
(5)
100
(5)
93.3
(30)
100
(5)
60 (5
)G
uy's
and
St T
hom
as' N
HS
Fou
ndat
ion
Trus
t10
0 (1
1)10
0 (1
1)66
.7 (9
)55
.6 (9
)91
.8 (4
9)61
.1 (1
8)50
(18)
Hea
rt of
Eng
land
NH
S F
ound
atio
n Tr
ust
91.7
(12)
100
(12)
100
(11)
90.9
(11)
72.9
(59)
61.1
(18)
33.3
(18)
Jam
es P
aget
Uni
vers
ity H
ospi
tals
NH
S F
ound
atio
n Tr
ust
33.3
(3)
100
(3)
..
100
(51)
94.4
(18)
66.7
(18)
Ket
terin
g G
ener
al H
ospi
tal N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (9
)77
.8 (9
)92
(25)
83.3
(6)
50 (6
)Lo
ndon
Nor
th W
est H
ealth
care
NH
S T
rust
90 (1
0)10
0 (1
0)10
0 (8
)50
(8)
88.6
(44)
90.9
(11)
63.6
(11)
Med
way
NH
S F
ound
atio
n Tr
ust
100
(9)
100
(9)
100
(8)
50 (8
)92
.6 (2
7)10
0 (7
)85
.7 (7
)M
id E
ssex
Hos
pita
l Ser
vice
s N
HS
Tru
st85
.7 (7
)10
0 (7
)60
(5)
80 (5
)66
.7 (9
)66
.7 (3
)33
.3 (3
)N
HS
Lan
arks
hire
85 (2
0)95
(20)
87.5
(16)
81.3
(16)
84.6
(13)
100
(7)
85.7
(7)
NH
S T
aysi
de85
.7 (7
)10
0 (7
)83
.3 (6
)83
.3 (6
)93
.8 (1
6)81
.8 (1
1)63
.6 (1
1)N
orth
Cum
bria
Uni
vers
ity H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(4)
100
(4)
84.4
(64)
38.5
(13)
53.8
(13)
Por
tsm
outh
Hos
pita
ls N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (7
)10
0 (7
)66
.7 (6
6)78
.6 (1
4)64
.3 (1
4)R
oyal
Bro
mpt
on &
Har
efie
ld N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)85
.7 (7
)80
(5)
60 (5
)10
0 (3
0)81
.8 (1
1)90
.9 (1
1)R
oyal
Cor
nwal
l Hos
pita
ls N
HS
Tru
st10
0 (4
)10
0 (4
)10
0 (4
)50
(4)
68 (2
5)88
.9 (9
)77
.8 (9
)R
oyal
Dev
on a
nd E
xete
r NH
S F
ound
atio
n Tr
ust
80 (1
0)10
0 (1
0)10
0 (6
)83
.3 (6
)90
(20)
50 (8
)62
.5 (8
)R
oyal
Fre
e Lo
ndon
NH
S F
ound
atio
n Tr
ust
72.2
(18)
94.4
(18)
88.9
(9)
44.4
(9)
88.5
(78)
66.7
(6)
50 (6
)S
andw
ell a
nd W
est B
irmin
gham
Hos
pita
ls N
HS
Tru
st70
(20)
90 (2
0)88
.9 (9
)44
.4 (9
)82
.7 (7
5)83
.3 (1
2)50
(12)
Shr
ewsb
ury
and
Telfo
rd H
ospi
tal N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (6
)66
.7 (6
)86
.1 (3
6)57
.1 (7
)85
.7 (7
)S
outh
ern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
25 (4
)10
0 (4
).
.58
.3 (4
8)77
.8 (9
)55
.6 (9
)Th
e R
oyal
Bou
rnem
outh
and
Chr
istc
hurc
h H
ospi
tals
NH
S F
ound
atio
n Tr
ust
25 (4
)75
(4)
..
73.7
(19)
66.7
(6)
100
(6)
Uni
ted
Linc
olns
hire
Hos
pita
ls N
HS
Tru
st60
(5)
100
(5)
100
(2)
50 (2
)94
.4 (3
6)87
.5 (8
)50
(8)
Uni
vers
ity H
ospi
tal o
f Sou
th M
anch
este
r NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
80 (5
)88
.2 (5
1)93
.3 (1
5)80
(15)
Uni
vers
ity H
ospi
tals
of M
orec
ambe
Bay
NH
S F
ound
atio
n Tr
ust
100
(2)
100
(2)
0 (1
)10
0 (1
)87
.5 (4
0)83
.3 (1
2)50
(12)
Wes
t Her
tford
shire
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (5
)80
(5)
75 (3
2)10
0 (8
)75
(8)
Wes
tern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
81.8
(11)
100
(11)
100
(8)
62.5
(8)
53.8
(26)
75 (4
)50
(4)
Wes
tern
Sus
sex
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)90
(10)
88.9
(45)
80 (1
5)60
(15)
Wirr
al U
nive
rsity
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t71
.4 (7
)10
0 (7
)80
(5)
40 (5
)88
.5 (2
6)85
.7 (7
)57
.1 (7
)W
orce
ster
shire
Acu
te H
ospi
tals
NH
S T
rust
100
(8)
100
(8)
57.1
(7)
42.9
(7)
50 (2
2)37
.5 (8
)50
(8)
York
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (5
)60
(5)
62 (7
9)62
.5 (1
6)68
.8 (1
6)
Key
s ra
tes
by T
rust
/Boa
rdLe
vel 2
1 O
ctob
er 2
015
- 30
Sept
embe
r 201
6
17
17
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
ref
erra
l rat
e %
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)D
BD
con
sent
ra
te %
(N)
DC
D r
efer
ral r
ate
% (N
)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)D
CD
con
sent
ra
te %
(N)
Abe
rtaw
e B
ro M
orga
nnw
g U
nive
rsity
Hea
lth B
oard
76.9
(13)
92.3
(13)
100
(9)
71.4
(7)
77 (6
1)84
.2 (3
7)31
.6 (1
9)A
neur
in B
evan
Hea
lth B
oard
100
(3)
100
(3)
100
(3)
100
(3)
84.3
(51)
90.9
(41)
63.6
(11)
Bar
nsle
y H
ospi
tal N
HS
Fou
ndat
ion
Trus
t66
.7 (3
)10
0 (3
)10
0 (2
)10
0 (2
)10
0 (1
3)75
(4)
75 (4
)B
asild
on a
nd T
hurro
ck U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(6)
80 (5
)86
(43)
100
(38)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(38)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (8
)85
.7 (7
)96
.4 (2
8)87
.5 (1
1)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
6)53
.8 (1
3)97
.1 (3
5)92
.3 (2
4)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(7)
50 (6
)60
(40)
87.5
(30)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (2
1)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(6)
80 (5
)95
.3 (4
3)83
.3 (1
9)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (2
0)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (2
1)47
.4 (1
9)97
.5 (4
0)88
.2 (3
1)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (2
6)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(5)
75 (4
)83
.3 (3
6)10
0 (2
2)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (3
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (2
9)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (6
)10
0 (5
)93
.3 (3
0)10
0 (1
8)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(10)
55.6
(9)
91.8
(49)
61.1
(38)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (4
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (3
4)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
77.8
(9)
92 (2
5)83
.3 (1
7)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (2
9)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (9
)50
(8)
92.6
(27)
100
(18)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervic
es N
HS
Tru
st85
.7 (7
)10
0 (7
)60
(6)
80 (5
)66
.7 (9
)66
.7 (7
)33
.3 (3
)N
HS
Lan
arks
hire
85 (2
0)95
(20)
87.5
(16)
81.3
(16)
84.6
(13)
100
(12)
85.7
(7)
NH
S T
aysi
de85
.7 (7
)10
0 (7
)83
.3 (6
)83
.3 (6
)93
.8 (1
6)81
.8 (1
4)63
.6 (1
1)N
orth
Cum
bria
Uni
vers
ity H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(4)
100
(4)
84.4
(64)
38.5
(48)
53.8
(13)
Por
tsm
outh
Hos
pita
ls N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (7
)10
0 (7
)66
.7 (6
6)78
.6 (3
1)64
.3 (1
4)R
oyal
Bro
mpt
on &
Har
efie
ld N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)85
.7 (7
)80
(5)
60 (5
)10
0 (3
0)81
.8 (2
2)90
.9 (1
1)R
oyal
Cor
nwal
l Hos
pita
ls N
HS
Tru
st10
0 (4
)10
0 (4
)10
0 (4
)50
(4)
68 (2
5)88
.9 (1
9)77
.8 (9
)R
oyal
Dev
on a
nd E
xete
r NH
S F
ound
atio
n Tr
ust
80 (1
0)10
0 (1
0)10
0 (7
)83
.3 (6
)90
(20)
50 (1
3)62
.5 (8
)R
oyal
Fre
e Lo
ndon
NH
S F
ound
atio
n Tr
ust
72.2
(18)
94.4
(18)
88.9
(11)
44.4
(9)
88.5
(78)
66.7
(54)
50 (6
)S
andw
ell a
nd W
est B
irmin
gham
Hos
pita
ls N
HS
Tru
st70
(20)
90 (2
0)88
.9 (1
2)44
.4 (9
)82
.7 (7
5)83
.3 (5
3)50
(12)
Shr
ewsb
ury
and
Telfo
rd H
ospi
tal N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (6
)66
.7 (6
)86
.1 (3
6)57
.1 (2
1)85
.7 (7
)S
outh
ern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
25 (4
)10
0 (4
).
.58
.3 (4
8)77
.8 (1
7)55
.6 (9
)Th
e R
oyal
Bou
rnem
outh
and
Chr
istc
hurc
h H
ospi
tals
NH
S F
ound
atio
n Tr
ust
25 (4
)75
(4)
..
73.7
(19)
66.7
(15)
100
(6)
Uni
ted
Linc
olns
hire
Hos
pita
ls N
HS
Tru
st60
(5)
100
(5)
100
(3)
50 (2
)94
.4 (3
6)87
.5 (1
9)50
(8)
Uni
vers
ity H
ospi
tal o
f Sou
th M
anch
este
r NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
80 (5
)88
.2 (5
1)93
.3 (3
6)80
(15)
Uni
vers
ity H
ospi
tals
of M
orec
ambe
Bay
NH
S F
ound
atio
n Tr
ust
100
(2)
100
(2)
0 (2
)10
0 (1
)87
.5 (4
0)83
.3 (2
9)50
(12)
Wes
t Her
tford
shire
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (5
)80
(5)
75 (3
2)10
0 (2
6)75
(8)
Wes
tern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
81.8
(11)
100
(11)
100
(9)
62.5
(8)
53.8
(26)
75 (1
8)50
(4)
Wes
tern
Sus
sex
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)90
(10)
88.9
(45)
80 (3
1)60
(15)
Wirr
al U
nive
rsity
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t71
.4 (7
)10
0 (7
)80
(5)
40 (5
)88
.5 (2
6)85
.7 (1
1)57
.1 (7
)W
orce
ster
shire
Acu
te H
ospi
tals
NH
S T
rust
100
(8)
100
(8)
57.1
(8)
42.9
(7)
50 (2
2)37
.5 (1
6)50
(8)
Yor
k Te
achi
ng H
ospi
tal N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (6
)60
(5)
62 (7
9)62
.5 (3
4)68
.8 (1
6)
Leve
l 2: t
abul
ated
rate
s: h
ighl
ight
ing
bron
ze
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
ref
erra
l rat
e %
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)D
BD
con
sent
ra
te %
(N)
DC
D r
efer
ral r
ate
% (N
)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)D
CD
con
sent
ra
te %
(N)
Abe
rtaw
e B
ro M
orga
nnw
g U
nive
rsity
Hea
lth B
oard
76.9
(13)
92.3
(13)
100
(9)
71.4
(7)
77 (6
1)84
.2 (3
7)31
.6 (1
9)A
neur
in B
evan
Hea
lth B
oard
100
(3)
100
(3)
100
(3)
100
(3)
84.3
(51)
90.9
(41)
63.6
(11)
Bar
nsle
y H
ospi
tal N
HS
Fou
ndat
ion
Trus
t66
.7 (3
)10
0 (3
)10
0 (2
)10
0 (2
)10
0 (1
3)75
(4)
75 (4
)B
asild
on a
nd T
hurro
ck U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(6)
80 (5
)86
(43)
100
(38)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(38)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (8
)85
.7 (7
)96
.4 (2
8)87
.5 (1
1)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
6)53
.8 (1
3)97
.1 (3
5)92
.3 (2
4)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(7)
50 (6
)60
(40)
87.5
(30)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (2
1)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(6)
80 (5
)95
.3 (4
3)83
.3 (1
9)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (2
0)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (2
1)47
.4 (1
9)97
.5 (4
0)88
.2 (3
1)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (2
6)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(5)
75 (4
)83
.3 (3
6)10
0 (2
2)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (3
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (2
9)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (6
)10
0 (5
)93
.3 (3
0)10
0 (1
8)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(10)
55.6
(9)
91.8
(49)
61.1
(38)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (4
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (3
4)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
77.8
(9)
92 (2
5)83
.3 (1
7)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (2
9)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (9
)50
(8)
92.6
(27)
100
(18)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervic
es N
HS
Tru
st85
.7 (7
)10
0 (7
)60
(6)
80 (5
)66
.7 (9
)66
.7 (7
)33
.3 (3
)N
HS
Lan
arks
hire
85 (2
0)95
(20)
87.5
(16)
81.3
(16)
84.6
(13)
100
(12)
85.7
(7)
NH
S T
aysi
de85
.7 (7
)10
0 (7
)83
.3 (6
)83
.3 (6
)93
.8 (1
6)81
.8 (1
4)63
.6 (1
1)N
orth
Cum
bria
Uni
vers
ity H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(4)
100
(4)
84.4
(64)
38.5
(48)
53.8
(13)
Por
tsm
outh
Hos
pita
ls N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (7
)10
0 (7
)66
.7 (6
6)78
.6 (3
1)64
.3 (1
4)R
oyal
Bro
mpt
on &
Har
efie
ld N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)85
.7 (7
)80
(5)
60 (5
)10
0 (3
0)81
.8 (2
2)90
.9 (1
1)R
oyal
Cor
nwal
l Hos
pita
ls N
HS
Tru
st10
0 (4
)10
0 (4
)10
0 (4
)50
(4)
68 (2
5)88
.9 (1
9)77
.8 (9
)R
oyal
Dev
on a
nd E
xete
r NH
S F
ound
atio
n Tr
ust
80 (1
0)10
0 (1
0)10
0 (7
)83
.3 (6
)90
(20)
50 (1
3)62
.5 (8
)R
oyal
Fre
e Lo
ndon
NH
S F
ound
atio
n Tr
ust
72.2
(18)
94.4
(18)
88.9
(11)
44.4
(9)
88.5
(78)
66.7
(54)
50 (6
)S
andw
ell a
nd W
est B
irmin
gham
Hos
pita
ls N
HS
Tru
st70
(20)
90 (2
0)88
.9 (1
2)44
.4 (9
)82
.7 (7
5)83
.3 (5
3)50
(12)
Shr
ewsb
ury
and
Telfo
rd H
ospi
tal N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (6
)66
.7 (6
)86
.1 (3
6)57
.1 (2
1)85
.7 (7
)S
outh
ern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
25 (4
)10
0 (4
).
.58
.3 (4
8)77
.8 (1
7)55
.6 (9
)Th
e R
oyal
Bou
rnem
outh
and
Chr
istc
hurc
h H
ospi
tals
NH
S F
ound
atio
n Tr
ust
25 (4
)75
(4)
..
73.7
(19)
66.7
(15)
100
(6)
Uni
ted
Linc
olns
hire
Hos
pita
ls N
HS
Tru
st60
(5)
100
(5)
100
(3)
50 (2
)94
.4 (3
6)87
.5 (1
9)50
(8)
Uni
vers
ity H
ospi
tal o
f Sou
th M
anch
este
r NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
80 (5
)88
.2 (5
1)93
.3 (3
6)80
(15)
Uni
vers
ity H
ospi
tals
of M
orec
ambe
Bay
NH
S F
ound
atio
n Tr
ust
100
(2)
100
(2)
0 (2
)10
0 (1
)87
.5 (4
0)83
.3 (2
9)50
(12)
Wes
t Her
tford
shire
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (5
)80
(5)
75 (3
2)10
0 (2
6)75
(8)
Wes
tern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
81.8
(11)
100
(11)
100
(9)
62.5
(8)
53.8
(26)
75 (1
8)50
(4)
Wes
tern
Sus
sex
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)90
(10)
88.9
(45)
80 (3
1)60
(15)
Wirr
al U
nive
rsity
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t71
.4 (7
)10
0 (7
)80
(5)
40 (5
)88
.5 (2
6)85
.7 (1
1)57
.1 (7
)W
orce
ster
shire
Acu
te H
ospi
tals
NH
S T
rust
100
(8)
100
(8)
57.1
(8)
42.9
(7)
50 (2
2)37
.5 (1
6)50
(8)
Yor
k Te
achi
ng H
ospi
tal N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (6
)60
(5)
62 (7
9)62
.5 (3
4)68
.8 (1
6)
Leve
l 2: t
abul
ated
rate
s: h
ighl
ight
ing
ambe
r and
red
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
refe
rral
rate
%
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)
DB
D
cons
ent/a
utho
risat
ion
rate
% (N
)D
CD
refe
rral
rate
%
(N)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)
DC
D
cons
ent/a
utho
risat
ion
rate
% (N
)A
berta
we
Bro
Mor
gann
wg
Uni
vers
ity H
ealth
Boa
rd76
.9 (1
3)92
.3 (1
3)10
0 (7
)71
.4 (7
)77
(61)
84.2
(19)
31.6
(19)
Ane
urin
Bev
an H
ealth
Boa
rd10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)84
.3 (5
1)90
.9 (1
1)63
.6 (1
1)B
arns
ley
Hos
pita
l NH
S F
ound
atio
n Tr
ust
66.7
(3)
100
(3)
100
(2)
100
(2)
100
(13)
75 (4
)75
(4)
Bas
ildon
and
Thu
rroc
k U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(5)
80 (5
)86
(43)
100
(15)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(16)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (7
)85
.7 (7
)96
.4 (2
8)87
.5 (8
)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
3)53
.8 (1
3)97
.1 (3
5)92
.3 (1
3)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(6)
50 (6
)60
(40)
87.5
(8)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (3
)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(5)
80 (5
)95
.3 (4
3)83
.3 (6
)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (1
4)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (1
9)47
.4 (1
9)97
.5 (4
0)88
.2 (1
7)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (9
)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(4)
75 (4
)83
.3 (3
6)10
0 (1
0)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (1
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (9
)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (5
)10
0 (5
)93
.3 (3
0)10
0 (5
)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(9)
55.6
(9)
91.8
(49)
61.1
(18)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (1
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (1
8)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(9)
77.8
(9)
92 (2
5)83
.3 (6
)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (1
1)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (8
)50
(8)
92.6
(27)
100
(7)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervi
ces
NH
S T
rust
85.7
(7)
100
(7)
60 (5
)80
(5)
66.7
(9)
66.7
(3)
33.3
(3)
NH
S L
anar
kshi
re85
(20)
95 (2
0)87
.5 (1
6)81
.3 (1
6)84
.6 (1
3)10
0 (7
)85
.7 (7
)N
HS
Tay
side
85.7
(7)
100
(7)
83.3
(6)
83.3
(6)
93.8
(16)
81.8
(11)
63.6
(11)
Nor
th C
umbr
ia U
nive
rsity
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (4
)10
0 (4
)84
.4 (6
4)38
.5 (1
3)53
.8 (1
3)P
orts
mou
th H
ospi
tals
NH
S T
rust
88.9
(9)
88.9
(9)
100
(7)
100
(7)
66.7
(66)
78.6
(14)
64.3
(14)
Roy
al B
rom
pton
& H
aref
ield
NH
S F
ound
atio
n Tr
ust
85.7
(7)
85.7
(7)
80 (5
)60
(5)
100
(30)
81.8
(11)
90.9
(11)
Roy
al C
ornw
all H
ospi
tals
NH
S T
rust
100
(4)
100
(4)
100
(4)
50 (4
)68
(25)
88.9
(9)
77.8
(9)
Roy
al D
evon
and
Exe
ter N
HS
Fou
ndat
ion
Trus
t80
(10)
100
(10)
100
(6)
83.3
(6)
90 (2
0)50
(8)
62.5
(8)
Roy
al F
ree
Lond
on N
HS
Fou
ndat
ion
Trus
t72
.2 (1
8)94
.4 (1
8)88
.9 (9
)44
.4 (9
)88
.5 (7
8)66
.7 (6
)50
(6)
San
dwel
l and
Wes
t Birm
ingh
am H
ospi
tals
NH
S T
rust
70 (2
0)90
(20)
88.9
(9)
44.4
(9)
82.7
(75)
83.3
(12)
50 (1
2)S
hrew
sbur
y an
d Te
lford
Hos
pita
l NH
S T
rust
88.9
(9)
88.9
(9)
100
(6)
66.7
(6)
86.1
(36)
57.1
(7)
85.7
(7)
Sou
ther
n H
ealth
and
Soc
ial C
are
Trus
t25
(4)
100
(4)
..
58.3
(48)
77.8
(9)
55.6
(9)
The
Roy
al B
ourn
emou
th a
nd C
hris
tchu
rch
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t25
(4)
75 (4
).
.73
.7 (1
9)66
.7 (6
)10
0 (6
)U
nite
d Li
ncol
nshi
re H
ospi
tals
NH
S T
rust
60 (5
)10
0 (5
)10
0 (2
)50
(2)
94.4
(36)
87.5
(8)
50 (8
)U
nive
rsity
Hos
pita
l of S
outh
Man
ches
ter N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (5
)80
(5)
88.2
(51)
93.3
(15)
80 (1
5)U
nive
rsity
Hos
pita
ls o
f Mor
ecam
be B
ay N
HS
Fou
ndat
ion
Trus
t10
0 (2
)10
0 (2
)0
(1)
100
(1)
87.5
(40)
83.3
(12)
50 (1
2)W
est H
ertfo
rdsh
ire H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(5)
80 (5
)75
(32)
100
(8)
75 (8
)W
este
rn H
ealth
and
Soc
ial C
are
Trus
t81
.8 (1
1)10
0 (1
1)10
0 (8
)62
.5 (8
)53
.8 (2
6)75
(4)
50 (4
)W
este
rn S
usse
x H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
90 (1
0)88
.9 (4
5)80
(15)
60 (1
5)W
irral
Uni
vers
ity T
each
ing
Hos
pita
l NH
S F
ound
atio
n Tr
ust
71.4
(7)
100
(7)
80 (5
)40
(5)
88.5
(26)
85.7
(7)
57.1
(7)
Wor
cest
ersh
ire A
cute
Hos
pita
ls N
HS
Tru
st10
0 (8
)10
0 (8
)57
.1 (7
)42
.9 (7
)50
(22)
37.5
(8)
50 (8
)Yo
rk T
each
ing
Hos
pita
l NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
60 (5
)62
(79)
62.5
(16)
68.8
(16)
Key
s ra
tes
by T
rust
/Boa
rdLe
vel 2
1 O
ctob
er 2
015
- 30
Sept
embe
r 201
6
18
17
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
ref
erra
l rat
e %
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)D
BD
con
sent
ra
te %
(N)
DC
D r
efer
ral r
ate
% (N
)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)D
CD
con
sent
ra
te %
(N)
Abe
rtaw
e B
ro M
orga
nnw
g U
nive
rsity
Hea
lth B
oard
76.9
(13)
92.3
(13)
100
(9)
71.4
(7)
77 (6
1)84
.2 (3
7)31
.6 (1
9)A
neur
in B
evan
Hea
lth B
oard
100
(3)
100
(3)
100
(3)
100
(3)
84.3
(51)
90.9
(41)
63.6
(11)
Bar
nsle
y H
ospi
tal N
HS
Fou
ndat
ion
Trus
t66
.7 (3
)10
0 (3
)10
0 (2
)10
0 (2
)10
0 (1
3)75
(4)
75 (4
)B
asild
on a
nd T
hurro
ck U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(6)
80 (5
)86
(43)
100
(38)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(38)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (8
)85
.7 (7
)96
.4 (2
8)87
.5 (1
1)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
6)53
.8 (1
3)97
.1 (3
5)92
.3 (2
4)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(7)
50 (6
)60
(40)
87.5
(30)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (2
1)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(6)
80 (5
)95
.3 (4
3)83
.3 (1
9)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (2
0)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (2
1)47
.4 (1
9)97
.5 (4
0)88
.2 (3
1)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (2
6)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(5)
75 (4
)83
.3 (3
6)10
0 (2
2)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (3
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (2
9)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (6
)10
0 (5
)93
.3 (3
0)10
0 (1
8)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(10)
55.6
(9)
91.8
(49)
61.1
(38)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (4
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (3
4)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
77.8
(9)
92 (2
5)83
.3 (1
7)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (2
9)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (9
)50
(8)
92.6
(27)
100
(18)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervic
es N
HS
Tru
st85
.7 (7
)10
0 (7
)60
(6)
80 (5
)66
.7 (9
)66
.7 (7
)33
.3 (3
)N
HS
Lan
arks
hire
85 (2
0)95
(20)
87.5
(16)
81.3
(16)
84.6
(13)
100
(12)
85.7
(7)
NH
S T
aysi
de85
.7 (7
)10
0 (7
)83
.3 (6
)83
.3 (6
)93
.8 (1
6)81
.8 (1
4)63
.6 (1
1)N
orth
Cum
bria
Uni
vers
ity H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(4)
100
(4)
84.4
(64)
38.5
(48)
53.8
(13)
Por
tsm
outh
Hos
pita
ls N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (7
)10
0 (7
)66
.7 (6
6)78
.6 (3
1)64
.3 (1
4)R
oyal
Bro
mpt
on &
Har
efie
ld N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)85
.7 (7
)80
(5)
60 (5
)10
0 (3
0)81
.8 (2
2)90
.9 (1
1)R
oyal
Cor
nwal
l Hos
pita
ls N
HS
Tru
st10
0 (4
)10
0 (4
)10
0 (4
)50
(4)
68 (2
5)88
.9 (1
9)77
.8 (9
)R
oyal
Dev
on a
nd E
xete
r NH
S F
ound
atio
n Tr
ust
80 (1
0)10
0 (1
0)10
0 (7
)83
.3 (6
)90
(20)
50 (1
3)62
.5 (8
)R
oyal
Fre
e Lo
ndon
NH
S F
ound
atio
n Tr
ust
72.2
(18)
94.4
(18)
88.9
(11)
44.4
(9)
88.5
(78)
66.7
(54)
50 (6
)S
andw
ell a
nd W
est B
irmin
gham
Hos
pita
ls N
HS
Tru
st70
(20)
90 (2
0)88
.9 (1
2)44
.4 (9
)82
.7 (7
5)83
.3 (5
3)50
(12)
Shr
ewsb
ury
and
Telfo
rd H
ospi
tal N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (6
)66
.7 (6
)86
.1 (3
6)57
.1 (2
1)85
.7 (7
)S
outh
ern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
25 (4
)10
0 (4
).
.58
.3 (4
8)77
.8 (1
7)55
.6 (9
)Th
e R
oyal
Bou
rnem
outh
and
Chr
istc
hurc
h H
ospi
tals
NH
S F
ound
atio
n Tr
ust
25 (4
)75
(4)
..
73.7
(19)
66.7
(15)
100
(6)
Uni
ted
Linc
olns
hire
Hos
pita
ls N
HS
Tru
st60
(5)
100
(5)
100
(3)
50 (2
)94
.4 (3
6)87
.5 (1
9)50
(8)
Uni
vers
ity H
ospi
tal o
f Sou
th M
anch
este
r NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
80 (5
)88
.2 (5
1)93
.3 (3
6)80
(15)
Uni
vers
ity H
ospi
tals
of M
orec
ambe
Bay
NH
S F
ound
atio
n Tr
ust
100
(2)
100
(2)
0 (2
)10
0 (1
)87
.5 (4
0)83
.3 (2
9)50
(12)
Wes
t Her
tford
shire
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (5
)80
(5)
75 (3
2)10
0 (2
6)75
(8)
Wes
tern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
81.8
(11)
100
(11)
100
(9)
62.5
(8)
53.8
(26)
75 (1
8)50
(4)
Wes
tern
Sus
sex
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)90
(10)
88.9
(45)
80 (3
1)60
(15)
Wirr
al U
nive
rsity
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t71
.4 (7
)10
0 (7
)80
(5)
40 (5
)88
.5 (2
6)85
.7 (1
1)57
.1 (7
)W
orce
ster
shire
Acu
te H
ospi
tals
NH
S T
rust
100
(8)
100
(8)
57.1
(8)
42.9
(7)
50 (2
2)37
.5 (1
6)50
(8)
Yor
k Te
achi
ng H
ospi
tal N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (6
)60
(5)
62 (7
9)62
.5 (3
4)68
.8 (1
6)
Leve
l 2: t
abul
ated
rate
s: h
ighl
ight
ing
bron
ze
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
ref
erra
l rat
e %
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)D
BD
con
sent
ra
te %
(N)
DC
D r
efer
ral r
ate
% (N
)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)D
CD
con
sent
ra
te %
(N)
Abe
rtaw
e B
ro M
orga
nnw
g U
nive
rsity
Hea
lth B
oard
76.9
(13)
92.3
(13)
100
(9)
71.4
(7)
77 (6
1)84
.2 (3
7)31
.6 (1
9)A
neur
in B
evan
Hea
lth B
oard
100
(3)
100
(3)
100
(3)
100
(3)
84.3
(51)
90.9
(41)
63.6
(11)
Bar
nsle
y H
ospi
tal N
HS
Fou
ndat
ion
Trus
t66
.7 (3
)10
0 (3
)10
0 (2
)10
0 (2
)10
0 (1
3)75
(4)
75 (4
)B
asild
on a
nd T
hurro
ck U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(6)
80 (5
)86
(43)
100
(38)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(38)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (8
)85
.7 (7
)96
.4 (2
8)87
.5 (1
1)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
6)53
.8 (1
3)97
.1 (3
5)92
.3 (2
4)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(7)
50 (6
)60
(40)
87.5
(30)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (2
1)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(6)
80 (5
)95
.3 (4
3)83
.3 (1
9)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (2
0)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (2
1)47
.4 (1
9)97
.5 (4
0)88
.2 (3
1)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (2
6)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(5)
75 (4
)83
.3 (3
6)10
0 (2
2)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (3
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (2
9)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (6
)10
0 (5
)93
.3 (3
0)10
0 (1
8)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(10)
55.6
(9)
91.8
(49)
61.1
(38)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (4
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (3
4)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
77.8
(9)
92 (2
5)83
.3 (1
7)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (2
9)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (9
)50
(8)
92.6
(27)
100
(18)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervic
es N
HS
Tru
st85
.7 (7
)10
0 (7
)60
(6)
80 (5
)66
.7 (9
)66
.7 (7
)33
.3 (3
)N
HS
Lan
arks
hire
85 (2
0)95
(20)
87.5
(16)
81.3
(16)
84.6
(13)
100
(12)
85.7
(7)
NH
S T
aysi
de85
.7 (7
)10
0 (7
)83
.3 (6
)83
.3 (6
)93
.8 (1
6)81
.8 (1
4)63
.6 (1
1)N
orth
Cum
bria
Uni
vers
ity H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(4)
100
(4)
84.4
(64)
38.5
(48)
53.8
(13)
Por
tsm
outh
Hos
pita
ls N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (7
)10
0 (7
)66
.7 (6
6)78
.6 (3
1)64
.3 (1
4)R
oyal
Bro
mpt
on &
Har
efie
ld N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)85
.7 (7
)80
(5)
60 (5
)10
0 (3
0)81
.8 (2
2)90
.9 (1
1)R
oyal
Cor
nwal
l Hos
pita
ls N
HS
Tru
st10
0 (4
)10
0 (4
)10
0 (4
)50
(4)
68 (2
5)88
.9 (1
9)77
.8 (9
)R
oyal
Dev
on a
nd E
xete
r NH
S F
ound
atio
n Tr
ust
80 (1
0)10
0 (1
0)10
0 (7
)83
.3 (6
)90
(20)
50 (1
3)62
.5 (8
)R
oyal
Fre
e Lo
ndon
NH
S F
ound
atio
n Tr
ust
72.2
(18)
94.4
(18)
88.9
(11)
44.4
(9)
88.5
(78)
66.7
(54)
50 (6
)S
andw
ell a
nd W
est B
irmin
gham
Hos
pita
ls N
HS
Tru
st70
(20)
90 (2
0)88
.9 (1
2)44
.4 (9
)82
.7 (7
5)83
.3 (5
3)50
(12)
Shr
ewsb
ury
and
Telfo
rd H
ospi
tal N
HS
Tru
st88
.9 (9
)88
.9 (9
)10
0 (6
)66
.7 (6
)86
.1 (3
6)57
.1 (2
1)85
.7 (7
)S
outh
ern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
25 (4
)10
0 (4
).
.58
.3 (4
8)77
.8 (1
7)55
.6 (9
)Th
e R
oyal
Bou
rnem
outh
and
Chr
istc
hurc
h H
ospi
tals
NH
S F
ound
atio
n Tr
ust
25 (4
)75
(4)
..
73.7
(19)
66.7
(15)
100
(6)
Uni
ted
Linc
olns
hire
Hos
pita
ls N
HS
Tru
st60
(5)
100
(5)
100
(3)
50 (2
)94
.4 (3
6)87
.5 (1
9)50
(8)
Uni
vers
ity H
ospi
tal o
f Sou
th M
anch
este
r NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
80 (5
)88
.2 (5
1)93
.3 (3
6)80
(15)
Uni
vers
ity H
ospi
tals
of M
orec
ambe
Bay
NH
S F
ound
atio
n Tr
ust
100
(2)
100
(2)
0 (2
)10
0 (1
)87
.5 (4
0)83
.3 (2
9)50
(12)
Wes
t Her
tford
shire
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (5
)80
(5)
75 (3
2)10
0 (2
6)75
(8)
Wes
tern
Hea
lth a
nd S
ocia
l Car
e Tr
ust
81.8
(11)
100
(11)
100
(9)
62.5
(8)
53.8
(26)
75 (1
8)50
(4)
Wes
tern
Sus
sex
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t90
.9 (1
1)10
0 (1
1)10
0 (1
0)90
(10)
88.9
(45)
80 (3
1)60
(15)
Wirr
al U
nive
rsity
Tea
chin
g H
ospi
tal N
HS
Fou
ndat
ion
Trus
t71
.4 (7
)10
0 (7
)80
(5)
40 (5
)88
.5 (2
6)85
.7 (1
1)57
.1 (7
)W
orce
ster
shire
Acu
te H
ospi
tals
NH
S T
rust
100
(8)
100
(8)
57.1
(8)
42.9
(7)
50 (2
2)37
.5 (1
6)50
(8)
Yor
k Te
achi
ng H
ospi
tal N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (6
)60
(5)
62 (7
9)62
.5 (3
4)68
.8 (1
6)
Leve
l 2: t
abul
ated
rate
s: h
ighl
ight
ing
ambe
r and
red
Trus
t/boa
rd
Neu
rolo
gica
l de
ath
test
ing
rate
% (N
)D
BD
refe
rral
rate
%
(N)
% o
f app
roac
hes
whe
re S
NO
D
invo
lved
% (N
)
DB
D
cons
ent/a
utho
risat
ion
rate
% (N
)D
CD
refe
rral
rate
%
(N)
% o
f DC
D
appr
oach
es
whe
re S
NO
D
invo
lved
% (N
)
DC
D
cons
ent/a
utho
risat
ion
rate
% (N
)A
berta
we
Bro
Mor
gann
wg
Uni
vers
ity H
ealth
Boa
rd76
.9 (1
3)92
.3 (1
3)10
0 (7
)71
.4 (7
)77
(61)
84.2
(19)
31.6
(19)
Ane
urin
Bev
an H
ealth
Boa
rd10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)84
.3 (5
1)90
.9 (1
1)63
.6 (1
1)B
arns
ley
Hos
pita
l NH
S F
ound
atio
n Tr
ust
66.7
(3)
100
(3)
100
(2)
100
(2)
100
(13)
75 (4
)75
(4)
Bas
ildon
and
Thu
rroc
k U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t75
(8)
87.5
(8)
100
(5)
80 (5
)86
(43)
100
(15)
80 (1
5)B
etsi
Cad
wal
adr U
nive
rsity
Hea
lth B
oard
100
(6)
100
(6)
100
(6)
83.3
(6)
87.2
(78)
93.8
(16)
62.5
(16)
Cal
derd
ale
and
Hud
ders
field
NH
S F
ound
atio
n Tr
ust
90 (1
0)10
0 (1
0)10
0 (7
)85
.7 (7
)96
.4 (2
8)87
.5 (8
)87
.5 (8
)C
entra
l Man
ches
ter U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t89
.5 (1
9)10
0 (1
9)10
0 (1
3)53
.8 (1
3)97
.1 (3
5)92
.3 (1
3)53
.8 (1
3)C
ount
y D
urha
m a
nd D
arlin
gton
NH
S F
ound
atio
n Tr
ust
87.5
(8)
100
(8)
83.3
(6)
50 (6
)60
(40)
87.5
(8)
87.5
(8)
Cw
m T
af H
ealth
Boa
rd10
0 (6
)10
0 (6
)10
0 (6
)83
.3 (6
)81
.3 (3
2)10
0 (3
)66
.7 (3
)D
artfo
rd a
nd G
rave
sham
NH
S T
rust
85.7
(7)
85.7
(7)
100
(5)
80 (5
)95
.3 (4
3)83
.3 (6
)66
.7 (6
)D
erby
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (6
)10
0 (6
)50
(2)
50 (2
)77
.8 (2
7)78
.6 (1
4)78
.6 (1
4)E
ast K
ent H
ospi
tals
Uni
vers
ity N
HS
Fou
ndat
ion
Trus
t95
.7 (2
3)10
0 (2
3)84
.2 (1
9)47
.4 (1
9)97
.5 (4
0)88
.2 (1
7)82
.4 (1
7)E
ast L
anca
shire
Hos
pita
ls N
HS
Tru
st77
.8 (9
)10
0 (9
)10
0 (7
)28
.6 (7
)94
.1 (3
4)10
0 (9
)55
.6 (9
)E
ast S
usse
x H
ealth
care
NH
S T
rust
85.7
(7)
100
(7)
100
(4)
75 (4
)83
.3 (3
6)10
0 (1
0)80
(10)
Eas
t and
Nor
th H
ertfo
rdsh
ire N
HS
Tru
st10
0 (3
)10
0 (3
)10
0 (3
)10
0 (3
)10
0 (4
6)10
0 (1
7)64
.7 (1
7)G
louc
este
rshi
re H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
80 (1
0)82
.6 (4
6)10
0 (9
)88
.9 (9
)G
reat
Wes
tern
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t77
.8 (9
)10
0 (9
)10
0 (5
)10
0 (5
)93
.3 (3
0)10
0 (5
)60
(5)
Guy
's a
nd S
t Tho
mas
' NH
S F
ound
atio
n Tr
ust
100
(11)
100
(11)
66.7
(9)
55.6
(9)
91.8
(49)
61.1
(18)
50 (1
8)H
eart
of E
ngla
nd N
HS
Fou
ndat
ion
Trus
t91
.7 (1
2)10
0 (1
2)10
0 (1
1)90
.9 (1
1)72
.9 (5
9)61
.1 (1
8)33
.3 (1
8)Ja
mes
Pag
et U
nive
rsity
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t33
.3 (3
)10
0 (3
).
.10
0 (5
1)94
.4 (1
8)66
.7 (1
8)K
ette
ring
Gen
eral
Hos
pita
l NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(9)
77.8
(9)
92 (2
5)83
.3 (6
)50
(6)
Lond
on N
orth
Wes
t Hea
lthca
re N
HS
Tru
st90
(10)
100
(10)
100
(8)
50 (8
)88
.6 (4
4)90
.9 (1
1)63
.6 (1
1)M
edw
ay N
HS
Fou
ndat
ion
Trus
t10
0 (9
)10
0 (9
)10
0 (8
)50
(8)
92.6
(27)
100
(7)
85.7
(7)
Mid
Ess
ex H
ospi
tal S
ervi
ces
NH
S T
rust
85.7
(7)
100
(7)
60 (5
)80
(5)
66.7
(9)
66.7
(3)
33.3
(3)
NH
S L
anar
kshi
re85
(20)
95 (2
0)87
.5 (1
6)81
.3 (1
6)84
.6 (1
3)10
0 (7
)85
.7 (7
)N
HS
Tay
side
85.7
(7)
100
(7)
83.3
(6)
83.3
(6)
93.8
(16)
81.8
(11)
63.6
(11)
Nor
th C
umbr
ia U
nive
rsity
Hos
pita
ls N
HS
Tru
st10
0 (5
)10
0 (5
)10
0 (4
)10
0 (4
)84
.4 (6
4)38
.5 (1
3)53
.8 (1
3)P
orts
mou
th H
ospi
tals
NH
S T
rust
88.9
(9)
88.9
(9)
100
(7)
100
(7)
66.7
(66)
78.6
(14)
64.3
(14)
Roy
al B
rom
pton
& H
aref
ield
NH
S F
ound
atio
n Tr
ust
85.7
(7)
85.7
(7)
80 (5
)60
(5)
100
(30)
81.8
(11)
90.9
(11)
Roy
al C
ornw
all H
ospi
tals
NH
S T
rust
100
(4)
100
(4)
100
(4)
50 (4
)68
(25)
88.9
(9)
77.8
(9)
Roy
al D
evon
and
Exe
ter N
HS
Fou
ndat
ion
Trus
t80
(10)
100
(10)
100
(6)
83.3
(6)
90 (2
0)50
(8)
62.5
(8)
Roy
al F
ree
Lond
on N
HS
Fou
ndat
ion
Trus
t72
.2 (1
8)94
.4 (1
8)88
.9 (9
)44
.4 (9
)88
.5 (7
8)66
.7 (6
)50
(6)
San
dwel
l and
Wes
t Birm
ingh
am H
ospi
tals
NH
S T
rust
70 (2
0)90
(20)
88.9
(9)
44.4
(9)
82.7
(75)
83.3
(12)
50 (1
2)S
hrew
sbur
y an
d Te
lford
Hos
pita
l NH
S T
rust
88.9
(9)
88.9
(9)
100
(6)
66.7
(6)
86.1
(36)
57.1
(7)
85.7
(7)
Sou
ther
n H
ealth
and
Soc
ial C
are
Trus
t25
(4)
100
(4)
..
58.3
(48)
77.8
(9)
55.6
(9)
The
Roy
al B
ourn
emou
th a
nd C
hris
tchu
rch
Hos
pita
ls N
HS
Fou
ndat
ion
Trus
t25
(4)
75 (4
).
.73
.7 (1
9)66
.7 (6
)10
0 (6
)U
nite
d Li
ncol
nshi
re H
ospi
tals
NH
S T
rust
60 (5
)10
0 (5
)10
0 (2
)50
(2)
94.4
(36)
87.5
(8)
50 (8
)U
nive
rsity
Hos
pita
l of S
outh
Man
ches
ter N
HS
Fou
ndat
ion
Trus
t85
.7 (7
)10
0 (7
)10
0 (5
)80
(5)
88.2
(51)
93.3
(15)
80 (1
5)U
nive
rsity
Hos
pita
ls o
f Mor
ecam
be B
ay N
HS
Fou
ndat
ion
Trus
t10
0 (2
)10
0 (2
)0
(1)
100
(1)
87.5
(40)
83.3
(12)
50 (1
2)W
est H
ertfo
rdsh
ire H
ospi
tals
NH
S T
rust
100
(5)
100
(5)
100
(5)
80 (5
)75
(32)
100
(8)
75 (8
)W
este
rn H
ealth
and
Soc
ial C
are
Trus
t81
.8 (1
1)10
0 (1
1)10
0 (8
)62
.5 (8
)53
.8 (2
6)75
(4)
50 (4
)W
este
rn S
usse
x H
ospi
tals
NH
S F
ound
atio
n Tr
ust
90.9
(11)
100
(11)
100
(10)
90 (1
0)88
.9 (4
5)80
(15)
60 (1
5)W
irral
Uni
vers
ity T
each
ing
Hos
pita
l NH
S F
ound
atio
n Tr
ust
71.4
(7)
100
(7)
80 (5
)40
(5)
88.5
(26)
85.7
(7)
57.1
(7)
Wor
cest
ersh
ire A
cute
Hos
pita
ls N
HS
Tru
st10
0 (8
)10
0 (8
)57
.1 (7
)42
.9 (7
)50
(22)
37.5
(8)
50 (8
)Yo
rk T
each
ing
Hos
pita
l NH
S F
ound
atio
n Tr
ust
85.7
(7)
100
(7)
100
(5)
60 (5
)62
(79)
62.5
(16)
68.8
(16)
Key
s ra
tes
by T
rust
/Boa
rdLe
vel 2
1 O
ctob
er 2
015
- 30
Sept
embe
r 201
6
19 18
Applying PDSA methods to referral and SNOD involvement Comparison of combined DBD and DCD referral by level 1st October 2015 – 30th September 2016
Comparison of combined DBD and DCD SNOD involvement by level 1st October 2015 – 30th September 2016
20 19
Why? Why?Why?
Cycle end date: Cycle start date:
Issue: Cycle number:
Why?
X
State here your main ‘why’ This should be your root causeNow question your main ‘why’
Explain what your next steps will be now that your first cycle has come to an end. If the cycle was successful: You will have achieved your primary goal. As no further cycles are required make sure you delete any blank slides.If the cycle was not successful: Copy your current cycle, paste the text onto the next template and adapt the plan and do sections accordingly.
What are you trying to achieve?
Explain what you are going to do and why. You will find an example on slide 3. which should help you complete this.
Explain what it is that you actually did. This may differ to what you had initially planned to do.
Note the lessons that you have learnt, addressing any problems that you found and summarising your result.You will find an example on slide 3. which should help you complete this.
What is the issue/problem?
dd/mm/yyyy dd/mm/yyyy
Guide to completing your PDSA cycle template
20
Why? Why?Why?
Cycle end date: Cycle start date:
Issue: Cycle number:Hints & tips to help you complete your PDSA cycle
1. Plan: Be clear about the primary goal you aim to change, the questions that need to be answered and what is expected to happen. Plan how the PDSA cycle will be carried out, specifying who will be responsible for implementing the plan, where and when it will be tested, what will be done and what the expected outcomes might be.
Notes: when running PDSA cycles•Don’t think too big. Implement a small simple change as this is more likely to be successful.•Don’t be too vague or too detailed - some detail is needed but to a practical, not obsessive, level.•Make sure the results are acted on.•In practice more than one PDSA cycle can be run at a time as long as they are small and simple.
2. Do: Carry out the plan and record the agreed measures and outcomes carefully. Ensure that any problems or other unexpected events are also documented.
3. Study: Compare what the outcomes were to what you thought would happen. Ask those who were involved and study what actually happened, noting problems and other unexpected events. Summarise the outcome of the pilot.
4. Act: As a team decide what should happen next? Should the same primary goal be kept but the cycle repeated, should the primary goal be adapted and the cycle run again or should the cycle be stopped. Make the decision based on what was learnt from the PDSA cycle. It is possible that a single PDSA cycle will show a primary goal that can be achieved and be applied more widely or even adopted into routine practice. However, remember that several cycles might have to be run before a primary goal of a PDSA cycle is successfully adopted into normal practice.
To Start: Identify issue to be addressed and drill down using 3 whys to create your primary goal.
Each primary goal should have at least 1 PDSA cycle. Each cycle has 4 sections which are listed below:
21
Act Plan
DoStudyPrimarygoal
Starthere:
Why?
Why?
Why?
Cycleenddate:
Cyclestartdate:
Issue:
Cyclenumber:
Why?
• Moreeduca:onneeded• UseposterboardinEDstaffroomto
promotereferral,andfeedbackresults.• Runa2ndPDSAcycleonthisgoal
• EngagewithEDtoiden:fyalocaltrigger• TohighlightwithEDConsultantsandSenior
NursingTeam• MonitorthroughthePoten:alDonorAudit• ReviewatOrganDona:onCommi[ee
(ODC)• EncourageEDa[endanceatODC
• RanPDSAcyclefor1month• 2casesofpoten:aldonorsnotreferred• Bothcasesmissedattheweekend
• ToincludeOrganDona:ontriggeraspartofEndofLifepaperwork
• EducateEDmedicalandnursingteams,cascademessage.
50%ofmissedreferralsareintheED
Notiden:fyingallpoten:alorgandonors
100%iden>fica>onandreferralofpoten>alorgandonors
NoreferraltriggerinplaceinED
1stSept2016
70%referralrate 1
Example of a PDSA cycle
22
21
Why
?W
hy?
Why
?
Cycl
e en
d da
te:
Cycl
e st
art d
ate:
Issu
e:Cy
cle
num
ber:
Why
?
3
23 22
Level Two Key (45)
Key Trust / Board Key Trust / Board
1 Abertawe Bro Morgannwg University Health Board 24 Mid Essex Hospital Services NHS Trust
2 Aneurin Bevan Health Board 25 NHS Lanarkshire
3 Barnsley Hospital NHS Foundation Trust 26 NHS Tayside (N)
4 Basildon and Thurrock University Hospitals NHS Foundation Trust 27 North Cumbria University Hospitals NHS Trust
5 Betsi Cadwaladr University Health Board 28 Portsmouth Hospitals NHS Trust
6 Calderdale and Huddersfield NHS Foundation Trust 29 Royal Brompton & Harefield NHS Foundation Trust (P)
7 Central Manchester University Hospitals NHS Foundation Trust (P) 30 Royal Cornwall Hospitals NHS Trust
8 County Durham and Darlington NHS Foundation Trust 31 Royal Devon and Exeter NHS Foundation Trust
9 Cwm Taf Health Board 32 Royal Free London NHS Foundation Trust (N)
10 Dartford and Gravesham NHS Trust 33 Sandwell and West Birmingham Hospitals NHS Trust
11 Derby Hospitals NHS Foundation Trust 34 Shrewsbury and Telford Hospital NHS Trust
12 East Kent Hospitals University NHS Foundation Trust 35 Southern Health and Social Care Trust
13 East Lancashire Hospitals NHS Trust 36 The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
14 East Sussex Healthcare NHS Trust 37 United Lincolnshire Hospitals NHS Trust
15 East and North Hertfordshire NHS Trust 38 University Hospital of South Manchester NHS Foundation Trust
16 Gloucestershire Hospitals NHS Foundation Trust 39 University Hospitals of Morecambe Bay NHS Foundation
Trust
17 Great Western Hospitals NHS Foundation Trust 40 West Hertfordshire Hospitals NHS Trust
18 Guy's and St Thomas' NHS Foundation Trust (P) 41 Western Health and Social Care Trust
19 Heart of England NHS Foundation Trust 42 Western Sussex Hospitals NHS Foundation Trust
20 James Paget University Hospitals NHS Foundation Trust 43 Wirral University Teaching Hospital NHS Foundation Trust
21 Kettering General Hospital NHS Foundation Trust 44 Worcestershire Acute Hospitals NHS Trust
22 London North West Healthcare NHS Trust 45 York Teaching Hospital NHS Foundation Trust
23 Medway NHS Foundation Trust
21
Why
?W
hy?
Why
?
Cycl
e en
d da
te:
Cycl
e st
art d
ate:
Issu
e:Cy
cle
num
ber:
Why
?
3
24
