§ Mr. BayleyTo ask the Secretary of State for Health if he will list the 14 clinical outcome indicators which his Department is piloting for use in measuring the clinical effectiveness of NHS trusts in England; and when he plans to publish a report on clinical outcome indicators for England similar to the report published by the Scottish Office in December 1995. [36556]
§ Mr. HoramThe national health service executive is working with the Joint Consultants Committee to promote the development of new clinical indicators, which will enable aspects of NHS trusts' performance to be examined. The following set of clinical indicators, recommended by the JCC/NHS executive working group, will be piloted this year to ensure that the information is robust and unlikely to mislead, before publication is considered.
- Perioperative mortality;
- Surgical wound infections;
- Length of hospital stay of stroke patients, and discharge home;
- District rate of hernia recurrence;
- In-hospital mortality for acute myocardial infarction;
- Adverse drug reactions while patients in hospital;
- Reoperation after prostate surgery;
- Length of stay in hospital, mortality and discharge home after admission for fractured neck of femur;
- Frequency of diagnostic curettage in women under the age of 40 years;
- Perioperative organ damage (sentinel event marker);
- Perioperative pulmonary embolism as an alternative to perioperative myocardial infarction (sentinel event marker);
- Perioperative Central Nervous System complications (sentinel event marker);
Some of the clinical outcome indicators mentioned in the report published by the Scottish Office in December 1995 require the linkage of patient records in a way not yet routinely available in England, and, accordingly, there are no plans at present to publish such indicators.