Hospital ratings rise, but ambulance ratings fall

BMJ 2003; 327 doi: (Published 17 July 2003) Cite this as: BMJ 2003;327:119
  1. Zosia Kmietowicz
  1. London

    Every NHS trust in England has been given a star rating by the country's independent health watchdog, the Commission for Health Improvement. For primary care trusts, it is the first time the exercise has been done.

    Embedded Image

    Matt Tee, project director for the star ratings initiative, and Dame Deirdre Hine, chairman of CHI, who admitted that capturing patients' experience was one of CHI's biggest challenges

    Credit: MARK THOMAS

    Although acute and specialist trusts show a general shift towards a higher ranking, there has been a slide in ratings among ambulance and mental health trusts, suggesting little improvement or a fall in standards in these services.

    The commission has rated each of the 579 English NHS trusts according to its performance across a range of indicators including whether it achieved government targets; clinical factors such as surgery outcomes and infection rates; patient satisfaction; and managerial …

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