Intended for healthcare professionals


Addenbrooke’s ordered to improve after “inadequate” rating

BMJ 2015; 351 doi: (Published 22 September 2015) Cite this as: BMJ 2015;351:h5066

Addenbrooke’s Hospital : is it good or bad?

Summary Hospital -level Mortality Indicator (SHMI) published by Health and Social Care Information Centre (hscic) on 29 april 2015 indicates that Cambridge University Hospitals NHS Foundation Trust is one of the 9 trusts (out of 137) with a consistently ‘lower than expected’ SHMI .[1].

But Care Quality Commission (CQC) which inspected the trust around the same time (April/May 2015) placed the trust in special measures after judging it “inadequate”. CQC reports that patient safety is being compromised.[2].

Clearly the two conclusions are incompatible. I suspect that if you apply a 'Friends and Family test’, most NHS staff in United Kingdom would be happy for their friends and family to be treated in Cambridge.[3] . We urgently need a better system for rating quality of care at NHS hospitals.

1 SHMI - Deaths associated with hospitalisation, England, October 2013 - September 2014: Quarterly report - shmi-deat-hosp-eng-oct-13-sep-14-rep.pdf. (accessed 22 Sep2015).

2 Limb M. Addenbrooke’s ordered to improve after ‘inadequate’ rating. The BMJ 2015;351:h5066. doi:10.1136/bmj.h5066

3 Statistics » Friends and Family Test Data. (accessed 22 Sep2015).

Competing interests: No competing interests

22 September 2015
Santhanam Sundar
Consultant Oncologist
Nottingham University Hospitals NHS trust