Based on the evidence presented in this series of blogs using analysis from Public View there appears to be some indication that there are metrics that offer potential insight into care quality and possible future CQC rating.

However, no metric can replace an expert, in-person assessment to determine care quality. Perhaps the use of ‘intelligent monitoring’, to trigger an assessment in person, could be useful to review a previously rated ‘good’ trust whose indicators appear to be sliding towards what might be a sign of poor care, or a lower rated trust that is reporting ‘outstanding’ outcomes.

However, one challenge for intelligent monitoring is the resource required to collect, process, analyse and present early opportunity insights in a way that is actionable. This might be possible for a national regulator, but for local and internal assurance the challenge might be too great.

In an ideal world there would be a single indicator with high validity and reliability that updates on a regular basis that could act as a ‘macro-level’ smoke detector to trigger a local response to either showcase and celebrate success or quickly identify and rectify care standards that may be slipping.

To meet this challenge and support local leaders, Public View have created the ‘Hospital Combined Performance Score’ (HCPS). The Hospital Combined Performance Score (HCPS) adjusts and aggregates performance across a wide range of metrics to deliver a single clear indicator of organisational health and quality of care to patients. As can be seen in figure 1  the HCPS can also be used to predict CQC rating.

Figure 1: Trend chart showing CQC group Hospital Combined Performance Score

Using the decathlon formula from athletics, the Hospital Combined Performance Score (HCPS) brings together the 12 month rolling performance of 10 indicators across operations, quality, finance and workforce in a 'common currency'. This enables us to deliver quantitative insights into the holistic performance of NHS Trusts.

From this we can answer questions such as;

  • Where is the best performing trust in the NHS?
  • Which Trust has shown the most improvement?
  • Do 'Integrated' Trusts perform better than Acute only?
  • any many more ...

To view your organisation’s Hospital Combined Performance Score (HCPS), see how it compares to peers and whether it is improving visit www.publicview.health to register for a full feature free trial account.

Public View wants everyone to be able to see for themselves the level of insight obtainable and how this can help NHS leaders improve their organisations. Being able to offer a long free trial is fantastic, but Public View will need to make money to continue to exist. For this reason, the free trial is time-limited to October 2018.

Employees of Acute NHS providers can click here to register. After confirming your email, you will be able to get started straight away looking at real public data using the fully-featured new system at no cost.

Those who are not employees of an NHS Acute provider but would like to experience the benefits of Public View can email support@publicview.health for trial access.

Look out for more blogs to come including a detailed overview of the ‘Hospital Combined Performance Score’, what it is made up of, how it is calculated and what it shows. To make sure you don’t miss out on any insights follow Public View @publicviewltd