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Hospital Intelligent Monitoring

  • Public,
  • Hospitals

Our intelligent monitoring of acute and specialist NHS Trusts looks at more than 150 different sets of data (indicators) to help us to decide when, where and what to inspect.

What is Intelligent Monitoring?

The data we look at includes information from:

  • staff.
  • patient surveys.
  • mortality rates.
  • hospital performance information such as waiting times and infection rates.

Intelligent Monitoring is one of the four key parts of the way we regulate services. The four parts are:

  • Registration.
  • Intelligent monitoring.
  • Expert inspection.
  • Judgement.

What do we use the results of Intelligent Monitoring for?

Together with local information from partners and the public, we use the results to help us decide when, where and what to inspect.

We've taken the results of our intelligent monitoring work and grouped the 160 acute NHS trusts into six priority bands for inspection. The bands are based on the likelihood that people may not be receiving safe, effective, high quality care. 

Band 1 is the highest priority trusts and band 6 the lowest.

Last update…

We last updated the reports below on 24 July 2014.

The new reports include changes to the indicators we use as a result of comments we've received. The indicators have also been refreshed with more up-to-date data where it was available to us.

The changes we've made include the introduction of new indicators that relate to:

  • Central Alerting System (CAS) safety alerts.
  • Patient Led Assessments of the Care Environment (PLACE).
  • Monitor’s Continuity of Service rating.
  • The inclusion of the overall team-centred stroke unit score as a replacement for the previously included stroke audit indicator.

Other changes to indicators that were included in previous Intelligent Monitoring reports include:

  • All readmissions indicators now exclude patients who return for less than one day unless they die when they are readmitted; these are not included for children’s specialist trusts.
  • The Hip and Knee Patient Reported Outcome Measure indicators have been replaced with composite indicators to enable us to make use of the most up to date and relevant data.
  • Maternity and mortality outlier cases where action plans have been passed recently to our local inspection teams will be classed as risks until the teams can judge that they can be closed.
  • Indicators that use mandatory returns data (e.g. referral to treatment, diagnostic waiting times and A&E waiting times) will be classed as risks where data has not been submitted.

You can find full details of the changes we are making in the document below.

Summary of indicator changes for version 3 intelligent monitoring reports PDF | 77.22 KB

As with the last update in March 2014, the updated reports continue to separate out those where we have recently inspected (or are in the process of inspecting) under our new approach.

View the results

Download each NHS Trust report

You can find the individual trust-level information in our A-Z library below.

Download your local trust's report in our A-Z

Each of these documents includes our analysis of the indicators for the trust.

See the list of which trust is in each priority band

The lists below show which trusts each of the trusts have been placed in.

Each of the trust names is a link to its profile on this website - on these pages you can find more information about the hospitals they run and the latest inspection reports we have published on them.

Band 6

Recently inspected trusts

Find your local trust on a map


Last updated:
7 November 2014