NHS Staff Surveys studies

Links to source files at NHS websites

• Mortality at Trusts
  • Summary Hospital-level Mortality Indicator (SHMI) "reports on mortality at trust level...The SHMI is the ratio between the actual number of patients who die following hospitalisation at the trust and the number that would be expected to die on the basis of average England figures, given the characteristics of the patients treated"
  • SHMI accounting for deprivation/disparity
• Staff Surveys administered by the Picker Institute
  • Content
    • Scales include:
      1. Engagement to work (Measuring employee engagement and interpreting survey results) on the 2018 survey is questions 2a, 2b, 2c (Based on the three validated dimensions of the UWES-9 although question 2a did not make the final model (DOI 10.1177/0013164405282471)
      2. Engagement to organization (advocacy) (Measuring employee engagement and interpreting survey results) on the 2018 survey is questions 21c, 21d (Based on Institute for Employment Studies (IES)
      3. Engagement to organization (involvement) (Measuring employee engagement and interpreting survey results) on the 2018 survey is questions 4a, 4b, 4c, 4d (Based on 'empowerment' in the NHS Constitution)
      4. Openness on the 2018 survey is questions 17b, 17d (17d is a paraphrase), 18a, 18b (PMID 31059370). Selection and derivation of of questions not clear.
         • q18b My organisation encourages us to report errors, near misses or incidents’ Starting 2015: q17a
         • *q18f We are informed about errors, near misses and incidents that happen in the organisation Starting 2015: q17b
         • q19a If you were concerned about fraud, malpractice or wrongdoing, would you know how to report it? (y/n). Starting 2014: q18a If you were concerned about unsafe clinical practice, would you know how to report it?
         • q19b Would you feel safe raising your concern? (y/n). Starting 2014: q18b I would feel secure raising concerns about unsafe clinical practice (SD/D/N/A/SA)
         • * indicates unique to the Openness Scale and not present in the Freedom to Speak Up Index
      5. Freedom to Speak Up Index on the 2018 survey is questions 17a, 17b, 18a, 18b (PMID 31660523). Selection and derivation of of questions not clear.
         • *q18a) My organisation treats staff who are involved in an error, near miss or incident fairly
         • q18b) My organisation encourages us to report errors, near misses or incidents
         • q19a If you were concerned about fraud, malpractice or wrongdoing, would you know how to report it? (y/n). Starting 2014: q18a If you were concerned about unsafe clinical practice, would you know how to report it?
         • q19b Would you feel safe raising your concern? (y/n). Starting 2014: q18b I would feel secure raising concerns about unsafe clinical practice (SD/D/N/A/SA)
         • * indicates unique to the Freedom to Speak Up Index and not present in the Opennes Scale
  • Data files at the NHS
    • All years (separate files for each year)
    • 2015-present (consolidated into single file with one row per Trust)
  • Usage:
    • Engagement is affected by differences in job types (managers have more engagement) and Trust types (Ambulance Trusts have less engagement) (West and Dawson, 2012)
    • Sampling minimums have varied over the years
• Adult Inpatient Surveys
• Care Quality Commission (CQC) ratings from www.cqc.org.uk
• Estates Return Information Collection (ERIC) 'comprises information relating to the costs of providing and maintaining the NHS Estate including buildings, maintaining and equipping hospitals'
• Hospital Admitted Patient Care Activity 2018-19
• National Reporting and Learning System (NRLS) (safety and incident reports) data files