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  • NHS Improvement: Venous thromboembolism risk assessment (2019/20)


    Claire Cox
    • UK
    • Data, research and analysis
    • Pre-existing
    • Original author
    • No
    • NHS Improvement
    • 04/09/19
    • Health and care staff, Patient safety leads, Researchers/academics

    Summary

    The venous thromboembolism (VTE) risk assessment data collection is used to inform a national quality requirement, which sets an operational standard of 95% of inpatients (aged 16 and over at the time of admission) undergoing risk assessments each month.

    Content

    Key results from the data collected:

    • England continues to achieve the 95% NHS Standard Contract threshold. Of the 3.8 million admitted inpatients aged 16 and over for whom data was reported in this collection, 3.7 million (96%) were risk assessed for VTE on admission.
    • From Q4 2015/16 to Q4 2016/17 the percentage of inpatients risk assessed for VTE was stable at 96%. The results for Q1 2017/18 showed a reduction of 1% with 95% of patients being risk assessed for VTE and this remained static until Q4 2017/18. In Q1 2018/19 the percentage of patients being risk assessed for VTE increased to 96% but decreased again in Q2 2018/19 to 95%. In Q3 2018/19 performance increased to 96% and remained at 96% in Q4 2018/19. From April 2019 the data collection changed to include inpatients aged 16 and over at the time of admission. In Q1 2019/20 the percentage of inpatients risk assessed was 96%.
    • In Q1 2019/20, the percentage of admitted inpatients aged 16 and over at the time of admission risk assessed for VTE was 96% for NHS acute care providers and 98% for independent sector providers. NHS acute care providers carried out about 97% of all VTE risk assessments.
    • Six regions (North East and Yorkshire, North West, Midlands, East of England, London and South East) achieved the 95% NHS Standard Contract operational standard in Q1 2019/20. The South West did not meet the operational standard and risk assessed 94.7% of inpatients.
    • In Q1 2019/20, 80% of providers (240 of the 299 providers) carried out a VTE risk assessment for 95% or more of their admissions (the NHS Standard Contract operational standard). This breaks down as 72% of NHS acute providers (106 of 147) and 88% of independent sector providers (134 of 152).
    • Of the 59 providers (20%) that did not achieve the 95% operational standard in Q1 2019/20, 76% (45 of 59) risk assessed between 90% and 95% of total admissions for VTE.
    NHS Improvement: Venous thromboembolism risk assessment (2019/20) https://improvement.nhs.uk/resources/vte-risk-assessment-q1-201920/
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