Please note that a further set of NHS performance indicators was published in July 2000.
Click here to go to this set
Introduction
A First Class Service set out a package of proposals to support the delivery of more consistent and higher
quality care to patients. The main elements of the package set out in A First Class Service are:
- setting clear national standards, through National Service Frameworks and a new National Institute for Clinical
Excellence;
- delivering high quality care locally through clinical governance underpinned by modernised professional self-regulation
and extended lifelong learning;
- monitoring quality standards through a new Commission for Health Improvement, an NHS Performance Assessment
Framework and a new national survey of patient and user experience.
The Clinical Indicators form a key part of the NHS as they support both the Performance Assessment Framework
and the National Service Framework programme. The Performance Assessment Framework sets out a new broader-based
approach to assessing NHS performance. Performance will be assessed through the High Level Performance Indicators
across six areas:
- Health improvement
- Fair access
- Effective delivery of appropriate healthcare
- Efficiency
- Patient and carer experience
- Health outcomes of NHS care
Within the High Level Performance Indicators the Clinical Indicators aid assessment of Health Authority performance
in the areas of effective delivery of appropriate healthcare and health outcomes of NHS care.
These indicators have been developed to be used nationally and locally to help assess the performance of the
NHS. The Clinical Indicators are directed at outcomes of clinical care. The indicators produced here are a first
step and will be improved over time. These indicators are not direct measures of quality but should be used to
draw attention to issues that may need further investigation or action.
Using the links below you can download the full document in one go, or if this takes too long, download the
document in two parts.
 Quality
and performance in the NHS: Clinical Indicators in Portable Document Format  (775K full document)
Quality and
performance in the NHS:
(400K part 1)
Quality and
performance in the NHS:
(400K part2)
Clinical Indicator tables in Excel 97 format
Table 1A1 - CI1: Deaths in Hospital Within 30 Days of Surgery by Health Authority
Emergency admissions
All ages
Table 1B1 - CI1: Deaths in Hospital Within 30 Days of Surgery by NHS Hospital Trust
Emergency admissions
All ages
Table 1A2 - CI1: Deaths in Hospital Within 30 Days of Surgery by Health Authority
Non-emergency admissions
All ages
Table 1B2 - CI1: Deaths in Hospital Within 30 Days of Surgery by NHS Hospital Trust
Non-emergency admissions
All ages
Table 2A - CI2: Deaths in Hospital Within 30 Days of Admission With a Hip Fracture (Neck of Femur) by Health Authority
Emergency admissions
Ages 65 and over
Table 2B - CI2: Deaths in Hospital Within 30 Days of Admission With a Hip Fracture (Neck of Femur) by NHS Hospital Trust
Emergency admissions
Ages 65 and over
Table 3A - CI3: Deaths in Hospital Within 30 Days of Admission With a Heart Attack (Myocardial Infarction) by Health Authority
Emergency admissions
Ages 50 and over
Table 3B - CI3: Deaths in Hospital Within 30 Days of Admission With a Heart Attack (Myocardial Infarction) by NHS Hospital Trust
Emergency admissions
Ages 50 and over
Table 4A - CI4: Emergency Readmission to Hospital Within 28 Days of Discharge From Hospital by Health Authority
Emergency admissions
All ages
Table 4B - CI4: Emergency Readmission to Hospital Within 28 Days of Discharge From Hospital by NHS Hospital Trust
Emergency admissions
All ages
Table 5A - CI5: Discharge to Usual Place of Residence Within 56 Days of Emergency Admission From There With Stroke by Health Authority
Emergency admissions
Ages 50 and over
Table 5B - CI5: Discharge to Usual Place of Residence Within 56 Days of Emergency Admission From There With Stroke by NHS Hospital Trust
Emergency admissions
Ages 50 and over
Table 6A - CI6: Discharge to Usual Place of Residence Within 28 Days of Emergency Admission From There With a Hip Fracture (Neck of Femur) Health Authority
Emergency admissions
Ages 65 and over
Table 6B - CI6: Discharge to Usual Place of Residence Within 28 Days of Emergency Admission From There With a Hip Fracture (Neck of Femur) NHS Hospital Trust
Emergency admissions
Ages 65 and over
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