UK Ranked Behind Western Counterparts in Patient Safety: Report

Data show that 15,773 patients, lost to treatable mortality in 2019, could have been saved if Britain had better safety standards.
UK Ranked Behind Western Counterparts in Patient Safety: Report
A general view of staff on a NHS hospital ward on Jan. 18, 2023. (Jeff Moore/PA)
Evgenia Filimianova
Updated:
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More than 17,000 deaths could have been saved in the UK annually had the country performed at the level of the top OECD countries, a study has revealed.

Research conducted by the Institute of Global Health Innovation at Imperial College London showed that Britain is lagging behind other nations in providing safe and effective care for patients.

The institute’s report shed light on the challenges in patient safety across the world. Its country ranking reviewed 38 member nations of the Organisation for Economic Co-operation and Development (OECD).

The study included four key patient safety indicators: maternal mortality, treatable mortality, adverse effects of medical treatment, and neonatal disorders.

The UK ranked 21st out of 38 countries, behind Norway, South Korea, Ireland, and Spain.

Had the UK performed at the level of the top 10 percent of the OECD countries, 17,356 people could have been saved on an annual basis, the report showed.

This would mean 15,773 fewer deaths classified as “treatable mortality,” where timely and effective interventions by medical staff could prevent the cause of death.

Neonatal disorders include preterm birth complications, neonatal sepsis, and neonatal encephalopathy owing to birth asphyxia and trauma. In this category, UK medical professionals could have prevented 776 deaths per year, the report said.

Researchers also reviewed the quality of surgical care, often described as “a forerunner to developments in patient safety.”

UK hospitals have seen a notable rise in cases of post-operative sepsis between 2011 and 2020, from 1,604 to 4,298 cases per 100,000 hospital discharges. The picture improved in 2022, with numbers falling to 2,708 cases.

Safety of Maternity Care

Last year, the institute reviewed the state of patient safety in England. The main problems were associated with poor clinical monitoring, diagnostic errors, and poor maternity care. This year’s study revealed that 27 maternal deaths and 780 deaths owing to the adverse effects of medical treatment could have been avoided annually in Britain.
In recent years, the UK has seen several inquiries into maternity unit failings under the care of NHS hospital trusts.

This includes Nottingham University Hospitals NHS Trust, whose maternity units at the Queen’s Medical Centre and City Hospital saw dozens of babies in their care suffer brain damage or death between 2010 and 2020.

An investigation into maternity practices at the Shrewsbury and Telford NHS Trust was launched in June 2020, with findings revealing that 201 babies and nine mothers could have survived if they had better maternity care.

A trustee of charity Patient Safety Watch, James Titcombe, warned that unless the pace of improvement in maternity safety increases, the government risks missing its own 2025 targets.

The government’s goal is to halve the rate of stillbirths, neonatal deaths, maternal deaths, and brain injuries that occur during or soon after birth by 2025.

Waiting Lists

Researchers also pointed out that increasing waiting lists affect patients with long-term conditions. Emergency services also feel the impact of longer waiting times.

“Across all of these procedures, the average waiting time has either remained steady, or worsened. The UK is broadly in line with these trends,” the report said.

Waiting lists are affected by the shortage of doctors and poor retention of staff, Health and Social Care Committee officials warned last year.

Persistent understaffing of the NHS presents a serious risk to patient safety, MPs said, revealing that hospital waiting lists reached a record high of nearly 6.5 million in April 2022.

The long-awaited NHS Long Term Workforce Plan, commissioned by the government and published in June, outlined plans to grow the health care workforce significantly in the next decade.

It showed that without immediate action, the NHS will face a workforce gap of more than 260,000–360,000 staff by 2036–37.

Evgenia Filimianova is a UK-based journalist covering a wide range of national stories, with a particular interest in UK politics, parliamentary proceedings and socioeconomic issues.
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