Cwm Taf Morgannwg University Health Board (CTUHB) continues to work collaboratively with colleagues across NHS Wales to establish better ways of measuring clinical performance & outcomes and to learn & improve the quality of care. In addition, all mortality data for the CTMUHB is subject to regular/continuous internal analysis. Our analysis has not found any evidence of systematic failure in health care leading to excess mortality. The analysis reports are regularly submitted to and scrutinised by the Quality & Safety Committee, the Executive Board and the Health Board and most recently a report was submitted to the Health Board meeting in November 2015.
The Crude mortality data for CTUHB remains high due primarily to:
Cwm Taf Morgannwg UHB has established an effective system of scrutiny to monitor patient safety and mortality which also provides a rich environment for multi-professional learning leading to improving quality of care. This process was referenced in the Summary Findings & Recommendation of Professor Stephen Palmer Independent Review – Recommendation No. 26 “Cwm Taf Morgannwg Health Board has an impressive and high visibility clinical case notes mortality review process in place giving considerable reassurance to the Board that high Risk Adjusted Mortality Indicator (RAMI) are not indicators of poor care”. Professor Stephen Palmer report
Cwm Taf Morgannwg’s approach to monitoring safety and quality of care is based on the recommendations of Professor Stephen Palmer Report and include: