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ISD Scotland better information, better decisions, better health

Hospital Standardised Mortality Ratios

Quality Indicators

NHS National Services Scotland ISD Scotland & NHS National Services Scotland

Quarterly Hospital Standardised Mortality Ratios (HSMR)

Latest Publications

Published: 26 August 2014
Hospital Standardised Mortality Ratios - Quarterly Statistics
Publication Summary Download pdf file [98kb]
Full Report Download pdf file [618kb]

The majority of deaths that occur in hospital are inevitable because of the patient's condition on admission. Some deaths can be prevented, however, by improving care and treatment or by avoiding harm.


In 2008, the Scottish Patient Safety Programme (SPSP) was established with the overall aim of reducing hospital mortality by 15% by 2012. This was then extended to a 20% reduction by December 2015. Since December 2009, Information Services Division (ISD) has published quarterly hospital standardised mortality ratios (HSMR) for all Scottish hospitals participating in the SPSP. Hospital Standardised Mortality Ratios (HSMR) are provided to enable these acute hospitals to monitor their progress in reducing hospital mortality over time.

Latest Publication Data

The latest report provides users with access to the same information as contained within a management information tool provided to NHS boards on 31st July. It features the latest extension to the time series for the SPSP with observations at Scotland, NHS board and hospital levels from October-December 2006 through to January-March 2014. It also includes additional information and commentary on patterns of mortality over the longer term and by key demographic factors. There is information on the development of the measure, how it has been embedded in Scotland and how it compares to similar information used in other parts of the UK.

HSMR Dashboard

We have recently developed a new presentation method for the quarterly HSMR using the latest dashboard technology. This is available in addition to the routine publication report by clicking the link below. It features the latest extension to the time series for the SPSP with observations at Scotland, NHS board and hospital levels from October to December 2006 through to January to March 2014.

Public Access

Log In to HSMR Dashboard

Please note, in order to view the HSMR Dashboard, Adobe Flash Player needs to be installed and the appropriate permissions need to be granted. To install Flash Player please go to or request from your IT department.

A User GuideDownload PDF file [259kb] is available and we recommend reading this prior to accessing the dashboard for the first time.

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Information Services Division,
NHS National Services Scotland,
Gyle Square,
1 South Gyle Crescent,
Edinburgh EH12 9EB,
Tel: 0131 275 7777

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