Defending a Trust’s Reputation

The Trust used CRAB to defend its reputation from an external organisation - and saved and money in the process.


Although the move towards transparency in the quality of patient care is welcome, often the true picture of quality within an organisation cannot be ascertained from SHMI or HSMR.

In the case of Durham and Darlington, the Trust was identified as having a higher than expected mortality ratio.

If the Trust did not respond to the allegations, its reputation as a top-quality provider of health services would have suffered.

Yet to investigate and disprove such allegations would normally require significant resources in terms of money and management time.


CRAB analysis of 24 months of hospital coding data showed that, when the case mix of patients treated was taken into account, the Trust’s performance was excellent.

The Trust was able to successfully rebut the allegations and restore its reputation for quality patient care.

This was achieved without a lengthy and costly investigation.

CRAB also allowed Management to get a detailed view of the individual performance of the Trust’s two acute hospitals, which had previously not been possible.

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