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The HSJ has pointed out rightly that SHMI ratings are influenced by a range of factors, including palliative care. In the Trust’s case, Dr Foster has verified independently that if deaths taking place in our NHS hospice at the Mount Vernon Cancer Centre are removed from the calculation, the Trust’s resulting SHMI score would be at the average expected for an organisation of our size and complexity.

On behalf of Jane McCue
Medical Director, East and North Hertfordshire NHS Trust

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