These indicators are designed to accompany the SHMI publication.
COVID-19 activity is included in the SHMI if the discharge date is on or after 1 September 2021.
Contextual indicators on the number of provider spells which are related to COVID-19 and on the number of provider spells as a percentage of pre-pandemic activity (January 2019 – December 2019) are produced to support the interpretation of the SHMI.
The number of spells as a percentage of pre-pandemic activity indicator is being published as an official statistic in development. Official statistics in development are published in order to involve users and stakeholders in their development and as a means to build in quality at an early stage.
Notes:
1. There is a shortfall in the number of records for Buckingamshire Healthcare NHS Trust (trust code RXQ) and Mid Cheshire Hospitals NHS Foundation Trust (trust code RBT). Values for this trust are based on incomplete data and should therefore be interpreted with caution.
2. There is a high percentage of invalid diagnosis codes for Blackpool Teaching Hospitals NHS Foundation Trust (trust code RXL), Bradford Teaching Hospitals NHS Foundation Trust (trust code RAE), Buckinghamshire Healthcare NHS Trust (trust code RXQ), County Durham and Darlington NHS Foundation Trust (trust code RXP), Nottingham University Hospitals NHS Trust (trust code RX1), Portsmouth Hospitals University NHS Trust (trust code RHU), The Princess Alexandra Hospital NHS Trust (trust code RQW), University Hospitals Birmingham NHS Foundation Trust (trust code RRK) and West Suffolk NHS Foundation Trust (trust code RGR). Values for these trusts should therefore be interpreted with caution.
3. On 1st July 2026, North Bristol NHS Trust (trust code RVJ) was acquired by University Hospitals Bristol and Weston NHS Foundation Trust (trust code RA7). The new organisation is called Bristol NHS Foundation Trust (trust code RA7). In this publication, data are still presented for the two separate organisations. Data will be presented for the new trust at a later date.
4. A number of trusts are now submitting Same Day Emergency Care (SDEC) data to the Emergency Care Data Set (ECDS) rather than the Admitted Patient Care (APC) dataset. The SHMI is calculated using APC data. Removal of SDEC activity from the APC data may impact a trust’s SHMI value and may increase it. More information about this is available in the Background Quality Report.
5. Further information on data quality can be found in the SHMI background quality report, which can be downloaded from the 'Resources' section of this page.