GeraClinic / Hospital Mortality Index / Dartford and Gravesham NHS Trust
Dartford and Gravesham NHS Trust — hospital mortality (SHMI)
The NHS Summary Hospital-level Mortality Indicator (SHMI) for Dartford and Gravesham NHS Trust for November 2024 to October 2025: a SHMI of 1.028 (index 102.8), banded as expected by NHS England.
What is the hospital mortality (SHMI) for Dartford and Gravesham NHS Trust?
For November 2024 to October 2025, Dartford and Gravesham NHS Trust had an NHS SHMI of 1.028 (Gera Hospital Mortality Index 102.8), banded "as expected": 1,610 deaths observed against 1,565 expected — 2.8% above the national expectation. This is real NHS open data and a "smoke alarm", not a measure of care quality.
What “as expected” means here
The number of deaths was within the range expected given the patients treated. Most trusts fall in this band.
The SHMI is NOT a measure of quality of care. NHS England is explicit that a higher-than-expected SHMI should be treated as a "smoke alarm" — a prompt to investigate, not evidence of poor care — and that an "as expected" or "lower than expected" value should not be read as proof of good care. Many factors outside a hospital’s control (local population health, the prevalence of palliative-care coding, deaths in hospices) affect the figure.
An index of 102.8 means Dartford and Gravesham NHS Trust was 2.8% above the national expectation for this period. The index is the official SHMI (1.028) multiplied by 100; every figure is the real published NHS number, and the method is set out in the methodology.
SHMI value
1.028
As expected
Mortality Index
102.8
baseline 100
Observed deaths
1,610
in hospital / within 30 days
Expected deaths
1,565
modelled by the NHS
Difference
+45
observed − expected
Discharges
62,315
finished provider spells
vs expectation
2.8% above
relative to England
NHS banding
Band 2
As expected
In plain English
Over November 2024 to October 2025, Dartford and Gravesham NHS Trust recorded 1,610 deaths in hospital or within 30 days of discharge, against 1,565 the NHS model expected given the patients it treated across 62,315 completed stays. That is 45 more deaths than expected — a SHMI of 1.028, which the NHS bands as as expected. Because the expected figure already adjusts for how sick and how old the patients were, the comparison is with what would be typical for a similar case mix in England — but it still does not measure the quality or safety of care.
Dartford and Gravesham NHS Trust: mortality (SHMI) FAQs
- What is the SHMI for Dartford and Gravesham NHS Trust?
- For November 2024 to October 2025, the SHMI for Dartford and Gravesham NHS Trust was 1.028 (Gera Hospital Mortality Index 102.8), banded "as expected" by NHS England. There were 1,610 observed deaths against 1,565 expected — 45 more deaths than expected, or 2.8% above the national expectation. This is the real published NHS figure, not a measure of care quality.
- Does Dartford and Gravesham NHS Trust's SHMI mean its care is average?
- No. NHS England is explicit that the SHMI is not a measure of quality of care. An "as expected" value simply means deaths were within the modelled range. Local population health and how palliative care is coded also affect the figure. Use it to ask informed questions, not as a verdict.
- How many patients does Dartford and Gravesham NHS Trust treat?
- In the November 2024 to October 2025 SHMI period, Dartford and Gravesham NHS Trust had 62,315 finished provider spells (roughly, completed hospital stays), from which the SHMI counts deaths in hospital or within 30 days of discharge. The expected-deaths figure (1,565) is modelled by the NHS from the characteristics of those patients.
See every trust and how to read the numbers
Dartford and Gravesham NHS Trust is one of 118 acute NHS trusts in the SHMI. Compare it against the full sourced table, and read the methodology before drawing any conclusion.
Other trusts
Source
Every figure for Dartford and Gravesham NHS Trust on this page is the real published NHS SHMI value; the Gera Hospital Mortality Index is the official SHMI multiplied by 100 and no trust is re-banded. Full method on the methodology page.
Contains public sector information published by NHS England and licensed under the Open Government Licence v3.0. Source: Summary Hospital-level Mortality Indicator (SHMI) — Deaths associated with hospitalisation, England, November 2024 - October 2025 (November 2024 to October 2025, published 12 March 2026).
Contains public sector information published by NHS England and licensed under the Open Government Licence v3.0. Underlying data: SHMI — Deaths associated with hospitalisation, England, November 2024 – October 2025. NHS methodology: About the SHMI.
GeraClinic is a private telemedicine service and is not part of, or affiliated with, the NHS, and has no connection to Dartford and Gravesham NHS Trust. This page presents open NHS data for information only; it is not clinical advice and not a measure of the quality or safety of care.