GeraClinic / Hospital Mortality Index / Northern Care Alliance NHS Foundation Trust
Northern Care Alliance NHS Foundation Trust — hospital mortality (SHMI)
The NHS Summary Hospital-level Mortality Indicator (SHMI) for Northern Care Alliance NHS Foundation Trust for November 2024 to October 2025: a SHMI of 0.932 (index 93.2), banded as expected by NHS England.
What is the hospital mortality (SHMI) for Northern Care Alliance NHS Foundation Trust?
For November 2024 to October 2025, Northern Care Alliance NHS Foundation Trust had an NHS SHMI of 0.932 (Gera Hospital Mortality Index 93.2), banded "as expected": 4,385 deaths observed against 4,710 expected — 6.8% below 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 93.2 means Northern Care Alliance NHS Foundation Trust was 6.8% below the national expectation for this period. The index is the official SHMI (0.932) multiplied by 100; every figure is the real published NHS number, and the method is set out in the methodology.
SHMI value
0.932
As expected
Mortality Index
93.2
baseline 100
Observed deaths
4,385
in hospital / within 30 days
Expected deaths
4,710
modelled by the NHS
Difference
-325
observed − expected
Discharges
142,985
finished provider spells
vs expectation
6.8% below
relative to England
NHS banding
Band 2
As expected
In plain English
Over November 2024 to October 2025, Northern Care Alliance NHS Foundation Trust recorded 4,385 deaths in hospital or within 30 days of discharge, against 4,710 the NHS model expected given the patients it treated across 142,985 completed stays. That is 325 fewer deaths than expected — a SHMI of 0.932, 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.
Northern Care Alliance NHS Foundation Trust: mortality (SHMI) FAQs
- What is the SHMI for Northern Care Alliance NHS Foundation Trust?
- For November 2024 to October 2025, the SHMI for Northern Care Alliance NHS Foundation Trust was 0.932 (Gera Hospital Mortality Index 93.2), banded "as expected" by NHS England. There were 4,385 observed deaths against 4,710 expected — 325 fewer deaths than expected, or 6.8% below the national expectation. This is the real published NHS figure, not a measure of care quality.
- Does Northern Care Alliance NHS Foundation 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 Northern Care Alliance NHS Foundation Trust treat?
- In the November 2024 to October 2025 SHMI period, Northern Care Alliance NHS Foundation Trust had 142,985 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 (4,710) is modelled by the NHS from the characteristics of those patients.
See every trust and how to read the numbers
Northern Care Alliance NHS Foundation 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 Northern Care Alliance NHS Foundation 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 Northern Care Alliance NHS Foundation 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.