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The Keogh Mortality Review


On February 6 2013, the Prime Minister announced that he had asked Professor Sir Bruce Keogh, NHS Medical Director for England, to review the quality of care and treatment provided by those NHS trusts and NHS foundation trusts that are persistent outliers on mortality indicators. A total of 14 hospital trusts were investigated as part of this review. After the reviews, 11 of the 14 trusts were placed into special measures by NHS Improvement

The review was guided by the NHS values set out in the NHS Constitution and underpinned by the following key principles:

  • Patient and public participation
  • Listening to the views of staff
  • Openness and transparency
  • Co-operation between organisations


Special measures

When there are concerns about the quality of care that hospitals are delivering, they can be put into special measures. Find out what action is taken by trusts that need to improve the quality of their services.

Reports published as part of the review

Find the Keogh Review final outcomes report, along with several reports that were published as part of the review, such as the Information and Intelligence Packs and the reports from the Risk Summit meetings.

Terms of reference

Find out why Professor Sir Bruce Keogh was asked to review the quality of care and treatment for some NHS trusts and foundation trusts and what the aims of the investigations are.

Page last reviewed: 17/03/2015

Next review due: 17/03/2017


The Keogh Mortality Review has been completed. The final reports on each trust and an overview report were published on July 16 2013. Submissions to the review team can no longer be considered.

If you want to make an official complaint about the NHS, please follow the NHS complaints procedure.

You may also wish to raise your concern through the Care Quality Commission (CQC). You can contact the CQC via telephone on 03000 61 61 61 or by emailing

Thanks to all who provided feedback to the Keogh Mortality Review. Your input has been hugely valuable and has helped to shape the recommendations.

NHS complaints

If you're not happy with the care or treatment you've received, you have the right to complain. Find out how.

Care Quality Commission

Find out how the CQC ensures all care services in England provide people with safe, effective, compassionate and high quality care