... or missed completely by the ratings. Several staff said that if these dimensions of performance were taken into account then their organisation would not have received such a low star rating. Staff across most of the Trusts reported a number of examples of where their organisation had used a number of "ruses" to improve their measured performance. These included cancelling operations on the evening before the operation is scheduled to take place, so that these cancellations are not recorded on the actual day, or re-classifying trolleys as beds on recording forms. Indeed some staff at Trust D were of the opinion that their performance rating was to a large extent due to the accuracy of their reporting which may have placed their organisation at a disadvantage when compared to trusts that had not been as "truthful" in their data collection and reporting. Some staff, particularly those in the "low" performing Trusts ...

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