Richard Kirby, chief executive at Walsall Healthcare NHS Trust, said the hospital had introduced several changes since death rates started torise in early 2011.
Moreover, government spending is set torise sharply early next century as growing numbers of workers retire and begin to claim their generous state pensions.
Macquarie forecasts that interest rates in China could begin torise as early as the first quarter of next year due to the improving economy, which would benefit both of the country's two biggest insurers.