Which patients are included in the outlier-reported measures in the 2020 annual report?

Which patients are included in the estimate of 90-day mortality in the 2020 report?

All patients aged 18 or over diagnosed between 1 April 2018 and 31 March 2019 who, according to NBOCA, underwent a major resection up to 31st October 2019 for patients treated in England and Wales (regardless of surgical urgency or curative intent).

Patients with cancer of the appendix and patients missing date of surgery or whose date of surgery is reported to be after their date of death are excluded. Patients for whom ONS date of death is unavailable are excluded, and this will include patients who have a national data opt-out.

 

Which patients are included in the estimate of 30-day unplanned readmissions in the 2020 report?

All patients aged 18 or over diagnosed between 1 April 2018 and 31 March 2019 who, according to NBOCA, underwent a major resection up to 31st October 2019 for patients treated in England and Wales (regardless of surgical urgency or curative intent).

Patients with cancer of the appendix and patients missing date of surgery or whose date of surgery is reported to be after their date of death are excluded, as are patients whose readmission status cannot be determined from HES/PEDW, and this will include patients who have a national data opt-out.

 

Which patients are included in the estimate of 18 month stoma in the 2020 report?

This year, we are not outlier reporting 18-month stoma outcomes. This is in preparation for the introduction of two new stoma formation performance indicators in 2021.

 

Which patients are included in the estimate of 2 year mortality in the 2020 report?

All patients aged 18 or over who, according to NBOCA underwent a major resection between 1 April 2017 and 31 March 2018 (regardless of surgical urgency or curative intent).

Patients with cancer of the appendix and patients missing date of surgery or whose date of surgery is reported to be after their date of death are excluded. Patients for whom ONS date of death is unavailable are excluded, and this will include patients who have a national data opt-out.

Further details about national data opt-out which replaced Type 2 objections from May 2018 is available from https://digital.nhs.uk/services/national-data-opt-out-programme