Guy's and St Thomas' NHS Foundation Trust

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Explanatory Note

Funnel plots display trust risk-adjusted outcomes for 90-day mortality, 30-day unplanned readmission, 2-year mortality and, for rectal cancer patients, 18-month stoma rate. The funnel regions represent the 95 per cent limit and the 99.8 per cent limit for trusts compared to the national average. Those trusts with results outside the outer (99.8 per cent) limit are considered potential outliers.

Risk adjustment is performed using the seven items listed under Data Quality as well as mode of admission (elective/emergency) and number of co-morbidities according to HES, and an interaction between age and distant metastases. Missing values are imputed using Multiple Imputation. The model for two-year mortality additionally includes interactions between follow-up time (0-3 months after surgery vs. 3-24 months after surgery) and all of the risk factors.

A stoma is considered to be reversed if a HES record with relevant code is identified with 18 months of the initial surgical procedure.

Trust Number Adjusted Observed
Guy's and St Thomas' NHS Foundation Trust 92 8.1% 8.7%
Other trusts within the region: South East London
King's College Hospital NHS Foundation Trust - King's College Hospital 64 2.9% 3.1%
Lewisham and Greenwich NHS Trust 95 19.5% 19%
Trust Number Adjusted Observed
Guy's and St Thomas' NHS Foundation Trust 100 3.5% 4%
Other trusts within the region: South East London
King's College Hospital NHS Foundation Trust - King's College Hospital 72 2.1% 1.4%
Lewisham and Greenwich NHS Trust 99 4.4% 4%
Trust Number Adjusted Observed
Guy's and St Thomas' NHS Foundation Trust 119 21.3% 19.2%
Other trusts within the region: South East London
King's College Hospital NHS Foundation Trust - King's College Hospital 106 20.1% 23.1%
King's College Hospital NHS Foundation Trust - Princess Royal University Hospital 94 15.1% 17%
Lewisham and Greenwich NHS Trust 130 15.5% 11.5%