Trust results - National Bowel Cancer Audit

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
Heart of England NHS Foundation Trust	214	11%	11.2%
Other trusts within the region: WEST MIDLANDS
George Eliot Hospital NHS Trust	59	10.5%	10.2%
Sandwell and West Birmingham Hospitals NHS Trust	89	12.4%	13.5%
Shrewsbury and Telford Hospital NHS Trust	229	8.6%	8.7%
South Warwickshire NHS Foundation Trust	75	4%	4%
The Dudley Group NHS Foundation Trust	104	6%	5.8%
The Royal Wolverhampton NHS Trust	153	10.4%	10.5%
University Hospitals Birmingham NHS Foundation Trust	81	12.9%	12.3%
University Hospitals Coventry and Warwickshire NHS Trust	126	7%	7.1%
University Hospitals of North Midlands NHS Trust - Royal Stoke University Hospital	181	16.3%	15.5%
Walsall Healthcare NHS Trust	76	5.4%	5.3%
Worcestershire Acute Hospitals NHS Trust	239	11.9%	11.7%
Wye Valley NHS Trust	87	11.3%	11.5%

Trust	Number	Adjusted	Observed
Heart of England NHS Foundation Trust	248	2.3%	2%
Other trusts within the region: WEST MIDLANDS
George Eliot Hospital NHS Trust	61	4%	4.9%
Sandwell and West Birmingham Hospitals NHS Trust	113	6.7%	10.6%
Shrewsbury and Telford Hospital NHS Trust	240	3.8%	3.3%
South Warwickshire NHS Foundation Trust	77	3.9%	5.2%
The Dudley Group NHS Foundation Trust	117	5%	6%
The Royal Wolverhampton NHS Trust	159	2.2%	2.5%
University Hospitals Birmingham NHS Foundation Trust	83	8.6%	4.8%
University Hospitals Coventry and Warwickshire NHS Trust	135	2%	2.2%
University Hospitals of North Midlands NHS Trust - Royal Stoke University Hospital	191	3.4%	3.1%
Walsall Healthcare NHS Trust	83	5.3%	8.4%
Worcestershire Acute Hospitals NHS Trust	260	2.9%	2.3%
Wye Valley NHS Trust	101	10.3%	10.9%

Trust	Number	Adjusted	Observed
Heart of England NHS Foundation Trust	260	21.1%	23%
Other trusts within the region: WEST MIDLANDS
George Eliot Hospital NHS Trust	61	16.9%	17.9%
Sandwell and West Birmingham Hospitals NHS Trust	154	21.1%	25.7%
Shrewsbury and Telford Hospital NHS Trust	216	29.7%	23.5%
South Warwickshire NHS Foundation Trust	100	9.2%	10.6%
The Dudley Group NHS Foundation Trust	140	22.1%	20.9%
The Royal Wolverhampton NHS Trust	145	14.1%	20.7%
University Hospitals Birmingham NHS Foundation Trust	170	16.4%	16.9%
University Hospitals Coventry and Warwickshire NHS Trust	148	17.2%	18.8%
University Hospitals of North Midlands NHS Trust - County Hospital	81	21.8%	27.2%
University Hospitals of North Midlands NHS Trust - Royal Stoke University Hospital	211	23.8%	24.3%
Walsall Healthcare NHS Trust	85	26.2%	34.2%
Worcestershire Acute Hospitals NHS Trust	255	28.6%	28.2%
Wye Valley NHS Trust	112	24.9%	24.5%

Trust	Number	Adjusted	Observed
Heart of England NHS Foundation Trust	171	44%	43%
Other trusts within the region: WEST MIDLANDS
George Eliot Hospital NHS Trust	42	44%	43%
Sandwell and West Birmingham Hospitals NHS Trust	100	38%	40%
Shrewsbury and Telford Hospital NHS Trust	173	52%	52%
South Warwickshire NHS Foundation Trust	78	37%	38%
The Dudley Group NHS Foundation Trust	84	59%	61%
The Royal Wolverhampton NHS Trust	103	51%	54%
University Hospitals Birmingham NHS Foundation Trust	112	65%	63%
University Hospitals Coventry and Warwickshire NHS Trust	107	55%	56%
University Hospitals of North Midlands NHS Trust - County Hospital	35	71%	74%
University Hospitals of North Midlands NHS Trust - Royal Stoke University Hospital	148	53%	52%
Walsall Healthcare NHS Trust	54	44%	46%
Worcestershire Acute Hospitals NHS Trust	182	62%	62%
Wye Valley NHS Trust	97	53%	56%

Heart of England NHS Foundation Trust

Explanatory Note