Medway 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
Medway NHS Foundation Trust 86 9.3% 9.3%
Other trusts within the region: Kent and Medway
Dartford and Gravesham NHS Trust 94 7.4% 7.5%
East Kent Hospitals University NHS Foundation Trust 243 7.7% 7.4%
Maidstone and Tunbridge Wells NHS Trust 154 11% 11%
Trust Number Adjusted Observed
Medway NHS Foundation Trust 93 5% 3.2%
Other trusts within the region: Kent and Medway
Dartford and Gravesham NHS Trust 97 7% 4.1%
East Kent Hospitals University NHS Foundation Trust 256 3.7% 4.7%
Maidstone and Tunbridge Wells NHS Trust 168 2.1% 2.4%
Trust Number Adjusted Observed
Medway NHS Foundation Trust 52 24.3% 26.6%
Other trusts within the region: Kent and Medway
Dartford and Gravesham NHS Trust 79 16.4% 18.2%
East Kent Hospitals University NHS Foundation Trust 231 20% 22.9%
Maidstone and Tunbridge Wells NHS Trust 158 22.6% 25.6%
Trust Number Adjusted Observed
Medway NHS Foundation Trust 65 53.8% 52.3%
Other trusts within the region: Kent and Medway
Dartford and Gravesham NHS Trust 47 41.8% 40.4%
East Kent Hospitals University NHS Foundation Trust 125 76% 74.4%
Maidstone and Tunbridge Wells NHS Trust 121 47.8% 47.9%