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 90 12.5% 12.2%
Other trusts within the region: Kent and Medway
Dartford and Gravesham NHS Trust 93 4.2% 4.3%
East Kent Hospitals University NHS Foundation Trust 245 11.3% 11%
Maidstone and Tunbridge Wells NHS Trust 131 5.5% 5.3%
Trust Number Adjusted Observed
Medway NHS Foundation Trust 102 2.4% 2%
Other trusts within the region: Kent and Medway
Dartford and Gravesham NHS Trust 97 2.1% 2.1%
East Kent Hospitals University NHS Foundation Trust 266 2.5% 3%
Maidstone and Tunbridge Wells NHS Trust 141 0.8% 0.7%
Trust Number Adjusted Observed
Medway NHS Foundation Trust 100 24.3% 23.6%
Other trusts within the region: Kent and Medway
Dartford and Gravesham NHS Trust 97 22.3% 23.5%
East Kent Hospitals University NHS Foundation Trust 260 18.9% 20%
Maidstone and Tunbridge Wells NHS Trust 157 16.4% 13%
Trust Number Adjusted Observed
Medway NHS Foundation Trust 57 64.9% 63.2%
Other trusts within the region: Kent and Medway
Dartford and Gravesham NHS Trust 68 58.3% 57.4%
East Kent Hospitals University NHS Foundation Trust 130 71% 70%
Maidstone and Tunbridge Wells NHS Trust 114 55.5% 56.1%