The Royal Marsden 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
The Royal Marsden NHS Foundation Trust 34 10.4% 11.8%
Other trusts within the region: RM Partners
Chelsea and Westminster Hospital NHS Foundation Trust 85 15.5% 15.3%
Croydon Health Services NHS Trust 46 8.5% 8.7%
Epsom and St Helier University Hospitals NHS Trust 102 10.8% 10.8%
Imperial College Healthcare NHS Trust 125 12% 12%
Kingston Hospital NHS Foundation Trust 83 9.4% 8.4%
London North West Hospitals NHS Trust 173 16.2% 16.8%
St George's Healthcare NHS Trust 49 16.5% 16.3%
The Hillingdon Hospitals NHS Foundation Trust 67 11.6% 11.9%
Trust Number Adjusted Observed
The Royal Marsden NHS Foundation Trust 33 - -
Other trusts within the region: RM Partners
Chelsea and Westminster Hospital NHS Foundation Trust 91 3.4% 3.3%
Epsom and St Helier University Hospitals NHS Trust 109 0.8% 0.9%
Imperial College Healthcare NHS Trust 133 3.4% 3.8%
Kingston Hospital NHS Foundation Trust 89 5.5% 6.7%
London North West Hospitals NHS Trust 179 2.3% 1.7%
St George's Healthcare NHS Trust 55 2% 1.8%
The Hillingdon Hospitals NHS Foundation Trust 72 3.7% 4.2%
Trust Number Adjusted Observed
The Royal Marsden NHS Foundation Trust 42 25.9% 18.8%
Other trusts within the region: RM Partners
Chelsea and Westminster Hospital NHS Foundation Trust 90 15.2% 19.8%
Croydon Health Services NHS Trust 74 22% 21%
Epsom and St Helier University Hospitals NHS Trust 93 12.5% 12.6%
Imperial College Healthcare NHS Trust 139 14.1% 14.2%
Kingston Hospital NHS Foundation Trust 91 26.6% 24.7%
London North West Hospitals NHS Trust 184 20.9% 18.3%
St George's Healthcare NHS Trust 102 11.7% 11.3%
The Hillingdon Hospitals NHS Foundation Trust 69 20.8% 22.7%
Trust Number Adjusted Observed
The Royal Marsden NHS Foundation Trust 62 72.2% 71%
Other trusts within the region: RM Partners
Chelsea and Westminster Hospital NHS Foundation Trust 58 46% 48.3%
Croydon Health Services NHS Trust 39 38.3% 38.5%
Epsom and St Helier University Hospitals NHS Trust 37 34.9% 35.1%
Imperial College Healthcare NHS Trust 87 30.3% 29.9%
Kingston Hospital NHS Foundation Trust 54 34.8% 33.3%
London North West Hospitals NHS Trust 107 48.5% 45.8%
St George's Healthcare NHS Trust 68 32.7% 32.4%
The Hillingdon Hospitals NHS Foundation Trust 47 51% 53.2%