University Hospitals Birmingham 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
University Hospitals Birmingham NHS Foundation Trust 286 16.6% 18.5%
Other trusts within the region: West Midlands
George Eliot Hospital NHS Trust 79 13% 18.2%
Sandwell and West Birmingham Hospitals NHS Trust 127 10.2% 16.4%
Shrewsbury and Telford Hospital NHS Trust 223 12.4% 11%
South Warwickshire NHS Foundation Trust 114 8.1% 7.3%
The Dudley Group NHS Foundation Trust 156 17.1% 18.5%
The Royal Wolverhampton NHS Trust 178 15.4% 21.4%
University Hospitals Coventry and Warwickshire NHS Trust 158 9.9% 11.3%
University Hospitals of North Midlands NHS Trust 232 17.3% 19%
University Hospitals of Derby and Burton NHS Foundation Trust - Queens Hospital (Burton) 47 13.4% 24.4%
Walsall Healthcare NHS Trust 93 38.1% 38.6%
Worcestershire Acute Hospitals NHS Trust 248 14.1% 13.2%
Wye Valley NHS Trust 96 24.6% 26.6%