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
Wye Valley NHS Trust	101	22.6%	22.8%
Other trusts within the region: West Midlands
Walsall Healthcare NHS Trust	99	17.1%	17.2%
South Warwickshire NHS Foundation Trust	117	6.1%	6%
University Hospitals of North Midlands NHS Trust	296	20%	19.9%
University Hospitals Coventry and Warwickshire NHS Trust	115	16.4%	16.5%
The Royal Wolverhampton NHS Trust	206	9.7%	9.7%
George Eliot Hospital NHS Trust	92	6.4%	6.5%
The Dudley Group NHS Foundation Trust	131	14%	13.7%
University Hospitals Birmingham NHS Foundation Trust	379	11.7%	11.6%
Worcestershire Acute Hospitals NHS Trust	263	10.5%	10.3%
Sandwell and West Birmingham Hospitals NHS Trust	124	8.7%	8.9%
Shrewsbury and Telford Hospital NHS Trust	185	13.6%	13.5%

Trust	Number	Adjusted	Observed
Wye Valley NHS Trust	101	9.6%	9.9%
Other trusts within the region: West Midlands
Walsall Healthcare NHS Trust	99	10.4%	11.1%
South Warwickshire NHS Foundation Trust	117	6%	6%
University Hospitals of North Midlands NHS Trust	296	8.1%	8.5%
University Hospitals Coventry and Warwickshire NHS Trust	115	4.2%	4.4%
The Royal Wolverhampton NHS Trust	206	5%	5.3%
George Eliot Hospital NHS Trust	92	3.1%	3.3%
The Dudley Group NHS Foundation Trust	131	8.5%	8.4%
University Hospitals Birmingham NHS Foundation Trust	379	5.4%	5.5%
Worcestershire Acute Hospitals NHS Trust	263	5.5%	5.3%
Sandwell and West Birmingham Hospitals NHS Trust	124	8.2%	8.9%
Shrewsbury and Telford Hospital NHS Trust	185	4.3%	4.3%

Trust	Number	Adjusted	Observed
Wye Valley NHS Trust	101	5.3%	4%
Other trusts within the region: West Midlands
Walsall Healthcare NHS Trust	108	5.4%	10.2%
South Warwickshire NHS Foundation Trust	124	0.8%	0.8%
University Hospitals of North Midlands NHS Trust	297	2%	2.7%
University Hospitals Coventry and Warwickshire NHS Trust	126	4.4%	4%
The Royal Wolverhampton NHS Trust	211	2.7%	3.3%
George Eliot Hospital NHS Trust	92	4%	3.3%
The Dudley Group NHS Foundation Trust	136	6.3%	6.6%
University Hospitals Birmingham NHS Foundation Trust	399	2.1%	2.3%
Worcestershire Acute Hospitals NHS Trust	272	2.2%	1.8%
Sandwell and West Birmingham Hospitals NHS Trust	133	2%	3%
Shrewsbury and Telford Hospital NHS Trust	187	3.5%	3.2%

Trust	Number	Adjusted	Observed
Wye Valley NHS Trust	66	71.4%	71.9%
Other trusts within the region: West Midlands
Walsall Healthcare NHS Trust	79	70.4%	60.5%
South Warwickshire NHS Foundation Trust	109	90.7%	91.3%
University Hospitals of North Midlands NHS Trust	270	81.4%	83.7%
University Hospitals Coventry and Warwickshire NHS Trust	111	82.5%	80.1%
The Royal Wolverhampton NHS Trust	171	91.1%	88.8%
George Eliot Hospital NHS Trust	64	83.5%	77.1%
The Dudley Group NHS Foundation Trust	150	68.5%	70.1%
University Hospitals Birmingham NHS Foundation Trust	352	80%	77.2%
Worcestershire Acute Hospitals NHS Trust	197	78%	76.6%
Sandwell and West Birmingham Hospitals NHS Trust	100	88.5%	87%
Shrewsbury and Telford Hospital NHS Trust	206	81.8%	82%

Trust	Number	Adjusted	Observed
Wye Valley NHS Trust	49	60.2%	63.3%
Other trusts within the region: West Midlands
Walsall Healthcare NHS Trust	32	40.7%	46.9%
South Warwickshire NHS Foundation Trust	56	14.5%	14.3%
University Hospitals of North Midlands NHS Trust	99	52%	51.5%
University Hospitals Coventry and Warwickshire NHS Trust	44	45.7%	45.5%
The Royal Wolverhampton NHS Trust	101	33.1%	34.7%
George Eliot Hospital NHS Trust	20	65.1%	65%
The Dudley Group NHS Foundation Trust	61	48.6%	49.2%
University Hospitals Birmingham NHS Foundation Trust	153	37.9%	37.9%
Worcestershire Acute Hospitals NHS Trust	91	35.4%	35.2%
Sandwell and West Birmingham Hospitals NHS Trust	65	54.9%	55.4%
Shrewsbury and Telford Hospital NHS Trust	62	48.7%	45.2%

Wye Valley NHS Trust

Explanatory Note