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
Chelsea and Westminster Hospital NHS Foundation Trust	130	12.2%	12.3%
Other trusts within the region: RM Partners West London
London North West Hospitals NHS Trust	147	7.7%	8.2%
The Hillingdon Hospitals NHS Foundation Trust	83	4.6%	4.8%
Kingston Hospital NHS Foundation Trust	112	5.6%	5.4%
Croydon Health Services NHS Trust	79	6%	6.3%
The Royal Marsden NHS Foundation Trust	26	3.6%	3.9%
Epsom and St Helier University Hospitals NHS Trust	111	14%	13.5%
Imperial College Healthcare NHS Trust	105	11.6%	11.4%

Trust	Number	Adjusted	Observed
Chelsea and Westminster Hospital NHS Foundation Trust	130	5.4%	5.4%
Other trusts within the region: RM Partners West London
London North West Hospitals NHS Trust	147	8.4%	8.8%
The Hillingdon Hospitals NHS Foundation Trust	83	4.6%	4.8%
Kingston Hospital NHS Foundation Trust	112	6.7%	6.3%
Croydon Health Services NHS Trust	79	2.4%	2.5%
The Royal Marsden NHS Foundation Trust	26	0%	0%
Epsom and St Helier University Hospitals NHS Trust	111	8.4%	8.1%
Imperial College Healthcare NHS Trust	105	6.7%	6.7%

Trust	Number	Adjusted	Observed
Chelsea and Westminster Hospital NHS Foundation Trust	136	0.9%	0.7%
Other trusts within the region: RM Partners West London
London North West Hospitals NHS Trust	148	1%	0.7%
The Hillingdon Hospitals NHS Foundation Trust	84	3.4%	3.6%
Kingston Hospital NHS Foundation Trust	113	1%	0.9%
Croydon Health Services NHS Trust	79	2.2%	2.5%
The Royal Marsden NHS Foundation Trust	26	0%	0%
Epsom and St Helier University Hospitals NHS Trust	111	3.6%	3.6%
Imperial College Healthcare NHS Trust	109	2.3%	1.8%

Trust	Number	Adjusted	Observed
Chelsea and Westminster Hospital NHS Foundation Trust	124	86.1%	79.6%
Other trusts within the region: RM Partners West London
London North West Hospitals NHS Trust	199	82.6%	88.1%
The Hillingdon Hospitals NHS Foundation Trust	67	89.6%	84.2%
Kingston Hospital NHS Foundation Trust	97	87.4%	90.2%
Croydon Health Services NHS Trust	52	90.5%	91.8%
The Royal Marsden NHS Foundation Trust	80	79.1%	80.8%
Epsom and St Helier University Hospitals NHS Trust	121	84.4%	86.4%
Imperial College Healthcare NHS Trust	158	81.4%	78%

Trust	Number	Adjusted	Observed
Chelsea and Westminster Hospital NHS Foundation Trust	55	19.4%	18.2%
Other trusts within the region: RM Partners West London
London North West Hospitals NHS Trust	106	32.8%	32.1%
The Hillingdon Hospitals NHS Foundation Trust	39	12.4%	12.8%
Kingston Hospital NHS Foundation Trust	31	23.2%	22.6%
Croydon Health Services NHS Trust	34	12.4%	11.8%
The Royal Marsden NHS Foundation Trust	17	48.7%	41.2%
Epsom and St Helier University Hospitals NHS Trust	58	27.9%	25.9%
Imperial College Healthcare NHS Trust	50	25%	26%

Trust	Number	Adjusted	Observed
Chelsea and Westminster Hospital NHS Foundation Trust	10	0%	0%
Other trusts within the region: RM Partners West London
London North West Hospitals NHS Trust	37	14%	13.5%
The Royal Marsden NHS Foundation Trust	182	13.6%	13.7%
Imperial College Healthcare NHS Trust	91	19.5%	18.7%

Chelsea and Westminster Hospital NHS Foundation Trust

Explanatory Note