Dartford and Gravesham NHS 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
Dartford and Gravesham NHS Trust 115 10.9% 10.4%
Other trusts within the region: Kent and Medway
Medway NHS Foundation Trust 106 15.8% 16%
East Kent Hospitals University NHS Foundation Trust 332 10.7% 10.2%
Maidstone and Tunbridge Wells NHS Trust 209 19.6% 19.1%
Trust Number Adjusted Observed
Dartford and Gravesham NHS Trust 115 3.7% 3.5%
Other trusts within the region: Kent and Medway
Medway NHS Foundation Trust 106 5.5% 5.7%
East Kent Hospitals University NHS Foundation Trust 332 8.6% 8.1%
Maidstone and Tunbridge Wells NHS Trust 209 9% 8.6%
Trust Number Adjusted Observed
Dartford and Gravesham NHS Trust 116 5.1% 6.9%
Other trusts within the region: Kent and Medway
Medway NHS Foundation Trust 106 2.6% 2.8%
East Kent Hospitals University NHS Foundation Trust 339 1.5% 1.2%
Maidstone and Tunbridge Wells NHS Trust 210 1.9% 1.4%
Trust Number Adjusted Observed
Dartford and Gravesham NHS Trust 87 77% 73.6%
Other trusts within the region: Kent and Medway
Medway NHS Foundation Trust 105 77.9% 76.9%
East Kent Hospitals University NHS Foundation Trust 289 73.7% 77.4%
Trust Number Adjusted Observed
Dartford and Gravesham NHS Trust 39 51.6% 53.9%
Other trusts within the region: Kent and Medway
Medway NHS Foundation Trust 38 27.8% 26.3%
East Kent Hospitals University NHS Foundation Trust 67 42.6% 43.3%
Maidstone and Tunbridge Wells NHS Trust 83 24.8% 25.3%
Trust Number Adjusted Observed
Dartford and Gravesham NHS Trust 20 9.8% 10%
Other trusts within the region: Kent and Medway
Medway NHS Foundation Trust 49 18.3% 18.4%
East Kent Hospitals University NHS Foundation Trust 108 16.6% 16.7%
Maidstone and Tunbridge Wells NHS Trust 167 17.9% 18%