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
Heart of England NHS Foundation Trust	159	14%	13.2%
Other trusts within the region: West Midlands
University Hospitals of Derby and Burton NHS Foundation Trust - Queens Hospital (Burton)	89	10.6%	11.2%
George Eliot Hospital NHS Trust	52	11.4%	11.5%
Sandwell and West Birmingham Hospitals NHS Trust	64	6.1%	6.3%
Shrewsbury and Telford Hospital NHS Trust	190	9.4%	9%
South Warwickshire NHS Foundation Trust	77	9.7%	9.1%
The Dudley Group NHS Foundation Trust	122	9.8%	10.7%
University Hospitals Coventry and Warwickshire NHS Trust	120	10.1%	10.8%
University Hospitals of North Midlands NHS Trust	209	17.5%	16.8%
Walsall Healthcare NHS Trust	16	11.2%	12.5%
Worcestershire Acute Hospitals NHS Trust	213	6.3%	6.1%
Wye Valley NHS Trust	70	10.1%	10%
University Hospitals of Derby and Burton NHS Foundation Trust - Royal Derby Hospital	175	14%	13.7%

Trust	Number	Adjusted	Observed
Heart of England NHS Foundation Trust	189	2.5%	2.7%
Other trusts within the region: West Midlands
University Hospitals of Derby and Burton NHS Foundation Trust - Queens Hospital (Burton)	92	4.4%	7.6%
George Eliot Hospital NHS Trust	55	4%	3.6%
Sandwell and West Birmingham Hospitals NHS Trust	75	4%	5.3%
Shrewsbury and Telford Hospital NHS Trust	197	3.7%	3.1%
South Warwickshire NHS Foundation Trust	82	2.7%	3.7%
The Dudley Group NHS Foundation Trust	133	2.6%	3.8%
University Hospitals Coventry and Warwickshire NHS Trust	131	4.5%	5.3%
University Hospitals of North Midlands NHS Trust	224	5.1%	4.9%
Walsall Healthcare NHS Trust	19	3.9%	5.3%
Worcestershire Acute Hospitals NHS Trust	231	3.7%	3.5%
Wye Valley NHS Trust	84	4.5%	4.8%
University Hospitals of Derby and Burton NHS Foundation Trust - Royal Derby Hospital	179	2.5%	2.2%

Trust	Number	Adjusted	Observed
Heart of England NHS Foundation Trust	251	15.4%	15%
Other trusts within the region: West Midlands
University Hospitals of Derby and Burton NHS Foundation Trust - Queens Hospital (Burton)	99	19.8%	22.7%
George Eliot Hospital NHS Trust	63	21.1%	17.5%
Sandwell and West Birmingham Hospitals NHS Trust	111	18.8%	21.6%
Shrewsbury and Telford Hospital NHS Trust	240	16.7%	17.8%
South Warwickshire NHS Foundation Trust	78	13%	21.8%
The Dudley Group NHS Foundation Trust	112	25.4%	30.4%
The Royal Wolverhampton NHS Trust	150	17.6%	18.3%
University Hospitals Birmingham NHS Foundation Trust - Queen Elizabeth Hospital	97	24.9%	18.1%
University Hospitals Coventry and Warwickshire NHS Trust	128	9.2%	10.7%
University Hospitals of North Midlands NHS Trust	250	17.5%	22.6%
Walsall Healthcare NHS Trust	85	20.2%	34.1%
Worcestershire Acute Hospitals NHS Trust	262	17.5%	15.4%
Wye Valley NHS Trust	96	35.1%	33.4%
University Hospitals of Derby and Burton NHS Foundation Trust - Royal Derby Hospital	175	18.8%	18.9%

Trust	Number	Adjusted	Observed
Heart of England NHS Foundation Trust	192	42.9%	41.7%
Other trusts within the region: West Midlands
University Hospitals of Derby and Burton NHS Foundation Trust - Queens Hospital (Burton)	74	56.8%	59.5%
George Eliot Hospital NHS Trust	42	51.6%	54.8%
Sandwell and West Birmingham Hospitals NHS Trust	93	47.8%	49.5%
Shrewsbury and Telford Hospital NHS Trust	174	53%	52.9%
South Warwickshire NHS Foundation Trust	61	32.9%	34.4%
The Dudley Group NHS Foundation Trust	86	54%	57%
The Royal Wolverhampton NHS Trust	112	45.3%	49.1%
University Hospitals Birmingham NHS Foundation Trust - Queen Elizabeth Hospital	68	61.7%	57.4%
University Hospitals Coventry and Warwickshire NHS Trust	106	51.5%	51.9%
Walsall Healthcare NHS Trust	46	37%	39.1%
Worcestershire Acute Hospitals NHS Trust	173	45.9%	45.7%
Wye Valley NHS Trust	81	51.1%	54.3%
University Hospitals of Derby and Burton NHS Foundation Trust - Royal Derby Hospital	108	51.8%	52.8%

Heart of England NHS Foundation Trust

Explanatory Note