The Royal Wolverhampton 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
The Royal Wolverhampton NHS Trust 161 21.5% 19.3%
Other trusts within the region: West Midlands
George Eliot Hospital NHS Trust 77 11.4% 12.5%
Sandwell and West Birmingham Hospitals NHS Trust 116 21.6% 30%
Shrewsbury and Telford Hospital NHS Trust 226 17.8% 15.3%
South Warwickshire NHS Foundation Trust 57 12.5% 9.1%
The Dudley Group NHS Foundation Trust 120 25.9% 33.2%
University Hospitals Coventry and Warwickshire NHS Trust 100 16.5% 16.4%
University Hospitals of North Midlands NHS Trust 230 14.7% 15.6%
University Hospitals Birmingham NHS Foundation Trust - Queen Elizabeth Hospital 331 20.5% 19.5%
University Hospitals of Derby and Burton NHS Foundation Trust - Queens Hospital (Burton) 28 13% 18.5%
Walsall Healthcare NHS Trust 74 23.1% 22.5%
Worcestershire Acute Hospitals NHS Trust 229 18.3% 17.3%
Wye Valley NHS Trust 106 24.7% 25.8%
University Hospitals of Derby and Burton NHS Foundation Trust - Royal Derby Hospital 164 18.4% 15.8%