Special Interests: Adult Cardiac Surgery
Malcolm Dalrymple-Hay is a Consultant Cardiac Surgeon.
He is a fellow of the Royal College of Surgeons of Edinburgh (FRCS) and the European Board of Cardiovascular Surgeons (FECTS).
Malcolm graduated from the Royal London Hospital Medical School in 1990, he completed a BSc (1st Class Hons.) as an undergraduate. He obtained a PhD whilst training in Cardiac Surgery at Southampton General Hospital & Royal Prince Alfred, Sydney before becoming a Consultant in 2001.
Malcolm performs all aspects of Cardiac Surgery & has specialist expertise in Aortic & Mitral valve surgery (including minimally invasive techniques – keyhole), surgery for heart rhythm disturbances & transcatheter aortic valve implantation (TAVI). Malcolm has clinic facilities at both Plymouth and Exeter and has administrative support in both sites as well as offering all pre- and post-operative assessment/appointments.
Malcolm has been responsible for the introduction of a number of new procedures or treatments in the South West (TAVI, AF Surgery, minimally invasive valve surgery and endoscopic vein harvesting). He lectures both Nationally and Internationally on his specialist areas of interest.
Malcolm is currently the Service Line Lead for Cardiac, Thoracic and Vascular Surgery with a budget of approximately £25 million.
To his credit are over 35 publications including a book, book chapters and scientific research papers.
Malcolm has experience as a principal investigator in research trials & has also contributed to both commercial and non-commercial trials as well as reviewing grant applications.
Malcolm sat on the executive of the Society for Cardiothoracic Surgery GB and Ireland and has advised the Department of Health. Malcolm is committed to open & transparent reporting of clinical outcomes and has been involved in their development.
He is presently the Regional Speciality Advisor for Cardiothoracic Surgery.
He teaches on both professional development and academic cardiac surgical courses.
Cardiac Surgical Training - Southampton University Hospitals NHS Trust & Royal Prince Alfred Hospital Sydney.
BSc (1st Class Hons) 1988
FRCS (C/Th) 1998 - Gold Medal Winner
Risk-adjusted in-hospital survival rate
This graph shows the “in hospital” survival rate of patients who are operated on by the individual surgeon/unit you have selected. “In hospital” means time the patient is in the hospital where they have had their operation. It does not include any time that patients may have spent in other hospitals, either before or after their heart operation.
The data has been through a complex methodology, including the variations in patient risk factors in order to give you a comparative base from which to work from. This means that the survival rates take into account the type and risk of patients being operated on for each surgeon/unit. This is known as risk adjusted survival.
The vertical axis shows the GMC number of the surgeon or the Hospital identifier. In brackets is the total number of patients operated on by the surgeon/unit and the percentage of patients for whom the survival is known. The horizontal axis is the percentage survival. The dashed vertical line shows the risk adjusted survival rate for the UK as a whole. The solid black horizontal line represents the surgeon/unit. What is important here is that the horizontal line crosses the vertical dashed line. If this occurs, it means that the surgeon/unit are within the expected outcomes given the case-mix and risk factors of the patients they operate on.
The icons that sit on the horizontal line should give you more information about your surgeon/team.
The open square is the survival rate with no risk adjustments:
The X is the predicted survival with adjustments
The solid dot is the survival probability after the methodology has been applied.
- If the solid dot is red it means survival is worse than expected
- If the solid dot is black it means that it is within limits
- If the solid dot is green it means that there is significantly higher survival than expected
There is a lot of information on these plots, but the takeaway message is that if the solid black line crosses the dashed vertical line then the survival rate for the surgeon/unit is within expectations and that there is no reason for any concern.
A more detailed explanation about these graphs and methodology can be found here: Graph Explanations