Introduction
The Essex Cardiothoracic Centre
About the unit
The Essex Cardiothoracic Centre opened in 2007 is one of the most modern of its kind in the country, with the latest equipment and technology, including state-of-the-art operating theatres and cardiac catheter laboratories. Offering specialist diagnosis and treatment for people with cardiovascular and respiratory diseases, patients benefit from the highest quality treatment and care delivered by a team of experienced staff. The Essex Cardiothoracic Centre has facilities for 100 patients, including a 22-bed critical care unit, a separate cardiology day ward, rehabilitation gym and some overnight facilities for relatives.
Services provided
Adult Cardiac Surgery
Thoracic Surgery
Access
The Essex Cardiothoracic Centre is fully accessible for patients and visitors with disabilities. The Centre has full wheelchair access, with large lifts and designated toilets on each level. The Centre is also compliant with building design guidelines for people with sight difficulties and there is a loop system in the reception area for people who have hearing difficulties. The Centre is easy to get to by car, being close to major road routes, and has a car park with designated spaces for blue badge holders, and drop off facilities directly outside the main entrance. The Centre is also accessible by public transport with several buses stopping within the grounds of Basildon University Hospital.
Visiting hours
Visitors are welcomed between 2pm and 8pm, although we do try to accommodate visitors outside of these times where requested.
Location
The Essex Cardiothoracic Centre,
Basildon University Hospital,
Nethermayne,
Basildon, Essex,
SS16 5NL
Tel: 0845 155 3111
Trust Website: http://www.basildonandthurrock.nhs.uk/
Cardiac Outcomes
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.
For example
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
Data for period April 2015 – March 2018.
Risk Adjusted In-Hospital Survival Rate
Thoracic Outcomes
The Lung Cancer Clinical Outcomes Publication or LCCOP 2019 (2017 data).
LCCOP is a compulsory audit of surgery for lung cancer in NHS hospitals in England. It does not cover SCTS units in the devolved nations or Ireland.
The outcomes of patients undergoing surgery to remove a lung cancer in this Trust in 2017 can be downloaded in PDF form here.
Several outcomes are reported. These are the percentage of patients alive at 30 days and one year after surgery, the median length of stay after surgery, the overall and the early stage performance status 0-1 resection rate for that unit.
Survival data are adjusted to take into account some of the characteristics for the patient population being treated.
Beside these numbers are the national data for England.
Surgeons operating in this hospital
| Number of lung cancer operations | |
|---|---|
| Shah Samir | 19 |
| Bhusari Sudhir | 33 |
| Aitchison James | 76 |
Other thoracic surgery undertaken by this team
Thoracic surgery units also undertake surgery for other cancers within the chest, such as thymoma or mesothelioma, and benign conditions like pneumothorax or pleural infections. The SCTS collects data on these other operations in the thoracic registry. Some data for this hospital for the 2017-18 audit year* is given below;
Data from the 2017-18 SCTS thoracic registry
| Cases Performed | |
| Total thoracic surgery excluding endoscopy all case (excluding endoscopy) | 364 |
| Did this hospital perform radical surgery for mesothelioma in 2017-18? | No |
| Did this hospital perform chest wall deformity (pectus) surgery in 2017-18? | No |
*note that the thoracic registry reports in financial years (1st April-31st March), while the LCCOP audit reports in calendar year.
Consultant Cardiac Surgeons 2015 - 2018: 8
- Aitchison James
- Alberto Albanese
- Bhusari Sudhir
- Birdi Inderpaul
- Charokopos Nikolaos
- Khan Hasnat
- Shah Samir
- Singh Arvind
Consultant Congenital Cardiothoracic Surgeons: 0
Consultant Thoracic Surgeons 2017: 3