Guys’ and St Thomas’ NHS Foundation Trust

Introduction

The Cardiovascular Centre, St Thomas’ Hospital and
Department of Thoracic Surgery, Guy’s Hospital

About the unit

The Cardiothoracic Centre at Guy’s and St Thomas’ Foundation Trust provides a wide range of specialist services to both its local population in SE London and as a tertiary centre to populations as far afield as Guernsey and Devon.

Thoracic surgical services are based at Guy’s Hospital.

Services provided

Adult Cardiac Surgery
Thoracic Surgery
Congenital Cardiac Surgery

Access

Limited car parking with wheelchair access to main entrance. Nearest mainline railway station is Waterloo. Nearest tube station is Waterloo. Numerous bus routes serve hospital, call 020 7222 1234 for details.

Visiting hours

Ward visiting is 1000 to 1230 and 1430 to 2000. Rest period 1230 to 1430 – no visiting at this time. Intensive care – no fixed hours but ideally after 1100 and before 2100.

Location

Cardiothoracic Centre,
St Thomas’ Hospital,
Westminster Bridge Road
London,
SE1 7EH
Tel: 020 7188 1026

Department of Thoracic Surgery
Guy’s Hospital
Great Maze Pond
London
SE1 9RT

Tel:   020 7188 7188
Fax:   020 7188 1016

Trust Website: http://www.guysandstthomas.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



Data For Period April 2015 – March 2018
Risk Adjusted In-Hospital Survival Rate

Thoracic Outcomes

The Lung Cancer Clinical Outcomes Publication or LCCOP 2017 (2015 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.

Four outcomes are reported. These are the percentage of patients alive at 30, 90 days and one year after surgery, and the median length of stay before and after a lung cancer operation in this Trust. Survival data are adjusted to take into account some of the characteristics for the patient population being treated.

Beside these numbers are the combined figures for all Trusts in England that undertake lung cancer surgery within the NHS. We have also shown the resection rates for the Trusts who usually referred all or some of their patients to this surgical centre. The resection rate is the number of patients having lung cancer surgery, divided by the total number of lung cancer patients diagnosed by that hospital that year.

Surgeons operating in this hospital

Number of lung cancer operations
Veres Zoltan Lukacs62
Routledge Thomas118
Pilling John74
King Juliet68
Harrison-Phipps Karen104
Bille Andrea38
(this table shows the names of the surgeons who performed lung cancer surgery in this hospital in 2016, and the number of operations they performed that year)

Other thoracic surgery undertaken by this team

Thoracic surgery units also undertake surgery for other cancers within the chest such as thymoma or mesothelioma, collapsed lungs known as pneumothorax, major infections and to biopsy suspicious areas, among other surgery. The SCTS collects data on these other operations in the thoracic registry. Some data for this hospital for the 2016-17 audit year* is given below;

Data from the 2016-17 SCTS thoracic registry

Cases Performed
Total thoracic surgery excluding endoscopy all case (excluding endoscopy) 1351
Did this hospital perform radical surgery for mesothelioma in 2015-16? yes
Did this hospital perform chest wall deformity (pectus) surgery in 2015-16? yes

*note that the thoracic registry reports in financial years (1st April-31st March), while the LCCOP audit reports in calendar year.