King’s College Hospital NHS Foundation Trust

Introduction

King’s College Hospital NHS Foundation Trust; King’s Health Partners

About the unit

The department is a tertiary cardiac centre treating all forms of adult cardiac disease. This includes coronary artery disease, valvular heart disease, heart failure, atrial fibrillation and thoracic aortic disease including aortic dissectionsLung cancer, serving a local population of 700,000 and a wider area from the south east of England. The unit is particularly specialised in minimally invasive cardiac surgery including transcatheter heart valve treatment.

Services provided

Adult Cardiac Surgery
Adult Thoracic Surgery

Rehabilitation and follow up

Typically, patients are introduced to the Rehab team already before surgery during their assessment. They are followed up the day after surgery by the Rehab team. Home visits occur 3 days post surgery and patients attend a rehab programme 4 weeks post surgery. We offer health classes – health talks, exercise circuits and relaxation sessions. Rehab Team contact: 020 3299 3495.

Access

Parking is available in the main car park on Bessemer Road at a hourly charge. There are some spaces for registered disabled drivers with no charge for these.

Visiting hours

Wards: Most wards are open 10.30am until 12 noon and then from 3pm until 8.30pm. Intensive Care Unit: Unrestricted visiting with a rest period from 1pm until 2pm.

Location

Department of Cardiothoracic Surgery,
King’s College Hospital NHS Foundation Trust,
Denmark Hill,
London,
SE5 9RS

Tel: 020 3299 9000

Unit Website: http://www.kch.nhs.uk/service/

 

 

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

Consultant Cardiac Surgeons 2015 - 2018: 7

Consultant Congenital Cardiothoracic Surgeons: 0

Consultant Thoracic Surgeons 2014: 1