Leeds Teaching Hospitals NHS Trust

Introduction

Department of Cardiac Surgery, Jubilee Wing, The General Infirmary at Leeds

About the unit

The Yorkshire Heart Centre at Leeds Infirmary was opened in 1997 following the merger of the Units at Killinbeck Hospital and Leeds Infirmary. It serves 2.5 million adult patients in West Yorkshire and 6 million paediatric patients from Yorkshire and North Trent.  The service offers a comprehensive range of adult cardiac surgery with special interested in Major aortic and Mitral Valve work

Services provided

Adult Cardiac Surgery
Congenital Cardiac Surgery

Rehabilitation and follow up

Patients are seen at 6 weeks and then discharged back to the GP or referring Cardiologist. There is a good communication between the prehabilitation and post operative rehabilitation programmes throughout the districts of West Yorkshire.

Access

Cars can drop off patients or visitors at the main entrances of the Clarendon wing, the Jubilee wing and also at Great George Street. There is a multistorey car park. A freebus serves the Hospital from the City centre, including bus and train stations.

Visiting hours

Intensive Care Unit – 24 hours. Ward 14 – 08.00-20.00

Location

Department of Cardiac Surgery,
Jubilee Wing, The General Infirmary at Leeds,
Great George Street,
Leeds,
LS1 3EX

Tel: 0113 2432799

Trust Website: http://www.leedsth.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
Milton Richard27
Chaudhuri Nilanjan35
Tcherveniakov Peter Alexandrov49
Kefaloyannis Emmanuel59
Papagiannopoulos Konstantinos62
Brunelli Alessandro74
(this table shows the names of the surgeons who performed lung cancer surgery in this hospital in 2017, 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, 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) 948
Did this hospital perform radical surgery for mesothelioma in 2017-18? No
Did this hospital perform chest wall deformity (pectus) surgery in 2017-18? Yes

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