Nottingham University Hospital NHS Trust

Introduction

The Trent Cardiac Centre, Nottingham University Hospital

About the unit

The Centre provides tertiary adult cardiac services to the Mid-Trent Region and aims to deliver the highest quality of patient care. It is housed in a new build which opened in January 2005. The unit receives elective, urgent in-patient transfer and emergency referrals. It has the capacity to perform up to 1000 open heart operations a year. Special interests include coronary surgery, off pump surgery, minimally invasive surgery, robotic surgery, surgery for heart failure, valve repair and replacement surgery and aortic surgery.

Services provided

Adult Cardiac Surgery

Rehabilitation and follow up

Follow up is generally 6 weeks to the appropriate surgeon with a discharge back to the GP as required. Cardiac rehabilitation is provided locally for catchment patients or if from an adjacent area the appropriate contact is made with the rehabilitation team at the local hospital to ensure continuity of care – this extends into North Yorkshire, Lincolnshire and Derbyshire.

Access

Cars are allowed to drop off outside the Trent Cardiac Centre and Visitors can park in the Green, Purple or yellow car parks approx 5 mins walk from the unit. There is wheelchair access and lifts to all floors.

Visiting hours

Ward visiting times are 9.30 – 12.00am then 2.30 – 8.30pm there is no morning visiting on Tuesdays. No fixed times on CICU but ideally before 9.30pm.

Location

The Trent Cardiac Centre,
Nottingham City Hospital Trust,
Hucknall Road,
Nottingham,
NG5 1PB

Tel: 0115 9691169

Trust website: http://www.nuh.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
Duffy John Peter14
VINCENZO PAGLIARULO19
Thorpe James24
Majewski Andrzej Maciej47
Addae-Boateng Emmanuel62
Hawari Mohammad Hamad77
(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) 801
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.

Consultant Cardiac Surgeons 2015 - 2018: 4

Consultant Congenital Cardiothoracic Surgeons: 0

Consultant Thoracic Surgeons 2017: 6