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.
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.
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.
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.
The Trent Cardiac Centre,
Nottingham City Hospital Trust,
Tel: 0115 9691169
Trust website: http://www.nuh.nhs.uk/
Number and type of operations performed
This graph shows the number and percentage of each type of heart surgery done by this consultant surgeon. The number of operations is shown in the line going up the left hand side. The percentage (%) underneath each coloured bar shows how much of this consultant's heart surgery is made up each procedure type.
The 'key' underneath the graph shows what procedure(s) each coloured bar shows. The abbreviations used are explained below:
- Isolated: This procedure has been carried out on its own. No other procedures were done during the same operation.
- CABG: Coronary artery bypass grafting
- AVR: Aortic valve replacement
- MV: Mitral valve procedure
You can find out more about these procedures in the 'About cardiothoracic surgery' section. If you or someone you know if having heart surgery, it may be helpful to know whether the consultant does lots of that procedure. If you have questions or concerns about the number of procedures being done at your hospital, you should speak to your heart surgeon.
In-hospital survival rate (risk adjusted)
This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected and the number of operations performed over the last 3 year period. The blue line indicates the predicted survival and the red dotted lines the range of results expected, worked out by complex statistics.
For more information on understanding mortality rates, look at the Understanding the graphs page
Average patient risk profile
Some risk factors like age, gender, and other medical problems can affect the outcome of heart surgery.
Each of the graphs below shows what percentage of this consultant's patients have each risk factor (light blue bar on the left) next to the average for the whole of the UK (dark blue bar on the right). This can tell you whether the consultant operates on high risk patients in general, and whether they specialise in doing particular types of complicated surgery, like operations on the thoracic aorta.
You can find out more about the risk factors in the 'About cardiothoracic surgery' section.
Risk adjusted in-hospital survival for all units
This graph shows the percentage of patients who survived their operation and left hospital alive. This is the 'In-hospital survival rate'. Some patients are more unwell than others and some need more complex operations. Hence, hospitals and consultants perform a range of cardiac operations and the type of patients they operate on can differ. So that we can make fair comparisons between them, the survival rates have been 'risk adjusted' to take into account the illness of the patient and the complexity of the operation. The dot on the graph shows the risk-adjusted survival for the unit/surgeon you have selected in comparison with the other units and surgeons in GB&I.
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.
The outcomes of patients undergoing surgery to remove a lung cancer in this Trust in 2015 can be downloaded in PDF form here.
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|
|Majewski Andrzej Maciej||72|
|Duffy John Peter||13|
Other thoracic surgery undertaken by this team
Thoracic surgery units 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 2015-16 audit year* is given below:
Data from the 2015-16 SCTS thoracic registry
|Total thoracic surgery excluding endoscopy all case (excluding endoscopy)||750|
|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.
Consultant Cardiac Surgeons 2013 - 2016: 7
Consultant Congenital Cardiothoracic Surgeons: 0
Consultant Thoracic Surgeons 2014: 5