Royal Brompton Hospital, Royal Brompton and Harefield NHS FT

Introduction

Department of  Thoracic Surgery, Royal Brompton & Harefield NHS Foundation Trust

About the unit

Royal Brompton & Harefield NHS Foundation Trust is a partnership of two specialist hospitals which are known throughout the world for their expertise, standard of care and research success. As a specialist trust we only provide treatment for people with heart and lung disease. This means our doctors, nurses and other healthcare staff are experts in their chosen field, and many move to our hospitals from throughout the UK, Europe and beyond, so they can develop their particular skills even further. As the largest provider of cardiothroacic surgery in the UK, we carry out some of the most complicated surgery, and offer some of the most sophisticated treatment that is available anywhere in the world – treating patients from all over the UK and around the globe. The Trust is the only specialist cardiothoracic unit to provide treatment for patients of all age groups.

Thoracic surgery inpatient services are provided at both the Royal Brompton and Harefield sites.

Services provided

Adult Cardiac Surgery
Thoracic Surgery
Congenital Cardiac Surgery

Access

Royal Brompton Hospital: Limited Pay & Display parking is available near the drop off at the main entrance, with disabled access. South Kensington is the nearest Underground station with several bus routes serving the hospital. Harefield Hospital: On-site carparking is adjacent to the hospital entrance. There are several bus routes that stop in the hospital grounds or close by. The hospital is accessible to wheelchair users.

Visiting hours

Royal Brompton Hospital: Ward visiting is 10.00-13.00 and 14.00-20.00 with a quiet time between 13.00-1400. Intensive care is from 10.00-19.30 with a quiet time from 14.00-16.00. Harefield Hospital: Ward visiting 14:00 – 20:00 daily with a quiet time between 12:00 – 13:00. Intensive care visiting is from 10:00 – 13:00 and 15:00 – 19:45 with a quiet time from 13:00 – 15:00

Location

Royal Brompton and Harefield NHS Foundation Trust,
Royal Brompton Hospital,
Sydney Street,
London,
SW3 6NP

Tel: 02073528121

Unit Website: http://www.rbht.nhs.uk/healthprofessionals/clinical-departments/surgery/

Trust Website: http://www.rbht.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 Royal Brompton and Harefield Trust submit their data as one unified Trust, although they operate services on two separate sites. The thoracic surgery data presented here is for both of these hospitals combined.

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
McGonigle Niall14
JONATHAN ROBERT FINCH17
NIZAR ASADI17
Jordan Simon18
SOFINA BEGUM SHAH SHEIKH20
Kuppusamy Madhan26
Lim Eric55
Beddow Emma60
Anikin Vladimir62
Dusmet de Smour Michael75
(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) 1711
Did this hospital perform radical surgery for mesothelioma in 2017-18? Yes
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.