NNAP Neurosurgical National Audit Programme

Hospital: KING'S COLLEGE HOSPITAL

KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST
Neurosurgical Unit
Trust Name KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST
Hospital Name KING'S COLLEGE HOSPITAL
Address KING'S COLLEGE HOSPITAL
  DENMARK HILL
  LONDON
Post Code SE5 9RS
Telephone 020 3299 9000
Website URL https://www.kch.nhs.uk/
Head Of Unit Ranjeev Singh Bhangoo
Hospital
Trust Name KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST
Hospital Name KING'S COLLEGE HOSPITAL
Address
 
Town/City
Post Code
Telephone
Website URL
Head Of Unit
Hospital
Consultants at this Unit
Unit Overview
Regional Trauma Centre and Tertiary Neurosurgery (Adult and Paediatrics) for South East London, Kent and surrounding areas.
Clinical Services
The full range of adult and paediatric neurosurgery including nationally delivered services for the whole of England and Wales. The main providers of Spinal Surgery in South East London and Kent. Specialties covered include - Neuro-Oncology, Vascular Neurosurgery, Functional Neurosurgery, Epilepsy Surgery, Skull base and Pituitary Surgery, Spine and Complex Spine Surgery, Paediatric Neurosurgery. The lead providers of neurosurgical training in South London and providers of superspeciality neurosurgical training for national and international neurosurgeons through nationally recognised Fellowship Programmes.
Clinical Practice and Mortality
12 Month Practice (1 Year)


What does the Hospital Unit activity pie chart show?

The Hospital Unit activity pie charts represent the total procedures performed within elective (planned) Finished Consultant Episodes (FCEs) and non-elective (emergency) FCEs. An FCE is the time spent by a patient in the care of one consultant in one healthcare provider and there may be up to 24 procedures recorded for each FCE. The unit level pie charts are segmented to represent the proportion of cranial, spinal, and other procedures performed and, in addition, FCEs containing no procedures.


Please note that for Trusts which provide both adult services for patients aged 18 and older and paediatric services for patients aged 17 and younger, there will be two further pie charts showing elective and non-elective FCEs for their paediatric practice.


Activity Breakdown
Adult
Elective Non-Elective

Key

Cranial
No Procedure
Other
Spinal
Elective
Cranial No Procedure Other Spinal Total
789 148 363 639 1,939
Non Elective
Cranial No Procedure Other Spinal Total
627 501 774 322 2,224
Paediatric
Elective Non-Elective

Key

Cranial
No Procedure
Other
Spinal
Elective
Cranial No Procedure Other Spinal Total
95 7 36 19 157
Non Elective
Cranial No Procedure Other Spinal Total
89 41 76 6 212
36 Month Practice Profile (3 Years)


What does the Hospital Unit activity pie chart show?

The Hospital Unit activity pie charts represent the total procedures performed within elective (planned) Finished Consultant Episodes (FCEs) and non-elective (emergency) FCEs. An FCE is the time spent by a patient in the care of one consultant in one healthcare provider and there may be up to 24 procedures recorded for each FCE. The unit level pie charts are segmented to represent the proportion of cranial, spinal, and other procedures performed and, in addition, FCEs containing no procedures.


Please note that for Trusts which provide both adult services for patients aged 18 and older and paediatric services for patients aged 17 and younger, there will be two further pie charts showing elective and non-elective FCEs for their paediatric practice.


Activity Breakdown
Adult
Elective Non-Elective

Key

Cranial
No Procedure
Other
Spinal
Elective
Cranial No Procedure Other Spinal Total
2,389 518 1,054 2,271 6,232
Non Elective
Cranial No Procedure Other Spinal Total
1,907 1,441 2,208 898 6,454
Paediatric
Elective Non-Elective

Key

Cranial
No Procedure
Other
Spinal
Elective
Cranial No Procedure Other Spinal Total
351 53 123 76 603
Non Elective
Cranial No Procedure Other Spinal Total
284 138 243 23 688

Mortality – 30 Days

What does the Hospital Unit funnel plot chart show?

The mortality outcomes presented here are based on five years of data from April 2015 to March 2020. The analysis is based on adult elective surgery only which means that there will be no funnel plot displayed for any hospital that provides predominantly paediatric neurosurgical services, i.e. a children’s hospital.


Mortality
Adult
Paediatric

Mortality outcomes are based on adult elective surgery only and there are, therefore, no 30 day mortality outcomes available for this hospital. This may change in the future when a risk-adjusted methodology for paediatric outcomes has been developed.

Understanding the risk-adjusted mortality ratio

Risk adjustment (or case-mix adjustment) takes into account patient risk factors to calculate a predicted mortality ratio. This means that hospitals or consultants who see higher risk patients have their mortality rate adjusted to account for the factors that put these patients at greater risk.

Understanding the 'funnel plot'

The funnel plot displays the risk-adjusted elective procedural mortality ratio for each hospital, plotted against the expected number of mortalities for that hospital. The expected number of mortality events for each hospital will vary, dependent upon the number of procedures that have been performed and the risk profile of the patients they have been treated. The horizontal grey line represents the national average mortality ratio and the coloured lines the upper and lower 95% and 99.8% control limits. If a plot is above the upper 99.8% (blue) control line, the data is suggesting that the mortality ratio is higher than expected. Where plots are between that upper control limit and the lower control limit (yellow line), the mortality ratio is within the expected range. The hospital’s position is represented by the magenta-coloured plot.

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