The Society of British Neurological Surgeons

Neurosurgical National Audit Programme

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Neurosurgical Unit

KING'S COLLEGE HOSPITAL NHS FOUNDATION TRUST
King’s College Hospital
Address
King's College Hospital
Denmark Hill
London
SE5 9RS
020 3299 9000
https://www.kch.nhs.uk/
Ranjeev Singh Bhangoo

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.

Outcome Report

SBNS
Understanding activity pie charts


What does the Hospital Unit activity pie chart show?

The Hospital Unit activity pie charts represent the total number of elective (planned) finished consultant episodes (FCEs) and non-elective (emergency) finished consultant episodes. A finished consultant episode usually represents the care of a single patient from admission to discharge. The unit level pie charts are segmented to represent the proportion of patients undergoing cranial, spinal, other procedures and patients undergoing no procedure.

Please note that for Trusts which provide both adult services for patients older than 17 years and paediatric services for patients 16 years old and younger there are two outcome reports.

Activity Breakdown

Adult

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Paediatric

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SBNS
Understanding mortality funnel plot charts

What does the Hospital Unit funnel plot chart show?

The Hospital Unit mortality funnel plot represent the total number of elective (planned) finished consultant episodes (FCEs) and non-elective (emergency) finished consultant episodes. A finished consultant episode usually represents the care of a single patient from admission to discharge.

The unit level pie charts are segmented to represent the proportion of patients undergoing cranial, spinal, other procedures and patients undergoing no procedure.

The mortality presented here is for three years: April 2014 – March 2017. Please note that for Trusts which provide both adult services for patients older than 17 years and paediatric services for patients 16 years old and younger there are two outcome reports.

The horizontal yellow line represents the national average mortality. The solid black lines above and below the yellow line are the control limits. The upper control limit represents the highest expected mortality rate. The Hospital Unit's outcome is highlighted in magenta.

Mortality

Adult

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Paediatric

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Understanding the risk-adjusted mortality rate

Risk adjustment (or case-mix adjustment) takes into account patient risk factors to calculate a predicted mortality rate. 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' diagram

The funnel plot displays the risk-adjusted elective procedural mortality ratio for each consultant plotted against the expected number of mortalities for that consultant. The expected number of mortalities for each consultant will vary depending on the number of procedures they have performed and the risk profile of the patients they have treated. The horizontal yellow line represents the expected ratio. The solid black line above the chart is known as a ‘control limit’. This control limit represents the highest expected mortality rate. Risk-adjusted rates appearing beneath this line are within the normal range.

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