Select Committee on Health Written Evidence


Comparison/Benchmark Outcome Data Nottingham City Hospital (NCH) & Partnership Health Group (PHG)

1.  INTRODUCTION

    —  The data collection was not standardised, but approximates each other and for practical purposes adequately illustrates the point being made.

    —  The basis of PHG data is DOH KPI returns.

    —  The period of comparison is one year's data but is not the same period.

2.  PERIOD OF DATA COLLECTED


Nottingham City Hospital (NCH)
Partnership Health Group (PHG)
18 August 2003—17 August 2004
1 April 2004—30 March 2005


3.  NUMBER OF OPERATIONS


NCH
PHG
Total Majors—1,462

Hip Replacement
351
626
Knee Replacements
343
836
Revision Replacements
Knee
25
0
Hip
64
6


4.  MEDIAN AGE

Hip Replacement


NCH
PHG

Male
Female
Male
Female
Overall
67
71
69
68
Hip Replacement
65.5
69
68
68
Knee Replacement
70
72
70
68

5.  MEDIAN LENGTH OF STAY BY OPERATION


NCH
PHG

Male
Female
Male/Female Combined
Overall
6
7
5.6
Hip Replacement
6
7
5.7
Knee Replacement
7
7
5.5



  PHG  —LOS not measured by sex and average LOS per procedure, not median 6.  POST-OPERATIVE IN-HOSPITAL COMPLICATION (OUTCOMES DATA)


Complication
NCH All Compl: 694
PHG All Compl: 1462
No
%
No
%

Dislocation
0
0
4
0.27
DVT
6
0.9
0
0
PE
15
2.2
0
0
MI
6
0.9
1
0.06
Stroke/CVA
2
0.3
0
0
Urinary Retention
4
0.6
1
0.06
Blood Transfusion
107
15.4
78
5.3
GI Bleed
7
1.0
1
0.06
Pressure Sore
4
0.6
0
0
Re-op Same Admission
4
0.6
1
0.06
Haematoma
21
3.0
1
0.06
Death
2
0.3
3
0.20
Lower Respiratory Tract Infection
5
0.7
0
0
UTI
9
1.2
0
0
Hosp Acquired Infection
3
0.4
0
0
Major Wound Infection
12
1.7
0
0
Minor Wound Infection
2
0.3
1
0.06



7.  POST-OPERATIVE COMPLICATIONS AFTER SIX WEEKS


Complication
NCH
PHG
No
%
No
%

MUA
4
0.8
2
0.13
Dislocation
1
0.2
1
0.06
DVT
9
1.8
1
0.06
PE
6
1.2
0
0
MI
3
0.6
0
0
Stroke/CVA
1
0.2
0
0
Lower Resp. Tract.
5
1.0
0
0
Urinary Retention
10
2.0
0
0
Major Wound Infection
21
4.1
1
0.06
Minor Wound Infection
53
10.5
1
0.06
Haematoma
10
2.0
0



8.  RE-ADMISSION TO HOSPITAL WITHIN 30 DAYS



NCH All—694
PHG All—1462
No
%
No
%

DVT +ve
7
1.0
3
0.2
DVT -ve
13
1.9
6
0.4
Major Wound Infection
6
0.9
1
0.06
PE
4
0.6
1
0.06
Haematoma
4
0.6
1
0.06
MI
3
0.4
0
0
INR Monitoring (Planned)
3
0.4
0
0
UTI
2
0.3
0
0
Arm/Wrist
2
0.3
0
0



9.  RE-ADMISSION TO HOSPITAL WITHIN 30 DAYS


NCH All—507
PHG All—1462
No
%
No
%

Lower Resp Tract Infection
2
0.3
0
0
Duodenal Ulcer
1
0.1
0
0
MUA
2
0.3
2
0.13
Minor Wound Infection
Not available
Not available
9
0.61
Dislocation
Not available
Not available
4
0.27
Revision/Replacement
Not available
Not available
4
0.27



10.  CANCELLATION, DAY OF SURGERY WITH REASONS


Reason
NCH
PHG
No of
Patients
% of all
Operations
No of
Patients
% of all
Operations

Cancelled Clinical Reasons
25
3.6%
56
3.8%
Cancelled Non-Clinical Reasons
16
2.3%
14
0.95%



  * All information was provided by the Strategic Health Authority (Trent)





 
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