Royal Surrey County Hospital NHS Trust RA2

 South East Coast Strategic Clinical Network

Lung Cancer Clinical Outcomes Publication 2017 (2015 data)


The fourth Lung Cancer Clinical Outcomes Publication reports the outcomes of operations to remove lung cancer for patients in English NHS hospitals during the 2015 calendar year. 28 NHS Trusts provided lung cancer surgery in 2015, and the 27 units still active have validated their activity for this period. The full report is available at www.rcplondon.ac.uk/nlca and also on NHS Choices to help patients make decisions about their treatment. This short report gives results for the local surgical services. The surgical centre(s) that carry out surgery on your patients are highlighted yellow.

Data for this report is based on patient-level information collected by the NHS, as part of the care and support of cancer patients. The data is collated, maintained and quality assured by the National Cancer Registration and Analysis Service, which is part of Public Health England (PHE). Validation of local data, and collection of data on surgical approach, has been performed in collaboration with the Society for Cardiothoracic Surgery (SCTS) and their network of local audit leads. "Tertiary” denotes a tertiary trust. These provide treatment for lung cancer patients, but where patients are not usually first seen. The cases may have been incorrectly allocated to this trust, and instead first seen at another trust in the region. The data should be interpreted with caution.

Your surgical units Surgical cases 30d survival 90d survival 1yr survival 1 LOS 2
St George's Healthcare NHS Trust 199 98.1% 97.0% 93.1% 5 days
England 5,843 97.9% 96.2% 87.9% 6 days

 Overall resection rates for trusts in this network (2015)

Trust All lung cancer cases Resection rate all lung cancer 3 Resection rate stage 1/2 NSCLC 4
Royal Surrey County Hospital NHS Trust 119 21.0%  61.8%
Frimley Health NHS FT 422 15.2%  55.4%
Dartford and Gravesham NHS Trust 162 11.7%  57.1%
Medway NHS FT 261 9.6%  45.0%
Ashford and St Peter's Hospitals NHS FT 181 17.7%  55.3%
Surrey and Sussex Healthcare NHS Trust 221 10.0%  39.5%
East Kent Hospitals University NHS FT 479 7.5%  40.9%
Maidstone and Tunbridge Wells NHS Trust 266 17.7%  57.6%
East Sussex Healthcare NHS Trust 318 12.6%  58.9%
Brighton and Sussex University Hospitals NHS Trust 280 12.5%  45.6%
Western Sussex Hospitals NHS Trust 330 11.8%  45.5%
England 36,025 16.0% 51.7%
Not statistically significant || Significantly better || Significantly worse (all at 95% confidence level 5)
 

 30-day survival 6

St George's Healthcare NHS Trust

98.1%

-0.2

This result is not statistically significant at the 99.8% level 7.

 90-day survival 6

St George's Healthcare NHS Trust

97.0%

+0.1

This result is not statistically significant at the 99.8% level 7.

 1-year survival 6

St George's Healthcare NHS Trust

93.1%

Not measured in previous year

This result is not statistically significant at the 99.8% level 7.

1 Although one year survival rates after surgery are important and of interest to patients, we advise caution in using this metric as a direct measure of the quality of surgical care. Many factors outside the control of surgical teams are very likely to affect 1-year survival. This metric should not be used in isolation, but could help to direct future local audit or quality improvement activity by the wider lung cancer team :: 2 Length of stay :: 3 The proportion of all patients with lung cancer that receive surgery as part of their lung cancer treatment :: 4 The proportion of patients with early stage disease that receive surgery as part of their lung cancer treatment :: 5 Less than 5 in 100 chance that the results are due to chance :: 6 Survival data are adjusted for age, gender, laterality (side of surgery), performance status, socio-economic status, cancer stage, FEV1 and co-morbidity :: 7 Less than 2 in 1000 chance that the results are due to chance