{"id":2508,"date":"2014-12-15T10:29:58","date_gmt":"2014-12-14T23:29:58","guid":{"rendered":"http:\/\/blog.panicola.com\/?p=2508"},"modified":"2014-12-15T10:29:58","modified_gmt":"2014-12-14T23:29:58","slug":"surgical-performance-data-released-by-nhs","status":"publish","type":"post","link":"https:\/\/blog.panicola.com\/?p=2508","title":{"rendered":"Surgical performance data released by NHS"},"content":{"rendered":"<p>encouraging progress from NHS&#8230;<\/p>\n<p>&nbsp;<\/p>\n<p>http:\/\/www.telegraph.co.uk\/health\/nhs\/11240241\/PIC-AND-HOLD-Just-three-surgeons-named-as-having-high-death-rates.html<\/p>\n<div id=\"newGigyaShareTop_gig_containerParent\" class=\"storyHead\">\n<h1>Just three surgeons named as having high death rates<\/h1>\n<h2>New data comparing death rates of 5,000 surgeons identifies just three with death rates higher than they should<\/h2>\n<div id=\"newGigyaShareTop\" class=\"newGigyaShare\">\n<div class=\"gig-bar-container gig-share-bar-container\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td>\n<div class=\"gig-button-container gig-button-container-count-right gig-button-container-facebook gig-button-container-facebook-count-right gig-share-button-container gig-button-container-horizontal\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"gig-button-td\">\n<div id=\"newGigyaShareTop-reaction0\" class=\"gig-button gig-share-button gig-button-up gig-button-count-right\" title=\"\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td id=\"newGigyaShareTop-reaction0-left\"><\/td>\n<td id=\"newGigyaShareTop-reaction0-icon\"><img decoding=\"async\" id=\"newGigyaShareTop-reaction0-icon_img\" src=\"http:\/\/www.telegraph.co.uk\/template\/ver1-0\/i\/share-fb.png\" alt=\"\" \/><\/td>\n<td id=\"newGigyaShareTop-reaction0-text\"><\/td>\n<td id=\"newGigyaShareTop-reaction0-right\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div id=\"newGigyaShareTop-reaction0-count\" class=\"gig-counter gig-share-counter gig-counter-$rid gig-counter-right\"><span id=\"newGigyaShareTop-reaction0-count-value\" class=\"gig-counter-text gig-share-counter-text gig-counter-text-right gig-share-counter-text-right\">14<\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div class=\"gig-button-container gig-button-container-count-right gig-button-container-twitter gig-button-container-twitter-count-right gig-share-button-container gig-button-container-horizontal\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"gig-button-td\">\n<div id=\"newGigyaShareTop-reaction1\" class=\"gig-button gig-share-button gig-button-up gig-button-count-right\" title=\"\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td id=\"newGigyaShareTop-reaction1-left\"><\/td>\n<td id=\"newGigyaShareTop-reaction1-icon\"><img decoding=\"async\" id=\"newGigyaShareTop-reaction1-icon_img\" src=\"http:\/\/www.telegraph.co.uk\/template\/ver1-0\/i\/share-tw.png\" alt=\"\" \/><\/td>\n<td id=\"newGigyaShareTop-reaction1-text\"><\/td>\n<td id=\"newGigyaShareTop-reaction1-right\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div id=\"newGigyaShareTop-reaction1-count\" class=\"gig-counter gig-share-counter gig-counter-$rid gig-counter-right\"><span id=\"newGigyaShareTop-reaction1-count-value\" class=\"gig-counter-text gig-share-counter-text gig-counter-text-right gig-share-counter-text-right\">43<\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div class=\"gig-button-container gig-button-container-count-right gig-button-container-pinterest gig-button-container-pinterest-count-right gig-share-button-container gig-button-container-horizontal\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"gig-button-td\">\n<div id=\"newGigyaShareTop-reaction2\" class=\"gig-button gig-share-button gig-button-up gig-button-count-right\" title=\"\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td id=\"newGigyaShareTop-reaction2-left\"><\/td>\n<td id=\"newGigyaShareTop-reaction2-icon\"><img decoding=\"async\" id=\"newGigyaShareTop-reaction2-icon_img\" src=\"http:\/\/www.telegraph.co.uk\/template\/ver1-0\/i\/share-p.png\" alt=\"\" \/><\/td>\n<td id=\"newGigyaShareTop-reaction2-text\"><\/td>\n<td id=\"newGigyaShareTop-reaction2-right\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div id=\"newGigyaShareTop-reaction2-count\" class=\"gig-counter gig-share-counter gig-counter-$rid gig-counter-right\"><span id=\"newGigyaShareTop-reaction2-count-value\" class=\"gig-counter-text gig-share-counter-text gig-counter-text-right gig-share-counter-text-right\">0<\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div class=\"gig-button-container gig-button-container-count-right gig-button-container-linkedin gig-button-container-linkedin-count-right gig-share-button-container gig-button-container-horizontal\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"gig-button-td\">\n<div id=\"newGigyaShareTop-reaction3\" class=\"gig-button gig-share-button gig-button-up gig-button-count-right\" title=\"\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td id=\"newGigyaShareTop-reaction3-left\"><\/td>\n<td id=\"newGigyaShareTop-reaction3-icon\"><img decoding=\"async\" id=\"newGigyaShareTop-reaction3-icon_img\" src=\"http:\/\/www.telegraph.co.uk\/template\/ver1-0\/i\/share-in.png\" alt=\"\" \/><\/td>\n<td id=\"newGigyaShareTop-reaction3-text\"><\/td>\n<td id=\"newGigyaShareTop-reaction3-right\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div id=\"newGigyaShareTop-reaction3-count\" class=\"gig-counter gig-share-counter gig-counter-$rid gig-counter-right\"><span id=\"newGigyaShareTop-reaction3-count-value\" class=\"gig-counter-text gig-share-counter-text gig-counter-text-right gig-share-counter-text-right\">0<\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div class=\"gig-button-container gig-button-container-count-right gig-button-container-share gig-button-container-share-count-right gig-share-button-container gig-button-container-horizontal\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"gig-button-td\">\n<div id=\"newGigyaShareTop-reaction4\" class=\"gig-button gig-share-button gig-button-up gig-button-count-right\" title=\"\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td id=\"newGigyaShareTop-reaction4-left\"><\/td>\n<td id=\"newGigyaShareTop-reaction4-icon\"><img decoding=\"async\" id=\"newGigyaShareTop-reaction4-icon_img\" src=\"http:\/\/www.telegraph.co.uk\/template\/ver1-0\/i\/share-share.png\" alt=\"\" \/><\/td>\n<td id=\"newGigyaShareTop-reaction4-text\"><\/td>\n<td id=\"newGigyaShareTop-reaction4-right\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div id=\"newGigyaShareTop-reaction4-count\" class=\"gig-counter gig-share-counter gig-counter-$rid gig-counter-right\"><span id=\"newGigyaShareTop-reaction4-count-value\" class=\"gig-counter-text gig-share-counter-text gig-counter-text-right gig-share-counter-text-right\">57<\/span><\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/td>\n<td>\n<div class=\"gig-button-container gig-button-container-count-none gig-button-container-email gig-button-container-email-count-none gig-share-button-container gig-button-container-horizontal\">\n<div id=\"newGigyaShareTop-reaction5\" class=\"gig-button gig-share-button gig-button-up gig-button-count-none\" title=\"\">\n<table cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td id=\"newGigyaShareTop-reaction5-left\"><\/td>\n<td id=\"newGigyaShareTop-reaction5-icon\"><img decoding=\"async\" id=\"newGigyaShareTop-reaction5-icon_img\" src=\"http:\/\/www.telegraph.co.uk\/template\/ver1-0\/i\/share-email.png\" alt=\"\" \/><\/td>\n<td id=\"newGigyaShareTop-reaction5-text\">\n<div class=\"gig-button-text gig-share-button-text\">Email<\/div>\n<\/td>\n<td id=\"newGigyaShareTop-reaction5-right\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div class=\"artIntro\">\n<div id=\"storyEmbSlide\">\n<div class=\"slideshow ssIntro\">\n<div class=\"nextPrevLayer\">\n<div class=\"ssImg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/i.telegraph.co.uk\/multimedia\/archive\/03111\/surgery_3111193b.jpg\" alt=\"The figures show that almost every surgeon in the country has been found to be operating within \u201cthe expected range\u201d of performance\" width=\"620\" height=\"387\" \/><\/p>\n<div class=\"artImageExtras\">\n<div class=\"ingCaptionCredit\"><span class=\"caption\">The figures show that almost every surgeon in the country has been found to be operating within \u201cthe expected range\u201d of performance<\/span>\u00a0<span class=\"credit\">Photo: Alamy<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"oneHalf gutter\">\n<div class=\"story\">\n<div class=\"cl\"><\/div>\n<div class=\"bylineComments\">\n<div>\n<div class=\"bylineImg\"><a href=\"http:\/\/www.telegraph.co.uk\/journalists\/laura-donnelly\/\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/i.telegraph.co.uk\/multimedia\/archive\/01770\/Donnelly_60_1770453j.jpg\" alt=\"Laura Donnelly\" width=\"60\" height=\"60\" border=\"0\" \/><\/a><\/div>\n<p class=\"bylineBody\">By <a title=\"Laura Donnelly\" href=\"http:\/\/www.telegraph.co.uk\/journalists\/laura-donnelly\/\" rel=\"author\">Laura Donnelly<\/a>, Health Editor<\/p>\n<\/div>\n<p class=\"publishedDate\">12:45PM GMT 19 Nov 2014<\/p>\n<div class=\"bylineSocialButtons\"><iframe loading=\"lazy\" id=\"twitter-widget-0\" class=\"twitter-follow-button twitter-follow-button\" title=\"Twitter Follow Button\" src=\"http:\/\/platform.twitter.com\/widgets\/follow_button.93c9003dd72a6cd9f4fee1e5eb3546c1.en.html#_=1418599729991&amp;id=twitter-widget-0&amp;lang=en&amp;screen_name=lauradonnlee&amp;show_count=true&amp;show_screen_name=false&amp;size=m\" width=\"300\" height=\"150\" frameborder=\"0\" scrolling=\"no\" data-twttr-rendered=\"true\"><\/iframe><\/div>\n<p class=\"comments\"><img decoding=\"async\" src=\"http:\/\/www.telegraph.co.uk\/template\/ver1-0\/i\/share\/comments.gif\" alt=\"Comments\" \/><a href=\"http:\/\/www.telegraph.co.uk\/health\/nhs\/11240241\/PIC-AND-HOLD-Just-three-surgeons-named-as-having-high-death-rates.html#disqus_thread\">5 Comments<\/a><\/p>\n<div class=\"cl\"><\/div>\n<\/div>\n<div id=\"mainBodyArea\">\n<div class=\"firstPar\">\n<p>Just three surgeons have been named as performing more poorly than they should be under new data comparing the death rates of 5,000 surgeons in England.<\/p>\n<\/div>\n<div class=\"secondPar\">\n<p>Data published today on a central NHS website has been hailed as part of a \u201cworld leading transparency drive\u201d.<\/p>\n<\/div>\n<div class=\"thirdPar\">\n<p>The figures show that almost every surgeon in the country has been found to be operating within \u201cthe expected range\u201d of performance.<\/p>\n<\/div>\n<div class=\"fourthPar\">\n<p>NHS England said the findings should reassure the public.<\/p>\n<\/div>\n<div class=\"fifthPar\">\n<p>But critics questioned whether the limits were set too widely, allowing surgeons to be labelled as \u201cokay\u201d when their performance was worryingly poor.<\/p>\n<\/div>\n<div id=\"tmg-related-links\" class=\"related-links-float-design related_links_inline\">\n<div class=\"headerOne styleNine\">\n<h2>Related Articles<\/h2>\n<\/div>\n<ul>\n<ul>\n<li class=\"firstItem\">\n<div class=\"piccentre containerdiv  \"><a href=\"http:\/\/www.telegraph.co.uk\/health\/healthnews\/11239164\/Hospitals-publish-cancer-survival-rates-as-Hunt-vows-to-end-Labours-dark-days.html\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/i.telegraph.co.uk\/multimedia\/archive\/03110\/Screen-shot-2014-1_3110765g.jpg\" alt=\"The new NHS Choices website\" width=\"140\" height=\"87\" border=\"0\" \/><span class=\"cornerimagecentre\">\u00a0<\/span><\/a><\/div>\n<\/li>\n<li class=\"bullet\"><a href=\"http:\/\/www.telegraph.co.uk\/health\/healthnews\/11239164\/Hospitals-publish-cancer-survival-rates-as-Hunt-vows-to-end-Labours-dark-days.html\">Hospitals publish cancer survival rates as Hunt vows to end Labour&#8217;s &#8216;dark days&#8217;<\/a>\n<p><span class=\"relContDate\">20 Nov 2014<\/span><\/li>\n<li class=\"bullet\"><a href=\"http:\/\/www.telegraph.co.uk\/health\/healthnews\/11238130\/NHS-Ombusdman-accused-of-major-failings.html\">NHS Ombusdman accused of major failings<\/a>\n<p><span class=\"relContDate\">18 Nov 2014<\/span><\/li>\n<\/ul>\n<\/ul>\n<p><span id=\"mv-related-article-item\"><\/span><\/div>\n<div class=\"body\">\n<p>Just three surgeons were named today as \u201coutliers\u201d \u2013 meaning that their death rates were found to be significantly worse than average over the periods examined.<\/p>\n<p>Dynesh Rittoo, a vascular surgeon at the Royal Bournemouth and Christchurch Hospitals foundation trust was found to have a risk-adjusted mortality rate of 10.4 per cent over three years for carotid endarterectomies \u2013 a procedure to reduce the risk of stroke. The national average for the same procedure was 2 per cent.<\/p>\n<p>In a statement agreed by the consultant, the trust said: \u201cThe overall 3-year rate for Mr Rittoo reflects a series of strokes in 2011. The rate of strokes \/ deaths within 30 days for Mr Rittoo between October 2011 and September 2013 is 6.4 per cent, and this rate is consistent with the outcomes of other vascular surgeons.\u201d<\/p>\n<p>Jonathan Hyde, a heart surgeon at Royal Sussex County Hospital, was found to have a a risk-adjusted hospital mortality rate of 6.63 per cent over a three-year period in which he performed more than 500 operations on adults.<\/p>\n<p>Mr Hyde said he had taken action to improve his mortality rates, with more recent figures suggesting a significant improvement.<\/p>\n<p>He said: \u201cThe data shown reflect higher mortality rates from my practice predominantly in the years 2011 and 2012 and therefore refer to outcomes from more than 18 months ago.<\/p>\n<p>\u201cIn the light of these outcomes, I have reviewed my practice in detail with the support of an Individual Review from the Royal College of Surgeons. The mortality for my surgery for the period April 2013 to October 2014 has been 1.8 per cent prior to any adjustment for individual patient risk.\u201d<\/p>\n<p>Jeff Garner, a colorectal surgeon at Rotherham NHS Foundation trust, with a mortality rate of 14 per cent for surgery over the 18 months examined. Of 50 patients treated by Mr Garner, six died.<\/p>\n<p>The trust said: \u201cThis Trust has acknowledged its outlier status and that of one of its surgeons. It has confirmed that measures have been taken to improve outcomes with a comprehensive overhaul of the colorectal service in 2012-2013 and close scrutiny of any deaths to identify potential surgical or system failings. The cumulative nature of data reporting means that it is likely to be at least another year before the Trust and surgeon cease to be outliers.\u201d<\/p>\n<p>Roger Taylor, co-founder of data analysts Dr Foster, said it was &#8220;misleading&#8221; to suggest that there were only three surgeons in the country who were performing significantly worse than the rest.<\/p>\n<p>&#8220;If you asked any surgeon whether they thought there were only three in the country who were significantly worse than the rest of them, I think they would laugh,&#8221; he said.<\/p>\n<p>He criticised the way the analysis had been done, which he said appeared designed to hide poor performance<\/p>\n<p>Mr Taylor said: &#8220;What is being said is that this will help people to identify good and poor performing individuals. This actually looks like it has been designed to avoid identifying good or poor outcomes.&#8221;<\/p>\n<p>He said surgeons should not have been allowed to come up with their own methods to assess performance, which had set limits too broadly. He also said it would have been more sensible to examine performance over longer periods, where trends would be more likely to be revealed.<\/p>\n<p>Professor Sir Bruce Keogh, NHS Medical Director said: \u201cThis represents another major step forward on the transparency journey. It will help drive up standards, and we are committed to expanding publication into other areas.\u201d<\/p>\n<p>\u201cThe results demonstrate that surgery in this country is as good as anywhere in the western world and, in some specialities, it is better. The surgical community in this country deserves a great deal of credit for being a world leader in this area.\u201d<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>encouraging progress from NHS&#8230; &nbsp; http:\/\/www.telegraph.co.uk\/health\/nhs\/11240241\/PIC-AND-HOLD-Just-three-surgeons-named-as-having-high-death-rates.html Just three surgeons named as having high death rates New data comparing death rates of 5,000 surgeons identifies just three with death rates higher than they should 14 43 0 0 57 Email The figures show that almost every surgeon in the country has been found to be operating &hellip; <a href=\"https:\/\/blog.panicola.com\/?p=2508\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Surgical performance data released by NHS<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5,33,9,3],"tags":[],"class_list":["post-2508","post","type-post","status-publish","format-standard","hentry","category-data-saving-lives","category-health-market-quality","category-healthcare","category-rapid-learning-health-systems"],"_links":{"self":[{"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/posts\/2508","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2508"}],"version-history":[{"count":1,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/posts\/2508\/revisions"}],"predecessor-version":[{"id":2509,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=\/wp\/v2\/posts\/2508\/revisions\/2509"}],"wp:attachment":[{"href":"https:\/\/blog.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2508"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2508"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.panicola.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2508"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}