Performance

Mortality rates

Individual graphs and commentaries

Please select from the list of specialties below for risk adjusted mortality data and accompanying commentaries for all medical and surgical areas across St George's Healthcare.

General medicine

General medicine is the largest specialty in the hospital in terms of episodes.

Patients are varied and not one diagnostic group is typical. Most patients do not receive a surgical or other procedure.

Mortality rates for general medicine.

Geriatric medicine

Geriatric medicine cares for the oldest and frailest patients. Most have multiple medical conditions and are on many medications.

Many are transferred from other departments in the hospital so that they receive specialist care and may have undergone surgical or other procedures. A significant minority require palliative care which the department provides.

Mortality rates for geriatric medicine.

Oncology

The oncology department provides site-specific therapy for all solid tumours and lymphomas.

Most treatment is on an outpatient basis. The inpatient beds are used mainly for the management of symptomatic progression of disease and for patients in a terminal phase of their illness.

There are no palliative care beds within the hospital, so patients who need palliative care with an oncological diagnosis would be admitted under the oncology department.

Mortality rates for oncology.

Infectious diseases

The infectious disease specialty sees infectious and parasitic diseases as well as many other types of case.

The majority of patients do not receive a surgical or other procedure.

Mortality rates for infectious diseases.

Renal

Patients are investigated and treated for a variety of kidney conditions including renal failure. A joint team of surgeons, physicians and specialist nurses look after the patients. Patients requiring treatment for acute renal failure are referred from both inside St George's Healthcare and from neighbouring hospitals. These patients often have diseases affecting several organ systems and require at times powerful immunosuppressive drugs.

Both haemodialysis and peritoneal dialysis are offered for renal replacement therapy for chronic renal failure. The commonest cause of renal failure is type 2 diabetes, which is particularly prevalent in the population around St George's Healthcare.

Mortality rates for renal.

Haematology

In haematology the majority of inpatients are suffering from non-malignant bone marrow failure disorders (mainly aplastic anaemia, in which St George's Healthcare is the largest national tertiary referral centre); leukaemia and other haematological malignancies; and sickle cell disease. However, a wide range of other dangerous but rare haematological diseases are also treated.

Mortality rates for haematology.

General surgery

Diseases of the digestive system are typical in general surgery. A wide range of procedures are used and no one surgical or other procedure is typical of general surgery.

Emergency excision of appendix, for example, is performed several times per week but this makes up only a small proportion of surgical cases. About one third of cases do not receive a surgical or other procedure during the hospital stay.

Mortality rates for general surgery.

Orthopaedics

Orthopaedics is the surgical treatment of musculo-skeletal conditions. This includes planned and emergency surgery.

At St George's Healthcare we treat emergency admissions following fractures and provide a tertiary service for pelvic and acetabular fractures, spinal fractures and secondary tumours, and complex lower limb fractures, frequently in conjunction with the plastic surgeons.

Our elective (non-urgent) practice includes planned surgical procedures on the upper and lower limb and spine. We provide a tertiary service for complex revision arthroplasty of the hip and knee, including infection.

Mortality rates for orthopaedics.

Fractured neck of femur

This is a common fracture in elderly patients, requiring surgical fixation or replacement with a hemiarthroplasty.

We aim to operate on these patients within 24 hours of admission. The patients are transferred to the geriatric - orthopaedic rehabilitation unit shortly after their operation, where they are looked after by a multi-disciplinary team. These patients often have significant co-morbidity.

Mortality rates for fractured neck of femur.

Urology

Urology deals with the management of diseases of the kidney, ureter, bladder, prostate, testes and penis.

A lot of our work is surgical but we have an increasing medical role in the treatment of these diseases.

At St George's Healthcare, we carry out major surgery for all urological conditions and are a referral centre for our neighbouring and distant hospitals for particularly complex surgery.

Many of our patients are elderly and we also admit a number of patients with advanced cancer who require palliative treatment in collaboration with the multidisciplinary teams at St George's Healthcare.

Mortality rates for urology.

Ear, nose and throat

Surgery for nose and palate, and excision of tonsil are among many procedures carried out by ear, nose and throat specialty.

Mortality rates for ear, nose and throat.

Plastic surgery

Plastic surgery is performed following injury and for other reasons. A variety of procedures are used.

Mortality rates for plastic surgery.

Vascular

Patients seen by the vascular diseases specialty are predominantly cases of disease of the circulatory system.

Amongst other procedures, surgery is performed on the carotid, aortic and iliac artery.

Mortality rates for vascular surgery.

Babies born in hospital

Babies born during the hospital stay are monitored as a separate group.

All deaths in these babies excluding stillbirths are covered by mortality monitoring and are included in the mortality figures.

Mortality figures for still are included under the heading "Women and children".

Less than 1% of babies born in the hospital receive a surgical or other procedure.

Mortality rates for babies born in hospital.

Cardiac medicine

In cardiac medicine the most common diagnostic categories are chronic ischaemic heart disease, and heart attack.

The most frequent procedures are angioplasty of coronary artery and contrast radiology of the heart.

Mortality rates for cardiac medicine.

Cardiac surgery

In cardiac surgery, the most common diagnostic categories are chronic ischaemic heart disease and heart attack. Most, but not all cases have surgery.

Mortality rates for cardiac surgery.

Thoracic surgery

In thoracic surgery, the majority of cases are diseases of the respiratory system including cancer. Most patients receive a surgical or other procedure.

Mortality rates for thoracic surgery.

Neurosurgery

In neurosurgery, there is a wide range of diagnoses. Spondylosis is among the more frequent diagnoses. Most patients receive a surgical or other procedure, but no one procedure is typical amongst the procedures used.

Mortality rates for neurosurgery.

Stroke

All stroke patients from the local catchment area are admitted to the acute stroke unit.

Approximately half spend their entire stay within a specialised stroke service with rehabilitation within neurology and neuro-rehabilitation. The other half, after approximately two weeks on the acute unit, receive care under medicine, geriatrics or other specialties.

The majority of stroke patients are admitted from our local catchment area. Admissions also occur to the regional neurology service (these are not looked at by the acute stroke unit), and strokes occur as complications of operative procedures in other patients.

Mortality rates for stroke.

General intensive therapy unit

Mortality is monitored for all patients who are admitted to the intensive therapy unit.

These patients have a variety of underlying or primary diagnoses. Injury and diseases of the digestive system are just two examples.

Mortality rates for the general intensive therapy unit.

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