Table 7: Activity and 30-day outcomes by age group for all procedures 2014-17 (not risk-stratified)
Procedures 2014-17 | ALL AGES | PAEDIATRIC | ADULT |
| Procedures | Alive at 30d | Dead at 30d | Unknown | 30d survival | Procedures | Alive at 30d | Dead at 30d | Unknown | 30d survival | Procedures | Alive at 30d | Dead at 30d | Unknown | 30d survival |
Overall activities allocated (Countable procedures) | 35,840 | 35,166 | 670 | 4 | 98.1% | 25,185 | 24,609 | 572 | 4 | 97.7% | 10,655 | 10,557 | 98 | 0 | 99.1% |
Unallocated activities | unallocated procedures | 53 | 49 | 4 | 0 | 92.5% | 27 | 25 | 2 | 0 | 92.6% | 26 | 24 | 2 | 0 | 92.3% |
unallocated ECMO | 172 | 113 | 59 | 0 | 65.7% | 159 | 108 | 51 | 0 | 67.9% | 13 | 5 | 8 | 0 | 38.5% |
no qualifying codes | 2,722 | 2,543 | 178 | 1 | 93.4% | 2,169 | 1,999 | 169 | 1 | 92.2% | 553 | 544 | 9 | 0 | 98.4% |
Proportion of procedures allocated | 99.9% | | | | | 99.9% | | | | | 99.8% | | | | |
| | | | | | | | | | | | | | | |
Surgical activities total | 17,111 | 16,662 | 448 | 1 | | 13,836 | 13,444 | 391 | 1 | | 3,275 | 3,218 | 57 | 0 | |
Bypass | 13,523 | 13,249 | 273 | 1 | 98.0% | 10,451 | 10,229 | 221 | 1 | 97.9% | 3,072 | 3,020 | 52 | 0 | 98.3% |
Non-bypass | 3,198 | 3,083 | 115 | 0 | 96.4% | 3,018 | 2,906 | 112 | 0 | 96.3% | 180 | 177 | 3 | 0 | 98.3% |
Hybrid | 165 | 152 | 13 | 0 | 92.1% | 151 | 138 | 13 | 0 | 91.4% | 14 | 14 | 0 | 0 | 100.0% |
Primary ECMO | 126 | 90 | 36 | 0 | 71.4% | 123 | 87 | 36 | 0 | 70.7% | 3 | 3 | 0 | 0 | 100.0% |
Ventricular Assist Device (VAD) | 99 | 88 | 11 | 0 | 88.9% | 93 | 84 | 9 | 0 | 90.3% | 6 | 4 | 2 | 0 | 66.7% |
Primary ECMO/VAD total | 225 | 178 | 47 | 0 | | 216 | 171 | 45 | 0 | | 9 | 7 | 2 | 0 | |
| | | | | | | | | | | | | | | |
Catheter/Electrophysiology total | 18,729 | 18,504 | 222 | 3 | | 11,349 | 11,165 | 181 | 3 | | 7,380 | 7,339 | 41 | 0 | |
Interventional | 10,894 | 10,748 | 144 | 2 | 98.7% | 7,035 | 6,908 | 125 | 2 | 98.2% | 3,859 | 3,840 | 19 | 0 | 99.5% |
Implantable Cardioverter Defibrillator(AICD) | 394 | 393 | 1 | 0 | 99.7% | 106 | 105 | 1 | 0 | 99.1% | 288 | 288 | 0 | 0 | 100.0% |
Pacemaker procedures | 1,116 | 1,103 | 13 | 0 | 98.8% | 399 | 395 | 4 | 0 | 99.0% | 717 | 708 | 9 | 0 | 98.7% |
EP & ablation & diagnostic EP | 2,718 | 2,714 | 4 | 0 | 99.9% | 1,439 | 1,439 | 0 | 0 | 100.0% | 1,279 | 1,275 | 4 | 0 | 99.7% |
Diagnostic catheter (2015-2016 and 2016-17)* | 3,607 | 3,546 | 60 | 1 | 98.3% | 2,370 | 2,318 | 51 | 1 | 97.8% | 1,237 | 1,228 | 9 | 0 | 99.3% |
Note: Diagnostic catheter data was included in the data set for 2015-16 onwards. Lung transplants were previously shown separately because they were in the 'minor and excluded' group. They are now included in the Bypass or Non-bypass category depending on the procedure type.
It is important to note that the figures in the table refer to procedures undertaken and not to individual patients. Hence life status figures may include the same patient who has had more than one procedure and either survived, or not survived. It is also important not to compare this crude mortality from year to year as the casemix changes and it is not risk adjusted.
Table 8: Activity and 30-day outcomes by age group stratified by procedure type 2014-17
Specific procedures allocation | All Ages | Paediatric | Adult |
| | Procedures | Alive at 30d | Dead at 30d | Unknown | 30d survival | Procedures | Alive at 30d | Dead at 30d | Unknown | 30d survival | Procedures | Alive at 30d | Dead at 30d | Unknown | 30d survival |
Specific procedures allocated (2014-17) | 32,205 | 31,737 | 466 | 2 | 98.5% | 22,392 | 21,997 | 393 | 2 | 98.2% | 9,813 | 9,740 | 73 | 0 | 99.3% |
Unallocated cases | 4,237 | 3,962 | 273 | 2 | 93.5% | 3,309 | 3,069 | 238 | 2 | 92.7% | 928 | 893 | 35 | 0 | 96.2% |
Proportion of cases allocated | 88.4% | | | | | 87.1% | | | | | 91.4% | | | | |
| | | | | | | | | | | | | | | | |
Surgical | Norwood procedure | 308 | 276 | 32 | 0 | 89.6% | 308 | 276 | 32 | 0 | 89.6% | 0 | 0 | 0 | 0 | - |
Surgical | Heart transplant | 125 | 117 | 8 | 0 | 93.6% | 105 | 99 | 6 | 0 | 94.3% | 20 | 18 | 2 | 0 | 90.0% |
Surgical | Lung transplant (includes heart and lung transplant) | 29 | 29 | 0 | 0 | 100.0% | 26 | 26 | 0 | 0 | 100.0% | 3 | 3 | 0 | 0 | 100.0% |
Surgical | Common arterial trunk (truncus arteriosus) and aorta arch repair | 11 | 10 | 1 | 0 | 90.9% | 11 | 10 | 1 | 0 | 90.9% | 0 | 0 | 0 | 0 | - |
Surgical | Common arterial trunk (truncus arteriosus) repair | 78 | 74 | 4 | 0 | 94.9% | 78 | 74 | 4 | 0 | 94.9% | 0 | 0 | 0 | 0 | - |
Surgical | Double Switch or Rastelli-Senning repair of ccTGA | 26 | 26 | 0 | 0 | 100.0% | 26 | 26 | 0 | 0 | 100.0% | 0 | 0 | 0 | 0 | - |
Surgical | Senning or Mustard procedure (atrial switch) | 4 | 4 | 0 | 0 | 100.0% | 4 | 4 | 0 | 0 | 100.0% | 0 | 0 | 0 | 0 | - |
Surgical | Rastelli or REV procedure | 48 | 48 | 0 | 0 | 100.0% | 46 | 46 | 0 | 0 | 100.0% | 2 | 2 | 0 | 0 | 100.0% |
Surgical | Complex procedure for transposed great arteries | 51 | 48 | 3 | 0 | 94.1% | 51 | 48 | 3 | 0 | 94.1% | 0 | 0 | 0 | 0 | - |
Surgical | Arterial switch and aorta arch repair | 67 | 60 | 7 | 0 | 89.6% | 67 | 60 | 7 | 0 | 89.6% | 0 | 0 | 0 | 0 | - |
Surgical | Arterial switch and ventricular septal defect (VSD) repair | 150 | 149 | 1 | 0 | 99.3% | 150 | 149 | 1 | 0 | 99.3% | 0 | 0 | 0 | 0 | - |
Surgical | Arterial switch procedure | 387 | 384 | 3 | 0 | 99.2% | 386 | 383 | 3 | 0 | 99.2% | 1 | 1 | 0 | 0 | 100.0% |
Surgical | Totally anomalous pulmonary venous connection (TAPVC) repair and arterial shunt | 6 | 4 | 2 | 0 | 66.7% | 6 | 4 | 2 | 0 | 66.7% | 0 | 0 | 0 | 0 | - |
Surgical | Totally anomalous pulmonary venous connection (TAPVC) repair | 197 | 184 | 13 | 0 | 93.4% | 196 | 183 | 13 | 0 | 93.4% | 1 | 1 | 0 | 0 | 100.0% |
Surgical | Fontan or Total Cavopulmonary Connection (TCPC) | 608 | 604 | 4 | 0 | 99.3% | 604 | 600 | 4 | 0 | 99.3% | 4 | 4 | 0 | 0 | 100.0% |
Surgical | Glenn (Cavopulmonary (CP) shunt) | 628 | 616 | 12 | 0 | 98.1% | 617 | 608 | 9 | 0 | 98.5% | 11 | 8 | 3 | 0 | 72.7% |
Surgical | Atrioventricular septal defect (AVSD) & Tetralogy of Fallot repair | 39 | 38 | 1 | 0 | 97.4% | 39 | 38 | 1 | 0 | 97.4% | 0 | 0 | 0 | 0 | - |
Surgical | Complete atrioventricular septal defect (AVSD) repair | 544 | 536 | 8 | 0 | 98.5% | 533 | 526 | 7 | 0 | 98.7% | 11 | 10 | 1 | 0 | 90.9% |
Surgical | Partial atrioventricular septal defect (AVSD) repair | 279 | 278 | 1 | 0 | 99.6% | 220 | 219 | 1 | 0 | 99.5% | 59 | 59 | 0 | 0 | 100.0% |
Surgical | Mitral valve replacement | 191 | 183 | 8 | 0 | 95.8% | 104 | 99 | 5 | 0 | 95.2% | 87 | 84 | 3 | 0 | 96.6% |
Surgical | Ross-Konno procedure | 63 | 62 | 1 | 0 | 98.4% | 54 | 53 | 1 | 0 | 98.1% | 9 | 9 | 0 | 0 | 100.0% |
Surgical | Ross procedure (aortic valve-root replacement with pulmonary autograph) | 160 | 160 | 0 | 0 | 100.0% | 104 | 104 | 0 | 0 | 100.0% | 56 | 56 | 0 | 0 | 100.0% |
Surgical | Aortic root replacement (non-Ross) | 302 | 296 | 6 | 0 | 98.0% | 55 | 54 | 1 | 0 | 98.2% | 247 | 242 | 5 | 0 | 98.0% |
Surgical | Aortic valve replacement (non-Ross) | 482 | 477 | 5 | 0 | 99.0% | 47 | 46 | 1 | 0 | 97.9% | 435 | 431 | 4 | 0 | 99.1% |
Surgical | Tricuspid valve replacement | 94 | 91 | 3 | 0 | 96.8% | 20 | 19 | 1 | 0 | 95.0% | 74 | 72 | 2 | 0 | 97.3% |
Surgical | Pulmonary valve replacement | 803 | 797 | 6 | 0 | 99.3% | 209 | 208 | 1 | 0 | 99.5% | 594 | 589 | 5 | 0 | 99.2% |
Surgical | Mitral valve repair | 302 | 296 | 6 | 0 | 98.0% | 187 | 184 | 3 | 0 | 98.4% | 115 | 112 | 3 | 0 | 97.4% |
Surgical | Aortic valve repair | 292 | 291 | 1 | 0 | 99.7% | 225 | 224 | 1 | 0 | 99.6% | 67 | 67 | 0 | 0 | 100.0% |
Surgical | Tricuspid valve repair | 339 | 330 | 9 | 0 | 97.3% | 149 | 142 | 7 | 0 | 95.3% | 190 | 188 | 2 | 0 | 98.9% |
Surgical | Pulmonary atresia & ventricular septal defect (VSD) repair | 92 | 90 | 2 | 0 | 97.8% | 91 | 89 | 2 | 0 | 97.8% | 1 | 1 | 0 | 0 | 100.0% |
Surgical | Systemic-to-pulmonary collateral artery (MAPCA) unifocalisation procedure | 37 | 34 | 3 | 0 | 91.9% | 36 | 33 | 3 | 0 | 91.7% | 1 | 1 | 0 | 0 | 100.0% |
Surgical | Tetralogy of Fallot with absent pulmonary valve repair | 30 | 30 | 0 | 0 | 100.0% | 29 | 29 | 0 | 0 | 100.0% | 1 | 1 | 0 | 0 | 100.0% |
Surgical | Tetraology of Fallot and Fallot-type double outlet right ventricle repair | 814 | 810 | 4 | 0 | 99.5% | 809 | 805 | 4 | 0 | 99.5% | 5 | 5 | 0 | 0 | 100.0% |
Surgical | Right ventricle to pulmonary artery conduit construction | 276 | 272 | 4 | 0 | 98.6% | 229 | 226 | 3 | 0 | 98.7% | 47 | 46 | 1 | 0 | 97.9% |
Surgical | Ventricular septal defect (VSD) closure and right ventricular outflow tract obstruction (RVOTO) relief | 177 | 175 | 2 | 0 | 98.9% | 161 | 159 | 2 | 0 | 98.8% | 16 | 16 | 0 | 0 | 100.0% |
Surgical | Supravalvar aortic stenosis repair | 74 | 72 | 2 | 0 | 97.3% | 67 | 65 | 2 | 0 | 97.0% | 7 | 7 | 0 | 0 | 100.0% |
Surgical | Subaortic obstruction relief | 553 | 551 | 2 | 0 | 99.6% | 472 | 470 | 2 | 0 | 99.6% | 81 | 81 | 0 | 0 | 100.0% |
Surgical | Aortopulmonary (AP) window repair | 34 | 34 | 0 | 0 | 100.0% | 34 | 34 | 0 | 0 | 100.0% | 0 | 0 | 0 | 0 | - |
Surgical | Anomalous coronary artery origin or course (eg ALCAPA) repair | 63 | 63 | 0 | 0 | 100.0% | 41 | 41 | 0 | 0 | 100.0% | 22 | 22 | 0 | 0 | 100.0% |
Surgical | Cor triatriatum (divided left atrium) repair | 34 | 34 | 0 | 0 | 100.0% | 30 | 30 | 0 | 0 | 100.0% | 4 | 4 | 0 | 0 | 100.0% |
Surgical | Isolated pulmonary trunk band (PA band) | 358 | 347 | 11 | 0 | 96.9% | 357 | 346 | 11 | 0 | 96.9% | 1 | 1 | 0 | 0 | 100.0% |
Surgical | Systemic-to-pulmonary arterial shunt procedure (includes Blalock-Taussig & central shunts) | 253 | 230 | 23 | 0 | 90.9% | 251 | 228 | 23 | 0 | 90.8% | 2 | 2 | 0 | 0 | 100.0% |
Surgical | Interrupted aortic arch repair | 69 | 69 | 0 | 0 | 100.0% | 69 | 69 | 0 | 0 | 100.0% | 0 | 0 | 0 | 0 | - |
Surgical | Isolated coarctation/hypoplasia of aorta repair | 740 | 736 | 4 | 0 | 99.5% | 721 | 717 | 4 | 0 | 99.4% | 19 | 19 | 0 | 0 | 100.0% |
Surgical | Pulmonary vein stenosis repair | 78 | 71 | 7 | 0 | 91.0% | 68 | 61 | 7 | 0 | 89.7% | 10 | 10 | 0 | 0 | 100.0% |
Surgical | Replacement of cardiac conduit | 188 | 184 | 4 | 0 | 97.9% | 142 | 139 | 3 | 0 | 97.9% | 46 | 45 | 1 | 0 | 97.8% |
Surgical | Closure of multiple ventricular septal defects (VSD) | 36 | 36 | 0 | 0 | 100.0% | 36 | 36 | 0 | 0 | 100.0% | 0 | 0 | 0 | 0 | - |
Surgical | Ventricular septal defect (VSD) closure - surgical | 1,031 | 1,030 | 1 | 0 | 99.9% | 1,005 | 1004 | 1 | 0 | 99.9% | 26 | 26 | 0 | 0 | 100.0% |
Surgical | Sinus venosus atrial septal defect (ASD) closure and partially anomalous pulmonary venous connection (PAPVC) repair | 318 | 315 | 3 | 0 | 99.1% | 143 | 141 | 2 | 0 | 98.6% | 175 | 174 | 1 | 0 | 99.4% |
Surgical | Vascular ring repair | 313 | 312 | 1 | 0 | 99.7% | 304 | 303 | 1 | 0 | 99.7% | 9 | 9 | 0 | 0 | 100.0% |
Surgical | Atrial septal defect (ASD) closure - surgical | 844 | 842 | 2 | 0 | 99.8% | 570 | 570 | 0 | 0 | 100.0% | 274 | 272 | 2 | 0 | 99.3% |
Surgical | Patent arterial duct (PDA) closure - surgical | 815 | 787 | 28 | 0 | 96.6% | 815 | 787 | 28 | 0 | 96.6% | 0 | 0 | 0 | 0 | - |
Transcatheter | Stent placement in arterial duct (PDA) | 145 | 133 | 12 | 0 | 91.7% | 144 | 132 | 12 | 0 | 91.7% | 1 | 1 | 0 | 0 | 100.0% |
Transcatheter | Transluminal pulmonary valve insertion | 236 | 233 | 3 | 0 | 98.7% | 51 | 51 | 0 | 0 | 100.0% | 185 | 182 | 3 | 0 | 98.4% |
Transcatheter | Stent placement in right ventricular outflow tract (RVOT) | 196 | 189 | 7 | 0 | 96.4% | 173 | 167 | 6 | 0 | 96.5% | 23 | 22 | 1 | 0 | 95.7% |
Transcatheter | Transluminal pulmonary valve perforation & dilation | 54 | 52 | 2 | 0 | 96.3% | 52 | 50 | 2 | 0 | 96.2% | 2 | 2 | 0 | 0 | 100.0% |
Transcatheter | Blade atrial septostomy | 5 | 2 | 3 | 0 | 40.0% | 5 | 2 | 3 | 0 | 40.0% | 0 | 0 | 0 | 0 | - |
Transcatheter | Balloon atrial septostomy by pull back | 459 | 436 | 23 | 0 | 95.0% | 456 | 434 | 22 | 0 | 95.2% | 3 | 2 | 1 | 0 | 66.7% |
Transcatheter | Balloon dilation and/or stenting of pulmonary vein | 65 | 63 | 2 | 0 | 96.9% | 57 | 55 | 2 | 0 | 96.5% | 8 | 8 | 0 | 0 | 100.0% |
Transcatheter | Stent placement at site of aortic coarctation | 373 | 367 | 6 | 0 | 98.4% | 146 | 141 | 5 | 0 | 96.6% | 227 | 226 | 1 | 0 | 99.6% |
Transcatheter | Balloon dilation of native aortic coarctation-hypoplasia | 97 | 93 | 4 | 0 | 95.9% | 90 | 86 | 4 | 0 | 95.6% | 7 | 7 | 0 | 0 | 100.0% |
Transcatheter | Balloon dilation of aortic re-coarctation | 251 | 247 | 4 | 0 | 98.4% | 232 | 228 | 4 | 0 | 98.3% | 19 | 19 | 0 | 0 | 100.0% |
Transcatheter | Balloon dilation of aortic valve | 321 | 316 | 5 | 0 | 98.4% | 300 | 296 | 4 | 0 | 98.7% | 21 | 20 | 1 | 0 | 95.2% |
Transcatheter | Balloon dilation of pulmonary valve | 753 | 744 | 9 | 0 | 98.8% | 672 | 663 | 9 | 0 | 98.7% | 81 | 81 | 0 | 0 | 100.0% |
Transcatheter | Transluminal ventricular septal defect (VSD) closure | 119 | 115 | 4 | 0 | 96.6% | 88 | 86 | 2 | 0 | 97.7% | 31 | 29 | 2 | 0 | 93.5% |
Transcatheter | Transluminal patent foramen ovale (PFO) closure | 1287 | 1,285 | 2 | 0 | 99.8% | 11 | 11 | 0 | 0 | 100.0% | 1,276 | 1,274 | 2 | 0 | 99.8% |
Transcatheter | Transluminal atrial septal defect (ASD) closure | 2020 | 2,018 | 2 | 0 | 99.9% | 774 | 774 | 0 | 0 | 100.0% | 1,246 | 1,244 | 2 | 0 | 99.8% |
Transcatheter | Transluminal patent arterial duct (PDA) closure | 1,687 | 1,682 | 5 | 0 | 99.7% | 1,613 | 1,608 | 5 | 0 | 99.7% | 74 | 74 | 0 | 0 | 100.0% |
Transcatheter | Stent placement in pulmonary artery | 504 | 499 | 4 | 1 | 99.0% | 410 | 405 | 4 | 1 | 98.8% | 94 | 94 | 0 | 0 | 100.0% |
Transcatheter | Balloon dilation of pulmonary artery | 702 | 695 | 7 | 0 | 99.0% | 637 | 631 | 6 | 0 | 99.1% | 65 | 64 | 1 | 0 | 98.5% |
Transcatheter | Transluminal systemic-to-pulmonary collateral artery (MAPCA) procedure | 245 | 241 | 4 | 0 | 98.4% | 215 | 211 | 4 | 0 | 98.1% | 30 | 30 | 0 | 0 | 100.0% |
Transcatheter | Stent or balloon dilation of cardiac conduit | 172 | 172 | 0 | 0 | 100.0% | 142 | 142 | 0 | 0 | 100.0% | 30 | 30 | 0 | 0 | 100.0% |
Transcatheter | Stent redilation | 137 | 135 | 2 | 0 | 98.5% | 111 | 109 | 2 | 0 | 98.2% | 26 | 26 | 0 | 0 | 100.0% |
Transcatheter | Diagnostic cardiovascular catheter procedures | 3,993 | 3,917 | 75 | 1 | 98.1% | 2,709 | 2,642 | 66 | 1 | 97.5% | 1,284 | 1,275 | 9 | 0 | 99.3% |
Electrophysiology | Isolated surgical procedures for arrhythmia (including ablation and Maze procedures) | 47 | 45 | 2 | 0 | 95.7% | 5 | 5 | 0 | 0 | 100.0% | 42 | 40 | 2 | 0 | 95.2% |
Electrophysiology | Implantable cardioverter & defibrillator (ICD) implantation | 284 | 283 | 1 | 0 | 99.6% | 94 | 93 | 1 | 0 | 98.9% | 190 | 190 | 0 | 0 | 100.0% |
Electrophysiology | Biventricular implantable cardioverter & defibrillator (ICD) implantation or pacemaker system placement | 106 | 104 | 2 | 0 | 98.1% | 19 | 17 | 2 | 0 | 89.5% | 87 | 87 | 0 | 0 | 100.0% |
Electrophysiology | Pacemaker system placement or generator replacement - surgical | 925 | 919 | 6 | 0 | 99.4% | 325 | 324 | 1 | 0 | 99.7% | 600 | 595 | 5 | 0 | 99.2% |
Electrophysiology | Permanent epicardial pacemaker system placement | 190 | 185 | 5 | 0 | 97.4% | 159 | 154 | 5 | 0 | 96.9% | 31 | 31 | 0 | 0 | 100.0% |
Electrophysiology | Pacemaker lead procedure | 172 | 164 | 8 | 0 | 95.3% | 118 | 113 | 5 | 0 | 95.8% | 54 | 51 | 3 | 0 | 94.4% |
Electrophysiology | Transluminal ablation procedure for arrhythmia | 2,383 | 2,379 | 4 | 0 | 99.8% | 1,250 | 1,250 | 0 | 0 | 100.0% | 1,133 | 1,129 | 4 | 0 | 99.6% |
Electrophysiology | Miscellaneous electrophysiology (EP) procedures | 104 | 99 | 5 | 0 | 95.2% | 46 | 42 | 4 | 0 | 91.3% | 58 | 57 | 1 | 0 | 98.3% |
Electrophysiology | Diagnostic electrophysiological study (EPS) | 333 | 333 | 0 | 0 | 100.0% | 181 | 181 | 0 | 0 | 100.0% | 152 | 152 | 0 | 0 | 100.0% |
Table 9: 2014-17 activities (surgical + catheter)
Hospital Name | Hospital Code | Years | Surgical | Catheter |
bypass | non-bypass | primary_ecm | vad | hybrid | intervention:non-surgical | ep:non-surgical | pacemaker:non-surgical | icd:non-surgical | diagnostic:non-surgical |
Basildon, Essex Cardiothoracic Centre | BAS | 2014-15 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | - |
2015-16 | 0 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 |
2016-17 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Belfast Royal Victoria Hospital | RVB | 2014-15 | 47 | 7 | 0 | 0 | 0 | 89 | 35 | 10 | 5 | - |
2015-16 | 42 | 4 | 0 | 0 | 0 | 36 | 16 | 12 | 0 | 10 |
2016-17 | 26 | 1 | 0 | 0 | 0 | 45 | 25 | 7 | 6 | 14 |
Birmingham Children's Hospital | BCH | 2014-15 | 409 | 85 | 6 | 0 | 3 | 286 | 39 | 17 | 3 | - |
2015-16 | 387 | 111 | 3 | 0 | 2 | 331 | 56 | 21 | 0 | 150 |
2016-17 | 399 | 95 | 4 | 0 | 0 | 286 | 49 | 13 | 2 | 156 |
Birmingham Queen Elizabeth Hospital | QEB | 2014-15 | 84 | 2 | 0 | 0 | 0 | 20 | 0 | 0 | 0 | - |
2015-16 | 57 | 4 | 0 | 0 | 0 | 60 | 0 | 0 | 0 | 35 |
2016-17 | 64 | 4 | 0 | 0 | 0 | 41 | 0 | 0 | 0 | 41 |
Blackpool Victoria Hospital | VIC | 2014-15 | 1 | 0 | 0 | 0 | 0 | 9 | 0 | 0 | 0 | - |
2015-16 | 4 | 0 | 0 | 0 | 0 | 24 | 0 | 0 | 0 | 0 |
2016-17 | 2 | 0 | 0 | 0 | 0 | 44 | 0 | 0 | 0 | 0 |
Brighton, Royal Sussex County Hospital | RSC | 2014-15 | 0 | 0 | 0 | 0 | 0 | 44 | 0 | 0 | 0 | - |
2015-16 | 0 | 0 | 0 | 0 | 0 | 62 | 0 | 0 | 0 | 0 |
2016-17 | 0 | 0 | 0 | 0 | 0 | 28 | 0 | 0 | 0 | 0 |
Bristol Royal Hospital for Children | BRC | 2014-15 | 343 | 55 | 1 | 0 | 11 | 217 | 76 | 38 | 15 | - |
2015-16 | 343 | 90 | 2 | 0 | 12 | 232 | 141 | 53 | 19 | 167 |
2016-17 | 347 | 84 | 6 | 0 | 8 | 284 | 127 | 47 | 17 | 184 |
Cambridge, Papworth Hospital | PAP | 2014-15 | 0 | 0 | 0 | 0 | 0 | 63 | 0 | 0 | 0 | - |
2015-16 | 33 | 2 | 0 | 0 | 0 | 52 | 0 | 0 | 0 | 0 |
2016-17 | 0 | 0 | 0 | 0 | 0 | 43 | 0 | 0 | 0 | 0 |
Cardiff, University Hospital of Wales | UHW | 2014-15 | 6 | 0 | 0 | 0 | 0 | 18 | 0 | 0 | 0 | - |
2015-16 | 2 | 0 | 0 | 0 | 0 | 18 | 0 | 0 | 0 | 0 |
2016-17 | 4 | 0 | 0 | 0 | 0 | 20 | 0 | 0 | 0 | 0 |
Dublin, Our Lady's Children Hospital | OLS | 2014-15 | 236 | 96 | 4 | 0 | 7 | 245 | 19 | 19 | 3 | - |
2015-16 | 236 | 84 | 8 | 0 | 8 | 354 | 15 | 20 | 0 | 112 |
2016-17 | 241 | 74 | 2 | 0 | 19 | 408 | 15 | 15 | 1 | 106 |
Glasgow Royal Hospital for Children | RHS | 2014-15 | 190 | 68 | 2 | 0 | 2 | 125 | 23 | 5 | 0 | - |
2015-16 | 170 | 63 | 2 | 0 | 0 | 144 | 27 | 4 | 1 | 60 |
2016-17 | 205 | 67 | 1 | 0 | 1 | 148 | 26 | 4 | 0 | 59 |
Glasgow, Golden Jubilee National Hospital | GJH | 2014-15 | 83 | 5 | 0 | 0 | 0 | 36 | 1 | 2 | 0 | - |
2015-16 | 86 | 6 | 0 | 0 | 0 | 33 | 17 | 5 | 4 | 44 |
2016-17 | 91 | 4 | 0 | 0 | 1 | 25 | 17 | 8 | 5 | 60 |
Leeds General Infirmary | LGI | 2014-15 | 429 | 61 | 0 | 0 | 2 | 254 | 49 | 27 | 21 | - |
2015-16 | 424 | 64 | 1 | 0 | 0 | 317 | 112 | 44 | 14 | 172 |
2016-17 | 364 | 60 | 2 | 0 | 2 | 307 | 77 | 43 | 26 | 166 |
Leicester, Glenfield Hospital | GRL | 2014-15 | 226 | 49 | 0 | 0 | 6 | 183 | 24 | 16 | 2 | - |
2015-16 | 268 | 56 | 0 | 0 | 0 | 181 | 34 | 12 | 7 | 87 |
2016-17 | 282 | 65 | 5 | 0 | 1 | 193 | 34 | 8 | 1 | 88 |
Liverpool, Alder Hey Hospital | ACH | 2014-15 | 319 | 56 | 0 | 0 | 0 | 214 | 35 | 6 | 4 | - |
2015-16 | 276 | 74 | 3 | 0 | 4 | 188 | 27 | 11 | 3 | 90 |
2016-17 | 303 | 103 | 8 | 0 | 0 | 216 | 40 | 7 | 1 | 91 |
Liverpool, Heart and Chest Hospital | BHL | 2014-15 | 19 | 2 | 0 | 0 | 0 | 76 | 8 | 10 | 1 | - |
2015-16 | 11 | 0 | 0 | 0 | 0 | 55 | 6 | 5 | 1 | 0 |
2016-17 | 7 | 1 | 0 | 0 | 0 | 54 | 14 | 8 | 3 | 0 |
London, Barts Heart Centre | SBH | 2014-15 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | - |
2015-16 | 57 | 5 | 0 | 0 | 0 | 54 | 62 | 27 | 5 | 41 |
2016-17 | 83 | 6 | 0 | 0 | 0 | 88 | 75 | 41 | 8 | 57 |
London, Evelina London Children's Hospital | GUY | 2014-15 | 403 | 90 | 2 | 0 | 17 | 265 | 84 | 38 | 6 | - |
2015-16 | 396 | 107 | 0 | 0 | 12 | 245 | 82 | 34 | 13 | 86 |
2016-17 | 374 | 116 | 2 | 0 | 8 | 257 | 104 | 31 | 9 | 78 |
London, Great Ormond Street Hospital for Children | GOS | 2014-15 | 545 | 149 | 0 | 17 | 5 | 244 | 86 | 11 | 5 | - |
2015-16 | 542 | 135 | 0 | 13 | 2 | 225 | 91 | 15 | 12 | 164 |
2016-17 | 527 | 152 | 0 | 10 | 5 | 225 | 109 | 8 | 27 | 226 |
London, Hammersmith Hospital | HAM | 2014-15 | 0 | 0 | 0 | 0 | 0 | 12 | 0 | 0 | 0 | - |
2015-16 | 0 | 0 | 0 | 0 | 0 | 26 | 0 | 0 | 0 | 0 |
2016-17 | 0 | 0 | 0 | 0 | 0 | 40 | 0 | 0 | 0 | 0 |
London, Harley Street Clinic | HSC | 2014-15 | 98 | 16 | 0 | 0 | 0 | 31 | 3 | 0 | 0 | - |
2015-16 | 99 | 14 | 0 | 0 | 0 | 12 | 4 | 0 | 0 | 20 |
2016-17 | 87 | 9 | 0 | 0 | 0 | 32 | 9 | 0 | 0 | 14 |
London, Royal Brompton Hospital | NHB | 2014-15 | 412 | 105 | 4 | 0 | 1 | 363 | 116 | 61 | 23 | - |
2015-16 | 431 | 98 | 3 | 0 | 3 | 374 | 141 | 67 | 22 | 207 |
2016-17 | 396 | 75 | 4 | 1 | 3 | 443 | 146 | 95 | 19 | 190 |
London, St George's Hospital | GEO | 2014-15 | 5 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | - |
2015-16 | 4 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 |
2016-17 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
London, University College Hospital | UCL | 2014-15 | 66 | 1 | 0 | 0 | 0 | 73 | 44 | 4 | 7 | - |
2015-16 | 3 | 1 | 0 | 0 | 0 | 9 | 3 | 0 | 0 | 0 |
2016-17 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Manchester Royal Infirmary | MRI | 2014-15 | 83 | 6 | 0 | 0 | 0 | 54 | 10 | 13 | 8 | - |
2015-16 | 80 | 8 | 0 | 0 | 2 | 45 | 23 | 21 | 9 | 75 |
2016-17 | 84 | 6 | 0 | 0 | 0 | 47 | 33 | 41 | 21 | 106 |
Newcastle Freeman Hospital | FRE | 2014-15 | 238 | 60 | 24 | 36 | 8 | 158 | 29 | 3 | 0 | - |
2015-16 | 219 | 79 | 10 | 12 | 9 | 213 | 59 | 15 | 5 | 113 |
2016-17 | 260 | 58 | 12 | 10 | 0 | 211 | 73 | 13 | 2 | 126 |
Nottingham City Hospital | CHN | 2014-15 | 0 | 0 | 0 | 0 | 0 | 23 | 0 | 0 | 0 | 0 |
2015-16 | 0 | 0 | 0 | 0 | 0 | 24 | 0 | 0 | 0 | 0 |
2016-17 | 0 | 0 | 0 | 0 | 0 | 23 | 0 | 0 | 0 | 0 |
Oxford, John Radcliffe Hospital | RAD | 2014-15 | 15 | 0 | 0 | 0 | 0 | 83 | 0 | 0 | 0 | - |
2015-16 | 7 | 0 | 0 | 0 | 0 | 60 | 0 | 0 | 0 | 0 |
2016-17 | 0 | 0 | 0 | 0 | 0 | 53 | 0 | 0 | 0 | 3 |
Sheffield Northern General Hospital | NGS | 2014-15 | 20 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | - |
2015-16 | 10 | 0 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 0 |
2016-17 | 10 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Southampton Wessex Cardiothoracic Centre | SGH | 2014-15 | 271 | 93 | 3 | 0 | 0 | 199 | 40 | 30 | 13 | - |
2015-16 | 297 | 92 | 1 | 0 | 1 | 189 | 37 | 25 | 9 | 95 |
2016-17 | 316 | 115 | 1 | 0 | 0 | 229 | 71 | 26 | 6 | 113 |
Stoke, University Hospital of North Staffordshire | STO | 2014-15 | 4 | 0 | 0 | 0 | 0 | 29 | 0 | 0 | 0 | - |
2015-16 | 8 | 0 | 0 | 0 | 0 | 34 | 0 | 0 | 0 | 0 |
2016-17 | 6 | 0 | 0 | 0 | 0 | 42 | 0 | 0 | 0 | 0 |
Wolverhampton Heart & Lung Centre | NCR | 2014-15 | 0 | 0 | 0 | 0 | 0 | 10 | 0 | 0 | 0 | - |
2015-16 | 0 | 0 | 0 | 0 | 0 | 17 | 0 | 0 | 0 | 0 |
2016-17 | 0 | 0 | 0 | 0 | 0 | 5 | 0 | 0 | 0 | 0 |
Note: Bypass, Non-bypass, Hybrid, Primary Extracorporeal Membranous Oxygenation (ECMO), and Ventricular Assist Devices (VAD) are counted as surgical activity where Lung transplant has been counted into By-pass, Non-bypass; interventional, Electrophysiology (EP)/Pacing and Implantable cardioverter-defibrillator (ICD) are counted as catheter procedures; collated separately until from 2013 financial year. Catheter includes interventional, Electrophysiology (EP)/Pacing and Implantable cardioverter-defibrillator (ICD); diagnostic catheter is systematically collected in 2015-16 and 2016-17.
Note: Diagnostic catheter data was included in the data set for 2015-16 onwards. Lung transplants were previously shown separately because they were in the 'minor and excluded' group. They are now included in the Bypass or Non-bypass category depending on the procedure type.
Table 10: Centres undertaking major congenital cardiac procedures 2014 – 2017
Hospital Name | Hospital Code | Child* | Adult | total (child/adult) |
Centres undertaking paediatric and adult congenital heart disease procedures |
Belfast Royal Victoria Hospital | RVB | 115 | 298 | 413(115/298) |
Birmingham Children's Hospital | BCH | 2517 | 90 | 2607(2517/90) |
Bristol Royal Hospital For Children | BRC | 1611 | 957 | 2568(1611/957) |
Dublin Our Lady's Children's Hospital | OLS | 2085 | 44 | 2129(2085/44) |
Glasgow Royal Hospital for Children | RHS | 1232 | 46 | 1278(1232/46) |
Leeds General Infirmary | LGI | 1832 | 868 | 2700(1832/868) |
Leicester Glenfield Hospital | GRL | 1209 | 444 | 1653(1209/444) |
Liverpool Alder Hey Hospital | ACH | 1845 | 53 | 1898(1845/53) |
London Evelina London Children's Hospital | GUY | 1981 | 714 | 2695(1981/714) |
London Great Ormond Street Hospital for Children | GOS | 3043 | 117 | 3160(3043/117) |
London Harley Street Clinic | HSC | 333 | 81 | 414(333/81) |
London Royal Brompton Hospital | NHB | 2126 | 1280 | 3406(2126/1280) |
Newcastle Freeman Hospital | FRE | 1346 | 470 | 1816(1346/470) |
Southampton Wessex Cardiothoracic Centre | SGH | 1524 | 540 | 2064(1524/540) |
Centres undertaking primarily adult congenital heart disease procedures: These are ACHD hospitals that mainly carry out adult CHD procedures, but also carry out a very small number of paediatric cases |
Basildon Essex Cardiothoracic Centre | BAS | 0 | 8 | 8(0/8) |
Birmingham Queen Elizabeth Hospital | QEB | 1 | 335 | 336(1/335) |
Blackpool Victoria Hospital | VIC | 0 | 84 | 84(0/84) |
Brighton Royal Sussex County Hospital | RSC | 0 | 134 | 134(0/134) |
Papworth Hospital | PAP | 0 | 193 | 193(0/193) |
Cardiff University Hospital of Wales | UHW | 0 | 68 | 68(0/68) |
Glasgow Golden Jubilee National Hospital | GJH | 10 | 419 | 429(10/419) |
Liverpool Heart and Chest Hospital | BHL | 1 | 280 | 281(1/280) |
London Barts Heart Centre | SBH | 0 | 511 | 511(0/511) |
London Hammersmith Hospital | HAM | 0 | 78 | 78(0/78) |
London St George's Hospital | GEO | 0 | 18 | 18(0/18) |
London University College Hospital | UCL | 0 | 211 | 211(0/211) |
Manchester Royal Infirmary | MRI | 2 | 592 | 594(2/592) |
Nottingham City Hospital | CHN | 0 | 70 | 70(0/70) |
Oxford John Radcliffe Hospital | RAD | 1 | 217 | 218(1/217) |
Sheffield Northern General Hospital | NGS | 0 | 44 | 44(0/44) |
Stoke University Hospital of North Staffordshire | STO | 1 | 122 | 123(1/122) |
Wolverhampton Heart & Lung Centre | NCR | 0 | 32 | 32(0/32) |
Note: Major procedures include Surgical and Catheter-electrophysiological procedures where Primary Extracorporeal Membranous Oxygenation (ECMO), Lung Transplant, Ventricular Assist Devices (VAD) Hybrid, Bypass, and Non-bypass are counted as surgical procedures and Interventional, Electrophysiology (EP)/Pacing, and Implantable cardioverter-defibrillator (ICD) are counted as Catheter-electrophysiological procedures (diagnostic catheter excluded only).
* Child refers to neonates under 16 years of age.
Table 11a: Number and type of major procedures submitted by provider 2016-17
Provider | Paediatric | ACHD | All Ages |
Surgical | Catheter | Total | Surgical | *Catheter/EP | Total | Surgical | *Catheter/EP | Total |
England | 3953 | 2539 | 6492 | 904 | 2095 | 2999 | 4857 | 4634 | 9491 |
Ireland | 335 | 425 | 760 | 1 | 14 | 15 | 336 | 439 | 775 |
Northern Ireland | 0 | 8 | 8 | 27 | 75 | 102 | 27 | 83 | 110 |
Scotland | 267 | 171 | 438 | 103 | 62 | 165 | 370 | 233 | 603 |
Wales | 0 | 0 | 0 | 4 | 20 | 24 | 4 | 20 | 24 |
Private | 79 | 32 | 111 | 17 | 9 | 26 | 96 | 41 | 137 |
Note: Surgical procedures include bypass, non-bypass, hybrid, Ventricular Assist Device (VAD) and Primary Extracorporeal Membranous Oxygenation mechanical life support (ECMO) procedures.
*Catheter-Electrophysiology procedures (Catheter/EP) include transcatheter interventions and electrophysiological procedures (including pacing and Implantable Cardioverter Defibrillator (ICD) procedures), whilst excluding diagnostic catheter procedures.
Lung transplants were previously shown separately because they were in the 'minor and excluded' group. They are now included in the Bypass or Non-bypass category depending on the procedure type.
Table 11b: Number and type of major procedures submitted by provider 2014-17
Provider | Paediatric | ACHD | All Ages |
Surgical | *Catheter/EP | Total | Surgical | *Catheter/EP | Total | Surgical | *Catheter/EP | Total |
England | 11784 | 7256 | 19040 | 2803 | 5659 | 8462 | 14587 | 12915 | 27502 |
Northern Ireland | 31 | 84 | 115 | 96 | 202 | 298 | 127 | 286 | 413 |
Republic of Ireland | 1004 | 1081 | 2085 | 11 | 33 | 44 | 1015 | 1114 | 2129 |
Scotland | 754 | 488 | 1242 | 293 | 172 | 465 | 1047 | 660 | 1707 |
Wales | 0 | 0 | 0 | 12 | 56 | 68 | 12 | 56 | 68 |
Private | 263 | 70 | 333 | 60 | 21 | 81 | 323 | 91 | 414 |
Note: Surgical procedures include bypass, non-bypass, hybrid, Ventricular Assist Device (VAD) and Primary Extracorporeal Membranous Oxygenation mechanical life support (ECMO) procedures.
*Catheter-Electrophysiology procedures (Catheter/EP) include transcatheter interventions and electrophysiological procedures (including pacing and Implantable Cardioverter Defibrillator (ICD) procedures), whilst excluding diagnostic catheter procedures.
Lung transplants were previously shown separately because they were in the 'minor and excluded' group. They are now included in the Bypass or Non-bypass category depending on the procedure type.
Table 12a: Regional variation of patients undergoing procedures in infancy successfully diagnosed antenatally, 2014-17 (ALL)
England |
Name | Local Area Team (LAT) | Overall diagnosis | % Antenatally diagnosed |
Cheshire, Warrington and Wirral | Q44 | 35 | 37.1% |
Durham, Darlington and Tees | Q45 | 34 | 41.2% |
Greater Manchester | Q46 | 99 | 39.4% |
Lancashire | Q47 | 41 | 36.6% |
Merseyside | Q48 | 31 | 38.7% |
Cumbria, Northumberland, Tyne and Wear | Q49 | 59 | 42.4% |
North Yorkshire and Humber | Q50 | 37 | 40.5% |
South Yorkshire and Bassetlaw | Q51 | 47 | 40.4% |
West Yorkshire | Q52 | 83 | 45.8% |
Arden, Herefordshire and Worcestershire | Q53 | 48 | 33.3% |
Birmingham and the Black Country | Q54 | 88 | 40.9% |
Derbyshire and Nottinghamshire | Q55 | 55 | 43.6% |
East Anglia | Q56 | 75 | 48.0% |
Essex | Q57 | 42 | 54.8% |
Hertfordshire and the South Midlands | Q58 | 105 | 51.4% |
Leicestershire and Lincolnshire | Q59 | 52 | 48.1% |
Shropshire and Staffordshire | Q60 | 49 | 36.7% |
Bath, Gloucestershire, Swindon and Wiltshire | Q64 | 34 | 61.8% |
Bristol, North Somerset, Somerset and South Gloucestershire | Q65 | 40 | 70.0% |
Devon, Cornwall and Isles of Scilly | Q66 | 33 | 33.3% |
Kent and Medway | Q67 | 51 | 58.8% |
Surrey and Sussex | Q68 | 68 | 39.7% |
Thames Valley | Q69 | 62 | 53.2% |
Wessex | Q70 | 86 | 33.7% |
London | Q71 | 292 | 48.3% |
|
Name | | Overall diagnosis | % Antenatally diagnosed |
Scotland | T02 | 128 | 34.4% |
|
Name | | Overall diagnosis | % Antenatally diagnosed |
North Wales | T03 | 9 | 33.3% |
South Wales | T04 | 77 | 58.4% |
|
Name | | Overall diagnosis | % Antenatally diagnosed |
N Ireland | T01 | 50 | 30.0% |
|
Name | | Overall diagnosis | % Antenatally diagnosed |
Republic of Ireland | T05 | 196 | 41.8% |
Table 12b: Regional variation of patients undergoing procedures in infancy, successfully diagnosed antenatally, 2014-17 (ALL)
England |
Name | Local Area Team (LAT) | Overall diagnosis | % Antenatally diagnosed |
Cheshire, Warrington and Wirral | Q44 | 101 | 38.6% |
Durham, Darlington and Tees | Q45 | 105 | 33.3% |
Greater Manchester | Q46 | 236 | 39.8% |
Lancashire | Q47 | 114 | 38.6% |
Merseyside | Q48 | 102 | 43.1% |
Cumbria, Northumberland, Tyne and Wear | Q49 | 166 | 44.0% |
North Yorkshire and Humber | Q50 | 105 | 40.0% |
South Yorkshire and Bassetlaw | Q51 | 143 | 42.0% |
West Yorkshire | Q52 | 228 | 38.6% |
Arden, Herefordshire and Worcestershire | Q53 | 127 | 42.5% |
Birmingham and the Black Country | Q54 | 263 | 45.2% |
Derbyshire and Nottinghamshire | Q55 | 168 | 46.4% |
East Anglia | Q56 | 202 | 43.1% |
Essex | Q57 | 116 | 49.1% |
Hertfordshire and the South Midlands | Q58 | 233 | 51.5% |
Leicestershire and Lincolnshire | Q59 | 166 | 41.0% |
Shropshire and Staffordshire | Q60 | 119 | 36.1% |
Bath, Gloucestershire, Swindon and Wiltshire | Q64 | 88 | 43.2% |
Bristol, North Somerset, Somerset and South Gloucestershire | Q65 | 102 | 61.8% |
Devon, Cornwall and Isles of Scilly | Q66 | 101 | 33.7% |
Kent and Medway | Q67 | 128 | 52.3% |
Surrey and Sussex | Q68 | 182 | 46.7% |
Thames Valley | Q69 | 169 | 42.6% |
Wessex | Q70 | 212 | 37.7% |
London | Q71 | 811 | 50.3% |
|
Name | | Overall diagnosis | % Antenatally diagnosed |
Scotland | T02 | 327 | 37.9% |
|
Name | LAT | Overall diagnosis | % Antenatally diagnosed |
North Wales | T03 | 26 | 46.2% |
South Wales | T04 | 180 | 52.8% |
|
Name | LAT | Overall diagnosis | % Antenatally diagnosed |
N Ireland | T01 | 159 | 38.4% |
|
Name | LAT | Overall diagnosis | % Antenatally diagnosed |
Republic of Ireland | T05 | 562 | 46.1% |
Figure 7a: Regional distribution of successful antenatal diagnosis across UK and Republic of Ireland 2016-17
Note: The Channel Islands are not included on the map but are in table 5 of the NCHDA 2014-17 summary report.
Figure 7b: Regional distribution of successful antenatal diagnosis across UK and Republic of Ireland 2014-17
Note: The Channel Islands are not included on the map but are in table 5 of the NCHDA 2014-17 summary report.