Clinical outcomes have improved since consolidation of emergency surgery in Derry, says Dr. Brendan Lavery

Transcript

00:00Two years since the collapse, the change,

00:05are the outcomes the same for the people of Romana

00:08as they were prior to that two years ago?

00:10Well, I'm gonna give you quite a long answer with that.

00:13The good news is the outcomes are actually better.

00:15So we use a company called CHKS,

00:19and what they do is they analyze admissions

00:21all across every trust in England, Wales,

00:23and Northern Ireland.

00:24They look at every admission to basically

00:27thousands and thousands of admissions.

00:29They do a statistical analysis.

00:31It looks at age, sex, any comorbidities,

00:35what diagnosis you've been admitted with.

00:37They look at 260 diagnoses.

00:39And they use all of this data to generate a figure

00:42called a risk-adjusted mortality index.

00:45And what that is, that is the number of deaths

00:48divided by the number of expected deaths.

00:50Now, effectively, 100 is your baseline.

00:53So if you have a figure of more than 100,

00:56that means there are more patients dying

00:57than you would expect.

00:59If you have a figure of less,

01:00you're doing very well.

01:02At the time of the temporary suspension,

01:05the figure for South West acute was 110,

01:08and the figure for Altona-Gelvin was 85, okay?

01:12We have looked at the figures,

01:13and we got those in approximately July

01:17or August of last year.

01:18And effectively, the RAMI scores in Altona-Gelvin

01:22have continued to fall to the extent

01:25that if you extrapolate the data

01:27and look at average mortality rates,

01:29we now have effectively one patient surviving

01:32who wouldn't have survived every 40 days

01:35due to the change that we've made.