Aintree University Hospital NHS Foundation Trust

The Aintree University Hospital NHS Foundation Trust incorporates Aintree University Hospital in Liverpool http://www.aintreehospital.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic & pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease surgical services:
    • On-site hepatobiliary surgical team
  • Support service facilities:
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 229 1501 30541
Case ascertainment (%) 96 95 93
Data completeness of:
– Pre-treatment TNM (%) 96 90 78
– Performance status (%) 83 92 85
Patients having major resection: Trust Network National
Number of patients in Audit 117 919 19183
ASA grade 1 (%) 26 11 12
ASA grade 2 (%) 53 54 52
ASA grade 3 (%) 18 30 27
ASA grade 4+ (%) 2 3 2
ASA grade not recorded (%) 2 3 7
Data completeness of:
7 Audit items for risk-adjustment (%) 96 88 83

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 229 1501 30424
Seen by Clinical Nurse Specialist (%) 94 92 93
Treatment Pathway:
– Curative major resection (%) 57 59 59
– Non-curative major resection (%) 2 4 4
– No major resection: too little cancer (%) 7 4 4
– No major resection: too much cancer / too frail (%) 18 17 17
– No major resection: unknown / other reason (%) 17 17 16

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 117 919 19222
Distant metastases (%) 4 8 8
Urgent or emergency surgery (%) 10 17 17
At least 12 lymph nodes excised (%) 93 91 87
Laparoscopic surgery attempted (%) 53 57 66
Risk-adjusted length of stay > 5 days (%) 76 68 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 17 178 4503
Neoadjuvant therapy (%) 57 45 36
Circumferential resection margin: Negative (%) 18 54 77
Circumferential resection margin: Present (%) 47 63 84
APER rate (%) 29 27 26

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