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
  • Advanced disease surgical services:
    • On-site hepatobiliary surgical team
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 220 1602 30710
Case ascertainment (%) 106 103 95
Data completeness of:
– Pre-treatment TNM (%) 87 72 76
– Performance status (%) 91 95 83
Patients having major resection: Trust Network National
Number of patients in Audit 118 1006 19231
ASA grade 1 (%) 11 9 12
ASA grade 2 (%) 59 57 53
ASA grade 3 (%) 25 26 27
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) 3 4 6
Data completeness of:
7 Audit items for risk-adjustment (%) 75 76 81

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 220 1602 30710
Seen by Clinical Nurse Specialist (%) 98 95 91
Treatment Pathway:
– Curative major resection (%) 52 61 59
– Non-curative major resection (%) 1 2 4
– No major resection: too little cancer (%) 7 5 4
– No major resection: too much cancer / too frail (%) 15 14 17
– No major resection: unknown / other reason (%) 25 18 16

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 118 1006 19231
Distant metastases (%) 8 9 9
Urgent or emergency surgery (%) 13 17 16
At least 12 lymph nodes excised (%) 93 87 84
Laparoscopic surgery attempted (%) 50 55 63
Risk-adjusted length of stay > 5 days (%) 74 76 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 18 219 4468
Neoadjuvant therapy^ (%) 50 44 35
Circumferential resection margin: Positive (%) 22 8 7
Circumferential resection margin: Missing (%) 78 63 26
APER rate (%) 11 21 25

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