Liverpool University Hospitals NHS Foundation Trust - University Hospital Aintree

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

Prior to 2022, outcomes were separately reported for Aintree and Royal Liverpool Hospital

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This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
  • 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 181 1497 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 98 96 85
– Performance status (%) 100 94 86
Patients having major resection: Trust Network National
Number of patients in Audit 98 826 18552
ASA grade 1 (%) 15 11 9
ASA grade 2 (%) 47 57 53
ASA grade 3 (%) 32 28 30
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) 3 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 94 88 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 181 1497 29766
Seen by Clinical Nurse Specialist (%) 98 92 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 53 384 8157
Undergoing major resection (%) 91 80 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 98 826 18515
Distant metastases (%) 2 4 6
Urgent or emergency surgery (%) 11 16 21
At least 12 lymph nodes excised (%) 91 83 86
Laparoscopic surgery attempted (%) 64 69 71
Risk-adjusted length of stay > 5 days (%) 56 61 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 49 490 10335
Adjuvant chemotherapy (%) 43 57 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 19 157 4137
Neoadjuvant therapy (%) 56 35 34
Circumferential resection margin: Recorded (%) 95 85 90
Circumferential resection margin: Negative (%) 84 79 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 88 815 17956
APER/Hartmanns (%) 24 35 37

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