Barking, Havering and Redbridge University Hospitals NHS Trust

The Barking, Havering and Redbridge University Hospitals NHS Trust incorporates Queens Hospital in Romford and King George Hospital in Goodmayes, Essex https://www.bhrhospitals.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • 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 277 1071 30710
Case ascertainment (%) 104 86 95
Data completeness of:
– Pre-treatment TNM (%) 73 84 76
– Performance status (%) 100 100 83
Patients having major resection: Trust Network National
Number of patients in Audit 152 672 19231
ASA grade 1 (%) 14 21 12
ASA grade 2 (%) 47 52 53
ASA grade 3 (%) 25 22 27
ASA grade 4+ (%) 4 2 3
ASA grade not recorded (%) 10 4 6
Data completeness of:
7 Audit items for risk-adjustment (%) 64 82 81

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 277 1071 30710
Seen by Clinical Nurse Specialist (%) 94 98 91

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 152 672 19231
Distant metastases (%) 5 11 9
Urgent or emergency surgery (%) 34 16 16
At least 12 lymph nodes excised (%) 85 85 84
Laparoscopic surgery attempted (%) 57 66 63
Risk-adjusted length of stay > 5 days (%) 79 80 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 26 107 4468
Neoadjuvant therapy (%) 70 40 35
Circumferential resection margin: Recorded (%) 100 41 26
Circumferential resection margin: Positive (%) N/A 10 7
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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