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
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 273 898 30541
Case ascertainment (%) 104 70 93
Data completeness of:
– Pre-treatment TNM (%) 70 81 78
– Performance status (%) 100 99 85
Patients having major resection: Trust Network National
Number of patients in Audit 150 526 19183
ASA grade 1 (%) 15 20 12
ASA grade 2 (%) 22 45 52
ASA grade 3 (%) 15 19 27
ASA grade 4+ (%) 1 1 2
ASA grade not recorded (%) 47 14 7
Data completeness of:
7 Audit items for risk-adjustment (%) 42 72 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 273 898 30424
Seen by Clinical Nurse Specialist (%) 97 99 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 150 526 19222
Distant metastases (%) 8 10 8
Urgent or emergency surgery (%) 30 18 17
At least 12 lymph nodes excised (%) 86 87 87
Laparoscopic surgery attempted (%) 49 67 66
Risk-adjusted length of stay > 5 days (%) 75 75 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 28 97 4503
Neoadjuvant therapy (%) 71 40 36
Circumferential resection margin: Present (%) 11 69 84
Circumferential resection margin: Negative (%) 11 61 77
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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