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
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease services:
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 297 974 31676
Case ascertainment (%) 106 72 95
Data completeness of:
– Pre-treatment TNM (%) 72 84 80
– Performance status (%) 100 93 86
Patients having major resection: Trust Network National
Number of patients in Audit 169 585 19218
ASA grade 1 (%) 8 22 11
ASA grade 2 (%) 49 50 53
ASA grade 3 (%) 38 24 28
ASA grade 4+ (%) 5 2 3
ASA grade not recorded (%) 1 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 98 86 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 297 974 31676
Seen by Clinical Nurse Specialist (%) 91 95 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 64 220 7416
Undergoing major resection (%) 86 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 169 585 19218
Distant metastases (%) 7 7 8
Urgent or emergency surgery (%) 17 20 15
At least 12 lymph nodes excised (%) 88 77 84
Laparoscopic surgery attempted (%) 54 71 69
Risk-adjusted length of stay > 5 days (%) 68 70 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 114 417 11837
Adjuvant chemotherapy (%) 70 67 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 31 104 4588
Neoadjuvant therapy (%) 69 41 33
Circumferential resection margin: Recorded (%) 90 81 90
Circumferential resection margin: Negative (%) 81 74 80
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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