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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 308 495 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 84 89 85
– Performance status (%) 100 93 86
Patients having major resection: Trust Network National
Number of patients in Audit 190 319 18552
ASA grade 1 (%) 12 10 9
ASA grade 2 (%) 56 53 53
ASA grade 3 (%) 27 26 30
ASA grade 4+ (%) 4 3 2
ASA grade not recorded (%) 1 8 6
Data completeness of:
7 Audit items for risk-adjustment (%) 94 83 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 308 495 29766
Seen by Clinical Nurse Specialist (%) 97 97 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 72 132 8157
Undergoing major resection (%) 92 92 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 190 319 18515
Distant metastases (%) 4 5 6
Urgent or emergency surgery (%) 26 21 21
At least 12 lymph nodes excised (%) 90 87 86
Laparoscopic surgery attempted (%) 63 72 71
Risk-adjusted length of stay > 5 days (%) 61 61 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 112 178 10335
Adjuvant chemotherapy (%) 69 66 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 40 56 4137
Neoadjuvant therapy (%) 55 46 34
Circumferential resection margin: Recorded (%) 88 79 90
Circumferential resection margin: Negative (%) 83 73 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 116 215 17956
APER/Hartmanns (%) 31 33 37

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