Barts Health NHS Trust

The Barts Health NHS Trust incorporates Whipps Cross University Hospital, Newham General Hospital and The Royal London Hospital http://bartshealth.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • HIPEC/cytoreductive surgery
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 174 595 35779
Case ascertainment (%) Poor Good Good
Data completeness of:
– Pre-treatment TNM (%) 88 82 86
– Performance status (%) 100 97 89
Patients having major resection: Trust Network National
Number of patients in Audit 74 326 19631
ASA grade 1 (%) 12 6 9
ASA grade 2 (%) 58 51 53
ASA grade 3 (%) 30 30 31
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) N/A 11 4
Data completeness of:
7 Audit items for risk-adjustment (%) 78 78 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 174 595 35779
Seen by Clinical Nurse Specialist (%) 97 96 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 74 326 19614
Distant metastases (%) 5 5 5
Urgent or emergency surgery (%) 11 16 15
At least 12 lymph nodes excised (%) 76 79 84
Laparoscopic surgery attempted (%) 81 70 72
Risk-adjusted length of stay > 5 days (%) 57 52 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 32 N/A 10747
Adjuvant chemotherapy (%) 63 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 43 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 29 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 12 N/A 4251
Neoadjuvant therapy (%) 15 N/A 33
Circumferential resection margin: Recorded (%) 75 71 89
Circumferential resection margin: Negative (%) 67 69 83
Rectal volume 15 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 52 226 19644
APER/Hartmanns (%) 37 31 37

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