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:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Support service facilities:
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 106 898 30541
Case ascertainment (%) 33 70 93
Data completeness of:
– Pre-treatment TNM (%) 97 81 78
– Performance status (%) 100 99 85
Patients having major resection: Trust Network National
Number of patients in Audit 76 526 19183
ASA grade 1 (%) 28 20 12
ASA grade 2 (%) 62 45 52
ASA grade 3 (%) 5 19 27
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) 5 14 7
Data completeness of:
7 Audit items for risk-adjustment (%) 70 72 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 106 898 30424
Seen by Clinical Nurse Specialist (%) 100 99 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 76 526 19222
Distant metastases (%) 9 10 8
Urgent or emergency surgery (%) 19 18 17
At least 12 lymph nodes excised (%) 91 87 87
Laparoscopic surgery attempted (%) 89 67 66
Risk-adjusted length of stay > 5 days (%) 78 75 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 97 4503
Neoadjuvant therapy (%) 20 40 36
Circumferential resection margin: Present (%) N/A 69 84
Circumferential resection margin: Negative (%) N/A 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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