Calderdale and Huddersfield NHS Foundation Trust

The Calderdale and Huddersfield NHS Foundation Trust incorporates Calderdale Royal Hospital in Halifax and Huddersfield Royal Infirmary http://www.cht.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
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 235 3008 28013
Case ascertainment (%) 114 94 93
Data completeness of:
– Pre-treatment TNM (%) 73 71 71
– Performance status (%) 7 77 77
Patients having major resection: Trust Network National
Number of patients in Audit 109 1893 18809
ASA grade 1 (%) 12 20 14
ASA grade 2 (%) 59 52 53
ASA grade 3 (%) 25 22 25
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 4 4 5
Data completeness of:
7 Audit items for risk-adjustment (%) 95 85 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 235 3008 30122
Seen by Clinical Nurse Specialist (%) 66 82 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 109 1893 18809
Distant metastases (%) 5 7 9
Urgent or emergency surgery (%) 3 12 16
Median number of lymph nodes excised 18 18 17
Laparoscopic surgery attempted (%) 43 55 61
Length of stay > 5 days (%) 76 76 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 30 498 4769
Neoadjuvant therapy (%) 59 51 37
Circumferential resection margin: Recorded (%) 13 23 25
Circumferential resection margin: Positive (%) 10 8 7
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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