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:

  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 245 1310 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 97 91 86
– Performance status (%) 97 88 88
Patients having major resection: Trust Network National
Number of patients in Audit 114 768 15891
ASA grade 1 (%) 10 7 8
ASA grade 2 (%) 51 61 52
ASA grade 3 (%) 29 28 31
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) 11 3 7
Data completeness of:
7 Audit items for risk-adjustment (%) 89 96 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 245 1310 28523
Seen by Clinical Nurse Specialist (%) 53 82 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 76 388 7393
Undergoing major resection (%) 79 83 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 114 768 15855
Distant metastases (%) 8 8 7
Urgent or emergency surgery (%) 21 19 20
At least 12 lymph nodes excised (%) 96 91 86
Laparoscopic surgery attempted (%) 75 77 67
Risk-adjusted length of stay > 5 days (%) 52 67 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 77 457 10794
Adjuvant chemotherapy (%) 64 67 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 21 178 3481
Neoadjuvant therapy (%) 88 61 38
Circumferential resection margin: Recorded (%) 100 98 89
Circumferential resection margin: Negative (%) 95 90 82
Rectal volume 19 164 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 139 925 19595
APER/Hartmanns (%) 40 30 36

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