Manchester University NHS Foundation Trust - Manchester Royal Infirmary

Case Ascertainment is calculated for the entire trust. The Manchester University NHS Foundation Trust - Manchester Royal Infirmary incorporates Manchester Royal Infirmary and Trafford General Hospital in Manchester https://mft.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
    • Age Specific Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 225 1550 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 93 94 85
– Performance status (%) 99 86 86
Patients having major resection: Trust Network National
Number of patients in Audit 125 920 18552
ASA grade 1 (%) 66 14 9
ASA grade 2 (%) 26 50 53
ASA grade 3 (%) 9 33 30
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) N/A 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 98 97 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 225 1546 29766
Seen by Clinical Nurse Specialist (%) 94 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 49 374 8157
Undergoing major resection (%) 88 83 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 125 920 18515
Distant metastases (%) 8 5 6
Urgent or emergency surgery (%) 5 16 21
At least 12 lymph nodes excised (%) 91 88 86
Laparoscopic surgery attempted (%) 46 61 71
Risk-adjusted length of stay > 5 days (%) 74 60 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 68 535 10335
Adjuvant chemotherapy (%) 56 56 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 23 184 4137
Neoadjuvant therapy (%) 56 47 34
Circumferential resection margin: Recorded (%) 96 97 90
Circumferential resection margin: Negative (%) 91 90 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 97 772 17956
APER/Hartmanns (%) 42 45 37

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