University Hospitals of Derby and Burton NHS Foundation Trust - Royal Derby Hospital

The University Hospitals of Derby and Burton NHS Foundation Trust - Royal Derby Hospital incorporates Royal Derby Hospital https://www.uhdb.nhs.uk/

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
  • 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 344 2189 31676
Case ascertainment (%) 101 98 95
Data completeness of:
– Pre-treatment TNM (%) 69 66 80
– Performance status (%) 58 74 86
Patients having major resection: Trust Network National
Number of patients in Audit 185 1282 19218
ASA grade 1 (%) 15 7 11
ASA grade 2 (%) 47 53 53
ASA grade 3 (%) 16 29 28
ASA grade 4+ (%) N/A 3 3
ASA grade not recorded (%) 22 8 5
Data completeness of:
7 Audit items for risk-adjustment (%) 78 87 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 344 2189 31676
Seen by Clinical Nurse Specialist (%) 60 80 87
All patients deemed potentially curative? Trust Network National
Number of patients 60 405 7416
Major resection rate in potentially curative patients (%) 82 84 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 185 1282 19218
Distant metastases (%) 6 8 8
Urgent or emergency surgery (%) 16 15 15
At least 12 lymph nodes excised (%) 93 88 84
Laparoscopic surgery attempted (%) 45 61 69
Risk-adjusted length of stay > 5 days (%) 71 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 144 817 11837
Adjuvant chemotherapy (%) 68 67 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 36 313 4588
Neoadjuvant therapy (%) 25 38 33
Circumferential resection margin: Negative (%) 97 90 80
Circumferential resection margin: Recorded (%) 100 96 90
APER rate (%) 19 26 25

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