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/

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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 339 3507 29766
Case ascertainment (%) 105 97 90
Data completeness of:
– Pre-treatment TNM (%) 56 80 83
– Performance status (%) 71 86 85
Patients having major resection: Trust Network National
Number of patients in Audit 176 2012 16499
ASA grade 1 (%) 18 10 10
ASA grade 2 (%) 37 50 53
ASA grade 3 (%) 15 34 30
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 29 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 69 88 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 339 3507 29766
Seen by Clinical Nurse Specialist (%) 68 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 176 2012 16474
Distant metastases (%) 5 4 6
Urgent or emergency surgery (%) 10 16 15
At least 12 lymph nodes excised (%) 93 82 84
Laparoscopic surgery attempted (%) 48 74 72
Risk-adjusted length of stay > 5 days (%) 70 59 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 35 503 3899
Neoadjuvant therapy (%) 62 30 32
Circumferential resection margin: Negative (%) 91 81 79
Circumferential resection margin: Recorded (%) 100 88 86
APER rate (%) 17 23 24

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