East and North Hertfordshire NHS Trust

The East and North Hertfordshire NHS Trust incorporates Lister Hospital in Stevenage, Hertford County Hospital in Hertford, and Queen Elizabeth II Hospital in Welwyn Garden City http://www.enherts-tr.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 220 1867 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 85 86
– Performance status (%) 100 96 89
Patients having major resection: Trust Network National
Number of patients in Audit 79 1016 19631
ASA grade 1 (%) 23 11 9
ASA grade 2 (%) 46 50 53
ASA grade 3 (%) 28 36 31
ASA grade 4+ (%) 4 3 2
ASA grade not recorded (%) N/A 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 85 93 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 220 1867 35779
Seen by Clinical Nurse Specialist (%) 98 94 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 79 1016 19614
Distant metastases (%) 6 5 5
Urgent or emergency surgery (%) 13 11 15
At least 12 lymph nodes excised (%) 84 89 84
Laparoscopic surgery attempted (%) 61 80 72
Risk-adjusted length of stay > 5 days (%) 60 46 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 80 N/A 10747
Adjuvant chemotherapy (%) 66 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 119 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 22 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 15 N/A 4251
Neoadjuvant therapy (%) 21 N/A 33
Circumferential resection margin: Recorded (%) 80 94 89
Circumferential resection margin: Negative (%) 73 90 83
Rectal volume 12 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 136 936 19644
APER/Hartmanns (%) 37 34 37

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