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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 190 3150 28013
Case ascertainment (%) 80 97 93
Data completeness of:
– Pre-treatment TNM (%) 11 54 71
– Performance status (%) 1 64 77
Patients having major resection: Trust Network National
Number of patients in Audit 81 1907 18809
ASA grade 1 (%) 16 10 14
ASA grade 2 (%) 46 53 53
ASA grade 3 (%) 26 24 25
ASA grade 4+ (%) 4 3 3
ASA grade not recorded (%) 9 9 5
Data completeness of:
7 Audit items for risk-adjustment (%) 30 70 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 190 3150 30122
Seen by Clinical Nurse Specialist (%) 88 87 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 81 1907 18809
Distant metastases (%) 7 10 9
Urgent or emergency surgery (%) 11 17 16
Median number of lymph nodes excised 21 16 17
Laparoscopic surgery attempted (%) 63 59 61
Length of stay > 5 days (%) 83 71 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 21 483 4769
Neoadjuvant therapy (%) 18 26 37
Circumferential resection margin: Recorded (%) 29 28 25
Circumferential resection margin: Positive (%) 10 8 7
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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