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 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:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 254 3629 30710
Case ascertainment (%) 106 101 95
Data completeness of:
– Pre-treatment TNM (%) 11 81 76
– Performance status (%) 1 86 83
Patients having major resection: Trust Network National
Number of patients in Audit 87 2094 19231
ASA grade 1 (%) 16 9 12
ASA grade 2 (%) 60 52 53
ASA grade 3 (%) 23 30 27
ASA grade 4+ (%) N/A 3 3
ASA grade not recorded (%) 1 7 6
Data completeness of:
7 Audit items for risk-adjustment (%) 2 74 81

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 254 3629 30710
Seen by Clinical Nurse Specialist (%) 91 89 91

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 87 2094 19231
Distant metastases (%) N/A 8 9
Urgent or emergency surgery (%) 7 17 16
At least 12 lymph nodes excised (%) 100 85 84
Laparoscopic surgery attempted (%) 69 64 63
Risk-adjusted length of stay > 5 days (%) N/A 67 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 15 468 4468
Neoadjuvant therapy (%) 27 33 35
Circumferential resection margin: Recorded (%) 93 23 26
Circumferential resection margin: Positive (%) N/A 5 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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