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/

View Trust Services

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
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 264 3626 31676
Case ascertainment (%) 107 101 95
Data completeness of:
– Pre-treatment TNM (%) 9 71 80
– Performance status (%) 3 89 86
Patients having major resection: Trust Network National
Number of patients in Audit 98 2090 19218
ASA grade 1 (%) 13 13 11
ASA grade 2 (%) 57 52 53
ASA grade 3 (%) 18 30 28
ASA grade 4+ (%) N/A 3 3
ASA grade not recorded (%) 11 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 14 83 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 264 3626 31676
Seen by Clinical Nurse Specialist (%) 34 86 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients N/A 756 7416
Undergoing major resection (%) N/A 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 98 2090 19218
Distant metastases (%) 13 8 8
Urgent or emergency surgery (%) 11 14 15
At least 12 lymph nodes excised (%) 29 79 84
Laparoscopic surgery attempted (%) 80 75 69
Risk-adjusted length of stay > 5 days (%) N/A 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 36 1337 11837
Adjuvant chemotherapy (%) 53 55 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 29 533 4588
Neoadjuvant therapy (%) 16 25 33
Circumferential resection margin: Recorded (%) 34 88 90
Circumferential resection margin: Negative (%) 34 80 80
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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