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
    • 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 226 1253 29766
Case ascertainment (%) 89 74 90
Data completeness of:
– Pre-treatment TNM (%) 97 85 83
– Performance status (%) 97 96 85
Patients having major resection: Trust Network National
Number of patients in Audit 59 651 16499
ASA grade 1 (%) 8 8 10
ASA grade 2 (%) 59 62 53
ASA grade 3 (%) 27 26 30
ASA grade 4+ (%) 2 2 3
ASA grade not recorded (%) 3 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 0 85 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 226 1253 29766
Seen by Clinical Nurse Specialist (%) 96 91 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 63 315 7226
Undergoing major resection (%) 84 90 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 59 651 16474
Distant metastases (%) N/A 5 6
Urgent or emergency surgery (%) 8 15 15
At least 12 lymph nodes excised (%) 0 80 84
Laparoscopic surgery attempted (%) 86 86 72
Risk-adjusted length of stay > 5 days (%) N/A 55 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 22 417 10641
Adjuvant chemotherapy (%) 45 58 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 14 173 3899
Neoadjuvant therapy (%) 18 17 32
Circumferential resection margin: Recorded (%) 0 88 86
Circumferential resection margin: Negative (%) 0 86 79
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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