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:
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 247 1412 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 98 87 85
– Performance status (%) 100 85 86
Patients having major resection: Trust Network National
Number of patients in Audit 150 868 18552
ASA grade 1 (%) 6 8 9
ASA grade 2 (%) 64 55 53
ASA grade 3 (%) 29 29 30
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) N/A 6 6
Data completeness of:
7 Audit items for risk-adjustment (%) 92 88 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 247 1412 29766
Seen by Clinical Nurse Specialist (%) 100 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 63 344 8157
Undergoing major resection (%) 90 85 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 150 868 18515
Distant metastases (%) 3 6 6
Urgent or emergency surgery (%) 8 12 21
At least 12 lymph nodes excised (%) 89 89 86
Laparoscopic surgery attempted (%) 71 83 71
Risk-adjusted length of stay > 5 days (%) 80 56 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 47 430 10335
Adjuvant chemotherapy (%) 53 61 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 38 198 4137
Neoadjuvant therapy (%) 18 17 34
Circumferential resection margin: Recorded (%) 84 86 90
Circumferential resection margin: Negative (%) 76 80 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 101 819 17956
APER/Hartmanns (%) 38 36 37

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