East Lancashire Hospitals NHS Trust

The East Lancashire Hospitals NHS Trust incorporates Royal Blackburn Hospital and Burnley General Hospital http://www.elht.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 252 1100 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 97 89 86
– Performance status (%) 100 98 89
Patients having major resection: Trust Network National
Number of patients in Audit 149 553 19631
ASA grade 1 (%) 18 13 9
ASA grade 2 (%) 44 57 53
ASA grade 3 (%) 11 20 31
ASA grade 4+ (%) 2 3 2
ASA grade not recorded (%) 26 7 4
Data completeness of:
7 Audit items for risk-adjustment (%) 72 75 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 252 1100 35779
Seen by Clinical Nurse Specialist (%) 89 95 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 149 553 19614
Distant metastases (%) 6 7 5
Urgent or emergency surgery (%) 16 11 15
At least 12 lymph nodes excised (%) 93 78 84
Laparoscopic surgery attempted (%) 55 62 72
Risk-adjusted length of stay > 5 days (%) 84 68 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 100 N/A 10747
Adjuvant chemotherapy (%) 73 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 72 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 33 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 40 N/A 4251
Neoadjuvant therapy (%) 32 N/A 33
Circumferential resection margin: Recorded (%) 93 79 89
Circumferential resection margin: Negative (%) 80 70 83
Rectal volume 34 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 181 524 19644
APER/Hartmanns (%) 34 37 37

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