East Suffolk and North Essex NHS Foundation Trust

The East Suffolk and North Essex NHS Foundation Trust incorporates Colchester General Hospital and Ipswich Hospital https://www.esneft.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
    • Routine Genetic Testing for Lynch Syndrome
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 490 2077 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 93 83 85
– Performance status (%) 100 92 86
Patients having major resection: Trust Network National
Number of patients in Audit 196 1166 18552
ASA grade 1 (%) 8 10 9
ASA grade 2 (%) 68 54 53
ASA grade 3 (%) 21 33 30
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) 0 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 85 88 89

Key:

>= 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit N/A N/A N/A
Seen by Clinical Nurse Specialist (%) 93 89 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 191 610 8157
Undergoing major resection (%) 79 83 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 196 1166 18515
Distant metastases (%) 2 4 6
Urgent or emergency surgery (%) 8 20 21
At least 12 lymph nodes excised (%) 81 83 86
Laparoscopic surgery attempted (%) 89 74 71
Risk-adjusted length of stay > 5 days (%) 47 53 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 147 637 10335
Adjuvant chemotherapy (%) 54 55 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 31 253 4137
Neoadjuvant therapy (%) 20 32 34
Circumferential resection margin: Negative (%) 81 85 84
Circumferential resection margin: Recorded (%) 81 88 90
APER rate (%) 13 25 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 256 1175 17956
APER/Hartmanns (%) 26 32 37

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