Gateshead Health NHS Foundation Trust

The Gateshead Health NHS Foundation Trust incorporates Queen Elizabeth Hospital in Gateshead http://www.qegateshead.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Extended lymphadenectomy
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 172 2000 31676
Case ascertainment (%) 112 103 95
Data completeness of:
– Pre-treatment TNM (%) 66 77 80
– Performance status (%) 98 81 86
Patients having major resection: Trust Network National
Number of patients in Audit 98 1222 19218
ASA grade 1 (%) 48 14 11
ASA grade 2 (%) 14 42 53
ASA grade 3 (%) 23 33 28
ASA grade 4+ (%) 3 4 3
ASA grade not recorded (%) 11 7 5
Data completeness of:
7 Audit items for risk-adjustment (%) 87 88 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 172 2000 31676
Seen by Clinical Nurse Specialist (%) 89 89 87
All patients deemed potentially curative? Trust Network National
Number of patients 39 510 7416
Major resection rate in potentially curative patients (%) 92 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 98 1222 19218
Distant metastases (%) 4 8 8
Urgent or emergency surgery (%) 12 15 15
At least 12 lymph nodes excised (%) 86 88 84
Laparoscopic surgery attempted (%) 94 83 69
Risk-adjusted length of stay > 5 days (%) 61 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 84 813 11837
Adjuvant chemotherapy (%) 70 60 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 25 283 4588
Neoadjuvant therapy (%) 59 36 33
Circumferential resection margin: Negative (%) 92 87 80
Circumferential resection margin: Recorded (%) 100 91 90
APER rate (%) 20 26 25

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