Harrogate and District NHS Foundation Trust

The Harrogate and District NHS Foundation Trust incorporates Harrogate District Hospital https://www.hdft.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Support service facilities:
    • 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 246 1703 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 78 86 86
– Performance status (%) 84 76 89
Patients having major resection: Trust Network National
Number of patients in Audit 85 821 19631
ASA grade 1 (%) 14 5 9
ASA grade 2 (%) 60 59 53
ASA grade 3 (%) 22 22 31
ASA grade 4+ (%) 1 1 2
ASA grade not recorded (%) 2 13 4
Data completeness of:
7 Audit items for risk-adjustment (%) 96 84 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 246 1703 35779
Seen by Clinical Nurse Specialist (%) 89 76 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 85 821 19614
Distant metastases (%) 7 5 5
Urgent or emergency surgery (%) 9 20 15
At least 12 lymph nodes excised (%) 94 90 84
Laparoscopic surgery attempted (%) 91 81 72
Risk-adjusted length of stay > 5 days (%) 53 63 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 36 N/A 10747
Adjuvant chemotherapy (%) 75 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 27 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 16 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 14 N/A 4251
Neoadjuvant therapy (%) 72 N/A 33
Circumferential resection margin: Recorded (%) 100 96 89
Circumferential resection margin: Negative (%) 93 90 83
Rectal volume 16 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 87 909 19644
APER/Hartmanns (%) 26 31 37

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