University Hospitals Birmingham NHS Foundation Trust - Heartlands Hospital

The University Hospitals Birmingham NHS Foundation Trust - Heartlands Hospital incorporates Birmingham Heartlands Hospital https://www.uhb.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
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Surgical services:
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy

Data Quality

All Patients: Trust Network National
Number of patients in Audit 397 3445 31676
Case ascertainment (%) 106 100 95
Data completeness of:
– Pre-treatment TNM (%) 82 79 80
– Performance status (%) 100 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 256 2169 19218
ASA grade 1 (%) 11 11 11
ASA grade 2 (%) 61 53 53
ASA grade 3 (%) 25 30 28
ASA grade 4+ (%) 3 3 3
ASA grade not recorded (%) N/A 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 94 82 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 397 3445 31676
Seen by Clinical Nurse Specialist (%) 95 88 87
All patients deemed potentially curative? Trust Network National
Number of patients 91 845 7416
Major resection rate in potentially curative patients (%) 98 88 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 256 2169 19218
Distant metastases (%) 6 9 8
Urgent or emergency surgery (%) 18 17 15
At least 12 lymph nodes excised (%) 81 77 84
Laparoscopic surgery attempted (%) 80 74 69
Risk-adjusted length of stay > 5 days (%) 57 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 143 1249 11837
Adjuvant chemotherapy (%) 69 71 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 74 535 4588
Neoadjuvant therapy (%) 34 31 33
Circumferential resection margin: Negative (%) 91 80 80
Circumferential resection margin: Recorded (%) 95 88 90
APER rate (%) 26 28 25

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