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 343 3507 29766
Case ascertainment (%) 90 97 90
Data completeness of:
– Pre-treatment TNM (%) 79 80 83
– Performance status (%) 97 86 85
Patients having major resection: Trust Network National
Number of patients in Audit 215 2012 16499
ASA grade 1 (%) 6 10 10
ASA grade 2 (%) 51 50 53
ASA grade 3 (%) 40 34 30
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) 0 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 93 88 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 343 3507 29766
Seen by Clinical Nurse Specialist (%) 98 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 215 2012 16474
Distant metastases (%) 3 4 6
Urgent or emergency surgery (%) 12 16 15
At least 12 lymph nodes excised (%) 86 82 84
Laparoscopic surgery attempted (%) 93 74 72
Risk-adjusted length of stay > 5 days (%) 63 59 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 43 503 3899
Neoadjuvant therapy (%) 38 30 32
Circumferential resection margin: Negative (%) 91 81 79
Circumferential resection margin: Recorded (%) 98 88 86
APER rate (%) 19 23 24

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