Hull and East Yorkshire Hospitals NHS Trust

The Hull and East Yorkshire Hospitals NHS Trust incorporates Hull Royal Infirmary and Castle Hill Hospital in Hull [https://www.hey.nhs.uk/].https://www.hey.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
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy
    • Extended lymphadenectomy
    • Intraoperative RTX
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 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 373 1018 38604
Data completeness of:
– Completed stage 1-4 (%) 88 90 82
– Performance status (%) 82 84 74
Patients having major resection: Trust Network National
Number of patients in Audit 250 643 21702
Performance status 0 (%) 58 54 50
Performance status 1 (%) 21 26 22
Performance status 2 (%) 5 7 5
Performance status 3 (%) 1 1 1
Performance status 4 or not recorded (%) 15 12 21
Data completeness of:
7 Audit items for risk-adjustment (%) 71 75 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 373 1018 38604
Clinical Nurse Specialist (CNS) information recorded (%) 73 63 65
Seen by CNS if CNS record present (%) 98 93 94

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 250 643 21702
Distant metastases (%) 4 8 7
Emergency surgery (%) 13 16 13
At least 12 lymph nodes excised (%) 58 57 53
Laparoscopic surgery attempted (%) 36 49 65
Risk-adjusted length of stay > 5 days (%) 69 62 59
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 149 375 12052
Adjuvant chemotherapy (%) 71 69 66

Rectal cancer patients

Patients having major resection: Trust Network National
Neoadjuvant therapy (%) 40 49 34
Rectal volume 49 144 4753
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 274 685 23317
APER/Hartmanns (%) 37 38 35

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