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/)

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
    • Intraoperative RTX
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 317 919 29766
Case ascertainment (%) 93 98 90
Data completeness of:
– Pre-treatment TNM (%) 88 90 83
– Performance status (%) 67 88 85
Patients having major resection: Trust Network National
Number of patients in Audit 191 585 16499
ASA grade 1 (%) 3 3 10
ASA grade 2 (%) 7 31 53
ASA grade 3 (%) 2 34 30
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 88 29 4
Data completeness of:
7 Audit items for risk-adjustment (%) 10 67 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 317 919 29766
Seen by Clinical Nurse Specialist (%) 50 80 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 89 216 7226
Undergoing major resection (%) 92 89 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 191 585 16474
Distant metastases (%) 6 6 6
Urgent or emergency surgery (%) 16 18 15
At least 12 lymph nodes excised (%) 86 85 84
Laparoscopic surgery attempted (%) 33 51 72
Risk-adjusted length of stay > 5 days (%) N/A 63 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 123 336 10641
Adjuvant chemotherapy (%) 61 63 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 50 154 3899
Neoadjuvant therapy (%) 56 47 32
Circumferential resection margin: Recorded (%) 86 90 86
Circumferential resection margin: Negative (%) 82 82 79
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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