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 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
    • On-site psychology services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 354 874 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 96 96 85
– Performance status (%) 72 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 225 604 18552
ASA grade 1 (%) 4 4 9
ASA grade 2 (%) 25 38 53
ASA grade 3 (%) 60 50 30
ASA grade 4+ (%) 2 4 2
ASA grade not recorded (%) 8 3 6
Data completeness of:
7 Audit items for risk-adjustment (%) 90 96 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 354 874 29766
Seen by Clinical Nurse Specialist (%) 60 79 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 105 239 8157
Undergoing major resection (%) 93 88 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 225 604 18515
Distant metastases (%) 9 7 6
Urgent or emergency surgery (%) 45 31 21
At least 12 lymph nodes excised (%) 78 83 86
Laparoscopic surgery attempted (%) 31 58 71
Risk-adjusted length of stay > 5 days (%) 72 61 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 130 349 10335
Adjuvant chemotherapy (%) 68 64 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 57 140 4137
Neoadjuvant therapy (%) 53 41 34
Circumferential resection margin: Recorded (%) 93 96 90
Circumferential resection margin: Negative (%) 81 84 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 173 589 17956
APER/Hartmanns (%) 35 50 37

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