James Paget University Hospitals NHS Foundation Trust

The James Paget University Hospitals NHS Foundation Trust incorporates James Paget University Hospital in Great Yarmouth http://www.jpaget.nhs.uk/

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 185 2310 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 90 86 86
– Performance status (%) 76 98 89
Patients having major resection: Trust Network National
Number of patients in Audit 88 1175 19631
ASA grade 1 (%) 3 7 9
ASA grade 2 (%) 38 55 53
ASA grade 3 (%) 50 36 31
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) 7 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 89 88 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 185 2310 35779
Seen by Clinical Nurse Specialist (%) 84 86 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 88 1175 19614
Distant metastases (%) 2 4 5
Urgent or emergency surgery (%) 10 12 15
At least 12 lymph nodes excised (%) 77 81 84
Laparoscopic surgery attempted (%) 93 68 72
Risk-adjusted length of stay > 5 days (%) 58 58 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 44 N/A 10747
Adjuvant chemotherapy (%) 52 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 23 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 17 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 24 N/A 4251
Neoadjuvant therapy (%) 9 N/A 33
Circumferential resection margin: Recorded (%) 96 86 89
Circumferential resection margin: Negative (%) 88 80 83
Rectal volume 22 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 101 1244 19644
APER/Hartmanns (%) 35 35 37

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