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/

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This trust offers the following services:

  • Diagnostic & pre-operative services:
    • On-site MRI liver facilities
  • Oncology services:
    • On-site chemotherapy services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 166 3496 30541
Case ascertainment (%) 102 97 93
Data completeness of:
– Pre-treatment TNM (%) 83 62 78
– Performance status (%) 100 88 85
Patients having major resection: Trust Network National
Number of patients in Audit 101 2168 19183
ASA grade 1 (%) 7 11 12
ASA grade 2 (%) 31 56 52
ASA grade 3 (%) 56 29 27
ASA grade 4+ (%) 6 2 2
ASA grade not recorded (%) 0 2 7
Data completeness of:
7 Audit items for risk-adjustment (%) 90 79 83

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 166 3496 30424
Seen by Clinical Nurse Specialist (%) 83 90 93
Treatment Pathway:
– Curative major resection (%) 49 59 59
– Non-curative major resection (%) 10 4 4
– No major resection: too little cancer (%) 1 4 4
– No major resection: too much cancer / too frail (%) 22 15 17
– No major resection: unknown / other reason (%) 17 18 16

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 101 2168 19222
Distant metastases (%) 5 7 8
Urgent or emergency surgery (%) 31 14 17
At least 12 lymph nodes excised (%) 77 88 87
Laparoscopic surgery attempted (%) 79 69 66
Risk-adjusted length of stay > 5 days (%) 67 67 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 21 484 4503
Neoadjuvant therapy (%) 9 30 36
Circumferential resection margin: Negative (%) 86 81 77
Circumferential resection margin: Present (%) 90 87 84
APER rate (%) 19 24 26

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