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 and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 140 1745 29766
Case ascertainment (%) 109 86 90
Data completeness of:
– Pre-treatment TNM (%) 83 81 83
– Performance status (%) 99 90 85
Patients having major resection: Trust Network National
Number of patients in Audit 80 976 16499
ASA grade 1 (%) 6 14 10
ASA grade 2 (%) 43 53 53
ASA grade 3 (%) 46 30 30
ASA grade 4+ (%) 5 3 3
ASA grade not recorded (%) 0 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 100 85 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 140 1745 29766
Seen by Clinical Nurse Specialist (%) 75 91 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 38 489 7226
Undergoing major resection (%) 89 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 80 976 16474
Distant metastases (%) 16 5 6
Urgent or emergency surgery (%) 28 15 15
At least 12 lymph nodes excised (%) 77 78 84
Laparoscopic surgery attempted (%) 80 70 72
Risk-adjusted length of stay > 5 days (%) 61 64 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 59 681 10641
Adjuvant chemotherapy (%) 36 52 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 16 246 3899
Neoadjuvant therapy (%) 43 30 32
Circumferential resection margin: Recorded (%) 88 81 86
Circumferential resection margin: Negative (%) 81 79 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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