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 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 144 1808 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 89 82 86
– Performance status (%) 90 97 88
Patients having major resection: Trust Network National
Number of patients in Audit 67 1002 15891
ASA grade 1 (%) 4 8 8
ASA grade 2 (%) 46 56 52
ASA grade 3 (%) 46 30 31
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) N/A 4 7
Data completeness of:
7 Audit items for risk-adjustment (%) 97 84 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 144 1808 28523
Seen by Clinical Nurse Specialist (%) 83 83 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 40 525 7393
Undergoing major resection (%) 75 79 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 67 1002 15855
Distant metastases (%) 11 5 7
Urgent or emergency surgery (%) 19 23 20
At least 12 lymph nodes excised (%) 81 80 86
Laparoscopic surgery attempted (%) 84 65 67
Risk-adjusted length of stay > 5 days (%) 78 60 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 46 649 10794
Adjuvant chemotherapy (%) 43 57 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 14 207 3481
Neoadjuvant therapy (%) 14 38 38
Circumferential resection margin: Recorded (%) 93 84 89
Circumferential resection margin: Negative (%) 93 76 82
Rectal volume 15 201 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 102 1279 19595
APER/Hartmanns (%) 38 34 36

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