Kettering General Hospital NHS Foundation Trust

The Kettering General Hospital NHS Foundation Trust incorporates Kettering General Hospital http://www.kgh.nhs.uk/welcome/

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This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 180 2189 31676
Case ascertainment (%) 113 98 95
Data completeness of:
– Pre-treatment TNM (%) 67 66 80
– Performance status (%) 88 74 86
Patients having major resection: Trust Network National
Number of patients in Audit 115 1282 19218
ASA grade 1 (%) 5 7 11
ASA grade 2 (%) 63 53 53
ASA grade 3 (%) 27 29 28
ASA grade 4+ (%) 3 3 3
ASA grade not recorded (%) 3 8 5
Data completeness of:
7 Audit items for risk-adjustment (%) 95 87 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 180 2189 31676
Seen by Clinical Nurse Specialist (%) 34 80 87
All patients deemed potentially curative? Trust Network National
Number of patients 34 405 7416
Major resection rate in potentially curative patients (%) 100 84 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 115 1282 19218
Distant metastases (%) 4 8 8
Urgent or emergency surgery (%) 12 15 15
At least 12 lymph nodes excised (%) 91 88 84
Laparoscopic surgery attempted (%) 69 61 69
Risk-adjusted length of stay > 5 days (%) 59 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 103 817 11837
Adjuvant chemotherapy (%) 72 67 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 31 313 4588
Neoadjuvant therapy (%) 19 38 33
Circumferential resection margin: Negative (%) 90 90 80
Circumferential resection margin: Recorded (%) 94 96 90
APER rate (%) 16 26 25

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