Lancashire Teaching Hospitals NHS Foundation Trust

The Lancashire Teaching Hospitals NHS Foundation Trust incorporates Royal Preston Hospital and Chorley & South Ribble Hospital http://www.lancsteachinghospitals.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 219 2626 28013
Case ascertainment (%) 79 98 93
Data completeness of:
– Pre-treatment TNM (%) 92 80 71
– Performance status (%) 100 88 77
Patients having major resection: Trust Network National
Number of patients in Audit 135 1599 18809
ASA grade 1 (%) 10 14 14
ASA grade 2 (%) 49 53 53
ASA grade 3 (%) 31 29 25
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) 7 1 5
Data completeness of:
7 Audit items for risk-adjustment (%) 91 91 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 219 2626 30122
Seen by Clinical Nurse Specialist (%) 80 94 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 135 1599 18809
Distant metastases (%) 5 10 9
Urgent or emergency surgery (%) 11 16 16
Median number of lymph nodes excised 10 15 17
Laparoscopic surgery attempted (%) 60 53 61
Length of stay > 5 days (%) 78 78 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 37 387 4769
Neoadjuvant therapy (%) 39 63 37
Circumferential resection margin: Recorded (%) 19 26 25
Circumferential resection margin: Positive (%) 5 6 7
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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