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/

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Complex vascular reconstruction
    • Extended lymphadenectomy

Data Quality

All Patients: Trust Network National
Number of patients in Audit 206 912 31676
Case ascertainment (%) 85 100 95
Data completeness of:
– Pre-treatment TNM (%) 96 89 80
– Performance status (%) 100 98 86
Patients having major resection: Trust Network National
Number of patients in Audit N/A 407 19218
ASA grade 1 (%) N/A 9 11
ASA grade 2 (%) N/A 61 53
ASA grade 3 (%) N/A 28 28
ASA grade 4+ (%) N/A 1 3
ASA grade not recorded (%) N/A 1 5
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 97 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 206 912 31676
Seen by Clinical Nurse Specialist (%) 92 92 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 36 195 7416
Undergoing major resection (%) 92 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit N/A 407 19218
Distant metastases (%) N/A 7 8
Urgent or emergency surgery (%) N/A 10 15
At least 12 lymph nodes excised (%) N/A 83 84
Laparoscopic surgery attempted (%) N/A 60 69
Risk-adjusted length of stay > 5 days (%) N/A 65 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 65 373 11837
Adjuvant chemotherapy (%) 80 65 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 114 4588
Neoadjuvant therapy (%) N/A 34 33
Circumferential resection margin: Recorded (%) N/A 96 90
Circumferential resection margin: Negative (%) N/A 84 80
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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