Leeds Teaching Hospitals NHS Trust

The Leeds Teaching Hospitals NHS Trust incorporates St James's University Hospital and Leeds General Infirmary http://www.leedsth.nhs.uk/

View Trust Services

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 PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy
    • Extended lymphadenectomy
  • 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 360 1326 29766
Case ascertainment (%) 92 101 90
Data completeness of:
– Pre-treatment TNM (%) 90 78 83
– Performance status (%) 12 54 85
Patients having major resection: Trust Network National
Number of patients in Audit 257 769 16499
ASA grade 1 (%) 9 12 10
ASA grade 2 (%) 62 52 53
ASA grade 3 (%) 23 20 30
ASA grade 4+ (%) 4 2 3
ASA grade not recorded (%) 3 14 4
Data completeness of:
7 Audit items for risk-adjustment (%) 83 69 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 360 1326 29766
Seen by Clinical Nurse Specialist (%) 67 80 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 92 240 7226
Undergoing major resection (%) 84 82 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 257 769 16474
Distant metastases (%) 11 10 6
Urgent or emergency surgery (%) 13 13 15
At least 12 lymph nodes excised (%) 73 72 84
Laparoscopic surgery attempted (%) 79 82 72
Risk-adjusted length of stay > 5 days (%) 78 71 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 151 489 10641
Adjuvant chemotherapy (%) 60 63 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 82 182 3899
Neoadjuvant therapy (%) 53 50 32
Circumferential resection margin: Negative (%) 70 63 79
Circumferential resection margin: Recorded (%) 80 69 86
APER rate (%) 33 23 24
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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