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/

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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 PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • 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 372 1501 38604
Data completeness of:
– Completed stage 1-4 (%) 91 87 82
– Performance status (%) 80 79 74
Patients having major resection: Trust Network National
Number of patients in Audit 251 839 21702
Performance status 0 (%) 41 48 50
Performance status 1 (%) 36 29 22
Performance status 2 (%) 7 5 5
Performance status 3 (%) 2 1 1
Performance status 4 or not recorded (%) 14 16 21
Data completeness of:
7 Audit items for risk-adjustment (%) 37 43 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 372 1501 38604
Clinical Nurse Specialist (CNS) information recorded (%) 74 75 65
Seen by CNS if CNS record present (%) 71 80 94

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 251 839 21702
Distant metastases (%) 10 6 7
Emergency surgery (%) 12 11 13
At least 12 lymph nodes excised (%) 6 34 53
Laparoscopic surgery attempted (%) 53 65 65
Risk-adjusted length of stay > 5 days (%) 63 68 59
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 84 393 12052
Adjuvant chemotherapy (%) 56 64 66

Rectal cancer patients

Patients having major resection: Trust Network National
Neoadjuvant therapy (%) 77 57 34
Rectal volume 63 190 4753
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 397 1083 23317
APER/Hartmanns (%) 43 36 35

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