Lewisham and Greenwich NHS Trust

The Lewisham and Greenwich NHS Trust incorporates Lewisham Hospital in London and Queen Elizabeth Hospital in Woolwich https://www.lewishamandgreenwich.nhs.uk/

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This trust offers the following services:

  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Diagnostic and pre-operative services:
    • Routine Genetic Testing for Lynch Syndrome
  • Support service facilities:
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 171 606 35779
Case ascertainment (%) Fair Fair Good
Data completeness of:
– Pre-treatment TNM (%) 84 79 86
– Performance status (%) 96 90 89
Patients having major resection: Trust Network National
Number of patients in Audit 105 453 19631
ASA grade 1 (%) 3 10 9
ASA grade 2 (%) 77 60 53
ASA grade 3 (%) 20 26 31
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) N/A 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 95 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 171 606 35779
Seen by Clinical Nurse Specialist (%) 97 94 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 105 453 19614
Distant metastases (%) 2 3 5
Urgent or emergency surgery (%) 4 8 15
At least 12 lymph nodes excised (%) 100 92 84
Laparoscopic surgery attempted (%) 96 71 72
Risk-adjusted length of stay > 5 days (%) 62 68 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 73 N/A 10747
Adjuvant chemotherapy (%) 78 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 56 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 20 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 24 N/A 4251
Neoadjuvant therapy (%) 9 N/A 33
Circumferential resection margin: Recorded (%) 100 97 89
Circumferential resection margin: Negative (%) 96 85 83
Rectal volume 23 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 94 446 19644
APER/Hartmanns (%) 16 35 37

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