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:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 156 437 29766
Case ascertainment (%) 67 93 90
Data completeness of:
– Pre-treatment TNM (%) 78 78 83
– Performance status (%) 99 97 85
Patients having major resection: Trust Network National
Number of patients in Audit 100 342 16499
ASA grade 1 (%) 20 14 10
ASA grade 2 (%) 54 51 53
ASA grade 3 (%) 24 30 30
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) 0 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 98 95 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 156 437 29766
Seen by Clinical Nurse Specialist (%) 97 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 36 95 7226
Undergoing major resection (%) 92 88 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 100 342 16474
Distant metastases (%) 2 7 6
Urgent or emergency surgery (%) 17 13 15
At least 12 lymph nodes excised (%) 88 91 84
Laparoscopic surgery attempted (%) 70 58 72
Risk-adjusted length of stay > 5 days (%) 65 67 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 100 246 10641
Adjuvant chemotherapy (%) 71 67 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 14 75 3899
Neoadjuvant therapy (%) 33 47 32
Circumferential resection margin: Negative (%) 100 85 79
Circumferential resection margin: Recorded (%) 100 100 86
APER rate (%) 14 20 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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