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/

View Trust Services

This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Oncology services:
    • On-site chemotherapy services
  • 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 243 1968 28013
Case ascertainment (%) 95 76 93
Data completeness of:
– Pre-treatment TNM (%) 95 79 71
– Performance status (%) 99 84 77
Patients having major resection: Trust Network National
Number of patients in Audit 141 1310 18809
ASA grade 1 (%) 12 14 14
ASA grade 2 (%) 65 50 53
ASA grade 3 (%) 21 23 25
ASA grade 4+ (%) 2 4 3
ASA grade not recorded (%) N/A 10 5
Data completeness of:
7 Audit items for risk-adjustment (%) 99 78 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 243 1968 30122
Seen by Clinical Nurse Specialist (%) 100 95 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 141 1310 18809
Distant metastases (%) 8 11 9
Urgent or emergency surgery (%) 13 14 16
Median number of lymph nodes excised 17 18 17
Laparoscopic surgery attempted (%) 46 56 61
Length of stay > 5 days (%) 71 72 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 37 314 4769
Neoadjuvant therapy (%) 50 39 37
Circumferential resection margin: Recorded (%) 3 10 25
Circumferential resection margin: Positive (%) 3 11 7
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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