London North West Hospitals NHS Trust

The London North West Hospitals NHS Trust incorporates St Mark's Hospital and Northwick Park Hospital in Harrow, Central Middlesex Hospital in Park Royal, London and Ealing Hospital http://www.lnwh.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
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Surgical services:
    • 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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 286 1339 31676
Case ascertainment (%) 94 64 95
Data completeness of:
– Pre-treatment TNM (%) 77 80 80
– Performance status (%) 86 85 86
Patients having major resection: Trust Network National
Number of patients in Audit 211 888 19218
ASA grade 1 (%) 11 15 11
ASA grade 2 (%) 61 51 53
ASA grade 3 (%) 26 29 28
ASA grade 4+ (%) 2 2 3
ASA grade not recorded (%) 1 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 73 84 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 286 1339 31676
Seen by Clinical Nurse Specialist (%) 93 83 87
All patients deemed potentially curative? Trust Network National
Number of patients 73 344 7416
Major resection rate in potentially curative patients (%) 86 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 211 888 19218
Distant metastases (%) 9 7 8
Urgent or emergency surgery (%) 12 11 15
At least 12 lymph nodes excised (%) 90 88 84
Laparoscopic surgery attempted (%) 71 70 69
Risk-adjusted length of stay > 5 days (%) 71 72 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 115 536 11837
Adjuvant chemotherapy (%) 66 65 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 64 212 4588
Neoadjuvant therapy (%) 37 33 33
Circumferential resection margin: Negative (%) 72 82 80
Circumferential resection margin: Recorded (%) 73 86 90
APER rate (%) 20 17 25

Compare trust outcomes