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 298 1245 29766
Case ascertainment (%) 99 87 90
Data completeness of:
– Pre-treatment TNM (%) 90 86 83
– Performance status (%) 95 97 85
Patients having major resection: Trust Network National
Number of patients in Audit 180 720 16499
ASA grade 1 (%) 4 9 10
ASA grade 2 (%) 71 58 53
ASA grade 3 (%) 22 29 30
ASA grade 4+ (%) 2 2 3
ASA grade not recorded (%) 1 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 2 68 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 298 1245 29766
Seen by Clinical Nurse Specialist (%) 93 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 75 324 7226
Undergoing major resection (%) 88 91 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 180 720 16474
Distant metastases (%) 0 6 6
Urgent or emergency surgery (%) 18 13 15
At least 12 lymph nodes excised (%) 1 68 84
Laparoscopic surgery attempted (%) 76 62 72
Risk-adjusted length of stay > 5 days (%) N/A 72 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 93 470 10641
Adjuvant chemotherapy (%) 62 58 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 45 159 3899
Neoadjuvant therapy (%) 16 24 32
Circumferential resection margin: Recorded (%) 4 69 86
Circumferential resection margin: Negative (%) 4 62 79
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

Compare trust outcomes

Copyright © 2024 National Bowel Cancer Audit | Lovingly Crafted by Mixd