Norfolk and Norwich University Hospitals NHS Foundation Trust

The Norfolk and Norwich University Hospitals NHS Foundation Trust incorporates Norfolk & Norwich University Hospital http://www.nnuh.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 397 3626 31676
Case ascertainment (%) 100 101 95
Data completeness of:
– Pre-treatment TNM (%) 74 71 80
– Performance status (%) 90 89 86
Patients having major resection: Trust Network National
Number of patients in Audit 241 2090 19218
ASA grade 1 (%) 10 13 11
ASA grade 2 (%) 57 52 53
ASA grade 3 (%) 30 30 28
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 2 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 84 83 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 397 3626 31676
Seen by Clinical Nurse Specialist (%) 81 86 87
All patients deemed potentially curative? Trust Network National
Number of patients 125 756 7416
Major resection rate in potentially curative patients (%) 83 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 241 2090 19218
Distant metastases (%) 5 8 8
Urgent or emergency surgery (%) 1 14 15
At least 12 lymph nodes excised (%) 84 79 84
Laparoscopic surgery attempted (%) 67 75 69
Risk-adjusted length of stay > 5 days (%) 56 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 160 1337 11837
Adjuvant chemotherapy (%) 54 55 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 57 533 4588
Neoadjuvant therapy (%) 37 25 33
Circumferential resection margin: Negative (%) 91 80 80
Circumferential resection margin: Recorded (%) 100 88 90
APER rate (%) 32 21 25

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