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/

View Trust Services

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
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team

Data Quality

All Patients: Trust Network National
Number of patients in Audit 450 3150 28013
Case ascertainment (%) 109 97 93
Data completeness of:
– Pre-treatment TNM (%) 54 54 71
– Performance status (%) 90 64 77
Patients having major resection: Trust Network National
Number of patients in Audit 252 1907 18809
ASA grade 1 (%) 8 10 14
ASA grade 2 (%) 68 53 53
ASA grade 3 (%) 21 24 25
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) N/A 9 5
Data completeness of:
7 Audit items for risk-adjustment (%) 73 70 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 450 3150 30122
Seen by Clinical Nurse Specialist (%) 73 87 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 252 1907 18809
Distant metastases (%) 12 10 9
Urgent or emergency surgery (%) 11 17 16
Median number of lymph nodes excised 16 16 17
Laparoscopic surgery attempted (%) 37 59 61
Length of stay > 5 days (%) 70 71 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 76 483 4769
Neoadjuvant therapy (%) 20 26 37
Circumferential resection margin: Recorded (%) 18 28 25
Circumferential resection margin: Positive (%) 5 8 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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