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
    • 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 231 1745 29766
Case ascertainment (%) 51 86 90
Data completeness of:
– Pre-treatment TNM (%) 98 81 83
– Performance status (%) 34 90 85
Patients having major resection: Trust Network National
Number of patients in Audit 141 976 16499
ASA grade 1 (%) 6 14 10
ASA grade 2 (%) 63 53 53
ASA grade 3 (%) 29 30 30
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 0 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 71 85 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 231 1745 29766
Seen by Clinical Nurse Specialist (%) 81 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 141 976 16474
Distant metastases (%) 3 5 6
Urgent or emergency surgery (%) 3 15 15
At least 12 lymph nodes excised (%) 65 78 84
Laparoscopic surgery attempted (%) 72 70 72
Risk-adjusted length of stay > 5 days (%) 62 64 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 33 246 3899
Neoadjuvant therapy (%) 23 30 32
Circumferential resection margin: Negative (%) 58 79 79
Circumferential resection margin: Recorded (%) 58 81 86
APER rate (%) 27 22 24

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