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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 432 3496 30541
Case ascertainment (%) 95 97 93
Data completeness of:
– Pre-treatment TNM (%) 63 62 78
– Performance status (%) 95 88 85
Patients having major resection: Trust Network National
Number of patients in Audit 259 2168 19183
ASA grade 1 (%) 7 11 12
ASA grade 2 (%) 57 56 52
ASA grade 3 (%) 34 29 27
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) 1 2 7
Data completeness of:
7 Audit items for risk-adjustment (%) 94 79 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 432 3496 30424
Seen by Clinical Nurse Specialist (%) 77 90 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 259 2168 19222
Distant metastases (%) 4 7 8
Urgent or emergency surgery (%) 1 14 17
At least 12 lymph nodes excised (%) 86 88 87
Laparoscopic surgery attempted (%) 63 69 66
Risk-adjusted length of stay > 5 days (%) 69 67 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 64 484 4503
Neoadjuvant therapy (%) 25 30 36
Circumferential resection margin: Present (%) 95 87 84
Circumferential resection margin: Negative (%) 94 81 77
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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