North Cumbria University Hospitals NHS Trust

The North Cumbria University Hospitals NHS Trust incorporates West Cumberland Hospital in Whitehaven and Cumberland Infirmary in Carlisle http://www.ncuh.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
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 206 1895 28013
Case ascertainment (%) 82 95 93
Data completeness of:
– Pre-treatment TNM (%) 73 74 71
– Performance status (%) 59 76 77
Patients having major resection: Trust Network National
Number of patients in Audit 138 1267 18809
ASA grade 1 (%) 7 9 14
ASA grade 2 (%) 49 49 53
ASA grade 3 (%) 43 35 25
ASA grade 4+ (%) 2 5 3
ASA grade not recorded (%) N/A 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 94 89 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 206 1895 30122
Seen by Clinical Nurse Specialist (%) 92 92 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 138 1267 18809
Distant metastases (%) 11 9 9
Urgent or emergency surgery (%) 20 18 16
Median number of lymph nodes excised 14 17 17
Laparoscopic surgery attempted (%) 62 75 61
Length of stay > 5 days (%) 69 64 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 32 324 4769
Neoadjuvant therapy (%) 50 36 37
Circumferential resection margin: Recorded (%) 3 11 25
Circumferential resection margin: Positive (%) 6 6 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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