North Cumbria Integrated Care NHS Foundation Trust

The North Cumbria Integrated Care NHS Foundation Trust incorporates West Cumberland Hospital in Whitehaven and Cumberland Infirmary in Carlisle https://www.ncic.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice
    • On-site psychology services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 209 2111 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 91 87 85
– Performance status (%) 98 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 112 1131 18552
ASA grade 1 (%) 13 9 9
ASA grade 2 (%) 63 48 53
ASA grade 3 (%) 19 34 30
ASA grade 4+ (%) 4 3 2
ASA grade not recorded (%) 1 6 6
Data completeness of:
7 Audit items for risk-adjustment (%) 87 92 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 209 2111 29766
Seen by Clinical Nurse Specialist (%) 96 79 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 54 589 8157
Undergoing major resection (%) 80 81 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 112 1131 18515
Distant metastases (%) 7 5 6
Urgent or emergency surgery (%) 10 16 21
At least 12 lymph nodes excised (%) 68 87 86
Laparoscopic surgery attempted (%) 98 83 71
Risk-adjusted length of stay > 5 days (%) 67 51 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 48 705 10335
Adjuvant chemotherapy (%) 75 57 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 19 266 4137
Neoadjuvant therapy (%) 30 42 34
Circumferential resection margin: Recorded (%) 89 92 90
Circumferential resection margin: Negative (%) 89 86 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 87 1207 17956
APER/Hartmanns (%) 41 39 37

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