North Middlesex University Hospital NHS Trust

The North Middlesex University Hospital NHS Trust incorporates North Middlesex Hospital, Enfield and Haringey http://www.northmid.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 97 407 29766
Case ascertainment (%) 107 69 90
Data completeness of:
– Pre-treatment TNM (%) 98 72 83
– Performance status (%) 42 71 85
Patients having major resection: Trust Network National
Number of patients in Audit 33 254 16499
ASA grade 1 (%) 6 28 10
ASA grade 2 (%) 52 55 53
ASA grade 3 (%) 18 13 30
ASA grade 4+ (%) 0 1 3
ASA grade not recorded (%) 24 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 76 91 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 97 407 29766
Seen by Clinical Nurse Specialist (%) 25 78 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 14 76 7226
Undergoing major resection (%) 64 92 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 33 254 16474
Distant metastases (%) 6 9 6
Urgent or emergency surgery (%) 79 20 15
At least 12 lymph nodes excised (%) 85 83 84
Laparoscopic surgery attempted (%) 94 77 72
Risk-adjusted length of stay > 5 days (%) N/A 78 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 26 172 10641
Adjuvant chemotherapy (%) 65 64 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A 35 3899
Neoadjuvant therapy (%) N/A 24 32
Circumferential resection margin: Recorded (%) N/A 91 86
Circumferential resection margin: Negative (%) N/A 89 79
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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