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 Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site thoracic surgical team
  • 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 105 528 35779
Case ascertainment (%) Fair Fair Good
Data completeness of:
– Pre-treatment TNM (%) 99 82 86
– Performance status (%) 99 62 89
Patients having major resection: Trust Network National
Number of patients in Audit 45 345 19631
ASA grade 1 (%) 13 18 9
ASA grade 2 (%) 67 51 53
ASA grade 3 (%) 20 30 31
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) N/A 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 11 86 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 105 528 35779
Seen by Clinical Nurse Specialist (%) 60 85 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 45 345 19614
Distant metastases (%) N/A 9 5
Urgent or emergency surgery (%) 71 17 15
At least 12 lymph nodes excised (%) 6 83 84
Laparoscopic surgery attempted (%) 76 73 72
Risk-adjusted length of stay > 5 days (%) N/A 66 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 28 N/A 10747
Adjuvant chemotherapy (%) 64 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 20 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 28 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A N/A 4251
Neoadjuvant therapy (%) N/A N/A 33
Circumferential resection margin: Recorded (%) N/A 91 89
Circumferential resection margin: Negative (%) N/A 86 83
Rectal volume 10 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 43 241 19644
APER/Hartmanns (%) 9 24 37

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