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
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 95 898 30541
Case ascertainment (%) 87 70 93
Data completeness of:
– Pre-treatment TNM (%) 79 81 78
– Performance status (%) 98 99 85
Patients having major resection: Trust Network National
Number of patients in Audit 64 526 19183
ASA grade 1 (%) 14 20 12
ASA grade 2 (%) 47 45 52
ASA grade 3 (%) 34 19 27
ASA grade 4+ (%) 3 1 2
ASA grade not recorded (%) 2 14 7
Data completeness of:
7 Audit items for risk-adjustment (%) 83 72 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 95 898 30424
Seen by Clinical Nurse Specialist (%) 99 99 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 64 526 19222
Distant metastases (%) 11 10 8
Urgent or emergency surgery (%) 14 18 17
At least 12 lymph nodes excised (%) 81 87 87
Laparoscopic surgery attempted (%) 67 67 66
Risk-adjusted length of stay > 5 days (%) 87 75 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 15 97 4503
Neoadjuvant therapy (%) N/A 40 36
Circumferential resection margin: Present (%) 100 69 84
Circumferential resection margin: Negative (%) 87 61 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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