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 81 543 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 93 79 85
– Performance status (%) 53 67 86
Patients having major resection: Trust Network National
Number of patients in Audit 49 360 18552
ASA grade 1 (%) 12 13 9
ASA grade 2 (%) 53 54 53
ASA grade 3 (%) 31 28 30
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) 4 4 6
Data completeness of:
7 Audit items for risk-adjustment (%) 94 91 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 81 543 29766
Seen by Clinical Nurse Specialist (%) 14 73 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 19 120 8157
Undergoing major resection (%) 84 92 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 49 360 18515
Distant metastases (%) 2 8 6
Urgent or emergency surgery (%) 35 16 21
At least 12 lymph nodes excised (%) 92 88 86
Laparoscopic surgery attempted (%) 98 78 71
Risk-adjusted length of stay > 5 days (%) 95 79 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 31 167 10335
Adjuvant chemotherapy (%) 65 59 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 10 72 4137
Neoadjuvant therapy (%) N/A 12 34
Circumferential resection margin: Recorded (%) 100 90 90
Circumferential resection margin: Negative (%) 80 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 38 219 17956
APER/Hartmanns (%) 11 27 37

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