North Tees and Hartlepool NHS Foundation Trust

The North Tees and Hartlepool NHS Foundation Trust incorporates University Hospital of North Tees in Stockton-on-Tees and University Hospital of Hartlepool in Hartlepool https://www.nth.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 247 2000 31676
Case ascertainment (%) 118 103 95
Data completeness of:
– Pre-treatment TNM (%) 93 77 80
– Performance status (%) 98 81 86
Patients having major resection: Trust Network National
Number of patients in Audit 117 1222 19218
ASA grade 1 (%) 8 14 11
ASA grade 2 (%) 50 42 53
ASA grade 3 (%) 37 33 28
ASA grade 4+ (%) 4 4 3
ASA grade not recorded (%) 1 7 5
Data completeness of:
7 Audit items for risk-adjustment (%) 99 88 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 247 2000 31676
Seen by Clinical Nurse Specialist (%) 88 89 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 78 510 7416
Undergoing major resection (%) 88 86 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 117 1222 19218
Distant metastases (%) 12 8 8
Urgent or emergency surgery (%) 15 15 15
At least 12 lymph nodes excised (%) 98 88 84
Laparoscopic surgery attempted (%) 92 83 69
Risk-adjusted length of stay > 5 days (%) 48 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 81 813 11837
Adjuvant chemotherapy (%) 73 60 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 25 283 4588
Neoadjuvant therapy (%) 30 36 33
Circumferential resection margin: Recorded (%) 80 91 90
Circumferential resection margin: Negative (%) 80 87 80
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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