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 Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
  • 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 227 1965 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 87 75 86
– Performance status (%) 96 79 88
Patients having major resection: Trust Network National
Number of patients in Audit 109 1125 15891
ASA grade 1 (%) 5 7 8
ASA grade 2 (%) 41 50 52
ASA grade 3 (%) 46 33 31
ASA grade 4+ (%) 7 3 2
ASA grade not recorded (%) 1 7 7
Data completeness of:
7 Audit items for risk-adjustment (%) 99 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 227 1965 28523
Seen by Clinical Nurse Specialist (%) 71 69 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 52 461 7393
Undergoing major resection (%) 90 79 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 109 1125 15855
Distant metastases (%) 15 5 7
Urgent or emergency surgery (%) 20 17 20
At least 12 lymph nodes excised (%) 98 90 86
Laparoscopic surgery attempted (%) 87 81 67
Risk-adjusted length of stay > 5 days (%) 39 47 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 58 658 10794
Adjuvant chemotherapy (%) 72 54 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 21 270 3481
Neoadjuvant therapy (%) 28 33 38
Circumferential resection margin: Recorded (%) 95 92 89
Circumferential resection margin: Negative (%) 90 87 82
Rectal volume 15 261 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 125 1328 19595
APER/Hartmanns (%) 27 37 36

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