Northern Devon Healthcare NHS Trust

The Northern Devon Healthcare NHS Trust incorporates North Devon District Hospital in Barnstaple http://www.northdevonhealth.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
  • Oncology services:
    • On-site chemotherapy 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 112 2718 28013
Case ascertainment (%) 77 97 93
Data completeness of:
– Pre-treatment TNM (%) 70 76 71
– Performance status (%) 100 79 77
Patients having major resection: Trust Network National
Number of patients in Audit 72 1703 18809
ASA grade 1 (%) 18 13 14
ASA grade 2 (%) 51 55 53
ASA grade 3 (%) 29 28 25
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) N/A 1 5
Data completeness of:
7 Audit items for risk-adjustment (%) 85 86 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 112 2718 30122
Seen by Clinical Nurse Specialist (%) 97 97 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 72 1703 18809
Distant metastases (%) 5 7 9
Urgent or emergency surgery (%) 8 15 16
Median number of lymph nodes excised 16 17 17
Laparoscopic surgery attempted (%) 78 72 61
Length of stay > 5 days (%) 36 59 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 23 454 4769
Neoadjuvant therapy (%) 33 29 37
Circumferential resection margin: Recorded (%) 100 29 25
Circumferential resection margin: Positive (%) N/A 7 7
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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