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:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine 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 112 1146 29766
Case ascertainment (%) 79 91 90
Data completeness of:
– Pre-treatment TNM (%) 80 90 83
– Performance status (%) 100 100 85
Patients having major resection: Trust Network National
Number of patients in Audit 65 619 16499
ASA grade 1 (%) 25 14 10
ASA grade 2 (%) 45 48 53
ASA grade 3 (%) 29 36 30
ASA grade 4+ (%) 2 2 3
ASA grade not recorded (%) 0 0 4
Data completeness of:
7 Audit items for risk-adjustment (%) 85 93 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 112 1146 29766
Seen by Clinical Nurse Specialist (%) 95 98 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 65 619 16474
Distant metastases (%) 2 7 6
Urgent or emergency surgery (%) 13 12 15
At least 12 lymph nodes excised (%) 70 79 84
Laparoscopic surgery attempted (%) 74 72 72
Risk-adjusted length of stay > 5 days (%) 54 52 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 11 143 3899
Neoadjuvant therapy (%) 43 22 32
Circumferential resection margin: Negative (%) 27 80 79
Circumferential resection margin: Recorded (%) 27 88 86
APER rate (%) 18 26 24

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