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
    • Availability of 24 hour palliative care advice
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 133 1239 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 74 87 85
– Performance status (%) 98 100 86
Patients having major resection: Trust Network National
Number of patients in Audit 75 736 18552
ASA grade 1 (%) 16 7 9
ASA grade 2 (%) 56 57 53
ASA grade 3 (%) 25 33 30
ASA grade 4+ (%) 3 3 2
ASA grade not recorded (%) N/A N/A 6
Data completeness of:
7 Audit items for risk-adjustment (%) 96 97 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 133 1239 29766
Seen by Clinical Nurse Specialist (%) 94 97 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 23 364 8157
Undergoing major resection (%) 91 84 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 75 736 18515
Distant metastases (%) 4 6 6
Urgent or emergency surgery (%) 16 13 21
At least 12 lymph nodes excised (%) 79 84 86
Laparoscopic surgery attempted (%) 70 70 71
Risk-adjusted length of stay > 5 days (%) N/A 53 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 33 369 10335
Adjuvant chemotherapy (%) 64 58 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 19 166 4137
Neoadjuvant therapy (%) 57 38 34
Circumferential resection margin: Recorded (%) 58 95 90
Circumferential resection margin: Negative (%) 53 88 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 76 720 17956
APER/Hartmanns (%) 33 39 37

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