Northern Lincolnshire and Goole NHS Foundation Trust

The Northern Lincolnshire and Goole NHS Foundation Trust incorporates Scunthorpe General Hospital in Scunthorpe and Diana Princess Of Wales Hospital in Grimsby http://www.nlg.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
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • 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 221 874 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 96 85
– Performance status (%) 100 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 164 604 18552
ASA grade 1 (%) 7 4 9
ASA grade 2 (%) 41 38 53
ASA grade 3 (%) 46 50 30
ASA grade 4+ (%) 5 4 2
ASA grade not recorded (%) N/A 3 6
Data completeness of:
7 Audit items for risk-adjustment (%) 100 96 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 221 874 29766
Seen by Clinical Nurse Specialist (%) 97 79 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 43 239 8157
Undergoing major resection (%) 86 88 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 164 604 18515
Distant metastases (%) 4 7 6
Urgent or emergency surgery (%) 27 31 21
At least 12 lymph nodes excised (%) 85 83 86
Laparoscopic surgery attempted (%) 62 58 71
Risk-adjusted length of stay > 5 days (%) 64 61 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 114 349 10335
Adjuvant chemotherapy (%) 59 64 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 38 140 4137
Neoadjuvant therapy (%) 32 41 34
Circumferential resection margin: Recorded (%) 97 96 90
Circumferential resection margin: Negative (%) 84 84 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 178 589 17956
APER/Hartmanns (%) 56 50 37

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