Northumbria Healthcare NHS Foundation Trust

The Northumbria Healthcare NHS Foundation Trust incorporates Hexham General Hospital, Wansbeck Hospital and North Tyneside General Hospital https://www.northumbria.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) 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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 316 2011 29766
Case ascertainment (%) 100 99 90
Data completeness of:
– Pre-treatment TNM (%) 82 75 83
– Performance status (%) 89 77 85
Patients having major resection: Trust Network National
Number of patients in Audit 171 1128 16499
ASA grade 1 (%) 9 8 10
ASA grade 2 (%) 58 48 53
ASA grade 3 (%) 30 33 30
ASA grade 4+ (%) 3 4 3
ASA grade not recorded (%) 0 8 4
Data completeness of:
7 Audit items for risk-adjustment (%) 100 77 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 316 2011 29766
Seen by Clinical Nurse Specialist (%) 80 82 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 171 1128 16474
Distant metastases (%) 7 5 6
Urgent or emergency surgery (%) 12 15 15
At least 12 lymph nodes excised (%) 84 74 84
Laparoscopic surgery attempted (%) 72 85 72
Risk-adjusted length of stay > 5 days (%) 43 52 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 44 279 3899
Neoadjuvant therapy (%) 24 32 32
Circumferential resection margin: Negative (%) 95 70 79
Circumferential resection margin: Recorded (%) 100 73 86
APER rate (%) 27 27 24

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