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 299 2000 31676
Case ascertainment (%) 101 103 95
Data completeness of:
– Pre-treatment TNM (%) 85 77 80
– Performance status (%) 84 81 86
Patients having major resection: Trust Network National
Number of patients in Audit 154 1222 19218
ASA grade 1 (%) 9 14 11
ASA grade 2 (%) 59 42 53
ASA grade 3 (%) 30 33 28
ASA grade 4+ (%) 2 4 3
ASA grade not recorded (%) N/A 7 5
Data completeness of:
7 Audit items for risk-adjustment (%) 100 88 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 299 2000 31676
Seen by Clinical Nurse Specialist (%) 82 89 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 83 510 7416
Undergoing major resection (%) 78 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 154 1222 19218
Distant metastases (%) 3 8 8
Urgent or emergency surgery (%) 12 15 15
At least 12 lymph nodes excised (%) 83 88 84
Laparoscopic surgery attempted (%) 62 83 69
Risk-adjusted length of stay > 5 days (%) 44 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 123 813 11837
Adjuvant chemotherapy (%) 60 60 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 41 283 4588
Neoadjuvant therapy (%) 13 36 33
Circumferential resection margin: Recorded (%) 100 91 90
Circumferential resection margin: Negative (%) 98 87 80
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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