Nottingham University Hospitals NHS Trust

The Nottingham University Hospitals NHS Trust incorporates Queen's Medical Centre and City Hospital in Nottingham https://www.nuh.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team

Data Quality

All Patients: Trust Network National
Number of patients in Audit 284 2135 28013
Case ascertainment (%) 91 91 93
Data completeness of:
– Pre-treatment TNM (%) 99 65 71
– Performance status (%) 100 64 77
Patients having major resection: Trust Network National
Number of patients in Audit 244 1304 18809
ASA grade 1 (%) N/A 13 14
ASA grade 2 (%) 67 59 53
ASA grade 3 (%) 25 22 25
ASA grade 4+ (%) 3 2 3
ASA grade not recorded (%) 4 4 5
Data completeness of:
7 Audit items for risk-adjustment (%) 96 87 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 284 2135 30122
Seen by Clinical Nurse Specialist (%) 88 92 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 244 1304 18809
Distant metastases (%) 10 10 9
Urgent or emergency surgery (%) 20 18 16
Median number of lymph nodes excised 15 16 17
Laparoscopic surgery attempted (%) 70 53 61
Length of stay > 5 days (%) 66 66 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 75 380 4769
Neoadjuvant therapy (%) 23 43 37
Circumferential resection margin: Recorded (%) 7 5 25
Circumferential resection margin: Positive (%) 4 7 7
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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