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/

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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
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy

Data Quality

All Patients: Trust Network National
Number of patients in Audit 442 1757 29766
Case ascertainment (%) 95 90 90
Data completeness of:
– Pre-treatment TNM (%) 83 72 83
– Performance status (%) 100 75 85
Patients having major resection: Trust Network National
Number of patients in Audit 255 940 16499
ASA grade 1 (%) 5 6 10
ASA grade 2 (%) 69 55 53
ASA grade 3 (%) 24 29 30
ASA grade 4+ (%) 2 4 3
ASA grade not recorded (%) 0 6 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 91 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 442 1757 29766
Seen by Clinical Nurse Specialist (%) 95 78 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 255 940 16474
Distant metastases (%) 5 6 6
Urgent or emergency surgery (%) 15 16 15
At least 12 lymph nodes excised (%) 81 85 84
Laparoscopic surgery attempted (%) 80 74 72
Risk-adjusted length of stay > 5 days (%) 55 59 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 61 199 3899
Neoadjuvant therapy (%) 24 36 32
Circumferential resection margin: Negative (%) 97 84 79
Circumferential resection margin: Recorded (%) 100 91 86
APER rate (%) 30 24 24

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