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
    • 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
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 456 1800 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 82 72 85
– Performance status (%) 99 91 86
Patients having major resection: Trust Network National
Number of patients in Audit 276 1090 18552
ASA grade 1 (%) 3 5 9
ASA grade 2 (%) 66 53 53
ASA grade 3 (%) 26 31 30
ASA grade 4+ (%) 4 4 2
ASA grade not recorded (%) N/A 6 6
Data completeness of:
7 Audit items for risk-adjustment (%) 99 92 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 456 1800 29766
Seen by Clinical Nurse Specialist (%) 91 92 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 103 392 8157
Undergoing major resection (%) 73 78 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 276 1090 18515
Distant metastases (%) 12 9 6
Urgent or emergency surgery (%) 16 18 21
At least 12 lymph nodes excised (%) 90 84 86
Laparoscopic surgery attempted (%) 69 64 71
Risk-adjusted length of stay > 5 days (%) 61 59 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 127 590 10335
Adjuvant chemotherapy (%) 70 66 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 62 239 4137
Neoadjuvant therapy (%) 38 39 34
Circumferential resection margin: Recorded (%) 97 89 90
Circumferential resection margin: Negative (%) 94 85 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 215 1102 17956
APER/Hartmanns (%) 42 44 37

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