Royal Liverpool and Broadgreen University Hospitals NHS Trust

The Royal Liverpool and Broadgreen University Hospitals NHS Trust incorporates Royal Liverpool University Hospital and Broadgreen Hospital http://www.rlbuht.nhs.uk/

Prior to 2022, outcomes were separately reported for Aintree and Royal Liverpool Hospital

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 167 1526 31676
Case ascertainment (%) 80 91 95
Data completeness of:
– Pre-treatment TNM (%) 65 91 80
– Performance status (%) 10 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 94 925 19218
ASA grade 1 (%) 7 11 11
ASA grade 2 (%) 60 57 53
ASA grade 3 (%) 28 28 28
ASA grade 4+ (%) 5 2 3
ASA grade not recorded (%) N/A 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 93 89 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 167 1526 31676
Seen by Clinical Nurse Specialist (%) 94 90 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 35 401 7416
Undergoing major resection (%) 94 86 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 94 925 19218
Distant metastases (%) 2 7 8
Urgent or emergency surgery (%) 13 11 15
At least 12 lymph nodes excised (%) 91 84 84
Laparoscopic surgery attempted (%) 53 62 69
Risk-adjusted length of stay > 5 days (%) 58 66 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 85 612 11837
Adjuvant chemotherapy (%) 62 56 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 23 196 4588
Neoadjuvant therapy (%) 67 41 33
Circumferential resection margin: Recorded (%) 26 78 90
Circumferential resection margin: Negative (%) 22 60 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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