Sandwell and West Birmingham Hospitals NHS Trust

The Sandwell and West Birmingham Hospitals NHS Trust incorporates Sandwell General Hospital in West Bromwich and City Hospital in Birmingham https://www.swbh.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT

Data Quality

All Patients: Trust Network National
Number of patients in Audit 236 3445 31676
Case ascertainment (%) 139 100 95
Data completeness of:
– Pre-treatment TNM (%) 62 79 80
– Performance status (%) 58 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 139 2169 19218
ASA grade 1 (%) 7 11 11
ASA grade 2 (%) 58 53 53
ASA grade 3 (%) 32 30 28
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) 1 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 96 82 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 236 3445 31676
Seen by Clinical Nurse Specialist (%) 89 88 87
All patients deemed potentially curative? Trust Network National
Number of patients 49 845 7416
Major resection rate in potentially curative patients (%) 92 88 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 139 2169 19218
Distant metastases (%) 2 9 8
Urgent or emergency surgery (%) 17 17 15
At least 12 lymph nodes excised (%) 86 77 84
Laparoscopic surgery attempted (%) 89 74 69
Risk-adjusted length of stay > 5 days (%) 53 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 77 1249 11837
Adjuvant chemotherapy (%) 71 71 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 42 535 4588
Neoadjuvant therapy (%) 23 31 33
Circumferential resection margin: Negative (%) 86 80 80
Circumferential resection margin: Recorded (%) 95 88 90
APER rate (%) 19 28 25

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