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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 238 3482 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 34 83 86
– Performance status (%) 54 90 89
Patients having major resection: Trust Network National
Number of patients in Audit 135 2135 19631
ASA grade 1 (%) 16 5 9
ASA grade 2 (%) 46 53 53
ASA grade 3 (%) 30 34 31
ASA grade 4+ (%) 4 4 2
ASA grade not recorded (%) 4 4 4
Data completeness of:
7 Audit items for risk-adjustment (%) 93 87 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 238 3482 35779
Seen by Clinical Nurse Specialist (%) 89 89 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 135 2135 19614
Distant metastases (%) 4 4 5
Urgent or emergency surgery (%) 29 24 15
At least 12 lymph nodes excised (%) 95 82 84
Laparoscopic surgery attempted (%) 91 72 72
Risk-adjusted length of stay > 5 days (%) 30 49 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 74 N/A 10747
Adjuvant chemotherapy (%) 65 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) N/A N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 27 N/A 4251
Neoadjuvant therapy (%) 50 N/A 33
Circumferential resection margin: Recorded (%) 85 88 89
Circumferential resection margin: Negative (%) 70 81 83
Rectal volume 22 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 152 2273 19644
APER/Hartmanns (%) 25 38 37

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