Sheffield Teaching Hospitals NHS Foundation Trust

The Sheffield Teaching Hospitals NHS Foundation Trust incorporates Northern General Hospital in Sheffield http://www.sth.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
    • Routine 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 MDT
    • Complex vascular reconstruction
    • Extended lymphadenectomy

Data Quality

All Patients: Trust Network National
Number of patients in Audit 303 1033 31676
Case ascertainment (%) 89 102 95
Data completeness of:
– Pre-treatment TNM (%) 93 85 80
– Performance status (%) 100 85 86
Patients having major resection: Trust Network National
Number of patients in Audit 181 580 19218
ASA grade 1 (%) 15 12 11
ASA grade 2 (%) 61 54 53
ASA grade 3 (%) 22 26 28
ASA grade 4+ (%) 2 2 3
ASA grade not recorded (%) N/A 6 5
Data completeness of:
7 Audit items for risk-adjustment (%) 98 91 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 303 1033 31676
Seen by Clinical Nurse Specialist (%) 95 80 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 66 231 7416
Undergoing major resection (%) 80 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 181 580 19218
Distant metastases (%) 7 9 8
Urgent or emergency surgery (%) 9 13 15
At least 12 lymph nodes excised (%) 93 89 84
Laparoscopic surgery attempted (%) 66 67 69
Risk-adjusted length of stay > 5 days (%) 59 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 100 365 11837
Adjuvant chemotherapy (%) 59 59 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 46 140 4588
Neoadjuvant therapy (%) 48 43 33
Circumferential resection margin: Recorded (%) 98 98 90
Circumferential resection margin: Negative (%) 93 91 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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