South Tees Hospitals NHS Foundation Trust

The South Tees Hospitals NHS Foundation Trust incorporates James Cook University Hospital in Middlesbroughand Friarage Hospital in Northallerton https://www.southtees.nhs.uk/

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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
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Complex vascular reconstruction
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 280 2000 31676
Case ascertainment (%) 99 103 95
Data completeness of:
– Pre-treatment TNM (%) 41 77 80
– Performance status (%) 76 81 86
Patients having major resection: Trust Network National
Number of patients in Audit 208 1222 19218
ASA grade 1 (%) 14 14 11
ASA grade 2 (%) 44 42 53
ASA grade 3 (%) 34 33 28
ASA grade 4+ (%) 3 4 3
ASA grade not recorded (%) 4 7 5
Data completeness of:
7 Audit items for risk-adjustment (%) 80 88 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 280 2000 31676
Seen by Clinical Nurse Specialist (%) 95 89 87
All patients deemed potentially curative? Trust Network National
Number of patients 30 510 7416
Major resection rate in potentially curative patients (%) 93 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 208 1222 19218
Distant metastases (%) 7 8 8
Urgent or emergency surgery (%) 12 15 15
At least 12 lymph nodes excised (%) 95 88 84
Laparoscopic surgery attempted (%) 94 83 69
Risk-adjusted length of stay > 5 days (%) 45 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 132 813 11837
Adjuvant chemotherapy (%) 68 60 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 46 283 4588
Neoadjuvant therapy (%) 26 36 33
Circumferential resection margin: Negative (%) 93 87 80
Circumferential resection margin: Recorded (%) 100 91 90
APER rate (%) 24 26 25

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