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
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site thoracic surgical team
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 265 1981 30541
Case ascertainment (%) 93 103 93
Data completeness of:
– Pre-treatment TNM (%) 49 78 78
– Performance status (%) 97 82 85
Patients having major resection: Trust Network National
Number of patients in Audit 205 1180 19183
ASA grade 1 (%) 20 10 12
ASA grade 2 (%) 40 48 52
ASA grade 3 (%) 27 34 27
ASA grade 4+ (%) 3 4 2
ASA grade not recorded (%) 11 4 7
Data completeness of:
7 Audit items for risk-adjustment (%) 88 92 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 265 1981 30424
Seen by Clinical Nurse Specialist (%) 96 94 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 205 1180 19222
Distant metastases (%) 4 8 8
Urgent or emergency surgery (%) 13 15 17
At least 12 lymph nodes excised (%) 94 88 87
Laparoscopic surgery attempted (%) 82 80 66
Risk-adjusted length of stay > 5 days (%) 49 55 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 51 298 4503
Neoadjuvant therapy (%) 23 37 36
Circumferential resection margin: Present (%) 88 91 84
Circumferential resection margin: Negative (%) 80 85 77
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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