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 PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site thoracic surgical team
    • Robotic surgery
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 265 1965 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 32 75 86
– Performance status (%) 51 79 88
Patients having major resection: Trust Network National
Number of patients in Audit 186 1125 15891
ASA grade 1 (%) 16 7 8
ASA grade 2 (%) 51 50 52
ASA grade 3 (%) 17 33 31
ASA grade 4+ (%) 2 3 2
ASA grade not recorded (%) 15 7 7
Data completeness of:
7 Audit items for risk-adjustment (%) 79 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 265 1965 28523
Seen by Clinical Nurse Specialist (%) 44 69 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 23 461 7393
Undergoing major resection (%) 65 79 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 186 1125 15855
Distant metastases (%) 9 5 7
Urgent or emergency surgery (%) 9 17 20
At least 12 lymph nodes excised (%) 89 90 86
Laparoscopic surgery attempted (%) 91 81 67
Risk-adjusted length of stay > 5 days (%) 38 47 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 67 658 10794
Adjuvant chemotherapy (%) 57 54 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 43 270 3481
Neoadjuvant therapy (%) 15 33 38
Circumferential resection margin: Recorded (%) 98 92 89
Circumferential resection margin: Negative (%) 91 87 82
Rectal volume 48 261 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 192 1328 19595
APER/Hartmanns (%) 38 37 36

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