St Helens and Knowsley Hospitals NHS Trust

The St Helens and Knowsley Hospitals NHS Trust incorporates Whiston Hospital in Prescot and St Helens Hospital in St Helens http://www.sthk.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 205 1526 31676
Case ascertainment (%) 102 91 95
Data completeness of:
– Pre-treatment TNM (%) 92 91 80
– Performance status (%) 100 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 154 925 19218
ASA grade 1 (%) 6 11 11
ASA grade 2 (%) 50 57 53
ASA grade 3 (%) 39 28 28
ASA grade 4+ (%) 2 2 3
ASA grade not recorded (%) 3 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 92 89 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 205 1526 31676
Seen by Clinical Nurse Specialist (%) 94 90 87
All patients deemed potentially curative? Trust Network National
Number of patients 52 401 7416
Major resection rate in potentially curative patients (%) 87 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 154 925 19218
Distant metastases (%) 10 7 8
Urgent or emergency surgery (%) 12 11 15
At least 12 lymph nodes excised (%) 93 84 84
Laparoscopic surgery attempted (%) 81 62 69
Risk-adjusted length of stay > 5 days (%) 57 66 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 101 612 11837
Adjuvant chemotherapy (%) 57 56 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 35 196 4588
Neoadjuvant therapy (%) 28 41 33
Circumferential resection margin: Negative (%) 91 60 80
Circumferential resection margin: Recorded (%) 100 78 90
APER rate (%) 34 27 25

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