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
  • Oncology services:
    • On-site chemotherapy services
  • 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 199 1602 30710
Case ascertainment (%) 103 103 95
Data completeness of:
– Pre-treatment TNM (%) 94 72 76
– Performance status (%) 99 95 83
Patients having major resection: Trust Network National
Number of patients in Audit 135 1006 19231
ASA grade 1 (%) 7 9 12
ASA grade 2 (%) 49 57 53
ASA grade 3 (%) 39 26 27
ASA grade 4+ (%) 4 3 3
ASA grade not recorded (%) 1 4 6
Data completeness of:
7 Audit items for risk-adjustment (%) 93 76 81

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 199 1602 30710
Seen by Clinical Nurse Specialist (%) 87 95 91

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 135 1006 19231
Distant metastases (%) 12 9 9
Urgent or emergency surgery (%) 20 17 16
At least 12 lymph nodes excised (%) 90 87 84
Laparoscopic surgery attempted (%) 59 55 63
Risk-adjusted length of stay > 5 days (%) 67 76 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 32 219 4468
Neoadjuvant therapy (%) 51 44 35
Circumferential resection margin: Recorded (%) 19 63 26
Circumferential resection margin: Positive (%) 25 8 7
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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