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 213 1506 29766
Case ascertainment (%) 101 97 90
Data completeness of:
– Pre-treatment TNM (%) 92 94 83
– Performance status (%) 100 84 85
Patients having major resection: Trust Network National
Number of patients in Audit 144 891 16499
ASA grade 1 (%) 8 10 10
ASA grade 2 (%) 53 60 53
ASA grade 3 (%) 32 28 30
ASA grade 4+ (%) 6 2 3
ASA grade not recorded (%) 1 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 87 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 213 1506 29766
Seen by Clinical Nurse Specialist (%) 93 86 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 37 387 7226
Undergoing major resection (%) 86 84 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 144 891 16474
Distant metastases (%) 8 4 6
Urgent or emergency surgery (%) 11 14 15
At least 12 lymph nodes excised (%) 96 83 84
Laparoscopic surgery attempted (%) 80 66 72
Risk-adjusted length of stay > 5 days (%) 67 67 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 87 505 10641
Adjuvant chemotherapy (%) 53 55 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 40 211 3899
Neoadjuvant therapy (%) 39 42 32
Circumferential resection margin: Recorded (%) 95 80 86
Circumferential resection margin: Negative (%) 80 63 79
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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