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
    • 7-day access to face-to-face palliative care services
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 204 1497 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 92 96 85
– Performance status (%) 100 94 86
Patients having major resection: Trust Network National
Number of patients in Audit 142 826 18552
ASA grade 1 (%) 8 11 9
ASA grade 2 (%) 44 57 53
ASA grade 3 (%) 44 28 30
ASA grade 4+ (%) 4 2 2
ASA grade not recorded (%) 1 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 99 88 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 204 1497 29766
Seen by Clinical Nurse Specialist (%) 94 92 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 41 384 8157
Undergoing major resection (%) 83 80 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 142 826 18515
Distant metastases (%) 3 4 6
Urgent or emergency surgery (%) 16 16 21
At least 12 lymph nodes excised (%) 100 83 86
Laparoscopic surgery attempted (%) 84 69 71
Risk-adjusted length of stay > 5 days (%) 57 61 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 87 490 10335
Adjuvant chemotherapy (%) 54 57 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 26 157 4137
Neoadjuvant therapy (%) 24 35 34
Circumferential resection margin: Recorded (%) 96 85 90
Circumferential resection margin: Negative (%) 92 79 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 138 815 17956
APER/Hartmanns (%) 40 35 37

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