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:

  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Diagnostic and pre-operative services:
    • Routine Genetic Testing for Lynch Syndrome
  • 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

Data Quality
All Patients: Trust Network National
Number of patients in Audit 189 1200 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 93 96 86
– Performance status (%) 99 97 88
Patients having major resection: Trust Network National
Number of patients in Audit 113 636 15891
ASA grade 1 (%) 3 12 8
ASA grade 2 (%) 49 57 52
ASA grade 3 (%) 43 28 31
ASA grade 4+ (%) 5 3 2
ASA grade not recorded (%) N/A N/A 7
Data completeness of:
7 Audit items for risk-adjustment (%) 99 98 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 189 1200 28523
Seen by Clinical Nurse Specialist (%) 94 91 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 42 320 7393
Undergoing major resection (%) 90 83 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 113 636 15855
Distant metastases (%) 5 5 7
Urgent or emergency surgery (%) 16 25 20
At least 12 lymph nodes excised (%) 96 92 86
Laparoscopic surgery attempted (%) 81 66 67
Risk-adjusted length of stay > 5 days (%) 61 60 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 93 519 10794
Adjuvant chemotherapy (%) 55 55 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 20 124 3481
Neoadjuvant therapy (%) 39 44 38
Circumferential resection margin: Recorded (%) 100 94 89
Circumferential resection margin: Negative (%) 95 84 82
Rectal volume 21 124 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 152 862 19595
APER/Hartmanns (%) 43 36 36

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