The Christie NHS Foundation Trust

The Christie NHS Foundation Trust incorporates The Christie Hospital in Manchester http://www.christie.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
  • 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 N/A 1550 32641
Case ascertainment (%) N/A Good Good
Data completeness of:
– Pre-treatment TNM (%) N/A 94 85
– Performance status (%) N/A 86 86
Patients having major resection: Trust Network National
Number of patients in Audit 66 920 18552
ASA grade 1 (%) 6 14 9
ASA grade 2 (%) 82 50 53
ASA grade 3 (%) 11 33 30
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) 0 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 100 97 89

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit N/A N/A N/A
Seen by Clinical Nurse Specialist (%) N/A 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients N/A 374 8157
Undergoing major resection (%) N/A 83 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 66 920 18515
Distant metastases (%) 15 5 6
Urgent or emergency surgery (%) 0 16 21
At least 12 lymph nodes excised (%) 81 88 86
Laparoscopic surgery attempted (%) 29 61 71
Risk-adjusted length of stay > 5 days (%) 85 60 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A 535 10335
Adjuvant chemotherapy (%) N/A 56 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 34 184 4137
Neoadjuvant therapy (%) 67 47 34
Circumferential resection margin: Negative (%) 79 90 84
Circumferential resection margin: Recorded (%) 100 97 90
APER rate (%) 56 26 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 84 772 17956
APER/Hartmanns (%) 85 45 37

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