The Dudley Group NHS Foundation Trust

The Dudley Group NHS Foundation Trust incorporates Russells Hall Hospital in Dudley http://dudleygroup.nhs.uk/

View Trust Services

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 Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic

Data Quality

All Patients: Trust Network National
Number of patients in Audit 185 3656 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 91 78 85
– Performance status (%) 74 84 86
Patients having major resection: Trust Network National
Number of patients in Audit 155 2244 18552
ASA grade 1 (%) 4 7 9
ASA grade 2 (%) 39 51 53
ASA grade 3 (%) 50 34 30
ASA grade 4+ (%) 8 3 2
ASA grade not recorded (%) 0 5 6
Data completeness of:
7 Audit items for risk-adjustment (%) 90 89 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 (%) 94 87 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 49 881 8157
Undergoing major resection (%) 96 88 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 155 2244 18515
Distant metastases (%) 5 6 6
Urgent or emergency surgery (%) 14 16 21
At least 12 lymph nodes excised (%) 82 85 86
Laparoscopic surgery attempted (%) 75 72 71
Risk-adjusted length of stay > 5 days (%) 46 58 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 69 1158 10335
Adjuvant chemotherapy (%) 74 67 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 34 538 4137
Neoadjuvant therapy (%) 17 34 34
Circumferential resection margin: Negative (%) 82 86 84
Circumferential resection margin: Recorded (%) 85 92 90
APER rate (%) 41 27 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 142 2151 17956
APER/Hartmanns (%) 33 33 37

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