The Hillingdon Hospitals NHS Foundation Trust

The Hillingdon Hospitals NHS Foundation Trust incorporates Hillingdon Hospital in Uxbridge and Mount Vernon Hospital in Northwood https://www.thh.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 80 1404 32641
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 48 78 85
– Performance status (%) 100 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 73 874 18552
ASA grade 1 (%) 4 10 9
ASA grade 2 (%) 60 53 53
ASA grade 3 (%) 36 23 30
ASA grade 4+ (%) 0 1 2
ASA grade not recorded (%) 0 14 6
Data completeness of:
7 Audit items for risk-adjustment (%) 56 78 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 (%) 100 98 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 12 314 8157
Undergoing major resection (%) 100 87 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 73 874 18515
Distant metastases (%) 21 9 6
Urgent or emergency surgery (%) 8 13 21
At least 12 lymph nodes excised (%) 89 84 86
Laparoscopic surgery attempted (%) 63 73 71
Risk-adjusted length of stay > 5 days (%) 83 70 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 32 485 10335
Adjuvant chemotherapy (%) 56 57 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 22 191 4137
Neoadjuvant therapy (%) 20 28 34
Circumferential resection margin: Negative (%) 95 80 84
Circumferential resection margin: Recorded (%) 100 86 90
APER rate (%) 32 15 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 58 776 17956
APER/Hartmanns (%) 38 31 37

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