The Newcastle Upon Tyne Hospitals NHS Foundation Trust

The The Newcastle Upon Tyne Hospitals NHS Foundation Trust incorporates Royal Victoria Infirmary and Freeman Hospital in Newcastle-upon-Tyne http://www.newcastle-hospitals.org.uk/

View Trust Services

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
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic 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
    • High sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 192 2011 29766
Case ascertainment (%) 87 99 90
Data completeness of:
– Pre-treatment TNM (%) 92 75 83
– Performance status (%) 100 77 85
Patients having major resection: Trust Network National
Number of patients in Audit 153 1128 16499
ASA grade 1 (%) 4 8 10
ASA grade 2 (%) 51 48 53
ASA grade 3 (%) 42 33 30
ASA grade 4+ (%) 3 4 3
ASA grade not recorded (%) 0 8 4
Data completeness of:
7 Audit items for risk-adjustment (%) 100 77 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 192 2011 29766
Seen by Clinical Nurse Specialist (%) 100 82 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 55 523 7226
Undergoing major resection (%) 84 85 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 153 1128 16474
Distant metastases (%) 5 5 6
Urgent or emergency surgery (%) 14 15 15
At least 12 lymph nodes excised (%) 97 74 84
Laparoscopic surgery attempted (%) 88 85 72
Risk-adjusted length of stay > 5 days (%) 62 52 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 89 692 10641
Adjuvant chemotherapy (%) 48 58 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 41 279 3899
Neoadjuvant therapy (%) 44 32 32
Circumferential resection margin: Recorded (%) 95 73 86
Circumferential resection margin: Negative (%) 88 70 79
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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