The Princess Alexandra Hospital NHS Trust

The Princess Alexandra Hospital NHS Trust incorporates Princess Alexandra Hospital in Harlow https://www.pah.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 149 1412 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 83 87 85
– Performance status (%) 89 85 86
Patients having major resection: Trust Network National
Number of patients in Audit 77 868 18552
ASA grade 1 (%) 0 8 9
ASA grade 2 (%) 40 55 53
ASA grade 3 (%) 55 29 30
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) 3 6 6
Data completeness of:
7 Audit items for risk-adjustment (%) 96 88 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 (%) 85 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 39 344 8157
Undergoing major resection (%) 64 85 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 77 868 18515
Distant metastases (%) 9 6 6
Urgent or emergency surgery (%) 19 12 21
At least 12 lymph nodes excised (%) 94 89 86
Laparoscopic surgery attempted (%) 92 83 71
Risk-adjusted length of stay > 5 days (%) 63 56 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 30 430 10335
Adjuvant chemotherapy (%) 67 61 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 11 198 4137
Neoadjuvant therapy (%) N/A 17 34
Circumferential resection margin: Negative (%) 9 80 84
Circumferential resection margin: Recorded (%) 9 86 90
APER rate (%) 0 28 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 38 819 17956
APER/Hartmanns (%) 16 36 37

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