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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 120 1222 28013
Case ascertainment (%) 79 92 93
Data completeness of:
– Pre-treatment TNM (%) 88 82 71
– Performance status (%) 92 92 77
Patients having major resection: Trust Network National
Number of patients in Audit 67 759 18809
ASA grade 1 (%) 12 19 14
ASA grade 2 (%) 36 46 53
ASA grade 3 (%) 33 23 25
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) 18 11 5
Data completeness of:
7 Audit items for risk-adjustment (%) 24 77 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 120 1222 30122
Seen by Clinical Nurse Specialist (%) 100 98 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 67 759 18809
Distant metastases (%) 12 9 9
Urgent or emergency surgery (%) 23 24 16
Median number of lymph nodes excised 18 17 17
Laparoscopic surgery attempted (%) 76 61 61
Length of stay > 5 days (%) 73 81 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 13 170 4769
Neoadjuvant therapy (%) 11 40 37
Circumferential resection margin: Recorded (%) 77 23 25
Circumferential resection margin: Positive (%) N/A 7 7
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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