The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust

The Queen Elizabeth Hospital, King's Lynn, NHS Foundation Trust incorporates Queen Elizabeth Hospital in Kings Lynn http://www.qehkl.nhs.uk/
Data completeness for risk adjustment for 2019-2020 poor at time of analysis. It had improved markedly by time of publication

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 85 1808 28523
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 99 82 86
– Performance status (%) 100 97 88
Patients having major resection: Trust Network National
Number of patients in Audit 57 1002 15891
ASA grade 1 (%) N/A 8 8
ASA grade 2 (%) 30 56 52
ASA grade 3 (%) 60 30 31
ASA grade 4+ (%) 11 2 2
ASA grade not recorded (%) N/A 4 7
Data completeness of:
7 Audit items for risk-adjustment (%) 98 84 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 85 1808 28523
Seen by Clinical Nurse Specialist (%) 100 83 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 32 525 7393
Undergoing major resection (%) 84 79 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 57 1002 15855
Distant metastases (%) 13 5 7
Urgent or emergency surgery (%) 23 23 20
At least 12 lymph nodes excised (%) 91 80 86
Laparoscopic surgery attempted (%) 65 65 67
Risk-adjusted length of stay > 5 days (%) 74 60 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 21 649 10794
Adjuvant chemotherapy (%) 43 57 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 10 207 3481
Neoadjuvant therapy (%) 20 38 38
Circumferential resection margin: Recorded (%) 40 84 89
Circumferential resection margin: Negative (%) 40 76 82
Rectal volume 17 201 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 92 1279 19595
APER/Hartmanns (%) 49 34 36

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