The Royal Wolverhampton NHS Trust

The Royal Wolverhampton NHS Trust incorporates New Cross Hospital in Wolverhampton http://www.royalwolverhampton.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 242 3047 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 90 86 86
– Performance status (%) 70 82 88
Patients having major resection: Trust Network National
Number of patients in Audit 141 1719 15891
ASA grade 1 (%) 3 7 8
ASA grade 2 (%) 50 49 52
ASA grade 3 (%) 30 36 31
ASA grade 4+ (%) 5 3 2
ASA grade not recorded (%) 13 5 7
Data completeness of:
7 Audit items for risk-adjustment (%) 85 85 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 242 3047 28523
Seen by Clinical Nurse Specialist (%) 84 83 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 63 762 7393
Undergoing major resection (%) 87 83 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 141 1719 15855
Distant metastases (%) 9 6 7
Urgent or emergency surgery (%) 20 23 20
At least 12 lymph nodes excised (%) 92 84 86
Laparoscopic surgery attempted (%) 47 63 67
Risk-adjusted length of stay > 5 days (%) 66 51 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 89 1146 10794
Adjuvant chemotherapy (%) 72 67 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 29 415 3481
Neoadjuvant therapy (%) 50 35 38
Circumferential resection margin: Recorded (%) 97 83 89
Circumferential resection margin: Negative (%) 90 77 82
Rectal volume 33 406 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 223 2225 19595
APER/Hartmanns (%) 30 35 36

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