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:

  • 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
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site thoracic surgical team
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 264 3058 28013
Case ascertainment (%) 103 96 93
Data completeness of:
– Pre-treatment TNM (%) 86 72 71
– Performance status (%) 90 78 77
Patients having major resection: Trust Network National
Number of patients in Audit 165 1920 18809
ASA grade 1 (%) 10 13 14
ASA grade 2 (%) 52 52 53
ASA grade 3 (%) 30 25 25
ASA grade 4+ (%) 6 3 3
ASA grade not recorded (%) 2 7 5
Data completeness of:
7 Audit items for risk-adjustment (%) 85 74 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 264 3058 30122
Seen by Clinical Nurse Specialist (%) 99 94 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 165 1920 18809
Distant metastases (%) 10 11 9
Urgent or emergency surgery (%) 14 18 16
Median number of lymph nodes excised 16 20 17
Laparoscopic surgery attempted (%) 41 61 61
Length of stay > 5 days (%) 77 67 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 40 499 4769
Neoadjuvant therapy (%) 23 27 37
Circumferential resection margin: Recorded (%) 35 52 25
Circumferential resection margin: Positive (%) 8 4 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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