The Whittington Hospital NHS Trust

The Whittington Hospital NHS Trust incorporates Whittington Hospital in Islington and Haringey https://www.whittington.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 87 974 31676
Case ascertainment (%) 102 72 95
Data completeness of:
– Pre-treatment TNM (%) 92 84 80
– Performance status (%) 100 93 86
Patients having major resection: Trust Network National
Number of patients in Audit 59 585 19218
ASA grade 1 (%) 39 22 11
ASA grade 2 (%) 61 50 53
ASA grade 3 (%) N/A 24 28
ASA grade 4+ (%) N/A 2 3
ASA grade not recorded (%) N/A 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 92 86 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 87 974 31676
Seen by Clinical Nurse Specialist (%) 98 95 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 28 220 7416
Undergoing major resection (%) 82 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 59 585 19218
Distant metastases (%) 4 7 8
Urgent or emergency surgery (%) 19 20 15
At least 12 lymph nodes excised (%) 91 77 84
Laparoscopic surgery attempted (%) 86 71 69
Risk-adjusted length of stay > 5 days (%) N/A 70 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 26 417 11837
Adjuvant chemotherapy (%) 62 67 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 11 104 4588
Neoadjuvant therapy (%) N/A 41 33
Circumferential resection margin: Recorded (%) 64 81 90
Circumferential resection margin: Negative (%) 64 74 80
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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