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 62 407 29766
Case ascertainment (%) 102 69 90
Data completeness of:
– Pre-treatment TNM (%) 92 72 83
– Performance status (%) 98 71 85
Patients having major resection: Trust Network National
Number of patients in Audit 39 254 16499
ASA grade 1 (%) 64 28 10
ASA grade 2 (%) 36 55 53
ASA grade 3 (%) 0 13 30
ASA grade 4+ (%) 0 1 3
ASA grade not recorded (%) 0 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 79 91 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 62 407 29766
Seen by Clinical Nurse Specialist (%) 95 78 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 14 76 7226
Undergoing major resection (%) 100 92 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 39 254 16474
Distant metastases (%) 6 9 6
Urgent or emergency surgery (%) 15 20 15
At least 12 lymph nodes excised (%) 77 83 84
Laparoscopic surgery attempted (%) 82 77 72
Risk-adjusted length of stay > 5 days (%) 83 78 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 32 172 10641
Adjuvant chemotherapy (%) 66 64 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 35 3899
Neoadjuvant therapy (%) 30 24 32
Circumferential resection margin: Recorded (%) N/A 91 86
Circumferential resection margin: Negative (%) N/A 89 79
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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