United Lincolnshire Hospitals NHS Trust - Lincoln and Grantham

The United Lincolnshire Hospitals NHS Trust - Lincoln and Grantham incorporates Lincoln County Hospital in Lincoln, Grantham and District Hospital in Grantham https://www.ulh.nhs.uk/

In 2015, United Lincolnshire Hospitals NHS Trust split into United Lincolnshire Hospitals NHS Trust - Lincoln and Grantham and United Lincolnshire Hospitals NHS Trust - Pilgrim Hospital Boston.

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 204 2189 31676
Case ascertainment (%) 70 98 95
Data completeness of:
– Pre-treatment TNM (%) 60 66 80
– Performance status (%) 77 74 86
Patients having major resection: Trust Network National
Number of patients in Audit 119 1282 19218
ASA grade 1 (%) 16 7 11
ASA grade 2 (%) 59 53 53
ASA grade 3 (%) 18 29 28
ASA grade 4+ (%) 3 3 3
ASA grade not recorded (%) 4 8 5
Data completeness of:
7 Audit items for risk-adjustment (%) 93 87 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 204 2189 31676
Seen by Clinical Nurse Specialist (%) 89 80 87
All patients deemed potentially curative? Trust Network National
Number of patients 37 405 7416
Major resection rate in potentially curative patients (%) 97 84 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 119 1282 19218
Distant metastases (%) 10 8 8
Urgent or emergency surgery (%) 8 15 15
At least 12 lymph nodes excised (%) 83 88 84
Laparoscopic surgery attempted (%) 69 61 69
Risk-adjusted length of stay > 5 days (%) 61 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 50 817 11837
Adjuvant chemotherapy (%) 78 67 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 36 313 4588
Neoadjuvant therapy (%) 28 38 33
Circumferential resection margin: Negative (%) 86 90 80
Circumferential resection margin: Recorded (%) 97 96 90
APER rate (%) 22 26 25

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