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/
Chemotherapy toxicity data presented at trust level because 94% of data was coded at trust level.

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 PET-CT facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 160 2258 35779
Case ascertainment (%) Poor Good Good
Data completeness of:
– Pre-treatment TNM (%) 89 79 86
– Performance status (%) 97 92 89
Patients having major resection: Trust Network National
Number of patients in Audit 84 1187 19631
ASA grade 1 (%) 15 8 9
ASA grade 2 (%) 54 52 53
ASA grade 3 (%) 30 30 31
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) 1 8 4
Data completeness of:
7 Audit items for risk-adjustment (%) 90 89 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 160 2258 35779
Seen by Clinical Nurse Specialist (%) 91 94 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 84 1187 19614
Distant metastases (%) 3 5 5
Urgent or emergency surgery (%) 8 14 15
At least 12 lymph nodes excised (%) 89 85 84
Laparoscopic surgery attempted (%) 62 71 72
Risk-adjusted length of stay > 5 days (%) 63 56 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 20 N/A 10747
Adjuvant chemotherapy (%) 65 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 65 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 31 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 18 N/A 4251
Neoadjuvant therapy (%) 42 N/A 33
Circumferential resection margin: Recorded (%) 89 94 89
Circumferential resection margin: Negative (%) 78 88 83
Rectal volume N/A N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 85 1284 19644
APER/Hartmanns (%) 42 43 37

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