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
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 82 1800 32641
Case ascertainment (%) Poor Good Good
Data completeness of:
– Pre-treatment TNM (%) 87 72 85
– Performance status (%) 98 91 86
Patients having major resection: Trust Network National
Number of patients in Audit 42 1090 18552
ASA grade 1 (%) 10 5 9
ASA grade 2 (%) 71 53 53
ASA grade 3 (%) 12 31 30
ASA grade 4+ (%) 7 4 2
ASA grade not recorded (%) N/A 6 6
Data completeness of:
7 Audit items for risk-adjustment (%) 100 92 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 82 1800 29766
Seen by Clinical Nurse Specialist (%) 96 92 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 33 392 8157
Undergoing major resection (%) 85 78 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 42 1090 18515
Distant metastases (%) 7 9 6
Urgent or emergency surgery (%) 12 18 21
At least 12 lymph nodes excised (%) 86 84 86
Laparoscopic surgery attempted (%) 86 64 71
Risk-adjusted length of stay > 5 days (%) 74 59 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 53 590 10335
Adjuvant chemotherapy (%) 68 66 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A 239 4137
Neoadjuvant therapy (%) N/A 39 34
Circumferential resection margin: Recorded (%) N/A 89 90
Circumferential resection margin: Negative (%) N/A 85 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 98 1102 17956
APER/Hartmanns (%) 37 44 37

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