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 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 17 1857 28523
Case ascertainment (%) Poor Good Good
Data completeness of:
– Pre-treatment TNM (%) 76 74 86
– Performance status (%) 94 84 88
Patients having major resection: Trust Network National
Number of patients in Audit N/A 1031 15891
ASA grade 1 (%) N/A 7 8
ASA grade 2 (%) N/A 46 52
ASA grade 3 (%) N/A 27 31
ASA grade 4+ (%) N/A 3 2
ASA grade not recorded (%) N/A 17 7
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 82 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 17 1857 28523
Seen by Clinical Nurse Specialist (%) 88 86 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 12 383 7393
Undergoing major resection (%) 75 85 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit N/A 1031 15855
Distant metastases (%) N/A 8 7
Urgent or emergency surgery (%) N/A 19 20
At least 12 lymph nodes excised (%) N/A 86 86
Laparoscopic surgery attempted (%) N/A 58 67
Risk-adjusted length of stay > 5 days (%) N/A 61 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 34 766 10794
Adjuvant chemotherapy (%) 62 64 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A 211 3481
Neoadjuvant therapy (%) N/A 42 38
Circumferential resection margin: Recorded (%) N/A 96 89
Circumferential resection margin: Negative (%) N/A 91 82
Rectal volume N/A 214 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 92 1302 19595
APER/Hartmanns (%) 41 42 36

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