University Hospital of South Manchester NHS Foundation Trust

The University Hospital of South Manchester NHS Foundation Trust incorporates Wythenshawe Hospital in Manchester https://www.uhsm.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Surgical services:
    • On-site thoracic surgical team
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 136 2626 28013
Case ascertainment (%) 98 98 93
Data completeness of:
– Pre-treatment TNM (%) 74 80 71
– Performance status (%) 74 88 77
Patients having major resection: Trust Network National
Number of patients in Audit 94 1599 18809
ASA grade 1 (%) 13 14 14
ASA grade 2 (%) 41 53 53
ASA grade 3 (%) 44 29 25
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 1 1 5
Data completeness of:
7 Audit items for risk-adjustment (%) 99 91 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 136 2626 30122
Seen by Clinical Nurse Specialist (%) 96 94 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 94 1599 18809
Distant metastases (%) 11 10 9
Urgent or emergency surgery (%) 14 16 16
Median number of lymph nodes excised 21 15 17
Laparoscopic surgery attempted (%) 53 53 61
Length of stay > 5 days (%) 85 78 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 28 387 4769
Neoadjuvant therapy (%) 59 63 37
Circumferential resection margin: Recorded (%) N/A 26 25
Circumferential resection margin: Positive (%) 4 6 7
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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