University Hospitals Birmingham NHS Foundation Trust - Queen Elizabeth Hospital

The University Hospitals Birmingham NHS Foundation Trust - Queen Elizabeth Hospital incorporates Queen Elizabeth Hospital in Birmingham https://www.uhb.nhs.uk/

In 2018, University Hospitals of Birmingham split into Queen Elizabeth Hospital and Heartlands Hospital.

View Heartlands Hospital outcomes

View Trust Services

This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy
    • Extended lymphadenectomy
  • 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 208 3445 31676
Case ascertainment (%) 95 100 95
Data completeness of:
– Pre-treatment TNM (%) 90 79 80
– Performance status (%) 44 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 112 2169 19218
ASA grade 1 (%) 7 11 11
ASA grade 2 (%) 50 53 53
ASA grade 3 (%) 41 30 28
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) N/A 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 2 82 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 208 3445 31676
Seen by Clinical Nurse Specialist (%) 84 88 87
All patients deemed potentially curative? Trust Network National
Number of patients 56 845 7416
Major resection rate in potentially curative patients (%) 84 88 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 112 2169 19218
Distant metastases (%) 0 9 8
Urgent or emergency surgery (%) 17 17 15
At least 12 lymph nodes excised (%) 2 77 84
Laparoscopic surgery attempted (%) 63 74 69
Risk-adjusted length of stay > 5 days (%) N/A 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 16 1249 11837
Adjuvant chemotherapy (%) 56 71 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 26 535 4588
Neoadjuvant therapy (%) 59 31 33
Circumferential resection margin: Negative (%) N/A 80 80
Circumferential resection margin: Recorded (%) N/A 88 90
APER rate (%) 42 28 25

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