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 205 3507 29766
Case ascertainment (%) 86 97 90
Data completeness of:
– Pre-treatment TNM (%) 98 80 83
– Performance status (%) 70 86 85
Patients having major resection: Trust Network National
Number of patients in Audit 105 2012 16499
ASA grade 1 (%) 10 10 10
ASA grade 2 (%) 63 50 53
ASA grade 3 (%) 24 34 30
ASA grade 4+ (%) 3 3 3
ASA grade not recorded (%) 0 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 24 88 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 205 3507 29766
Seen by Clinical Nurse Specialist (%) 88 86 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 60 854 7226
Undergoing major resection (%) 85 87 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 105 2012 16474
Distant metastases (%) 24 4 6
Urgent or emergency surgery (%) 18 16 15
At least 12 lymph nodes excised (%) 22 82 84
Laparoscopic surgery attempted (%) 63 74 72
Risk-adjusted length of stay > 5 days (%) 60 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A 1187 10641
Adjuvant chemotherapy (%) N/A 67 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 28 503 3899
Neoadjuvant therapy (%) 64 30 32
Circumferential resection margin: Recorded (%) 18 88 86
Circumferential resection margin: Negative (%) 18 81 79
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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