University Hospitals of Leicester NHS Trust

The University Hospitals of Leicester NHS Trust incorporates Leicester Royal Infirmary, Glenfield Hospital in Leicester, and Leicester General Hospital http://www.leicestershospitals.nhs.uk/

View Trust Services

This trust offers the following services:

  • 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
    • Robotic surgery
  • Advanced disease services:
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 499 2189 31676
Case ascertainment (%) 101 98 95
Data completeness of:
– Pre-treatment TNM (%) 82 66 80
– Performance status (%) 73 74 86
Patients having major resection: Trust Network National
Number of patients in Audit 294 1282 19218
ASA grade 1 (%) 2 7 11
ASA grade 2 (%) 55 53 53
ASA grade 3 (%) 39 29 28
ASA grade 4+ (%) 4 3 3
ASA grade not recorded (%) 1 8 5
Data completeness of:
7 Audit items for risk-adjustment (%) 99 87 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 499 2189 31676
Seen by Clinical Nurse Specialist (%) 94 80 87
All patients deemed potentially curative? Trust Network National
Number of patients 135 405 7416
Major resection rate in potentially curative patients (%) 81 84 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 294 1282 19218
Distant metastases (%) 12 8 8
Urgent or emergency surgery (%) 17 15 15
At least 12 lymph nodes excised (%) 80 88 84
Laparoscopic surgery attempted (%) 51 61 69
Risk-adjusted length of stay > 5 days (%) 61 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 171 817 11837
Adjuvant chemotherapy (%) 62 67 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 73 313 4588
Neoadjuvant therapy (%) 60 38 33
Circumferential resection margin: Negative (%) 96 90 80
Circumferential resection margin: Recorded (%) 100 96 90
APER rate (%) 23 26 25

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