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 535 1757 29766
Case ascertainment (%) 101 90 90
Data completeness of:
– Pre-treatment TNM (%) 78 72 83
– Performance status (%) 42 75 85
Patients having major resection: Trust Network National
Number of patients in Audit 189 940 16499
ASA grade 1 (%) 2 6 10
ASA grade 2 (%) 54 55 53
ASA grade 3 (%) 36 29 30
ASA grade 4+ (%) 7 4 3
ASA grade not recorded (%) 1 6 4
Data completeness of:
7 Audit items for risk-adjustment (%) 92 91 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 535 1757 29766
Seen by Clinical Nurse Specialist (%) 51 78 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 86 362 7226
Undergoing major resection (%) 84 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 189 940 16474
Distant metastases (%) 11 6 6
Urgent or emergency surgery (%) 24 16 15
At least 12 lymph nodes excised (%) 66 85 84
Laparoscopic surgery attempted (%) 70 74 72
Risk-adjusted length of stay > 5 days (%) 67 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 156 610 10641
Adjuvant chemotherapy (%) 58 65 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 32 199 3899
Neoadjuvant therapy (%) 64 36 32
Circumferential resection margin: Recorded (%) 84 91 86
Circumferential resection margin: Negative (%) 56 84 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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