University Hospitals of Morecambe Bay NHS Foundation Trust

The University Hospitals of Morecambe Bay NHS Foundation Trust incorporates Royal Lancaster Infirmary and Furness General Hospital https://www.uhmb.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 174 862 29766
Case ascertainment (%) 79 90 90
Data completeness of:
– Pre-treatment TNM (%) 80 87 83
– Performance status (%) 99 99 85
Patients having major resection: Trust Network National
Number of patients in Audit 139 394 16499
ASA grade 1 (%) 10 7 10
ASA grade 2 (%) 63 60 53
ASA grade 3 (%) 25 29 30
ASA grade 4+ (%) 1 1 3
ASA grade not recorded (%) 0 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 98 96 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 174 862 29766
Seen by Clinical Nurse Specialist (%) 100 93 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 139 394 16474
Distant metastases (%) 8 8 6
Urgent or emergency surgery (%) 2 11 15
At least 12 lymph nodes excised (%) 85 90 84
Laparoscopic surgery attempted (%) 55 60 72
Risk-adjusted length of stay > 5 days (%) 61 62 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 37 102 3899
Neoadjuvant therapy (%) 30 38 32
Circumferential resection margin: Negative (%) 95 86 79
Circumferential resection margin: Recorded (%) 97 95 86
APER rate (%) 8 21 24

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