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
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 259 1028 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 75 83 85
– Performance status (%) 100 98 86
Patients having major resection: Trust Network National
Number of patients in Audit 154 559 18552
ASA grade 1 (%) 12 14 9
ASA grade 2 (%) 55 48 53
ASA grade 3 (%) 28 28 30
ASA grade 4+ (%) 5 2 2
ASA grade not recorded (%) N/A 8 6
Data completeness of:
7 Audit items for risk-adjustment (%) 95 87 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 259 1028 29766
Seen by Clinical Nurse Specialist (%) 100 93 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 61 241 8157
Undergoing major resection (%) 80 76 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 154 559 18515
Distant metastases (%) 7 4 6
Urgent or emergency surgery (%) 4 12 21
At least 12 lymph nodes excised (%) 92 88 86
Laparoscopic surgery attempted (%) 42 64 71
Risk-adjusted length of stay > 5 days (%) 62 70 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 95 275 10335
Adjuvant chemotherapy (%) 54 64 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 34 128 4137
Neoadjuvant therapy (%) 24 42 34
Circumferential resection margin: Recorded (%) 85 93 90
Circumferential resection margin: Negative (%) 82 84 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 141 459 17956
APER/Hartmanns (%) 34 41 37

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