University Hospitals of North Midlands NHS Trust

The University Hospitals of North Midlands NHS Trust - Royal Stoke University Hospital incorporates Royal Stoke University Hospital (formerly City General Hospital) in Stoke-on-Trent http://www.uhnm.nhs.uk

In 2015, University Hospitals of North Midlands NHS Trust - Royal Stoke University Hospital and University Hospitals of North Midlands NHS Trust - County Hospital merged into University Hospitals of North Midlands NHS Trust.

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View Trust Services

This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific 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:
    • Dedicated Specialist Advanced MDT
    • Complex vascular reconstruction
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 401 3445 31676
Case ascertainment (%) 94 100 95
Data completeness of:
– Pre-treatment TNM (%) 79 79 80
– Performance status (%) 100 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 266 2169 19218
ASA grade 1 (%) 30 11 11
ASA grade 2 (%) 45 53 53
ASA grade 3 (%) 18 30 28
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) 4 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 91 82 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 401 3445 31676
Seen by Clinical Nurse Specialist (%) 100 88 87
All patients deemed potentially curative? Trust Network National
Number of patients 82 845 7416
Major resection rate in potentially curative patients (%) 90 88 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 266 2169 19218
Distant metastases (%) 12 9 8
Urgent or emergency surgery (%) 13 17 15
At least 12 lymph nodes excised (%) 80 77 84
Laparoscopic surgery attempted (%) 77 74 69
Risk-adjusted length of stay > 5 days (%) 59 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 134 1249 11837
Adjuvant chemotherapy (%) 74 71 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 63 535 4588
Neoadjuvant therapy (%) 54 31 33
Circumferential resection margin: Negative (%) 86 80 80
Circumferential resection margin: Recorded (%) 95 88 90
APER rate (%) 25 28 25

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