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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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 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 451 3 38604
Data completeness of:
– Completed stage 1-4 (%) 93 89 82
– Performance status (%) 87 85 74
Patients having major resection: Trust Network National
Number of patients in Audit 312 2312 21702
Performance status 0 (%) 60 65 50
Performance status 1 (%) 23 19 22
Performance status 2 (%) 7 5 5
Performance status 3 (%) 1 1 1
Performance status 4 or not recorded (%) 9 10 21
Data completeness of:
7 Audit items for risk-adjustment (%) 72 73 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 451 3815 38604
Clinical Nurse Specialist (CNS) information recorded (%) 85 76 65
Seen by CNS if CNS record present (%) 100 95 94

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 312 2312 21702
Distant metastases (%) 10 9 7
Emergency surgery (%) 18 16 13
At least 12 lymph nodes excised (%) 55 53 53
Laparoscopic surgery attempted (%) 80 68 65
Risk-adjusted length of stay > 5 days (%) 53 56 59
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 188 1328 12052
Adjuvant chemotherapy (%) 70 69 66

Rectal cancer patients

Patients having major resection: Trust Network National
Neoadjuvant therapy (%) 41 33 34
Rectal volume 65 483 4753
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 320 2603 23317
APER/Hartmanns (%) 41 36 35

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