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:
    • 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 350 3507 29766
Case ascertainment (%) 85 97 90
Data completeness of:
– Pre-treatment TNM (%) 93 80 83
– Performance status (%) 99 86 85
Patients having major resection: Trust Network National
Number of patients in Audit 238 2012 16499
ASA grade 1 (%) 10 10 10
ASA grade 2 (%) 52 50 53
ASA grade 3 (%) 34 34 30
ASA grade 4+ (%) 4 3 3
ASA grade not recorded (%) 1 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 95 88 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 350 3507 29766
Seen by Clinical Nurse Specialist (%) 99 86 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 102 854 7226
Undergoing major resection (%) 90 87 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 238 2012 16474
Distant metastases (%) 6 4 6
Urgent or emergency surgery (%) 12 16 15
At least 12 lymph nodes excised (%) 81 82 84
Laparoscopic surgery attempted (%) 83 74 72
Risk-adjusted length of stay > 5 days (%) 57 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 154 1187 10641
Adjuvant chemotherapy (%) 68 67 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 59 503 3899
Neoadjuvant therapy (%) 34 30 32
Circumferential resection margin: Recorded (%) 95 88 86
Circumferential resection margin: Negative (%) 88 81 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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