Walsall Healthcare NHS Trust

The Walsall Healthcare NHS Trust incorporates Manor Hospital in Walsall https://www.walsallhealthcare.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 112 3445 31676
Case ascertainment (%) 93 100 95
Data completeness of:
– Pre-treatment TNM (%) 87 79 80
– Performance status (%) 100 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 50 2169 19218
ASA grade 1 (%) 30 11 11
ASA grade 2 (%) 44 53 53
ASA grade 3 (%) 26 30 28
ASA grade 4+ (%) N/A 3 3
ASA grade not recorded (%) N/A 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 36 82 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 112 3445 31676
Seen by Clinical Nurse Specialist (%) 75 88 87
All patients deemed potentially curative? Trust Network National
Number of patients 10 845 7416
Major resection rate in potentially curative patients (%) 80 88 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 50 2169 19218
Distant metastases (%) 17 9 8
Urgent or emergency surgery (%) 38 17 15
At least 12 lymph nodes excised (%) 28 77 84
Laparoscopic surgery attempted (%) 66 74 69
Risk-adjusted length of stay > 5 days (%) 80 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 30 1249 11837
Adjuvant chemotherapy (%) 70 71 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 16 535 4588
Neoadjuvant therapy (%) 35 31 33
Circumferential resection margin: Negative (%) 31 80 80
Circumferential resection margin: Recorded (%) 38 88 90
APER rate (%) 13 28 25

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