Warrington and Halton Hospitals NHS Foundation Trust

The Warrington and Halton Hospitals NHS Foundation Trust incorporates Halton Hospital in Runcorn and Warrington Hospital http://www.whh.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • 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 83 1497 32641
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 98 96 85
– Performance status (%) 98 94 86
Patients having major resection: Trust Network National
Number of patients in Audit 58 826 18552
ASA grade 1 (%) 2 11 9
ASA grade 2 (%) 64 57 53
ASA grade 3 (%) 33 28 30
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) N/A 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 98 88 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 83 1497 29766
Seen by Clinical Nurse Specialist (%) 92 92 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 17 384 8157
Undergoing major resection (%) 71 80 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 58 826 18515
Distant metastases (%) 5 4 6
Urgent or emergency surgery (%) 5 16 21
At least 12 lymph nodes excised (%) 89 83 86
Laparoscopic surgery attempted (%) 43 69 71
Risk-adjusted length of stay > 5 days (%) 71 61 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 40 490 10335
Adjuvant chemotherapy (%) 60 57 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 12 157 4137
Neoadjuvant therapy (%) 41 35 34
Circumferential resection margin: Recorded (%) 100 85 90
Circumferential resection margin: Negative (%) 100 79 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 55 815 17956
APER/Hartmanns (%) 47 35 37

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