West Hertfordshire Hospitals NHS Trust

The West Hertfordshire Hospitals NHS Trust incorporates Watford General Hospital, Hemel Hempstead Hospital, and St Alban's City Hospital http://www.westhertshospitals.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 247 3150 28013
Case ascertainment (%) 121 97 93
Data completeness of:
– Pre-treatment TNM (%) 96 54 71
– Performance status (%) 6 64 77
Patients having major resection: Trust Network National
Number of patients in Audit 155 1907 18809
ASA grade 1 (%) 5 10 14
ASA grade 2 (%) 75 53 53
ASA grade 3 (%) 14 24 25
ASA grade 4+ (%) 7 3 3
ASA grade not recorded (%) N/A 9 5
Data completeness of:
7 Audit items for risk-adjustment (%) 98 70 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 247 3150 30122
Seen by Clinical Nurse Specialist (%) 95 87 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 155 1907 18809
Distant metastases (%) 13 10 9
Urgent or emergency surgery (%) 27 17 16
Median number of lymph nodes excised 16 16 17
Laparoscopic surgery attempted (%) 67 59 61
Length of stay > 5 days (%) 71 71 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 37 483 4769
Neoadjuvant therapy (%) 16 26 37
Circumferential resection margin: Recorded (%) 3 28 25
Circumferential resection margin: Positive (%) 3 8 7
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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