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:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 247 3626 31676
Case ascertainment (%) 123 101 95
Data completeness of:
– Pre-treatment TNM (%) 95 71 80
– Performance status (%) 98 89 86
Patients having major resection: Trust Network National
Number of patients in Audit 161 2090 19218
ASA grade 1 (%) 16 13 11
ASA grade 2 (%) 53 52 53
ASA grade 3 (%) 29 30 28
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 1 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 97 83 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 247 3626 31676
Seen by Clinical Nurse Specialist (%) 98 86 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 54 756 7416
Undergoing major resection (%) 87 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 161 2090 19218
Distant metastases (%) 7 8 8
Urgent or emergency surgery (%) 16 14 15
At least 12 lymph nodes excised (%) 88 79 84
Laparoscopic surgery attempted (%) 98 75 69
Risk-adjusted length of stay > 5 days (%) 38 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 83 1337 11837
Adjuvant chemotherapy (%) 57 55 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 53 533 4588
Neoadjuvant therapy (%) 9 25 33
Circumferential resection margin: Recorded (%) 100 88 90
Circumferential resection margin: Negative (%) 98 80 80
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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