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 221 1253 29766
Case ascertainment (%) 101 74 90
Data completeness of:
– Pre-treatment TNM (%) 97 85 83
– Performance status (%) 100 96 85
Patients having major resection: Trust Network National
Number of patients in Audit 137 651 16499
ASA grade 1 (%) 16 8 10
ASA grade 2 (%) 55 62 53
ASA grade 3 (%) 25 26 30
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) 2 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 96 85 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 221 1253 29766
Seen by Clinical Nurse Specialist (%) 98 91 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 60 315 7226
Undergoing major resection (%) 87 90 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 137 651 16474
Distant metastases (%) 5 5 6
Urgent or emergency surgery (%) 18 15 15
At least 12 lymph nodes excised (%) 91 80 84
Laparoscopic surgery attempted (%) 96 86 72
Risk-adjusted length of stay > 5 days (%) 45 55 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 70 417 10641
Adjuvant chemotherapy (%) 61 58 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 37 173 3899
Neoadjuvant therapy (%) 5 17 32
Circumferential resection margin: Recorded (%) 100 88 86
Circumferential resection margin: Negative (%) 97 86 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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