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 234 1412 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 86 87 85
– Performance status (%) 35 85 86
Patients having major resection: Trust Network National
Number of patients in Audit 151 868 18552
ASA grade 1 (%) 30 8 9
ASA grade 2 (%) 56 55 53
ASA grade 3 (%) 14 29 30
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) N/A 6 6
Data completeness of:
7 Audit items for risk-adjustment (%) 85 88 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 234 1412 29766
Seen by Clinical Nurse Specialist (%) 97 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 46 344 8157
Undergoing major resection (%) 93 85 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 151 868 18515
Distant metastases (%) 7 6 6
Urgent or emergency surgery (%) 16 12 21
At least 12 lymph nodes excised (%) 80 89 86
Laparoscopic surgery attempted (%) 94 83 71
Risk-adjusted length of stay > 5 days (%) 42 56 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 76 430 10335
Adjuvant chemotherapy (%) 57 61 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 34 198 4137
Neoadjuvant therapy (%) 7 17 34
Circumferential resection margin: Recorded (%) 85 86 90
Circumferential resection margin: Negative (%) 82 80 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 121 819 17956
APER/Hartmanns (%) 24 36 37

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