Wirral University Teaching Hospital NHS Foundation Trust

The Wirral University Teaching Hospital NHS Foundation Trust incorporates Arrowe Park Hospital in Birkenhead and Clatterbridge Hospital in Wirral http://www.wuth.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 PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 256 1582 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 95 96 86
– Performance status (%) 100 98 89
Patients having major resection: Trust Network National
Number of patients in Audit 125 882 19631
ASA grade 1 (%) 2 11 9
ASA grade 2 (%) 58 56 53
ASA grade 3 (%) 38 29 31
ASA grade 4+ (%) 2 1 2
ASA grade not recorded (%) N/A 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 96 87 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 256 1582 35779
Seen by Clinical Nurse Specialist (%) 84 94 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 125 882 19614
Distant metastases (%) 3 3 5
Urgent or emergency surgery (%) 15 16 15
At least 12 lymph nodes excised (%) 86 83 84
Laparoscopic surgery attempted (%) 53 69 72
Risk-adjusted length of stay > 5 days (%) 61 64 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 78 N/A 10747
Adjuvant chemotherapy (%) 60 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) N/A N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 29 N/A 4251
Neoadjuvant therapy (%) 28 N/A 33
Circumferential resection margin: Recorded (%) 86 86 89
Circumferential resection margin: Negative (%) 83 75 83
Rectal volume 26 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 117 838 19644
APER/Hartmanns (%) 36 37 37

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