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 MRI liver facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 210 1250 28013
Case ascertainment (%) 97 99 93
Data completeness of:
– Pre-treatment TNM (%) 89 77 71
– Performance status (%) 100 88 77
Patients having major resection: Trust Network National
Number of patients in Audit 96 719 18809
ASA grade 1 (%) 13 14 14
ASA grade 2 (%) 53 55 53
ASA grade 3 (%) 31 24 25
ASA grade 4+ (%) 3 6 3
ASA grade not recorded (%) N/A 1 5
Data completeness of:
7 Audit items for risk-adjustment (%) 84 83 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 210 1250 30122
Seen by Clinical Nurse Specialist (%) 99 97 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 96 719 18809
Distant metastases (%) N/A 8 9
Urgent or emergency surgery (%) 11 15 16
Median number of lymph nodes excised 17 17 17
Laparoscopic surgery attempted (%) 63 58 61
Length of stay > 5 days (%) 65 68 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 25 165 4769
Neoadjuvant therapy (%) 71 52 37
Circumferential resection margin: Recorded (%) 44 48 25
Circumferential resection margin: Positive (%) 4 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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