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:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 277 1526 31676
Case ascertainment (%) 117 91 95
Data completeness of:
– Pre-treatment TNM (%) 88 91 80
– Performance status (%) 100 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 149 925 19218
ASA grade 1 (%) 7 11 11
ASA grade 2 (%) 53 57 53
ASA grade 3 (%) 38 28 28
ASA grade 4+ (%) 2 2 3
ASA grade not recorded (%) N/A 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 89 89 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 277 1526 31676
Seen by Clinical Nurse Specialist (%) 85 90 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 60 401 7416
Undergoing major resection (%) 80 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 149 925 19218
Distant metastases (%) 10 7 8
Urgent or emergency surgery (%) 11 11 15
At least 12 lymph nodes excised (%) 70 84 84
Laparoscopic surgery attempted (%) 71 62 69
Risk-adjusted length of stay > 5 days (%) 70 66 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 90 612 11837
Adjuvant chemotherapy (%) 63 56 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 33 196 4588
Neoadjuvant therapy (%) 29 41 33
Circumferential resection margin: Recorded (%) 88 78 90
Circumferential resection margin: Negative (%) 88 60 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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