Worcestershire Acute Hospitals NHS Trust

The Worcestershire Acute Hospitals NHS Trust incorporates Worcestershire Royal Hospital, Alexandra Hospital in Redditch, and Kidderminster Hospital http://www.worcsacute.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 517 3482 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 97 83 86
– Performance status (%) 97 90 89
Patients having major resection: Trust Network National
Number of patients in Audit 275 2135 19631
ASA grade 1 (%) 1 5 9
ASA grade 2 (%) 68 53 53
ASA grade 3 (%) 27 34 31
ASA grade 4+ (%) 3 4 2
ASA grade not recorded (%) N/A 4 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 87 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 517 3482 35779
Seen by Clinical Nurse Specialist (%) 88 89 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 275 2135 19614
Distant metastases (%) N/A 4 5
Urgent or emergency surgery (%) 17 24 15
At least 12 lymph nodes excised (%) 95 82 84
Laparoscopic surgery attempted (%) 97 72 72
Risk-adjusted length of stay > 5 days (%) 48 49 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 158 N/A 10747
Adjuvant chemotherapy (%) 78 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 124 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 26 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 59 N/A 4251
Neoadjuvant therapy (%) 17 N/A 33
Circumferential resection margin: Recorded (%) 98 88 89
Circumferential resection margin: Negative (%) 90 81 83
Rectal volume 59 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 272 2273 19644
APER/Hartmanns (%) 37 38 37

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