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/

View Trust Services

This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • 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 421 3058 28013
Case ascertainment (%) 107 96 93
Data completeness of:
– Pre-treatment TNM (%) 86 72 71
– Performance status (%) 54 78 77
Patients having major resection: Trust Network National
Number of patients in Audit 264 1920 18809
ASA grade 1 (%) 10 13 14
ASA grade 2 (%) 64 52 53
ASA grade 3 (%) 25 25 25
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) N/A 7 5
Data completeness of:
7 Audit items for risk-adjustment (%) 87 74 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 421 3058 30122
Seen by Clinical Nurse Specialist (%) 91 94 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 264 1920 18809
Distant metastases (%) 4 11 9
Urgent or emergency surgery (%) 13 18 16
Median number of lymph nodes excised 24 20 17
Laparoscopic surgery attempted (%) 86 61 61
Length of stay > 5 days (%) 58 67 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 67 499 4769
Neoadjuvant therapy (%) 16 27 37
Circumferential resection margin: Recorded (%) 97 52 25
Circumferential resection margin: Positive (%) N/A 4 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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