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 MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 456 3445 31676
Case ascertainment (%) 111 100 95
Data completeness of:
– Pre-treatment TNM (%) 87 79 80
– Performance status (%) 86 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 283 2169 19218
ASA grade 1 (%) 5 11 11
ASA grade 2 (%) 64 53 53
ASA grade 3 (%) 28 30 28
ASA grade 4+ (%) 3 3 3
ASA grade not recorded (%) N/A 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 84 82 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 456 3445 31676
Seen by Clinical Nurse Specialist (%) 84 88 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 130 845 7416
Undergoing major resection (%) 81 88 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 283 2169 19218
Distant metastases (%) 9 9 8
Urgent or emergency surgery (%) 18 17 15
At least 12 lymph nodes excised (%) 79 77 84
Laparoscopic surgery attempted (%) 84 74 69
Risk-adjusted length of stay > 5 days (%) 43 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 190 1249 11837
Adjuvant chemotherapy (%) 70 71 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 67 535 4588
Neoadjuvant therapy (%) 28 31 33
Circumferential resection margin: Recorded (%) 93 88 90
Circumferential resection margin: Negative (%) 81 80 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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