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 403 3507 29766
Case ascertainment (%) 104 97 90
Data completeness of:
– Pre-treatment TNM (%) 95 80 83
– Performance status (%) 79 86 85
Patients having major resection: Trust Network National
Number of patients in Audit 224 2012 16499
ASA grade 1 (%) 3 10 10
ASA grade 2 (%) 59 50 53
ASA grade 3 (%) 35 34 30
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) 0 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 97 88 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 403 3507 29766
Seen by Clinical Nurse Specialist (%) 83 86 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 136 854 7226
Undergoing major resection (%) 82 87 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 224 2012 16474
Distant metastases (%) 3 4 6
Urgent or emergency surgery (%) 9 16 15
At least 12 lymph nodes excised (%) 94 82 84
Laparoscopic surgery attempted (%) 91 74 72
Risk-adjusted length of stay > 5 days (%) 55 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 155 1187 10641
Adjuvant chemotherapy (%) 64 67 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 55 503 3899
Neoadjuvant therapy (%) 30 30 32
Circumferential resection margin: Recorded (%) 84 88 86
Circumferential resection margin: Negative (%) 75 81 79
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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