Wrightington, Wigan and Leigh NHS Foundation Trust

The Wrightington, Wigan and Leigh NHS Foundation Trust incorporates Royal Albert Edward Infirmary in Wigan http://www.wwl.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • Routine Genetic Testing for Lynch Syndrome
  • 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 221 1862 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 95 87 86
– Performance status (%) 76 89 89
Patients having major resection: Trust Network National
Number of patients in Audit 102 994 19631
ASA grade 1 (%) 2 16 9
ASA grade 2 (%) 60 44 53
ASA grade 3 (%) 36 36 31
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) N/A 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 94 95 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 221 1862 35779
Seen by Clinical Nurse Specialist (%) 68 92 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 102 994 19614
Distant metastases (%) N/A 4 5
Urgent or emergency surgery (%) 13 12 15
At least 12 lymph nodes excised (%) 89 89 84
Laparoscopic surgery attempted (%) 65 63 72
Risk-adjusted length of stay > 5 days (%) 59 60 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 48 N/A 10747
Adjuvant chemotherapy (%) 63 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) N/A N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 13 N/A 4251
Neoadjuvant therapy (%) 42 N/A 33
Circumferential resection margin: Recorded (%) 100 96 89
Circumferential resection margin: Negative (%) 92 89 83
Rectal volume 11 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 35 809 19644
APER/Hartmanns (%) 34 43 37

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