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 MRI liver facilities
    • On-site PET-CT facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 158 1468 30710
Case ascertainment (%) 112 99 95
Data completeness of:
– Pre-treatment TNM (%) 85 62 76
– Performance status (%) 92 88 83
Patients having major resection: Trust Network National
Number of patients in Audit 75 906 19231
ASA grade 1 (%) 8 13 12
ASA grade 2 (%) 49 52 53
ASA grade 3 (%) 39 30 27
ASA grade 4+ (%) 4 3 3
ASA grade not recorded (%) N/A 2 6
Data completeness of:
7 Audit items for risk-adjustment (%) 85 94 81

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 158 1468 30710
Seen by Clinical Nurse Specialist (%) 92 97 91

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 75 906 19231
Distant metastases (%) 3 9 9
Urgent or emergency surgery (%) 19 18 16
At least 12 lymph nodes excised (%) 68 77 84
Laparoscopic surgery attempted (%) 72 49 63
Risk-adjusted length of stay > 5 days (%) 39 76 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 13 230 4468
Neoadjuvant therapy (%) 73 55 35
Circumferential resection margin: Recorded (%) N/A 10 26
Circumferential resection margin: Positive (%) 15 9 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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