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
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 148 1432 30541
Case ascertainment (%) 95 92 93
Data completeness of:
– Pre-treatment TNM (%) 91 75 78
– Performance status (%) 86 88 85
Patients having major resection: Trust Network National
Number of patients in Audit 81 938 19183
ASA grade 1 (%) 11 10 12
ASA grade 2 (%) 56 55 52
ASA grade 3 (%) 30 29 27
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) 1 3 7
Data completeness of:
7 Audit items for risk-adjustment (%) 86 89 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 148 1432 30424
Seen by Clinical Nurse Specialist (%) 92 97 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 81 938 19222
Distant metastases (%) 6 9 8
Urgent or emergency surgery (%) 17 16 17
At least 12 lymph nodes excised (%) 77 81 87
Laparoscopic surgery attempted (%) 60 55 66
Risk-adjusted length of stay > 5 days (%) 53 72 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 173 4503
Neoadjuvant therapy (%) N/A 58 36
Circumferential resection margin: Present (%) N/A 88 84
Circumferential resection margin: Negative (%) N/A 74 77
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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