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
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy 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 165 1493 31676
Case ascertainment (%) 94 96 95
Data completeness of:
– Pre-treatment TNM (%) 95 83 80
– Performance status (%) 71 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 94 910 19218
ASA grade 1 (%) 12 9 11
ASA grade 2 (%) 53 56 53
ASA grade 3 (%) 31 30 28
ASA grade 4+ (%) 4 3 3
ASA grade not recorded (%) N/A 1 5
Data completeness of:
7 Audit items for risk-adjustment (%) 44 89 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 165 1493 31676
Seen by Clinical Nurse Specialist (%) 76 93 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 55 342 7416
Undergoing major resection (%) 84 86 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 94 910 19218
Distant metastases (%) 0 10 8
Urgent or emergency surgery (%) 10 15 15
At least 12 lymph nodes excised (%) 32 79 84
Laparoscopic surgery attempted (%) 67 57 69
Risk-adjusted length of stay > 5 days (%) 36 67 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 66 623 11837
Adjuvant chemotherapy (%) 44 57 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 14 194 4588
Neoadjuvant therapy (%) 79 55 33
Circumferential resection margin: Recorded (%) 57 94 90
Circumferential resection margin: Negative (%) 43 85 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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