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 187 1547 29766
Case ascertainment (%) 99 102 90
Data completeness of:
– Pre-treatment TNM (%) 89 83 83
– Performance status (%) 75 89 85
Patients having major resection: Trust Network National
Number of patients in Audit 97 908 16499
ASA grade 1 (%) 16 14 10
ASA grade 2 (%) 49 51 53
ASA grade 3 (%) 33 32 30
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) 0 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 98 93 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 187 1547 29766
Seen by Clinical Nurse Specialist (%) 84 93 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 50 382 7226
Undergoing major resection (%) 92 84 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 97 908 16474
Distant metastases (%) 5 7 6
Urgent or emergency surgery (%) 7 20 15
At least 12 lymph nodes excised (%) 90 85 84
Laparoscopic surgery attempted (%) 70 62 72
Risk-adjusted length of stay > 5 days (%) 41 66 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 50 539 10641
Adjuvant chemotherapy (%) 48 57 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A 192 3899
Neoadjuvant therapy (%) N/A 55 32
Circumferential resection margin: Recorded (%) N/A 92 86
Circumferential resection margin: Negative (%) N/A 85 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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