Calderdale and Huddersfield NHS Foundation Trust

The Calderdale and Huddersfield NHS Foundation Trust incorporates Calderdale Royal Hospital in Halifax and Huddersfield Royal Infirmary http://www.cht.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice
    • On-site psychology services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 272 1455 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 93 88 85
– Performance status (%) 96 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 122 848 18552
ASA grade 1 (%) 4 9 9
ASA grade 2 (%) 60 58 53
ASA grade 3 (%) 30 25 30
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) 5 6 6
Data completeness of:
7 Audit items for risk-adjustment (%) 95 92 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 272 1455 29766
Seen by Clinical Nurse Specialist (%) 82 85 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 77 380 8157
Undergoing major resection (%) 79 80 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 122 848 18515
Distant metastases (%) 16 9 6
Urgent or emergency surgery (%) 12 18 21
At least 12 lymph nodes excised (%) 88 87 86
Laparoscopic surgery attempted (%) 69 79 71
Risk-adjusted length of stay > 5 days (%) 65 66 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 54 425 10335
Adjuvant chemotherapy (%) 61 66 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 22 183 4137
Neoadjuvant therapy (%) 63 59 34
Circumferential resection margin: Recorded (%) 95 92 90
Circumferential resection margin: Negative (%) 86 82 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 112 811 17956
APER/Hartmanns (%) 51 33 37

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