East and North Hertfordshire NHS Trust

The East and North Hertfordshire NHS Trust incorporates Lister Hospital in Stevenage, Hertford County Hospital in Hertford, and Queen Elizabeth II Hospital in Welwyn Garden City http://www.enherts-tr.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
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 263 3496 30541
Case ascertainment (%) 109 97 93
Data completeness of:
– Pre-treatment TNM (%) 9 62 78
– Performance status (%) 2 88 85
Patients having major resection: Trust Network National
Number of patients in Audit 134 2168 19183
ASA grade 1 (%) 13 11 12
ASA grade 2 (%) 46 56 52
ASA grade 3 (%) 37 29 27
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) 2 2 7
Data completeness of:
7 Audit items for risk-adjustment (%) 7 79 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 263 3496 30424
Seen by Clinical Nurse Specialist (%) 97 90 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 134 2168 19222
Distant metastases (%) N/A 7 8
Urgent or emergency surgery (%) 9 14 17
At least 12 lymph nodes excised (%) 94 88 87
Laparoscopic surgery attempted (%) 77 69 66
Risk-adjusted length of stay > 5 days (%) N/A 67 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 36 484 4503
Neoadjuvant therapy (%) 19 30 36
Circumferential resection margin: Present (%) 44 87 84
Circumferential resection margin: Negative (%) 44 81 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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