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 PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 244 1247 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 90 86
– Performance status (%) 100 93 88
Patients having major resection: Trust Network National
Number of patients in Audit 137 760 15891
ASA grade 1 (%) 7 5 8
ASA grade 2 (%) 55 51 52
ASA grade 3 (%) 37 32 31
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) N/A 10 7
Data completeness of:
7 Audit items for risk-adjustment (%) 98 84 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 244 1247 28523
Seen by Clinical Nurse Specialist (%) 99 93 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 73 345 7393
Undergoing major resection (%) 81 83 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 137 760 15855
Distant metastases (%) 9 9 7
Urgent or emergency surgery (%) 16 16 20
At least 12 lymph nodes excised (%) 96 89 86
Laparoscopic surgery attempted (%) 61 70 67
Risk-adjusted length of stay > 5 days (%) 69 51 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 57 426 10794
Adjuvant chemotherapy (%) 61 59 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 27 176 3481
Neoadjuvant therapy (%) 26 23 38
Circumferential resection margin: Recorded (%) 96 93 89
Circumferential resection margin: Negative (%) 74 87 82
Rectal volume 29 161 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 121 904 19595
APER/Hartmanns (%) 36 36 36

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