Hull and East Yorkshire Hospitals NHS Trust

The Hull and East Yorkshire Hospitals NHS Trust incorporates Hull Royal Infirmary and Castle Hill Hospital in Hull [https://www.hey.nhs.uk/].https://www.hey.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
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
    • Intraoperative RTX
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 340 906 31676
Case ascertainment (%) 116 105 95
Data completeness of:
– Pre-treatment TNM (%) 69 84 80
– Performance status (%) 54 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 194 572 19218
ASA grade 1 (%) N/A 3 11
ASA grade 2 (%) N/A 26 53
ASA grade 3 (%) N/A 27 28
ASA grade 4+ (%) N/A 5 3
ASA grade not recorded (%) 100 38 5
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 59 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 340 906 31676
Seen by Clinical Nurse Specialist (%) 44 76 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 77 220 7416
Undergoing major resection (%) 91 85 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 194 572 19218
Distant metastases (%) 8 9 8
Urgent or emergency surgery (%) 15 18 15
At least 12 lymph nodes excised (%) 80 82 84
Laparoscopic surgery attempted (%) 35 46 69
Risk-adjusted length of stay > 5 days (%) N/A 64 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 108 371 11837
Adjuvant chemotherapy (%) 56 64 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 43 137 4588
Neoadjuvant therapy (%) 50 47 33
Circumferential resection margin: Recorded (%) 81 88 90
Circumferential resection margin: Negative (%) 49 70 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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