North Tees and Hartlepool NHS Foundation Trust

The North Tees and Hartlepool NHS Foundation Trust incorporates University Hospital of North Tees in Stockton-on-Tees and University Hospital of Hartlepool in Hartlepool https://www.nth.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 227 2011 29766
Case ascertainment (%) 111 99 90
Data completeness of:
– Pre-treatment TNM (%) 86 75 83
– Performance status (%) 95 77 85
Patients having major resection: Trust Network National
Number of patients in Audit 128 1128 16499
ASA grade 1 (%) 4 8 10
ASA grade 2 (%) 45 48 53
ASA grade 3 (%) 45 33 30
ASA grade 4+ (%) 6 4 3
ASA grade not recorded (%) 0 8 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 77 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 227 2011 29766
Seen by Clinical Nurse Specialist (%) 93 82 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 66 523 7226
Undergoing major resection (%) 91 85 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 128 1128 16474
Distant metastases (%) 9 5 6
Urgent or emergency surgery (%) 16 15 15
At least 12 lymph nodes excised (%) 95 74 84
Laparoscopic surgery attempted (%) 94 85 72
Risk-adjusted length of stay > 5 days (%) 39 52 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 62 692 10641
Adjuvant chemotherapy (%) 65 58 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 23 279 3899
Neoadjuvant therapy (%) 4 32 32
Circumferential resection margin: Recorded (%) 96 73 86
Circumferential resection margin: Negative (%) 91 70 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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