Pennine Acute Hospitals NHS Trust

The Pennine Acute Hospitals NHS Trust incorporates Rochdale Infirmary, North Manchester General Hospital, Fairfield General Hospital in Bury, and Royal Oldham Hospital http://www.pat.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • 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 447 1550 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 98 94 85
– Performance status (%) 85 86 86
Patients having major resection: Trust Network National
Number of patients in Audit 226 920 18552
ASA grade 1 (%) 6 14 9
ASA grade 2 (%) 54 50 53
ASA grade 3 (%) 37 33 30
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) N/A 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 100 97 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 447 1546 29766
Seen by Clinical Nurse Specialist (%) 100 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 90 374 8157
Undergoing major resection (%) 78 83 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 226 920 18515
Distant metastases (%) 3 5 6
Urgent or emergency surgery (%) 14 16 21
At least 12 lymph nodes excised (%) 89 88 86
Laparoscopic surgery attempted (%) 74 61 71
Risk-adjusted length of stay > 5 days (%) 50 60 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 130 535 10335
Adjuvant chemotherapy (%) 56 56 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 48 184 4137
Neoadjuvant therapy (%) 31 47 34
Circumferential resection margin: Recorded (%) 100 97 90
Circumferential resection margin: Negative (%) 98 90 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 180 772 17956
APER/Hartmanns (%) 33 45 37

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