Ashford and St Peter's Hospitals NHS Foundation Trust

The Ashford and St Peter's Hospitals NHS Foundation Trust incorporates St Peter's Hospital in Chertsey http://www.ashfordstpeters.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic & pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • 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 160 1761 30541
Case ascertainment (%) 95 96 93
Data completeness of:
– Pre-treatment TNM (%) 97 77 78
– Performance status (%) 100 80 85
Patients having major resection: Trust Network National
Number of patients in Audit 104 1172 19183
ASA grade 1 (%) 6 10 12
ASA grade 2 (%) 60 58 52
ASA grade 3 (%) 28 23 27
ASA grade 4+ (%) 6 3 2
ASA grade not recorded (%) 1 6 7
Data completeness of:
7 Audit items for risk-adjustment (%) 96 81 83

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 160 1761 30424
Seen by Clinical Nurse Specialist (%) 93 79 93
Treatment Pathway:
– Curative major resection (%) 66 64 59
– Non-curative major resection (%) 3 4 4
– No major resection: too little cancer (%) 4 4 4
– No major resection: too much cancer / too frail (%) 11 14 17
– No major resection: unknown / other reason (%) 17 14 16

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 104 1172 19222
Distant metastases (%) 16 7 8
Urgent or emergency surgery (%) 43 31 17
At least 12 lymph nodes excised (%) 84 90 87
Laparoscopic surgery attempted (%) 68 74 66
Risk-adjusted length of stay > 5 days (%) 64 64 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 14 260 4503
Neoadjuvant therapy (%) 0 27 36
Circumferential resection margin: Negative (%) 79 57 77
Circumferential resection margin: Present (%) 100 60 84
APER rate (%) 29 18 26

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