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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 86 1631 30710
Case ascertainment (%) 57 91 95
Data completeness of:
– Pre-treatment TNM (%) 94 85 76
– Performance status (%) 100 88 83
Patients having major resection: Trust Network National
Number of patients in Audit 71 1132 19231
ASA grade 1 (%) 17 10 12
ASA grade 2 (%) 48 61 53
ASA grade 3 (%) 32 20 27
ASA grade 4+ (%) 3 4 3
ASA grade not recorded (%) 0 5 6
Data completeness of:
7 Audit items for risk-adjustment (%) 79 69 81

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 86 1631 30710
Seen by Clinical Nurse Specialist (%) 100 70 91
Treatment Pathway:
– Curative major resection (%) 77 66 59
– Non-curative major resection (%) 5 4 4
– No major resection: too little cancer (%) 2 4 4
– No major resection: too much cancer / too frail (%) 6 11 17
– No major resection: unknown / other reason (%) 10 14 16

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 71 1132 19231
Distant metastases (%) 15 5 9
Urgent or emergency surgery (%) 21 18 16
At least 12 lymph nodes excised (%) 85 89 84
Laparoscopic surgery attempted (%) 73 71 63
Risk-adjusted length of stay > 5 days (%) 74 69 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 235 4468
Neoadjuvant therapy^ (%) 0 20 35
Circumferential resection margin: Positive (%) 0 6 7
Circumferential resection margin: Missing (%) 0 54 26
APER rate (%) 0 26 25

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