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:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 163 2057 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 84 86
– Performance status (%) 89 89 89
Patients having major resection: Trust Network National
Number of patients in Audit 91 1091 19631
ASA grade 1 (%) 14 10 9
ASA grade 2 (%) 53 59 53
ASA grade 3 (%) 29 26 31
ASA grade 4+ (%) 1 1 2
ASA grade not recorded (%) 3 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 96 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 163 2057 35779
Seen by Clinical Nurse Specialist (%) 92 89 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 91 1091 19614
Distant metastases (%) 9 3 5
Urgent or emergency surgery (%) 4 15 15
At least 12 lymph nodes excised (%) 88 84 84
Laparoscopic surgery attempted (%) 80 84 72
Risk-adjusted length of stay > 5 days (%) 51 49 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 70 N/A 10747
Adjuvant chemotherapy (%) 59 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) N/A N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 22 N/A 4251
Neoadjuvant therapy (%) 18 N/A 33
Circumferential resection margin: Recorded (%) 91 86 89
Circumferential resection margin: Negative (%) 91 80 83
Rectal volume 26 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 76 1092 19644
APER/Hartmanns (%) 25 29 37

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