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 and pre-operative services:
    • On-site MRI liver facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 155 1889 31676
Case ascertainment (%) 93 106 95
Data completeness of:
– Pre-treatment TNM (%) 96 84 80
– Performance status (%) 100 90 86
Patients having major resection: Trust Network National
Number of patients in Audit 99 1128 19218
ASA grade 1 (%) 11 10 11
ASA grade 2 (%) 44 57 53
ASA grade 3 (%) 36 28 28
ASA grade 4+ (%) 7 4 3
ASA grade not recorded (%) 1 1 5
Data completeness of:
7 Audit items for risk-adjustment (%) 91 91 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 155 1889 31676
Seen by Clinical Nurse Specialist (%) 91 73 87
All patients deemed potentially curative? Trust Network National
Number of patients 54 503 7416
Major resection rate in potentially curative patients (%) 78 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 99 1128 19218
Distant metastases (%) 8 7 8
Urgent or emergency surgery (%) 34 24 15
At least 12 lymph nodes excised (%) 80 86 84
Laparoscopic surgery attempted (%) 61 73 69
Risk-adjusted length of stay > 5 days (%) 56 61 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 51 786 11837
Adjuvant chemotherapy (%) 61 56 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 16 238 4588
Neoadjuvant therapy (%) 17 22 33
Circumferential resection margin: Negative (%) 69 77 80
Circumferential resection margin: Recorded (%) 75 84 90
APER rate (%) 19 18 25

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