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 167 1670 29766
Case ascertainment (%) 93 90 90
Data completeness of:
– Pre-treatment TNM (%) 98 88 83
– Performance status (%) 100 95 85
Patients having major resection: Trust Network National
Number of patients in Audit 95 964 16499
ASA grade 1 (%) 5 14 10
ASA grade 2 (%) 57 56 53
ASA grade 3 (%) 32 26 30
ASA grade 4+ (%) 6 3 3
ASA grade not recorded (%) 0 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 98 92 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 167 1670 29766
Seen by Clinical Nurse Specialist (%) 80 80 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 46 477 7226
Undergoing major resection (%) 74 82 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 95 964 16474
Distant metastases (%) 13 7 6
Urgent or emergency surgery (%) 25 18 15
At least 12 lymph nodes excised (%) 88 83 84
Laparoscopic surgery attempted (%) 62 76 72
Risk-adjusted length of stay > 5 days (%) 60 60 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 55 667 10641
Adjuvant chemotherapy (%) 67 57 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 11 216 3899
Neoadjuvant therapy (%) 10 25 32
Circumferential resection margin: Recorded (%) 91 93 86
Circumferential resection margin: Negative (%) 91 84 79
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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