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 177 1912 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 92 85
– Performance status (%) 99 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 101 962 18552
ASA grade 1 (%) 4 13 9
ASA grade 2 (%) 62 56 53
ASA grade 3 (%) 31 28 30
ASA grade 4+ (%) 2 3 2
ASA grade not recorded (%) 1 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 99 94 89

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit N/A N/A N/A
Seen by Clinical Nurse Specialist (%) 76 87 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 45 493 8157
Undergoing major resection (%) 82 80 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 101 962 18515
Distant metastases (%) 5 5 6
Urgent or emergency surgery (%) 28 18 21
At least 12 lymph nodes excised (%) 85 87 86
Laparoscopic surgery attempted (%) 67 79 71
Risk-adjusted length of stay > 5 days (%) 55 56 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 59 613 10335
Adjuvant chemotherapy (%) 64 56 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 23 199 4137
Neoadjuvant therapy (%) 15 16 34
Circumferential resection margin: Negative (%) 87 85 84
Circumferential resection margin: Recorded (%) 100 91 90
APER rate (%) 13 19 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 59 928 17956
APER/Hartmanns (%) 22 29 37

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