Bolton NHS Foundation Trust

The Bolton NHS Foundation Trust incorporates Royal Bolton Hospital http://www.boltonft.nhs.uk/

View Trust Services

This trust offers the following services:

  • 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 Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 152 1550 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 97 94 85
– Performance status (%) 75 86 86
Patients having major resection: Trust Network National
Number of patients in Audit 99 920 18552
ASA grade 1 (%) 4 14 9
ASA grade 2 (%) 38 50 53
ASA grade 3 (%) 53 33 30
ASA grade 4+ (%) 5 2 2
ASA grade not recorded (%) N/A 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 99 97 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 152 1546 29766
Seen by Clinical Nurse Specialist (%) 93 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 58 374 8157
Undergoing major resection (%) 86 83 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 99 920 18515
Distant metastases (%) 2 5 6
Urgent or emergency surgery (%) 34 16 21
At least 12 lymph nodes excised (%) 76 88 86
Laparoscopic surgery attempted (%) 44 61 71
Risk-adjusted length of stay > 5 days (%) 68 60 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 56 535 10335
Adjuvant chemotherapy (%) 61 56 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 19 184 4137
Neoadjuvant therapy (%) 47 47 34
Circumferential resection margin: Recorded (%) 100 97 90
Circumferential resection margin: Negative (%) 95 90 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 100 772 17956
APER/Hartmanns (%) 51 45 37

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