Brighton and Sussex University Hospitals NHS Trust

The Brighton and Sussex University Hospitals NHS Trust incorporates Royal Sussex County Hospital in Brighton and Princess Royal Hospital in Haywards Heath https://www.bsuh.nhs.uk/ In total 252 cases were entered by September 2020 and will be available for future analyses.

Prior to 2022-2023, outcomes were separately reported for Royal Sussex County Hospital, St Richard's Hospital and Worthing Hospital

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic

Data Quality
All Patients: Trust Network National
Number of patients in Audit 66 1670 29766
Case ascertainment (%) 32 90 90
Data completeness of:
– Pre-treatment TNM (%) 95 88 83
– Performance status (%) 98 95 85
Patients having major resection: Trust Network National
Number of patients in Audit N/A 964 16499
ASA grade 1 (%) N/A 14 10
ASA grade 2 (%) N/A 56 53
ASA grade 3 (%) N/A 26 30
ASA grade 4+ (%) N/A 3 3
ASA grade not recorded (%) N/A 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 92 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 66 1670 29766
Seen by Clinical Nurse Specialist (%) 89 80 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 21 477 7226
Undergoing major resection (%) 71 82 86

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

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A 216 3899
Neoadjuvant therapy (%) N/A 25 32
Circumferential resection margin: Recorded (%) N/A 93 86
Circumferential resection margin: Negative (%) N/A 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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