University Hospitals Sussex NHS Foundation Trust - Royal Sussex County Hospital

The University Hospitals Sussex NHS Foundation Trust - Royal Sussex County Hospital incorporates Royal Sussex County Hospital in Brighton and Princess Royal Hospital in Haywards Heath https://www.uhsussex.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Extended lymphadenectomy
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 379 1943 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 78 91 86
– Performance status (%) 44 84 88
Patients having major resection: Trust Network National
Number of patients in Audit 151 1037 15891
ASA grade 1 (%) 11 7 8
ASA grade 2 (%) 72 62 52
ASA grade 3 (%) 13 26 31
ASA grade 4+ (%) 3 3 2
ASA grade not recorded (%) 1 3 7
Data completeness of:
7 Audit items for risk-adjustment (%) 97 86 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 379 1943 28523
Seen by Clinical Nurse Specialist (%) 86 88 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 63 553 7393
Undergoing major resection (%) 92 84 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 151 1037 15855
Distant metastases (%) 2 5 7
Urgent or emergency surgery (%) 54 23 20
At least 12 lymph nodes excised (%) 87 80 86
Laparoscopic surgery attempted (%) 60 78 67
Risk-adjusted length of stay > 5 days (%) 74 48 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 76 620 10794
Adjuvant chemotherapy (%) 59 57 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 35 208 3481
Neoadjuvant therapy (%) 45 26 38
Circumferential resection margin: Recorded (%) 91 79 89
Circumferential resection margin: Negative (%) 71 72 82
Rectal volume 21 178 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 108 1067 19595
APER/Hartmanns (%) 39 31 36

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