Buckinghamshire Healthcare NHS Trust

The Buckinghamshire Healthcare NHS Trust incorporates Wycombe Hospital and Stoke Mandeville Hospital in Aylesbury http://www.buckshealthcare.nhs.uk/

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 262 1201 29766
Case ascertainment (%) 114 108 90
Data completeness of:
– Pre-treatment TNM (%) 90 81 83
– Performance status (%) 96 79 85
Patients having major resection: Trust Network National
Number of patients in Audit 153 637 16499
ASA grade 1 (%) 28 18 10
ASA grade 2 (%) 42 48 53
ASA grade 3 (%) 28 26 30
ASA grade 4+ (%) 1 3 3
ASA grade not recorded (%) 1 5 4
Data completeness of:
7 Audit items for risk-adjustment (%) 97 94 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 262 1201 29766
Seen by Clinical Nurse Specialist (%) 97 97 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 80 280 7226
Undergoing major resection (%) 85 82 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 153 637 16474
Distant metastases (%) 5 4 6
Urgent or emergency surgery (%) 14 11 15
At least 12 lymph nodes excised (%) 88 94 84
Laparoscopic surgery attempted (%) 89 79 72
Risk-adjusted length of stay > 5 days (%) 45 55 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 103 398 10641
Adjuvant chemotherapy (%) 72 61 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 42 174 3899
Neoadjuvant therapy (%) 10 16 32
Circumferential resection margin: Recorded (%) 98 98 86
Circumferential resection margin: Negative (%) 93 95 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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