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
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 262 1201 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 95 65 85
– Performance status (%) 100 59 86
Patients having major resection: Trust Network National
Number of patients in Audit 127 585 18552
ASA grade 1 (%) 16 14 9
ASA grade 2 (%) 47 42 53
ASA grade 3 (%) 35 25 30
ASA grade 4+ (%) 2 1 2
ASA grade not recorded (%) N/A 18 6
Data completeness of:
7 Audit items for risk-adjustment (%) 98 81 89

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 (%) 94 84 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 103 247 8157
Undergoing major resection (%) 74 79 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 127 585 18515
Distant metastases (%) 2 4 6
Urgent or emergency surgery (%) 9 13 21
At least 12 lymph nodes excised (%) 87 92 86
Laparoscopic surgery attempted (%) 92 71 71
Risk-adjusted length of stay > 5 days (%) 43 55 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 107 380 10335
Adjuvant chemotherapy (%) 69 62 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 31 145 4137
Neoadjuvant therapy (%) 17 20 34
Circumferential resection margin: Recorded (%) 97 97 90
Circumferential resection margin: Negative (%) 90 91 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 149 597 17956
APER/Hartmanns (%) 33 34 37

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