Chelsea and Westminster Hospital NHS Foundation Trust

The Chelsea and Westminster Hospital NHS Foundation Trust incorporates Chelsea & Westminster Hospital http://www.chelwest.nhs.uk/

In 2014, West Middlesex University Hospital NHS Trust merged into Chelsea and Westminster Hospital NHS Foundation Trust.

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View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Extended lymphadenectomy
  • 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 60 1245 29766
Case ascertainment (%) 34 87 90
Data completeness of:
– Pre-treatment TNM (%) 73 86 83
– Performance status (%) 100 97 85
Patients having major resection: Trust Network National
Number of patients in Audit 41 720 16499
ASA grade 1 (%) 24 9 10
ASA grade 2 (%) 49 58 53
ASA grade 3 (%) 22 29 30
ASA grade 4+ (%) 5 2 3
ASA grade not recorded (%) 0 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 95 68 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 60 1245 29766
Seen by Clinical Nurse Specialist (%) 87 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients N/A 324 7226
Undergoing major resection (%) N/A 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 41 720 16474
Distant metastases (%) 10 6 6
Urgent or emergency surgery (%) 15 13 15
At least 12 lymph nodes excised (%) 100 68 84
Laparoscopic surgery attempted (%) 68 62 72
Risk-adjusted length of stay > 5 days (%) 78 72 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 58 470 10641
Adjuvant chemotherapy (%) 57 58 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 159 3899
Neoadjuvant therapy (%) 29 24 32
Circumferential resection margin: Negative (%) N/A 62 79
Circumferential resection margin: Recorded (%) N/A 69 86
APER rate (%) N/A 16 24
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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