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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 68 1968 28013
Case ascertainment (%) 113 76 93
Data completeness of:
– Pre-treatment TNM (%) 90 79 71
– Performance status (%) 96 84 77
Patients having major resection: Trust Network National
Number of patients in Audit 35 1310 18809
ASA grade 1 (%) 26 14 14
ASA grade 2 (%) 43 50 53
ASA grade 3 (%) 14 23 25
ASA grade 4+ (%) N/A 4 3
ASA grade not recorded (%) 17 10 5
Data completeness of:
7 Audit items for risk-adjustment (%) 83 78 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 68 1968 30122
Seen by Clinical Nurse Specialist (%) 95 95 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 35 1310 18809
Distant metastases (%) 18 11 9
Urgent or emergency surgery (%) 23 14 16
Median number of lymph nodes excised 22 18 17
Laparoscopic surgery attempted (%) 43 56 61
Length of stay > 5 days (%) 90 72 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 314 4769
Neoadjuvant therapy (%) N/A 39 37
Circumferential resection margin: Recorded (%) N/A 10 25
Circumferential resection margin: Positive (%) N/A 11 7
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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