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
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 201 1404 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 86 78 85
– Performance status (%) 100 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 122 874 18552
ASA grade 1 (%) 20 10 9
ASA grade 2 (%) 61 53 53
ASA grade 3 (%) 15 23 30
ASA grade 4+ (%) 2 1 2
ASA grade not recorded (%) 2 14 6
Data completeness of:
7 Audit items for risk-adjustment (%) 94 78 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 201 1381 29766
Seen by Clinical Nurse Specialist (%) 100 98 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 36 314 8157
Undergoing major resection (%) 89 87 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 122 874 18515
Distant metastases (%) 12 9 6
Urgent or emergency surgery (%) 23 13 21
At least 12 lymph nodes excised (%) 93 84 86
Laparoscopic surgery attempted (%) 83 73 71
Risk-adjusted length of stay > 5 days (%) 77 70 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 51 485 10335
Adjuvant chemotherapy (%) 51 57 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 29 191 4137
Neoadjuvant therapy (%) 19 28 34
Circumferential resection margin: Recorded (%) 93 86 90
Circumferential resection margin: Negative (%) 93 80 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 89 776 17956
APER/Hartmanns (%) 28 31 37

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