Countess of Chester Hospital NHS Foundation Trust

The Countess of Chester Hospital NHS Foundation Trust incorporates Countess of Chester Hospital in Chester http://www.coch.nhs.uk/

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This trust offers the following services:

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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 180 1506 29766
Case ascertainment (%) 125 97 90
Data completeness of:
– Pre-treatment TNM (%) 100 94 83
– Performance status (%) 100 84 85
Patients having major resection: Trust Network National
Number of patients in Audit 114 891 16499
ASA grade 1 (%) 19 10 10
ASA grade 2 (%) 61 60 53
ASA grade 3 (%) 18 28 30
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) 0 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 98 87 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 180 1506 29766
Seen by Clinical Nurse Specialist (%) 97 86 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 67 387 7226
Undergoing major resection (%) 81 84 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 114 891 16474
Distant metastases (%) 3 4 6
Urgent or emergency surgery (%) 17 14 15
At least 12 lymph nodes excised (%) 91 83 84
Laparoscopic surgery attempted (%) 57 66 72
Risk-adjusted length of stay > 5 days (%) 66 67 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 55 505 10641
Adjuvant chemotherapy (%) 65 55 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 22 211 3899
Neoadjuvant therapy (%) 41 42 32
Circumferential resection margin: Negative (%) 82 63 79
Circumferential resection margin: Recorded (%) 100 80 86
APER rate (%) 36 31 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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