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/

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
  • Oncology services:
    • On-site chemotherapy services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 148 1250 28013
Case ascertainment (%) 86 99 93
Data completeness of:
– Pre-treatment TNM (%) 84 77 71
– Performance status (%) 100 88 77
Patients having major resection: Trust Network National
Number of patients in Audit 107 719 18809
ASA grade 1 (%) 14 14 14
ASA grade 2 (%) 63 55 53
ASA grade 3 (%) 3 24 25
ASA grade 4+ (%) 21 6 3
ASA grade not recorded (%) N/A 1 5
Data completeness of:
7 Audit items for risk-adjustment (%) 96 83 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 148 1250 30122
Seen by Clinical Nurse Specialist (%) 97 97 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 107 719 18809
Distant metastases (%) 8 8 9
Urgent or emergency surgery (%) 12 15 16
Median number of lymph nodes excised 17 17 17
Laparoscopic surgery attempted (%) 42 58 61
Length of stay > 5 days (%) 50 68 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 29 165 4769
Neoadjuvant therapy (%) 48 52 37
Circumferential resection margin: Recorded (%) 28 48 25
Circumferential resection margin: Positive (%) 14 8 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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