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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 137 1602 30710
Case ascertainment (%) 87 103 95
Data completeness of:
– Pre-treatment TNM (%) 90 72 76
– Performance status (%) 100 95 83
Patients having major resection: Trust Network National
Number of patients in Audit 102 1006 19231
ASA grade 1 (%) 8 9 12
ASA grade 2 (%) 89 57 53
ASA grade 3 (%) 1 26 27
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) N/A 4 6
Data completeness of:
7 Audit items for risk-adjustment (%) 92 76 81

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 137 1602 30710
Seen by Clinical Nurse Specialist (%) 100 95 91

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 102 1006 19231
Distant metastases (%) 17 9 9
Urgent or emergency surgery (%) 18 17 16
At least 12 lymph nodes excised (%) 84 87 84
Laparoscopic surgery attempted (%) 30 55 63
Risk-adjusted length of stay > 5 days (%) 66 76 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 36 219 4468
Neoadjuvant therapy (%) 24 44 35
Circumferential resection margin: Recorded (%) 69 63 26
Circumferential resection margin: Positive (%) 3 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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