Croydon Health Services NHS Trust

The Croydon Health Services NHS Trust incorporates Croydon University Hospital and Mayday Hospital in Croydon https://www.croydonhealthservices.nhs.uk/

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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:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 115 1404 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 97 78 85
– Performance status (%) 94 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 49 874 18552
ASA grade 1 (%) 6 10 9
ASA grade 2 (%) 37 53 53
ASA grade 3 (%) 55 23 30
ASA grade 4+ (%) 2 1 2
ASA grade not recorded (%) N/A 14 6
Data completeness of:
7 Audit items for risk-adjustment (%) 98 78 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 115 1381 29766
Seen by Clinical Nurse Specialist (%) 100 98 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 40 314 8157
Undergoing major resection (%) 88 87 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 49 874 18515
Distant metastases (%) 2 9 6
Urgent or emergency surgery (%) 4 13 21
At least 12 lymph nodes excised (%) 92 84 86
Laparoscopic surgery attempted (%) 71 73 71
Risk-adjusted length of stay > 5 days (%) 57 70 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 39 485 10335
Adjuvant chemotherapy (%) 62 57 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A 191 4137
Neoadjuvant therapy (%) 10 28 34
Circumferential resection margin: Recorded (%) N/A 86 90
Circumferential resection margin: Negative (%) N/A 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 57 776 17956
APER/Hartmanns (%) 18 31 37

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