Dartford and Gravesham NHS Trust

The Dartford and Gravesham NHS Trust incorporates Darent Valley Hospital in Dartford http://www.dvh.nhs.uk/
Data completeness for risk adjustment poor at time of analysis. It had improved markedly by time of publication

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
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
  • 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 123 994 32641
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 54 74 85
– Performance status (%) 97 81 86
Patients having major resection: Trust Network National
Number of patients in Audit 84 420 18552
ASA grade 1 (%) 0 4 9
ASA grade 2 (%) 0 47 53
ASA grade 3 (%) 0 23 30
ASA grade 4+ (%) 0 2 2
ASA grade not recorded (%) 100 25 6
Data completeness of:
7 Audit items for risk-adjustment (%) 0 70 89

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit N/A N/A N/A
Seen by Clinical Nurse Specialist (%) 59 70 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 14 234 8157
Undergoing major resection (%) 93 79 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 84 420 18515
Distant metastases (%) N/A 3 6
Urgent or emergency surgery (%) 8 13 21
At least 12 lymph nodes excised (%) 0 70 86
Laparoscopic surgery attempted (%) 38 64 71
Risk-adjusted length of stay > 5 days (%) N/A 42 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 36 307 10335
Adjuvant chemotherapy (%) 67 56 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 24 101 4137
Neoadjuvant therapy (%) 40 29 34
Circumferential resection margin: Negative (%) 0 65 84
Circumferential resection margin: Recorded (%) 0 70 90
APER rate (%) 21 27 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 101 524 17956
APER/Hartmanns (%) 36 46 37

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