Dartford and Gravesham NHS Trust

The Dartford and Gravesham NHS Trust incorporates Darent Valley Hospital in Dartford http://www.dvh.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
  • Oncology services:
    • On-site chemotherapy services
  • 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 128 2248 28013
Case ascertainment (%) 80 85 93
Data completeness of:
– Pre-treatment TNM (%) 63 71 71
– Performance status (%) 99 84 77
Patients having major resection: Trust Network National
Number of patients in Audit 100 1439 18809
ASA grade 1 (%) 12 15 14
ASA grade 2 (%) 52 57 53
ASA grade 3 (%) 29 22 25
ASA grade 4+ (%) 7 2 3
ASA grade not recorded (%) N/A 4 5
Data completeness of:
7 Audit items for risk-adjustment (%) 99 87 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 128 2248 30122
Seen by Clinical Nurse Specialist (%) 83 84 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 100 1439 18809
Distant metastases (%) 8 9 9
Urgent or emergency surgery (%) 19 15 16
Median number of lymph nodes excised 18 18 17
Laparoscopic surgery attempted (%) 55 62 61
Length of stay > 5 days (%) 81 65 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 28 316 4769
Neoadjuvant therapy (%) 42 29 37
Circumferential resection margin: Recorded (%) N/A 32 25
Circumferential resection margin: Positive (%) 7 5 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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