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:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 136 1015 30541
Case ascertainment (%) 78 91 93
Data completeness of:
– Pre-treatment TNM (%) 76 77 78
– Performance status (%) 100 79 85
Patients having major resection: Trust Network National
Number of patients in Audit 100 639 19183
ASA grade 1 (%) 10 11 12
ASA grade 2 (%) 57 53 52
ASA grade 3 (%) 27 29 27
ASA grade 4+ (%) 4 2 2
ASA grade not recorded (%) 2 5 7
Data completeness of:
7 Audit items for risk-adjustment (%) 91 86 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 136 1015 30424
Seen by Clinical Nurse Specialist (%) 85 89 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 100 639 19222
Distant metastases (%) 4 9 8
Urgent or emergency surgery (%) 15 17 17
At least 12 lymph nodes excised (%) 96 89 87
Laparoscopic surgery attempted (%) 59 69 66
Risk-adjusted length of stay > 5 days (%) 77 63 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 26 152 4503
Neoadjuvant therapy (%) 48 27 36
Circumferential resection margin: Present (%) 85 78 84
Circumferential resection margin: Negative (%) 85 75 77
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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