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
    • 7-day access to face-to-face palliative care services

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 (%) N/A 4 9
ASA grade 2 (%) N/A 47 53
ASA grade 3 (%) N/A 23 30
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) 100 25 6
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 70 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 123 994 29766
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 (%) N/A 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: Recorded (%) N/A 70 90
Circumferential resection margin: Negative (%) N/A 65 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 101 524 17956
APER/Hartmanns (%) 36 46 37

Compare trust outcomes

Copyright © 2024 National Bowel Cancer Audit | Lovingly Crafted by Mixd