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 for 2019-2020 poor at time of analysis. It had improved markedly by time of publication

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 114 905 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 81 77 86
– Performance status (%) 91 96 88
Patients having major resection: Trust Network National
Number of patients in Audit 78 441 15891
ASA grade 1 (%) 4 5 8
ASA grade 2 (%) 42 51 52
ASA grade 3 (%) 49 38 31
ASA grade 4+ (%) 5 2 2
ASA grade not recorded (%) N/A 4 7
Data completeness of:
7 Audit items for risk-adjustment (%) 94 84 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 114 905 28523
Seen by Clinical Nurse Specialist (%) 79 78 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 27 200 7393
Undergoing major resection (%) 100 81 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 78 441 15855
Distant metastases (%) 1 8 7
Urgent or emergency surgery (%) 14 18 20
At least 12 lymph nodes excised (%) 93 77 86
Laparoscopic surgery attempted (%) 59 57 67
Risk-adjusted length of stay > 5 days (%) 49 53 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 38 316 10794
Adjuvant chemotherapy (%) 66 54 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 13 65 3481
Neoadjuvant therapy (%) 12 28 38
Circumferential resection margin: Recorded (%) 92 85 89
Circumferential resection margin: Negative (%) 77 75 82
Rectal volume 17 68 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 107 548 19595
APER/Hartmanns (%) 36 45 36

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