Doncaster and Bassetlaw Hospitals NHS Foundation Trust

The Doncaster and Bassetlaw Hospitals NHS Foundation Trust incorporates Doncaster Royal Infirmary and Bassetlaw Hospital http://www.dbh.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • 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 MDT
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 251 1033 31676
Case ascertainment (%) 103 102 95
Data completeness of:
– Pre-treatment TNM (%) 78 85 80
– Performance status (%) 45 85 86
Patients having major resection: Trust Network National
Number of patients in Audit 151 580 19218
ASA grade 1 (%) 5 12 11
ASA grade 2 (%) 58 54 53
ASA grade 3 (%) 32 26 28
ASA grade 4+ (%) 3 2 3
ASA grade not recorded (%) 3 6 5
Data completeness of:
7 Audit items for risk-adjustment (%) 91 91 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 251 1033 31676
Seen by Clinical Nurse Specialist (%) 46 80 87
All patients deemed potentially curative? Trust Network National
Number of patients 52 231 7416
Major resection rate in potentially curative patients (%) 88 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 151 580 19218
Distant metastases (%) 10 9 8
Urgent or emergency surgery (%) 15 13 15
At least 12 lymph nodes excised (%) 88 89 84
Laparoscopic surgery attempted (%) 84 67 69
Risk-adjusted length of stay > 5 days (%) 43 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 87 365 11837
Adjuvant chemotherapy (%) 46 59 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 39 140 4588
Neoadjuvant therapy (%) 35 43 33
Circumferential resection margin: Negative (%) 92 91 80
Circumferential resection margin: Recorded (%) 97 98 90
APER rate (%) 28 39 25

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