Dorset County Hospital NHS Foundation Trust

The Dorset County Hospital NHS Foundation Trust incorporates Dorset County Hospital in Dorchester http://www.dchft.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy 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 126 1475 31676
Case ascertainment (%) 104 96 95
Data completeness of:
– Pre-treatment TNM (%) 82 88 80
– Performance status (%) 69 76 86
Patients having major resection: Trust Network National
Number of patients in Audit 87 893 19218
ASA grade 1 (%) 1 8 11
ASA grade 2 (%) 49 64 53
ASA grade 3 (%) 44 24 28
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) 5 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 90 94 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 126 1475 31676
Seen by Clinical Nurse Specialist (%) 98 95 87
All patients deemed potentially curative? Trust Network National
Number of patients 37 412 7416
Major resection rate in potentially curative patients (%) 92 85 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 87 893 19218
Distant metastases (%) 2 6 8
Urgent or emergency surgery (%) 16 11 15
At least 12 lymph nodes excised (%) 89 88 84
Laparoscopic surgery attempted (%) 77 82 69
Risk-adjusted length of stay > 5 days (%) 55 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 64 614 11837
Adjuvant chemotherapy (%) 34 57 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 22 246 4588
Neoadjuvant therapy (%) 6 22 33
Circumferential resection margin: Negative (%) 95 84 80
Circumferential resection margin: Recorded (%) 95 96 90
APER rate (%) 41 22 25

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