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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 102 1578 32641
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 94 87 85
– Performance status (%) 75 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 58 824 18552
ASA grade 1 (%) 3 8 9
ASA grade 2 (%) 31 51 53
ASA grade 3 (%) 41 26 30
ASA grade 4+ (%) N/A 3 2
ASA grade not recorded (%) 24 12 6
Data completeness of:
7 Audit items for risk-adjustment (%) 74 86 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 102 1578 29766
Seen by Clinical Nurse Specialist (%) 95 95 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 48 436 8157
Undergoing major resection (%) 81 78 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 58 824 18515
Distant metastases (%) 2 5 6
Urgent or emergency surgery (%) 7 11 21
At least 12 lymph nodes excised (%) 88 90 86
Laparoscopic surgery attempted (%) 88 80 71
Risk-adjusted length of stay > 5 days (%) 49 52 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 32 510 10335
Adjuvant chemotherapy (%) 63 67 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 187 4137
Neoadjuvant therapy (%) N/A 26 34
Circumferential resection margin: Recorded (%) N/A 92 90
Circumferential resection margin: Negative (%) N/A 79 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 77 942 17956
APER/Hartmanns (%) 32 26 37

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