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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
  • 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 105 1524 30541
Case ascertainment (%) 91 100 93
Data completeness of:
– Pre-treatment TNM (%) 93 83 78
– Performance status (%) 84 80 85
Patients having major resection: Trust Network National
Number of patients in Audit 71 966 19183
ASA grade 1 (%) 7 10 12
ASA grade 2 (%) 49 56 52
ASA grade 3 (%) 38 27 27
ASA grade 4+ (%) 1 3 2
ASA grade not recorded (%) 4 4 7
Data completeness of:
7 Audit items for risk-adjustment (%) 96 92 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 105 1524 30424
Seen by Clinical Nurse Specialist (%) 98 92 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 71 966 19222
Distant metastases (%) 3 6 8
Urgent or emergency surgery (%) 17 12 17
At least 12 lymph nodes excised (%) 95 87 87
Laparoscopic surgery attempted (%) 80 76 66
Risk-adjusted length of stay > 5 days (%) 46 61 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 13 251 4503
Neoadjuvant therapy (%) 11 22 36
Circumferential resection margin: Present (%) 100 94 84
Circumferential resection margin: Negative (%) 100 89 77
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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