East Sussex Healthcare NHS Trust

The East Sussex Healthcare NHS Trust incorporates Eastbourne District General Hospital and Conquest Hospital in St Leonards-on-Sea http://www.esht.nhs.uk/

View Trust Services

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
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy 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 275 1912 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 98 92 85
– Performance status (%) 98 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 177 962 18552
ASA grade 1 (%) 7 13 9
ASA grade 2 (%) 66 56 53
ASA grade 3 (%) 27 28 30
ASA grade 4+ (%) 1 3 2
ASA grade not recorded (%) 1 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 96 94 89

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 275 1912 29766
Seen by Clinical Nurse Specialist (%) 80 87 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 81 493 8157
Undergoing major resection (%) 78 80 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 177 962 18515
Distant metastases (%) 4 5 6
Urgent or emergency surgery (%) 12 18 21
At least 12 lymph nodes excised (%) 81 87 86
Laparoscopic surgery attempted (%) 59 79 71
Risk-adjusted length of stay > 5 days (%) 61 56 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 101 613 10335
Adjuvant chemotherapy (%) 52 56 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 46 199 4137
Neoadjuvant therapy (%) 17 16 34
Circumferential resection margin: Negative (%) 87 85 84
Circumferential resection margin: Recorded (%) 96 91 90
APER rate (%) 26 19 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 141 928 17956
APER/Hartmanns (%) 45 29 37

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