Epsom and St Helier University Hospitals NHS Trust

The Epsom and St Helier University Hospitals NHS Trust incorporates Sutton Hospital in Sutton, St Helier Hospital in Carshalton and Epsom Hospital in Epsom https://www.epsom-sthelier.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • 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 197 1404 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 89 78 85
– Performance status (%) 100 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 116 874 18552
ASA grade 1 (%) 10 10 9
ASA grade 2 (%) 53 53 53
ASA grade 3 (%) 28 23 30
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) 9 14 6
Data completeness of:
7 Audit items for risk-adjustment (%) 79 78 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 197 1381 29766
Seen by Clinical Nurse Specialist (%) 100 98 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 58 314 8157
Undergoing major resection (%) 88 87 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 116 874 18515
Distant metastases (%) 4 9 6
Urgent or emergency surgery (%) 9 13 21
At least 12 lymph nodes excised (%) 79 84 86
Laparoscopic surgery attempted (%) 80 73 71
Risk-adjusted length of stay > 5 days (%) 64 70 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 72 485 10335
Adjuvant chemotherapy (%) 60 57 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 15 191 4137
Neoadjuvant therapy (%) 16 28 34
Circumferential resection margin: Recorded (%) 87 86 90
Circumferential resection margin: Negative (%) 73 80 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 62 776 17956
APER/Hartmanns (%) 27 31 37

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