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:

  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Diagnostic and pre-operative services:
    • Routine Genetic Testing for Lynch Syndrome
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 206 1558 35779
Case ascertainment (%) Good Fair Good
Data completeness of:
– Pre-treatment TNM (%) 81 81 86
– Performance status (%) 99 78 89
Patients having major resection: Trust Network National
Number of patients in Audit 122 848 19631
ASA grade 1 (%) 24 22 9
ASA grade 2 (%) 63 52 53
ASA grade 3 (%) 11 21 31
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) 2 4 4
Data completeness of:
7 Audit items for risk-adjustment (%) 97 93 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 206 1558 35779
Seen by Clinical Nurse Specialist (%) 99 85 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 122 848 19614
Distant metastases (%) 2 6 5
Urgent or emergency surgery (%) 15 10 15
At least 12 lymph nodes excised (%) 84 93 84
Laparoscopic surgery attempted (%) 70 63 72
Risk-adjusted length of stay > 5 days (%) 73 74 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 81 N/A 10747
Adjuvant chemotherapy (%) 63 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) N/A N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 16 N/A 4251
Neoadjuvant therapy (%) 24 N/A 33
Circumferential resection margin: Recorded (%) 100 98 89
Circumferential resection margin: Negative (%) 94 94 83
Rectal volume 22 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 96 985 19644
APER/Hartmanns (%) 27 31 37

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