Frimley Health NHS Foundation Trust - Heatherwood and Wexham Park Hospitals

The Frimley Health NHS Foundation Trust - Heatherwood and Wexham Park Hospitals incorporates Heatherwood Hospital in Ascot and Wexham Park Hospital in Slough https://www.fhft.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 133 2057 35779
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 95 84 86
– Performance status (%) 95 89 89
Patients having major resection: Trust Network National
Number of patients in Audit 50 1091 19631
ASA grade 1 (%) 16 10 9
ASA grade 2 (%) 52 59 53
ASA grade 3 (%) 28 26 31
ASA grade 4+ (%) 2 1 2
ASA grade not recorded (%) 2 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 96 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 133 2057 35779
Seen by Clinical Nurse Specialist (%) 97 89 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 50 1091 19614
Distant metastases (%) 4 3 5
Urgent or emergency surgery (%) 22 15 15
At least 12 lymph nodes excised (%) 93 84 84
Laparoscopic surgery attempted (%) 94 84 72
Risk-adjusted length of stay > 5 days (%) 63 49 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 37 N/A 10747
Adjuvant chemotherapy (%) 68 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 27 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 19 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A N/A 4251
Neoadjuvant therapy (%) N/A N/A 33
Circumferential resection margin: Recorded (%) N/A 86 89
Circumferential resection margin: Negative (%) N/A 80 83
Rectal volume N/A N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 82 1092 19644
APER/Hartmanns (%) 39 29 37

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