Gloucestershire Hospitals NHS Foundation Trust

The Gloucestershire Hospitals NHS Foundation Trust incorporates Gloucestershire Royal Hospital and Cheltenham General Hospital http://www.gloshospitals.nhs.uk/

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • 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 N/A 1094 29766
Case ascertainment (%) N/A 63 90
Data completeness of:
– Pre-treatment TNM (%) N/A 92 83
– Performance status (%) N/A 85 85
Patients having major resection: Trust Network National
Number of patients in Audit N/A 613 16499
ASA grade 1 (%) N/A 5 10
ASA grade 2 (%) N/A 59 53
ASA grade 3 (%) N/A 30 30
ASA grade 4+ (%) N/A 3 3
ASA grade not recorded (%) N/A 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 82 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit N/A 1094 29766
Seen by Clinical Nurse Specialist (%) N/A 87 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients N/A 292 7226
Undergoing major resection (%) N/A 87 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit N/A 613 16474
Distant metastases (%) N/A 6 6
Urgent or emergency surgery (%) N/A 13 15
At least 12 lymph nodes excised (%) N/A 77 84
Laparoscopic surgery attempted (%) N/A 78 72
Risk-adjusted length of stay > 5 days (%) N/A 53 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 145 561 10641
Adjuvant chemotherapy (%) 67 65 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 142 3899
Neoadjuvant therapy (%) 15 22 32
Circumferential resection margin: Recorded (%) N/A 76 86
Circumferential resection margin: Negative (%) N/A 72 79
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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