Gloucestershire Hospitals NHS Foundation Trust

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

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
  • 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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 438 1696 30710
Case ascertainment (%) 101 101 95
Data completeness of:
– Pre-treatment TNM (%) 70 60 76
– Performance status (%) 88 94 83
Patients having major resection: Trust Network National
Number of patients in Audit 280 1011 19231
ASA grade 1 (%) 11 10 12
ASA grade 2 (%) 57 55 53
ASA grade 3 (%) 30 28 27
ASA grade 4+ (%) 2 2 3
ASA grade not recorded (%) N/A 4 6
Data completeness of:
7 Audit items for risk-adjustment (%) 83 89 81

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 438 1696 30710
Seen by Clinical Nurse Specialist (%) 91 93 91

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 280 1011 19231
Distant metastases (%) 8 7 9
Urgent or emergency surgery (%) 12 15 16
At least 12 lymph nodes excised (%) 91 89 84
Laparoscopic surgery attempted (%) 58 71 63
Risk-adjusted length of stay > 5 days (%) 63 59 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 75 236 4468
Neoadjuvant therapy (%) 24 22 35
Circumferential resection margin: Recorded (%) 17 33 26
Circumferential resection margin: Positive (%) 4 3 7
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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