Great Western Hospitals NHS Foundation Trust

The Great Western Hospitals NHS Foundation Trust incorporates Great Western Hospital in Swindon http://www.gwh.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome

Data Quality

All Patients: Trust Network National
Number of patients in Audit 258 1156 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 50 69 86
– Performance status (%) 85 78 89
Patients having major resection: Trust Network National
Number of patients in Audit 213 777 19631
ASA grade 1 (%) 3 14 9
ASA grade 2 (%) 41 52 53
ASA grade 3 (%) 45 24 31
ASA grade 4+ (%) 1 1 2
ASA grade not recorded (%) 9 10 4
Data completeness of:
7 Audit items for risk-adjustment (%) 90 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 258 1156 35779
Seen by Clinical Nurse Specialist (%) 83 92 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 213 777 19614
Distant metastases (%) 4 3 5
Urgent or emergency surgery (%) 13 12 15
At least 12 lymph nodes excised (%) 88 93 84
Laparoscopic surgery attempted (%) 68 73 72
Risk-adjusted length of stay > 5 days (%) 72 53 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 131 N/A 10747
Adjuvant chemotherapy (%) 64 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 85 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 20 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 53 N/A 4251
Neoadjuvant therapy (%) 12 N/A 33
Circumferential resection margin: Recorded (%) 100 100 89
Circumferential resection margin: Negative (%) 96 95 83
Rectal volume 58 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 206 695 19644
APER/Hartmanns (%) 38 34 37

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