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 MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Extended lymphadenectomy

Data Quality

All Patients: Trust Network National
Number of patients in Audit 220 1059 31676
Case ascertainment (%) 86 103 95
Data completeness of:
– Pre-treatment TNM (%) 33 79 80
– Performance status (%) 81 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 176 640 19218
ASA grade 1 (%) 7 16 11
ASA grade 2 (%) 47 52 53
ASA grade 3 (%) 32 24 28
ASA grade 4+ (%) 5 3 3
ASA grade not recorded (%) 9 5 5
Data completeness of:
7 Audit items for risk-adjustment (%) 88 93 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 220 1059 31676
Seen by Clinical Nurse Specialist (%) 85 96 87
All patients deemed potentially curative? Trust Network National
Number of patients 27 287 7416
Major resection rate in potentially curative patients (%) 96 82 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 176 640 19218
Distant metastases (%) 9 6 8
Urgent or emergency surgery (%) 16 12 15
At least 12 lymph nodes excised (%) 85 91 84
Laparoscopic surgery attempted (%) 55 77 69
Risk-adjusted length of stay > 5 days (%) 78 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 104 463 11837
Adjuvant chemotherapy (%) 56 61 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 43 148 4588
Neoadjuvant therapy (%) 15 21 33
Circumferential resection margin: Negative (%) 93 94 80
Circumferential resection margin: Recorded (%) 100 100 90
APER rate (%) 35 25 25

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