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 219 1201 29766
Case ascertainment (%) 98 108 90
Data completeness of:
– Pre-treatment TNM (%) 33 81 83
– Performance status (%) 81 79 85
Patients having major resection: Trust Network National
Number of patients in Audit 147 637 16499
ASA grade 1 (%) 5 18 10
ASA grade 2 (%) 41 48 53
ASA grade 3 (%) 39 26 30
ASA grade 4+ (%) 6 3 3
ASA grade not recorded (%) 9 5 4
Data completeness of:
7 Audit items for risk-adjustment (%) 90 94 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 219 1201 29766
Seen by Clinical Nurse Specialist (%) 88 97 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 34 280 7226
Undergoing major resection (%) 94 82 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 147 637 16474
Distant metastases (%) 5 4 6
Urgent or emergency surgery (%) 12 11 15
At least 12 lymph nodes excised (%) 96 94 84
Laparoscopic surgery attempted (%) 52 79 72
Risk-adjusted length of stay > 5 days (%) 73 55 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 87 398 10641
Adjuvant chemotherapy (%) 57 61 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 42 174 3899
Neoadjuvant therapy (%) 15 16 32
Circumferential resection margin: Recorded (%) 98 98 86
Circumferential resection margin: Negative (%) 93 95 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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