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 240 1201 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 51 65 85
– Performance status (%) 84 59 86
Patients having major resection: Trust Network National
Number of patients in Audit 177 585 18552
ASA grade 1 (%) 9 14 9
ASA grade 2 (%) 33 42 53
ASA grade 3 (%) 39 25 30
ASA grade 4+ (%) 1 1 2
ASA grade not recorded (%) 18 18 6
Data completeness of:
7 Audit items for risk-adjustment (%) 80 81 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 240 1201 29766
Seen by Clinical Nurse Specialist (%) 84 84 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 44 247 8157
Undergoing major resection (%) 93 79 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 177 585 18515
Distant metastases (%) 6 4 6
Urgent or emergency surgery (%) 17 13 21
At least 12 lymph nodes excised (%) 89 92 86
Laparoscopic surgery attempted (%) 51 71 71
Risk-adjusted length of stay > 5 days (%) 70 55 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 100 380 10335
Adjuvant chemotherapy (%) 67 62 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 52 145 4137
Neoadjuvant therapy (%) 13 20 34
Circumferential resection margin: Recorded (%) 96 97 90
Circumferential resection margin: Negative (%) 90 91 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 154 597 17956
APER/Hartmanns (%) 38 34 37

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