Guy's and St Thomas' NHS Foundation Trust

The Guy's and St Thomas' NHS Foundation Trust incorporates St Thomas' Hospital in London and Guy's Hospital in London http://www.guysandstthomas.nhs.uk

View Trust Services

This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
  • 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 90 437 29766
Case ascertainment (%) 46 93 90
Data completeness of:
– Pre-treatment TNM (%) 82 78 83
– Performance status (%) 88 97 85
Patients having major resection: Trust Network National
Number of patients in Audit 121 342 16499
ASA grade 1 (%) 5 14 10
ASA grade 2 (%) 45 51 53
ASA grade 3 (%) 36 30 30
ASA grade 4+ (%) 5 3 3
ASA grade not recorded (%) 9 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 88 95 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 90 437 29766
Seen by Clinical Nurse Specialist (%) 97 94 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 121 342 16474
Distant metastases (%) 7 7 6
Urgent or emergency surgery (%) 10 13 15
At least 12 lymph nodes excised (%) 94 91 84
Laparoscopic surgery attempted (%) 38 58 72
Risk-adjusted length of stay > 5 days (%) 74 67 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 33 75 3899
Neoadjuvant therapy (%) 55 47 32
Circumferential resection margin: Negative (%) 88 85 79
Circumferential resection margin: Recorded (%) 100 100 86
APER rate (%) 52 20 24

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