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 PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • 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
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 168 606 35779
Case ascertainment (%) Fair Fair Good
Data completeness of:
– Pre-treatment TNM (%) 86 79 86
– Performance status (%) 72 90 89
Patients having major resection: Trust Network National
Number of patients in Audit 145 453 19631
ASA grade 1 (%) 5 10 9
ASA grade 2 (%) 53 60 53
ASA grade 3 (%) 38 26 31
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) 1 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 90 95 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 168 606 35779
Seen by Clinical Nurse Specialist (%) 93 94 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 145 453 19614
Distant metastases (%) 3 3 5
Urgent or emergency surgery (%) 12 8 15
At least 12 lymph nodes excised (%) 89 92 84
Laparoscopic surgery attempted (%) 33 71 72
Risk-adjusted length of stay > 5 days (%) 65 68 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 74 N/A 10747
Adjuvant chemotherapy (%) 76 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 121 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 21 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 41 N/A 4251
Neoadjuvant therapy (%) 32 N/A 33
Circumferential resection margin: Recorded (%) 93 97 89
Circumferential resection margin: Negative (%) 71 85 83
Rectal volume 47 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 176 446 19644
APER/Hartmanns (%) 63 35 37

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