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
    • 7-day access to face-to-face palliative care services
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 109 638 32641
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 78 78 85
– Performance status (%) 69 94 86
Patients having major resection: Trust Network National
Number of patients in Audit 139 462 18552
ASA grade 1 (%) 5 15 9
ASA grade 2 (%) 47 57 53
ASA grade 3 (%) 40 24 30
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) 8 4 6
Data completeness of:
7 Audit items for risk-adjustment (%) 91 95 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 109 638 29766
Seen by Clinical Nurse Specialist (%) 97 97 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 36 190 8157
Undergoing major resection (%) 100 93 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 139 462 18515
Distant metastases (%) 7 5 6
Urgent or emergency surgery (%) 7 9 21
At least 12 lymph nodes excised (%) 93 91 86
Laparoscopic surgery attempted (%) 37 67 71
Risk-adjusted length of stay > 5 days (%) 73 61 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 80 261 10335
Adjuvant chemotherapy (%) 70 67 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 47 106 4137
Neoadjuvant therapy (%) 67 43 34
Circumferential resection margin: Recorded (%) 100 100 90
Circumferential resection margin: Negative (%) 81 89 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 152 406 17956
APER/Hartmanns (%) 57 35 37

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