Hampshire Hospitals NHS Foundation Trust - Royal Hampshire County Hospital

Case Ascertainment is calculated for the entire trust. Inaccuracies in the data for circumferential resection margins have been noted for this Trust for patients diagnosed 2019-20. The Hampshire Hospitals NHS Foundation Trust - Royal Hampshire County Hospital incorporates Royal Hampshire County Hospital in Winchester https://www.hampshirehospitals.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • 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 115 1578 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 94 87 85
– Performance status (%) 100 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 82 824 18552
ASA grade 1 (%) 10 8 9
ASA grade 2 (%) 59 51 53
ASA grade 3 (%) 29 26 30
ASA grade 4+ (%) 2 3 2
ASA grade not recorded (%) N/A 12 6
Data completeness of:
7 Audit items for risk-adjustment (%) 99 86 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 115 1578 29766
Seen by Clinical Nurse Specialist (%) 89 95 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 45 436 8157
Undergoing major resection (%) 91 78 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 82 824 18515
Distant metastases (%) 4 5 6
Urgent or emergency surgery (%) 9 11 21
At least 12 lymph nodes excised (%) 76 90 86
Laparoscopic surgery attempted (%) 79 80 71
Risk-adjusted length of stay > 5 days (%) 46 52 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 46 510 10335
Adjuvant chemotherapy (%) 63 67 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 13 187 4137
Neoadjuvant therapy (%) 7 26 34
Circumferential resection margin: Recorded (%) 92 92 90
Circumferential resection margin: Negative (%) 54 79 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 53 942 17956
APER/Hartmanns (%) 32 26 37

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