Hampshire Hospitals NHS Foundation Trust - Royal Hampshire County Hospital

Case Ascertainment for 2018-19 and 2019-20 was 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:

  • Surgical services:
    • On-site hepatobiliary surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
  • Diagnostic and pre-operative services:
    • Routine Genetic Testing for Lynch Syndrome
  • 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 116 1439 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 92 86
– Performance status (%) 100 88 88
Patients having major resection: Trust Network National
Number of patients in Audit 73 692 15891
ASA grade 1 (%) 5 5 8
ASA grade 2 (%) 63 53 52
ASA grade 3 (%) 29 28 31
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) N/A 11 7
Data completeness of:
7 Audit items for risk-adjustment (%) 100 82 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 116 1439 28523
Seen by Clinical Nurse Specialist (%) 79 64 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 45 418 7393
Undergoing major resection (%) 87 78 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 73 692 15855
Distant metastases (%) 4 6 7
Urgent or emergency surgery (%) 24 11 20
At least 12 lymph nodes excised (%) 73 80 86
Laparoscopic surgery attempted (%) 82 73 67
Risk-adjusted length of stay > 5 days (%) 55 51 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 55 525 10794
Adjuvant chemotherapy (%) 53 65 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 18 158 3481
Neoadjuvant therapy (%) 27 27 38
Circumferential resection margin: Recorded (%) 100 85 89
Circumferential resection margin: Negative (%) 83 80 82
Rectal volume 16 153 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 56 1012 19595
APER/Hartmanns (%) 34 26 36

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