Imperial College Healthcare NHS Trust

The Imperial College Healthcare NHS Trust incorporates Charing Cross Hospital, St Mary's Hospital Paddington, and Hammersmith Hospital in London https://www.imperial.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
  • 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 hepatobiliary surgical team
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy
    • Extended lymphadenectomy
    • Intraoperative RTX
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 184 1339 31676
Case ascertainment (%) 67 64 95
Data completeness of:
– Pre-treatment TNM (%) 95 80 80
– Performance status (%) 99 85 86
Patients having major resection: Trust Network National
Number of patients in Audit 114 888 19218
ASA grade 1 (%) 50 15 11
ASA grade 2 (%) 25 51 53
ASA grade 3 (%) 21 29 28
ASA grade 4+ (%) 4 2 3
ASA grade not recorded (%) N/A 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 97 84 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 184 1339 31676
Seen by Clinical Nurse Specialist (%) 95 83 87
All patients deemed potentially curative? Trust Network National
Number of patients 39 344 7416
Major resection rate in potentially curative patients (%) 90 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 114 888 19218
Distant metastases (%) 3 7 8
Urgent or emergency surgery (%) 11 11 15
At least 12 lymph nodes excised (%) 94 88 84
Laparoscopic surgery attempted (%) 87 70 69
Risk-adjusted length of stay > 5 days (%) 70 72 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 83 536 11837
Adjuvant chemotherapy (%) 69 65 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 26 212 4588
Neoadjuvant therapy (%) 43 33 33
Circumferential resection margin: Negative (%) 92 82 80
Circumferential resection margin: Recorded (%) 100 86 90
APER rate (%) 15 17 25

Compare trust outcomes