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 201 1245 29766
Case ascertainment (%) 103 87 90
Data completeness of:
– Pre-treatment TNM (%) 93 86 83
– Performance status (%) 100 97 85
Patients having major resection: Trust Network National
Number of patients in Audit 118 720 16499
ASA grade 1 (%) 10 9 10
ASA grade 2 (%) 48 58 53
ASA grade 3 (%) 36 29 30
ASA grade 4+ (%) 6 2 3
ASA grade not recorded (%) 0 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 97 68 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 201 1245 29766
Seen by Clinical Nurse Specialist (%) 96 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 54 324 7226
Undergoing major resection (%) 89 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 118 720 16474
Distant metastases (%) 4 6 6
Urgent or emergency surgery (%) 20 13 15
At least 12 lymph nodes excised (%) 97 68 84
Laparoscopic surgery attempted (%) 57 62 72
Risk-adjusted length of stay > 5 days (%) 61 72 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 79 470 10641
Adjuvant chemotherapy (%) 56 58 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 18 159 3899
Neoadjuvant therapy (%) 7 24 32
Circumferential resection margin: Recorded (%) 94 69 86
Circumferential resection margin: Negative (%) 83 62 79
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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