Isle of Wight NHS Trust

The Isle of Wight NHS Trust incorporates St Mary's Hospital on the Isle of Wight http://www.iow.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 139 1833 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 88 91 86
– Performance status (%) 99 75 89
Patients having major resection: Trust Network National
Number of patients in Audit 59 1075 19631
ASA grade 1 (%) 17 4 9
ASA grade 2 (%) 66 56 53
ASA grade 3 (%) 17 28 31
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) N/A 11 4
Data completeness of:
7 Audit items for risk-adjustment (%) 98 78 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 139 1833 35779
Seen by Clinical Nurse Specialist (%) 97 76 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 59 1075 19614
Distant metastases (%) 3 5 5
Urgent or emergency surgery (%) 10 10 15
At least 12 lymph nodes excised (%) 96 75 84
Laparoscopic surgery attempted (%) 90 75 72
Risk-adjusted length of stay > 5 days (%) 35 51 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 38 N/A 10747
Adjuvant chemotherapy (%) 68 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 28 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 16 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 11 N/A 4251
Neoadjuvant therapy (%) 27 N/A 33
Circumferential resection margin: Recorded (%) 100 79 89
Circumferential resection margin: Negative (%) 91 74 83
Rectal volume 14 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 43 978 19644
APER/Hartmanns (%) 23 26 37

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