North Bristol NHS Trust

The North Bristol NHS Trust incorporates Southmead Hospital and Frenchay Hospital in Bristol https://www.nbt.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy
    • Extended lymphadenectomy
    • Intraoperative RTX
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services
    • On-site psychology services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 202 1851 35779
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 97 95 86
– Performance status (%) 100 96 89
Patients having major resection: Trust Network National
Number of patients in Audit 117 778 19631
ASA grade 1 (%) 32 9 9
ASA grade 2 (%) 40 57 53
ASA grade 3 (%) 26 31 31
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) 1 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 57 80 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 202 1851 35779
Seen by Clinical Nurse Specialist (%) 91 89 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 117 778 19614
Distant metastases (%) 4 4 5
Urgent or emergency surgery (%) 6 13 15
At least 12 lymph nodes excised (%) 54 73 84
Laparoscopic surgery attempted (%) 83 80 72
Risk-adjusted length of stay > 5 days (%) 48 49 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 75 N/A 10747
Adjuvant chemotherapy (%) 57 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) N/A N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 33 N/A 4251
Neoadjuvant therapy (%) 37 N/A 33
Circumferential resection margin: Recorded (%) 45 81 89
Circumferential resection margin: Negative (%) 3 69 83
Rectal volume 42 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 149 1041 19644
APER/Hartmanns (%) 28 33 37

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