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 MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 251 1614 31676
Case ascertainment (%) 115 102 95
Data completeness of:
– Pre-treatment TNM (%) 88 82 80
– Performance status (%) 85 91 86
Patients having major resection: Trust Network National
Number of patients in Audit 144 971 19218
ASA grade 1 (%) 4 6 11
ASA grade 2 (%) 54 61 53
ASA grade 3 (%) 38 31 28
ASA grade 4+ (%) 4 2 3
ASA grade not recorded (%) N/A N/A 5
Data completeness of:
7 Audit items for risk-adjustment (%) 96 90 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 251 1614 31676
Seen by Clinical Nurse Specialist (%) 86 87 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 50 369 7416
Undergoing major resection (%) 86 86 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 144 971 19218
Distant metastases (%) 4 4 8
Urgent or emergency surgery (%) 13 13 15
At least 12 lymph nodes excised (%) 93 87 84
Laparoscopic surgery attempted (%) 97 77 69
Risk-adjusted length of stay > 5 days (%) 45 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 103 656 11837
Adjuvant chemotherapy (%) 56 62 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 35 252 4588
Neoadjuvant therapy (%) 33 26 33
Circumferential resection margin: Recorded (%) 94 84 90
Circumferential resection margin: Negative (%) 83 75 80
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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