Oxford University Hospitals NHS Trust

The Oxford University Hospitals NHS Trust incorporates John Radcliffe Hospital and Churchill Hospital in Oxford, and Horton General Hospital in Banbury http://www.ouh.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
    • 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:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
  • 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

Data Quality

All Patients: Trust Network National
Number of patients in Audit 433 1156 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 76 69 86
– Performance status (%) 49 78 89
Patients having major resection: Trust Network National
Number of patients in Audit 222 777 19631
ASA grade 1 (%) 25 14 9
ASA grade 2 (%) 42 52 53
ASA grade 3 (%) 8 24 31
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) 24 10 4
Data completeness of:
7 Audit items for risk-adjustment (%) 75 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 433 1156 35779
Seen by Clinical Nurse Specialist (%) 96 92 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 222 777 19614
Distant metastases (%) 3 3 5
Urgent or emergency surgery (%) 12 12 15
At least 12 lymph nodes excised (%) 97 93 84
Laparoscopic surgery attempted (%) 52 73 72
Risk-adjusted length of stay > 5 days (%) 44 53 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 106 N/A 10747
Adjuvant chemotherapy (%) 45 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 48 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 15 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 37 N/A 4251
Neoadjuvant therapy (%) 23 N/A 33
Circumferential resection margin: Recorded (%) 100 100 89
Circumferential resection margin: Negative (%) 92 95 83
Rectal volume 39 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 199 695 19644
APER/Hartmanns (%) 26 34 37

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