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:

  • 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:
    • 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 336 1059 31676
Case ascertainment (%) 97 103 95
Data completeness of:
– Pre-treatment TNM (%) 88 79 80
– Performance status (%) 59 82 86
Patients having major resection: Trust Network National
Number of patients in Audit 185 640 19218
ASA grade 1 (%) 30 16 11
ASA grade 2 (%) 46 52 53
ASA grade 3 (%) 15 24 28
ASA grade 4+ (%) N/A 3 3
ASA grade not recorded (%) 9 5 5
Data completeness of:
7 Audit items for risk-adjustment (%) 90 93 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 336 1059 31676
Seen by Clinical Nurse Specialist (%) 100 96 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 98 287 7416
Undergoing major resection (%) 90 82 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 185 640 19218
Distant metastases (%) 2 6 8
Urgent or emergency surgery (%) 5 12 15
At least 12 lymph nodes excised (%) 94 91 84
Laparoscopic surgery attempted (%) 85 77 69
Risk-adjusted length of stay > 5 days (%) 56 59 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 137 463 11837
Adjuvant chemotherapy (%) 59 61 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 38 148 4588
Neoadjuvant therapy (%) 24 21 33
Circumferential resection margin: Recorded (%) 100 100 90
Circumferential resection margin: Negative (%) 100 94 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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