Plymouth Hospitals NHS Trust

The Plymouth Hospitals NHS Trust incorporates Derriford Hospital in Plymouth https://www.plymouthhospitals.nhs.uk/

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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 MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific 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
  • Advanced disease services:
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • 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 294 1239 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 96 87 85
– Performance status (%) 100 100 86
Patients having major resection: Trust Network National
Number of patients in Audit 186 736 18552
ASA grade 1 (%) 3 7 9
ASA grade 2 (%) 56 57 53
ASA grade 3 (%) 38 33 30
ASA grade 4+ (%) 3 3 2
ASA grade not recorded (%) N/A N/A 6
Data completeness of:
7 Audit items for risk-adjustment (%) 99 97 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 294 1239 29766
Seen by Clinical Nurse Specialist (%) 95 97 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 91 364 8157
Undergoing major resection (%) 81 84 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 186 736 18515
Distant metastases (%) 4 6 6
Urgent or emergency surgery (%) 13 13 21
At least 12 lymph nodes excised (%) 97 84 86
Laparoscopic surgery attempted (%) 76 70 71
Risk-adjusted length of stay > 5 days (%) 62 53 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 77 369 10335
Adjuvant chemotherapy (%) 61 58 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 48 166 4137
Neoadjuvant therapy (%) 40 38 34
Circumferential resection margin: Recorded (%) 100 95 90
Circumferential resection margin: Negative (%) 94 88 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 137 720 17956
APER/Hartmanns (%) 42 39 37

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