Portsmouth Hospitals NHS Trust

The Portsmouth Hospitals NHS Trust incorporates Queen Alexandra Hospital in Portsmouth http://www.porthosp.nhs.uk/

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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:
    • Robotic surgery
  • Advanced disease services:
    • Extended lymphadenectomy

Data Quality
All Patients: Trust Network National
Number of patients in Audit 323 1475 31676
Case ascertainment (%) 104 96 95
Data completeness of:
– Pre-treatment TNM (%) 78 88 80
– Performance status (%) 18 76 86
Patients having major resection: Trust Network National
Number of patients in Audit 196 893 19218
ASA grade 1 (%) 11 8 11
ASA grade 2 (%) 66 64 53
ASA grade 3 (%) 20 24 28
ASA grade 4+ (%) N/A 2 3
ASA grade not recorded (%) 3 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 92 94 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 323 1475 31676
Seen by Clinical Nurse Specialist (%) 98 95 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 86 412 7416
Undergoing major resection (%) 79 85 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 196 893 19218
Distant metastases (%) 6 6 8
Urgent or emergency surgery (%) 8 11 15
At least 12 lymph nodes excised (%) 95 88 84
Laparoscopic surgery attempted (%) 95 82 69
Risk-adjusted length of stay > 5 days (%) 61 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 128 614 11837
Adjuvant chemotherapy (%) 57 57 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 67 246 4588
Neoadjuvant therapy (%) 17 22 33
Circumferential resection margin: Recorded (%) 100 96 90
Circumferential resection margin: Negative (%) 90 84 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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