Royal Cornwall Hospitals NHS Trust

The Royal Cornwall Hospitals NHS Trust incorporates Royal Cornwall Hospital in Treliske, Truro http://www.royalcornwall.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • 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
  • 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 409 1406 38604
Data completeness of:
– Completed stage 1-4 (%) 89 68 82
– Performance status (%) 97 68 74
Patients having major resection: Trust Network National
Number of patients in Audit 231 692 21702
Performance status 0 (%) 52 54 50
Performance status 1 (%) 39 25 22
Performance status 2 (%) 7 6 5
Performance status 3 (%) 1 N/A 1
Performance status 4 or not recorded (%) N/A 14 21
Data completeness of:
7 Audit items for risk-adjustment (%) 84 68 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 409 1406 38604
Clinical Nurse Specialist (CNS) information recorded (%) 71 55 65
Seen by CNS if CNS record present (%) 91 93 94

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 231 692 21702
Distant metastases (%) 7 6 7
Emergency surgery (%) 11 11 13
At least 12 lymph nodes excised (%) 54 45 53
Laparoscopic surgery attempted (%) 68 65 65
Risk-adjusted length of stay > 5 days (%) 44 52 59
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 127 385 12052
Adjuvant chemotherapy (%) 73 69 66

Rectal cancer patients

Patients having major resection: Trust Network National
Neoadjuvant therapy (%) 28 33 34
Rectal volume 65 166 4753
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 281 1028 23317
APER/Hartmanns (%) 32 35 35

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