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 MRI liver facilities
    • On-site PET-CT facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 344 1105 30541
Case ascertainment (%) 103 94 93
Data completeness of:
– Pre-treatment TNM (%) 91 87 78
– Performance status (%) 42 64 85
Patients having major resection: Trust Network National
Number of patients in Audit 210 677 19183
ASA grade 1 (%) 30 23 12
ASA grade 2 (%) 61 53 52
ASA grade 3 (%) 8 22 27
ASA grade 4+ (%) 1 1 2
ASA grade not recorded (%) N/A N/A 7
Data completeness of:
7 Audit items for risk-adjustment (%) 98 96 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 344 1105 30424
Seen by Clinical Nurse Specialist (%) 98 98 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 210 677 19222
Distant metastases (%) 4 5 8
Urgent or emergency surgery (%) 16 18 17
At least 12 lymph nodes excised (%) 86 79 87
Laparoscopic surgery attempted (%) 78 67 66
Risk-adjusted length of stay > 5 days (%) 42 53 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 55 149 4503
Neoadjuvant therapy (%) 21 25 36
Circumferential resection margin: Present (%) 98 94 84
Circumferential resection margin: Negative (%) 93 88 77
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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