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
    • 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
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 328 1216 31676
Case ascertainment (%) 101 105 95
Data completeness of:
– Pre-treatment TNM (%) 71 82 80
– Performance status (%) 91 97 86
Patients having major resection: Trust Network National
Number of patients in Audit 221 779 19218
ASA grade 1 (%) 39 20 11
ASA grade 2 (%) 38 47 53
ASA grade 3 (%) 12 27 28
ASA grade 4+ (%) 3 2 3
ASA grade not recorded (%) 8 4 5
Data completeness of:
7 Audit items for risk-adjustment (%) 84 86 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 328 1216 31676
Seen by Clinical Nurse Specialist (%) 94 95 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 60 274 7416
Undergoing major resection (%) 98 87 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 221 779 19218
Distant metastases (%) 6 7 8
Urgent or emergency surgery (%) 15 17 15
At least 12 lymph nodes excised (%) 89 82 84
Laparoscopic surgery attempted (%) 83 67 69
Risk-adjusted length of stay > 5 days (%) 50 55 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 124 477 11837
Adjuvant chemotherapy (%) 61 56 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 70 216 4588
Neoadjuvant therapy (%) 33 27 33
Circumferential resection margin: Recorded (%) 91 91 90
Circumferential resection margin: Negative (%) 87 85 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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