Royal Devon and Exeter NHS Foundation Trust

The Royal Devon and Exeter NHS Foundation Trust incorporates Royal Devon and Exeter Hospital in Wonford http://www.rdehospital.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 299 1105 30541
Case ascertainment (%) 111 94 93
Data completeness of:
– Pre-treatment TNM (%) 85 87 78
– Performance status (%) 100 64 85
Patients having major resection: Trust Network National
Number of patients in Audit 176 677 19183
ASA grade 1 (%) 13 23 12
ASA grade 2 (%) 55 53 52
ASA grade 3 (%) 30 22 27
ASA grade 4+ (%) 2 1 2
ASA grade not recorded (%) N/A N/A 7
Data completeness of:
7 Audit items for risk-adjustment (%) 100 96 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 299 1105 30424
Seen by Clinical Nurse Specialist (%) 96 98 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 176 677 19222
Distant metastases (%) 5 5 8
Urgent or emergency surgery (%) 16 18 17
At least 12 lymph nodes excised (%) 69 79 87
Laparoscopic surgery attempted (%) 65 67 66
Risk-adjusted length of stay > 5 days (%) 58 53 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 37 149 4503
Neoadjuvant therapy (%) 23 25 36
Circumferential resection margin: Present (%) 100 94 84
Circumferential resection margin: Negative (%) 97 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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