Royal Free London NHS Foundation Trust

The Royal Free London NHS Foundation Trust - Royal Free Hospital incorporates the Royal Free Hospital, Barnet Hospital and Chase Farm Hospital in London https://www.royalfree.nhs.uk/

View Trust Services

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
  • Surgical services:
    • On-site hepatobiliary surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Extended lymphadenectomy
  • Support service facilities:
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 156 528 35779
Case ascertainment (%) Fair Fair Good
Data completeness of:
– Pre-treatment TNM (%) 82 82 86
– Performance status (%) 97 62 89
Patients having major resection: Trust Network National
Number of patients in Audit 100 345 19631
ASA grade 1 (%) 41 18 9
ASA grade 2 (%) 43 51 53
ASA grade 3 (%) 16 30 31
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) N/A 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 97 86 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 156 528 35779
Seen by Clinical Nurse Specialist (%) 96 85 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 100 345 19614
Distant metastases (%) 6 9 5
Urgent or emergency surgery (%) 5 17 15
At least 12 lymph nodes excised (%) 98 83 84
Laparoscopic surgery attempted (%) 78 73 72
Risk-adjusted length of stay > 5 days (%) 85 66 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 49 N/A 10747
Adjuvant chemotherapy (%) 59 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 30 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 30 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 13 N/A 4251
Neoadjuvant therapy (%) N/A N/A 33
Circumferential resection margin: Recorded (%) 100 91 89
Circumferential resection margin: Negative (%) 100 86 83
Rectal volume N/A N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 94 241 19644
APER/Hartmanns (%) 37 24 37

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