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:

  • 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
  • Surgical services:
    • On-site hepatobiliary surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT

Data Quality
All Patients: Trust Network National
Number of patients in Audit 244 974 31676
Case ascertainment (%) 85 72 95
Data completeness of:
– Pre-treatment TNM (%) 88 84 80
– Performance status (%) 100 93 86
Patients having major resection: Trust Network National
Number of patients in Audit 147 585 19218
ASA grade 1 (%) 27 22 11
ASA grade 2 (%) 52 50 53
ASA grade 3 (%) 20 24 28
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) N/A 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 99 86 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 244 974 31676
Seen by Clinical Nurse Specialist (%) 94 95 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 55 220 7416
Undergoing major resection (%) 84 86 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 147 585 19218
Distant metastases (%) 10 7 8
Urgent or emergency surgery (%) 13 20 15
At least 12 lymph nodes excised (%) 88 77 84
Laparoscopic surgery attempted (%) 68 71 69
Risk-adjusted length of stay > 5 days (%) 73 70 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 86 417 11837
Adjuvant chemotherapy (%) 55 67 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 22 104 4588
Neoadjuvant therapy (%) 42 41 33
Circumferential resection margin: Recorded (%) 100 81 90
Circumferential resection margin: Negative (%) 95 74 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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