Royal Surrey County Hospital NHS Foundation Trust

The Royal Surrey County Hospital NHS Foundation Trust incorporates Royal Surrey County Hospital in Guildford http://www.royalsurrey.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 Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • Robotic surgery
  • Advanced disease services:
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 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 237 2057 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 84 86
– Performance status (%) 100 89 89
Patients having major resection: Trust Network National
Number of patients in Audit 153 1091 19631
ASA grade 1 (%) 2 10 9
ASA grade 2 (%) 81 59 53
ASA grade 3 (%) 16 26 31
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) 1 3 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 237 2057 35779
Seen by Clinical Nurse Specialist (%) 99 89 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 153 1091 19614
Distant metastases (%) 3 3 5
Urgent or emergency surgery (%) 5 15 15
At least 12 lymph nodes excised (%) 90 84 84
Laparoscopic surgery attempted (%) 97 84 72
Risk-adjusted length of stay > 5 days (%) 19 49 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 78 N/A 10747
Adjuvant chemotherapy (%) 49 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 144 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 20 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 23 N/A 4251
Neoadjuvant therapy (%) 24 N/A 33
Circumferential resection margin: Recorded (%) 83 86 89
Circumferential resection margin: Negative (%) 83 80 83
Rectal volume 27 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 121 1092 19644
APER/Hartmanns (%) 33 29 37

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