Royal United Hospitals Bath NHS Foundation Trust

The Royal United Hospitals Bath NHS Foundation Trust incorporates Royal United Hospital in Bath http://www.ruh.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 295 1851 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 93 95 86
– Performance status (%) 97 96 89
Patients having major resection: Trust Network National
Number of patients in Audit 208 778 19631
ASA grade 1 (%) 2 9 9
ASA grade 2 (%) 57 57 53
ASA grade 3 (%) 38 31 31
ASA grade 4+ (%) 3 1 2
ASA grade not recorded (%) N/A 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 80 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 295 1851 35779
Seen by Clinical Nurse Specialist (%) 68 89 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 208 778 19614
Distant metastases (%) 3 4 5
Urgent or emergency surgery (%) 21 13 15
At least 12 lymph nodes excised (%) 93 73 84
Laparoscopic surgery attempted (%) 80 80 72
Risk-adjusted length of stay > 5 days (%) 54 49 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 105 N/A 10747
Adjuvant chemotherapy (%) 66 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 70 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 27 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 58 N/A 4251
Neoadjuvant therapy (%) 25 N/A 33
Circumferential resection margin: Recorded (%) 97 81 89
Circumferential resection margin: Negative (%) 88 69 83
Rectal volume 46 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 165 1041 19644
APER/Hartmanns (%) 29 33 37

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