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/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 228 1614 31676
Case ascertainment (%) 99 102 95
Data completeness of:
– Pre-treatment TNM (%) 97 82 80
– Performance status (%) 94 91 86
Patients having major resection: Trust Network National
Number of patients in Audit 153 971 19218
ASA grade 1 (%) 9 6 11
ASA grade 2 (%) 59 61 53
ASA grade 3 (%) 26 31 28
ASA grade 4+ (%) 5 2 3
ASA grade not recorded (%) 1 N/A 5
Data completeness of:
7 Audit items for risk-adjustment (%) 96 90 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 228 1614 31676
Seen by Clinical Nurse Specialist (%) 86 87 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 55 369 7416
Undergoing major resection (%) 78 86 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 153 971 19218
Distant metastases (%) 3 4 8
Urgent or emergency surgery (%) 18 13 15
At least 12 lymph nodes excised (%) 90 87 84
Laparoscopic surgery attempted (%) 72 77 69
Risk-adjusted length of stay > 5 days (%) 65 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 123 656 11837
Adjuvant chemotherapy (%) 59 62 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 37 252 4588
Neoadjuvant therapy (%) 18 26 33
Circumferential resection margin: Recorded (%) 78 84 90
Circumferential resection margin: Negative (%) 68 75 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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