Salisbury NHS Foundation Trust

The Salisbury NHS Foundation Trust incorporates Salisbury District Hospital http://www.salisbury.nhs.uk

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This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • On-site psychology services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 179 1641 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 98 80 85
– Performance status (%) 86 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 93 881 18552
ASA grade 1 (%) 16 8 9
ASA grade 2 (%) 51 59 53
ASA grade 3 (%) 32 29 30
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) N/A 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 100 89 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 179 1641 29766
Seen by Clinical Nurse Specialist (%) 89 83 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 69 416 8157
Undergoing major resection (%) 75 78 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 93 881 18515
Distant metastases (%) 2 5 6
Urgent or emergency surgery (%) 15 13 21
At least 12 lymph nodes excised (%) 93 87 86
Laparoscopic surgery attempted (%) 84 76 71
Risk-adjusted length of stay > 5 days (%) 28 51 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 40 541 10335
Adjuvant chemotherapy (%) 58 66 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 21 199 4137
Neoadjuvant therapy (%) 20 28 34
Circumferential resection margin: Recorded (%) 100 82 90
Circumferential resection margin: Negative (%) 86 74 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 77 1018 17956
APER/Hartmanns (%) 36 30 37

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