South Tyneside and Sunderland NHS Foundation Trust

The South Tyneside and Sunderland NHS Foundation Trust incorporates Sunderland Royal Hospital and South Tyneside District Hospital in South Shields https://www.stsft.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • 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 234 1965 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 77 75 86
– Performance status (%) 91 79 88
Patients having major resection: Trust Network National
Number of patients in Audit 146 1125 15891
ASA grade 1 (%) 3 7 8
ASA grade 2 (%) 57 50 52
ASA grade 3 (%) 38 33 31
ASA grade 4+ (%) 2 3 2
ASA grade not recorded (%) N/A 7 7
Data completeness of:
7 Audit items for risk-adjustment (%) 97 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 234 1965 28523
Seen by Clinical Nurse Specialist (%) 91 69 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 60 461 7393
Undergoing major resection (%) 82 79 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 146 1125 15855
Distant metastases (%) 2 5 7
Urgent or emergency surgery (%) 9 17 20
At least 12 lymph nodes excised (%) 88 90 86
Laparoscopic surgery attempted (%) 73 81 67
Risk-adjusted length of stay > 5 days (%) 52 47 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 104 658 10794
Adjuvant chemotherapy (%) 45 54 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 38 270 3481
Neoadjuvant therapy (%) 21 33 38
Circumferential resection margin: Recorded (%) 76 92 89
Circumferential resection margin: Negative (%) 68 87 82
Rectal volume 36 261 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 173 1328 19595
APER/Hartmanns (%) 42 37 36

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