Southend University Hospital NHS Foundation Trust

The Southend University Hospital NHS Foundation Trust incorporates Southend Hospital http://www.southend.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
    • On-site Cardio-Pulmonary Exercise Testing (CPET) 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
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 217 3626 31676
Case ascertainment (%) 112 101 95
Data completeness of:
– Pre-treatment TNM (%) 43 71 80
– Performance status (%) 100 89 86
Patients having major resection: Trust Network National
Number of patients in Audit 116 2090 19218
ASA grade 1 (%) 1 13 11
ASA grade 2 (%) 57 52 53
ASA grade 3 (%) 32 30 28
ASA grade 4+ (%) 10 3 3
ASA grade not recorded (%) N/A 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 100 83 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 217 3626 31676
Seen by Clinical Nurse Specialist (%) 94 86 87
All patients deemed potentially curative? Trust Network National
Number of patients 28 756 7416
Major resection rate in potentially curative patients (%) 89 83 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 116 2090 19218
Distant metastases (%) 15 8 8
Urgent or emergency surgery (%) 21 14 15
At least 12 lymph nodes excised (%) 86 79 84
Laparoscopic surgery attempted (%) 81 75 69
Risk-adjusted length of stay > 5 days (%) 50 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 74 1337 11837
Adjuvant chemotherapy (%) 42 55 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 31 533 4588
Neoadjuvant therapy (%) 30 25 33
Circumferential resection margin: Negative (%) 100 80 80
Circumferential resection margin: Recorded (%) 100 88 90
APER rate (%) 29 21 25

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