St George's Healthcare NHS Trust

The St George's Healthcare NHS Trust incorporates St George's Hospital in Tooting, South London https://www.stgeorges.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
  • Surgical services:
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 143 1339 31676
Case ascertainment (%) 81 64 95
Data completeness of:
– Pre-treatment TNM (%) 41 80 80
– Performance status (%) 21 85 86
Patients having major resection: Trust Network National
Number of patients in Audit 33 888 19218
ASA grade 1 (%) 21 15 11
ASA grade 2 (%) 48 51 53
ASA grade 3 (%) 30 29 28
ASA grade 4+ (%) N/A 2 3
ASA grade not recorded (%) N/A 3 5
Data completeness of:
7 Audit items for risk-adjustment (%) 100 84 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 143 1339 31676
Seen by Clinical Nurse Specialist (%) 7 83 87
All patients deemed potentially curative? Trust Network National
Number of patients 344 7416
Major resection rate in potentially curative patients (%) N/A 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 33 888 19218
Distant metastases (%) 6 7 8
Urgent or emergency surgery (%) 42 11 15
At least 12 lymph nodes excised (%) 96 88 84
Laparoscopic surgery attempted (%) 58 70 69
Risk-adjusted length of stay > 5 days (%) 62 72 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 39 536 11837
Adjuvant chemotherapy (%) 51 65 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 10 212 4588
Neoadjuvant therapy (%) N/A 33 33
Circumferential resection margin: Negative (%) 100 82 80
Circumferential resection margin: Recorded (%) 100 86 90
APER rate (%) N/A 17 25

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