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:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
  • Oncology services:
    • On-site chemotherapy services
  • Surgical services:
    • On-site thoracic surgical team
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 126 1968 28013
Case ascertainment (%) 83 76 93
Data completeness of:
– Pre-treatment TNM (%) 71 79 71
– Performance status (%) 99 84 77
Patients having major resection: Trust Network National
Number of patients in Audit 101 1310 18809
ASA grade 1 (%) 28 14 14
ASA grade 2 (%) 56 50 53
ASA grade 3 (%) 14 23 25
ASA grade 4+ (%) 2 4 3
ASA grade not recorded (%) N/A 10 5
Data completeness of:
7 Audit items for risk-adjustment (%) 90 78 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 126 1968 30122
Seen by Clinical Nurse Specialist (%) 98 95 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 101 1310 18809
Distant metastases (%) 9 11 9
Urgent or emergency surgery (%) 26 14 16
Median number of lymph nodes excised 20 18 17
Laparoscopic surgery attempted (%) 54 56 61
Length of stay > 5 days (%) 61 72 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 26 314 4769
Neoadjuvant therapy (%) 39 39 37
Circumferential resection margin: Recorded (%) 4 10 25
Circumferential resection margin: Positive (%) 15 11 7
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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