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 151 1245 29766
Case ascertainment (%) 88 87 90
Data completeness of:
– Pre-treatment TNM (%) 95 86 83
– Performance status (%) 91 97 85
Patients having major resection: Trust Network National
Number of patients in Audit N/A 720 16499
ASA grade 1 (%) N/A 9 10
ASA grade 2 (%) N/A 58 53
ASA grade 3 (%) N/A 29 30
ASA grade 4+ (%) N/A 2 3
ASA grade not recorded (%) N/A 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 68 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 151 1245 29766
Seen by Clinical Nurse Specialist (%) 99 94 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 34 324 7226
Undergoing major resection (%) 94 91 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit N/A 720 16474
Distant metastases (%) N/A 6 6
Urgent or emergency surgery (%) N/A 13 15
At least 12 lymph nodes excised (%) N/A 68 84
Laparoscopic surgery attempted (%) N/A 62 72
Risk-adjusted length of stay > 5 days (%) N/A 72 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 24 470 10641
Adjuvant chemotherapy (%) 42 58 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit N/A 159 3899
Neoadjuvant therapy (%) N/A 24 32
Circumferential resection margin: Recorded (%) N/A 69 86
Circumferential resection margin: Negative (%) N/A 62 79
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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