Taunton and Somerset NHS Foundation Trust

The Taunton and Somerset NHS Foundation Trust incorporates Musgrove Park Hospital in Taunton http://www.tsft.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • Age Specific 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 146 1641 32641
Case ascertainment (%) Fair Good Good
Data completeness of:
– Pre-treatment TNM (%) 82 80 85
– Performance status (%) 100 88 86
Patients having major resection: Trust Network National
Number of patients in Audit 65 881 18552
ASA grade 1 (%) 3 8 9
ASA grade 2 (%) 38 59 53
ASA grade 3 (%) 52 29 30
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) 5 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 89 89 89

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit N/A N/A N/A
Seen by Clinical Nurse Specialist (%) 98 83 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 51 416 8157
Undergoing major resection (%) 78 78 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 65 881 18515
Distant metastases (%) 7 5 6
Urgent or emergency surgery (%) 5 13 21
At least 12 lymph nodes excised (%) 85 87 86
Laparoscopic surgery attempted (%) 86 76 71
Risk-adjusted length of stay > 5 days (%) 61 51 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 68 541 10335
Adjuvant chemotherapy (%) 62 66 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 11 199 4137
Neoadjuvant therapy (%) 0 28 34
Circumferential resection margin: Negative (%) 73 74 84
Circumferential resection margin: Recorded (%) 73 82 90
APER rate (%) 18 26 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 109 1018 17956
APER/Hartmanns (%) 47 30 37

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