Taunton and Somerset NHS Foundation Trust

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

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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 250 1614 31676
Case ascertainment (%) 126 102 95
Data completeness of:
– Pre-treatment TNM (%) 69 82 80
– Performance status (%) 100 91 86
Patients having major resection: Trust Network National
Number of patients in Audit 133 971 19218
ASA grade 1 (%) 1 6 11
ASA grade 2 (%) 41 61 53
ASA grade 3 (%) 56 31 28
ASA grade 4+ (%) 3 2 3
ASA grade not recorded (%) N/A N/A 5
Data completeness of:
7 Audit items for risk-adjustment (%) 77 90 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 250 1614 31676
Seen by Clinical Nurse Specialist (%) 95 87 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 57 369 7416
Undergoing major resection (%) 82 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 133 971 19218
Distant metastases (%) 5 4 8
Urgent or emergency surgery (%) 22 13 15
At least 12 lymph nodes excised (%) 69 87 84
Laparoscopic surgery attempted (%) 74 77 69
Risk-adjusted length of stay > 5 days (%) 41 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 66 656 11837
Adjuvant chemotherapy (%) 70 62 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 29 252 4588
Neoadjuvant therapy (%) 21 26 33
Circumferential resection margin: Recorded (%) 83 84 90
Circumferential resection margin: Negative (%) 69 75 80
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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