The Royal Marsden NHS Foundation Trust

The Royal Marsden NHS Foundation Trust incorporates The Royal Marsden Hospital in London https://www.royalmarsden.nhs.uk/

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit N/A 1404 32641
Case ascertainment (%) N/A Good Good
Data completeness of:
– Pre-treatment TNM (%) N/A 78 85
– Performance status (%) N/A 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 31 874 18552
ASA grade 1 (%) 0 10 9
ASA grade 2 (%) 32 53 53
ASA grade 3 (%) 58 23 30
ASA grade 4+ (%) 0 1 2
ASA grade not recorded (%) 10 14 6
Data completeness of:
7 Audit items for risk-adjustment (%) 87 78 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 (%) N/A 98 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients N/A 314 8157
Undergoing major resection (%) N/A 87 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 31 874 18515
Distant metastases (%) 19 9 6
Urgent or emergency surgery (%) 3 13 21
At least 12 lymph nodes excised (%) 93 84 86
Laparoscopic surgery attempted (%) 30 73 71
Risk-adjusted length of stay > 5 days (%) 101 70 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A 485 10335
Adjuvant chemotherapy (%) N/A 57 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 11 191 4137
Neoadjuvant therapy (%) 67 28 34
Circumferential resection margin: Negative (%) 9 80 84
Circumferential resection margin: Recorded (%) 27 86 90
APER rate (%) 36 15 39
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 75 776 17956
APER/Hartmanns (%) 60 31 37

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