Torbay and South Devon Healthcare NHS Foundation Trust

The Torbay and South Devon NHS Foundation Trust incorporates Torbay Hospital in Torquay http://www.torbayandsouthdevon.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Intraoperative RTX
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 281 1146 35779
Case ascertainment (%) Good Fair Good
Data completeness of:
– Pre-treatment TNM (%) 93 90 86
– Performance status (%) 98 94 89
Patients having major resection: Trust Network National
Number of patients in Audit 151 638 19631
ASA grade 1 (%) 3 7 9
ASA grade 2 (%) 47 54 53
ASA grade 3 (%) 46 36 31
ASA grade 4+ (%) 3 3 2
ASA grade not recorded (%) N/A N/A 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 97 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 281 1146 35779
Seen by Clinical Nurse Specialist (%) 83 93 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 151 638 19614
Distant metastases (%) 1 9 5
Urgent or emergency surgery (%) 17 13 15
At least 12 lymph nodes excised (%) 81 88 84
Laparoscopic surgery attempted (%) 64 73 72
Risk-adjusted length of stay > 5 days (%) 47 46 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 80 N/A 10747
Adjuvant chemotherapy (%) 60 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 47 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 13 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 37 N/A 4251
Neoadjuvant therapy (%) 15 N/A 33
Circumferential resection margin: Recorded (%) 100 91 89
Circumferential resection margin: Negative (%) 92 82 83
Rectal volume 35 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 136 774 19644
APER/Hartmanns (%) 26 41 37

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