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 MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 223 1216 31676
Case ascertainment (%) 113 105 95
Data completeness of:
– Pre-treatment TNM (%) 65 82 80
– Performance status (%) 99 97 86
Patients having major resection: Trust Network National
Number of patients in Audit 133 779 19218
ASA grade 1 (%) 15 20 11
ASA grade 2 (%) 46 47 53
ASA grade 3 (%) 36 27 28
ASA grade 4+ (%) 3 2 3
ASA grade not recorded (%) N/A 4 5
Data completeness of:
7 Audit items for risk-adjustment (%) 56 86 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 223 1216 31676
Seen by Clinical Nurse Specialist (%) 92 95 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 45 274 7416
Undergoing major resection (%) 58 87 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 133 779 19218
Distant metastases (%) 5 7 8
Urgent or emergency surgery (%) 14 17 15
At least 12 lymph nodes excised (%) 62 82 84
Laparoscopic surgery attempted (%) 58 67 69
Risk-adjusted length of stay > 5 days (%) 52 55 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 91 477 11837
Adjuvant chemotherapy (%) 64 56 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 37 216 4588
Neoadjuvant therapy (%) 23 27 33
Circumferential resection margin: Recorded (%) 97 91 90
Circumferential resection margin: Negative (%) 92 85 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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