University Hospital Southampton NHS Foundation Trust

The University Hospital Southampton NHS Foundation Trust incorporates Southampton General Hospital http://www.uhs.nhs.uk

View Trust Services

This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • High sacrectomy
    • Extended lymphadenectomy
    • Intraoperative RTX
  • 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 250 1475 31676
Case ascertainment (%) 85 96 95
Data completeness of:
– Pre-treatment TNM (%) 100 88 80
– Performance status (%) 100 76 86
Patients having major resection: Trust Network National
Number of patients in Audit 176 893 19218
ASA grade 1 (%) 7 8 11
ASA grade 2 (%) 65 64 53
ASA grade 3 (%) 23 24 28
ASA grade 4+ (%) 5 2 3
ASA grade not recorded (%) 1 2 5
Data completeness of:
7 Audit items for risk-adjustment (%) 99 94 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 250 1475 31676
Seen by Clinical Nurse Specialist (%) 93 95 87
All patients deemed potentially curative? Trust Network National
Number of patients 70 412 7416
Major resection rate in potentially curative patients (%) 86 85 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 176 893 19218
Distant metastases (%) 6 6 8
Urgent or emergency surgery (%) 13 11 15
At least 12 lymph nodes excised (%) 89 88 84
Laparoscopic surgery attempted (%) 72 82 69
Risk-adjusted length of stay > 5 days (%) 63 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 124 614 11837
Adjuvant chemotherapy (%) 52 57 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 51 246 4588
Neoadjuvant therapy (%) 46 22 33
Circumferential resection margin: Negative (%) 94 84 80
Circumferential resection margin: Recorded (%) 98 96 90
APER rate (%) 24 22 25

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