University Hospital Southampton NHS Foundation Trust

The University Hospital Southampton NHS Foundation Trust incorporates Southampton General Hospital http://www.uhs.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 PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
    • Intraoperative RTX
    • HIPEC/cytoreductive surgery
  • 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 366 1833 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 91 86
– Performance status (%) 100 75 89
Patients having major resection: Trust Network National
Number of patients in Audit 238 1075 19631
ASA grade 1 (%) 5 4 9
ASA grade 2 (%) 56 56 53
ASA grade 3 (%) 36 28 31
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) N/A 11 4
Data completeness of:
7 Audit items for risk-adjustment (%) 100 78 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 366 1833 35779
Seen by Clinical Nurse Specialist (%) 100 76 88

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 238 1075 19614
Distant metastases (%) 5 5 5
Urgent or emergency surgery (%) 8 10 15
At least 12 lymph nodes excised (%) 89 75 84
Laparoscopic surgery attempted (%) 84 75 72
Risk-adjusted length of stay > 5 days (%) 58 51 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 109 N/A 10747
Adjuvant chemotherapy (%) 68 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 76 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 37 N/A 22

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 60 N/A 4251
Neoadjuvant therapy (%) 34 N/A 33
Circumferential resection margin: Recorded (%) 83 79 89
Circumferential resection margin: Negative (%) 80 74 83
Rectal volume 44 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 231 978 19644
APER/Hartmanns (%) 39 26 37

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