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
    • 7-day access to face-to-face palliative care services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 330 1578 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 100 87 85
– Performance status (%) 99 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 227 824 18552
ASA grade 1 (%) 8 8 9
ASA grade 2 (%) 54 51 53
ASA grade 3 (%) 32 26 30
ASA grade 4+ (%) 6 3 2
ASA grade not recorded (%) N/A 12 6
Data completeness of:
7 Audit items for risk-adjustment (%) 99 86 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 330 1578 29766
Seen by Clinical Nurse Specialist (%) 92 95 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 76 436 8157
Undergoing major resection (%) 86 78 83

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 227 824 18515
Distant metastases (%) 7 5 6
Urgent or emergency surgery (%) 11 11 21
At least 12 lymph nodes excised (%) 88 90 86
Laparoscopic surgery attempted (%) 68 80 71
Risk-adjusted length of stay > 5 days (%) 60 52 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 105 510 10335
Adjuvant chemotherapy (%) 65 67 63

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 55 187 4137
Neoadjuvant therapy (%) 49 26 34
Circumferential resection margin: Recorded (%) 98 92 90
Circumferential resection margin: Negative (%) 89 79 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 204 942 17956
APER/Hartmanns (%) 34 26 37

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