University Hospitals Bristol NHS Foundation Trust

The University Hospitals Bristol NHS Foundation Trust incorporates Bristol Royal Infirmary and University Hospital in Bristol http://www.uhbristol.nhs.uk/

View Trust Services

This trust offers the following services:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • 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 MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Distal sacrectomy
    • Extended lymphadenectomy
  • 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 193 1614 31676
Case ascertainment (%) 108 102 95
Data completeness of:
– Pre-treatment TNM (%) 89 82 80
– Performance status (%) 97 91 86
Patients having major resection: Trust Network National
Number of patients in Audit 100 971 19218
ASA grade 1 (%) 1 6 11
ASA grade 2 (%) 76 61 53
ASA grade 3 (%) 23 31 28
ASA grade 4+ (%) N/A 2 3
ASA grade not recorded (%) N/A N/A 5
Data completeness of:
7 Audit items for risk-adjustment (%) 97 90 86

Key:

>= 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 193 1614 31676
Seen by Clinical Nurse Specialist (%) 89 87 87
All patients deemed potentially curative? Trust Network National
Number of patients 45 369 7416
Major resection rate in potentially curative patients (%) 82 86 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 100 971 19218
Distant metastases (%) 3 4 8
Urgent or emergency surgery (%) 5 13 15
At least 12 lymph nodes excised (%) 90 87 84
Laparoscopic surgery attempted (%) 85 77 69
Risk-adjusted length of stay > 5 days (%) 68 58 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 73 656 11837
Adjuvant chemotherapy (%) 68 62 62

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 26 252 4588
Neoadjuvant therapy (%) 31 26 33
Circumferential resection margin: Negative (%) 96 75 80
Circumferential resection margin: Recorded (%) 96 84 90
APER rate (%) 27 29 25

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