University Hospitals Bristol and Weston NHS Foundation Trust

The University Hospitals Bristol and Weston NHS Foundation Trust incorporates Bristol Royal Infirmary in Bristol and Weston General Hospital in Weston-super-Mare https://www.uhbw.nhs.uk/

In 2020, University Hospitals Bristol NHS Foundation Trust and Weston Area Health NHS Trust merged into University Hospitals Bristol and Weston NHS Foundation Trust

View previous outcomes for Bristol

View previous outcomes for Weston

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • 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 MDT
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 240 1592 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 83 93 86
– Performance status (%) 98 95 88
Patients having major resection: Trust Network National
Number of patients in Audit 120 784 15891
ASA grade 1 (%) 4 7 8
ASA grade 2 (%) 78 58 52
ASA grade 3 (%) 18 29 31
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) N/A 4 7
Data completeness of:
7 Audit items for risk-adjustment (%) 97 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 240 1592 28523
Seen by Clinical Nurse Specialist (%) 88 89 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 71 429 7393
Undergoing major resection (%) 73 77 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 120 784 15855
Distant metastases (%) 7 5 7
Urgent or emergency surgery (%) 15 14 20
At least 12 lymph nodes excised (%) 91 90 86
Laparoscopic surgery attempted (%) 74 75 67
Risk-adjusted length of stay > 5 days (%) 56 49 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 102 537 10794
Adjuvant chemotherapy (%) 61 64 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 24 194 3481
Neoadjuvant therapy (%) 35 36 38
Circumferential resection margin: Recorded (%) 100 84 89
Circumferential resection margin: Negative (%) 92 77 82
Rectal volume 24 174 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 155 1038 19595
APER/Hartmanns (%) 33 32 36

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