Western Sussex Hospitals NHS Foundation Trust - St. Richard's Hospital

The Western Sussex Hospitals NHS Foundation Trust- St. Richard's Hospital incorporates St Richard's Hospital in Chichester http://www.westernsussexhospitals.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 186 1670 29766
Case ascertainment (%) 102 90 90
Data completeness of:
– Pre-treatment TNM (%) 82 88 83
– Performance status (%) 100 95 85
Patients having major resection: Trust Network National
Number of patients in Audit 124 964 16499
ASA grade 1 (%) 9 14 10
ASA grade 2 (%) 58 56 53
ASA grade 3 (%) 32 26 30
ASA grade 4+ (%) 0 3 3
ASA grade not recorded (%) 1 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 99 92 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 186 1670 29766
Seen by Clinical Nurse Specialist (%) 59 80 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 45 477 7226
Undergoing major resection (%) 80 82 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 124 964 16474
Distant metastases (%) 3 7 6
Urgent or emergency surgery (%) 15 18 15
At least 12 lymph nodes excised (%) 84 83 84
Laparoscopic surgery attempted (%) 97 76 72
Risk-adjusted length of stay > 5 days (%) 64 60 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 78 667 10641
Adjuvant chemotherapy (%) 36 57 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 37 216 3899
Neoadjuvant therapy (%) 26 25 32
Circumferential resection margin: Recorded (%) 100 93 86
Circumferential resection margin: Negative (%) 86 84 79
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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