York and Scarborough Teaching Hospitals NHS Foundation Trust

The York Teaching Hospital NHS Foundation Trust incorporates York Hospital and Scarborough Hospital https://www.yorkhospitals.nhs.uk/

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This trust offers the following services:

  • 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:
    • Robotic surgery
  • Support service facilities:
    • 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 379 1079 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 87 95 86
– Performance status (%) 87 93 89
Patients having major resection: Trust Network National
Number of patients in Audit 213 649 19631
ASA grade 1 (%) 1 7 9
ASA grade 2 (%) 46 48 53
ASA grade 3 (%) 49 43 31
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) N/A N/A 4
Data completeness of:
7 Audit items for risk-adjustment (%) 97 97 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 379 1079 35779
Seen by Clinical Nurse Specialist (%) 79 87 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 213 649 19614
Distant metastases (%) 6 5 5
Urgent or emergency surgery (%) 16 34 15
At least 12 lymph nodes excised (%) 87 85 84
Laparoscopic surgery attempted (%) 85 59 72
Risk-adjusted length of stay > 5 days (%) 33 51 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 122 N/A 10747
Adjuvant chemotherapy (%) 61 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 71 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 23 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 33 N/A 4251
Neoadjuvant therapy (%) 57 N/A 33
Circumferential resection margin: Recorded (%) 94 93 89
Circumferential resection margin: Negative (%) 94 85 83
Rectal volume 32 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 255 667 19644
APER/Hartmanns (%) 50 46 37

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