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 300 790 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 90 94 86
– Performance status (%) 94 93 88
Patients having major resection: Trust Network National
Number of patients in Audit 191 520 15891
ASA grade 1 (%) 2 5 8
ASA grade 2 (%) 38 39 52
ASA grade 3 (%) 55 50 31
ASA grade 4+ (%) 4 4 2
ASA grade not recorded (%) 1 2 7
Data completeness of:
7 Audit items for risk-adjustment (%) 99 95 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 300 790 28523
Seen by Clinical Nurse Specialist (%) 95 88 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 81 211 7393
Undergoing major resection (%) 85 88 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 191 520 15855
Distant metastases (%) 8 6 7
Urgent or emergency surgery (%) 24 41 20
At least 12 lymph nodes excised (%) 80 82 86
Laparoscopic surgery attempted (%) 84 57 67
Risk-adjusted length of stay > 5 days (%) 38 53 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 108 362 10794
Adjuvant chemotherapy (%) 59 62 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 37 120 3481
Neoadjuvant therapy (%) 63 61 38
Circumferential resection margin: Recorded (%) 100 93 89
Circumferential resection margin: Negative (%) 97 83 82
Rectal volume 35 114 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 256 654 19595
APER/Hartmanns (%) 52 48 36

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