Bolton NHS Foundation Trust

The Bolton NHS Foundation Trust incorporates Royal Bolton Hospital http://www.boltonft.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 151 1547 29766
Case ascertainment (%) 81 102 90
Data completeness of:
– Pre-treatment TNM (%) 92 83 83
– Performance status (%) 87 89 85
Patients having major resection: Trust Network National
Number of patients in Audit 101 908 16499
ASA grade 1 (%) 4 14 10
ASA grade 2 (%) 40 51 53
ASA grade 3 (%) 49 32 30
ASA grade 4+ (%) 4 2 3
ASA grade not recorded (%) 4 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 89 93 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 151 1547 29766
Seen by Clinical Nurse Specialist (%) 90 93 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 58 382 7226
Undergoing major resection (%) 91 84 86

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 101 908 16474
Distant metastases (%) 1 7 6
Urgent or emergency surgery (%) 62 20 15
At least 12 lymph nodes excised (%) 73 85 84
Laparoscopic surgery attempted (%) 49 62 72
Risk-adjusted length of stay > 5 days (%) 81 66 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 57 539 10641
Adjuvant chemotherapy (%) 67 57 61

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 16 192 3899
Neoadjuvant therapy (%) 73 55 32
Circumferential resection margin: Recorded (%) 88 92 86
Circumferential resection margin: Negative (%) 88 85 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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