Buckinghamshire Healthcare NHS Trust

The Buckinghamshire Healthcare NHS Trust incorporates Wycombe Hospital and Stoke Mandeville Hospital in Aylesbury http://www.buckshealthcare.nhs.uk/

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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
  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced Outpatient Clinic
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • 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 213 890 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 95 68 86
– Performance status (%) 100 69 88
Patients having major resection: Trust Network National
Number of patients in Audit 122 508 15891
ASA grade 1 (%) 9 14 8
ASA grade 2 (%) 69 46 52
ASA grade 3 (%) 20 22 31
ASA grade 4+ (%) 2 1 2
ASA grade not recorded (%) N/A 17 7
Data completeness of:
7 Audit items for risk-adjustment (%) 100 82 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 213 890 28523
Seen by Clinical Nurse Specialist (%) 99 94 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 56 191 7393
Undergoing major resection (%) 68 79 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 122 508 15855
Distant metastases (%) 7 5 7
Urgent or emergency surgery (%) 33 24 20
At least 12 lymph nodes excised (%) 89 93 86
Laparoscopic surgery attempted (%) 81 67 67
Risk-adjusted length of stay > 5 days (%) 45 55 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 96 359 10794
Adjuvant chemotherapy (%) 64 57 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 25 124 3481
Neoadjuvant therapy (%) 21 28 38
Circumferential resection margin: Recorded (%) 100 97 89
Circumferential resection margin: Negative (%) 96 90 82
Rectal volume 25 122 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 157 669 19595
APER/Hartmanns (%) 31 33 36

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