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:

  • Acute services:
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
  • Oncology services:
    • On-site chemotherapy services
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice

Data Quality

All Patients: Trust Network National
Number of patients in Audit 248 1184 28013
Case ascertainment (%) 109 88 93
Data completeness of:
– Pre-treatment TNM (%) 87 77 71
– Performance status (%) 96 90 77
Patients having major resection: Trust Network National
Number of patients in Audit 174 763 18809
ASA grade 1 (%) 52 28 14
ASA grade 2 (%) 33 48 53
ASA grade 3 (%) 11 19 25
ASA grade 4+ (%) 1 2 3
ASA grade not recorded (%) 3 4 5
Data completeness of:
7 Audit items for risk-adjustment (%) 91 86 82

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 248 1184 30122
Seen by Clinical Nurse Specialist (%) 97 80 92

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 174 763 18809
Distant metastases (%) 11 9 9
Urgent or emergency surgery (%) 16 13 16
Median number of lymph nodes excised 19 19 17
Laparoscopic surgery attempted (%) 73 73 61
Length of stay > 5 days (%) 54 61 69

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 38 201 4769
Neoadjuvant therapy (%) 29 30 37
Circumferential resection margin: Recorded (%) N/A 22 25
Circumferential resection margin: Positive (%) 11 8 7
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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