Countess of Chester Hospital NHS Foundation Trust

The Countess of Chester Hospital NHS Foundation Trust incorporates Countess of Chester Hospital in Chester http://www.coch.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
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality

All Patients: Trust Network National
Number of patients in Audit 93 1501 30541
Case ascertainment (%) 58 95 93
Data completeness of:
– Pre-treatment TNM (%) 97 90 78
– Performance status (%) 100 92 85
Patients having major resection: Trust Network National
Number of patients in Audit 81 919 19183
ASA grade 1 (%) 10 11 12
ASA grade 2 (%) 74 54 52
ASA grade 3 (%) 15 30 27
ASA grade 4+ (%) 1 3 2
ASA grade not recorded (%) N/A 3 7
Data completeness of:
7 Audit items for risk-adjustment (%) 98 88 83

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 93 1501 30424
Seen by Clinical Nurse Specialist (%) 98 92 93

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 81 919 19222
Distant metastases (%) 8 8 8
Urgent or emergency surgery (%) 19 17 17
At least 12 lymph nodes excised (%) 90 91 87
Laparoscopic surgery attempted (%) 28 57 66
Risk-adjusted length of stay > 5 days (%) 43 68 64

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 17 178 4503
Neoadjuvant therapy (%) 13 45 36
Circumferential resection margin: Present (%) 41 63 84
Circumferential resection margin: Negative (%) 35 54 77
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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