Doncaster and Bassetlaw Hospitals NHS Foundation Trust

The Doncaster and Bassetlaw Hospitals NHS Foundation Trust incorporates Doncaster Royal Infirmary and Bassetlaw Hospital http://www.dbh.nhs.uk/

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This trust offers the following services:

  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Diagnostic and pre-operative services:
    • Routine Genetic Testing for Lynch Syndrome
  • 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 324 1270 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 98 88 86
– Performance status (%) 60 89 89
Patients having major resection: Trust Network National
Number of patients in Audit 171 622 19631
ASA grade 1 (%) 4 14 9
ASA grade 2 (%) 42 50 53
ASA grade 3 (%) 28 27 31
ASA grade 4+ (%) 1 2 2
ASA grade not recorded (%) 25 8 4
Data completeness of:
7 Audit items for risk-adjustment (%) 74 91 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 324 1270 35779
Seen by Clinical Nurse Specialist (%) 95 84 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 171 622 19614
Distant metastases (%) 5 4 5
Urgent or emergency surgery (%) 15 12 15
At least 12 lymph nodes excised (%) 95 95 84
Laparoscopic surgery attempted (%) 91 73 72
Risk-adjusted length of stay > 5 days (%) 45 54 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 98 N/A 10747
Adjuvant chemotherapy (%) 36 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit N/A N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) N/A N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 29 N/A 4251
Neoadjuvant therapy (%) 9 N/A 33
Circumferential resection margin: Recorded (%) 97 99 89
Circumferential resection margin: Negative (%) 97 92 83
Rectal volume 30 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 191 647 19644
APER/Hartmanns (%) 50 43 37

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