Gloucestershire Hospitals NHS Foundation Trust

The Gloucestershire Hospitals NHS Foundation Trust incorporates Gloucestershire Royal Hospital and Cheltenham General Hospital http://www.gloshospitals.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • Specialist colorectal surgeon on-call at all times
    • On-site bowel stenting facilities
  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Complex vascular reconstruction
    • Extended lymphadenectomy
  • 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 366 1592 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 95 93 86
– Performance status (%) 98 95 88
Patients having major resection: Trust Network National
Number of patients in Audit 242 784 15891
ASA grade 1 (%) 7 7 8
ASA grade 2 (%) 55 58 52
ASA grade 3 (%) 32 29 31
ASA grade 4+ (%) 2 2 2
ASA grade not recorded (%) 4 4 7
Data completeness of:
7 Audit items for risk-adjustment (%) 95 90 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 366 1592 28523
Seen by Clinical Nurse Specialist (%) 96 89 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 81 429 7393
Undergoing major resection (%) 91 77 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 242 784 15855
Distant metastases (%) 6 5 7
Urgent or emergency surgery (%) 16 14 20
At least 12 lymph nodes excised (%) 95 90 86
Laparoscopic surgery attempted (%) 62 75 67
Risk-adjusted length of stay > 5 days (%) 48 49 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 126 537 10794
Adjuvant chemotherapy (%) 71 64 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 55 194 3481
Neoadjuvant therapy (%) 20 36 38
Circumferential resection margin: Recorded (%) 96 84 89
Circumferential resection margin: Negative (%) 91 77 82
Rectal volume 55 174 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 298 1038 19595
APER/Hartmanns (%) 27 32 36

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