Royal Devon University Healthcare NHS Foundation Trust - North Devon District Hospital

Royal Devon University Healthcare NHS Foundation Trust - Northern Devon Healthcare NHS Trust incorporates North Devon District Hospital in Barnstaple https://www.royaldevon.nhs.uk/

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This trust offers the following services:

  • Advanced disease services:
    • Dedicated Specialist Advanced Nurse
    • Dedicated Specialist Advanced MDT
    • Dedicated Specialist Advanced Outpatient Clinic
    • Complex vascular reconstruction
    • Extended lymphadenectomy
  • Diagnostic and pre-operative services:
    • Routine Genetic Testing for Lynch Syndrome
  • 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 125 1001 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 70 89 86
– Performance status (%) 100 100 88
Patients having major resection: Trust Network National
Number of patients in Audit 70 611 15891
ASA grade 1 (%) 13 6 8
ASA grade 2 (%) 56 54 52
ASA grade 3 (%) 31 37 31
ASA grade 4+ (%) N/A 2 2
ASA grade not recorded (%) N/A N/A 7
Data completeness of:
7 Audit items for risk-adjustment (%) 97 98 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 125 1001 28523
Seen by Clinical Nurse Specialist (%) 95 94 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 23 318 7393
Undergoing major resection (%) 96 83 82

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 70 611 15855
Distant metastases (%) 3 7 7
Urgent or emergency surgery (%) 10 15 20
At least 12 lymph nodes excised (%) 90 91 86
Laparoscopic surgery attempted (%) 83 74 67
Risk-adjusted length of stay > 5 days (%) 47 49 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 42 396 10794
Adjuvant chemotherapy (%) 48 58 60

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 19 138 3481
Neoadjuvant therapy (%) 72 35 38
Circumferential resection margin: Recorded (%) 95 99 89
Circumferential resection margin: Negative (%) 89 94 82
Rectal volume 20 135 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 73 752 19595
APER/Hartmanns (%) 29 39 36

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