Portsmouth Hospitals NHS Trust

The Portsmouth Hospitals NHS Trust incorporates Queen Alexandra Hospital in Portsmouth http://www.porthosp.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site PET-CT facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
    • On-site External Beam Radiotherapy services
  • Surgical services:
    • Robotic surgery
  • Advanced disease services:
    • Extended lymphadenectomy

Data Quality
All Patients: Trust Network National
Number of patients in Audit 365 1524 29766
Case ascertainment (%) 104 112 90
Data completeness of:
– Pre-treatment TNM (%) 95 86 83
– Performance status (%) 40 75 85
Patients having major resection: Trust Network National
Number of patients in Audit 205 730 16499
ASA grade 1 (%) 8 9 10
ASA grade 2 (%) 63 58 53
ASA grade 3 (%) 24 28 30
ASA grade 4+ (%) 2 3 3
ASA grade not recorded (%) 3 2 4
Data completeness of:
7 Audit items for risk-adjustment (%) 96 95 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 365 1524 29766
Seen by Clinical Nurse Specialist (%) 96 92 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 79 389 7226
Undergoing major resection (%) 78 84 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 205 730 16474
Distant metastases (%) 9 5 6
Urgent or emergency surgery (%) 10 12 15
At least 12 lymph nodes excised (%) 98 89 84
Laparoscopic surgery attempted (%) 94 82 72
Risk-adjusted length of stay > 5 days (%) 50 57 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 116 553 10641
Adjuvant chemotherapy (%) 67 62 61

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 70 186 3899
Neoadjuvant therapy (%) 13 21 32
Circumferential resection margin: Recorded (%) 100 96 86
Circumferential resection margin: Negative (%) 90 82 79
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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