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
  • Support service facilities:
    • Availability of 24 hour palliative care advice

Data Quality
All Patients: Trust Network National
Number of patients in Audit 331 1578 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 64 87 85
– Performance status (%) 71 87 86
Patients having major resection: Trust Network National
Number of patients in Audit 199 824 18552
ASA grade 1 (%) 4 8 9
ASA grade 2 (%) 65 51 53
ASA grade 3 (%) 23 26 30
ASA grade 4+ (%) 2 3 2
ASA grade not recorded (%) 7 12 6
Data completeness of:
7 Audit items for risk-adjustment (%) 93 86 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 331 1578 29766
Seen by Clinical Nurse Specialist (%) 98 95 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 47 436 8157
Undergoing major resection (%) 70 78 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 199 824 18515
Distant metastases (%) 9 5 6
Urgent or emergency surgery (%) 12 11 21
At least 12 lymph nodes excised (%) 99 90 86
Laparoscopic surgery attempted (%) 83 80 71
Risk-adjusted length of stay > 5 days (%) 56 52 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 113 510 10335
Adjuvant chemotherapy (%) 68 67 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 65 187 4137
Neoadjuvant therapy (%) 16 26 34
Circumferential resection margin: Recorded (%) 97 92 90
Circumferential resection margin: Negative (%) 91 79 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 284 942 17956
APER/Hartmanns (%) 14 26 37

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