Royal Cornwall Hospitals NHS Trust

The Royal Cornwall Hospitals NHS Trust incorporates Royal Cornwall Hospital in Treliske, Truro http://www.royalcornwall.nhs.uk/

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This trust offers the following services:

  • Acute services:
    • 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
  • 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 320 1001 28523
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 90 89 86
– Performance status (%) 100 100 88
Patients having major resection: Trust Network National
Number of patients in Audit 197 611 15891
ASA grade 1 (%) 6 6 8
ASA grade 2 (%) 56 54 52
ASA grade 3 (%) 35 37 31
ASA grade 4+ (%) 3 2 2
ASA grade not recorded (%) N/A N/A 7
Data completeness of:
7 Audit items for risk-adjustment (%) 100 98 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients

All Patients: Trust Network National
Number of patients in Audit 320 1001 28523
Seen by Clinical Nurse Specialist (%) 97 94 85
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 112 318 7393
Undergoing major resection (%) 82 83 82

Management of patients having major resection

Patients having major resection: Trust Network National
Number of patients in Audit 197 611 15855
Distant metastases (%) 13 7 7
Urgent or emergency surgery (%) 11 15 20
At least 12 lymph nodes excised (%) 92 91 86
Laparoscopic surgery attempted (%) 84 74 67
Risk-adjusted length of stay > 5 days (%) 39 49 56
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 128 396 10794
Adjuvant chemotherapy (%) 70 58 60

Rectal cancer patients

Patients having major resection: Trust Network National
Number of patients in Audit 45 138 3481
Neoadjuvant therapy (%) 11 35 38
Circumferential resection margin: Recorded (%) 100 99 89
Circumferential resection margin: Negative (%) 93 94 82
Rectal volume 42 135 3374
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 236 752 19595
APER/Hartmanns (%) 40 39 36

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