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 426 1146 35779
Case ascertainment (%) Good Fair Good
Data completeness of:
– Pre-treatment TNM (%) 91 90 86
– Performance status (%) 100 94 89
Patients having major resection: Trust Network National
Number of patients in Audit 222 638 19631
ASA grade 1 (%) 8 7 9
ASA grade 2 (%) 60 54 53
ASA grade 3 (%) 28 36 31
ASA grade 4+ (%) 4 3 2
ASA grade not recorded (%) N/A N/A 4
Data completeness of:
7 Audit items for risk-adjustment (%) 100 97 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 426 1146 35779
Seen by Clinical Nurse Specialist (%) 100 93 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 222 638 19614
Distant metastases (%) 16 9 5
Urgent or emergency surgery (%) 12 13 15
At least 12 lymph nodes excised (%) 93 88 84
Laparoscopic surgery attempted (%) 86 73 72
Risk-adjusted length of stay > 5 days (%) 37 46 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 112 N/A 10747
Adjuvant chemotherapy (%) 74 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 83 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 13 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 57 N/A 4251
Neoadjuvant therapy (%) 25 N/A 33
Circumferential resection margin: Recorded (%) 98 91 89
Circumferential resection margin: Negative (%) 91 82 83
Rectal volume 62 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 246 774 19644
APER/Hartmanns (%) 36 41 37

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