St George's Healthcare NHS Trust

The St George's Healthcare NHS Trust incorporates St George's Hospital in Tooting, South London https://www.stgeorges.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site PET-CT facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site thoracic surgical team
    • Robotic surgery
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
  • Support service facilities:
    • Dedicated nurses for ERAS services
    • Availability of 24 hour palliative care advice
    • 7-day access to face-to-face palliative care services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 220 1558 35779
Case ascertainment (%) Good Fair Good
Data completeness of:
– Pre-treatment TNM (%) 52 81 86
– Performance status (%) 5 78 89
Patients having major resection: Trust Network National
Number of patients in Audit N/A 848 19631
ASA grade 1 (%) N/A 22 9
ASA grade 2 (%) N/A 52 53
ASA grade 3 (%) N/A 21 31
ASA grade 4+ (%) N/A 1 2
ASA grade not recorded (%) N/A 4 4
Data completeness of:
7 Audit items for risk-adjustment (%) N/A 93 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 220 1558 35779
Seen by Clinical Nurse Specialist (%) 22 85 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit N/A 848 19614
Distant metastases (%) N/A 6 5
Urgent or emergency surgery (%) N/A 10 15
At least 12 lymph nodes excised (%) N/A 93 84
Laparoscopic surgery attempted (%) N/A 63 72
Risk-adjusted length of stay > 5 days (%) N/A 74 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 17 N/A 10747
Adjuvant chemotherapy (%) 76 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 13 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 30 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit N/A N/A 4251
Neoadjuvant therapy (%) N/A N/A 33
Circumferential resection margin: Recorded (%) N/A 98 89
Circumferential resection margin: Negative (%) N/A 94 83
Rectal volume N/A N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 54 985 19644
APER/Hartmanns (%) 9 31 37

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