University Hospitals Bristol and Weston NHS Foundation Trust

The University Hospitals Bristol and Weston NHS Foundation Trust incorporates Bristol Royal Infirmary in Bristol and Weston General Hospital in Weston-super-Mare https://www.uhbw.nhs.uk/

In 2020, University Hospitals Bristol NHS Foundation Trust and Weston Area Health NHS Trust merged into University Hospitals Bristol and Weston NHS Foundation Trust

View previous outcomes for Bristol

View previous outcomes for Weston

View Trust Services

This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Routine Genetic Testing for Lynch Syndrome
  • Surgical services:
    • On-site hepatobiliary surgical team
    • On-site thoracic surgical team
  • Advanced disease services:
    • Dedicated Specialist Advanced MDT
    • Distal sacrectomy
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 286 1851 35779
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 94 95 86
– Performance status (%) 100 96 89
Patients having major resection: Trust Network National
Number of patients in Audit 158 778 19631
ASA grade 1 (%) 4 9 9
ASA grade 2 (%) 75 57 53
ASA grade 3 (%) 21 31 31
ASA grade 4+ (%) 1 1 2
ASA grade not recorded (%) N/A 1 4
Data completeness of:
7 Audit items for risk-adjustment (%) 94 80 87

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 286 1851 35779
Seen by Clinical Nurse Specialist (%) 90 89 88

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 158 778 19614
Distant metastases (%) 4 4 5
Urgent or emergency surgery (%) 9 13 15
At least 12 lymph nodes excised (%) 83 73 84
Laparoscopic surgery attempted (%) 80 80 72
Risk-adjusted length of stay > 5 days (%) 60 49 55
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 73 N/A 10747
Adjuvant chemotherapy (%) 60 N/A 62
Patients receiving chemotherapy after major resection for stage III colon cancer: Trust Network National
Number of patients in audit 88 N/A 6608
Severe acute toxicity after adjuvant chemotherapy (%) 23 N/A 22

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 41 N/A 4251
Neoadjuvant therapy (%) 48 N/A 33
Circumferential resection margin: Recorded (%) 98 81 89
Circumferential resection margin: Negative (%) 90 69 83
Rectal volume 35 N/A 4377
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 150 1041 19644
APER/Hartmanns (%) 33 33 37

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