Western Sussex Hospitals NHS Foundation Trust - St. Richard's Hospital

The Western Sussex Hospitals NHS Foundation Trust- St. Richard's Hospital incorporates St Richard's Hospital in Chichester http://www.westernsussexhospitals.nhs.uk/

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This trust offers the following services:

  • Diagnostic and pre-operative services:
    • On-site MRI liver facilities
    • On-site Cardio-Pulmonary Exercise Testing (CPET) facilities
    • Age Specific Genetic Testing for Lynch Syndrome
  • Oncology services:
    • On-site chemotherapy services
  • Advanced disease services:
    • Extended lymphadenectomy
  • Support service facilities:
    • Dedicated nurses for ERAS services

Data Quality
All Patients: Trust Network National
Number of patients in Audit 173 1889 31676
Case ascertainment (%) 104 106 95
Data completeness of:
– Pre-treatment TNM (%) 82 84 80
– Performance status (%) 100 90 86
Patients having major resection: Trust Network National
Number of patients in Audit 125 1128 19218
ASA grade 1 (%) 11 10 11
ASA grade 2 (%) 43 57 53
ASA grade 3 (%) 40 28 28
ASA grade 4+ (%) 6 4 3
ASA grade not recorded (%) N/A 1 5
Data completeness of:
7 Audit items for risk-adjustment (%) 100 91 86

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 173 1889 31676
Seen by Clinical Nurse Specialist (%) 32 73 87
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 50 503 7416
Undergoing major resection (%) 94 86 86

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 125 1128 19218
Distant metastases (%) 6 7 8
Urgent or emergency surgery (%) 18 24 15
At least 12 lymph nodes excised (%) 87 86 84
Laparoscopic surgery attempted (%) 85 73 69
Risk-adjusted length of stay > 5 days (%) 54 61 62
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 118 786 11837
Adjuvant chemotherapy (%) 42 56 62

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 30 238 4588
Neoadjuvant therapy (%) 21 22 33
Circumferential resection margin: Recorded (%) 97 84 90
Circumferential resection margin: Negative (%) 97 77 80
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate N/A N/A N/A
APER/Hartmanns (%) N/A N/A N/A

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