University Hospitals Sussex NHS Foundation Trust - St Richard's Hospital

The University Hospitals Sussex NHS Foundation Trust - St Richard's Hospital incorporates St Richard's Hospital in Chichester https://www.uhsussex.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 205 1912 32641
Case ascertainment (%) Good Good Good
Data completeness of:
– Pre-treatment TNM (%) 85 92 85
– Performance status (%) 100 83 86
Patients having major resection: Trust Network National
Number of patients in Audit 126 962 18552
ASA grade 1 (%) 5 13 9
ASA grade 2 (%) 58 56 53
ASA grade 3 (%) 34 28 30
ASA grade 4+ (%) 3 3 2
ASA grade not recorded (%) N/A 1 6
Data completeness of:
7 Audit items for risk-adjustment (%) 96 94 89

Key:

> 80%
50 - 80%
< 50%

Management of all patients
All Patients: Trust Network National
Number of patients in Audit 205 1912 29766
Seen by Clinical Nurse Specialist (%) 72 87 86
All patients deemed potentially curative Trust Network National
Number of potentially curative patients 55 493 8157
Undergoing major resection (%) 80 80 83

Management of patients having major resection
Patients having major resection: Trust Network National
Number of patients in Audit 126 962 18515
Distant metastases (%) 3 5 6
Urgent or emergency surgery (%) 19 18 21
At least 12 lymph nodes excised (%) 85 87 86
Laparoscopic surgery attempted (%) 93 79 71
Risk-adjusted length of stay > 5 days (%) 61 56 58
Patients having major resection for stage III colon cancer: Trust Network National
Number of patients in audit 85 613 10335
Adjuvant chemotherapy (%) 47 56 63

Rectal cancer patients
Patients having major resection: Trust Network National
Number of patients in Audit 24 199 4137
Neoadjuvant therapy (%) 4 16 34
Circumferential resection margin: Recorded (%) 96 91 90
Circumferential resection margin: Negative (%) 88 85 84
Rectal volume N/A N/A N/A
Patients in APER/Hartmanns estimate: Trust Network National
Number of patients in APER/Hartmanns estimate 132 928 17956
APER/Hartmanns (%) 30 29 37

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