Ashford and St Peter's Hospitals NHS Foundation Trust

Surrey and Sussex, Cancer Alliance

The Ashford and St Peter's Hospitals NHS Foundation Trust incorporates St Peter's Hospital in Chertsey http://www.ashfordstpeters.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 32 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 25 76.9% 87.1%
Treatment planning
– HGD plan discussed at MDT 27 84.4% 85.8%
– Treatment plan for active treatment 21 65.6% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 15 46.9% 69.6%
– Surveillance 8 25.0% 12.8%
– No active treatment or surveillance 2 6.3% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 76 21417
Case ascertainment for OG cancer (%) 65-74%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
N/A 3.3% 12.9%
– Patients with referral source reported as unknown 1 1.3% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 55 77.6% 87.3%
Treatment planning
– Patients having a plan for curative treatment 23 30.3% 37.9%
– Patients having a plan for non-curative treatment 53 69.7% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 43 81.1% 48.2%

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