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: 2012-2017
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 59 2059
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 40 85.1% 85.8%
Treatment planning
– HGD plan discussed at MDT 30 88.2% 85.8%
– Treatment plan for active treatment 18 52.9% 73.4%
First treatment
– Endoscopic therapy (such as endoscopic resection) 15 44.1% 69.0%
– Surgical resection 3 8.8% 4.4%
– Surveillance 12 35.3% 18.1%

Management of oesophago-gastric cancer patients

Time period: 2015-2017
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 74 21032
Case ascertainment for OG cancer 71 to 80 79.1%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
**Adjusted for age and gender
1 1.4% 13.3%
– Patients with referral source reported as unknown 1 1.4% 2.0%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 39 45.9% 89.5%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 27 36.5% 38.6%
– Patients having a plan for non-curative treatment 47 63.5% 61.4%
– Patients with non-curative plans having chemotherapy or radiotherapy 37 78.7% 49.5%

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