Harrogate and District NHS Foundation Trust

West Yorkshire, Cancer Alliance

The Harrogate and District NHS Foundation Trust incorporates Harrogate District Hospital https://www.hdft.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 46 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 40 87.5% 87.1%
Treatment planning
– HGD plan discussed at MDT 39 84.8% 85.8%
– Treatment plan for active treatment 37 80.4% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 35 76.1% 69.6%
– Surveillance 5 10.9% 12.8%
– No active treatment or surveillance 0 0.0% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 90 21417
Case ascertainment for OG cancer (%) 85-100%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
** Percent figure accounts for differences in mix of patients across organisations
16 18.7% 12.9%
– Patients with referral source reported as unknown 1 1.1% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 83 95.6% 87.3%
Treatment planning
– Patients having a plan for curative treatment 29 32.2% 37.9%
– Patients having a plan for non-curative treatment 61 67.8% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 30 49.2% 48.2%

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