Portsmouth Hospitals NHS Trust

Wessex, Cancer Alliance

The Portsmouth Hospitals NHS Trust incorporates Queen Alexandra Hospital in Portsmouth http://www.porthosp.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2012-2017
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 186 2059
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 92 87.6% 85.8%
Treatment planning
– HGD plan discussed at MDT 160 78.1% 85.8%
– Treatment plan for active treatment 164 80.4% 73.4%
First treatment
– Endoscopic therapy (such as endoscopic resection) 157 77.0% 69.0%
– Surgical resection 7 3.4% 4.4%
– Surveillance 32 15.7% 18.1%

Management of oesophago-gastric cancer patients

Time period: 2015-2017
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 214 21032
Case ascertainment for OG cancer 71 to 80 79.10%
Method of Diagnosis
– Patients diagnosed after an emergency admission**
**Adjusted for age and gender
14 6.40% 13.30%
– Patients with referral source reported as unknown N/A 0.00% 2.00%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 188 87.90% 89.50%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 103 48.10% 38.60%
– Patients having a plan for non-curative treatment 111 51.90% 61.40%
– Patients with non-curative plans having chemotherapy or radiotherapy 78 70.30% 49.50%

Outcomes for OG cancer patients who have curative surgery

Time period: 2014-2017
Organisation National
Number of patients having surgery 152 6714
Length of stay, median (days) 11 11
Operations in which 15 or more lymph nodes were examined (%) 79.6% 82.5%
Number of patients with data on lymph nodes examined 152 6326
30-day postoperative mortality (%) 2.5% 1.8%
90-day postoperative mortality (%) 5.6% 3.2%
Oesophageal surgery
Number of patients having oesophageal surgery 106 4363
Oesophageal patients with positive longitudinal margins (%) 2.7% 3.6%
Number of patients with data on longitudinal margins 105 4128
Oesophageal patients with positive circumferential margins (%) 17.2% 25.1%
Number of patients with data on circumferential margins 104 4009
Gastric surgery
Number of patients having gastric surgery 46 2351
Gastric patients with positive longitudinal margins (%) 8.5% 8.2%
Number of patients with data on longitudinal margins 46 2198

NB: Outcome figures are not presented for trusts reporting fewer than 10 cases or less than 50% complete cases. The national outcome figures presented here may differ slightly from figures presented elsewhere, as they include England and Wales as opposed to only England on the NHS Choices or AUGIS websites.


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