Salford Royal NHS Foundation Trust

Greater Manchester, Cancer Alliance

The Salford Royal NHS Foundation Trust incorporates Salford Royal Hospital http://www.srft.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 73 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 67 92.3% 87.1%
Treatment planning
– HGD plan discussed at MDT 73 100.0% 85.8%
– Treatment plan for active treatment 60 82.2% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 43 58.9% 69.6%
– Surveillance 6 8.2% 12.8%
– No active treatment or surveillance 5 6.8% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 117 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
5 4.3% 12.9%
– Patients with referral source reported as unknown 8 6.8% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 108 95.7% 87.3%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 55 47.0% 37.9%
– Patients having a plan for non-curative treatment 62 53.0% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 30 48.4% 48.2%

Outcomes for OG cancer patients who have curative surgery

Time period: 2015-2018
Organisation National
Number of patients having surgery 192 6730
Length of stay, median (days) 13 11
Operations in which 15 or more lymph nodes were examined (%) 74.9% 84.4%
30-day postoperative mortality (%) 0.4% 1.9%
90-day postoperative mortality (%) 1.4% 3.4%
Oesophageal surgery
Number of patients having oesophageal surgery 114 4404
Oesophageal patients with positive longitudinal margins (%) 5.0% 3.8%
Oesophageal patients with positive circumferential margins (%) 21.3% 25.4%
Gastric surgery
Number of patients having gastric surgery 78 2326
Gastric patients with positive longitudinal margins (%) 16.5% 7.2%

NB: Outcome figures are not presented for trusts reporting fewer than 10 cases


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