Sandwell and West Birmingham Hospitals NHS Trust

West Midlands, Cancer Alliance

The Sandwell and West Birmingham Hospitals NHS Trust incorporates Sandwell General Hospital in West Bromwich and City Hospital in Birmingham https://www.swbh.nhs.uk/

Management of High Grade Dysplasia patients

Time period: 2014-2018
Cancer Alliance National
Number of High Grade Dysplasia patients in audit 107 1597
Cancer Alliance National
Method of Diagnosis
– First diagnosis confirmed by second pathologist 86 80.0% 87.1%
Treatment planning
– HGD plan discussed at MDT 92 86.0% 85.8%
– Treatment plan for active treatment 61 57.0% 77.6%
First treatment
– Endoscopic therapy (such as endoscopic resection) 50 46.7% 69.6%
– Surveillance 33 30.8% 12.8%
– No active treatment or surveillance 4 3.7% 2.8%

Management of oesophago-gastric cancer patients

Time period: 2016-2018
Organisation National
Number of oesophago-gastric (OG) cancer patients in audit 161 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
20 11.4% 12.9%
– Patients with referral source reported as unknown 0 0.0% 1.8%
Pre-treatment staging of cancer
– Patients having staging CT scan recorded 86 72.0% 87.3%
Cancer Alliance National
Treatment planning
– Patients having a plan for curative treatment 52 32.3% 37.9%
– Patients having a plan for non-curative treatment 109 67.7% 62.1%
– Patients with non-curative plans having chemotherapy or radiotherapy 38 34.9% 48.2%

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